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i° o <br />Body Art Inspection Report Dafe: October 25, 2021 <br />y� San Joaquin County Environmental Health Department Program <br />1956 E. Hazelton Ave., Stockton, CA 95205 Record: PR0544030 <br />(209)468-3420 <br />gip'• www sioev.ora/and PfOgram <br />[cao. � Element: 4120 <br />Facility Name Address City Zip Code <br />Flow Yoga &Wellness Studio 145 W Tenth St. # 200 Tracy 95376 <br />Name of PenhitlRegistration Holder Permif Exp. Date Time In Time Out Inspection Type <br />Silvia Kmse Reinspection <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 Sile <br />V CLEANING AND STERILIZATION G V MACHINE SAFETY AND SANITATION cont. C <br />Parts replaced between clients -grommets, elastic bands, <br />❑ 1. Autoclave: approved and effective -passed integrator test ❑ ❑ 22. etc. ❑ <br />Items washed, disinfected, packaged, labeled, and <br />❑ 2' sterilized ❑ PREVENTING CROSS -CONTAMINATION <br />❑ 3. Autoclave loaded correctlylpackages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br />❑ 4. Integrators used/monthly spore tesUlog maintained ❑ 24. Appropriate chemical disinfectant used <br />Decontamination/sanitation area separated and supplied ❑ ❑ <br />❑ 5' a ro dalel ❑ Chemical used: <br />Invoices and log kept for disposable, pre -sterilized <br />❑ 6. ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time ❑ <br />e u( ment <br />Sharps containers labeled, used, and disposed of <br />❑ 7" a ro riatel ❑ Wet contact timeprovided: <br />❑ 8 Jewelry, tattoo and piercing equipment -clean and ❑ ❑ 26. Barriers used ❑ <br />sterilized <br />PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <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, <br />❑ 11. warm water ❑ ❑ 30. Cross -contamination avoided during all phases of procedure ❑ <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />13. Bloodborne Pathogen training ❑ 31. Areas separatedlno living or sleeping quarters ❑ <br />❑ Source: ❑ ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />Appropriate personal protective equipment availahle and Workstation, surtaces, including chairs, armrests, etc. in <br />❑ 14. used ❑ ❑ 33' cod re air ❑ <br />CUSTOMERSICLIENTS ❑ 34. PermiVregislralion posted ❑ <br />Branding is completed with no other customers in <br />❑ 15. rocedure area ❑ ❑ 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 far procedure ❑ ❑ 36. Plans) submitted for review ❑ <br />Client records approved and available -Consent form and <br />❑ 18. uestionnaire ❑ ❑ 37. Permits obtained and available ❑ <br />❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br />MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br />❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br />Received by (Print) Silvia Kruse Received by (Signature): Emailed Phone: 20981-2578 <br />Specialist (Print)' Sandip Sinqh Specialist (Si naturep 5'pyt�p- �iica,� Phone 209-468-3526 <br />Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br />EH -71/17 <br />