Cosmetology Sanitation Rules

PURPOSE: This rule establishes sanitary requirements for schools, cosmetology establishments, and persons practicing any cosmetology occupation. (1) Physical Facilities. (A) Lighting and Ventilation. A minimum of thirty (30) footcandles light intensity shall be provided in all areas where all classified occupations of cosmetology are practiced. A minimum of five (5) footcandles must be provided in areas used for waiting rooms, storage, corridors, etc. For all physical facilities and retail cosmetic sales counters, sufficient ventilation shall be provided to dispel odors, condensates, and vapors. For this purpose, ventilating equipment, such as individual fans, vents and hoods, shall be provided where needed. (B) Floors, Walls, Ceilings, Equipment, and Contents. For areas where all classified occupations of cosmetology are practiced, including retail cosmetic sales counters, all floors, walls, ceilings, equipment, and contents shall be constructed of washable materials and must be kept clean and in good repair at all times. Commercial-type carpet may be used. (C) Water Supply and Waste Disposal. For cosmetology establishments and schools in cities and towns where these facilities are available, water must be obtained from the public water supply system and wastewater must be drained through pipes into the public sewer system. In all towns or communities in which a public water supply or public sewer system is not available, the water must be obtained from an individual supply source approved by the Division of Environmental Quality. Wastewater and sewage must be disposed of into a suitable sewage treatment device constructed and operated in a manner approved by the Missouri Clean Water Commission. Hot and cold water must be available to all lavatories and shampoo bowls. Water from the supply to the hot water faucets must be piped through a continuous water heater capable of providing an ample supply of water not to exceed one hundred twenty degrees Fahrenheit (120 °F) at all times. All plumbing in establishments and schools shall be installed in accordance with any applicable municipal, city, or government requirements. All lavatories and shampoo bowls shall be provided with soap (liquid or powder) and individual towels. (D) Restrooms. All cosmetology establishments shall provide adequate and conveniently located restrooms, for use by patrons and operators. All schools shall provide two (2) or more restrooms to separately accommodate male and female students. All restrooms shall be provided with, at least, an operating toilet, a functional sink with hot and cold running water, soap (liquid or powder), and individual towels. Floors, walls, ceilings, and fixtures shall be made of washable materials and kept clean and in good repair at all times. (E) Cosmetology Establishments in Residences. Establishments located in buildings which are also used as residences must be separate and apart from living quarters by solid floor to ceiling partitions. The establishment must contain that equipment used in the practice of all classified occupations of cosmetology, and this equipment must be kept in the separated establishment area. Beds of any description are not permitted, nor shall any room(s) equipped for cosmetology establishments have any residential purposes. 1. Every establishment located in a building also used as a residence must have a separate entrance which shall not open off the living quarters. Doorways from within the establishment area shall be kept closed at all times. 2. All establishments which exist in AND INSURANCE Division 2085—Board of Cosmetology and Barber Examiners buildings that also have living quarters must have restroom facilities located separate and apart from the living quarters. Restroom facilities shall be adequate and conveniently located for use by patrons and operators. All lavatories shall be provided with hot and cold running water, soap (liquid or powder), and paper towels and shall be kept clean and in good repair. 3. Establishments located in buildings which are also used as residences shall comply with all requirements contained in 20 CSR 2085-11.020, in addition to complying with the specific requirements of this subsection. (F) Washing Machines and Dryers. Any washing machine or clothes dryer shall be located in a separate room apart from the working area. (2) Sanitation Requirements. (A) Protection of the Patron. 1. Headrests shall be covered with a clean towel or paper protector for each usage. 2. Clean towels shall be used for each patron. A closed cabinet or drawer shall be provided for clean towels and linens. 3. Soiled towels shall be placed in a closeable, leakproof container immediately upon completion of use. 4. A new laundered towel or neck strip shall be placed around each patron’s neck to prevent cape or hair cloth from touching skin. 5. Implements and instruments shall be sanitized after use on each patron. (B) Animals. No animals shall be permitted in any cosmetology establishment or school or retail cosmetic sales counters at any time except service animals whose whole purpose is to provide assistance while obtaining services. (C) Storage and Use of Powders, Creams, Emollients, Etc. For areas where all classified occupations of cosmetology are practiced, including retail cosmetic sales counters, open powder boxes and common powder puffs are forbidden. Powder must be used from shakers or other similar dispensing devices. Creams, emollients, and the like shall be removed from containers with clean, sanitized spatulas or may be dispensed on a sterile cotton swab. All containers shall be covered when not in use. (D) Disinfecting and Storing Implements. All implements (instruments or tools) used in cosmetology establishments and schools, including scissors, clips, blades, rods, brushes, combs, etc. shall be thoroughly cleansed after each use. All implements which may come in contact directly or indirectly with the skin of the patron shall be disinfected with an Environmental Protection Agency (EPA)-registered disinfectant, which may be a spray solution. The label on the disinfectant shall show that it is EPA-registered with demonstrated bactericidal (disinfectant), virucidal, and fungicidal activity and shall be used according to the manufacturer’s instructions. All implements shall be completely immersed in the solution or, if not capable of immersion, thoroughly dipped in the solution for a period of not less than five (5) minutes. Implements shall either be stored in the solution or removed and stored in a dust-tight cabinet, covered container, or drawer at all times when not in use. The dust-tight cabinet, covered container, or drawer shall be kept free of other items not capable of being disinfected. Implements shall be permitted to air dry. (E) Disease Control. Except as otherwise provided by the Americans With Disabilities Act, a licensee, apprentice, student, or retail cosmetic salesperson providing cosmetology services with a communicable disease shall take all proper precautions to prevent the spread of the disease to any person while practicing barbering, cosmetology, or acting as a salesperson. A licensee, apprentice, or student attending a patron known by the licensee, apprentice, or cosmetologist to have a communicable disease shall also take all proper precautions to prevent the spread of the disease to any person, except as otherwise provided by the Americans With Disabilities Act. Disposable gloves shall be worn by any licensee, apprentice, or student with open wounds, dermatitis, or other non-intact skin of the hands. (F) Blood Spill Procedures. If a cut is sustained or a blood spill should occur, the following steps must be followed by the licensee, apprentice, or salesperson: 1. Licensee, apprentice, student, or salesperson cut/blood spill procedure: A. Licensee, apprentice, student, or salesperson must stop service immediately; B. Clean cut area with soap (liquid or powder) and water and apply antiseptic. If necessary, liquid, spray, or powder styptic may be applied to stop bleeding. Note: Do not allow containers, brushes, or nozzles to touch or contact the wound—use an applicator as appropriate; C. Cover injury with adhesive bandage; D. If work area and/or equipment are soiled with blood, the licensee, student, apprentice, or salesperson shall place disposable gloves or a finger guard on their hands and clean/disinfect the area and soiled objects; E. Dispose of all contaminated objects and disposable gloves in a covered waste receptacle and clean hands with an antimicrobial cleanser; and F. Place a clean disposable glove on if cut is sustained on the hand. 2. Patron cut/blood spill procedure. A. Licensee or student must stop service immediately; B. Licensee or student must place disposable gloves on hands; C. Cleanse cut area of patron, apply antiseptic and/or liquid styptic or spray styptic, as necessary. Note: Do not allow container or nozzles to touch or contact the wound; use an applicator as appropriate; D. Cover cut area with adhesive bandage as indicated; E. If work area and/or equipment are soiled with blood, licensee or student cosmetologist shall disinfect work area and/or blood spill area and dispose of or disinfect all contaminated objects; and F. Remove and dispose of all contaminated objects and disposable gloves and clean hands with an antimicrobial cleanser. (G) Personal Cleanliness. Every operator, instructor, or instructor trainee shall wear only washable clothing while working in a cosmetology establishment or school. All students and apprentices in any school or cosmetology establishment shall wear washable clothing while in attendance. (H) Training Kit. No student or apprentice shall be permitted to take his/her training kit from the school or cosmetology establishment while in training. (I) Covered Waste Receptacles. Any cosmetology establishment or school shall be required to have covered waste receptacles for the disposal of hair and nail clippings. Hair and nail clippings shall be swept up and disposed of in a covered waste receptacle after each patron. (J) No cosmetology licensee shall provide any cosmetology services that involve the use of any liquid product containing methyl methacrylate (MMA). Licensees are responsible for ensuring that their nail service products do not contain MMA as a monomer agent for cosmetic nail applications or any other purpose. Products containing ethyl or butyl methacrylate are acceptable and may be used to provide nail services. (K) Upon request from a board inspector or board representative, any licensee in any licensed barber or cosmetology establishment must be able to provide the Material Safety Data Sheet (MSDS) for all service products in the establishment to verify that the chemicals in those products are appropriate and safe for public use. (L) Prohibited Practices. To prevent the risk of injury or infection— 1. A licensee shall not use or offer to use in the performance of cosmetology services, or possess on the premises of a licensed cosmetology establishment, any razor-type callus shaver designed or intended to cut growths of skin on hands or feet such as corns and calluses including, but not limited to, a credo blade or similar type instrument. Any licensee using a razor-type callus shaver prohibited by this rule at a licensed cosmetology establishment or in the performance of any cosmetology, manicuring, or esthetician services shall be deemed to be rendering services in an unsafe and unsanitary manner. Cosmetology establishment licensees shall ensure that razor-type callus shavers are not located or used on the premises of the cosmetology establishment; 2. The board shall provide a flyer prohibiting the use of these razor-type callus shavers. Every cosmetology establishment and cosmetology school shall post such flyer in plain view of the public in each of their establishment(s) and school(s); and 3. Violation of this rule shall constitute grounds for discipline under section 329.140.2(15), RSMo. AUTHORITY: section 329.025.1, RSMo Supp. 2012.* Original rule filed Aug. 1, 2007, effective Feb. 29, 2008. Amended: Filed April 3, 2009, effective Sept. 30, 2009. Amended: Filed March 8, 2013, effective Aug. 30, 2013. *Original authority: 329.025, RSMo 2005, amended 2008.