760-1412 General, Facilities and Equipment
This section does not address body art
establishments but presents commercial food establishment regulations copied
from Article 13 as if they applied, which they don’t.
Under examination of the requirements for food
establishments to protect the health of the food supply and body
establishments, one finds there are almost no similarity between the two
types of establishments except one point we can agree on: they both must be
kept clean and in good repair.
Below is the comparison, word for word.
Body Art Article 14 is in bold type, the source document Article 13
760-1360 is in italics for comparison.
Comments are not formatted and are left margin.
Nobody would argue with the opening sentence.
Body Art Establishments must be kept clean and in good repair.
1. Floors, Walls and Ceilings
All floors,
walls and ceiling in body art establishments, including doors, windows,
All floors, walls and ceiling in food establishments,
including doors, windows,
skylights and
similar closures and attached equipment such as light fixtures, vent
skylights and similar closures and attached equipment such as light
fixtures, vent,
covers, wall
mounted fans and decorative materials, shall be kept clean and in
covers wall mounted fans and decorative materials, shall be kept
clean and in
good repair.
good repair.
Why the elaborate list,
but so far so good.
The following sentence begins the specific food processing standards.
(Body Art
Article
14)
compared to
(Article 13)
Studs, joints and rafters, and metal framework shall not be left exposed in
the
Studs, joints and rafters and metal framework shall not be left
exposed in
workstation
area.
food preparation or utensil washing areas.
Univ of Florida writes
"The sanitary
objectives for interior building design and construction are to:
Minimize
potential harborages of pests and microorganisms: maximize cleanability; and
maximize the protection of the food products from contamination.
"To design and build in features that
protect the food product from contamination should be the ultimate goal
of planners and designers."
"Ceilings should meet the same objectives mentioned for walls."
Ceilings serve the purpose of preventing contaminants—dust, condensate,
paint chips, etc. –from falling...into the product in process or on
finished product.
University of
Florida Sanitary Design and Construction of Food Processing and Handling
Facilities. http://edis.ifas.ufl.edu/FS120
The dangers that threaten the food supply do not
bear any resemblance to body art, for example: dripping grease from the
ceiling.
If left exposed
in other parts of the establishment, they shall be finished as to
If left exposed in other parts of the establishment, they shall be
finished as to
provide an
easily cleanable surface.
provide an easily cleanable surface.
2.
The floor surfaces in the workstation area and toilet rooms shall be made of
a. The floor surfaces in food storage and preparation areas... utensil
areas,... shall be
smooth,
nonabsorbent materials and constructed so as to be easily cleanable.
Smooth nonabsorbent materials so constructed as to be easily
cleanable...
The floor of
the body art establishment shall be of impervious material. The workstation
and toilet room(s) shall be wet-mopped with an approved sanitizer daily.
Whereas Article 14 prohibits carpeting in any area of
the body art establishment it does allow carpeting in areas in food
establishments.
760-1412(3.c)
Properly installed carpeting is permitted in public areas of food
establishments, such as vestibules, dining rooms, powder rooms, hallways and
lobbies. "The floor of the body art
establishment shall be of "impervious material.
CDC Writes June 6, 2003 / 52(RR10);1-42
Guidelines for Environmental Infection Control in Health-Care Facilities
Recommendations of CDC and the Healthcare Infection Control Practices
Advisory Committee (HICPAC) Recommendations ---Environmental Services
III. Carpeting and Cloth Furnishings
-
Vacuum carpeting in
public areas of health-care facilities and in general patient-care areas
regularly with well-maintained equipment designed to minimize dust
dispersion (280). Category II
-
Periodically perform a
thorough, deep cleaning of carpeting as determined by facility policy by
using a method that minimizes the production of aerosols and leaves
little or no residue (44). Category II
-
Avoid use of carpeting
in high-traffic zones in patient-care areas or where spills are likely
(e.g., burn therapy units, operating rooms, laboratories, or intensive
care units) (44,305,306). Category IB
Follow appropriate procedures for managing spills on
carpeting.
FSM writes
Floors. Floors
are the most abused surface in a food processing facility...Food processing
areas should have floors covered with an appropriate type of
coating...floors can be rinsed, foamed, rinsed, sanitized and still show
positive microbial swabs. These organisms can be splashed onto equipment and
can be tracked around the facility by processing personnel...As such, floor
coverings should be smooth, non-absorbent and easily cleanable." Food Safety
Magazine-04,2006
Floors in body art establishments are not exposed
to mechanical abuse, chemical abuse, temperature abuse or microbial
contamination that are likely to find their way into a tattoo or piercing as
compared to food processing facilities.
FSM Writes
Walls. Although not as critical as floors,
walls also require a smooth, non-absorbent surface to prevent microbial
growth (mold, yeast, bacteria) and absorption of materials containing
dust from allergen materials...The more sensitive the product being
processed, the more attention must be paid to the wall surfaces. FSM
OpCit
Back to Body Art Article 14
3. All walls in
the workstation area and walls in toilet rooms shall be easily cleanable,
a. All walls or rooms or areas in which food is prepared, or utensils or
hands washed, and walls in toilet rooms shall be easily cleanable
light colored
and shall have nonabsorbent washable surfaces.
light colored and shall have nonabsorbent washable surfaces.
a. Concrete blocks or other masonry used in wall construction shall be
finished, covered
3c. Concrete
blocks or other masonry used in wall construction shall be finished
and/or sealed so as to provide an easily cleanable surface.
so as to provide a nonabsorbent, easily cleanable surface.
