APPENDIX 1: Environmental Cleaning and Disinfection

Surfaces in the client service area likely to come into contact with client’s bare skin.

Surfaces in the client service area likely to be touched by the personal services worker during the personal service. These surfaces must be thoroughly cleaned and then disinfected with a low-level disinfectant (at minimum) after every client service. These surfaces must be thoroughly cleaned after every client service.

Surfaces in the client service area likely to come into contact with client’s bare skin but are covered with a single-use barrier.

Surfaces in the client service area likely to be touched by the personal services worker during the personal service but are covered with a single-use barrier.

Surfaces in the client service area that do not touch client skin and are not touched by the personal services worker.

Surfaces outside the client service area.

Services performed in this area involve contact with mucous membrane, non-intact skin, or equipment that punctures skin and sterile tissues of the body. Services performed in this area only involve contact with intact skin, nails or hair.

If a moisture impervious barrier is used it must be discarded and underlying surfaces must be thoroughly cleaned after a client service.

If the barrier is not moisture impervious, the barrier must be discarded or laundered and the underlying surface must be thoroughly cleaned and then disinfected with a low-level disinfectant (at minimum) after every client service. The barrier must be discarded or laundered after a client service. The underlying surface must be maintained in a visibly clean condition.

These surfaces must be routinely cleaned as per the facility’s written procedures and as needed to maintain the surfaces in a visibly clean condition.