12.14 P rivacy screens or walls must be smooth, durable, in good repair, nonporous, and easily cleanable. Per OSHA standard 1910.1030(d)(4)(ii), “All equipment and environmental and working surfaces shall be cleaned and decontaminated after contact with blood or OPIM” (Bloodborne Pathogens, 2012). 12.15 Adequate ventilation and lighting are essential to a healthy working environment. Ventilation is an engineering control that supplies fresh air to an enclosed space to replace the existing air and remove contaminants. Ventilation is a critical concern with BODY ART, as the associated activities use processes and chemicals that generate fumes. Ventilation capacity should be reviewed during the plan review. OPERATORS should follow the manufacturer’s guidelines for ventilation products to ensure the product is appropriately sized to the room based on the square footage. Proper lighting is essential for a healthy work environment and keeps PERSONNEL and CLIENTS in a BODY ART ESTABLISHMENT safe from accidents. Artificial lighting is defined by the U.S. General Services Administration as a “combination of direct and indirect sources provided by ambient and task lighting fixtures and should complement, not duplicate, natural lighting” (2010). Lighting is typically measured in foot-candles. One foot-candle is equivalent to one lumen per square foot. The BODY ART ESTABLISHMENT must have an artificial light source equivalent to at least 20 lumens per square foot, or 20 foot-candles, to ensure PERSONNEL can see where there could be CONTAMINATION in the PROCEDURE AREA and ESTABLISHMENT at large. 12.16 The Americans with Disabilities Act (ADA) defines a service animal as a “dog that has been individually trained to do work or perform tasks for an individual with a disability” (U.S. Department of Justice, 2020). ADA Title II states that “consistent with CDC guidance, it is generally appropriate to exclude a service animal from limited-access areas that employ general infection-control measures” (U.S. Department of Justice, 2010). The Guidelines for Environmental Infection Control in Health-Care Facilities does not prohibit fish tanks/aquariums in waiting areas but does recommend that they are kept out of patient- care areas and STERILE and clean supply storage areas to control the spread of waterborne microorganisms (CDC, 2019a). Based on these guidelines, this Code states that fish aquariums are allowed in waiting rooms and nonprocedural areas, but that they are prohibited from PROCEDURE AREAS and STERILIZATION AREAS/ROOMS. CDC guidelines also recommend establishing a FACILITY policy for regular cleaning of fish tanks (CDC, 2019a). Supplying fish tanks/aquariums with aquatic species that can survive underwater for a minimum of 48 hours, maintaining a regular cleaning schedule for fish tanks/aquariums, and ensuring the tank/aquarium is the appropriate size for the number of fish housed in it will help reduce the risk of CONTAMINATION in the BODY ART ESTABLISHMENT. 12.17 BODY ART PROCEDURES pierce the skin or MUCOSA and the risk of pathogen transmission must be contained. Pests can spread disease and must be kept out of BODY ART ESTABLISHMENTS to reduce the risk of cross-contamination within the FACILITY (U.S. EPA, 2020). The EPA recommends preventing pests from entering an ESTABLISHMENT by using integrated pest management (IPM), a strategy that focuses on pest prevention and uses
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