RULE 2 – SANITATION AND DISINFECTION
              
                The purpose of this rule to enhance the safe and efficacious sanitation 
                and disinfection
                practices within the profession that is necessary to protect the 
                public’s health, safety
                and welfare pursuant to § 12-8-101 et seq., C.R.S.
                A. General Requirements and Definitions.
                1. As used herein, “Office” means the Colorado Office of Barbering 
                and
                Cosmetology Licensure.
                2. All places of business and licensees shall utilize clean and 
                disinfected
                equipment, tools, implements, and supplies as outlined in this 
                rule and
                commonly accepted professional standards, and shall personally 
                employ
                good hygiene habits while providing barbering, cosmetician, cosmetology,
                hairstyling, and manicuring services.
                3. A licensee may not perform services on a client if the licensee 
                has reason
                to believe the client has a communicable disease; contagious condition;
                inflamed, infected, broken, raised or swollen skin or nail tissue; 
                or an open
                wound or sore in the area to be worked on that would contraindicate 
                the
                efficacy of the service.
                4. As used herein, “cleaning” means washing with liquid soap and 
                water,
                detergent, or antiseptics, or other adequate methods, to remove 
                all visible
                debris. Cleaning is not disinfection.
                5. As used herein, “disinfection” is the use of chemicals that 
                destroy
                pathogens on implements and other nonliving surfaces that renders 
                an
                item safe for handling, use, and disposal. Appropriate disinfectants
                include one of the following (See appropriate disinfectant use 
                below in
                paragraphs I through L):
                (a) EPA-registered bactericidal, fungicidal, or virucidal disinfectants
                used according to manufacturer’s instructions (See paragraph I);
                (b) Bleach solution (See paragraph K);
                (c) Isopropyl alcohol, 70%-90% solution (See paragraph J); or
                (d) Ethyl alcohol, 70%-90% solution (See paragraph J).
                6. Multi-use equipment, implements, or materials not addressed 
                in this rule
                shall be cleaned and disinfected before use on every client. Multi-use
                means items constructed of hard materials with smooth surfaces 
                such as
                metal, glass, or plastic typically for use on more than one client 
                and
                include, but is not limited to such items as scissors, combs, 
                nippers, and
                some nail files.
                7. Single-use equipment, implements, or porous material not addressed 
                in
                this rule shall be discarded after use on a single client. “Porous” 
                means
                Page 3 of 34
                items made or constructed of cloth, wood, or other absorbent materials
                having rough surfaces usually intended for single use and include, 
                but is
                not limited to such items as tissues, orangewood sticks, cotton 
                balls, some
                buffer blocks, and gauze.
                8. Electrical equipment that cannot be immersed in liquid shall 
                be wiped
                clean and sprayed with an EPA-registered bactericidal, fungicidal, 
                or
                virucidal disinfectant; isopropyl alcohol; ethyl alcohol; or bleach 
                solution
                prior to each use on a client.
                9. Lancets, disposable razors, and other sharp objects shall be 
                disposed in
                puncture resistant containers marked with a biohazard symbol for 
                disposal
                immediately after use on a client.
                10. All clean and disinfected implements and materials when not 
                in use shall
                be stored in a clean dry container, or other sanitary manner, 
                that is
                separate from soiled implements and materials.
                B. Cleaning and Disinfection Standards Applicable to Manicuring.
                1. All equipment, implements, and materials should be properly 
                cleaned and
                disinfected prior to servicing each client in accordance with 
                this rule.
                2. Cosmetologists and manicurists shall clean their hands, and 
                ensure that
                each client’s hands or feet are cleaned, prior to performing any 
                manicuring
                service. Soap and water, or a waterless hand sanitizer, shall 
                be used for
                this cleaning.
                3. Prior to each manicuring service, the surface(s) of all equipment 
                that
                comes in direct contact with a client’s skin, including manicuring 
                tables,
                mats, and cushions, shall be cleaned of all visible debris.
                4. After each client, the following implements shall be cleaned 
                to remove all
                visible debris and disinfected by complete immersion in an appropriate
                disinfectant in accordance with this rule (see appropriate disinfectant 
                use
                below in paragraphs I through L):
                (a) Metal pusher;
                (b) Non-porous nail files;
                (c) Cuticle nipper;
                (d) Tweezers;
                (e) Nail brush;
                (f) Fingernail clippers; and
                (g) Electric file bits.
                5. The following implements are single-use items and shall be 
                discarded in a
                trash container after use:
                Page 4 of 34
                (a) Orangewood stick;
                (b) Cotton balls; and
                (c) Nail wipes.
                6. Buffer blocks and porous nail files (rough surfaced or absorbent 
                materials)
                shall be cleaned by manually brushing or other adequate methods 
                to
                remove all visible debris after each use, and then sprayed with 
                isopropyl
                or ethyl alcohol. If a buffer block or porous nail file is exposed 
                to broken
                skin (skin that is not intact) or unhealthy skin or nails, it 
                must be discarded
                immediately after use in a trash container.
                7. The following materials that are used during a manicure shall 
                be
                exchanged with new or clean articles for each client:
                (a) Disposable and terry cloth towels;
                (b) Cotton balls; and
                (c) Spatulas that contact skin or products from multi-use containers.
                C. Cleaning and Disinfection Standards for Electric File Bits.
                1. After each use, diamond, carbide, natural and metal bits shall 
                be cleaned
                by either:
                (a) Using a brush;
                (b) Using an ultrasonic cleaner; or
                (c) Immersing the bit in acetone for 5 to 10 minutes.
                2. Immediately after cleaning all visible debris, diamond, carbide, 
                natural and
                metal bits shall be disinfected by complete immersion in an appropriate
                disinfectant between clients. (See appropriate disinfectant use 
                below in
                paragraphs I through L).
                3. Buffing bits and chamois shall be cleaned with soap and water, 
                or washed
                with detergent in a dishwasher or washing machine, at the end 
                of every
                day of use despite multiple uses between clients.
                4. Arbor or Sanding bands or sleeves are single-use items and 
                shall be
                discarded immediately after use.
                D. Cleaning and Disinfection of Pedicure Foot Spas.
                1. After each client:
                (a) Drain all water and remove all debris from the foot spa;
                (b) Clean the surfaces and walls of the foot spas with soap or
                detergent to remove all visible debris, and rinse with clean, 
                clear
                Page 5 of 34
                water;
                (c) Disinfect by spraying the surface of the foot basin with either 
                an
                EPA-registered disinfectant with demonstrated bactericidal,
                fungicidal, or virucidal activity used according to manufacturer’s
                instructions, or bleach solution, or isopropyl or ethyl alcohol 
                (See
                appropriate disinfectant use below in paragraphs I through L); 
                and
                (d) Wipe dry with a disposable towel.
                2. At the end of each day:
                (a) Remove the screen. All debris trapped behind the screen of 
                each
                foot spa shall be removed, and the screen and the inlet shall 
                be
                cleaned with soap or detergent and water;
                (b) Before replacing the screen, totally immerse the screen in 
                an EPAregistered
                disinfectant with an appropriate disinfectant according to
                manufacturer’s instructions, or bleach solution;
                (c) Flush the spa system with low-suds soap and warm water for 
                5
                minutes, then rinse and drain;
                (d) Make a record of the date and time of this cleaning and disinfecting.
                The record for the last 30 days shall be readily accessible and
                available upon client or Office inspector request. Separate logs 
                for
                daily and weekly procedures is needed but may be kept in the
                same document log.
                3. Each week:
                (a) After following the outlined required procedures for the end 
                of each
                day, fill the foot spa tub with cold water and 1 tablespoon of 
                5.25%
                bleach (or the equivalent) for each one gallon of water;
                (b) Circulate the solution through the foot spa system for 5 to 
                10
                minutes;
                (c) Let the solution sit overnight (at least 6 – 10 hours);
                (d) The following morning and before the first client, drain and 
                flush the
                system with water;
                (e) Blow out the jets for 3-5 seconds to remove any water remaining;
                and
                (f) Make a record of the date and time of this cleaning and disinfecting.
                The record for the last 90 days shall be readily accessible and
                available upon client or Office inspector request. Separate records
                for weekly and daily procedures is needed but may be kept in the
                same document log.
                Page 6 of 34
                E. Paraffin Wax
                1. Paraffin wax shall be used in such a manner so as not to contaminate 
                the
                wax remaining in the paraffin bath.
                2. Clients’ hands or feet shall be washed with soap and water, 
                or a waterless
                hand sanitizer shall be applied, prior to performing paraffin 
                wax services.
                F. Cleaning and Disinfection Standards Applicable to Hairstyling 
                and Barbering.
                1. All equipment, implements, and materials should be properly 
                cleaned and
                disinfected prior to servicing each client in accordance with 
                this rule.
                2. After each client, the following implements shall be wiped 
                with a
                disposable towel and sprayed with either an EPA-registered bactericidal,
                fungicidal, or virucidal disinfectant, isopropyl alcohol, ethyl 
                alcohol, or
                bleach solution (see appropriate disinfectant use below in paragraphs 
                I
                through L):
                (a) Haircutting shears;
                (b) Thinning shears;
                (c) Straight razors and razor shapers;
                (d) Clippers and edgers;
                (e) Rods; and
                (f) All combs and picks.
                3. At the end of each day of use, the above items in subsection 
                (2) along
                with any other tools, such as sectioning clips and brushes, shall 
                be
                cleaned by manually scrubbing with soap and water or other adequate
                methods, and then disinfected by one of the following methods:
                (a) Complete immersion in an EPA-registered bactericidal, fungicidal,
                or virucidal disinfectant in accordance with manufacturer’s
                instructions;
                (b) Complete immersion in isopropyl alcohol;
                (c) Complete immersion in ethyl alcohol; or
                (d) Complete immersion in bleach solution.
                G. Cleaning and Disinfection Standards Applicable to Cosmetician 
                Services.
                1. All equipment, implements, and materials should be properly 
                cleaned and
                disinfected prior to servicing each client in accordance with 
                this rule.
                2. Cosmetologists and cosmeticians shall wash their hands prior 
                to
                performing any cosmetician services with soap and water, or use 
                a
                Page 7 of 34
                waterless hand sanitizer.
                3. Before providing any cosmetician service, facial chairs and 
                beds shall be
                cleaned prior to each client.
                4. After each client, the following implements shall be cleaned 
                of all visible
                debris and disinfected by an appropriate disinfectant (see appropriate
                disinfectant use below in paragraphs I through L):
                (a) Tweezers;
                (b) Eyebrow brush; and
                (c) Comedone extractors.
                5. The following implements are single-use items and shall be 
                discarded in a
                trash container after use:
                (a) Cotton pads, balls and pledgets;
                (b) Gauze;
                (c) Wooden applicators;
                (d) Disposable gloves;
                (e) Tissues;
                (f) Disposable wipes; and
                (g) Fabric strips.
                6. The following materials that are used during cosmetician services 
                shall be
                replaced with clean items for each client:
                (a) Disposable and terry cloth towels;
                (b) Hair caps or headbands;
                (c) Brushes;
                (d) Gowns;
                (e) Makeup brushes;
                (f) Spatulas that contact skin or products from multi-use containers;
                and
                (g) Sponges.
                7. Items subject to possible cross contamination such as creams, 
                cosmetics,
                astringents, lotions, removers, waxes, moisturizers, masks, and 
                oils shall
                be used in a manner so as not to contaminate the remaining product.
                Permitted procedures to avoid cross contamination are:
                Page 8 of 34
                (a) Disposing of the remaining product in between clients;
                (b) Using a single-use disposable implement to apply product and
                disposing of such implement after use; or
                (c) Using an applicator bottle to apply the product.
                H. Cleaning and Disinfection for contact with Blood or Body Fluid.
                1. In the case of blood or body fluid contact on any surface area 
                such as a
                table, chair, or the floor, an EPA-registered-hospital disinfectant, 
                or a 10%
                bleach solution, shall be used per manufacturer’s instructions 
                to clean up
                all visible blood or body fluid. Universal Precautions1 should 
                be addressed
                as to the cleanup of blood and body fluids.
                2. Powdered alum, styptic powder, or cyanoacrylate (e.g. liquid-type
                bandage) may be used to contract the skin to stop minor bleeding, 
                and
                should be applied to the open area with a disposable cotton pledget 
                or
                cotton-tipped orangewood stick that is immediately discarded after
                application
                3. If any non-porous instrument is contacted with blood or body 
                fluid, it shall
                be immediately cleaned and disinfected using an EPA registered-hospital
                disinfectant in accordance with manufacturer’s instructions, or 
                totally
                immersed in a 10% bleach solution for 5 minutes.
                4. If any porous instrument contacts blood or body fluid, it shall 
                be
                immediately double-bagged and discarded in a closed trash container 
                or
                biohazard box.
                I. EPA-registered bactericidal, fungicidal, or virucidal disinfectants 
                are low-level
                disinfectants that become inactivated and ineffective when visibly 
                contaminated
                with debris, hair, dirt, particulates or when heavily soiled. 
                Thus, implements and
                surfaces shall first be thoroughly cleaned of all visible debris 
                prior to disinfection.
                Disinfectants shall be prepared fresh daily or more often if solution 
                becomes
                diluted or soiled. In all cases, the disinfectant used shall be 
                in accordance with
                the manufacturers’ recommendation or other guidance in this rule. 
                These
                chemicals are harsh and may affect the long term use of scissors 
                and other
                sharp objects so the Office does not recommend leaving items in 
                solution beyond
                the time required by the manufacturers’ recommendation for effective
                disinfection.
                J. Isopropyl and ethyl alcohol at concentrations of 70%-90% are 
                low-level
                disinfectants. Alcohol shall not be used for blood spills. All 
                alcohol shall be kept
                in a covered container. Alcohol deteriorates some plastics, metals 
                and rubber
                items. Alcohol may affect the long-term use of scissors and other 
                sharp objects
                so the Office does not recommend leaving items in alcohol beyond 
                the time
                required by this rule for effective disinfection. When using alcohol 
                on surfaces
                1 Universal Precautions are published by National Institute Environmental 
                Health Sciences within the U.S.
                Department of Health and Human Services. Information on Universal 
                Precautions can be found at
                http://www.niehs.nih.gov/odhsb/biosafe/univers.htm.
                Page 9 of 34
                other than non-porous materials, the time of contact shall be 
                between 1 to 3
                minutes after proper cleaning that removed all visible debris. 
                Alcohol may be
                sprayed onto porous or absorbent surfaces after cleaning, with 
                contact time on
                the surface of the item for at least 1 minute, provided the porous 
                items have not
                contacted broken or unhealthy skin or nails.
                K. Bleach is an effective disinfectant for all purposes in a salon. 
                Bleach solutions
                shall be mixed daily at the following minimum standard: ¾ 
                cup of 5.25% bleach
                per gallon of water. Bleach shall be kept in a closed covered 
                container and not
                exposed to sunlight. Bleach may affect the long-term use of scissors 
                and other
                sharp objects so the Office does not recommend leaving items in 
                bleach solution
                beyond 2 minutes for effective disinfection. Bleach vapors might 
                react with
                vapors from other chemicals, and therefore, should not be placed 
                or stored near
                other chemicals used in salons (i.e. acrylic monomers, alcohol, 
                other disinfecting
                products, or near flame). Used or soiled bleach solution shall 
                be discarded every
                day by pouring down sink basin or toilet bowl.
                L. All bottles and containers other than the original manufacturers' 
                container used
                for application of "appropriate disinfectant" shall 
                be properly labeled as to
                contents, percentage solution, and date mixed.
               
              http://www.dora.state.co.us/Barbers_Cosmetologists/Rules.pdf 
                
              http://www.dora.state.co.us/Barbers_Cosmetologists/laws_rules_policies.htm
              http://www.dora.state.co.us/Barbers_Cosmetologists/ 
              
               
               
              
                 
 
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