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c f'ti <br /> �Q Body Art Inspects Report Date: IIIyI19 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: p�o5`i'�O37 <br /> P (209)468-3420 Program <br /> c;FQR�� www.sioay.org/ehd Element: <br /> Facility Name Address City Zip Code <br /> Salon Two Twenty 220 s.church st. Lodi 95240 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Celena Phelan 6/30/19 Routine/Final <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 /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ ❑ 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 El <br /> [:1 5' a ropriatel E] Chemical used: Barbicide <br /> Invoices and log kept for disposable,pre-sterilized <br /> [:1 6. ❑ El 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> ElSharps containers labeled, used,and disposed of <br /> ® 7' <br /> appropriately <br /> ® [Wet contact time provided: 10 min <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. ❑ ❑ 26. Barriers used <br /> sterilized ❑ <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEA 4 AND HYGIENE -127. aseptically El <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 /> ❑ 11. warm water 1:1 ❑ 30. procedure El <br /> 77777"- <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINE_ ":PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Abovetraining.com ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ <br /> Appropriate personal protective equipment available and Workstation, surfaces, including chairs,armrests,etc.in 14. used El ❑ 33' good repair <br /> E] <br /> CUSTOMERS CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15. ❑ ❑ 35. Operation and employee training records present <br /> procedure area ❑ <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ <br /> CO dE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> [j 18. iEl 37. Permits obtained and available Eland uestionnare <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment44W ❑ <br /> a. W x <br /> NE SAFETY ANb$ANITATION ., ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Taryn Wagner Received b (Signature): OW1 Phone: 707 365-1097 <br /> Specialist(Print): Navjot Sahota Specialist(Signature): Phone: (209)468-3178 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />