Public Health Requirements for Personal Service Settings

Personal Service Settings Changes
- Opening a new personal service setting?
- Renovating or changing services offered at your personal service setting?
You must notify Public Health Services at 905-546-2063
Beauty treatments and body art are referred to as “personal services” and places that offer these services are called Personal Service Settings (PSS).
Personal Service Settings for beauty treatment and body art include:
- Hair salons and barbers
- Tattoo studios
- Body piercing shops
- Places that provide ear piercing, manicures, pedicures, facials, waxing, electrolysis and/or permanent make-up services
General Requirements for Personal Service Settings (PSS)
Public health requirements for personal service settings are in place to protect the operators’ and clients’ health. It is important that proper infection control practices are followed at all times to reduce the risk of infections such as hepatitis B, hepatitis C and HIV, as well as other bacterial and fungal infections. You do not have to see blood or body fluids on equipment or surfaces for infections to spread.
Under the regulation, owners/operators of a personal service setting must provide notice if they are:
- Intending to operate a new PSS
- Expanding the services offered at a PSS
- Reconstructing or renovating an existing PSS (beyond routine maintenance)
It is prohibited to sell, offer for sale or provide at a PSS:
- Ear candling or coning
- Any personal service involving live aquatic species (e.g. fish pedicures)
Under the Health Protection & Promotion Act, scleral tattooing or implantation of eye jewellery under the conjunctiva is prohibited.
This video reviews general requirements from the Ontario Regulation 136/18: Personal Service Settings.
Public Health Inspections
During an inspection, the inspector will observe your practices, check your equipment and premises to make sure that the requirements outlined in the Personal Service Settings regulation are met and infection prevention and control practices are followed.
Public health inspectors check personal service settings for:
- cleaning, disinfection and sterilization of equipment
- maintenance of the facility
- record keeping
The personal service setting must have at least one sink for hand washing and one sink for cleaning instruments.
There must be at least one sink used only for hand washing within the premises of the personal service setting that is,
- conveniently located to the work area,
- accessible at all times,
- supplied with potable hot and cold running water under pressure.
Hands must be washed before starting a procedure, after finishing and after any breaks in service. A 70% alcohol-based hand rub can be used when hands are not visibly dirty.
Gloves should be worn when:
- performing invasive procedures;
- there is contact with blood, body fluids or broken skin;
- the worker has broken skin on their hands.
Every personal service setting in which reusable equipment is used must have at least one sink, that is not the hand wash sink that:
- is capable of immersing the largest piece of reusable equipment used at the setting;
- is supplied with potable hot and cold running water under pressure;
- has counter space to prepare the reusable equipment for use and re-use;
- is not located in a room with a toilet;
- is separated from where personal services are provided to prevent contamination.
General Rules for Cleaning and Disinfecting Instruments
- The reprocessing area must be clean, tidy and well lit.
- Single-use items to be discarded immediately after use into a garbage receptacle.
- Sharps are placed immediately after service into an approved sharps container.
- Clean and disinfect instruments immediately after they are used. When instruments cannot be cleaned immediately after use, soak them in water and detergent until they can be cleaned properly.
- Cleaners and disinfectants must be approved for use in Canada and have a drug identification number (DIN) or natural product number (NPN). Products should have a label and an expiry date.
- The work area must be clean, tidy and well lit.
- The equipment and surfaces in the work area must be in good repair, easily cleanable, smooth and non-absorbent.
- Work surfaces to be cleaned and disinfected between clients.
- Personal items are not to be stored in work areas.
- Use single-use applicators to dispense products onto a client’s skin. Do not ‘double dip’.
- Dispose of any single-use items after use.
- Full sharps containers must be disposed of in an approved manner.
- Store reusable tools in a clean, covered container when not in use. Clean instruments should be separate from dirty instruments.
- Keep client records for a minimum of one year on-site. All client records must be kept for at least three years.
- Client records should include name of the provider, date of service and name and contact information of the client.
- Records for invasive services must include:
- what procedure was done and the part of the body it was done to
- name and contact information of the service provider
- name and contact information of the client
- the date of the procedure
- the risks of the procedure were explained
- the lot numbers and expiry dates of any pre-packaged, sterile equipment used.
Care must be taken to prevent accidental puncture wounds and cuts to the personal service worker and clients from needles, razors, glassware, or other instruments.
If an accidental blood or body fluid exposure occurs:
- Allow the wound to bleed freely.
- Wash hands and put on gloves.
- Gently wash the area with soap and warm water, taking care not to scrub. For splashes of blood or body fluids on mucous membranes (e.g., eyes, nose, mouth), flush the area thoroughly with cold water.
- Apply a skin antiseptic and cover the wound with a sterile dressing or bandage, where applicable.
- Advise exposed person to monitor for signs of infection such as redness, swelling, pain, or warmth around the wound.
- Advise exposed person to contact a health care provider.
- Record the details of the incident on the provided form.
- Accidental exposure to blood/body fluids records are to be kept on-site in a secure location for one year and retained and kept readily available in a secure location for an additional two years.
Surfaces exposed to blood or body fluids:
- Put on appropriate personal protective equipment. At a minimum, wear single-use disposable gloves for cleaning and disinfecting spills.
- Contain the spill using an absorbent material, such as disposable paper towels.
- Manually clean the area with friction to remove blood or body fluids.
- Disinfect the area using a low-level disinfectant. Follow the manufacturer’s instructions for contact time and proper dilution of the disinfectant. For large blood spills, high-level disinfection (e.g. 1:10 bleach and water solution) is to be used to disinfect the area.
- Remove personal protective equipment, including gloves and wash hands.
Equipment/instruments exposed to blood or body fluids
Reusable equipment and instruments must be cleaned and disinfected prior to reuse. Single-use equipment and instruments that become contaminated must be immediately discarded.
Blood & Body Fluids Procedure & Accidental Exposure Form
Specific Personal Services
City of Hamilton Public Health Services works with owners and operators to ensure that services offered are done in a safe and sanitary manner with a goal to prevent transmission of infections. Public Health Services recommends that staff working in personal service settings receive a Hepatitis B vaccine.