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f BodyArt Ins An Repor40t p p Date: <br /> San Joaquin County Environmental Health Department Program T <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> P (209)468-3420 Record: ��S �� (/ <br /> << a` wwwAngv.crq/ehd Program <br /> -- Element: q(2,0 <br /> Facility Name Address City Zip Code <br /> Exhale Salon&Spa 103 w pine street Lodi 95240 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Rocio Leyva 6/30/18 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 Parts replaced between clients-grommets,elastic bands, [ <br /> test ❑ ❑ 22" 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:_appropriately E] Chemical used: Caviwipes <br /> ❑ 6 Invoices and log kept for disposable,pre-sterilized <br /> equipment ❑ El25. Disinfectant used appropriately/sufficient contact time <br /> ❑ 7 Sharps containers labeled, used,and disposed of [ <br /> a ro riatel El Wet contact time provided: 1 min <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and <br /> El El 26. Barriers used [ <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 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 /> ❑ 11. Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> warm water El ❑ 30' procedure E: <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters [ <br /> Source: Biologix ❑ 32. Floors and walls clean and in good repair,adequate light [ <br /> ❑ 14 Appropriate personal protective equipment available andWorkstation,surfaces,including chairs,armrests,etc. in <br /> used E] ❑ 33' good repair <br /> [ <br /> CUSTOMERSICLIENTS ® 34. Permit/registration posted [ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area E3 ❑ 35. Operation and employee training records present [ <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 /> ® <br /> Client records approved and available-Consent form 18' questionnaire <br /> F1 F137. Permits obtained and available E:and <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 cleared and disinfected between clients ❑ ❑ 41. [ <br /> Received b (Print): Carol Chao Received b (Signature)4 :(209)430-7018 <br /> Specialist(Print): Nav'ot Sahota Specialist(Signature): Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of <br /> EH-11/17 <br />