Laserfiche WebLink
Body P p Art Ins ect� Report <br /> Date: <br /> r' San Joaquin County Environmental Health Department Program Q <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: MOO? 11 4 9 1 <br /> z" (209)468-3420 <br /> Program <br /> t;FORN <br /> www.sjoqv,orcj/ehdElement: -1 I G <br /> Facility Name Address City Zip Code <br /> Colorful Addictions 450a 10th st. Tracy 95376 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> William Jessie Huggins Initial Consult. <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 ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, E]test etc. <br /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 2" 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 /> Decontamination/sanitation area separated and supplied Chemical used: El <br /> ❑ 5. appropriately El <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6. ❑ ® 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> Sharps containers labeled, used,and disposed of ❑ <br /> ® 7" El [Wet contact time provided: <br /> appropriately <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8' 26. Ba <br /> sterilized ❑ ❑ Barriers used E] <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE EE] 27" 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 /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> El 11. warm water El ❑ 30' procedure El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen training ❑ ro <br /> 31. Areas separated/no living or sleeping quarters ElSource: 32. Floors and walls clean and in good repair,adequate light ElE] 33' <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> ❑ 14. used ood repair ❑ <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> E) 15. ❑ ® 35. Operation and employee training records present Elrocedure area <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 <br /> ® 18. El [:1 37. Permits obtained and available <br /> and questionnaire <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" El <br /> Received b (Print): William Jessie Huggins Received b Si nature : v' Of Phone: qt";j (05*7 J <br /> Specialist(Print): Harprit Mattu,Sr REHS Specialist(Signature): Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 3 <br /> EH-03/2015 <br />