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9 ISSA Clean Standard: Measuring the Effectiveness of Cleaning corrective actions. Alternatively, if the facility's cleaning effectiveness is consistently measured as "Effective Cleaning," no corrective action is needed. Surfaces that fall within "Ineffective Cleaning" should be re-cleaned and re-tested. 4.7. Establishment and Implementation of Corrective Actions If the actual ATP values consistently fall within the "Ineffective Cleaning" or "Needs Improvement" categories, a facility shall consider corrective action. The first step in determining appropriate corrective action shall be to identify the cause of the undesired result, which shall at a minimum include a reevaluation of the cleaning processes, frequencies, products, and tools. Common causes include: inadequate cleaning frequencies, incomplete cleaning (i.e., not cleaning the entire surface), skipped cleaning, lack of training, and inappropriate products or processes. Following determination of cause, corrective action shall be taken. The specific corrective action should be based upon a candid dialogue between the cleaning or inspection expert conducting the Clean Standard evaluation, and the facility's supervisory personnel, facility manager, and/or building engineer. In general corrective action may include: • Modification of cleaning process, products, and/or tools and ensuring compliance with cleaning best practices as outlined in ISSA's "Principles of Cleaning," and "Facility Cleaning and Disinfecting Checklist;" • Ensured adherence to custodial management best practices as defined in the ISSA Cleaning Industry Management Standard (CIMS); • Comprehensive employee training; • Change in cleaning times and/or frequencies; or • Implementation of a hand hygiene program consistent with the guidelines and recommendations of the Centers for Disease Control (CDC) on handwashing. 4.8. Recordkeeping Procedures A facility shall have a wri en plan for recordkeeping and the maintenance of all documents, test results and audit/survey reports. Records that should be covered by the plan include all documents relating to cleaning and testing protocols, procedures, and evaluations. 4.9. Ongoing Analyses and Procedures to Ensure Maintenance and/or Continuous Improvement A facility shall have a wri en policy for ongoing analysis of all measurements and testing results. Such policy shall include a commitment to continuous improvement. 4.10. Technical Training Requirements Individuals who will perform testing, measurements, monitoring, and evaluation activities shall be trained to effectively perform such activities. The training should cover the technical skills needed to ensure proper testing procedures, consistent results, and to eliminate or reduce tester bias. At a minimum, the training shall address the information necessary to implement Section 4: Protocol for Measuring and Monitoring Cleaning Effectiveness.

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