RELATES TO:
KRS 387.010,
28 C.F.R.
36.104,
29 C.F.R.
1910.1030
NECESSITY, FUNCTION, AND CONFORMITY:
KRS 194A.050(1) requires the
Cabinet for Health and Family Services to promulgate administrative regulations
necessary to operate programs and fulfill the responsibilities vested in the
cabinet. KRS 211.760(2) requires
nonmedical persons who engage in or carry on any business of tattooing to
register with a local health department.
KRS 211.760(3) requires the
cabinet to promulgate administrative regulations relating to places of business
that provide tattooing, tattooing equipment, the control of disease, parental
consent and age restrictions for tattooing, and other matters necessary to
protect public health. This administrative regulation establishes the standards
for tattooing.
Section 1. Definitions.
(1) "Antiseptic" means a substance applied to
the skin that reduces the number of microorganisms.
(2) "Autoclave" means a device intended to
sterilize products by means of pressurized steam.
(3) "Blood" is defined by
29 C.F.R.
1910.1030.
(4) "Bloodborne pathogen training" means
training that meets the requirements established in
29 C.F.R.
1910.1030.
(5) "Contaminated" is defined by
29 C.F.R.
1910.1030.
(6) "Contaminated sharps" is defined by
29 C.F.R.
1910.1030.
(7) "Disinfectant" means a product that is
tuberculocidal and registered with the federal Environmental Protection Agency
as indicated on the label for use in disinfection.
(8) "Hand washing" means the act of cleaning
the hands for the purpose of removing dirt, soil, or microorganisms through the
use of soap, warm water, and friction.
(9) "Instrument" means any tattooing
implement that comes into contact with blood or skin to be tattooed such as
needles, needle bars, needle tubes, or other implements used to insert
pigment.
(10) "Minor" is defined by
KRS 387.010(1).
(11) "Mobile studio" means a tattooing studio
that is designed to be readily movable.
(12) "Purchased presterilized" means
procedure set-ups that are sold individually packaged, processed, and marked
with a sterilization lot number and expiration date to render them free of all
microorganisms.
(13) "Registration"
means the issuance of a document by the local health department to a tattoo
artist authorizing the tattoo artist to engage in the business of
tattooing.
(14) "Regulated waste"
is defined by 29 C.F.R.
1910.1030.
(15) "Service animal" is defined by
28 C.F.R.
36.104.
(16) "Sterilization" means a validated
process used to render a product free from viable microorganisms.
(17) "Studio" means a facility as defined by
KRS 211.760(1)(b).
(18) "Studio certificate" means the document
issued by the local health department to a studio owner certifying that the
studio, after inspection, was in compliance with the applicable provisions of
this administrative regulation.
(19) "Studio owner" means:
(a) An owner of a facility where tattooing is
conducted;
(b) A sole proprietor
who performs tattooing; or
(c) A
person who employs tattoo artists.
(20) "Tattoo artist" means a person
registered by the local health department to engage in tattooing.
(21) "Tattooing" is defined by
KRS 211.760(1)(c).
(22) "Temporary permit" means a permit to
operate at a fixed location for no more than seven (7) calendar days, and that:
(a) Is nontransferable; and
(b) Cannot be renewed for ninety (90) days
after the expiration.
(23) "Ultrasonic cleaner" means a device that
transmits high-energy, high-frequency sound waves into a fluid-filled
container, used to remove deposits from instruments and appliances.
Section 2. Registration of Tattoo
Artist.
(1) A person shall not advertise or
solicit business with the intent to perform tattooing, or use or assume the
title of tattooist, unless registered with the local health department in the
district or county where the person is to tattoo.
(2) All tattooing shall be under the
authority of a Kentucky certified studio.
(3) A tattoo artist shall not engage in the
act of tattooing unless that person has proof of completion of bloodborne
pathogen training.
(4) The artist
shall maintain documentation of completion of bloodborne pathogen training at
the studio.
(5) An applicant for
registration as a tattoo artist shall be at least eighteen (18) years of age at
the time of application.
(6) An
applicant for registration shall submit to the local health department in the
district or county where the applicant intends to perform tattooing:
(b) Payment of $100 registration fee;
and
(c) Proof of completion of
approved bloodborne pathogen training as required by subsection (3) of this
section.
(7) The tattoo
artist registration shall be:
(a) Mailed to
the owner of the Kentucky certified studio listed on the application for
registration;
(b) Prominently
displayed to the public in the workstation; and
(c) Nontransferable from:
1. One (1) person to another; or
2. One (1) district or county to
another.
(8)
Each registration shall be valid for one (1) calendar year and expire on
December 31st of each year.
(9) A
late renewal fee of fifty (50) dollars shall be assessed on each tattoo artist
registration renewal application not received by January 31st each
year.
Section 3. Studio
Certification.
(1) A person shall not engage
in the business of tattooing unless the owner of the facility holds a studio
certificate issued by the local health department in the district or county
where the person is to tattoo.
(2)
A holder of a studio certificate issued under this administrative regulation
shall not allow a person to tattoo unless the individual is registered in
accordance with Section 2 of this administrative regulation.
(3) An application for a studio certificate
shall be:
(b) Submitted to the local health department
in the district or county where the studio is located; and
(c) Accompanied by an annual inspection fee
of:
1. $400 for the studio with one (1) to
four (4) work stations; and
2. An
additional fifty (50) dollars for each additional work station over four
(4).
(4) A
studio certificate shall not be issued or renewed unless the studio has been
inspected and found to be in compliance with the provisions of this
administrative regulation.
(5) The
studio certificate shall be:
(a) Prominently
displayed to the public in the studio; and
(b) Nontransferable from:
1. One (1) person to another; or
2. One (1) location to another.
(6) The studio
certificate shall expire December 31st each year.
(7) A late renewal fee of $100 shall be
assessed on each studio certificate renewal application not received by January
31st each year.
Section
4. Studio Requirements.
(1) A
studio shall:
(a) Be kept clean and in good
repair;
(b) Be free of insect and
rodent infestation;
(c) Store only
items necessary to its operation and maintenance;
(d) Provide artificial light of at least
twenty (20) foot-candles;
(e) Be
well ventilated;
(f) Not permit the
presence of a pet or other animal in the studio, except for a service
animal;
(g) Not use a room
otherwise used as living or sleeping quarters;
(h) Use a solid, self-closing door to
separate living or sleeping quarters from the business operation;
(i) Have convenient, clean, and sanitary
toilet and hand-washing facilities for the use of clientele with liquid soap,
single-use paper towels from a sanitary dispenser or air dryer, covered waste
receptacle, and self-closing door;
(j) Be organized to keep clean areas separate
from contaminated areas;
(k) Have a
utility sink that shall only be used to wash contaminated
instruments;
(l) Use, clean, and
maintain equipment according to manufacturers' recommendations;
(m) Use an approved disinfectant;
(n) Have plumbing sized, installed, and
maintained in accordance with 815 KAR Chapter 20;
(o) Have sufficient potable water supply for
the needs of the studio provided from a source constructed, maintained, and
operated pursuant to the applicable requirements established in 401 KAR Chapter
8; and
(p) Dispose of sewage,
including liquid waste, by connection to:
1. A
public sewer system, if available; or
2. A private sewer system designed,
constructed, and operated pursuant to the requirements of 401 KAR Chapter 5 and
902 KAR Chapter 10.
(2) A workstation shall:
(a) Have nonporous, smooth, easy-to-clean
floors and walls;
(b) Have
surfaces, including counters, cabinets, chairs, and dispensers, composed of
smooth, nonporous material able to withstand repeated cleaning and
disinfecting;
(c) Be kept clean,
organized, and in good repair;
(d)
1. Have all product containers clearly
labeled with common product name in English; and
2. If filling a product container from a
larger bulk container, retain the original container on the studio
premises;
(e) Have at
least sixty (60) square feet of floor space with permanent walls a minimum of
four (4) feet high between workstations;
(f) Have 100 foot-candles of light at the
procedure level;
(g) Have unimpeded
access to a hand sink;
(h) Have a
sink for each artist with hot and cold water, delivered by a faucet, operated
by wrist, knee, or foot action, or other hands-free method;
1. Each sink shall be supplied with:
a. Liquid soap; and
b. Single-use paper towels dispensed from a
sanitary dispenser; and
2. A hand sink shall not be used for any
other purpose;
(i) Be
designated as a tattoo workstation, and shall not be used for any other
purpose;
(j) Have plastic or metal
waste receptacles:
1. With or without a lid;
and
2. If the waste receptacle has
a lid, the lid shall be foot operated; and
(k) Have a container for disposable sharps
that:
1. Is rigid, puncture proof, and leak
proof on sides and bottom;
2. Is
closeable and sealable; and
3. If
sealed, is leak resistant and incapable of being opened without great
difficulty.
Section 5. Cleaning and Sterilization.
(1) A studio using any reusable instruments,
materials, or supplies may have a one (1) room or two (2) room cleaning and
sterilization arrangement.
(a) A two (2) room
arrangement shall have:
1. One (1) room for
contaminated items, equipped with:
a. A
utility sink with minimum dimensions of 18 in. x 18 in. x 12 in.;
b. A hand sink;
c. A presoak container;
d. An ultrasonic cleaner; and
e. Autoclaving packaging materials;
and
2. A second room for
autoclave sterilization of instruments and equipment.
(b) A one (1) room cleaning and sterilization
process shall be arranged to provide two (2) distinct areas.
1. Nonporous barriers may be utilized to
delineate the two (2) distinct areas.
2. The cleaning area shall be equipped in
accordance with paragraph (a)1. of this subsection.
3. The ultrasonic cleaner shall be as far
away as possible from the autoclave to prevent contamination of sterile
instruments, equipment, or other items.
(2) A studio that uses only presterilized
disposable instruments, materials, and supplies shall not be required to have a
separate room or area for autoclave, ultrasonic cleaner, and
sterilization.
(3) All instruments
shall be disposable or be made of surgical implant stainless steel and shall
have only rubber gripping that can be removed and sanitized on the
handles.
(4) Instruments shall be
processed as follows:
(a) Soak contaminated
reusable instruments in a covered container of cool water with detergent until
ready to be cleaned and sterilized;
(b) Wash hands and forearms;
(c) Use disposable, single-use gloves, such
as examination or surgical gloves;
(d) Prepare the ultrasonic cleaner according
to manufacturer's instructions;
(e)
Take instruments apart and rinse in warm water;
(f) Load the ultrasonic cleaner and process
according to manufacturer's recommendations, disposing of the ultrasonic
cleaner liquid after each use;
(g)
Wash hands and forearms;
(h)
Wearing examination gloves, remove instruments from the ultrasonic cleaner,
rinse with clean water, allow to air dry; and
(i) Store cleaned instruments in a labeled,
covered, nonporous container until packaged for sterilization.
(5) Autoclave equipment. Equipment
used to sterilize instruments shall:
(a) Be
sold as sterilizing equipment for medical instruments;
(b) Be used, cleaned, and maintained to
manufacturer's instructions; and
(c) Meet the minimum requirements for
sterilization as verified by a negative spore test.
(6)
(a)
Reusable instruments placed in contact with skin that is tattooed shall be
cleaned and sterilized;
(b)
Disinfection shall not be used in place of cleaning and sterilization;
and
(c) Liquid sterilants shall not
be used for sterilization of reusable instruments.
(7) Instrument sterilization. Instruments
that touch skin to be tattooed shall be sterilized as follows:
(a) Wash hands and forearms;
(b) Use clean disposable, single-use gloves,
such as surgical or examination gloves;
(c) Package cleaned instruments individually
in:
1. Paper-and-plastic peel-pack with color
change indicator; or
2. Package as
set-ups with color change indicator;
(d) Label with content, date, lot number, and
preparer's initials;
(e) Load the
sterilizer and process according to the manufacturer's directions;
(f) Remove the items from autoclave only when
completely dry and cool;
(g) Store
the items in a nonporous, clean, dry, labeled container, cabinet, or other
place that is protected from dust and contamination; and
(h)
1.
Sterilized instruments shall be resterilized at intervals of no more than six
(6) months from the date of the last sterilization; and
2. New packaging shall be used when
instruments are resterilized.
(8) Sterilization equipment monitoring.
(a) Sterilization equipment shall be tested:
1. During the initial installation;
2. After any major repair; and
3. At least monthly by using a commercial
biological monitoring system;
(b) Biological indicator test results for
each sterilization unit used in the studio shall be kept on site, and made
available for inspection at time of inspection; and
(c) Sterilization monitoring shall be noted
on sterilizer log.
(9)
Sterilizer recordkeeping. A sterilizer log system shall be maintained for each
sterilizer in the studio. For each sterilization cycle the following
information shall be documented:
(a) Date of
load;
(b) Lot number;
(c) Preparer's name;
(d) The general contents of the
load;
(e) The exposure time and
temperature or the sterilizer recording chart or tape; and
(f) The results of the chemical
indicator.
Section
6. Studio Owner Responsibilities. The owner of a certified studio
shall:
(1) Exclude any tattoo artist who is:
(a) Infected with a disease in a communicable
form that can be transmitted by blood;
(b) A carrier of organisms that cause
disease;
(c) Infected with a boil
or an infected wound; or
(d)
Diagnosed with an acute respiratory infection;
(2) Report any accident involving exposure to
body fluids to the local or district health department;
(3) Receive, review, and distribute tattoo
artist registrations for artists registered with the certified studio. If the
artist is no longer registered with the certified studio, the registration
shall be returned to the district or local health department where the
certified studio is located;
(4)
Maintain a record of all persons performing any activity within the studio that
is regulated by the cabinet. The record shall include at a minimum the
following information:
(a) Full
name;
(b) Date of birth;
(c) Home address;
(d) Phone number;
(e) Email address if available;
(f) Photograph of tattoo artist;
and
(g) Complete description of all
tattooing procedures performed by the tattoo artist;
(5) Maintain a current copy of this
administrative regulation at the studio for use by tattoo artists;
(6) Maintain an adequate supply of sterilized
needles and tubes for each artist;
(7) Not resterilize or reuse single-use,
disposable components; and
(8) If
presterilized, disposable instruments are utilized, maintain and make available
the following records at all times to the local health department:
(a) An accurate inventory of all purchased
presterilized instruments by name with the date purchased and the quantity on
hand; and
(b) Invoices for the
purchase of all purchased presterilized instruments.
Section 7. Tattooing of Minors.
(1) A person shall not perform any tattoo
procedure on a minor without custodial parent or legal guardian
consent.
(2) A minor shall be at
least sixteen (16) years old with custodial parent or legal guardian consent
prior to tattooing.
(3) Consent
shall be provided by a written notarized statement that contains an official
seal or assigned identification of the notary.
(4) The notarized statement shall contain:
(a) The printed name of the custodial parent
or legal guardian;
(b) The
government issued photo identification number of the custodial parent or legal
guardian;
(c) The address and phone
number of the custodial parent or legal guardian;
(d) The printed name of the minor
child;
(e) The date of birth of the
minor child;
(f) The government
issued photo identification number of the minor child, if applicable;
(g) A statement that the custodial parent or
legal guardian is fully aware of the tattoo procedure and gives his or her
consent for the procedure to be performed;
(h) The signature of the custodial parent or
legal guardian; and
(i) The date of
the signature of the custodial parent or legal guardian.
(5) The custodial parent or legal guardian,
and minor client shall complete the attestation requirements of Section 8(3)(g)
of this administrative regulation.
Section 8. Client Information and Records.
(1) Before receiving a tattoo, the client
shall be provided written information that:
(a) Tattooing poses a risk of
infection;
(b) Tattooing is
permanent; and
(c) Removal of a
tattoo may leave scars.
(2) Before the application of a tattoo, the
client shall be provided written, verbal, or electronic aftercare instructions
that includes:
(a) Information on the care of
the site of the tattoo;
(b)
Instructions on possible side effects;
(c) Information on any
restrictions;
(d) Information on
signs and symptoms of infection; and
(e) Instructions to consult a physician if
signs and symptoms of infection, such as fever, excessive swelling, excessive
redness, or drainage occur.
(3) A record of all clients who have received
any tattoos shall be kept by the studio owner. The record shall include:
(a) Studio name and certificate
number;
(b) The date the procedure
was performed;
(c) Client's name,
date of birth, address, and phone number;
(d)
1. Copy
of client's government issued photo ID, if applicable; or
2. Copy of custodial parent or legal
guardian's government issued photo ID;
(e) Name of the tattoo artist who performed
the procedure;
(f) The type,
location, and description of the procedure; and
(g) Client's attestation to the fact that the
client:
1. Is not intoxicated or under the
influence of drugs or alcohol;
2.
Is not pregnant; and
3. Has not
ingested an anticoagulant that thins the blood or interferes with blood
clotting within the past twenty-four (24) hours.
(4) Records of each client shall
be maintained for two (2) years.
(5) Client records and consent and other
required records shall be made readily available to inspectors.
Section 9. Disposal of Regulated
Wastes. All wastes produced during the process of tattooing shall be separated
for disposal into two (2) classifications as established in this section.
(1) Contaminated sharps shall be disposed of
by using a licensed medical waste disposal company.
(2) Regulated waste shall be bagged, securely
tied, and disposed of daily in a trash container that prevents unauthorized
access. This material shall be disposed of in a site approved by a general
trash hauler.
Section
10. Standard Operating Procedures for Tattooing.
(1) Tattooing shall not be applied on skin
that has a rash, pimples, evidence of infection, open lesions, sunburn, or
manifests any evidence of an unhealthy condition without written clearance by a
licensed medical provider.
(2) The
tattoo artist shall follow the procedures listed in this section in preparation
for tattooing.
(a) The tattoo artist and the
client shall not eat, drink, or use tobacco products, an electronic cigarette,
or other vapor producing product in the workstation.
(b) The tattoo artist shall wash hands and
forearms prior to and after every procedure.
(c) The tattoo artist shall wear new clean
disposable examination gloves for every client. If a glove is pierced, torn, or
contaminated in any way, or if there is an interruption in the application of
the tattoo:
1. Both gloves shall be removed
immediately and discarded;
2. The
hands and forearms shall be washed; and
3. New, clean examination gloves shall be
used.
(d) The tattoo
artist shall use a new disposable lap cloth, drape, or apron for each client.
All lap cloths, drapes, and aprons shall be stored in a closed cabinet or
container until used.
(e) The
tattoo artist shall wear clean clothing.
(3) All instruments, equipment, and items to
be used in the procedure shall be placed on plastic film or a disposable,
plastic backed towel.
(4) All inks,
dyes, and pigments used in a procedure shall be:
(a) Nontoxic;
(b) Dispensed from containers in a manner to
prevent contamination of the unused portion in the supply bottle; and
(c) Discarded:
1. After the procedure; or
2. When the original container label becomes
unreadable.
(5) Inks, dyes, and pigments transferred from
bulk containers shall be labeled with:
(a)
Manufacturer name;
(b) Lot number;
and
(c) A statement of
nontoxicity.
(6) All
devices used to apply inks, dyes, or pigments shall be designed to prevent
backflow of inks or pigments into the machine.
(7) If a workstation rinse cup is used, a
fresh cup shall be used for each client and discarded immediately upon
completion of the procedure.
(8)
All single-use ointment tubes, applicators, and supplies placed on the plastic
backed towel shall be discarded immediately after use.
(9) Tattoo needles shall be used once and
discarded.
(10) If the tattoo
artist uses any reusable components, autoclave equipment shall be
required.
(11) The sharps container
and waste receptacle shall be positioned to be within easy reach and in a
manner to prevent contamination.
Section 11. Application of the Tattoo. The
tattoo artist shall use the procedure in this section when applying a tattoo.
(1) Disinfect the chair or table and
tray.
(2) Position the
client.
(3) Arrange all instruments
and supplies to be used in the procedure on plastic film or on a clean,
disposable plastic backed towel within easy reach.
(4) Wash hands and forearms, and use new,
clean examination gloves.
(5)
Gently clean the client's skin with soap and water and apply an antiseptic that
is appropriate for the area where the tattoo is to be applied. If shaving is
necessary, use a new, single-use disposable razor.
(6) Acetate or other reusable stencils shall
not be used. Place the design on the skin by one (1) of the following methods:
(a) Free-hand drawing using a new disposable
marker; or
(b) Apply a single-use
hectographic or tissue stencil using an approved product dispensed from a
container in a manner that does not contaminate the unused portion.
(7) Remove gloves, wash hands, and
use new clean examination gloves.
(8) Open sterile needles in front of the
client and place them into the tattoo machine without touching the end of the
needles.
(9) Apply the
tattoo.
(10) Apply a thin layer of
suitable cream and if appropriate, cover the area with a suitable nonstick
dressing. Plastic film intended for household use shall not be used.
(11) When the tattooing is complete, the
tattoo artist shall answer any questions and provide the client with
instructions regarding the tattoo and aftercare.
(12) Immediately after the client leaves the
workstation, the tattoo artist shall break down the workstation, properly
dispose of any sharps, soak any reusable instruments for later cleaning, and
clean and disinfect any surface that may have become contaminated.
Section 12. Standard Operating
Procedures for a Mobile Studio.
(1) An
application for mobile studio certificate shall be:
(a) On DFS-200, Application for Permit or
License;
(b) Submitted to the local
health department in the district or county where the mobile studio owner
resides; and
(c) Accompanied by a
fee of:
1. $400 for the studio with one (1) to
four (4) workstations; and
2. An
additional fifty (50) dollars for each additional workstation over four
(4).
(2) The
mobile studio certificate shall be:
(a) Valid
for statewide operation;
(b)
Prominently displayed to the public in the mobile studio; and
(c) Nontransferable from one (1) person to
another.
(3) The mobile
studio certificate shall expire December 31 each year.
(4) A late renewal fee of $100 shall be
assessed on each mobile studio registration renewal application not received by
January 31 each year.
(5) If not
currently registered in accordance with Section 2(6) of this administrative
regulation, the tattoo artist shall be registered with the local health
department in each district or county where the mobile studio is operated, and
pay the appropriate fees.
(6) The
mobile studio shall be used exclusively for performing tattooing. Habitation,
cooking, and animals, except service animals, shall not be allowed in the
mobile studio.
(7) The mobile
studio shall:
(a) Meet the sterilization,
operating, and clientele requirements, and tattoo performance procedures as a
stationary studio; and
(b) Be
inspected by the local health department prior to operation.
(8) Any on-board restroom shall be
supplied with:
(a) Hot running water and cold
running water;
(b) Toilet
paper;
(c) Liquid soap;
(d) Single-use paper towels from a sanitary
dispenser;
(e) A covered waste
receptacle; and
(f) A self-closing
door.
(9) If the vehicle
lacks an on-board restroom, the owner shall not operate the studio unless it is
within 200 feet of a public restroom with hand-washing facilities.
(10) All plumbing shall comply with the
requirements of 815 KAR Chapter 20.
(11)
(a)
Each mobile studio shall have a potable water system under pressure.
(b) The system shall be of sufficient
capability to furnish enough hot and cold water for hand washing, instrument
cleaning, and sanitization pursuant to the requirements of this administrative
regulation.
(c) The water inlet
shall be:
1. Located in a position that it
will not be contaminated by waste discharge, road dust, oil, or grease;
and
2. Provided with a transition
connection of a size or type that will prevent its use for any other
service.
(d) All water
distribution pipes or tubing shall be constructed and installed in accordance
with 815 KAR Chapter 20.
(e) Hoses,
if used, shall bear the National Sanitation Foundation potable water (NSF-pw)
mark and be fitted with a backflow prevention device.
(12)
(a)
Each mobile studio shall have a permanently installed retention tank that is at
least fifty (50) percent larger than the potable water supply tank.
(b) Wastewater shall be discharged into a
public sewage system.
(c) Liquid
wastewater shall not be discharged from the retention tank if the mobile studio
is in motion.
(d) All connections
on the vehicle for servicing the mobile studio waste disposal shall be of a
different size or type than those used for supplying potable water to the
mobile studio.
(e) The wastewater
connection shall be located below the water connection to preclude
contamination of the potable water system.
Section 13. Standard Operating Procedures for
a Temporary Permit.
(1) The event organizer or
studio owner for the event shall submit to the local health department in the
district or county where the temporary studio is to be located:
(a) A DFS-200, Application for Permit or
License, accompanied by a $100 permit fee for each workstation;
(b) A layout of the event floor showing where
the tattoo artists will be tattooing;
(c) A list of all tattoo artists
participating in the event that includes:
1.
Name of tattoo artist;
2. Artist
date of birth;
3. Home
address;
4. Phone number;
5. Email address;
6. Proof of artist completion of bloodborne
pathogen training;
7. Studio
name;
8. Studio address;
9. Studio owner name; and
10. Description of procedures to be performed
at the event; and
(d) A
copy of the client consent form to be used during the event.
(2) The event organizer or studio
owner for the event shall:
(a) Be responsible
for ensuring that the event is run in a manner that is safe for the tattoo
artists and the general public;
(b)
Provide a separate cleaning and sterilization room as a backup, unless only
presterilized disposables are used for the event;
(c) Provide an approved autoclave that has
certification of a negative spore test within thirty (30) days prior to the
event;
(d) Arrange for pick-up and
disposal of regulated waste in accordance with Section 9 of this administrative
regulation; and
(e) Ensure the
cleaning and sterilization room, if used, is disinfected at the close of the
event.
(3) Prior to the
event, the tattoo artist participating in the event shall:
(a) Be registered in accordance with Section
2 of this administrative regulation with the local health department in the
district or county where the temporary studio is operated;
(b) Submit the $100 registration fee required
by Section 2(6)(b) of this administrative regulation; and
(c)
1.
Ensure an adequate supply of presterilized instruments and supplies are
available to last the length of the event; or
2. Provide certification of an autoclave
negative spore test completed within thirty (30) days prior to the event if
tattooing with reusable instruments.
(4) The temporary workstation shall meet the
following minimum conditions:
(a) Be at least
5 ft. x 10 ft., and be constructed in a manner to separate the tattoo artist
from the public in such a way as to protect the procedure area from
contamination, and to prevent accidental exposure of the public to
potentially-infectious materials created during tattooing;
(b) Have a floor and sides that are:
1. Smooth, nonporous, and easy to clean;
or
2. Covered in plastic if the
floor and sides are not smooth, nonporous, and easy to clean;
(c) Have at least 100 foot-candles
of light available at the procedure level; and
(d) Be equipped with a hand-wash facility
that shall be:
1.
a. A portable hand-washing station;
or
b. A minimum of a one (1) gallon
container with a lever-type spigot, filled with warm potable water that:
(i) Is placed at least thirty (30) inches off
the floor to allow for easy use;
(ii) Is supplied with a bucket to catch the
wastewater; and
(iii) Has a minimum
reserve of five (5) gallons warm potable water available; and
2. Supplied with:
a. Liquid soap; and
b. Single-use paper towels from a sanitary
dispenser.
(5) Wastewater shall be disposed of into a
public sewerage system, if available. If a public sewerage system is not
available, disposal shall be made into a private system designed, constructed,
and operated pursuant to the requirements of 401 KAR Chapter 5 and 902 KAR
Chapter 10.
Section 14.
Inspection of Studios.
(1) At least twice per
year, the cabinet or the local or district health department shall inspect each
studio and shall make as many additional inspections and re-inspections as are
necessary for the enforcement of this administrative regulation.
(2)
(a) The
cabinet or the local or district health department inspector shall record the
inspection findings on an inspection report form DFS-342.
(b) The inspection report form shall:
1. Summarize the requirements of this
administrative regulation; and
2.
Set forth a weighted point value for each requirement.
(3) The rating score of the studio
shall be the total of the weighted point value for all violations, subtracted
from 100.
(4) The inspector shall
provide the original inspection report to the certificate holder or the
holder's designee. The findings shall:
(a) Set
forth the specific violations, if found; and
(b) Establish a period of time for the
correction of the violations specified, pursuant to the provisions established
in this paragraph.
1. If the rating score of
the studio is eighty-five (85) or more, all violations of one (1) and two (2)
point weighted items shall be corrected before the next routine
inspection.
2. If the rating score
of the studio is at least seventy (70) but not more than eighty-four (84), all
violations of one (1) and two (2) point weighted items shall be corrected
within a period not to exceed thirty (30) days.
3. Regardless of the rating score of the
studio, all violations of three (3) or four (4) point weighted items shall be
corrected within ten (10) days.
4.
If the rating score of the studio is less than seventy (70), the studio shall
be issued a notice of intent to suspend the studio certification. The
certification shall be suspended within ten (10) days after receipt of the
notice unless a written request to an administrative conference is filed with
the local or district health department within the ten (10) day
period.
(5)
Notices provided for under this administrative regulation shall be properly
served if:
(a) The original of the inspection
report form or other notice has been delivered personally to the certificate
holder or person in charge; or
(b)
The notice has been sent by registered or certified mail, return receipt
requested, to the last known address of the certificate holder.
(6) Failure to comply with any
notice issued pursuant to the provisions of this administrative regulation may
result in suspension or revocation of the certificate or the individual's
registration.
(7) Temporary and
mobile studios shall correct any violative conditions within twenty-four (24)
hours.
Section 15.
Suspension of Studio Certificates or Individual's Registration.
(1) The studio certificate or the
individual's registration shall be suspended immediately upon notice to the
certificate holder or registered individual if:
(a) The cabinet or the local or district
health department has reason to believe that an imminent public health hazard
exists;
(b) The studio certificate
holder or registered individual has interfered with the cabinet or the local or
district health department in the performance of its duties; or
(c) An inspection of a studio reveals a
rating score of less than sixty (60).
(2) The studio certificate holder or
individual registration holder whose certificate or registration has been
suspended may request an administrative conference in accordance with
902 KAR 1:400.
(3) The cabinet or the local or district
health department shall notify, in writing, the studio certificate holder or
registered individual who fails to comply with a written notice issued under
the provisions of this section, that the studio certificate or individual's
registration shall be suspended at the end of ten (10) days following service
of this notice unless a request for an administrative conference is
requested.
Section 16.
Revocation of a Studio Certificate or an Individual's Registration.
(1) For serious or repeated violations of any
of the requirements of this administrative regulation, or for interference with
agents of the cabinet or the local or district health department in the
performance of its duties, a studio certificate or an individual's registration
may be permanently revoked.
(2)
Prior to this action, the cabinet or the local or district health department
shall notify the studio certificate holder or registered artist, in writing:
(a) Stating the reasons the studio
certificate or individual registration is subject to revocation; and
(b) Advising that the studio certificate or
individual registration shall be permanently revoked at the end of ten (10)
days following service of the notice, unless a request for an administrative
conference is filed with the cabinet by the certificate or registration holder
within the ten (10) day period.
(3) A studio certificate or individual
registration may be suspended for cause pending its revocation or an
administrative conference relative to the revocation.
Section 17. Incorporation by Reference.
(1) The following material is incorporated by
reference:
(a) DFS-200, "Application for
Permit or License", 07/19;
(b)
DFS-303, "Application for Certification or Registration", Rev. 9/23;
and
(c) DFS-342, "Tattoo and Body
Piercing Studio Inspection Report", Rev. 2/19.
(2) This material may be inspected, copied,
or obtained, subject to applicable copyright law, at the Kentucky Department
for Public Health, Division of Public Health Protection and Safety, Public
Safety Branch, 275 East Main Street, Frankfort, Kentucky, Monday through
Friday, 8 a.m. to 4:30 p.m. and available online at
https://chfs.ky.gov/agencies/dph/dafm/Pages/lhddocuments.aspx.