The cylinder and valve have two states, O2-clean or not-O2-clean. You can "move" a cylinder from not-O2-clean to O2-clean by disassembling, cleaning, and inspection to be sure that there are no residual hydrocarbons present. You "move" a cylinder from O2-clean to not-O2-clean by exposing it to a gas which contains excessive hydrocarbons.
Regular Grade E air (scuba air) is presumed to have such excessive hydrocarbons, and introducing it into your cylinder will make it not-O2-clean. Oxygen-Compatible air (OCA) is Grade E air that has undergone one additional level of filtration (and a more sensitive test for hydrocarbons) to further reduce the residual hydrocarbon level. The introduction of OCA into your cylinder does NOT hurt the O2-clean status.
An O2-clean cylinder and valve are required whenever they are to be exposed to gasses which have concentrations of O2 greater than 40%.
So to answer your question, when Nitrox is mixed *in* the cylinder, O2 is added and then topped off with OCA, and your tank stays O2-clean.
But it gets more complex...
When Nitrox is premixed and put into your cylinder, your cylinder doesn't need to be O2-clean. HOWEVER, depending on how the Nitrox is mixed and how it is filtered, it is possible to get Nitrox that itself is not Oxygen-compatible and will make your cylinder not-O2-clean.
For example, I mix Nitrox in my bank by partial-pressure mixing. I add O2 to my bank bottles and top them off with OCA. The resulting mix is itself Oxygen-compatible and I can pump it into a scuba cylinder which is O2-clean (and it will stay that way) or not-O2-clean (because it is less than 40% O2 at that point).
But, Nitrox can also be mixed by blending the O2 and Air at ambient pressure and then fed into a scuba compressor (continuous blending). In this case, if the output of the compressor doesn't receive that extra filtration (and there is no reason it would need to), then the Nitrox coming out of the compressor is no cleaner than Grade E air and is not Oxygen-clean. Feeding this into your O2-clean cylinder gets you a nice Nitrox fill and a non-O2-clean cylinder. I believe that this is common in some Southern California dive shops and San Diego dive boats. This can be very annoying since to get a Nitrox fill "at home" you may need to keep your cylinder O2-clean, but if you get a Nitrox fill elsewhere you may lose the O2-clean status.
In the Monterey Area there are some shops that always sell OCA for all of their air fills, and some shops that sell Grade E air unless they are filling a cylinder that is obviously labeled for Nitrox and is O2-clean. Just remember that the visual inspection sticker only indicates the O2-clean status as of the date of inspection. If you have an O2-clean cylinder and want to maintain it that way, it is the responsibility of the *DIVER* to know if the gas being filled is O2-compatible, and if not, mark the cylinder as not-O2-clean.
Personally, I think the industry should be a visual inspection (EOI ) sticker that has a tear-off corner that indicates the O2-clean status. All fill station operators that serve non-O2-compatible gasses should use a knife to remove the corner of the sticker indicating that the cylinder is no longer O2-clean.