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SR0078807
Environmental Health - Public
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4100 – Safe Body Art
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SR0078807
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Last modified
9/5/2024 9:41:56 AM
Creation date
9/5/2024 9:40:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0078807
PE
4103
FACILITY_NAME
LODI MICRO CLINIC
STREET_NUMBER
755
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03308052
ENTERED_DATE
3/2/2018 12:00:00 AM
SITE_LOCATION
755 S FAIRMONT AVE STE E2
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Body Art Facility Section Prevention And Control Plan Guideline <br /> 1. 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 /> n/a <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 /> Germicidal spray, Germicidal disposable wipes, Barbicide disposable wipes <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: n/a <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 /> Wear disposable gloves at all times, aprons, gowns, masks, protective glassess, eyewash cleanser <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 /> sinks in body arts rooms, hand soap and disposable towels <br /> Page 6 of 11 <br />
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