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Body Art Inspec Report Date: � a San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: o P: (209)468-3420 Program 4< Foga` www.siogvorg/ehd g Element: PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME PR0536982 Bao T.Nguyen-Permit posted PR0540496 Bron Francis-Permit+BBP posted PR0537712 Django L. PHilli s-no longer working here PR0537697 Joe H.Swanson-nothing posted PR0537373 Johnathan Santos-Permit posted, BBP expired PR0538705 Daniel Zapata-Permit+BBP expired 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) 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) 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 30. The practitioner shall wear disposable gloves on both hands when touching, decontaminating, or handling a soiled object, instruments,jewelry or cleaning surfaces in the procedure, decontamination and sterilization areas. The surfaces and objects in the procedure area shall be disinfected before performing body art in that area. Inks, pigments, soaps, and other products in multiple-use containers shall be dispensed in a manner to prevent contamination of the storage container through the use of a single-use receptacle. Distilled water must be used to rinse needles during a procedure. HSC 119309 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 facilites 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 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, durable, and nonabsorbent finish. HSC 119314 Re-inspection will be conducted on/about July 6, 2016. All violations must be corrected by this date. Notes: 1. )Autoclave does not have a mechanical indicator for temperature. Autoclave is equipped with a light which illuminates once the autoclave reaches the set temperature. When autoclave is replaced, ensure an autoclave which has mechanical indicators for time, temperature, and pressure. 2.)All packages used in during sterilization must be labeled with the load date, load number, and the intials of the operator. 3.) Facility will be conducting an in-house training with Cathie Montie(BBP)on 6/4/2016. Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 EH-03/2015