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Body Art Inspe*n Report Date: 3,15%18' <br /> San Joaquin County Environmental Health Department <br /> Program <br /> 4 g <br /> N Record: S�C0 z� J p <br /> 0 <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> (209)468-3420 <br /> Program <br /> r . <br /> :.': ',a`P www.sjogv.orq/ehd Element: W03 <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Joan Sneed <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have underpone <br /> sterilization. The record of purchase,evidence of sterilization,type and number of instruments used shall be maintained <br /> for a minimum of 90 days after use. HSC 119315(f) <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste"or with the biohazard <br /> symbol and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back <br /> system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted,touchless dispenser that is readily accessible to practitioner. HSC 119314(b' <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303 <br /> 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed it <br /> Form B. HSC 119308(b)-Include signs/symptoms of infection and indications when to seek medical care. <br /> 25. Disinfectant shall be used according to the manufacturer's instructions. HSC 119309(b)-Wet contact time for Caviwipes is <br /> 3 minutes per manufacturer's instructions. <br /> 27. Products applied to skin prior to tattooing or application of permanent cosmetics, including, but not limited to, stencils, <br /> marking and transfer agents, shall be single use and discarded into a waste container at the end of the procedure. HSC <br /> 119311(a) <br /> Notes: <br /> 1) Update IPCP with sharps disposal information and provide a copy to the EHD. <br /> 2) Include lot number with client records. Provide copy of driver's license/identification with client <br /> records. <br /> Correct all violations prior to final consultation. <br /> Reinspecion on/about: . A reinspection fee of$152 per hour may be charged. Page 2 of <br /> EH-11/17 <br />