Laserfiche WebLink
Pqu f,N-� <br /> Body Art Inspection Report <br /> _• .� Date: January 31,2023 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: PR0526733 <br /> (209)468-3420 <br /> Program <br /> www.siogv.org/ehd <br /> Element: 4120 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0542032 John Holcomb(BBP ex .1/31/24 PR0526732 Jamie McGovern(BBP exp.5/23/23 <br /> PR0547397 Andrew Rios BBP exp. 1/31/24 <br /> Observations and Corrective Actions: <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 John Holcomb's Cheyenne <br /> cartridges with lot#2022-09-007 and Andrew Rios' Cheyenne cartridges with lot#2022-13-043. Provide EHD with a <br /> sterilization certificate for the cartridges mentioned. <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 waste was last picked up by <br /> Stericycle on March 20,2021. Sharps waste shall be disposed when sharps container is full or once a year. Dispose <br /> sharps waste and provide EHD evidence of disposal. <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—The medical questionnaire did not include all information listed on Form B. <br /> Include the following information and submit a copy to the EHD: <br /> -Other risk factors for blood borne pathogens. <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 /> facilities 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—Holes were observed in the walls next to Mr. <br /> Rios' station, next to the bathroom door and next to Mr. Holcomb's framed permit. Peeled paint observed above the <br /> baseboards around the facility. Repair and paint the walls and provide EHD with photographic evidence. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313—The Infection <br /> Prevention and Control Plan and the training records were not available for review. Provide EHD with a copy of the <br /> Infection Prevention Control Plan and the training records. <br /> 37. A body art facility shall not conduct business without a valid health permit. A person shall not perform body art without a valid <br /> registration and a permitted facility. A body art facility shall notify the LEA in writing within 30 days of resignation, termination of a <br /> practitioner. Anew hire or apprentice must be registered with the EHD prior to performing body art at the facility. HSC 119312& <br /> 119306—John Holcomb and Andrew Rios did not pay for their permits until the day of the inspection. Ensure permit <br /> fees are paid on time. <br /> Correct all violations and provide evidence of correction to the EHD by <br /> February 14, 2023 <br /> Reinspection on/about: A reinspection fee of$156 per hour may be charged. Page 2 of 3 <br /> EH-11/17 <br />