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0;19 Body Art Inspects Report 0 Date: <br /> 'o San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: PR-a S <br /> (209)468-3420 Program h <br /> °q4�c�s� • www.slogv.org/ehd 4, Lb <br /> Element: <br /> Facility Name Address City Zip Code <br /> Danvi Salon 6020 n.pacific ave. Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Linh Thuy Vu 6/30/15 Routine <br /> The above facility is inspected for compliance with Division 104, Part 15,Chapter 7 of California Health and Safety Code(HSC). <br /> V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont.) C <br /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 2' sterilized El CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ <br /> ❑ 5' appropriately ❑ Chemical used: <br /> ® <br /> Invoices and log kept for disposable,pre-sterilized 6• ❑ El 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> E]Sharps containers labeled, used,and disposed of <br /> ® 7' a ro riatel El Wet contact time provided: <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. ❑ El 26. Barriers used Elsterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ® 27. aseptically ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> ❑ 11. warm water ❑ F-1 30. procedure <br /> El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> ❑ 14. used El ❑ 33. good repair ❑ <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> ❑ <br /> Branding is completed with no other customers in 15. ❑ ❑ 35. Operation and employee training records present Elrocedure area <br /> ❑ 16. Customers eighteen(18)years of age or olderrEl <br /> COMPLIANCE AND ENFORCEMENT <br /> [:117. Skin adequately prepared for procedure ❑ 36. Plan(s)submitted for review ElClient records approved and available-Consent form® 78' and uestionnaire ❑ 37. Permits obtained and available El® 19. Appropriate aftercare instructions given to client El 38. Impoundment El <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure 1:1 <br /> El Machines cleaned and disinfected between clients El ❑ 41. ❑ <br /> Received b (Print): Linh Thuy Vu Received by(Signature): hone: 209 478-5912 <br /> Specialist(Print): Benjamin Escotto,Sr REHS Specialist(Signature)7 Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />