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'_' �. �a Body Art InspecticWeport Date: 2 1 q <br /> a San Joaquin County Environmental Health Department Program RoS 4 lb'1 <br /> �:. f <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: P <br /> (209)468-3420 Program Lf <br /> ,'70 <br /> w <br /> ca<�FORa`p . wwsiogv.orglehd Element: "'� <br /> Facility Name <br /> 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 6/30/19 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 /> Autoclave:approved and effective-passed integrator El El 22. Parts replaced between clients-grommets,elastic bands, ❑ <br /> ❑ 1. test etc. <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and ❑ PREVENTING CROSS-CONTAMINATION <br /> sterilized <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry E] El 21 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: Caviwipes <br /> ❑ 5. appropriately <br /> Invoices and log kept for disposable,pre-sterilized ® ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> ® 6. equipment <br /> ❑ <br /> ❑ 7 Sharps containers labeled,used,and disposed of El contact time provided: 3 mins <br /> a ro riatel <br /> Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 26. Barriers used IE]❑ 8. sterilized <br /> Products applied to skin are single use/dispensed Elr28. <br /> PRACTITIONER HEALTH AND HYGIENE Elaseptically <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ Storage of inks,pigments,needles,tubes,etc. ❑ <br /> E] 10. Hands washed effectively and timely ❑ E] 29. Jewelry,Inks,Needles etc approved and used correctly ❑ <br /> ❑ 11 Handwashing facilities property supplied and accessible, El ❑ 30 Cross-contamination avoided during all phases of 11warm waterprocedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen training ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Eduwhere ❑ ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and El El 33. Workstation,surfaces,including chairs,armrests,etc.in ❑ <br /> ❑ 14. used good repair <br /> CUSTOMERS/CLIENTS r- <br /> 16. <br /> 34. Permit/registration posted El <br /> ❑ 15. Branding is completed with no other customers in ❑ 35. Operation and employee training records present ❑ <br /> procedure area <br /> ® 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 /> ® 18 Client records approved and available-Consent form ❑ ❑ 37_ Permits obtained and available ❑ <br /> and questionnaire <br /> El 19. Appropriate aftercare instructions given to client E] El 38. Impoundment El <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Joan Sneed Received b Si nature Phone: 209 606-8739 <br /> Specialist Print): Mai Vue Specialist Si nature: Phone: 209 468-3284 <br /> Reinspecion onlabout: A reinspection fee of$162 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />