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Body Art Inspection Report Date: November 16, 2021 mz< San Joaquin County Environmental Health Department Program tese E. Hazelton Ave., Stockton, CA 96205 Record: PRO545020 (209)468-3420 • w .sioay.ora/ehd Program ca moo`$%'� Element: 4120 PR Number PRACTITIONERIARTIST NAME PR0545021 Jeston Barnett (BBP exp. 5/27/22 PR0545525 Abdullah Khan (BBP exp. 3/10/21 charged. EH -11/17 Observations and Corrective Actions: PR Number PRACTITIONER/ARTIST NAME PR0546496 Ashley Hampton BBP exp. 2/23/22 PR0544657 Erika Barra an (BBP exp. 5/25/22 charged. EH -11/17 1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. HSC 119315(b) — The facility is using a Scican Stantim 2000/5000 sterilizer, which is not approved by the EHD. Provide the EHD with information on proposed replacement sterilizer for EHD approval, prior to purchase and installation. A negative spore test must be received after approval of sterilizer, but prior to use of sterilizer. 3. Sterilizer shall be loaded, operated, decontaminated, and maintained according to manufacturer's recommendations. HSC 119315(b) — A manual for the sterilizer was not available. Ensure a physical copy of the manual is at the facility. 4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and temperature, results of the Class V integrator for every cycle/load, and evidence of an acceptable spore test before reuse of the sterilizer after a failed spore -test. HSC 119315(b) — Per facility operator, Ashley Hampton, the sterilizer was purchased 2 days prior to the routine inspection. A spore test was not conducted prior to initial installation and a fog was not available to review. 5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) — The sterilization area is combined with the breakroom; a refrigerator and microwave were observed in the room. Remove all items from the room that is not affiliated with sterilizing, such as the refrigerator, microwave, mop, food, etc... 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f) — A sterilization certificate was not available for Jeston Barnett's Kwadron cartridges with lot #1207. A sterilization certificate and invoice was not available for Erika Barragan's Kwadron cartridges with lot #0504. Provide EHD with the sterilization certificates and invoice for the instruments mentioned above. 9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309 —The water dispenser was within 5 feet of the procedure area and gum was observed on Erika Barragan's workstation. Ensure food and beverages are not in the procedure area. 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from awall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) - Ashley Hampton's procedure room did not have a sink, containerized liquid soap and single use — mounted paper towel dispenser. To continue using Ashley Hampton's room as a procedure room a sink shall be installed with hot and cold water, containerized liquid soap and a paper towel dispenser. Reinspection onlabout: A reinspection fee of $152 per hour may be charged. EH -11/17 Page 2 of 4