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-�- <br />�° `.hoc Body Art Inspection Report Date: May 12, 2021 <br />�' � San Joaquin County Environmental Health Department Program <br />tsse E. Hazelton Ave., Stockton, CA s52os Record: PR0544030 <br />(209) 468-3420 <br />• O P• .siopy.orp/ehd Program <br />4�ae.o� NY Element: 4120 <br />Facility Name Address City Zip Cade <br />Flow Yoga &Wellness Studio 145 W. Tenth St. Ste 200 Tracy 95376 <br />Name of PermiVRegistration Holder Permit Exp. Date Time In Time Oul Inspection Type <br />Silvia Kruse 6/30/21 Routine <br />The abovefacility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). <br />v = v�„iar�nn c = c,,..P�rPd nn caro <br />V <br />CLEANING AND STERILIZATION <br />C <br />V <br />MACHINE SAFETY AND SANITATION cont. <br />C <br />❑ <br />1. <br />Autoclave: approved and effective -passed integrator test <br />❑ <br />❑ <br />22. Parts replaced between clients -grommets, elastic bands, <br />etc. <br />❑ <br />❑ <br />2' <br />Items washed, disinfected, packaged, labeled, and <br />stedlized <br />❑ <br />PREVENTING CROSS -CONTAMINATION <br />❑ <br />3. <br />Autoclave loaded correctly/packages allowed to dry <br />❑ <br />❑ <br />23. <br />Workstation/procedure area decontaminated <br />❑ <br />❑ <br />4. <br />Integrators used/monthly spore test/log maintained <br />❑ <br />❑ <br />24. <br />Appropriate chemical disinfectant used <br />❑ <br />❑ <br />5' <br />Decontamination/sanitation area separated and supplied <br />a ro riatel <br />❑ <br />Chemical used: <br />® <br />6. <br />Invoices and log kepi for disposable, pre -sterilized <br />e ui ment <br />❑ <br />❑ <br />25. <br />Disinfectant used appropriately/sufficient contact time <br />❑ <br />❑ <br />7" <br />Sharps containers labeled, used, and disposed of <br />a ro riatel <br />❑ <br />Wet contact time provided: <br />❑ <br />8 <br />Jewelry, tattoo and piercing equipment -clean and <br />sterilized <br />❑ <br />❑ <br />26. <br />Bartiers used <br />❑ <br />PRACTITIONER HEALTH AND HYGIENE <br />❑ <br />27. <br />Products applied to skin are single use/dispensed aseptically <br />❑ <br />❑ <br />9. <br />No eating, drinking or smoking -clean clothes <br />❑ <br />❑ <br />28. <br />Storage of inks, pigments, needles, tubes, ete. <br />❑ <br />❑ <br />10. <br />Hands washed effectively and timely <br />❑ <br />❑ <br />29. <br />Jewelry, Inks, Needles etc approved and used correctly <br />❑ <br />® <br />71. <br />Handwashing facilities properly supplied and accessible, <br />warm water <br />❑ <br />❑ <br />30. <br />Cross -contamination avoided during all phases of procedure <br />❑ <br />❑ <br />12. <br />Hepatitis B vaccination <br />❑ <br />BEST BUSINESS PRACTICES <br />® <br />13. <br />Bloodborne Patho en trainin <br />® <br />31. <br />Areas se crated/no livin or Slee in uarters <br />❑ <br />Source: <br />❑ <br />� <br />32. <br />Floors and walls clean and in good repair, adequate light <br />❑ <br />❑ <br />14. <br />Appropriate personal protective equipment available and <br />used <br />❑ <br />❑ <br />33' <br />Workstation, surtaces, including chairs, armrests, etc. in <br />ood re air <br />❑ <br />CUSTOMERSICLIENTS <br />❑ <br />34. <br />PermiUregistration posted <br />❑ <br />❑ <br />15. <br />Branding is completed with no other customers in <br />rocedure area <br />❑ <br />® <br />35. <br />Operation and employee training records present <br />❑ <br />❑ <br />16. <br />Customers eighteen (18) years of age or older <br />❑ <br />COMPLIANCE AND ENFORCEMENT <br />❑ <br />17. <br />Skin adequately prepared for procedure <br />❑ <br />❑ <br />36. <br />Plans) submitted for review <br />❑ <br />® <br />18. <br />Client records approved and available -Consent form and <br />uestionnaire <br />❑ <br />❑ <br />37. <br />Permits obtained and available <br />❑ <br />❑ <br />19. <br />Appropriate aftercare instructions given to client <br />❑ <br />❑ <br />38. <br />Impoundment <br />❑ <br />MACHINE SAFETY AND SANITATION <br />❑ <br />39. <br />Hearing scheduled <br />❑ <br />❑ <br />20. <br />Safe machine design <br />❑ <br />❑ <br />40. <br />Closure <br />❑ <br />❑ <br />21. <br />Machines cleaned and disinfected between clients <br />❑ <br />❑ <br />41. <br />❑ <br />Received by (Print): Silvia Kruse Received by (Signature): EMAILED Phone: 209-481-2576 <br />Specialist (Pring: Sandip Singh Specialist (Signature): Phone: 209-468-3526 <br />Reinspection onlabout: A relnspectton fee of $152 per hour ntay be charged. Page 1 pf 3 <br />EH -11/17 <br />