HOW TO COMPLY WITH BOSTON’S NEW NAIL SALON REGULATIONS Boston Public Health Commission Safe Nail Salon Project 617-534-2667 PURPOSE OF NAIL SALON REGULATIONS |To improve health and safety for the workers and customers |Define and enforce proper p p sanitation and safety practices of nail salons SALON DOCUMENTS REQUIREMENTS REQUIRED Q DOCUMENTS | A nail salon is required to have the following documentation: y y y y y A copy of the nail salon’s use and occupancy permit (from the Boston Inspectional Services Department) A copy of the nail salon’s license from the Massachusetts Board of Registered Cosmetologists Copies of each of the professional licenses of every person who will be providing services in your salon (these don’t have to be posted, but must be available for review on inspector request) BPHC Operations Permit and Public Health Notice Safety Data Sheets (SDS) SAFETY DATA SHEETS (SDS) ( ) | | Formerly known as Material Safety Data Sheets (MSDS) Product safety sheets that are provided for free from the beauty supply store or product manufacturer | You can sometimes find the SDS on the company website | SDS must be available and accessible to salon employees at all times | Itt iss best to keep eep S SDSs Ss in a b binder de o or file e folder in an obvious place Section 1: Chemical Product and Company Identification Names the Identification. material and provides a mailing address and telephone number for the manufacturer/distributor (useful in case of an emergency). Section 3: Hazards Identification. de c o . How ow thee chemical enters the body (such as inhaling, swallowing or through the skin)) and what health problems it could cause. PUBLIC HEALTH NOTICE PUBLIC HEALTH NOTICE Every nail salon shall display a public health notice in a manner and location conspicuous to employees, employees clients, or visitors of the salon l upon entry. t PUBLIC HEALTH NOTICE | The p public health notice must be p permanently y affixed and shall be: y y y y y made of durable material; att least l t8 8.5 5 iinches h b by 11 inches i h in i size; i printed in 12 point or larger type in strongly contrasted text on a bright background (for example, black text on a white or yellow background, white text on a dark blue or red background, etc.) to allow for ease of reading; and an exact replica of the language included on the Boston Public Health Commission’s public health notice template. p PUBLIC HEALTH NOTICE A template p for the approved pp p public health notice may be obtained from the: Boston Public Health Commission Offi off Environmental Office E i t l Health H lth 1010 Massachusetts Avenue Boston, MA 02118. SALON EQUIPMENT REQUIREMENTS LIDDED WASTE CONTAINERS | Must be at every manicuring station t ti | Must be emptied at least once per day | This will keep the chemicals out of the air and improve salon air | You can also seal cotton balls and items that are soaked with chemicals in plastic bags or sealed l d bottles b ttl EYEWASH STATIONS ARE REQUIRED | Acceptable Eyewash Stations: y A station connected to the building plumbing and capable of continual operation or a stand-alone system specifically designed and marketed for use as an eye wash station. These Must provide tepid (room temperature), sterile water in a continuous flow for at least fifteen minutes. y A stand alone Station that is designed g to be an eyewash station by a manufacturer. Nozzles must remain clean and clear and the water must be replaced regularly. Adhering to the manufacturer recommended water or saline replacement schedule as well as expiration dates is required. THESE ARE NOT ALLOWED TO BE USED AS EYEWASH W S STATIONS O S A hand washing sink | Eyewash stations cannot be located in the bathroom | HAND WASHING SINK | | | At least one hand washing g sink must be located in the salon area The hand washing sink must be kept in a clean and sanitary condition Hot and cold water,, liquid q soap and disposable paper towels must be kept at every g sink hand washing A FULLY STOCKED FIRST AID KIT MUST BE KEPT IN THE SALON | The first aid kit must be easily accessible to salon employees and technicians at all times and must contain the following items: | | | | | | | | | | | | | | | One absorbent compress 32 square inches (no side smaller than 4 inches) Four sterile pads (3 inches by 3 inches) One triangular bandage (40 inches by 40 inches by 56 inches) Sixteen adhesive bandages g 1 inch by y 3 inches Five yards of adhesive tape Antiseptic cream/ointment – at least 10 applications of 0.5g (0.14 fluid oz) each Burn treatment cream/ointment – at least 6 applications of 0.5g (0 (0.14 fl id oz)) each fluid h Two pairs of medical exam gloves (nitrile preferred) Alcohol prep pads Alcohol hand sanitizer R ll off gauze bandage Roll b d (2 inches i h wide) id ) Instant ice pack Bandage scissors Acetaminophen and/or aspirin and/or ibuprofen (at least two of these) Disposable thermometer or fever strip VENTILATION REQUIREMENTS NEW VENTILATION REQUIREMENTS Q Any y new salon or a salon that applied pp for the first time after October 17, 2013 must maintain compliance with the minimum ventilation specifications listed in the International Mechanical Code incorporated into the State Building Code at 780 CMR and 271 CMR 6, as amended | Any salon who has applied for a permit before October 17 17, 2013 will have 5 years to achieve compliance | WHAT DOES THIS MEAN? | All nail salons will be required q to have mechanical ventilation systems and/or nail tables with a built-in ventilation system WHY DO WE NEED THESE CHANGES? Products used in nail salons may y contain chemicals that are harmful to your health. | Without proper ventilation, nail salon workers and d clients li t are exposed d to t these th h harsh h chemicals h i l for longer duration of time. | y | Exposures p can “add up,” p, especially p y when many y products are being used at the same time or when the products are used day after day. These new regulations will help to decrease the amount of exposure time workers and clients face. THESE ARE NOT ACCEPTABLE FORMS OF VENTILATION Fans do not remove vapors vapors, dusts or bring in fresh air THESE ARE NOT ACCEPTABLE FORMS OF VENTILATION O Ozone ‘air p purifiers’ should never be used because they actually create indoor air pollution that can harm people with asthma THESE ARE NOT ACCEPTABLE FORMS OF VENTILATION O Air fresheners should be avoided because they y add chemicals to the air in your salon and can irritate people with asthma NO INCENSE, CANDLES, OR OPEN FLAMES There are many y flammable chemicals in y your salon. For this reason, the following items are not allowed: | Incense | Candles | Open flames PERSONAL PROTECTIVE EQUIPMENT FOR SALON WORKERS PERSONAL PROTECTIVE EQUIPMENT Q | Nail salon workers have the right g to use p personal protective equipment (PPE) to protect themselves while at work RESPIRATORY PROTECTION | N-95 p paper p dust mask y | Protects against dust, but will not protect against chemicals N-95 mask with odor control Protects against dust dust, and SOME chemicals y Exhaling valve masks it easier to breathe y | Air purifying respirator y Only mask that will protect against all chemicals h i l SKIN PROTECTION | Use nitrile gloves. g y | Usually blue or purple in color and will protect you from chemicals A id llatex gloves. Avoid l Do not protect you from chemicals y Some people may be allergic to latex y | Cover any cuts that you may have on your hands. y Cuts make it easier for chemicals, bacteria, viruses, and/or d/ fungus f to enter into i your body. b d MANICURE TABLES AND FOOT BATHS MUST BE CLEAN AND SANITIZED AFTER EACH CLIENT AND AT THE END OF THE DAY CLEANING AND DISINFECTING MANICURING TABLES (STEP 1) | All manicuring tables and similar surfaces and devices, must be cleaned and disinfected after each client and before use by the next client following a 3-step process: Step 1 |Use a damp disposable paper towel to wipe down the entire surface to remove d dust, nail il clippings, li i and d other h debris. d b i |Dispose of this towel in the trash. CLEANING AND DISINFECTING MANICURING TABLES S (STEP 2)) |W Wipe p down the entire surface of the table with a damp paper towel and one of the following methods: y y y a mixture i off 10% bl bleach h in i tap water (prepared fresh each day with no other chemicals added to this mix), ), OR 100% isopropyl (rubbing) alcohol, OR an EPA-registered disinfectant (use according di to t manufacturer f t instructions) i t ti ) | Dispose of the used paper towel in a lidded trash receptacle. receptacle CLEANING AND DISINFECTING MANICURING TABLES S (STEP 3) | If using 100% alcohol, no other steps are necessary. | For any other disinfectant, wipe down the surface f one last time with a disposable paper towel damp with tap water to rinse off any disinfectant residue. residue | Dry with a second paper towel. | Both of these paper towels to els should be disposed of in a lidded trash receptacle. ALL FOOT BATHS MUST BE CLEANED AFTER EACH C CLIENT Drain the water from the foot spa basin or bowl and remove any visible debris. | Clean the surfaces of the foot spa with soap or detergent. | Rinse with clean water and drain the foot spa. spa | Disinfect the surfaces with an EPA-registered hospital disinfectant according to the manufacturer's f t ' directions di ti on the th llabel. b l | Surfaces must remain wet with the disinfectant for ten minutes or the length of time recommended on the label, whichever is longer. | A 10% mix of bleach and water (but no other chemical)) may y be used as an alternative disinfectant. | ALL FOOT BATHS MUST BE CLEANED AFTER EACH C CLIENT For whirlpool foot spas, air-jet basins, “pipe-less” f foot spas, and d other h circulating i l i spas: Fill the basin with water and the appropriate amount of liquid disinfectant (or 10% bleach solution) and turn the unit on to circulate the disinfectant f f at least ten minutes. for | Drain the foot bath and rinse with clean, cold water. water | For circulating spas, refill with clean hot water, turn the unit on to circulate for at least one minute, and drain the unit. | NIGHTLY CLEANING FOR NON-CIRCULATING FOO OOT BATHS S 1. 2. 3. 4 4. 5. 6. Drain the basin and remove any visible debris. Scrub the bowl with a clean brush and soap p or disinfectant (following cleaning directions). Rinse with hot water and drain. Disinfect basin surfaces with and EPAEPA registered hospital disinfectant according to manufacturer instructions or with 10% bleach solution. l ti Surfaces must remain wet with the disinfectant for ten minutes or the length of time recommended on the label, whichever is longer. Drain the basin,, rinse with clean,, hot water,, and let air dry. NIGHTLY CLEANING FOR WHIRLPOOL FOOT BATHS S, AIR-J JET BASINS S S, AND OTHER CIRCULATING SPAS 1. 2. 3. 4. Remove the filter screen,, inlet jets, j , and all other removable parts from the basin and clean out any debris trapped behind or in them. them Using a brush, scrub these parts with soap or disinfectant (following cleaning directions). Rinse the removed parts with clean water and place them back into the basin apparatus. Fill the h basin b i with i h clean, l hot h water and d add dd an EPA-registered hospital disinfectant, g label directions. following NIGHTLY CLEANING FOR WHIRLPOOL FOOT BATHS, AIR-JET BASINS, AND OTHER CIRCULATING SPAS (CONTINUED) 5. Turn the unit on and circulate the system y with the disinfectant for ten minutes or the length of time recommended on the label, whichever is longer. longer 6. The whirlpool mechanism of the tub must be operating for the entire disinfection period so the piping and internal components that contain hidden bacteria are disinfected. 7 Drain, 7. Drain rinse with hot water, water and air dry. dry SANITATION PROCESSES FOR TOOLS AND EQUIPMENT Q STORING SANITIZED TOOLS | Sanitized tools must be stored in a clean,, sanitary drawer, cabinet, or box where tools will be protected from dust, particles or debris SINGLE USE TOOLS | MUST be discarded after use on a single client. client y Single-use tools should NOT have a separate trash can can. This can lead to the appearance that these items will be reused. | Cannot C b be adequately d l sanitized ii d between clients because they are either made of porous/permeable material and/or are degraded by use on a client. EXAMPLES OF SINGLE USE ITEMS Nail Files / Emory y Boards | Buffers | Pumice Stones | Sandpaper buffing disks on electric files | Wood cuticle sticks | Waxing spatulas or wands | Toe Separators | Flip Fli Flops Fl | NEVER REUSE PUMICE STONES! MULTI-USE TOOLS Multi-Use Tools are items constructed of hard materials with smooth nonporous surfaces such as metal, metal glass, or plastic that can be used on more than one client. client The term includes but is not limited to such items as clippers, clippers scissors, scissors combs, combs nippers, manicure bowls, and some nail files. files SOME EXAMPLES OF MULTI-USE TOOLS |Nail Clippers |Nail Scissors |Manicure Bowls |Metal M t l Nail N il Files Fil NEW REGULATIONS FOR STERILIZATION OF MU ULTI-US USE TOO OOLS S All salons receiving gap permit for the first time after October 17, 2013 must install and use either an autoclave or a US FDA registered dry heat sterilizer. sterilizer | All salons who have applied for a permit prior to October 17, 2013 will have 2 years to meet this requirement. | THE NEW STERILIZATION PROCEDURE | Two Steps: 1. Clean particles of skin, nails, or any other visible debris from the tool using any kind of soap and water along with scrubbing with a brush. The dirty water must be washed down the drain after each cleaning and can not be used on any other tool. 2 Use either an autoclave or dry heat 2. sterilizer according to the manufacture’s instructions or US FDA regulations. AUTOCLAVES Autoclaves use a p process that kills all forms of microbial life (including spores, viruses, and bacteria) by using high heat and pressure. | An A autoclave t l mustt run for f att least l t 30 minutes i t att a temperature of 270 degrees Fahrenheit. | It must be used and maintained according to the manufacturer’s specifications. | DRY HEAT STERILIZERS Dry y heat sterilizers do exactly y what they y sound like. They kill all forms of microbial life (including spores, viruses, and bacteria) by using dry heat. heat | How long a dry heat sterilizers needs to run depends on the temperature. For example: | 340 degrees Fahrenheit for 60 minutes y 320 degrees Fahrenheit for 120 minutes y 300 degrees Fahrenheit for 150 minutes y | Dry heat sterilizers must be maintained according to manufacturer’s specifications. UV BOXES ARE BANNED: DO NOT USE As of October 17,, 2013,, UV Boxes have been banned from use in the City of Boston. | Ultraviolet light boxes do not sanitize and may nott b be used d as a method th d off cleaning, l i sanitizing, iti i or disinfecting multi-use tools. | STERILIZATION PACKS VS INDIVIDUAL STERILIZATION R O | Multi-use tools may be autoclaved or dry y heat sterilized in sterilization packs that contains a sterilized indicator. y Make sure the pack was designed for the equipment being used | Autoclave packs do not work in a dry heat sterilizer and vice versa It is an internal indicator to verify that the tool has been successfully sterilized. y Preferred P f d method th d since i the th tools t l can be b stored in these packs and opened on a clean surface in front of the client i immediately di t l b before f use. y STERILIZATION PACKS VS INDIVIDUAL STERILIZATION R O | Multi-use tools can also be autoclave or dry heat sterilized individually. y A piece i off autoclave t l ttape or a d dry h heatt sterilizer t ili strip t i should be included with each batch of tools to verify that proper temperature was reached. Be sure tto use th B the correctt ttape or strip t i for f the th equipment i t being used. | Autoclave tape does not work in a dry heat sterilizer and dry heat sterilizer strip does not work in an autoclave | Tools can then be placed in a clean storage bag or clean plastic container. y Dirty Di t tools t l should h ld NEVER b be placed l d iin th the same container as clean tools. y Autoclave Tape Dry Heat Sterilizer Strip PRO ROPER R DOCU OCUMENTATION O O OF STERILIZATION R O A salon must verify and document that their autoclave or dry heat sterilizers are working properly. | There are 2 proper ways to document this. | OPTION #1 | | At least once per day, an indicator test strip or “ t l “autoclave tape” t ” mustt b be sterilized t ili d along l with ith any tools t l being sterilized. A log book of the daily tests must be maintained. It should include: y y y y y y | | Date and time each test was performed Type of treatment method (Dry heat vs autoclave) Model and serial number of the device used Brand and product name of the test strip used Printed name and signature of person running test Actual test strip or tape should be included in daily log BPHC inspectors i will ill examine i this hi log l book b k during d i any inspection of the salon. Notes must be kept for at least 1 year, preferably longer. longer OPTION #2 An independent p commercial testing g laboratory y contracted by the salon can perform monthly