[HISTORY: Adopted by the Board of Health of the Town of Eastham 3-5-2020. Amendments noted where applicable.]
This chapter is adopted under the authority of MGL c. 111, § 31.
The purpose of this chapter is to protect the health, safety, and welfare of the residents of, and the visitors to, the Town of Eastham through the control of infection and the spread of diseases including, but not limited to, hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). This chapter protects the public health by prescribing minimal standards for the practice of body art through general sanitation of the premises; proper sterilization of all instruments and equipment; and requiring training in the standard procedures for the prevention of disease transmission. This will ensure that the practice of body art in the Town of Eastham shall be conducted with the highest professional standards.
As used in this chapter, the following terms shall have the meanings indicated:
AFTERCARE
Written instructions given to the client, specific to the body art procedure(s) rendered, about caring for the body art and the surrounding area. These instructions will include information about when to seek medical treatment, if necessary.
BLOODBORNE PATHOGENS STANDARD
OSHA Regulation 29 CFR 1910.1030.
BOARD OF HEALTH or BOARD
The Board of Health of the Town of Eastham.
BODY ART
The practice of physical body adornment by permitted establishments and practitioners using, but not limited to, the following techniques: body piercing, tattooing, cosmetic tattooing, branding, and scarification. This definition does not include practices that are considered medical procedures by the Board of Registration in Medicine in the commonwealth, such as implants under the skin, which shall not be performed in a body art establishment.
BODY ART ESTABLISHMENT or ESTABLISHMENT
A specified place or premises that has been granted a permit by the Board, whether public or private, where the practices of body art are performed, whether for profit or not.
BODY ART PRACTITIONER or PRACTITIONER
A specified person who has been granted a permit by the Board to perform body art in a body art establishment that has been granted a valid permit by the Board.
BODY PIERCING
The puncturing or penetration of the skin of a person with pre-sterilized single-use needles and the insertion of pre-sterilized jewelry or other adornment thereto in the opening. This definition includes piercing of the outer perimeter of the ear, but does not include piercing of the earlobe with pre-sterilized single-use stud-and-clasp ear-piercing systems.
BRANDING
Inducing a pattern of scar tissue by use of a heated material (usually metal) to the skin, making a serious burn, which eventually becomes a scar.
CLIENT
Any person who has requested a body art procedure at a body art establishment.
CONTAMINATED WASTE
Any liquid, or semi-liquid, blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; sharps and any waste containing blood and other potentially infectious materials, as defined in 29 CFR 1910.1030 (latest edition), known as "Occupational Exposure to Bloodborne Pathogens," or as defined as "infectious or physically dangerous medical or biological waste" in accordance with 105 CMR 480.000: Minimum Requirements for the Management of Medical or Biological Waste (State Sanitary Code Chapter VIII).
COSMETIC TATTOOING
See "Tattooing."
DEPARTMENT
The Massachusetts Department of Public Health or its authorized representatives.
DISINFECTANT
Any product registered as a disinfectant by the U.S. Environmental Protection Agency.
DISINFECTION
The destruction of disease-causing microorganisms on inanimate objects or surfaces, thereby rendering these objects safe for use or handling.
EAR-PIERCING
The puncturing of the lobe of the ear with a pre-sterilized single-use stud-and-clasp ear-piercing system following the manufacturer's instructions.
EQUIPMENT
All machinery, including fixtures, containers, vessels, tools, devices, implements, furniture, display and storage areas, sinks, and all other apparatus and appurtenances used in connection with the operation of a Body Art Establishment.
HAND SINK
A lavatory equipped with hot and cold running water under pressure, used solely for washing hands, arms, or other portions of the body.
HOT WATER
Water that attains and maintains a temperature of 110° F. to 130° F. or 43° C. to 54° C.
INSTRUMENTS USED FOR BODY ART
Hand pieces, needles, needle bars, and other instruments that may come in contact with a client's body or may be exposed to body fluids during body art procedures.
INVASIVE
The entry into the client's body either by incision or insertion of any instruments into or through the skin or mucosa, or by any other means intended to puncture, break, or otherwise compromise the skin or mucosa.
JEWELRY
Any personal ornament inserted into a newly pierced area, which must be made of surgical implant-grade stainless steel; solid fourteen-karat (14K) or eighteen-karat (18K) white or yellow gold, niobium, titanium, or platinum; or dense, low-porosity plastic, which is free of nicks, scratches, or irregular surfaces and has been properly sterilized prior to use.
MINOR
Any person under the age of 18 years.
OPERATOR
Any person who alone, jointly, or severally with others, owns, has care, charge, or control of any body art establishment as agent or leasee of the owner or as an independent contractor, but is not a body art practitioner.
PERMIT
A. 
Approval in writing by the Board either:
(1) 
To operate a body art establishment; or
(2) 
To operate as a body art practitioner within a body art establishment.
B. 
Approval is granted in accordance with 105 CMR 124.000 and is separate from any other licensing requirement that may exist within communities or political subdivisions comprising the Board's jurisdiction.
PERSON
An individual; any form of business or social organization; or any other nongovernmental legal entity including, but not limited to, corporations, partnerships, limited-liability companies, associations, trusts, or unincorporated organizations.
PHYSICIAN
An individual registered by the Board of Registration in Medicine pursuant to MGL c. 112, § 2 as a qualified physician.
PROCEDURE SURFACE
Any surface of an inanimate object that contacts the client's unclothed body during a body art procedure, skin preparation of the area adjacent to and including the body art procedure, or any associated work area which may require sanitizing.
SANITARY
Clean and free of agents of infection or disease.
SANITIZATION PROCEDURE
A process of reducing the numbers of microorganisms on cleaned surfaces and equipment to a safe level as judged by public health standards and which has been approved by the Department.
SANITIZED
Effective disinfectant treatment by a process using intermediate disinfectants for enough time to reduce the bacteria count including pathogens to a safe level on semi-critical or noncritical equipment.
SCARIFICATION
Altering the skin texture by cutting the skin and controlling the body's healing process in order to produce wounds, which result in permanently raised wheals or bumps known as keloids.
SHARPS
Any object (sterile or contaminated) that may purposefully or accidentally cut or penetrate the skin or mucosa including, but not limited to, needles, needle devices, lancets, scalpel blades, razor blades, and broken glass.
SINGLE-USE
Products or items that are intended for one-time, one-person use and are disposed of after use on each client, including, but not limited to, cotton swabs or balls, tissues or paper products, paper or plastic cups, gauze and sanitary coverings, razors, piercing needles, scalpel blades, stencils, ink cups, and protective gloves.
STANDARD PRECAUTIONS
A set of guidelines and controls, published by the Centers for Disease Control and Prevention (CDC). This method of infection control requires the employer and employee to assume that all human blood and specified human body fluids are infectious for HIV, HBV, and other blood pathogens. Precautions include hand washing; gloving; personal protective equipment; injury prevention; and proper handling and disposal of needles, other sharp instruments, and blood and body fluid contaminated products. For guidelines and controls see:
A. 
Schillie S, Vellozzi C, Reingold A, et al. "Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the Advisory Committee on Immunization Practices." MMWR Recomm Rep 2018;67(No. RR-1):1-31. DOI: http://dx.doi.org/10.15585/mmwr.rr6701a1.
B. 
Schillie S, Murphy, Sawyer M, et al. "CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management." MMWR Recomm Rep 2013;62(No. RR-10):1-19.
C. 
Kuhar D, Henderson D, Struble, K, et al. "Updated U.S. Public Health Service guidelines for the management of occupational exposures to HIV and recommendations for postexposure prophylaxis." MMWR 2005; 54(No.RR09); p. 1-17.
D. 
CDC. "Recommendations for the prevention and control of hepatitis C virus (HCV) infection and HCV-related chronic disease." MMWR 1998; 47(No. RR-19).
E. 
CDC. "Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis." MMWR 2001; 50(RR11); 1-42.
