COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Body Art Inspection Report Date (MM/DD/YY) i 13 o� County of San Joaquin County, Environmental Health Department -Alact S 1868 E. Hazelton Ave., Stockton CA 95205 Permit Number 1: (209) 468-3420 w%vw.sigov.org/ehd 2 ._ Permit Type Facility Nam �j_ , Address City Zip Code CT �C R lNuti�s 11b S. C1�PJo .I -n LOCA, ` C-1LAb sLt,D Permit/Registration Holder Name Permit Exp. Date Total Time Inspection Type �►�dui�u� RISK FACTORS AND INTERVENTIONS Risk factors are improper practices or procedures identified as contributing factors of cross -contamination. Interventions are control measures to prevent cross -contamination and transfer of pathogens from one person to another. In = In Compliance Out = Not in Compliance N/0 = Not Observed NIA = Not Applicable COS = Corrected On Site i k'rTdTT00'`AND PERINi4NENTCOSMETICS 'MACHINE �L�Y A'oK .a. �lrr.7t-+a�,a� s..+. w.��:.r�.i w,. s, F- ,CLFr4NINGt D, STERILIZATION. ��_,�SAFE ..AND SANITATION�.;,x«_3 our, COS In N/0 1. Autoclave is approved and effective - passed ❑ N/O 18. Safe machine design ❑ ❑ /A integrator test N/ N/0 2. Process of cleaning, labeling, packaging and � ElIn N/0 19. Machines cleaned and disinfected between 11 El!A sterliziin items correctlyN/ clients In NI 3. Autoclave loaded correctly/packages allowed to In 20. Parts replaced between clients - grommets, ❑ ❑ / dry N/A elastic bands, etc. n N!0 4. Integrators used/monthly spore test/log ❑ � EVENTING,CROSS C�ONTAMINATI0N &' /A maintained In N/0 5. Decontamination/sanitation area separate and\s /0 21. Workstation/procedure area decontaminated N/A supplied * )l 0 N/A ❑ ❑ In N/0 6. Invoices and log kept for disposable, pre- ❑In /0 22. Chemical disinfectant used N/A sterilized equipment, backupsupplies available * Chemical used: ,' ❑ In N/0 7. Sharps containers supplied, labeled, used and In lo 23. Disinfectant used sufficient contact time Wet ❑ ❑ NIA disposed of correctly * N/ contact timeprovided: In N/0 8. Jewelry, tattoo and piercing equipment - storage Iri NIO 24. Barriers available and used as part of ❑ ❑ NIA and use /A procedure In N/0 25. Products applied to skin are single •"F" it it t 9 El ❑ a... PRACTITIONER HEALTH AND HYGIENE..;N/A use/dispensed aseptically In N/O 9. No eating, drinking or smoking - clean clothes ❑ ❑ I N/0 26. Storage of inks, pigments, needles, tubes, etc., ❑ ❑ N/ /A In /0 10. Hands washed effectively and timelyIn N/0 27. Jewelry, Inks, Needles etc approved and used N/A ❑ ❑ N/A ❑ ❑ In N/0 11. Handwashing facilities properly supplied and y 0 1 N/O 28. Cross -contamination avoided during all phases ❑ ❑ NIA accessible, warm potable water * NIA of procedure In N/0 12. Personal protective equipment available and` .?_r' BEST BUSINESS, PRACTICES; , • '' NIA used, eyewash station available * ❑04 CUSTOMERSICL E' N S ¢Y ,� z` � r _ {}; r k In N/O 29. Areas separated/no living or sleeping O IA quarterstrio animals In N/0 13. Branding is completed with no other customers in ❑ ❑ In N/O 30. Floors and walls clean and in good repair, ❑ /procedure area N/A adequate light * �1 In N/0 14. Customers eighteen (18) years of age or older ❑< 1 NIO 31. Workstation, surfaces, including chairs, , etc. in ❑ 0 /A good repair, trash removed frequently * In 0 15. Skin prepared for procedure.In /O 32. Permit/registration and required signs posted N/A ❑ ❑ N/A ❑ In NIO 16. Client records available - Consent form & In N/0 33. IPCP and employee training records and ❑ N/A questionnaire /A Hepatitis B vaccination status present In N/0 17. Aftercare instructions given to clientN/0 34 Restrooms available, stocked 11 0 I N/A X /A Received by (Print): See p Received by (Signature): Phone: Specialist (Print): Specialist (Signature): Phone: F-1This report is an Official Notice of Violation. Corrections must be completed in the time specified. A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. Pagel of 3 Reinspection Date (on or about)