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
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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:
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(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
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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.
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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
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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:
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(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.
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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.
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