STERILIZE
The use of a physical or chemical procedure to destroy all microbial life including highly resistant bacterial endospores.
TATTOO
The indelible mark, figure, or decorative design introduced by insertion of dyes or pigments into or under the subcutaneous portion of the skin.
TATTOOING
Any method of placing ink or other pigment into or under the skin or mucosa by the aid of needles or any other instrument used to puncture the skin, resulting in permanent coloration of the skin or mucosa. This term includes all forms of cosmetic tattooing.
The chapter shall apply to any person who operates a body art establishment or engages in the practice of body art as herein defined, except:
A. 
Physicians licensed in accordance with MGL c. 112, § 2 who perform body art procedures as part of patient treatment; and
B. 
Individuals who pierce only the lobe of the ear with a pre-sterilized single-use stud-and-clasp ear-piercing system.
Unless otherwise ordered or approved by the Board, each body art establishment shall be constructed, operated, and maintained to meet the following minimum requirements.
A. 
Physical plant.
(1) 
All walls, floors, ceilings, and procedure surfaces within the body art establishment shall be smooth, free from open holes or cracks, light-colored, washable, and in good repair. Walls, floors, and ceilings shall be maintained in a clean condition. All procedure surfaces, including client chairs/benches, shall be of such construction as to be easily cleaned and sanitized after each client.
(2) 
All body art establishments shall be completely separated by solid partitions, or by 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; any retail sales; or any other such activity that may cause potential contamination of work surfaces.
(3) 
Effective measures shall be taken by the body art operator and/or practitioner to protect against entrance into the establishment and against the breeding or presence on the premises of insects, vermin, and rodents. Insects, vermin, and rodents shall not be present in any part of the establishment, its appurtenances, or appertaining premises.
(4) 
There shall be a minimum of 45 square feet of floor space for each practitioner in the establishment. Each establishment shall have an area that may be screened from public view for clients requesting privacy. Multiple body art stations shall be separated by dividers, curtains, or partitions, at a minimum.
(5) 
The establishment shall be well-ventilated and provided with an artificial light source equivalent to at least 20 footcandles three feet off the floor, except that at least 100 footcandles shall be provided at the level where the body art procedure is being performed, and where instruments and sharps are assembled.
(6) 
A separate, readily accessible hand sink with hot and cold running water, under pressure, preferably equipped with wrist- or foot-operated controls and supplied with liquid soap and disposable paper towels, shall be provided within the body art establishment. One hand sink shall serve no more than three body art practitioners.
(7) 
There shall be a minimum of one lavatory, excluding any service sinks, and one working toilet in a body art establishment.
(8) 
At least one covered, foot-operated waste receptacle shall be provided in each practitioner area and each toilet room. Receptacles in the practitioner area shall be emptied daily, and solid waste shall be removed from the premises at least weekly. All refuse containers shall be lidded, cleanable, and kept clean.
(9) 
All instruments and supplies shall be stored in clean, dry, and covered containers.
(10) 
Practitioners who use ear-piercing systems shall conform to the manufacturer's directions for use and all applicable U.S. Food and Drug Administration (FDA) requirements.
(11) 
Reusable cloth items shall be mechanically washed with detergent and dried after each use. The cloth items shall be stored in a dry, clean environment until used.
B. 
No animals of any kind shall be allowed in a body art establishment except service animals used by persons with disabilities (e.g., seeing eye dogs). Fish aquariums shall be allowed in waiting rooms and nonprocedural areas.
C. 
Information to be kept on file. The following information shall be kept on file on the premises of a body art establishment and shall be available for inspection by the Board:
(1) 
Employee information.
(a) 
Full names and exact duties.
(b) 
Date of birth.
(c) 
Gender.
(d) 
Home address.
(e) 
Home and work phone numbers.
(f) 
Identification photo.
(2) 
Establishment information.
(a) 
Establishment name;
(b) 
Hours of operation; and
(c) 
Owner's name and address.
(3) 
A complete description of all body art procedures performed.
