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MEDICAL WAS TII&SPECTION REPORT S J L2 I q Q. San Joaquin County Environmental Health Department Program nn _ 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: S SLI f (209)468-3420 Program www.siogv.org/ehdL153L1 Element: Facility Name Address City Zip Code DaVita Stockton Kidney Center 1523 a march lane Stockton 95210 Facility Contact Title Phone Number Email Inspection Type Janet Reyes Facility Administrator 209-472-3300 janete.reyes@da Routine vita.com The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). Registration Treatment HSC 117890-No LOG shall generate medical waste unless❑ HSC 118130-All onsite medical waste treatment facilities shall 1" registered with the EA. El 17' be permitted by the EA. ❑ HSC 117950-LOG shall register with the EA prior to 2" generating medical waste. El18. HSC 118165-All treatment records shall be kept for 3 years. ❑ HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to 3" medical waste. El 19' this section. HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be ❑ 4. register with the EA. ❑ 20. disposed of by interment,incineration,or an approved alternative. HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated under the MOT exemption. by incineration or an approved alternative. HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this EJ 6" issured by the EA. El 22" section. ❑ HSC 117890-LOG shall notify EA 72 hours prior to 7. Containment/Storage participating in temporary event. ❑ HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8" participating in temporary event. ❑ 23" in this section. HSC 118275-Medical,biohazardous,sharps,trace chemo, Records/Documentation ® 24 pathology,or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ❑ 25 HSC 118280- Biohazard bags shall be containerized and stored pursuant to this section. HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored El 10" 2& treatment and shipping and tracking records for 3 years. ❑ " pursuant to this section. ❑ 11 HSC 117945-SQG not required to register shall maintain HSC 118295-Containers shall be washed and decontaminated information document and transportation records for 3 ears. ❑ 27' p y pursuant to this section. ❑ 12. HSC 117960-LOG shall file MWMP with the EA. ❑ 28 HSC 118305- Reuseable drums or conainters used for medical waste shall not be used for other storage. HSC 117975-LOG shall maintain treatment and shipping and HSC 118307- Intermediate storage area shall be secured and ❑ 13. tracking documents for 2 years. ❑ 29" marked with proper signage. Transportation ❑ 30. HSC 118310-Designated accumulation area shall be secured and marked with proper signage. ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other ❑ 15. HSC 117976-MOT exemption requirements for LOG. ❑ 31. ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. Received by: Print: Janet Reyes �Sin : �� Phone:209-472-3300 Specialist: Print: J.Easter Si natur� Phone: 209-953-7310 Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 EH-11/17 j