biological spore testing of the autoclave or dry heat sterilizer. sterilizer | If the device fails the testing, a provision must be in place so that the laboratory notifies BPHC immediately. | BPHC inspectors will review these reports during all inspections. inspections | Salons must keep the monthly reports for at least y one year. | THE FOLLOWING SLIDES ON DISINFECTING MULTI-USE TOOLS ONLY APPLY TO NAIL SALONS THAT HAVE APPLIED FOR A PERMIT PRIOR TO OCTOBER 17, 2013 MU ULTI US SE ITEMS S MUST US BE DISINFECTED S C | Two Steps for Disinfecting: 1. Clean particles of skin, nails, or any other visible debris from the tool using any kind of soap and water along with scrubbing with a brush. The dirty water must be washed down the drain after each cleaning and can not be used on any other tool. 2. After cleaning disinfect the metal tools in any y 1 of the following g 3 ways: y OPTION #1 FOR DISINFECTION | Immersion/soaking/rinsing the tool(s) in an EPA-registered EPA registered bactericidal, bactericidal fungicidal fungicidal, and virucidal disinfectant following the manufacturer directions for use in disinfecting objects. | This should be followed by a thorough rinse i with ith clean, l cold ld ttap water. t | The tool(s) can then be dried with disposable paper towels. towels | Formalin / Formaldehyde is not allowed to be used as a disinfectant. OPTION #2 FOR DISINFECTION Soaking g for ten minutes in a mixture of 10% chlorine bleach and tap water that is freshly prepared on a daily basis. | This Thi soak k should h ld be b followed f ll d by b a thorough th h rinse i with clean, cold tap water. | The tool(s) can then be dried with disposable paper towels. | Never mix bleach with anything other than water, because b this hi can create a gas that h is i dangerous for you, your workers, and your clients! | OPTION #3 FOR DISINFECTION Soaking for ten minutes in a solution of 70% or greater isopropyl alcohol in water that is freshly prepared on a daily basis. basis | This soak should be followed by a thorough rinse with clean, cold tap water. | The tool(s) can then be dried with disposable paper towels. towels | Never mix this cleaning solution with any y other chemical,, because this can create a gas that is dangerous for you, your workers, and your clients! | REPORTING AN INJURY REPORTING AN INJURY If a client or nail technician is injured or obtains an infection, complication li ti or disease di as a result of nail salon services, the nail salon owner must submit a written report p to BPHC and the injured person within 5 business days. days AN INJURY REPORT SHALL INCLUDE: The name of the affected client or nail technician | The name and address of the affected client’s or nail technician’s health care provider (if any) | The name and address of the nail salon involved | The nature of the infection, injury, complication or disease | Any other relevant information | ENFORCEMENT ENFORCEMENT The Boston Public Health Commission will make sure that salons are in compliance by: | Inspecting is issued before any permit or renewal | Investigating complaints from neighbors, g , customers,, and others | Conducting surprise inspections VIOLATIONS If one or more violations are found salon owners or managers must: | immediately correct the violation | take all reasonable steps to make sure th violation the i l ti is i nott repeated t d | Pay P any fine fi ffor the th violation i l ti within ithi 21 days VIOLATION FEES AND CONSEQUENCES | Based on the nature of the violation, the salon may be temporarily ordered closed until the violation is corrected | An A owner off a nail il salon l ffound d to b be in i violation i l i off any item within the regulation may receive a fine of not more than: $100 for the first violation b. $200 for a second violation within a 12 month period c. $300 for a third and all other violations found within a 12 month period a. YOU HAVE THE RIGHT TO APPEAL All citations and fines issued pursuant to the Regulation may be appealed in accordance with the Boston Public Health Commission’s Administrative Appeal Procedures. A copy of such procedures is available on the h Commission’s C i i ’ website b i at www.bphc.org or at the Office of Environmental Health. Health QUESTIONS?
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