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Body Inspects Re <br /> Y Art P Port <br /> Date: WlG /19 <br /> Z San Joaquin County Environmental Health Department <br /> Program <br /> w. :< <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PiZ05gl L 7/ <br /> (209)468-3420 Program <br /> <ificiR w sogvor_ rend <br /> Element: <br /> Facility Name Address City Zip Code <br /> Advanced Skin Care 1930 main st Escalon 95320 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Joan Sneed 6/30/20 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, ❑ <br /> test etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> ❑ 2" sterilized E] 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 /> ❑ 5 Decontamination/sanitation area separated and supplied ❑ Chemical used: Caviwipes ❑ <br /> appropriately <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6. ❑ El25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> 11Sharps containers labeled, used,and disposed of <br /> ❑ 7" ElWet contact time provided: 3 minutes <br /> appropriately <br /> F1 8. <br /> p ro riatet <br /> Jewelry,tattoo and piercing equipment-clean and <br /> F1 8' ❑ El 26. 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 ❑ ❑ 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, ❑ ❑ 30 Cross-contamination avoided during all phases of ❑ <br /> warm water I procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Eduwhere ❑ 32. Floors and walls clean and in good repair,adequate light El <br /> ❑ 14. Appropriate personal protective equipment available and ❑ ❑ 33 Workstation,surfaces,including chairs,armrests,etc. in ❑ <br /> used good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. procedure area ❑ [E] 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 /> Client records approved and available-Consent form <br /> ® 18. and questionnaire <br /> ❑ 37. Permits obtained and available ❑ <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION 39. Hearing scheduled ❑❑ 20. Safe machine design ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients El F141. El <br /> Received b (Print): Joan Sneed Received b Si nature: Phone:209-606-8739 <br /> Specialist(Print): Sandip Singh Specialist(Signature): ALA 0 Phone: 209-468-3526 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br /> L..Y <br />