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Body Art Inspect*Report2r 1 Date: San Joaquin County Environmental Health Department Program PR65 3� �f 1868 E.Hazelton Ave.,Stockton,CA 95205 � � Record: (209)468-3420 Program //e/ �4L�F`o44 wwwsjocv.org/ehd Element: PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONERIARTIST NAME PR0537385 Shane Winans,BBP-CM 2/3/2020 Observations and Corrective Actions: 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) Purchase invoices were available for lots in use in the facility. One lot of needles in use were matched to the manufacturer's sterilization certificate. Submit a photograph of another lot in use with a matching sterilization certificate to the EHD by 6128/19. 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 evidence of a recent sharps disposal. Sharps shall be disposed of at least once per year. Submit evidence of a sharps disposal by 6/28/19. 1 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303 Client records were available on site for 2019 and included lot information for the equipment used during the procedure. Maintain at least 2 years of client records onsite. 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art facilities are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each procedure area shall have lined waste containers. HSC 119314& 119317 The transition between the flooring surfaces in the procedure area is worn and in need of repair. Submit evidence of repair to the EHD by 6/28/19. All evidence of corrections is due to the department by 6/28/19. All evidence of corrections can be submitted to the EHD by email at ieasterCc_sigov.org Failure to submit evidence of correction to the EHD by 6/28/19 may result in a re-inspection charged at the department's hourly rate of$152 per hour. Notes: 1. Spore test results, autoclave logs(2 '/2 years, 2017, 2018, 2019), and Class V integrators were available onsite. 2. The Infection Prevention Control Plan (IPCP)was available onsite. Add contact time for disinfectant to IPCP. 3. Client forms, medical questionnaire, and aftercare have the required information. Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 EH-11/17