Laserfiche WebLink
Body Art Inspect& Report if Date: s ` <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: <br /> (209)468-3420 <br /> "9�iFod?`P wwsio9vorq/ehd Program <br /> w. <br /> Element: <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONERIARTIST NAME <br /> PR0537481 Geoff H.Rogers-Permit+BBP Posted PR0537483 Jeremy Azevedo-From Black Rose,Permit Posted <br /> PRO537482 Dennis Escalante-Permit+BBP Posted <br /> PRO540071 Daniel Gutierrez-Recently mailed <br /> Billy Diaz-From Secret Sidewalk <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(f) <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste" or with the biohazard symbol <br /> and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. All sharps waste generated during a body art procedure must <br /> be placed in a sharps waste container. HSC 119314(e) <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303 <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 /> Notes: <br /> 1.) Prior to sterilizing onsite, both autoclaves must be spore tested, facility permit must be changed from single-use to <br /> sterilization, and sink in decontamination area must be tightened and equipped with soap and touchless <br /> paper towel dispenser. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />