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1 <br />•; "°"I" =�o Body Art InspeAD Report <br />a San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />FORa\P www.slogv.org/ehd <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PR0536942 <br />Andrew Villa II - no longer working at this location <br />PR0537416 <br />Paulo Da Silva - Neither BBP or Permit Posted <br />PR0537415 <br />Michael T Carter - Permit + BBP posted <br />PR0537414 <br />Phillip Vasquez - BBP posted <br />Observations and Corrective Actions: <br />Date: .51-71) <br />Program <br />Record: <br />S 3 41 -3 <br />?COS <br />Program <br />Element: <br />17i <br />PR Number <br />PRACTITIONERIARTIST NAME <br />PR0538139 <br />Angel M Le - Permit + BBP posted <br />PR0538705 <br />Daniel P Zapata III - BBP Posted <br />PR0538859 <br />Alec Peralta - Permit + BBP Posted <br />PR0539943 <br />Selina Wilde - BBP Posted <br />4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization <br />shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and <br />temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br />sterilizer after a failed spore -test. HSC 119315(b) <br />5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br />cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br />towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <br />34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312 <br />35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br />Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 <br />41. Razors must be single use only and must be discarded in sharps container after use. <br />Notes: <br />1. Mark Esclanate (PR0539819) had his permit and BBP posted. <br />2. Andrew Villa II is no longer working at this location. <br />3. Currently Selina Wilde is not working at this location. Status of Ms. Wilde is unkown at this time. <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 2 of 2 <br />EH -03/2015 <br />