Ethics & California LawQuestion 471 of 484

A licensee learns during consultation that a client has active, draining tinea pedis (athlete's foot) and asks for a pedicure. The lawful and ethical response is to:

a.Perform the pedicure but use 'extra' alcohol on the tools
b.Refuse the pedicure for today, explain in non-diagnostic terms that an apparent fungal skin infection is a contraindication that risks spreading to herself and to subsequent clients, refer her to a physician without naming a diagnosis, and document the refusal
c.Loudly diagnose the client with 'athlete's foot' so other clients in the salon know to avoid her
d.Perform the pedicure but require the client to sign a waiver releasing the salon from infection liability

Explanation

Active infectious skin conditions in the service area are a contraindication and a public-health hazard in a shared salon environment. The professional response is to decline the service today, explain WITHOUT diagnosing (the licensee may not diagnose under Bus. & Prof. Code §7320 and the practice-of-medicine prohibition), refer to a physician, and document. Tools cannot be 'fixed' with extra alcohol while the client is on them (option A); pumice and emery boards are porous single-use and cannot be disinfected at all. Publicly diagnosing the client (option C) violates dignity and scope. Liability waivers do not override sanitation rules or extinguish public-health duties (option D).

Law Reference: Bus. & Prof. Code §7320

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