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°"�"� Body Art Inspect Report Date: <br />©. F ' o <br />San Joaquin County Environmental Health Department Program <br />1 1868 E. Hazelton Ave., Stockton, CA 95205 Record:�- <br />��{ (209) 468-3420 Program <br />www.sioay.org/ehd Element: <br />Observations and Corrective Actions: <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) -will check during the next inspection <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) -will check during the next inspection <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)- see below <br />11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br />paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) - <br />correct immediately -will check during the next inspection <br />Notes: 1. Install long stem handles on the sink in the decontamination and sterilization area -will check during the next inspection <br />2. Provide evidence that an annual training on the IPCP was conducted- will check during the next inspection <br />Within 1 week, provide a pickup manifest for the sharps. <br />If no manifest is provided within 1 week, a re -inspection <br />will be conducted and a $130 fee will be charged. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />