<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 09.22.02.05" title_num="09" subtitle_num="22" chapter_num="02" heading="Sanitation Requirements — Estheticians.">
  <paragraph num="A.">
    <text>In addition to the sanitation requirements in Regulation .04 of this chapter, all establishments that offer the services normally performed by an esthetician shall comply with the sanitation requirements in §B of this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Sanitation Requirements.</text>
    <paragraph num="(1)">
      <text>Creams, lotions, powders, and other cosmetics shall be removed from the patron by means of disposable absorbent cotton, cleansing tissue, cotton swab, pledget, or other similar material.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Lip and eyebrow pencils shall be sharpened after each use.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Lip color, eye color, shadows, or other cosmetics shall be removed from the container by a spatula and applied to the client with a disposable or cleansed and sanitized applicator.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Disposable lip, makeup, eyelash, or other cosmetic applicator shall be discarded immediately after use.</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Hair removal waxes may not be used for more than one client. Any excess wax left after client service shall be discarded immediately.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Extraction lancets shall be cleaned and disinfected immediately after each use.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>An EPA-registered disinfectant effective against HIV and hepatitis viruses or a hospital-grade tuberculocidal disinfectant shall be:</text>
      <paragraph num="(a)">
        <text>Kept on the esthetician tray for contact disinfection of implements that may come in contact with blood; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Changed after each use.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Nondisposable drapings shall be laundered after each client.</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Microneedling.</text>
      <paragraph num="(a)">
        <text>New needles must be used for each client.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Needles must be discarded into a sharps container.</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Reusable equipment must be cleaned and disinfected after each client.</text>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>