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O�Q ll <br /> Body Art Inspection Report <br /> l2 y Date: August 11,2022 <br /> m :4 San Joaquin County Environmental Health Department Program <br /> j 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0530664 <br /> (209)468-3420 <br /> CC- <br /> www.sio.qv.org/ehd www.siogv.orp/ehd Program <br /> �q�iFoi?a� Element: 4120 <br /> Facility Name Address City Zip Code <br /> Secret Sidewalk 8 W 1 P St. Tracy 95376 <br /> Name of Perm it/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Eddy&Araceli Reyes 6/30/23 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 test ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> etc. <br /> ❑ 2 Items washed,disinfected,packaged, labeled,and <br /> 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 /> ❑ 5 Decontamination/sanitation area separated and supplied E] Elappropriately <br /> E] E] <br /> used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> ® 6. ❑ El25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> Sharps containers labeled, used,and disposed of <br /> ® 7' <br /> appropriately <br /> ❑ Wet contact time provided: <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and <br /> ❑ El 26. Barriers used Elsterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed 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 /> ® <br /> Handwashing facilities properly supplied and accessible,11. warm water ❑ ❑ 30. Cross contamination avoided during all phases of procedure El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ [EF-1 31. Areas separated/no living or sleeping quarters E]Source: 32. Floors and walls clean and in good repair, adequate light ElAppropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> 14. used ❑ 33. good repair ❑ <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area E:1 ® 35. Operation and employee training records present El <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form and <br /> ® 18. i ❑ [:137. Permits obtained and available Eluestonnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received by(Print): Eddy&Araceli Reyes Received by(Signature): Emailed Phone:510-750-3923 <br /> Specialist(Print): Sandip Singh Specialist(Signature): Phone:209-468-3526 <br /> Reinspection on/about: A reinspection fee of$156 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />