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;o coG Body Art Inspection Report Date: January 18, 2022 <br />ySan Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PROB45020 <br />(209)468-3420 Program <br />0e xv vm� a oay.org/ehd <br />q(ipp y' Element: 4120 <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO545021 <br />Jeston Barnet/ (BBP exp. <br />5/27/22 <br />PR0544657 <br />Erika Barra an BBP exp. <br />5/25/22 <br />PR0547323 <br />Juan Zamora BBPex .11/18/2022 <br />Malik Moore <br />Observations and Corrective Actions: <br />PR Number <br />PRACTITIONER/ARTIST <br />NAME <br />PR0546496 <br />Ashley Hampton(PEP exp. <br />2/23/22 <br />PR0547375 <br />Fellno Arellano (BBP exp. <br />12/21/22 <br />PR0547410 <br />Malik Moore <br />6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br />client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br />sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br />minimum of 90 days after use. HSC 119315(f) —A sterilization certificate was not available for Malik Moore's needle with <br />lot # 20210410 (IV Catheter), Provide a sterilization certificate to the EHD. <br />11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br />paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) — A <br />microwave and water dispenser were within 5 ft. of the hand wash sink, Relocate the microwave and water dispenser, <br />provide photographic evidence to the EHD. <br />11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br />paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC I19314(b) — <br />Correct the following for the hand wash sink in the closet (next to the restroom) and provide photographic evidence to <br />the EHD: <br />- Replace the hot and cold water knobs on the sink with knobs that are easily turnable, <br />- Remove or paint/ seal the ply board under the sink. <br />- Remove the door. <br />Correct all violations and provide evidence of correction to the EHD by <br />February 1, 2022. <br />Notes: <br />1. Inspection report emailed to facility owner, Jeston Barnett, at ibsinktherapvCcDamail.com. <br />2. The facility will use disposable instruments for piercings. <br />3. Facility operator shall notify EHD if facility will utilize sterilization. Autoclave shall not be used without EHD approval. <br />4. The procedure room previously used by Ashley Hampton is no longer used for piercings. The room was converted into a <br />lounge. <br />5. The refrigerator in the room with <br />the hand wash sink is approximately 5 feet from the sink. Approved by the EHD. <br />6. Malik Moore's Bloodborne Pathogen Certificate was posted. Ensure health permit is posted for Malik Moore when it is <br />received. <br />Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />