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r , <br /> BODY ART FACILITY INFECTION PREVENTION AND CONTROL PLAN GUIDELINE <br /> In accordance with the California Health and Safety Code, Section 119313, a body art facility shall <br /> maintain and follow a written Infection Prevention and Control Plan, provided by the owner or <br /> established by the practitioners, specifying procedures to achieve compliance with the Safe Body Art <br /> Act. A copy of the Infection Prevention and Control Plan shall be filed with the Environmental Health <br /> Division and a copy maintained in the body art facility. <br /> The body art facility owner shall provide onsite training on the facility's Infection Prevention and <br /> Control Plan to the body art practitioners and employees or individuals involved with decontamination <br /> and sterilization procedures. <br /> Training shall be provided when tasks where occupational exposures may occur are initially assigned, <br /> anytime there are changes in the procedures or tasks and when new technology is adopted for use in <br /> the body art facility, but not less than once each year. Records of training shall be maintained on-site <br /> for three years. <br /> Name of Body Art Facility: L"S+ re-nos j4,0d r,,o <br /> Site Address: s110 P�Ut ��- �'`�f- c <br /> City, State, Zip: �y c, CA I <br /> Type of Body Art Facility: `A 1:::Y( �S PI'e,-r-C, i AOS <br /> Contact Person: MN aiel �1,�"� - Telephone: 6 5 -7 S 7 <br /> A. Decontamination and Disinfection: Describe the procedures for decontaminating and <br /> disinfecting of workstation and surfaces. <br /> 1. Workstation surfac s/counter tops: <br /> ctkk ` f UT2 <br /> Qtnd At'll"'im Vs(l 1 1--glie—,77 J?l 64;re dk--) <br /> -3 .-,4s <br /> 2. Wor station chairs/ tools: <br /> 6(i Sa cc,,] VJ JL,C, 9A-A'L_%'JP ..eAUCxCjd, <br /> -}- b7 <br /> vi <br /> 3. Trays: / g <br /> � h S it f f'A W4i c, Livi e_ <br /> ti L D we- a wP <br /> s; re- r� ,,,� ea(ad"J4 .0 <br /> Page 1 of 9 <br />