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Body Art Inspecn Report Date: San Joaquin County Environmental Health Department Program r� 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: p�►0 S 3 (3 3 ey (209)468-3420 Program www.siogv.org/ehd Element: LAItil PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME PRO537394 Hugo Villa-no permit or BBP PR0537483 Jeremy Azevedo-no longer working here PRO537547 Samuel Vasquez PRO537490 Christopher Flores PR0537653 Jesse Quezada-no BBP PR0536973 Jose Zuni a PRO537797 Ran Abellan Observations and Corrective Actions: 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) 5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a cleanable barrier and 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(c) 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) 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) 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with section 119307. 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, durable, and nonabsorbent finish. HSC 119314 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 Non-compliance issues will be followed up by the San Joaquin County Environmental Health Department. *There will be a $130 fee associated with this inspection. Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 EH-03/2015