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Body Art Inspect* Report San Joaquin County Environmental Health Department 1868 E. Hazelton Ave., Stockton, CA 95205 / (209) 468-3420 www.sio9v.org/ehd Observations and Corrective Actions: Date: / / 8/a Program Record: Program Element: y�Z� rM6A SM �� +�+aAU01 A MOUr PR0541234 Jose Carballo, BBP expired 1PR0543461 Kiara Guerrero, BBP AT 6/17/2020 PR0538063 James Langley, BBP AT 7/26/2020 PR0544374 Jacqueline Leach, BBP AT 4/24/2020 Observations and Corrective Actions: Date: / / 8/a Program Record: Program Element: y�Z� rM6A SM �� +�+aAU01 A PR0540594 Kyle Thaw, BBP expired PR0544069 Daniel Wilson, BBP 1/16/2020 UNPERMITTED: AnthonyMarin, Jesse Huggins, Felix Moreno -Valencia, And Aleena Ledesma 1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. HSC 119315(b) The facility is using Class IV integrators instead of the required Class V integrators. Only Class V integrators are approved for use. Provide Class V integrators for each cycle/load. 4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and temperature, results of the Class V integrator for every cycle/load, and evidence of an acceptable spore test before reuse of the sterilizer after a failed spore -test. HSC 119315(b) 1. No evidence of monthly spore testing available at the time of the inspection. DO NOT USE THE AUTOCLAVE UNTIL EVIDENCE OF A RECENT SPORE TEST HAS BEEN PROVIDED TO THE EHD. 2. The sterilization log was only available for seven months. The facility is required to maintain the last three years of records. 3. The entries in the sterilization log do not list the time and temperature for every cycle/load. Record the time, temperature, and the results of the Class V integrator with each cycle/load. Staple the integrator to the sterilization log on side of the cycle entries. 4. No evidence of sterilization of jewelry in the sterilization log. All contents are required to be logged at the time of sterilization. 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f) Sterilization records were not available for the pre -sterilized lots in use in the facility. Provide sterilization certificates that match lots in use in the facility. 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) No records available for sharps disposal at the time of the inspection. Full sharps containers were observed during the inspection. Sharps must be removed a minimum of once per year, and a copy of the records must be maintained onsite for review. Provide evidence of a recent sharps disposal. 8. Jewelry placed in newly pierced skin shall be sterilized prior to piercing or purchased pre -sterilized. If purchased pre -sterilized, sterile packs shall be discarded if integrity is compromised. Clean calipers shall be used and the skin marked using clean toothpicks and ink or a single -use marking pen. Sterilized instruments shall be stored in sterilization packaging or in sterilization equipment cartridge until time of use. Sterile instrument packs shall be evaluated before use and shall be discarded if integrity is compromised. HSC 119310 No evidence of purchase of pre -sterilized jewelry or of sterilization of jewelry in the sterilization log. Sterilized jewelry must be logged in the sterilization log at the time of sterilization. 9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309 Packaging from food and beverages and dog treats were in the procedure area and in trashcans in the procedure area. Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 2 of 4 EH -11/17