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Body Art Inspe�n Report Date: <br /> Ito <br /> .� San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: P <br /> V. <br /> (209)468-3420 Program <br /> ' '•......'•'N`P wyrw.siogy.orq/ehd /e <br /> <<F oa Element: 7� } <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Breanna Ostrander <br /> Rosalva Zapata <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(0-Contact Madluv for sterilization certificate for blades. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP)shall be maintained, followed and updated. HSC 119313-Corrected on site. <br /> Provide EHD with a copy of the updated,signed IPCP. <br /> Notes: <br /> 1) Provide EHD with the sterilization certificate for Madluv blades. <br /> 2) Provide EHD with the updated,signed IPCP. <br /> 3) Registration pending for facility permit and practitioner permits. <br /> Facility operations approval contingent upon completion of facility permit registration and both practitioner <br /> registrations Upon receipt of the facility and practioner permits post in a conspicuous place Contact the EHD with <br /> any further questions. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of <br /> EH-11/17 <br />