REGULATIONS
Vol. 38 Iss. 11 - January 17, 2022

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD FOR BARBERS AND COSMETOLOGY
Chapter 20
Fast-Track

Titles of Regulations: 18VAC41-20. Barbering and Cosmetology Regulations (amending 18VAC41-20-50, 18VAC41-20-210).

18VAC41-70. Esthetics Regulations (amending 18VAC41-70-190).

Statutory Authority: § 54.1-201 of the Code of Virginia.

Public Hearing Information: No public hearing is currently scheduled.

Public Comment Deadline: February 16, 2022.

Effective Date: March 7, 2022.

Agency Contact: Stephen Kirschner, Executive Director, Board for Barbers and Cosmetology, 9960 Mayland Drive, Suite 400, Richmond, VA 23233, telephone (804) 367-8590, FAX (866) 245-9693, or email barbercosmo@dpor.virginia.gov.

Basis: Section 54.1-201 A 5 of the Code of Virginia gives authority to the Board for Barbers and Cosmetology to promulgate regulations in accordance with the Administrative Process Act (§ 2.2-4000 et seq. of the Code of Virginia) necessary to assure continued competency, to prevent deceptive or misleading practices by practitioners, and to effectively administer the regulatory system administered by the regulatory board.

Purpose: The purpose of this action is to decrease the regulatory burden placed on applicants for licensure by providing them a more uniform method for transferring between licensed programs. Currently, applicants may only transfer between accredited and licensed schools and the transfer period is limited to two years. This limits the number of students eligible for transfer, as only 15% of the board's licensed schools are accredited. The board's Standing Committee on Training reviewed this area in response to requests from the public and as part of its general goal of reviewing its training requirements to ensure best practices and minimally burdensome regulations. The board approved this change along with several others that reduce the burden on the licensees while still protecting the health, safety, and welfare of the public.

For almost 15 years, the regulation has allowed for transfers, and the board has not encountered any negative impacts on health, safety, and welfare of the public under the esthetics transfer rules. The board agreed that expanding the esthetics transfer policy to also cover barbering, cosmetology, nail care, or waxing schools would not reduce the health, safety, and welfare of the public. It strengthens those protections by requiring the school to utilize specific controls before awarding hours, including a competency exam and confirmation of completed hours.

The current transfer student guidance for barbering, cosmetology, nail care, or waxing schools is limited both in its status as a guidance document and its restrictive qualifications. Few students can qualify for transfers under the guidance. Nonaccredited schools frequently complain that they should be allowed to accept transfer students, but the board does not feel comfortable allowing this under the current regulation. This change incorporates a transfer policy that is effective, well accepted, and available to all licensees.

Rationale for Using Fast-Track Rulemaking Process: This proposal is expected to be noncontroversial as it would resolve many of the complaints about the current guidance document that limits transfers between schools under the Board for Barbers and Cosmetology regulations. The proposal is based on the esthetics regulation governing student transfers and would allow transfers between schools based on a competency exam and transcripts from the prior school. The number of hours awarded may not exceed the actual number of hours of instruction or the number of hours specified for a topic in the board approved curriculum. This proposal also removes the limit on hours that can be transferred in the esthetics regulation. This rulemaking is expected to be noncontroversial because it is reducing a regulatory burden for applicants without disrupting the protection of the health, safety, and welfare of the public. It does so by expanding an existing transfer policy that is effective, well accepted, and available to all licensees.

Substance: The amendments remove the combined education and prior experience requirement for master barber students enrolling in Virginia Cosmetology training schools, allow a school to conduct an assessment of a student's competence in the respective profession, based on the assessment, give credit toward the hours requirements, and remove the limit on the maximum number of hours a student can transfer into a new program.

Issues: The primary advantage to the public is the economic opportunity it provides by allowing students to transfer between schools without losing all of their completed training hours. Currently, most students have to restart their training if they transfer schools, which results in an economic loss from tuition and lost earning due to the extra time spent repeating completed training. The new transfer policy maintains protection of public health and safety while expanding economic benefits to students. Schools will also benefit economically from the increased access to transfer students. Additionally, schools that cannot accept transfer students are not eligible for federal Veterans Administration funding for veteran students. A uniform transfer policy will level the playing field for all Virginia schools to have access to these students and funding. There are no disadvantages to the public.

The Commonwealth will benefit by becoming a more welcoming environment for students, including students who wish to transfer from out-of-state schools. It will also improve its relationship with licensed, unaccredited schools, which largely hold negative views regarding the current policy. There are no disadvantages to the agency.

Department of Planning and Budget's Economic Impact Analysis:

Summary of the Proposed Amendments to Regulation. Pursuant to recommendations from its Standing Committee on Training, the Board for Barbers and Cosmetology (Board) proposes to implement transfer policies in 18VAC41-20 Barbering and Cosmetology Regulations and 18VAC41-70 Esthetics Regulations.

Background. The current training requirements put forth in 18VAC41-20, Barbering and Cosmetology Regulations, which cover not only barbers and cosmetologists but also nail and wax technicians, generally do not address transferring credit hours between schools or programs. The Board issued a guidance document regarding transfers; as per the document, applicants may only transfer between accredited and licensed schools and the transfer period is limited to two years.1 The Board reports that only 15% of licensed schools are accredited, which limits students' options.2 It also makes unaccredited schools ineligible to receive U.S. Department of Veterans Affairs (VA) financial aid, and several licensed schools in Virginia have specifically asked the Board to reconsider its current policy limiting transfers due to this issue.3

Currently, section 50 Exceptions to training requirements addresses transfers between barber and cosmetology schools as follows:

Virginia licensed master barbers with less than two years of work experience and Virginia master barber students enrolling in a Virginia cosmetology training school shall be given educational credit for the training received for the performances completed at a barber school; likewise, licensed Virginia cosmetologists with less than two years of work experience and Virginia cosmetology students enrolling in a Virginia barber or master barber training school shall be given educational credit for the training received for the performances completed at a cosmetology school.

The Board seeks to repeal this language and replace it with a more general transfer policy, which would be modeled on the current transfer policy for esthetics schools.

The proposed amendments, which would be added to 18VAC41-20-210, Curriculum requirements, would allow all licensed schools with an approved training program to conduct an assessment of a student's competence in the respective profession and accordingly give credit towards the hours requirements specified in section 210 as well as section 220, Hours of instruction and performances. This policy would apply to schools with approved barber, master barber, dual barber/master barber, cosmetology, nail technician, and wax technician programs. The proposed amendments include the following requirements and guidelines for the school's assessment: (i) the school's assessment shall be based on a review of the student's transcript and the successful completion of a board-approved competency examination administered by the school, (ii) the school may request a copy of a catalog or bulletin giving the full course description when making the evaluation, and (iii) the number of credit hours awarded shall not exceed the actual hours of instruction verified on the transcript or the number of hours specified in the board-approved curriculum for a specific topic.

The amendments described above are analogous to the policy governing transfer hours for estheticians, which would be amended to match these by removing a 300-hour cap currently in place. Specifically, 18VAC41-70-190, Curriculum and hours of instruction requirements, currently limits the number of transfer credit hours for esthetician students to 300 hours, which can be allocated towards the theory or practical components of the training requirements. The Board reports that there is no available evidence to support maintaining the cap in terms of the potential impacts on the health, safety, and welfare of the public.4

Estimated Benefits and Costs. The proposed amendments would primarily benefit students enrolled in approved barber, master barber, dual barber/master barber, cosmetology, nail technician, and wax technician programs at schools that are licensed but unaccredited, who seek to transfer to a different school or a different program with overlapping curricular requirements. Such students would save the tuition they would have had to pay to re-take coursework as well as the time spent repeating practical training hours that could not be transferred under the current regulation.

The option to transfer to a different school, as stipulated in the proposed amendments, benefits all enrolled students by providing greater flexibility in response to unforeseen circumstances that might cause a student to pause their coursework for more than two years, and/or relocate to or within Virginia. Thus, all students enrolling in any of these training programs would benefit from having the option of transferring between schools without losing all their completed training hours, even if they do not necessarily intend to transfer at the time of enrollment. Similarly, the proposed amendments would benefit students in esthetician training programs by allowing them to transfer more than 300 hours, provided the school approved the hours based on their assessment of the student's transcript and the student's performance on the board-approved competency examination.

The proposed amendments would also benefit licensed schools that offer approved training programs by allowing them to accept transfer credit hours, which would in turn make them eligible to receive VA financial aid and make them attractive to students who wish to transfer from out-of-state schools. In order to accept transfer students, schools would have to assess the applicant's transcript and offer a competency test that would have to be approved by the Board; they would likely incur some costs to implement this process. However, the proposed amendments would not require training schools to accept transfer students. The fact that training schools have petitioned the Board to make the proposed changes suggests that the costs of assessing transfer credits and maintaining the corresponding paperwork are small relative to the value of enrolling transfer students. The Board reports that esthetics schools, some of which have been conducting assessments for transfer credits for 15 years, do not charge an assessment fee for transfer students and therefore expect that training schools that would be newly allowed to conduct such assessments would not charge fees for assessments either.

The Board reports that roughly 1 to 2 students per year transfer from a master barber training program to a cosmetology training program or vice versa under the current language in 18VAC41-20-50 that would be repealed. These students would no longer be guaranteed transfer credits and would have to go through the same assessment process as other transfer students, which would require a transcript review and a board-approved test. Transfer students who are unable to meet the assessment criteria to receive full transfer credits at one school may either go to another school or raise the issue with the Board. To the extent that implementation of the board-approved competency examination is standardized across schools, failing the exam would indicate insufficient training and thus requiring the exam protects public health and safety. However, implementation of the transcript review may vary significantly across schools; some schools may be improperly incentivized to deny transfer credits because they would lose the income that would result from providing that training.

To the extent that licensed schools seeking to attract transfer students operate in a competitive market, as the Board reports, competition would tend to create disincentives for schools to improperly deny transfer credit hours or to charge students for conducting assessments. Although there is no reporting requirement, the proposed amendments would require training schools to document the basis for transfer, which would be implicitly reviewed by the Board when transfer students eventually submit their transcripts for their license applications. Thus, even in the absence of local competition, the Board would maintain some oversight of the transfer credit assessment process.

Businesses and Other Entities Affected. The Board reports that there are currently 67 barber schools, 155 cosmetology schools, 40 nail schools, 13 wax schools and 47 licensed esthetic schools that would all be affected by the proposed changes.

Small Businesses5 Affected. The Board estimates that all schools are likely small businesses, and that most are owned and operated by experienced practitioners. The proposed amendments would benefit these businesses by allowing them to accept transfer students and grant credits towards prior training.

Localities6 Affected.7 The proposed amendments do not introduce new costs for local governments and are unlikely to affect any locality in particular.

Projected Impact on Employment. The proposed amendments increase the flexibility for students enrolling in training programs to be become barbers, master barbers, cosmetologists, nail and wax technicians, and estheticians by allowing them to transfer credit hours between schools and between programs with overlapping requirements. This may lead to more individuals enrolling in these programs and eventually working in these professions. The magnitude of the potential increase in the number of professionals working in these fields is difficult to predict without data on current training costs, enrollment rates, and costs of becoming licensed and starting to work in these fields.

Effects on the Use and Value of Private Property. The proposed amendments would increase the value of licensed training schools by allowing them to potentially serve more students, including students transferring from other states, and by making them eligible for VA financial aid. Real estate development costs are not affected.

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1 See https://townhall.virginia.gov/l/ViewGDoc.cfm?gdid=5502 for the guidance document effective May 12, 2014.

2 Agency Background Document (ABD), page 3. See https://townhall.virginia.gov/l/GetFile.cfm?File=134\5815\9386\AgencyStatement_DPOR_9386_v1.pdf

3 In an e-mail to the Department of Planning and Budget, the Board stated that the VA requires all schools to be able to evaluate prior credit, grant credit as appropriate, notify the student of the evaluation, and shorten the program certified accordingly. Whenever a student initially enrolls in a school or changes programs at a school the VA requires the school to complete a credit evaluation. VA will then review credit evaluations during compliance surveys and credit evaluation records must be kept and made available to VA upon request. This requirement is found in Title 38, Code of Federal Regulations, Sections 21.4253(d)(3) and 21.4254(C)(4).

4 See ABD, page 9. (Link in note 2.)

5 Pursuant to § 2.2-4007.04 of the Code of Virginia, small business is defined as "a business entity, including its affiliates, that (i) is independently owned and operated and (ii) employs fewer than 500 full-time employees or has gross annual sales of less than $6 million."

6 "Locality" can refer to either local governments or the locations in the Commonwealth where the activities relevant to the regulatory change are most likely to occur.

7 § 2.2-4007.04 defines "particularly affected" as bearing disproportionate material impact.

Agency's Response to Economic Impact Analysis: The agency concurs with the economic impact analysis prepared by the Department of Planning and Budget.

Summary:

The amendments (i) create specific rules for barbering schools to accept transfer students, allowing transfers between schools based on a competency exam and transcripts from the prior school and limiting the number of hours awarded to the actual number of hours of instruction or the number of hours specified for a topic in the board approved curriculum and (ii) remove the limit on hours that can be transferred in the esthetics regulations.

18VAC41-20-50. Exceptions to training requirements.

A. Virginia licensed cosmetologists with a minimum of two years of work experience shall be eligible for the master barber examination; likewise, a Virginia licensed master barber with a minimum of two years of work experience shall be eligible for the cosmetology examination.

B. Virginia licensed master barbers with less than two years of work experience and Virginia master barber students enrolling in a Virginia cosmetology training school shall be given educational credit for the training received for the performances completed at a barber school; likewise, licensed Virginia cosmetologists with less than two years of work experience and Virginia cosmetology students enrolling in a Virginia barber or master barber training school shall be given educational credit for the training received for the performances completed at a cosmetology school.

C. B. Any barber, master barber, cosmetologist, nail technician, or wax technician applicant having been trained as a barber, master barber, cosmetologist, nail technician, or wax technician in any Virginia state institution shall be eligible for the respective examination.

D. C. Any barber, master barber, cosmetologist, nail technician, or wax technician applicant having a minimum of two years of experience in barbering, master barbering, cosmetology, nail care, or waxing in the United States armed forces and having provided documentation satisfactory to the board of that experience shall be eligible for the respective examination.

E. D. Any licensed barber or barber student enrolling in a master barber training program in a licensed barber school shall be given educational credit for the training and performances completed in a barbering program at a licensed barber school.

18VAC41-20-210. Curriculum requirements.

A. Each barber school shall submit with its application a curriculum including a course syllabus, a detailed course content outline, a sample of five lesson plans, a sample of evaluation methods to be used, and a breakdown of hours and performances for all courses to be taught that will lead to licensure. The outline for barbering shall include the following:

1. School policies;

2. State law, regulations, and professional ethics;

3. Business and shop management;

4. Client consultation;

5. Personal hygiene;

6. Cutting the hair with a razor, clippers, and shears;

7. Tapering the hair;

8. Thinning the hair;

9. Shampooing the hair;

10. Shaving;

11. Trimming a moustache or beard;

12. Applying hair color;

13. Analyzing skin or scalp conditions;

14. Giving scalp treatments;

15. Giving basic facial massage or treatment;

16. Sanitizing and maintaining implements and equipment; and

17. Honing and stropping a razor.

B. Each barber school seeking to add a master barber program shall submit with its application a curriculum including a course syllabus, a detailed course content outline, a sample of five lesson plans, a sample of evaluation methods to be used, and a breakdown of hours and performances for all courses to be taught that will lead to licensure. The outline for master barbering shall include the following:

1. Styling the hair with a hand hair dryer;

2. Thermal waving;

3. Permanent waving with chemicals;

4. Relaxing the hair;

5. Lightening or toning the hair;

6. Hairpieces and wigs; and

7. Waxing limited to the scalp.

C. Each school seeking to add a dual barber/master barber program shall submit with its application a curriculum including a course syllabus, a detailed course content outline, a sample of five lesson plans, a sample of evaluation methods to be used, and a breakdown of hours and performances for all courses to be taught that will lead to licensure. The outline for dual barber/master barber program shall include the following:

1. School policies;

2. State law, regulations, and professional ethics;

3. Business and shop management;

4. Client consultation;

5. Personal hygiene;

6. Cutting the hair with a razor, clippers, and shears;

7. Tapering the hair;

8. Thinning the hair;

9. Shampooing the hair;

10. Styling the hair with a hand hair dryer;

11. Thermal waving;

12. Permanent waving with chemicals;

13. Relaxing the hair;

14. Shaving;

15. Trimming a moustache or beard;

16. Applying hair color;

17. Lightening or toning the hair;

18. Analyzing skin or scalp conditions;

19. Giving scalp treatments;

20. Waxing limited to the scalp;

21. Giving basic facial massage or treatment;

22. Hair pieces;

23. Sanitizing and maintaining implements and equipment; and

24. Honing and stropping a razor.

D. Each cosmetology school shall submit with its application a curriculum including a course syllabus, a detailed course content outline, a sample of five lesson plans, a sample of evaluation methods to be used, and a breakdown of hours and performances for all courses to be taught that will lead to licensure. The outline for cosmetology shall include the following:

1. Orientation:

a. School policies;

b. State law, regulations, and professional ethics;

c. Personal hygiene; and

d. Bacteriology, sterilization, and sanitation.

2. Manicuring and pedicuring:

a. Anatomy and physiology;

b. Diseases and disorders;

c. Procedures to include both natural and artificial application; and

d. Sterilization.

3. Shampooing and rinsing:

a. Fundamentals;

b. Safety rules;

c. Procedures; and

d. Chemistry, anatomy, and physiology.

4. Scalp treatments:

a. Analysis;

b. Disorders and diseases;

c. Manipulations; and

d. Treatments.

5. Hair styling:

a. Anatomy and facial shapes;

b. Finger waving, molding, and pin curling;

c. Roller curling, combing, and brushing; and

d. Heat curling, waving, and pressing.

6. Hair cutting:

a. Anatomy and physiology;

b. Fundamentals, materials, and equipment;

c. Procedures; and

d. Safety practices.

7. Permanent waving-chemical relaxing:

a. Analysis;

b. Supplies and equipment;

c. Procedures and practical application;

d. Chemistry;

e. Recordkeeping; and

f. Safety.

8. Hair coloring and bleaching:

a. Analysis and basic color theory;

b. Supplies and equipment;

c. Procedures and practical application;

d. Chemistry and classifications;

e. Recordkeeping; and

f. Safety.

9. Skin care and make-up:

a. Analysis;

b. Anatomy;

c. Health, safety, and sanitary rules;

d. Procedures;

e. Chemistry and light therapy;

f. Temporary removal of hair; and

g. Lash and brow tinting.

10. Wigs, hair pieces, and related theory:

a. Sanitation and sterilization;

b. Types; and

c. Procedures.

11. Salon management:

a. Business ethics; and

b. Care of equipment.

E. Each nail school shall submit with its application a curriculum including a course syllabus, a detailed course content outline, a sample of five lesson plans, a sample of evaluation methods to be used, and a breakdown of hours and performances for all courses to be taught that will lead to licensure. The outline for nail care shall include the following:

1. Orientation:

a. School policies; and

b. State law, regulations, and professional ethics;

2. Sterilization, sanitation, bacteriology, and safety;

3. Anatomy and physiology;

4. Diseases and disorders of the nail;

5. Nail procedures (i.e., manicuring, pedicuring, and nail extensions); and

6. Nail theory and nail structure and composition.

F. Each waxing school shall submit with its application a curriculum including a course syllabus, a detailed course content outline, a sample of five lesson plans, a sample of evaluation methods to be used, and a breakdown of hours and performances for all courses to be taught that will lead to licensure. The outline for waxing shall include the following:

1. Orientation:

a. School policies;

b. State law, regulations, and professional ethics; and

c. Personal hygiene.

2. Skin care and treatment:

a. Analysis;

b. Anatomy and physiology;

c. Diseases and disorders of the skin;

d. Health sterilization, sanitation, bacteriology, and safety including infectious disease control measures; and

e. Temporary removal of hair.

3. Skin theory, skin structure, and composition.

4. Client consultation:

a. Health conditions;

b. Skin analysis;

c. Treatments;

d. Client expectations; and

e. Health forms and questionnaires.

5. Waxing procedures for brow, lip, facial, legs, arms, underarm, chest, back, and bikini areas:

a. Fundamentals;

b. Safety rules; and

c. Procedures.

6. Wax treatments:

a. Analysis;

b. Disorders and diseases;

c. Manipulations; and

d. Treatments.

7. Salon management:

a. Business ethics; and

b. Care of equipment.

G. A licensed school with an approved barber, master barber, dual barber/master barber, cosmetology, nail technician, or wax technician program may conduct an assessment of a student's competence in the respective profession and, based on the assessment, give credit toward the hours requirements specified in the respective subsection of this section and 18VAC41-20-220.

The school shall make the assessment based on a review of the student's transcript and the successful completion of a board-approved competency examination administered by the school. The school may also request a copy of a catalog or bulletin giving the full course description when making the evaluation. The number of credit hours awarded shall not exceed the actual hours of instruction verified on the transcript or the number of hours specified in the board-approved curriculum for a specific topic.

18VAC41-70-190. Curriculum and hours of instruction requirements.

A. Each esthetics school shall submit with its application a curriculum including, but not limited to, a course syllabus, a detailed course content outline, a sample of five lessons plans, a sample of evaluation methods to be used, and a breakdown of hours or credit hours and performances for all courses to be taught that will lead to licensure or certification. In addition, if a school awards credit in accordance with subsection D of this section, the school shall submit copies of the assessment policy, method of evaluation of transcripts and the examination to be used in making the assessment.

B. The esthetics curriculum and hours of instruction in this technology shall consist of 600 hours or equivalent credit hours and shall include, but not be limited to, the following:

1. Orientation and business topics - minimum of 25 hours of instruction.

a. School policies;

b. Management;

c. Sales, inventory, and retailing;

d. Taxes and payroll;

e. Insurance;

f. Client records and confidentiality; and

g. Professional ethics and practices.

2. Laws and regulations - minimum of 10 hours of instruction.

3. General sciences - minimum of 80 hours of instruction.

a. Bacteriology;

b. Microorganisms;

c. Infection control, disinfection, sterilization;

d. Occupational Safety and Health Administration (OSHA) requirements;

e. Material Safety Data Sheet (MSDS);

f. General procedures and safety measures;

g. Cosmetic chemistry;

h. Products and ingredients; and

i. Nutrition.

4. Applied sciences - minimum of 95 hours of instruction.

a. Anatomy and physiology;

b. Skin structure and function;

c. Skin types;

d. Skin conditions; and

e. Diseases and disorders of the skin.

5. Skin care - minimum of 255 hours of instruction.

a. Health screening;

b. Skin analysis and consultation;

c. Effleurage and related movements and manipulations of the face and body;

d. Cleansings procedures;

e. Masks;

f. Extraction techniques;

g. Machines, equipment, and electricity;

h. Manual facials and treatments;

i. Machine, electrical facials, and treatments; and

j. General procedures and safety measures.

6. Makeup - minimum of 65 hours of instruction.

a. Setup, supplies, and implements;

b. Color theory;

c. Consultation;

d. General and special occasion application;

e. Camouflage;

f. Application of false lashes and lash extensions;

g. Lash and tinting;

h. Lash perming;

i. Lightning of the hair on body except scalp; and

j. General procedures and safety measures.

7. Body and other treatments - minimum of 20 hours of instruction.

a. Body treatments;

b. Body wraps;

c. Body masks;

d. Body scrubs;

e. Aromatherapy; and

f. General procedures and safety measures.

8. Hair removal - minimum of 50 hours of instruction.

a. Types of hair removal;

b. Wax types;

c. Tweezing;

d. Chemical hair removal;

e. Mechanical hair removal; and

f. General procedures and safety measures.

C. The master esthetics curriculum and hours of instruction in this technology shall consist of 600 hours or equivalent credit hours and shall include, but not be limited to, the following:

1. Orientation, advanced business subjects, and infection control - minimum of 45 hours of instruction.

a. School policies and procedures;

b. Professional ethics and practices;

c. Ethics and professional conduct;

d. Insurance and liability issues;

e. Confidentiality and Health Insurance Portability and Accountability Act of 1996 Privacy Rule (HIPAA);

f. Client records and documentation;

g. Microbiology and bacteriology;

h. Infection control, disinfection, and sterilization;

i. Occupational Safety and Health Administration (OSHA), U.S. Food and Drug Administration (FDA); and Material Safety Data Sheet (MSDS); and

j. Personal protective equipment.

2. State laws, rules and regulations - minimum of 10 hours of instruction.

3. Advanced anatomy and physiology - minimum of 65 hours of instruction.

a. Advanced anatomy and physiology;

b. Advanced skin structure and functions;

c. Advanced skin typing, and conditions;

d. Advanced disease and disorders;

e. Advanced cosmetic ingredients;

f. Pharmacology; and

g. Advanced homecare.

4. Advanced skin care and advanced modalities - minimum of 90 hours of instruction.

a. Introduction to microdermabrasion and dermaplaning;

b. Indications and contraindications for crystal microdermabrasion;

c. General procedures and safety measures for crystal microdermabrasion;

d. Indications and contraindications for crystal-free microdermabrasion and dermaplaning;

e. General procedures and safety measures for crystal-free microdermabrasion and dermaplaning;

f. Equipment safety: crystal and crystal-free microdermabrasion and dermaplaning;

g. Waste disposal, Occupational Safety and Health Administration (OSHA);

h. Introduction to microdermabrasion techniques and proper protocols;

i. Machine parts, operation, protocols, care, waste disposal, and safety;

j. Practical application and consultation for crystal microdermabrasion;

k. Practical application and consultation for crystal-free microdermabrasion and dermaplaning; and

l. Pretreatment and posttreatment for microdermabrasion.

5. Advanced procedures and chemical exfoliation - minimum of 270 hours of instruction.

a. Advanced skin analysis and consultation and health screening and documentation;

b. Advanced procedures, light treatments, light-emitting diode (LED), intense pulsed light device (IPL);

c. Advanced manual, machine, and electric treatments, microcurrent, and ultrasound;

d. Introduction to chemical exfoliation and peels of the epidermis;

e. Fundamentals of skin care associated with chemical exfoliation and peels and wound healing;

f. Pretreatment and posttreatment for chemical exfoliation and peels;

g. Assessing suitability and predicting chemical exfoliation efficacy;

h. General practical application and consultation protocols;

i. Practical application and consultation for enzymes, herbal exfoliations, and vitamin-based peels;

j. Indications and contraindications for enzymes, herbal exfoliations, and vitamin-based peels;

k. General procedures and safety measures for herbal exfoliations, and vitamin-based peels;

l. Pretreatments and posttreatments for herbal exfoliations, and vitamin-based peels;

m. Practical application and consultation for alpha hydroxy peels;

n. Indications and contraindications for alpha hydroxy peels;

o. General procedures and safety measures for alpha hydroxy peels;

p. Pretreatment and posttreatment for alpha hydroxy peels;

q. Practical application and consultation for beta hydroxy peels;

r. Indications and contraindications for beta hydroxy peels;

s. General procedures and safety measures for beta hydroxy peels;

t. Pretreatment and posttreatment for beta hydroxy peels;

u. Practical application and consultation for Jessner and Modified Jessner peels;

v. Indications and contraindications for Jessner and Modified Jessner peels;

w. General procedures and safety measures for Jessner and Modified Jessner peels;

x. Pretreatment and posttreatment for Jessner and Modified Jessner peels;

y. Practical application and consultation for trichloracetic acid peels;

z. Indications and contraindications for trichloracetic acid peels;

aa. General procedures and safety measures for trichloracetic acid peels; and

bb. Pretreatment and posttreatment for trichloracetic acid peels.

6. Lymphatic drainage - minimum of 120 hours of instruction.

a. Introduction to lymphatic drainage;

b. Tissues and organs of the lymphatic system;

c. Functions of the lymphatic system;

d. Immunity;

e. Etiology of edema;

f. Indications and contraindications for lymphatic drainage;

g. Lymphatic drainage manipulations and movements;

h. Face and neck treatment sequence;

i. Lymphatic drainage on the trunk and upper extremities;

j. Lymphatic drainage on the trunk and lower extremities;

k. Cellulite;

l. Using lymphatic drainage with other treatments; and

m. Machine-aided lymphatic drainage.

D. A licensed esthetics school with an approved esthetics program may conduct an assessment of a student's competence in esthetics and, based on the assessment, give a maximum of 300 hours credit towards toward the requirements specified in subsection B of this section and 18VAC41-70-200 A. A licensed esthetics school with an approved master esthetics program may conduct an assessment of a student's competence in master esthetics and, based on the assessment, give a maximum of 300 hours credit towards toward the requirements specified in subsection C of this section and 18VAC41-70-200 B.

The school shall make the assessment based on a review of the student's transcript and the successful completion of a board-approved competency examination administered by the school. The school may also request a copy of a catalog or bulletin giving the full course description when making the evaluation. The number of credit hours awarded shall not exceed the actual hours of instruction verified on the transcript or the number of hours specified in the board-approved curriculum for a specific topic.

E. The instructor curriculum and hours of instruction shall consist of 400 hours or equivalent credit hours and shall include, but not be limited to, the following:

1. Orientation;

2. Curriculum;

3. Course outline and development;

4. Lesson planning;

5. Classroom management;

6. Teaching techniques;

7. Methods of instruction;

8. Learning styles;

9. Learning disabilities;

10. Teaching aids;

11. Developing, administering, and grading examinations;

12. School administration;

13. Recordkeeping;

14. Laws and regulations;

15. Presentation of theoretical subjects;

16. Presentation of practical subjects;

17. Supervision of clinic floor; and

18. Practicum teaching.

VA.R. Doc. No. R22-6509; Filed December 22, 2021