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o • �'r c �\ Body Art Inspection Report Date: June 17, 2021 jSan Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0537413 (209)468-3420 • (< NP v .siogv.om/ehd Program 9�pa Element: 4121 PR Number PRACTITIONER/ARTIST NAME PR0537414 Phillip Vasquez 1/29/22 Stevie Vasquez 6/15/22 Pr0542606 Zachary Peralta (BBP exp. 3/2/22 Observations and Corrective Actions: PR Number PRACTITIONER/ARTIST NAME PR0538859 Alec Peralta PR0541543 Stevie Vasquez 6/15/22 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names ofpractitioner 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 certificates were not available for the Cheyenne needle cartridges with the lot #2020-09-033 and the Tat Soul cartridge with lot #2011300. Provide EHD with sterilization certificates for the above mentioned cartridges. 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) — A receipt of disposal for the sharps waste was not available for review. Per facility owner, Phillip Vasquez, there are 2 sharps waste containers stored on the premises that are ready for disposal. Provide EHD with a disposal receipt from the sharps waste hauler and ensure sharps waste are disposed when containers are full. 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with section 119307. - A current Bloodborne Pathogen Training Certificate was not available for Alec. Provide EHD with a copy of Alec's current BBP Training Certificate. 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 —The name of the practitioner and the client signature were missing from a few of the client records. Ensure client records are complete. 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 floor in Alec and Zachary's procedure room is damaged. Repair the floor and provide photographic evidence to the EHD. 33. All surf aces 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 surraces and service trays in the procedure area shall have a smooth, durable, and nonabsorbent finish. HSC 119314 The chair in Alec and Zachary's procedure room was torn. Repair or replace the chair and submit photographic evidence to the EHD. 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312— Expired health permits were posted in Alec and Zachary's procedure room. Replace the old permits with new permits and provide photographic evidence to the EHD. Reinspection EH -11/17 A reinspection fee of $152 per hour may be charged. Page 2 of 3