(4) 
Aftercare instructions for all body art procedures performed.
(5) 
An inventory of all instruments and body jewelry, all sharps, and all inks used for any and all body art procedures, including the names of the manufacturers and serial or lot numbers, if applicable. Invoices or orders shall satisfy this requirement.
(6) 
A copy of the service agreement for the sterilizer.
(7) 
Copies of all signed and dated release forms.
(8) 
A copy of this chapter.
D. 
It shall be unlawful for any person to perform body art procedures unless such procedures are performed in a body art establishment with a current permit.
E. 
Each body art practitioner shall be a minimum of 18 years of age.
F. 
Each body art practitioner shall perform all body art procedures in accordance with standard precautions set forth by the U.S. Centers for Disease Control and Prevention.
G. 
Smoking, eating, or drinking are prohibited in the area where body art procedures are performed.
H. 
Operators and/or practitioners shall refuse service to any person who, in the opinion of the operator and/or practitioner, is under the influence of alcohol or drugs.
I. 
The practitioner shall maintain a high degree of personal cleanliness, conform to hygienic practices, and wear clean clothes when performing body art procedures. Before performing body art procedures, the practitioner shall thoroughly wash their hands in hot running water with liquid soap, then rinse hands and dry with disposable paper towels. This shall be done as often as necessary to remove contaminants.
J. 
In performing body art procedures, the practitioner shall wear disposable single-use gloves. Gloves shall be changed if they become contaminated by contact with any unclean surfaces or objects or by contact with a third person. The gloves shall be discarded, at a minimum, after the completion of each procedure on an individual client, and hands shall be washed before the next set of gloves is donned. Under no circumstances shall a single pair of gloves be used on more than one person. The use of disposable single-use gloves shall not preclude or substitute for handwashing procedures as part of a good personal hygiene program.
(1) 
If, while performing a body art procedure, the practitioner's glove is pierced, torn, or otherwise contaminated, the procedure delineated in Subsection I above shall be repeated immediately. The contaminated gloves shall be immediately discarded and the hands washed thoroughly (see Subsection I above) before a fresh pair of gloves is applied. Any item or instrument used for body art that is contaminated during the procedure shall be discarded and replaced immediately with a new disposable item or new sterilized instrument or item before the procedure resumes.
K. 
Contaminated waste, as defined in this chapter, that may release liquid blood or body fluids when compressed or may release dried blood or body fluids when handled shall be placed in an approved "red" bag marked with the International Biohazard Symbol. It shall then be disposed in accordance with 105 CMR 480.000: Minimum Requirements for the Management of Medical or Biological Waste (State Sanitary Code Chapter VIII) or, at a minimum, in compliance with 29 CFR 1910.1030, "Bloodborne pathogens." Used sharps ready for disposal shall be disposed of in approved sharps containers. Contaminated waste that does not release liquid blood or body fluids when compressed or may release dried blood or body fluids when handled may be placed in a covered receptacle and disposed of through normal, approved disposal methods. Storage of contaminated waste on site shall not exceed 30 days, as specified in 29 CFR 1910.1030.
L. 
No practitioner shall perform any body art procedure upon a client who appears to be under 25 years of age without the client presenting a valid state-issued picture identification card or driver's license with an appropriate photograph to confirm that the client is 18 years of age or older. No practitioner shall perform any body art procedure upon a client under the age of 18 years without the presence, consent, and proper identification of a parent, legal custodial parent, or legal guardian. Nothing in this section is intended to require a practitioner to perform any body art procedure on a person under 18 years of age regardless of parental or guardian consent.
M. 
The skin of the client shall be free of rash or visible infection. No body art procedure shall be performed upon any client affected with boils, infected wounds, open sores, abrasions, weeping dermatological lesions, or acute respiratory infections.
N. 
The skin of the practitioner shall be free of rash or infection. No person, operator, or practitioner affected with boils, infected wounds, open sores, abrasions, weeping dermatological lesions, or acute respiratory infection shall work in any area of a body art establishment in any capacity in which there is a likelihood that the person, operator, or practitioner could contaminate body art equipment, supplies, or working surfaces with body substances or pathogenic organisms.
O. 
Proof shall be provided upon request by the Board that all practitioners in a body art establishment have either completed or were offered and declined, in writing, the Hepatitis B vaccination series. This offering should be included as a pre-employment requirement.
A. 
All establishments shall prominently display, and give to each client, a disclosure statement, provided by the Department, which advises the public of the risks and possible consequences of body art procedures.
B. 
Verbal and written instructions, provided by the Department, for the aftercare of the body art procedure site shall be provided to each client by the operator or practitioner upon completion of the procedure.
(1) 
The written instructions shall contain:
(a) 
Advise on the proper cleansing of the area which received the body art;
(b) 
Advise to consult a health care provider for:
[1] 
Unexpected redness, tenderness, or swelling at the site of the body art procedure.
[2] 
Rash.
[3] 
Any drainage from the site of a tattoo or excessive drainage from the site of any other body art procedure.
[4] 
Fever within 24 hours of the body art procedure.
(c) 
Address and phone number of the establishment.
(2) 
These documents shall be signed and dated by both parties, with a copy given to the client and the operator and/or practitioner retaining the original with all other required records.
C. 
The facility permit holder shall also post in public view the address and phone number of the Board and the procedure for filing a complaint.
A. 
Prior to performing any body art procedure, the body art practitioner shall request the client to complete the following release form, containing the following health information in a "yes/no" format:
(1) 
History of diabetes.
(2) 
History of hemophilia (bleeding).
(3) 
History of skin diseases, skin lesions, or skin sensitivities to soaps, disinfectants.
(4) 
History of allergies or adverse reactions to pigments, dyes, or other sensitivities.
(5) 
History of epilepsy, seizures, fainting, or narcolepsy.
(6) 
The use of medications, such as anticoagulants, which thin the blood and/or interfere with blood clotting.
(7) 
Any other pertinent medical information.
B. 
The release form shall contain the following statement:
If you answered "Yes" to any of the previous questions, please be aware that the performance of any body art procedure may jeopardize your health. Please consult with your personal physician as to the advisability and risks of any body art procedure.
In signing this form, I acknowledge that the above information is accurate and true, that I am aware of the risks associated with the body art procedure desired, and release the operator and/or practitioner from any liability associated with the performance of said body art procedure.
The operator and/or practitioner shall have the client sign and date the release form, in duplicate, confirming that the above information was obtained. The owner and/or practitioner shall give the duplicate release form to the client and retain the original for their records.
C. 
Each operator and/or practitioner shall keep records of all body art procedures administered, including date, time, identification and location of the body art procedure(s) performed, and the practitioner's name. All client records shall be confidential and shall be made available to the Board upon notification.
D. 
Nothing in this section shall be construed to require the practitioner to perform a body art procedure upon a client.
A written report of any injury, infection complication, or disease to a client as a result of a body art procedure, or complaint of injury, infection complication, or disease, shall be forwarded by the owner and/or practitioner to the Board and to the Department with a copy to the complainant or injured client within five working days of its occurrence or knowledge thereof. The report shall include:
A. 
The name of the affected client.
B. 
The name and location of the body art establishment involved.
C. 
The nature of the injury, infection complication, or disease.
D. 
The name and address of the affected client's health care provider, if any.
E. 
Any other information considered relevant to the situation.
A. 
The body art establishment shall keep a record of all clients who have had body art procedures performed. The record shall include:
(1) 
The name, date of birth, and address of the client.
(2) 
The date of the procedure.
(3) 
The name of the practitioner who performed the procedure(s).
(4) 
The type and location of the procedure(s) performed.
(5) 
The signature of the client.
(6) 
If the client is a minor, proof of parental or guardian presence and consent.
(7) 
The original copy of the signed and dated release form.
B. 
Such records shall be retained for a minimum of three years and shall be available to the Board upon request. The Board and the body art establishment shall keep such records confidential.
A. 
Before a body art procedure is performed, the immediate skin area and the areas of skin surrounding where the body art procedure is to be placed shall be washed with soap and water or an approved surgical skin preparation. If shaving is necessary, single-use disposable razors or safety razors with single-service blades shall be used. Blades shall be discarded after each use, and reusable holders shall be autoclaved after each use. Following shaving, the skin and the surrounding area shall be washed with soap and water. The washing pad shall be discarded after a single use.
B. 
In the event of bleeding, all products used to stop the bleeding or to absorb blood shall be single-use, discarded immediately after use in appropriate covered containers, and disposed of in accordance with 105 CMR 480.000.
A. 
All non-single-use, nondisposable instruments used for body art shall be cleaned thoroughly after each use by scrubbing with an appropriate soap or disinfectant solution and hot water, a solution of household chlorine bleach as recommended by the CDC, or by following the manufacturer's instructions to remove blood and tissue residue, and shall be placed in an ultrasonic unit operated in accordance with the manufacturer's instructions.
B. 
After being cleaned, all non-disposable instruments used for body art shall be packed individually in peel-packs and subsequently sterilized. All peel-packs shall contain either a sterilizer indicator or an internal temperature indicator. Peel-packs shall be dated with an expiration date not to exceed six months.
C. 
All cleaned, nondisposable instruments used for body art shall be sterilized in a steam autoclave. The sterilizer shall be used, cleaned, and maintained in accordance with the manufacturer's instructions. A copy of the manufacturer's recommended procedures for the operation of the sterilization unit shall be available for inspection by the Board.
D. 
Sterile equipment shall not be used if the package has been breached or after the expiration date without first repackaging and resterilizing. Sterilizers shall be located away from workstations or areas frequented by the public. If the body art establishment uses only single-use, disposable instruments and products and uses sterile supplies, an autoclave shall not be required.
E. 
Each holder of a permit to operate a body art establishment shall demonstrate that the sterilizer used is capable of attaining sterilization by monthly spore destruction tests. These tests shall be verified through an independent laboratory. The permit shall not be issued or renewed until documentation of the sterilizer's ability to destroy spores is received by the Board. These test records shall be retained by the operator for a period of three years and shall be made available to the Department upon request. If at any time, the results of the spore destruction tests indicate that the sterilizer is not attaining sterilization, the operator and/or practitioner shall immediately cease operation and inform the Board.
F. 
All instruments used for body art procedures shall remain stored in sterile packages until just prior to the performance of a body art procedure. When assembling instruments for body art procedures, the practitioner shall wear disposable medical gloves and use medically recognized techniques to ensure that the instruments and gloves are not contaminated.
G. 
All inks, dyes, pigments, needles, and equipment shall be specifically manufactured for performing body art procedures and shall be used in accordance with the manufacturer's instructions.
H. 
The mixing of approved inks, dyes, or pigments, or their dilution, with potable water is acceptable. Immediately before a tattoo is applied, the quantity of the ink, dye, or pigment to be used shall be transferred from the container and placed in a single-use paper or plastic cup. Upon completion of the tattoo, these cups and their contents shall be discarded.
A. 
All products applied to the skin, including, but not limited to, needles and body art stencils, shall be single-use and disposable.
B. 
Single-use items shall not be used on more than one client for any reason. After use, all single-use sharps shall be immediately disposed of in approved sharps containers and in accordance with 105 CMR 480.000.
C. 
Petroleum jellies, soaps, and other products used in the application of stencils shall be dispensed and applied on the area to be tattooed with sterile gauze or other sterile applicator to prevent contamination of the original container and its contents. The applicator or gauze shall be used only once and then discarded.
A. 
Body art establishments shall submit a scale drawing and floor plan of the proposed establishment for a plan review by the Board as part of the permit application process.
B. 
Body art establishment permit.
(1) 
No person, firm, partnership, joint venture, association, business trust, corporation, or organized group of persons may operate a body art establishment without a valid body art establishment permit from the Board.
(2) 
Any person operating a body art establishment shall obtain an annual permit from the Board. The Board shall set a reasonable fee for such permit.
(3) 
A permit for a body art establishment shall not be transferable from one person or place to another.
(4) 
The holder of a body art establishment permit shall only hire practitioners who have complied with the requirements of the section titled "Body art practitioner permit" of this chapter.[1]
[1]
Editor's Note: See Subsection C below.
C. 
Body art practitioner permit.
(1) 
No person shall practice body art procedures without first obtaining a body art practitioner permit from the Board. The Board shall set a reasonable fee for such permits.
(2) 
The body art practitioner permit shall be valid from the date of issuance and shall automatically expire in one year from the date of issuance unless revoked sooner by the Board.
(3) 
An application for a body art practitioner permit shall include:
(a) 
Name.
(b) 
Date of birth.
(c) 
Gender.
(d) 
Residence address.
(e) 
Mailing address, if different.
(f) 
Phone number.
(g) 
Place(s) of employment as a practitioner.
(h) 
Training and/or experience.
(i) 
Proof of attendance at a bloodborne pathogen training program, or its equivalent, approved by the Board.
(4) 
The applicant shall provide documentation of attendance and completion of courses approved by the Board, or completion of an examination, on the following subjects:
(a) 
Anatomy;
(b) 
Skin diseases, disorders, and conditions (including diabetes);
(c) 
Infectious disease control, including waste disposal, handwashing techniques, sterilization equipment operation and methods, and sanitization/disinfection/sterilization methods and techniques.
(5) 
Examples of courses approved by the Board include "Preventing Disease Transmission" (American Red Cross) and "Bloodborne Pathogen Training" (U.S. OSHA).
(6) 
Training or courses provided by professional body art organizations or associations or by equipment manufacturers may also be submitted to the Board for approval.
(7) 
Proof of liability insurance.
D. 
No permit shall be issued unless, following reasonable investigation by the Board, the body art establishment or practitioner has demonstrated compliance with the provisions of this chapter.
E. 
All permits shall be conditioned upon the continuing compliance with the provisions of this chapter.
F. 
All permits shall be posted in a prominent and conspicuous area where clients may readily observe them.
A. 
All complaints shall be in writing.
B. 
The Board shall investigate all complaints received about an establishment's and/or practitioner's acts or practices which may violate any of the provisions of this chapter.
C. 
If the Board finds that an investigation is not warranted because the alleged act(s) or practice(s) are not in violation of this chapter, the Board shall notify the complainant of this finding and the reasons on which it is based.
D. 
If the Board finds that an investigation is warranted because the alleged act(s) or practice(s) may be in violation of this chapter, the Board, after an appropriate investigation, shall apply whatever enforcement action deemed proper to remedy the situation and shall notify the complainant of its action.
E. 
Investigation of complaints may lead to enforcement actions including, but not limited to, revocation, suspension, or refusal to renew a permit by the Board.
A. 
The Board may deny a permit on any of the following grounds:
(1) 
Failure to conform to any provision of this chapter;
(2) 
Any actions or omissions which would indicate that the health or safety of the public would be at risk should a permit be approved;
(3) 
Any previous violation of this chapter;
(4) 
Any attempt to practice or obtain a permit through fraud, deceit, or misrepresentation;
(5) 
Criminal conduct which the Board determines to be of such a nature as to render the establishment or practitioner unfit to practice body art as evidenced by criminal proceedings resulting in conviction, guilty plea, plea of nolo contendre, or admission of sufficient facts;
(6) 
Any other just and sufficient cause which the Board may determine would render the establishment or practitioner unfit to practice body art;
(7) 
Practicing body art while the ability to practice is impaired by alcohol, drugs, physical disability, or mental instability;
(8) 
Being habitually drunk or being dependent on, or a habitual user of, narcotics, barbiturates, amphetamines, hallucinogens, or other drugs having similar effects;
(9) 
Knowingly permitting, aiding, or abetting an unauthorized person to perform activities requiring a permit; or
(10) 
Having been disciplined in another jurisdiction in any way by the proper permitting authority for reasons substantially the same as those set forth in this chapter.
