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+ >• <br /> °u�"o...,.:..;., Body Art Insec Report -0Dae: zZ <br /> San Joaquin County Environmental Health Department Program p i <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: ` V-0Z `CA <br /> (209)468-3420 <br /> :p• <br /> Program2 <br /> a<iF`oR�` wwwsiogv.org/ehd Element: <br /> Facility Name Address City Zip Code <br /> Exhale Salon&Spa 103 w.pine st Lodi 95240 <br /> Name of Perm it/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Rocio Leyva Final/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 WMACHINE SAFETY AND SANITATION(cont.) C <br /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ rts replaced between clients-grommets,elastic bands, ❑test . <br /> Items washed,disinfected,packaged,labeled,and <br /> 2' sterilized ❑ RTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> El4. Integrators used/monthly spore test/log maintained El El 24. Appropriate chemical disinfectant used <br /> F15 Decontamination/sanitation area separated and supplied ❑ Chemical used: Cavi-Wipes ❑ <br /> appropriately <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6. E] El25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> El <br /> Sharps containers labeled,used,and disposed of <br /> ❑ 7' ❑ Wet contact time provided: 1 minute <br /> appropriatelyJewelry,tattoo and piercing equipment-clean and <br /> ❑ 8' El El26. Barriers used <br /> sterilized ❑ <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27' asepticallyEl <br /> ❑ 9. No eating,drinking or smoking-clean clothes rEl <br /> El 28. Storage of inks,pigments,needles,tubes,etc. ❑ <br /> El 10. Hands washed effectively and timely El 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> ❑ 11. warm water F-1 30' procedure El <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 /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc. in <br /> ❑ 14. used El ❑ 33' good repair <br /> El <br /> CUSTOMERS/CLIENTS ❑ 34. Perm ittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. [__1 El 35. Operation and employee training records present <br /> procedure area ❑ <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑1 ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> ® 18. d iEl El 37. Permits obtained and available Elanuestionnare <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. 1 ❑ <br /> Received b (Print): Carol Chao Received b (Signature): Phone: 209)430-7018 <br /> Specialist(Print): Har rit 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 2 <br /> EH-03/2015 <br />