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f � <br /> Body Report <br /> Y Art Ins eP &n <br /> Date: 3/2tio//Q <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> c° ,Fba ' www.siogv.org/ehd Program <br /> Element: ��Zp <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 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 V MACHINE SAFETY AND SANITATION cant 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 ❑ 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 /> E: <br /> El Decontamination/sanitation area separated and supplied ❑ Chemical used: Caviwipes <br /> aporopriatel <br /> Invoices and log kept for disposable,pre-sterilized <br /> El 6" El El25. Disinfectant used appropriately/sufficient contact time <br /> a ui ment <br /> C <br /> Sharps containers labeled,used,and disposed of <br /> F1 7" ElWet contact time provided: 3 min <br /> aro riatel <br /> Jewelry,tattoo and piercing equipment-clean and <br /> ❑ 8" El El 26. Barriers used [ <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE E] 27" asepticallyC <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments,needles,tubes,etc. E:❑ 10" Hands washed effectively and timely [:1 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 /> El 11. El El 30"warm water procedure C <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 Workstation,surfaces, including chairs,armrests,etc.in <br /> ❑ 14. used El [:1 33" good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted [ <br /> Branding is completed with no other customers in <br /> ❑ 15. El El35. 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 ❑ ❑ 36. Plan(s)submitted for review [ <br /> Client records approved and available-Consent form <br /> ® 18. ® El37. Permits obtained and available [ <br /> and questionnaire <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 C <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. [ <br /> Received b (Print): Joan Sneed Received b Si nature:C-- /x_4U,- Phone:(209)606-8739 <br /> Specialist Print): Nav of Sahota Specialist Si nature: 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 />