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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0521375
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COMPLIANCE INFO
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Entry Properties
Last modified
2/13/2025 11:48:40 AM
Creation date
7/3/2020 10:13:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0521375
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0014521
FACILITY_NAME
LIN PERMANENT MAKEUP (VU, LINH THUY)
STREET_NUMBER
6020
Direction
N
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
SITE_LOCATION
6020 N PACIFIC AVE
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4120_PR0521375_6020 N PACIFIC_.tif
Site Address
6020 N PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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Body Art Inspeca Report Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1oeus.Hazelton ae..Stockton,oAuouos Record: <br /> (209)468-3420 Program <br /> uwuuUuuv.org/ehd Element: Lit 2-w <br /> PR0521376 Linh Thuy Vu: BBP and permit available, not posted <br /> Observations and Corrective Actions: <br /> G. Afacility that uses single use instruments shall maintain record of purchase, log of procedures, names ofpractitioner 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 of9Udays after use. HSC 119315(f)-When contacting manufacturer for sterilization certificates, include lot <br /> number. <br /> 12. Practitioner shall provide evidence of current hepatitis B vaccination or hepatitis B immunity or comply with current federal <br /> OSHA hepatitis Bvaccination declination requirements. HSC 119306(c) <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. H SC 11 9303-Include in medical questionnaire: other risk factors for blood borne pathogens. <br /> 19. Adthe completion of the procadure, the practitioner shall provide postprocedure instructions that include all elements listed in <br /> Form B. HSC 119308(b)-include list of signs/symptoms of infection, as well as indicating when to seek medical care. <br /> 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br /> The body art facility shall befree ofinsect and rodent infestation. The procedure area must beseparated, byawall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval ofco-located body art <br /> facilites are etthe discretion ofthe LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314 & 11D317-Rmmmove bamboo sticks from wall, toallow for the <br /> procedure area tmhave cleanable walls. <br /> 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 1193O8and 11Q312 <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. Avvritten <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 <br /> Notes: <br /> 1) Post 1313P. Note that BE]P expires inMay of 2018. keep BBP certificate current. <br /> 2\ Post current permit inoconspicuous place. <br /> 3) kCmmp an updated copy of the Infection Prevention and Control Plan. <br /> Unless otherwise noted, correct all violations by March 20, 2018. <br /> muinspocionon/o»out: Areinspection fee ox$1super hour may uocharged. Page uofu <br />
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