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Body Art Ins ectoRe ort 5l t 7116 <br /> . Y P P Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> c P' (209)468-3420 Program <br /> 'c+Fc,aa` ..siogv.orq/ehd g <br /> Element: <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0537481 Geoff Rogers-BBP expired,permit posted PRO540071 Daniel Gutierrez-Permit+BBP posted <br /> PRO538646 Billy J. Dias-no BBP,permit held PRO537482 Dennis Escalante-nothing posted <br /> PR0537483 Jeremy Azevedo-No BBP,permit held <br /> Observations and Corrective Actions: <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 /> 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. HSC 119314(e) <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307 <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 /> 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br /> The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314& 119317 <br /> 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. HSC 119314 <br /> Unless otherwise noted, all violations listed above must be corrected within 30 days. <br /> Notes: 1.)Autoclave must spore tested prior to use to ensure it is operating properly. Obtain manual for autoclave. <br /> 2.) Facility plans to begin sterilizing. w.�'�6Qs`(,acr�elS <br /> Reinspecion onlabout: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />