Heaith Health Protection Unit 51" Floor, 408 Booth Drive Winnipeg MB Canada R3J 204-945?4204 Heismanitcbaca July 4, 2014 Aioha Nails COPY SENT BY FAX: 204-779-9694 Attn: Hong Huynh, owner Original and attachments sent by 7?2136 McPhiliips St Winnipeg, MB RZV 308 Dear Ms. Huynh, RE: Health Hazards at Aloha Nails iocations in Winnipeg, Manitoba Many issues have been brought to ourattention regarding the operation and practices that take piece at Aloha Nails. Public Health inspectors visited all 4 of your establishments on June 2? and June 30, 2014 to observe overall operation with respect to hearth concerns. A report was provided by the Public Health inspector at the time of each inspection for immediate attention to the issues. The following is a broad list of required improvements to be implemented immediately and to maintain ongoing at ali Aioha Nail establishments: 1. Single use items must NOT be reused. This includes nail ?les, buffers, pumice bars, arbor bands, slippers, toe separators, caiius pianer blades, wax applicators, scrub brushes, etc. 2. Adequate stock of all singie use items is required at ali times and new supplies are to be gathered for each client. . 3. Adequate waste receptacles and proper sharps containers are required for the immediate disposal of single use items. 4. Some tools are reusable. in order for them to be reused between clients, you must purchase multi-use tools that can be disinfected. 5. Multi-use toolslimplements must be washed in warm soapy water, foliowed by a disinfection process in between each client. The disinfection process may include an immersion of the tools in a 500pprn chlorine solution (add 10ml of household bleach per 1 titer of water to achieve SODppm) or the use of a steam autoclave that can achieve proper disinfection. This process is required for cuticie nippers, clippers, cailus planer handles, metai foot ?les, etc. 5. Cleaning rooms are required to be clean and organized to make it easy for the technicians to follow procedures. An area is required where tools can be air dried. Clean, sanitized tools must be stored in clean, covered containers. 7. Adequate stock of cleaning and disinfecting chemicais is required at ail times. 8. All foot spas are required to be cieaned and sanitized between ciients. Follow Appendix 6 of the PSF Guideline. Samples were collected from some of the foot Spas and the results are attached. 9. Technicians must wash their hands between ciients. 10. General sanitation requires improvement. Nail dust, clippings, skin, hair was observed on many surfaces and inside implement caddies and containers. 11. Ali towels are to be used once and then sent to be laundered. In the waxing room, it is recommended that paper rolls be used on the waxing tables rather than towels, and fresh paper be added for each client. if towels are used, they are to be removed immediately after the client. if a client prefers towels, they be pieced on the table at the request of the client. Additional items: a An appropriate cleaning area needs to be installed at the Pembina Highway location as soon as possible. A minimum 2?cornpartrnent sink and adequate counter space on either side of the sink is required. A hand sink must also remain for proper technician hand hygiene. Please contact Rob Mackinnon, for this location, to discuss your plan. 0 Sterilizer cabinets are meant only as a clean, germ?free environment for storage of implements and tools that have been previously cleaned and disinfected. They are not a substitute for disinfection or sterilization. Toots and implements should be properly disinfected prior to storage. In order to do this effectively, the technicians will require multiple sets of tools so that they can continue on with another ciient using a clean, disinfected set while the other set is being disinfected. The Regent location currently uses an autoclave. If you choose to purchase autoclaves for your other establishments, please discuss this with any of the Public Health inspectors so that they are used property. The following documents had been provided to each of your establishments to serve as a reference for you and your staff and have been included in this package as well: a Personal Service Facility Guidelines 0 Recommended Cleaning and Disinfection Procedures for Foot Spa Basins in Salons (in English and Vietnamese) Preventing Pedicure Food Spa Infections (in English and Vietnamese) Please note that Manitoba Health is responsible for health protection. We are involved to ensure that the service you are providing to your clients is carried out in a manner that will not lead to complaints or pose a health hazard for infections. Use the information provided in this letter and in the reports from your Public Health inspectors to improve the conditions and technician?s practices so that the health hazards that were observed are eiiminated. The Public Health inspectors will be monitoring your sites for improvement. if improvement is not made. and health hazards continue, please be advised that the Medical Of?cer of Health may become involved in order to protect the public. We want to work with you and your staff to ensure that the proper procedures are understood and followed so that your clients receive safe, sanitary services. Please complete the attached Registration Forms for each of your establishments so that we have the correct contact information in our system. Thank you for your anticipated cooperation. Please feel free to call me or any of your Public Health inspectors it you have any questions. SEW. Lori Roberts Regional Manager MB Health, Winnipeg Region Cc; R. Mackinnon. PHI D. Robbins, PHI 3. Poudel. PHI T. Subtenly. PHI Attachments: Registration forms {x4} Personal Service Facility Guideline EPA documents {English Vietnamese)