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Pau'" Body Art Inspectio Report Date: I�-7A�
<br /> ;o ....,....�o`.
<br /> y San Joaquin County Environmental Health Department
<br /> Program
<br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record:
<br /> (209)468-3420
<br /> Program
<br /> 4<;Faa` www.sjogv.org/ehd Element:
<br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME
<br /> PR0536973 Jose Zuni a-no registration PRO540259 Bra an Lares-no BBP
<br /> PRO537653 Jesse Quezada-no registration Ruben Benitoes-no registration or BBP
<br /> PRO537490 Christo her Flores
<br /> PR0537547 Samuel Vasquez-need updated BBP
<br /> Observations and Corrective Actions:
<br /> 2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized
<br /> immediately after each procedure. HSC 119309
<br /> If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains
<br /> process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a)
<br /> 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization
<br /> shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and
<br /> temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the
<br /> sterilizer after a failed spore-test. HSC 119315(b)
<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 /> 9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309
<br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use
<br /> paper towels dispensed from a wall-mounted, touch less dispenser that is readily accessible to practitioner. HSC 119314(b)
<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 /> 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312
<br /> Reinspecion onlabout: A reinspection fee of$130 per hour may be charged. Page 2 of 3
<br /> EH-03/2015
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