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U fiy Body Art tnspec Report Date: S (4- ( ` 2 San Joaquin County Environmental Health Department Program h : 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: P�c(� -5.5 _�9F P; (209)468-3420 [J g 0Ra` wwwsioqv.org/ehd Program !�G Element: PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME PR0536892 Bao Nguyen,BBP 5/7/2019 Paul Marquez,BBP PR0540496 Bron Francis,BBP 3/8/2020 pePR0537432 Victor Hernandez,BBP Expired 10/25/2018 PRO537373 Jonathan Santos,BBP 5/30/2019 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) a.Written evidence of sterilization of single use equipment not available onsite during inspection. Maintain sterilization records for a minimum of 90 days after procedure. Submit evidence of sterilization for lots currently in use in the facility. Submit photographic evidence of equipment lots in use which match the sterilization records provided to the department by 6/3/2019. (Corrected during the inspection for 2 lots. One will be emailed to the EHD). b.The client forms do not contain the lot numbers for the equipment used in the procedure. Effective immediately, record the lot numbers for the equipment used at the time of the procedure. 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 record for a sharps pick-up since 2/6/17.Sharps shall be pick-up at least once per year. Submit evidence of a recent sharps pick-up to the EHD by 6/3/2019. 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with section 119307. Victor Hernandez and Paul Marquez bloodborne pathogens certificates have expired. Submit evidence of correction to the EHD by 6/3/2019. 28. Sterilized instrumentpa cs, equipment and jewelry shall be stored in a labeled container or ca ine ff Ia protect" ` m bst or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if condition is compromised. HSC 119315 a.Autoclaved equipment is stored on a shelf near the autoclave without initials or the date. Store autoclaved/sterilized equipment in a container or cabinet to protect them from dust and moisture. Submit photographic evidence of correction to the EHD by 6/3/2019. b. Sterilized equipment stored on the shelf near the autoclave has not been initialed or dated. Effective immediately, initial and date autoclaved material at the time of sterilization. All evidence of correction is due to the EHD by 6/3/2019. Notes: 1. Spore tests and autoclave logs were available. Reinspecion onlabout: A reinspection fee of$152 per hour may be charged. Page 2 of 2 EH-11/17 } z