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Body Art Inspection Report Date: <br />K San Joaquin County Environmental Health Department Program <br />_f 1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />t ,F�v' (209) 468-3420 Program <br />www.sioay.orc/end Element: <br />Facility Name Address City Zip Code <br />The Beauty Lounge & CO 49 a tenth sl., ste a Tracy 95376 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Lisa Bates 6/30/21 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 ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, Eltest etc. <br />Items washed, disinfected, packaged, labeled, and <br />El 2' sterilized ❑ PREVENTING 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 />El 5 Decontamination/sanitation area separated and supplied El <br />appropriately ❑ Chemical used: <br />® <br />Invoices and log kept for disposable, pre -sterilized 6. El Elequipment 25. Disinfectant used appropriately/sufficient contact time <br />Sharps containers labeled, used, and disposed of ❑ <br />❑ 7' <br />appropriately ❑ Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />El El26. Barriers used <br />sterilized ❑ <br />PRACTITIONER HEALTH AND HYGIENE El 27' Products applied to skin are single use/dispensed <br />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 El <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />❑ 13. Bloodborne Pathogen trainingEl❑ 31. Areas separated/no living or sleeping quarters El <br />Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />❑ 14d Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in <br />used ❑ El33'good repair El <br />C_ USTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br />❑ <br />Branding is completed with no other customers in 15. rocedure area El El 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 />® <br />Client records approved and available - Consent form El El questionnaire <br />18. 37. Permits obtained and available <br />❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br />MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />El 20. Safe machine design ❑ EI40. Closure ❑ <br />El 21. Machines cleaned and disinfected between clients ❑ El 41. ❑ <br />Received by (Print): Lisa Bates Received by (Signature): Phone: 209-640-7895 <br />Specialist (P(nt): Sandip Singh Specialist (Signature): Phone: 209468-3526 <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />