21 NCAC 14H .0403. DISINFECTION PROCEDURES

(a)  Sanitation rules which apply to towels and cloths are as follows:

(1)           Clean protective capes, drapes, linens and towels shall be used for each patron;

(2)           After a protective cape has been in contact with a patron's neck it shall be placed in a clean, closed container until laundered with soap and hot water and dried in a heated dryer.  Capes that cannot be laundered and dried in a heater dryer may be disinfected with an EPA registered hospital grade disinfectant mixed and used in accordance with the manufacturer directions; and

(3)           After a drape, linen or towel has been in contact with a patron's skin it shall be placed in a clean, covered container until laundered with soap and hot water and dried in a heated dryer.  A covered container may have an opening so soiled items may be dropped into the container.

(b)  Any paper or nonwoven protective drape or covering shall be discarded after one use.

(c)  There shall be a supply of clean protective drapes, linens and towels at all times.

(d)  Clean drapes, capes, linens, towels and all other supplies shall be stored in a clean area.

(e)  Bathroom facilities must be kept cleaned.

(f)  All implements shall be cleaned and disinfected after each use in the following manner:

(1)           They shall be washed with warm water and a cleaning solution and scrubbed to remove debris and dried.

(2)           They shall be disinfected in accordance with the following:

(A)          EPA registered hospital/pseudomonacidal (bactericidal, virucidal, and fungicidal) or tuberculocidal that is mixed and used according to the manufacturer's directions. They shall be rinsed with hot tap water and dried with a clean towel before their next use. They shall be stored in a clean, closed cabinet or container until they are needed; or

(B)          1 and 1/3 cup of 5.25 percent household bleach to one gallon of water for 10 minutes. They shall be rinsed with hot tap water and dried with a clean towel before their next use. They shall be stored in a clean, closed cabinet or container until they are needed; or

(C)          UV-C, ultraviolet germicidal irradiation used accordance with the manufacturer's directions.

(3)           If the implement is not immersible or is not disinfected by UV-C irradiation, it shall be cleaned by wiping it with a clean cloth moistened or sprayed with a disinfectant EPA registered, hospital/pseudomonacidal (bactericidal, virucidal, and fungicidal) or tuberculocidal, used in accordance with the manufacturer's directions.

(4)           Implements that come in contact with blood, shall be disinfected by:

(A)          disinfectant, used in accordance with the manufacturer's instructions, that states the solution will destroy HIV, TB or HBV viruses and approved by the Federal Environmental Protection Agency; or

(B)          EPA registered hospital/pseudomonacidal (bactericidal, virucidal, and fungicidal) and tuberculocidal that is mixed and used according to the manufacturer's directions; or

(C)          household bleach in a 10 percent solution (1 and 2/3 cup of bleach to 1 gallon of water) for 10 minutes.

(g)  All disinfected non-electrical implements shall be stored in a clean closed cabinet or clean closed container.

(h)  All disinfected electrical implements shall be stored in a clean area.

(i)  Disposable and porous implements and supplies must be discarded after use or upon completion of the service.

(j)  Product that comes into contact with the patron must be discarded upon completion of the service.

(k)  Clean, closable storage must be provided for all disinfected implements not in use.  Containers with open faces may be covered/closed with plastic wrapping.  Disinfected implements must be kept in a clean closed cabinet or clean closed container and must not be stored with any implement or item that has not been disinfected.

(l)  Lancets, disposable razors, and other sharp objects shall be disposed in puncture-resistant containers.

(m)  All creams, lotions, wax, cosmetics, and other products dispensed to come in contact with patron's skin must be kept in clean, closed containers, and must conform in all respects to the requirements of the Pure Food and Drug Law. Any product apportioned for use and removed from original containers must be distributed in a sanitary manner that prevents contamination of product or container.  Any product dispensed in portions into another container must be dispensed into a sanitized container and applied to patrons by means of a disinfected or disposable implement or other sanitized methods.  Any product dispensed in portions not dispensed into another container must be used immediately and applied to patrons by means of a disinfected or disposable implement or other sanitized methods.  No product dispensed in portions may be returned to the original container.

(n)  As used in this Rule whirlpool or footspa means any basin using circulating water.

(o)  After use by each patron each whirlpool or footspa must be cleaned and disinfected as follows:

(1)           All water must be drained and all debris removed from the basin;

(2)           The basin must be disinfected by filling the basin with water and circulating:

(A)          Two tablespoons of automatic dishwashing powder and 1/4 cup of 5.25 percent household bleach to one gallon of water through the unit for 10 minutes; or

(B)          Surfactant or enzymatic soap with an EPA registered disinfectant with bactericidal, tuberculocidal, fungicidal and virucidal activity used according to manufacturer's instructions through the unit for 10 minutes;

(3)           The basin must be drained and rinsed with clean water; and

(4)           The basin must be wiped dry with a clean towel.

(p)  At the end of the day each whirlpool or footspa must be cleaned and disinfected as follows:

(1)           The screen must be removed and all debris trapped behind the screen removed;

(2)           The screen and the inlet must be washed with surfactant or enzymatic soap or detergent and rinsed with clean water;

(3)           Before replacing the screen one of the following procedures must be performed:

(A)          The screen must be totally immersed in a household bleach solution of 1/4 cup of 5.25 percent household bleach to one gallon of water for 10 minutes; or

(B)          The screen must be totally immersed in an EPA registered disinfectant with bactericidal tuberculocidal, fungicidal and virucidal activity in accordance to the manufacturer's instructions for 10 minutes;

(4)           The inlet and area behind the screen must be cleaned with a brush and surfactant soap and water to remove all visible debris and residue; and

(5)           The spa system must be flushed with low sudsing surfactant or enzymatic soap and warm water for at least 10 minutes and then rinsed and drained.

(q)  Every week after cleaning and disinfecting pursuant to Paragraphs (a) and (b) of this Rule each whirlpool and footspa must be cleaned and disinfected in the following manner:

(1)           The whirlpool or footspa basin must be filled with water and 1/4 cup of 5.25 percent household bleach for each one gallon of water or EPA registered disinfectant with bactericidal, tuberculocidal, fungicidal and virucidal activity in accordance to the manufacturer's instructions; and

(2)           The whirlpool or footspa system must be flushed with the bleach and water or EPA registered disinfectant solution for 10 minutes and allowed to sit for at least six hours; and

(3)           The whirlpool or footspa system must be drained and flushed with water before use by a patron.

(r)  A record must be made of the date and time of each cleaning and disinfecting as required by this Rule including the date, time, reason and name of the staff member who performed the cleaning.  This record must be made for each whirlpool or footspa and must be kept and made available for at least 90 days upon request by either a patron or inspector.

(s)  The water in a vaporizer machine must be emptied daily and the unit disinfected daily after emptying.

(t)  The area where services are performed that come in contact with the patron's skin including treatment chairs, treatment tables and beds shall be disinfected between patrons.

 

History Note:        Authority G.S. 88B-2; 88B-4; 88B-14;

Eff. April 1, 2012.