Document 203383

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?