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Body Art InSpec 'ft Report thg <br /> Date: <br /> San Joaquin CounWMvironmental Health Department Pro <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 gram <br /> (209)468-3420 Record: <br /> Oi6. www.siogv.org/ehd Program Id� <br /> � Element: <br /> Facility Name Address City Zip Code <br /> Beauty Luxe&Co. 9210 thomton rd. Stockton 95209 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Fong Vang Initial Consult. <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, <br /> test etc. ❑ <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and <br /> sterilized 11, 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 /> a ro riatel ❑ Chemical used: Cavi-wipes <br /> ❑ <br /> 6. Invoices and log kept for disposable,pre-sterilized <br /> equipment ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> ® 7 Sharps containers labeled,used,and disposed of ❑ <br /> appropriately ❑ Wet contact time provided: 3 mins <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ <br /> sterilized ❑ ❑ 26. Barriers used <br /> ® 27 Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE aseptically ❑ <br /> ❑ 9. 1 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, ® ® 30 Cross-contamination avoided during all phases of ❑ <br /> warm water procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen training ® ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Biologix 9 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ 14. Appropriate personal protective equipment available and ® ❑ 33 Workstation,surfaces,including chairs,armrests,etc.in ❑ <br /> used ood repair <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> E] 15. Branding is completed with no other customers in <br /> procedure area El35. Operation and employee training records present E]F116. Customers eighteen(18)years of age or older ElCOMPLIANCE AND ENFORCEMENT <br /> El17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> r and questionnaire ❑ 37. Permits obtained and available El <br /> rAppropriate aftercare instructions given to client El ❑ 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): Fong Vang Received b (Signature. Phone: 916 715-8401 <br /> Specialist(Print): Harprit Mattu,Sr REHS Specialist(Signature): jjFj6V2k Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />