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Body Art InspectibReport 4 Date: Q <br /> 'o c° Z/V- <br /> Body / 1 <br /> San Joaquin County Environmental Health Department Program b <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: r R S 2I 31 S <br /> o P.. (209)468 3420 Program <br /> dtc'i'Rd` www.siogv.org/ehd <br /> Element: Lf <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONERIARTIST NAME <br /> Linh Thuy Vu-Permit Not Posted and Expired BBP <br /> PR0521376 Posted <br /> Observations and Corrective Actions: <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. —Expired Bloodborne Pathogen Training Certificate(BBP) posted. Renew BBP and send the EHD a copy <br /> Of it. <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. HSC 119303— <br /> Include the following statements on the medical questionnaire: "history of herpes infection at the procedure site," <br /> "history of allergic reactions to antibiotics,"and "other risk factors for blood borne pathogens." <br /> Provide a copy of the clients'driver's license/identification along with their records. <br /> Provide the lot number and expiration date of the needles use on clients with their records. <br /> 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in <br /> Form B. HSC 119308(b)—Include"signs and symptoms of infection"and "indications when to seek medical care" onto <br /> the post-procedure instructions. <br /> 24. Disinfectant shall have ability to reduce or eliminate the presence of disease-causing microorganisms, including HIV and <br /> hepatitis B virus. HSC 119301(k)—Disinfectants use by practitioner is unable to reduce or eliminate the presence of <br /> disease-causing microorganisms. Use disinfectant that is able to reduce or eliminate the presence of disease-causing <br /> microorganisms. <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 be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilites are at the discretion of the 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& 119317—Walls should be free of open holes. Fix the open <br /> hole on the wall. <br /> 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312—Post <br /> current permit in a conspicuous place. <br /> Note: <br /> 1. If you have any question, please contact me at(209)468-3284 or mvue@sjcehd.com <br /> 2. Keep record of purchase for the needles and blades in the facility. <br /> 3. Send the EHD a copy of the current Bloodborne Pathogen Training Certificate. <br /> 4. Provide the EHD an updated post-procedure instructions and medical questionnaire. <br /> 5. Provide the EHD proof of the repair of the open hole in the wall. <br /> Unless otherwise noted, correct all violations prior to March 12, 2019. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />