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�V!N <br /> Body Art Inspecti eport Date: 2.11H t 1 q <br /> s.. San Joaquin County Environmental Health Department Program <br /> Q .. p <br /> ,�. 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PRO 0 <br /> (209)468-3420 <br /> c"crFOR�P www.siogv.org/ehd Program Lj V <br /> Element: <br /> Facility Name Address City Zip Code <br /> Makeup Mau Loa 241 a 10th street#b Tracy 95376 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Briana Sepulveda 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 /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, Eltest etc. <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and <br /> 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 /> ❑ 5 Decontamination/sanitation area separated and supplied ❑ <br /> ❑ Chemical used: Barbicde and Cavi Wipes <br /> appropriately <br /> ❑ 6 Invoices and log kept for disposable,pre-sterilized <br /> equipment El 25. Disinfectant used appropriately/sufficient contact time <br /> Sharps containers labeled,used,and disposed of ❑ <br /> E] 7' E] Wet contact time provided: 3 minutes,3 minutes <br /> appropriately <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and <br /> El El 26. Barriers used E]sterilized <br /> ® 27 Products applied to skin are single use/dispensed E]PRACTITIONER HEALTH AND HYGIENE ase tical) <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 [:1 El 30' procedure <br /> ❑ 12. Hepatitis B vaccination ❑ <br /> BEST BUSINESS PRACTICES <br /> ® 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Above Training ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ 14. Appropriate personal protective equipment available and ElWorkstation,surfaces,including chairs,armrests,etc.in <br /> used ❑ ❑ 33. good repair <br /> CUSTOMERSICLIENTS ® 34. Permit/registration posted ❑ <br /> ❑ 15 Branding is completed with no other customers in <br /> 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 /> ® 18 Client records approved and available-Consent form ❑ <br /> and uestionnaire El [137. Permits obtained and available <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 ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Briana Sepulveda Received b (Signature): ` Phone: 408 648-5713 <br /> Specialist(Print): Mai Vue Specialist(Signature): Phone: 209 468-3284 <br /> Reinspecion onlabout A reinspection fee of$152 per hour may be cha Page 1 of 2 <br /> EH-11117 <br />