B. 
The Board may deny a permit only after a hearing conducted by the Board.
C. 
Applicants denied a permit may reapply six months after denial.
A. 
The Board may revoke or refuse to renew a permit on the following grounds, each of which, in and of itself, shall constitute full and adequate grounds for revocation or the refusal to renew:
(1) 
Fraud or misrepresentation in obtaining a permit, or its renewal;
(2) 
Criminal conduct which the Board determines to be of such a nature as to render the establishment or practitioner unfit to practice body art as evidenced by criminal proceedings resulting in conviction, guilty plea, plea of nolo contendre, or admission of sufficient facts;
(3) 
A violation of any provision of this chapter;
(4) 
Any other just and sufficient cause which the Board may determine would render the establishment or practitioner unfit to practice body art;
(5) 
Practicing body art while the ability to practice is impaired by alcohol, drugs, physical disability, or mental instability;
(6) 
Being habitually drunk or being dependent on, or a habitual user of, narcotics, barbiturates, amphetamines, hallucinogens, or other drugs having similar effects;
(7) 
Knowingly permitting, aiding, or abetting an unauthorized person to perform activities requiring a permit;
(8) 
Continuing to practice while their permit is lapsed, suspended, or revoked;
(9) 
Having been disciplined in another jurisdiction in any way by the proper permitting authority for reasons substantially the same as those set forth in this chapter; or
(10) 
The refusal to practice body art on a person because of such person's race,
B. 
The Board may revoke or refuse to renew a permit only after a hearing conducted by the Board.
The Board may summarily suspend a permit pending a final hearing on the merits of the question of revocation if, based upon the evidence before it, the Board determines that an establishment and/or practitioner is an immediate and serious threat to the public health, safety, or welfare. The suspension of a permit shall take effect immediately upon written notice of such suspension by the Board.
A. 
Right to a hearing. Unless otherwise specified in this chapter, any person or persons served any order pursuant to any provision of this chapter may request a hearing before the Board by filing a written petition, provided that such petition is filed with the Board within seven days of receipt of such an order.
B. 
Hearing notice. Upon receipt of a petition, the Board shall inform the petitioner and any other affected parties, in writing, of the date, time, and place of the hearing and of their right to inspect and copy the Board's file concerning the matter to be heard.
C. 
Time of hearing. The hearing shall commence not later than 21 calendar days after the date the order was received.
D. 
Hearing procedures. At the hearing, the petitioner and any other affected parties shall be given an opportunity to be heard, to present witnesses or documentary evidence, and to show cause why an order should be modified or withdrawn.
E. 
Final decisions after a hearing.
(1) 
The Board shall sustain, modify, or withdraw the order and shall inform the petitioner, in writing, of its decision within seven days after the conclusion of the hearing. If the Board sustains or modifies the order, it shall be carried out within the time period allotted in the original order or in the modification.
(2) 
If a written petition for a hearing is not filed with the Board within seven days of receipt of the order or, if after a hearing, the order has been sustained in whole or in part, each day's failure to comply with the order as issued or modified shall constitute an additional offense.
F. 
Appeal of the final decisions. Any person aggrieved by the final decision of the Board may seek relief therefrom within 30 days in any court of competent jurisdiction, as provided for by the laws of this commonwealth.
A. 
Any person who shall violate any provision of this chapter for which penalty is not otherwise provided in any of the General Laws of the Commonwealth or in any other provision of this chapter shall, upon conviction, be fined not less than $10 nor more than $500.
B. 
Any person who shall fail to comply with any order issued pursuant to any provision of this chapter shall, upon conviction, be fined not less than $10 nor more than $500.
If any provision of this regulation is declared invalid by a court of competent jurisdiction, such invalidity shall not affect any remaining provisions of this regulation. Any part of these regulations subsequently invalidated by a new state law or modification of an existing state law shall automatically be brought into conformity with the new or amended law and shall be deemed to be effective immediately.