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Bod <br /> Date:Art Instion Report 1-7 11,31191 <br /> y:. San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: S ROO81500 <br /> (209)468-3420 <br /> °4` •::. a`R www.siogv.orq/ehd Program <br /> <%Foa Element: 1-1103 <br /> Facility Name Address City Zip Code <br /> Salon Allure 702 porter ave.#j Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Chandara Som Consultation <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 /> Items washed,disinfected,packaged,labeled,and <br /> El 2' sterilized El CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore testflog maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied El <br /> ❑ 5' <br /> appropriately <br /> ❑ Chemical used: <br /> ® <br /> Invoices and log kept for disposable,pre-sterilized 6• El 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> ® 117 Sharps containers labeled, used,and disposed of E] Wet contact time provided: 2 mins <br /> ap ro 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 ® 27. asepticallyEl <br /> ® 9. No eating,drinking or smoking-clean clothes [I El28. Storage of inks,pigments, needles,tubes,etc. 1:1 <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 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. 30'warm water ❑ ❑ procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen trainingJEEII ❑ 31. Areas separated/no living or sleeping quarters ElSource: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available anWorkstation,surfaces, including chairs,armrests,etc.in <br /> E] 14. used ❑ 33. ood repair ❑ <br /> CUSTOMERS/CLIENTS ® 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15. rocedure area E] ® 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 /> Client records approved and available-Consent form <br /> ® 18. El 37. Permits obtained and available <br /> and questionnaire <br /> ❑ <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): Chandara Som Received by(Signature): A Phone:209-636-8909 <br /> Specialist(Print): Sandip Singh Specialist(Signature): Phone: 209-468-3526 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />