My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
P
>
PACIFIC
>
6020
>
4100 – Safe Body Art
>
PR0521375
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
103
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Body Art Inspection Report <br />Date: March 15, 2022 <br />y 2j San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0521375 <br />(209)468-3420 <br />Cq �F a v, awv.sioov.ora/ehd Program <br />Element: 4120 <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO521376 <br />Linh Vu (BBP exp. 5/21/22 <br />be charged. <br />page 2 of 2 <br />EH -11/77 <br />Observations and Corrective Actions: <br />NAME <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) -The invoice and sterilization certificates for MEICHA SINGLE PRONG <br />NEEDLES LOT #88810801 and MEICHA TRIPLE PRONG NEEDLES LOT #88831201 were not available. Provide EHD with <br />invoice and sterilization certificates for the instruments. <br />7. The sharps. waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br />and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) - Sharps container disposed of in 2021. <br />Provide EHD with proof of disposal receipt. <br />18. The facilities client consent form and medical questionnaire must include aII of the information listed in Form B, and are <br />available for inspection. HSC 119303 - Client records is missing lot # for instruments used and photocopy of client's I.D. <br />Ensure that all client records have the missing information. <br />Un_ less otherwise noted, correct all violations and provide evidence of correction to <br />EHD by March 30, 2022, <br />Notes: <br />1. Inspection report emailed to facility owner, Linh Vu, at Iinh.vuv, u (L gmai1.com <br />2. Sharps Assure waste hauler is used. <br />3. Revise IPCP section P. Procedure for an Accidental Spill, proper way of cleaning. <br />Reinspection onlabout: <br />A reinspection <br />fee of $152 <br />per hour may <br />be charged. <br />page 2 of 2 <br />EH -11/77 <br />� <br />V <br />
The URL can be used to link to this page
Your browser does not support the video tag.