COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Facility Name Address City Zip Code In 2 Skin 2738 pacific ave Stockton 95204 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Sandy Aguirre 6/30/16 Routine The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C 1 Autoclave: approved and effective - passed integrator ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, ❑ test etc. ❑ 2. Items washed, disinfected, packaged, labeled, and El ,opo o Body Art InSpectI& Report Q,* a Health Department Date: San Joaquin County Environmental Program ❑ 1868 E. Hazelton Ave., Stockton, CA 95205 Record: P)R 3 7'A 1 ❑ (209) 468-3420 Program ❑ FOR`v www.sjogv.org/ehd Element: 1 Facility Name Address City Zip Code In 2 Skin 2738 pacific ave Stockton 95204 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Sandy Aguirre 6/30/16 Routine The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C 1 Autoclave: approved and effective - passed integrator ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, ❑ test etc. ❑ 2. Items washed, disinfected, packaged, labeled, and El sterilized PREVENTING CROSS -CONTAMINATION ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ ® 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used ❑ ❑ 5' Decontamination/sanitation area separated and supplied ❑ Chemical used: Cavicide appropriately ® 6• Invoices and log kept for disposable, pre -sterilized ❑ E]25. Disinfectant used appropriately/sufficient contact time equipment 11Sharps ❑ 7' containers labeled, used, and disposed of ❑ Wet contact time provided: 10-15 mins appropriatelyJewelry, ❑ 8' tattoo and piercing equipment - clean and El El 26. Barriers used sterilized ❑ 27' Products applied to skin are single use/dispensed 11 PRACTITIONER HEALTH AND HYGIENE ase ticall ❑ 9. 1 No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ ❑ 11. Handwashing facilities properly supplied and accessible, [I ❑ 30. Cross -contamination avoided during all phases of E] warm water procedure ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES ® 13. Bloodborne Pathogen training ❑ 31. Areas separated/no living or sleeping quarters ❑ ❑ Source: Cathie Montie ❑ 32. Floors and walls clean and in good repair, adequate light ❑ ❑ 14 Appropriate personal protective equipment available and ❑ ® 33 Workstation, surfaces, including chairs, armrests, etc. in ❑ used good repair ❑ 34. Permit/registration posted ❑ CUSTOMERS/CLIENTS ❑ 15. Branding is completed with no other customers in ❑ ❑ 35. Operation and employee training records present Elrocedure area ❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT ❑ 17. Skin adequately prepared for procedure ❑ ® 36. Plan(s) submitted for review ❑ ❑ 18. Client records approved and available - Consent form El F1 37. Permits obtained and available and questionnaire ❑ 19. Appropriate aftercare instructions given to client [__138. Impoundment E] CHINE SAFETY AND SANITATION ro F139. Hearing scheduled El El Safe machine design [:] 40. Closure El ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ Received b (Print): Chris DeVoss Received b (Signature) A- -'" Phone: 209 464-9774 Snecialist (Print): Harorit Mattu. Sr REHS Specialist (Signature): ^ Phone: (209) 468-3284 Reinspecion onlabout: A reinspection fee of $130 per hour may be charged. Page 1 of 2 EH -03/2015