These standards are appropriate for food
establishments not body art establishments.
The why:
"3.b...so as to
leave no cracks which would permit accumulations of grease or debris or
provide harborage for insects, rodents or vermin."
"4.
Materials used on ceilings in areas exposed to grease and water shall
be finished so as to provide a nonabsorbent, easily cleanable surface."
Food preparation generates grease, steam, spills,
splattering, splashing, aerosolization, food particles and allergens that
are transferred to every part of a food establishment. Cleaning, sanitizing
and controlling the buildup of food processing residues is a major
activity. Food attracts rodents, insects, mold, mildew and a host of living
hazards that are a threat to the health of patrons and safety of the food.
There is no rational application of food establishment standards to body
art.
The CDC writes
E. Keep
housekeeping surfaces (e.g., floors, walls, tabletops) visibly clean on a
regular basis and clean up spills promptly (279). Category II
FSM writes
Anything hung on the facility's walls
should be hung with a minimum of one inch of space between the back of
the item and the wall surface. This allows for improved cleaning access
and keeps areas behind electrical boxes and equipment hangers from
becoming a habitat for insects or niches for microbial growth and
allergen residues to reside. FSM OpCit
DSP writes
Environmental surfaces such as floors, walls and related objects
are not associated with transmission of infections to patients or
health-care workers and therefore, extraordinary attempts to
disinfect these surfaces are not necessary. Cleaning to remove gross filth
and contamination is sufficient.
Environmental surfaces such as adjustment knobs, handles, buttons,
instrument trays and carts and lights though never coming in direct contact
with clients may frequently become contaminated with client material by
being touched, often repeatedly and so require cleaning and disinfection.
p628 Disinfection, Sterilization and Preservation, Block
CDC writes
"CDC's Guideline for Handwashing and Hospital
Environmental Control...(Exs. 6-188;6-153)...Specifically, CDC states that
while extraordinary attempts to disinfect or sterilize environmental
surfaces such as walls and floors are rarely indicated, routine cleaning and
removal of soil are recommended." Summary p.79
E. Keep
housekeeping surfaces (e.g., floors, walls, tabletops) visibly clean on a
regular basis and clean up spills promptly (279). Category II
1.
Use a one-step process and an EPA-registered hospital detergent/disinfectant
designed for general housekeeping purposes in patient-care areas where
1)
uncertainty exists as to the
nature of the soil on the surfaces (e.g., blood or body fluid
contamination versus routine dust or dirt); or
2) uncertainty exists regarding the presence of multidrug resistant
organisms
on such surfaces (272,274,280,281). Category II
2.
Detergent and water are adequate for cleaning surfaces in nonpatient-care
areas (e.g., administrative offices). Category II
3. Clean and disinfect high-touch surfaces (e.g., doorknobs, bed rails,
light switches, and surfaces in and around toilets in patients' rooms) on a
more frequent schedule than minimal-touch housekeeping surfaces. Category II
4. Clean walls, blinds, and window curtains in patient-care areas when they
are visibly dusty or soiled (270,282--284).
Category II
ID writes
In general,
environmental surfaces such as floors and walls are not hazardous. Remote
surfaces are unlikely to present a problem unless they accumulate dust that
can harbor organisms
P115, Infectious Diseases, OpCit
HEIC writes
Environmental
sites may become contaminated from infected or colonized patients rather
than the other way around. Routine surveillance cultures of the hospital
environment, therefore, are unjustified, and environmental cultures made
during outbreaks should be interpreted with care.
p1244, Hospital Epidemiology and Infection Control, Mayhall
OSHA writes
"The
record...contains evidence that the hepatitis B virus can survive for at
least one week dried at room temperatures on environmental
surfaces...Transmission of HBV infection as a result of exposure to
contaminated environmental surfaces has been documented ...(in)
hemodialysis units. OSHA Section 9 - IX Summary p.3
Regulations requiring certain types of walls,
ceilings and floors to decrease infection rates are an unsupported expense,
a waste of taxpayer money spent in enforcement and inspection, have no
foundation in fact, and are based on misunderstanding the role environmental
surfaces such as floors and walls play in infection control.
CDCDC writes
B.
Do not
use carpeting in hallways and patient rooms in areas housing
immunosuppressed patients (e.g., PE areas) (37,44).
Category IB
C.
Avoid
using upholstered furniture and furnishings in high-risk patient-care areas
and in areas with increased potential for body substance contamination
(e.g., pediatrics units) (37).
Category II
No
recommendation is offered regarding whether upholstered furniture and
furnishings should be avoided in general patient-care areas. Unresolved
issue.
There is no support for
the premises regulations for body art establishments as described in this
section.
4. All equipment shall be installed in conformance
with federal, state and local plumbing, electrical, fire, and building
regulations.
Since businesses are required already, it would seem
inappropriate for the Department to take the burden of inspections for
conformance to these regulations as well as their own.
5. All body art establishments shall be completely
separated by solid partitions or walls extending from floor to ceiling, from
any room used for human habitation, any food establishment or room where
food is prepared, any hair salon, spa, health club facilities or any other
operation or activity that could cause potential contamination of the body
art instruments, supplies of equipment for body art procedures, artist work
areas and work surfaces.
Again we see the misuse of "potential" instead of likely. This requires some
rewording to make it clear when body procedures and equipment are likely to
become contaminated. |