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Body Art Inspectic2eport <br /> Date: Z' y 1 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: pOSLi 14 3 t <br /> (209)468-3420 <br /> °d�,FORp`4• www.siogv.org/ehd Program <br /> Element: Ll 1(Z'V <br /> Facility Name Address City Zip Code <br /> Renaissance Salon and Spa 111 n church st Lodi 95240 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Kristen Patterson 6/30/19 Routine <br /> The above facility is inspected for compliance with Division 104,Part 15,Chapter 7 of California Health and Safety Code(HSC). <br /> V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION(cont.) C <br /> F1 1 Autoclave:approved and effective-passed integrator E] E] 22 Parts replaced between clients-grommets,elastic bands, E]test etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> ❑ 2' sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ElEl 5' appropriately ❑ Chemical used: Tammy Taylor and Caviwipes <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6• ui ment El 25. Disinfectant used appropriately/sufficient contact time <br /> ❑ <br /> ® 7. Sharps containers labeled,used,and disposed of appropriately <br /> El [Wet contact time provided: 3 minutes,3 minutes <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 26. Barriers used ❑ <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27' ase tical) ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments,needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry,Inks,Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> El 11. warm water El ❑ 30' procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Biologix ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ 14. Appropriate personal protective equipment available and ❑ ❑ 33 Workstation,surfaces,including chairs,armrests,etc.in ❑ <br /> used ood repair <br /> CUSTOMERSfCLIENTS ❑ 34. Permittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El ® 35. Operation and employee training records present ❑ <br /> ® 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> ® 18 Client records approved and available-Consent form <br /> Eluestionnaire ❑ 37. Permits obtained and available <br /> and ❑ <br /> ® 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ E] 40. Closure r_1E] 21. Machines cleaned and disinfected between clients ❑1 ❑ 41. 1 ❑ <br /> Received by(Print): Kristen Patterson Received by(Signature): Fk_&AMPhone:(209)329-7846 <br /> Specialist(Print): Mai Vue Specialist(Signature): Phone: (209)468-3284 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />