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4100 – Safe Body Art
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PR0528382
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Last modified
5/1/2023 2:56:05 PM
Creation date
7/3/2020 10:15:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0528382
PE
4121
FACILITY_ID
FA0006378
FACILITY_NAME
BLUE MOON TATTOO & PIERCING (DHANOYA, AMANJIT)
STREET_NUMBER
2306
STREET_NAME
EAST
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23346002
CURRENT_STATUS
02
SITE_LOCATION
2306 EAST ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\BA\BA_4121_PR0528382_2306 EAST_.tif
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EHD - Public
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Body Art Inspecteport Date: <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 Program <br />,FORc? www.siogv.org/ehd 141 L) <br />Element: <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO540594 <br />Kyle Thaw <br />PRO540208 <br />Gloria Kaku-no registration or BBP <br />PR0538063 <br />James Langley -no registration or BBP <br />Zachary Smith -not registered <br />Observations and Corrective Actions: <br />PR Number PRACTITIONER/ARTIST NAME <br />Jose Carballo-not registered <br />Ericka Carballo-not registered <br />Miranda Chavez -no BBP <br />2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized <br />immediately after each procedure. HSC 119309 <br />If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains <br />process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a) <br />4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization <br />shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and <br />temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br />sterilizer after a failed spore -test. HSC 119315(b) <br />5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br />cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br />towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <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 undergone <br />sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br />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 symbol <br />and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br />8. Jewelry placed in newly pierced skin shall be sterilized prior to piercing or purchased presterilized. If purchased presterilized, <br />sterile packs shall be discarded if integrity is compromised. Clean calipers shall be used and the skin marked using clean <br />toothpicks and ink or a single -use marking pen. Sterilized instruments shall be stored in sterilization packaging or in sterilization <br />equipment cartridge until time of use. Sterile instrument packs shall be evaluated before use and shall be discarded if integrity is <br />compromised. HSC 119310 <br />9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309 <br />12. Practitioner shall provide evidence of current hepatitis B vaccination or hepatitis B immunity or comply with current federal <br />OSHA hepatitis B vaccination declination requirements. HSC 119306(c) <br />13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 3 <br />EH -03/2015 <br />
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