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SR0087001
Environmental Health - Public
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4100 – Safe Body Art
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SR0087001
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Entry Properties
Last modified
9/1/2023 11:28:31 AM
Creation date
9/1/2023 9:50:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0087001
PE
4103
FACILITY_NAME
MY SALON SUITES
STREET_NUMBER
5759
STREET_NAME
PACIFIC
City
STOCKTON
Zip
95207
ENTERED_DATE
7/27/2023 12:00:00 AM
SITE_LOCATION
5759 PACIFIC B145
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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Body Art Facility Infection Prevention And Control Plan Guideline <br />I. Sterilization of Jewelry: Describe the procedure used for the sterilization of jewelry prior to placing <br />into newly pierced skin (California Health and Safety Code 119310 (a) and 119315). <br />Not offered. <br />J. Sterilization room: Describe the procedure used for decontaminating instruments prior to placing <br />them into the autoclave. Indicate whether instruments are manually washed or machine washed, <br />such as with an Ultrasonic machine. Describe the material used for soaking dirty instruments in the <br />machine, such as Tergazyme (California Health and Safety Code 119309 (b)(e)(g). 119314 (c), and <br />119315 (b)). <br />N/A <br />K. Disinfection Products: List the disinfectant products used at the body art facility (California Health <br />and Safety Code 119301 (k) and 119308 (b)(6)). <br />GermacOal disi,nfecting wipes <br />Caviwipes and spray by Metrex <br />Greensoap <br />L. Time and Temperature: List the temperature of the autoclave and duration of time at that <br />temperature required for the sterilization of clean instruments. Indicate where the sterilization log is <br />maintained on-site. Indicate whether each sterilization load is tested using Class 5 integrators <br />(California health and Safety Code 119315 (b)(3)(5)). <br />Time: <br />Temperature: <br />Psi: <br />M. Personal Protective Equipment: List the personal protective equipment used during a body art <br />procedure for the practitioner and the client (California Health and Safety Code 119308 (a) and <br />1193090)). <br />Gloves, face shields, mask, eye protection, and disposable aprons. <br />Disposable bed coverings, disposable headband <br />N. Handwashing Sink: List the locations of the handwash sinks and describe the items supplied at <br />each sink (California Health and Safety Code 119314 (b)(3)). <br />Hand washing sink is located on the left side of the room. Touchless soap dispensor and touchless <br />paper towel dispensor. Sink is supplied with running hot and cold water. <br />Page 6 of 11 <br />
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