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Body Art Inspean Report pate: ' San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: S 12008 SZ c.. F (209)468-3420 Program jl FnRwww.sioov.org/ehd Element: �Y /03 PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME Taryn Wagner Observations and Corrective Actions: 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)-Obtain sterilization certificates from manufacturer, Madluv. Be sure to have lot number indicated on the certificate for each batch ordered. 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste"or with the biohazard symbc 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)-Provide documentation for sharps disposal with mail back system to the EHD. 28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if condition is compromised. HSC 119315 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-Decorative pieces within five feet of procedure area must be smooth, nonabsorbent,and capable of being disinfected. 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-Provide the EHD with signed,dated IPCP. Keep updated IPCP on site,accessible to all staff. Notes: 1) Provide the EHD with sterilization certificates for blades. 2) Provide the EHD with sharps disposal documentation with mail back system. 3) Submit a completed,signed,dated Infection Prevention and Control Plan to the EHD. Unless otherwise noted correct all violations prior to final inspection. Contact the EHD when ready for the final inspection. Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of EH-11/17