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Pp u.iry <br /> Body Art Inspection Report <br /> Date: February 24,2025 <br /> t San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0S44020 <br /> e'• (209)468-3420 <br /> vP wmwsioay.ora/ehd Program <br /> Lt, Element: 4120 <br /> Facility Name Address City Zip Code <br /> Dreamscape Brows 3422 W.Hammer Ln. Stockton CA, 95219 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Fong Vang 6/30125 Routine <br /> The facility is inspected for compliance with Division 104, Part 15,Cha ter 7 of California Health and Safety Code(HSC). V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C V I MACHINE SAFETY AND SANITATION Cont. C <br /> HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets,❑ 1' integrator test ❑ ❑ 22' elastic bands,etc. El <br /> ❑ <br /> HSC 119309-Items washed,disinfected,packaged,2' labeled,and sterilized El CROSS-CONTAMINATION <br /> ❑ 3 HSC 119315-Autoclave loaded correctly/packages ❑ ❑ 23. HSC 119309-Workstation/procedure area decontaminated ❑ <br /> allowed to dry <br /> ❑ 4 HSC 119315-Integrators used/monthly spore test/log ❑ 24. HSC 119301 -Appropriate chemical disinfectant used <br /> maintained ❑ ❑ <br /> HSC 119314-Decontamination/sanitation area separated <br /> ❑ ❑ Chemical used: Caviwipes <br /> 5' and supplied appropriately <br /> ® 6 HSC 119315-Invoices and log kept for disposable,pre- ❑ 25 HSC 119309-Disinfectant used appropriately/sufficient <br /> sterilized equipment ❑ contact time ❑ <br /> HSC 119314-Sharps containers labeled,used,and <br /> ❑ 7' disposed of a ro riatel ❑ Wet contact time provided: 3 minutes <br /> ❑ 8 HSC 119310, 119315-Jewelry,tattoo and piercing ❑ ❑ 26. HSC 119314-Barriers used ❑ <br /> equipment-clean and sterilized <br /> PRACTITIONER HEALTH AND HYGIENE El 27' HSC 119311 -Products applied to skin are single <br /> use/dispensed aseptically ❑ <br /> ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks,pigments,needles, ❑ <br /> clothes tubes,etc. <br /> ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29. HSC 119310, 119311 -Jewelry, Inks,Needles etc approved ❑ <br /> and used correct) <br /> HSC 119314-Handwashing facilities properly supplied HSC 119308-Cross-contamination avoided during all <br /> ❑ 11. and accessible,warm water ❑ ❑ 30' phases of procedure ❑ <br /> ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> 13. HSC 119307-Bloodbome Pathogen training ❑ 31. HSC 119314-Areas separated/no living or sleeping quarters ❑ <br /> ❑ Source: All practitioners have valid BBP certificates from ❑ HSC 119314-Floors and walls clean and in good repair, <br /> Biol ix ❑ 32' adequate light ❑ <br /> HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces, including chairs, <br /> ❑ 14. available and used ❑ ® 33. armrests,etc.in good repair ❑ <br /> CUSTOMERSICLIENTS ❑ 34. HSC 119312-Permittregistration posted ❑ <br /> HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records <br /> ❑ 15. customers in procedure area ❑ ❑ 35' resent ❑ <br /> HSC 119302-Customers eighteen(18)years of age or <br /> ❑ 16. older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312-Plan(s)submitted for review ❑ <br /> ® <br /> HSC 119303-Client records approved and available- ❑18' El❑ 37. HSC 119312-Permits obtained and available <br /> Consent form and <br /> ❑ <br /> HSC 119303, 119308-Appropriate aftercare instructions 19' ❑ ❑ 38. HSC 119319-Impoundment Eliven to client <br /> MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320-Hearing scheduled ❑ <br /> ❑ 20. HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317,119320-Closure ❑ <br /> ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ ❑ 41 ❑ <br /> clients <br /> Received by(Print): Fong Vang Received by(Signature): EMAILED Phone:209-715-8401 <br /> Specialist(Print): Alexander Cruz Specialist(Signature): fir•&-, Phone:209-616-3042 <br /> Relnspectlon on/about: A reinspection fee of$172 per hour may be charged. Page 1 of 3 <br /> EH-12-4-23 <br />