Personal Services Settings

Personal Service Setting Inspection Reports

Attention! New Provincial Personal Services Settings Regulation!

A new Ontario Personal Service Setting (PSS) Regulation 136/18 has been developed by the Ministry of Health & Long Term Care (MOHLTC). Please visit the MOHLTC's website to see how this new PSS regulation 136/18 applies to your business and the services that you offer.

If you have any questions or concerns about the new regulation and how it applies to you, please contact your Public Health Inspector or Ottawa Public Health at 613-580-6744.

COVID-19 Resources for Personal Service Setting
New Ontario Personal Service Setting Regulation 

The Ministry of Health and Long-Term Care (MOHLTC) has developed a new Ontario Personal Service Setting Regulation 136/18 under the Health Protection and Promotion Act.  Ottawa Public Health is supporting business owners and operators by providing a brief summary of some of the changes that will take effect on July 1, 2018. Please note that this summary does not include all changes to practice as a result of O. Reg. 136/18. Visit the MOHLTC website for the complete version of the regulation at https://www.ontario.ca/laws/regulation/180136.

Who does this apply to?

This new regulation applies to all Personal Service Settings within Ontario. Personal Service Settings include any premise where personal services are offered. Examples of services offered at Personal Service Settings include, but are not limited to, the following:

  • Hairdressing & Barbering
  • Tattooing
  • Body Piercing
  • Nail Services
  • Electrolysis
  • Other Aesthetic Services

Personal Service Settings include those in vehicles or at special events. (O. Reg. 136/18, Section 2).

Personal Services may also include “invasive procedures” that involve the introduction of equipment or instruments into the body or body cavities, by cutting, puncturing or otherwise entering intact skin or mucous membranes. (O. Reg. 136/18, Section 1)

Notice to Operate

The Health Unit must be notified in writing, at least 14 days prior to initiating services, of the intention to operate a new Personal Service Setting. The notice must include the following:

  • The name and location of the intended Personal Service Setting.
  • The name and contact information of the person intending to operate the Personal Service Setting.
  • A list of the personal services that will be provided at the Personal Service Setting.

If an operator wishes to provide additional personal services, the Health Unit must be notified in writing, at least 14 days before providing additional services. (O. Reg. 136/18, Section 3)

Prohibited Services

The following personal services shall not be sold, offered for sale, or provided at a Personal Service Setting:

  • Ear candling or coning.
  • Any personal service involving live aquatic species, including fish pedicures.
  • Scleral tattooing
  • Implantation of eye jewelry under the conjunctiva. (HPPA, Section 18.1)

Setting Requirements

Personal Service Settings must be free of any condition that could pose a health hazard or affect the sanitary operations of the Personal Service Setting. Requirements for Personal Service Settings include the following:

  • If a Personal Service Setting is located in a home, the room where personal services are being provided must not be used as part of the dwelling.
  • At least one sink must be dedicated for handwashing.
  • If reusable equipment is used, there must be an additional sink that is not the handwashing sink. (Ont. Reg. 136/18, Section 8)

Equipment

Immediately discard any single-use equipment or instruments after they are used. Examples include nail files, buffing blocks, pumice stones, straight razor blades and wax sticks. Personal storage of single use items is no longer permitted. (Ont. Reg. 136/18, Section 10)

Disinfectants

All disinfectants must have a drug identification number (DIN) or natural product number (NPN) assigned by Health Canada.

All disinfectants must be used as per the manufacturer’s instructions, where available. The only exception is chlorine bleach/sodium hypochlorite. (Ont. Reg. 136/18, Section 11)

If you have any questions or concerns regarding the new regulation, please contact a Public Health Inspector at Ottawa Public Health at 613-580-6744. 
What is a Personal Services Setting (PSS)

As part of its mandate under the Ontario Public Health Standards, 2018 and the Infection Prevention and Control Protocol, 2019, Ottawa Public Health (OPH) inspects Personal Services Settings (PSS) to monitor infection prevention and control practices. Our objective is to minimize the risk of blood-borne/other types of infections during the delivery of personal services. PSS refer to settings in which aesthetic services are delivered, such as but not limited to:

  • Manicures & Pedicures
  • Body piercing & ear lobe piercing
  • Waxing and Facials
  • Hairstyling & Barbering
  • Tattooing & Micro-blading
  • Body modification (branding, scarification etc.)
  • Electrolysis & Laser hair removal
  • Microdermabrasion

Public Health Inspectors (PHIs) at Ottawa Public Health (OPH) routinely inspect these establishments to ensure that services are delivered in accordance with the Ministry of Health's Ontario Regulation 136/18: Personal Services Settings to prevent the spread of infections. (e.g. Blood-borne, fungal, etc.)

Residents are urged to consider their own personal safety before obtaining personal services. To learn more about what to look for in a specific service before and during their appointment, OPH is asking that residents review the following factsheets:

Residents are also encouraged to look for a certificate - issued by OPH - that ensures the premises has been inspected by a Public Health Inspector. They can visit the Personal Services Settings Inspection Results page to review the most recent inspection history of all PSS in Ottawa. 

Investigation of Complaints

If you have any questions or concerns about a personal service establishment, you can contact Ottawa Public Health. All complaints are dealt with in confidence and the inspector will inform you of the findings and outcome of the investigation.
Important Information for Personal Service Settings Operators

It is important that your business comply with the new Ontario regulation for Personal Service Settings that was enacted in 2018 (Ontario Regulation 136/18) and Public Health Ontario’s Guide to Infection Prevention and Control in Personal Service Settings, 3rd edition. Both this regulation and the guide are meant to help you prevent your clients from getting infections in your establishment. 

Ottawa Public Health would like to remind you of five important principles outlined in the regulation and guide that could present an infections disease risk to your clients if not followed:

  1. Always clean and disinfect or sterilize reusable equipment after each use.

  2. Use approved disinfectants correctly in your personal service setting.

  3. Discard single use equipment immediately after use and never reused these items.

  4. Provide adequate counter space for reprocessing of your reusable equipment, including a designated sink to assist you in this process. This area is not be used for other purposes.

  5. Ensure that any sterilizers you use meet the standards established by Health Canada and the Canadian Standards Association.

OPH would also like to bring to your attention that collection of client records (name and contact information) is also a requirement under the new regulation.
Operating your Business
1. Contact Ottawa Public Health

Before opening a new business or taking over an existing business, contact Ottawa Public Health at least 14 day before commencing operation at (613-580-6744). Provide the name and address of your business and details of the types of services that will be offered.  At this time, you will be asked to provide copies of your floor plan if possible.

Get a copy of the O. Reg. 136/18: Personal Service Setting, Public Health Ontario’s Guide to Infection Prevention and Control in Personal Service Settings, 3rd edition and Ottawa Public Health resources to ensure that you are able to meet the infection prevention and control requirements. 
2. Workers' Responsibilities
Workers are required to comply with Infection Prevention and Control (IPAC) procedures O. Reg. 136/18: Personal Service Setting while performing services and when using sharps. Routine practices such as hand washing, glove use, and sometimes face protection, are in place to prevent and control the transmission of infections where required.
3. General Requirements

Your business must be:

  • Clean, well lit and kept in good repair.
  • All surfaces such as (counters, tables, trays, lamps, magnifiers) and shelving units in storage areas must be smooth, non-absorbent and easily cleanable.
  • All floors, walls and ceiling must be non-absorbent, clean and in good repair.
  • Reusable instruments must be stored in a clean container and kept separate from dirty instruments and equipment
  • Clean instruments and equipment must be stored separately from dirty instruments and equipment.
  • Single use disposable instruments must be disposed of in a proper manner and immediately after use
  • No double dipping!
4. Cleaning and Disinfecting and Sterilization

All work surfaces must be cleaned and disinfected using at least a low-level disinfectant between each client or as required.  All reusable instruments and equipment must be cleaned and disinfected or sterilized (depending on the service provided) after each use. 
5. Records

Before providing a personal service, the operator of a personal service setting or the person who will be providing the personal service shall obtain the name and contact information of the person seeking the service. (O. Reg 136/18)

Businesses that offer procedures that break the skin such as ear piercing, body piercing, tattooing, micropigmentation, electrolysis and acupuncture, must keep records on-site and accessible. These records include:

  • Date of procedure
  • Which procedure was done and part of the body procedure was done
  • Name and contact info of the client
  • Lot numbers and expiry dates for for pre-packaged sterile equipment used
  • Confirm that an explanation of the procedure and information about any risks associated with the procedure was completed

Additional records that must be kept may include (if applicable) sterilization records, disinfection records and accidental exposures to blood and bodily fluids.

All records must be kept on-site for a minimum of one year and on file for a minimum of two years.
6. Instruments and Equipment

All instruments and equipment must be durable, in good repair and stored in a sanitary manner to avoid contamination.  Don’t forget that any instruments or equipment that are handled or used during a procedure are considered contaminated.

  • Single-use items and instruments made from absorbent material such as foam, paper, wood, etc. thatcannot be adequately cleaned and disinfected must be thrown out immediately after each client use.
  • Re-usable instruments or equipment made from non- absorbent materials such as surgical stainless steel, fiberglass, plastic etc., are able to withstand repeated cleaning and disinfection or sterilization between uses.
If your business uses sharps, i.e. needles, lancets, razors, etc. items must be maintained sterile until point of use, handled minimally and disposed of in an approved sharps container immediately after use.
7. Sinks

Your business must be equipped with 2 sinks, one for reprocessing  instruments and one for hand washing.

All handwashing sinks must have:

  • A supply of liquid soap and single-use hand towels (cloth or paper) in dispensers.

All sinks must have:

  • A constant supply of hot and cold running water under pressure must always be available at all sinks.
8. Sterilization Equipment

Some instruments that come into contact with items that are used to break the skin such equipment used in body piercing, and tattooing (i.e. open ended receiving tubes, forceps) can be reprocessed using an autoclave. Note: under no circumstances can sharps be reprocessed. It is your responsibility to make sure that the sterilization monitoring requirements outlined in the O. Reg. 136/18: Personal Service Setting are followed at all times.
9. Laundry Requirements

All laundered items must be stored in a manner to prevent contamination and kept separate from dirty or used linens.

•    Towels and linens can be laundered on-site or by a licensed laundry service.

•    All linens, towels or sheets used during a service must be laundered before you can reuse them. Use the hot water setting in the washing machine and the hot air setting in the dryer.
 Protect Yourself and your Clients

There are many ways that blood-borne infections can be spread in PSS. Here are some common examples:

  • Using dirty instruments.
  • Not cleaning and disinfecting instruments and equipment properly after each client.
  • Reusing single-use items, such as acupuncture needles or blades.
  • A worker accidentally pokes themselves with a used needle or a sharp instrument.
  • Blood or body fluids come in contact with an open wound or cut. This could happen during a manicure or pedicure or when removing a blackhead or pimple.
  • A splash or spray from blood or body fluids during a nose piercing or waxing gets into a worker eyes or mouth.

An instrument may look clean, but micro-organisms that can cause infection can still be present. Proper cleaning and disinfection is necessary.

You can be spreading hepatitis B or C virus without even knowing it. Protect yourself and your clients by washing your hands and practicing proper cleaning and disinfection and/or sterilization of instruments, equipment and work surfaces.

Clients that may be infected with HIV, hepatitis B or C do not have to tell you they have a blood-borne disease.

  • Protect yourself from hepatitis B – Get vaccinated.
  • Hepatitis B can survive on surfaces like metal, glass and workstations for up to 10 days.
  • Hepatitis C can survive on surfaces for up to four days!
Piercing Devices

Mechanical ear piercing guns, instruments or other devices insert earrings by use of "spring-loaded" devices or models that are squeezed by hand pressure. Please note that the intended use of these devices is only for the lobe or fleshy part of the ear.

Ear piercing gun with cartridge

These devices are not suitable for piercing other parts of the body such as the navel, the nasal cartilage, or the cartilage areas of the ear. The action of the earlobe piercing gun can damage tissue and create a risk for infection later. (Health Canada, 1999)
Prohibited Services

Certain services are now prohibited under O. Reg. 136/18: Personal Service Setting these include:

  • Ear candling or coning
  • Any personal service involving live aquatic species, including fish pedicures.

In addition, under the Health Protection and Promotion Act no person, other than a regulated health professional, sells, offers for sale, or provides

  • Scleral tattooing (tattooing of the eye).
  • Implantation of eye jewellery under the conjunctiva.

Information Update:

September 13, 2019: Medical devices must be approved by Health Canada, including needle-free dermal filler devices used for cosmetic skin treatments, these devices are not authorized in Canada and may pose health risks.

“To date, Health Canada has not licenced any needle-free dermal filler devices in Canada as manufacturers of these devices have not provided safety, quality and supporting clinical effectiveness data for Health Canada’s review and consideration. Labels and instructions have also not been reviewed.”

Additional information can be found by visiting the Health Canada website.

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