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PR Number Body Art Ins, Report � PR0537415 Michael T. Carter: permit posted, BBP not posted C on Date: Aocltg N ° San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: (209) 468-3420 www.sioov org/ehd Proram Element: , / L V `t PR Number PRACTITIONER/ARTIST NAME PR0537415 Michael T. Carter: permit posted, BBP not posted PR0537414 Philip Vasquez: BBP expired, permit posted PRO541543 Stevie Vasquez: BBP and permit posted PR0538859 Alec M. Peralta: BBP and permit posted Observations and Corrective Actions: PR Number PRACTITIONER/ARTIST NAME Zachary Peralta: BBP posted, permit pending on Hep B PRO542606 status 2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized immediately after each procedure. HSC 119309 If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a) 4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the sterilizer after a failed spore -test. HSC 119315(b): Provide more recent spore test results (last available results from May 2017). Class V integrator results not available for 12/9/17 through 12/19/17 as well as 1/22 through 2/1. Be sure to complete spore log, with Class V integrator results. 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) -Provide records of purchase and sterilization records for presterilized needles (both tattoo and piercing). 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) - Sharps container full in Stevie's room. Provide sharps container in procedure room in front. 8. Jewelry placed in newly pierced skin shall be sterilized prior to piercing or purchased presterilized. If purchased presterilized, sterile packs shall be discarded if integrity is compromised. Clean calipers shall be used and the skin marked using clean toothpicks and ink or a single -use marking pen. Sterilized instruments shall be stored in sterilization packaging or in sterilization equipment cartridge until time of use. Sterile instrument packs shall be evaluated before use and shall be discarded if integrity is compromised. HSC 119310 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) 12. Practitioner shall provide evidence of current hepatitis B vaccination or hepatitis B immunity or comply with current federal OSHA hepatitis B vaccination declination requirements. HSC 119306(c) -Zachary Peralta's hepatitis B status required before permit may be mailed. Reinspecion on/about: A reinspection fee of $152 per hour may be charged.P age 2 of EH -11/17C I