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*W , <br /> Body Art Inspiti ion ReportDate: �ZZ/I�San Joaquin County Environmental Health Departmentram <br /> Pro1868 E.Hazelton Ave.,Stockton,CA 95205 gRecord:(209)468-3420 Program www.siogv.orq/ehd Element: L4 <br /> Facility Name Address City Zip Code <br /> Lash Bar and Beauty Studio 802 w.lodi ave. Lodi 95240 <br /> Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Taylor Mulrooney 6/30/18 Routine <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 Parts replaced between clients-grommets,elastic bands, [ <br /> test El ❑ 22' etc. <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and <br /> sterilized El 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 [ <br /> ❑ 5" a ro riatel ❑ Chemical used: Cav"Nvipes,Cavicide,EZ-Kill <br /> ❑ 6 Invoices and log kept for disposable,pre-sterilized <br /> equipment El El25. Disinfectant used appropriately/sufficient contact time <br /> ❑ 7 Sharps containers labeled,used,and disposed of [ <br /> a ropriatel ❑ Wet contact time provided: 1 min,5 min <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and <br /> sterilized El El26. Barriers used [ <br /> ❑ 27 Products applied to skin are single use/dispensed [ <br /> PRACTITIONER HEALTH AND HYGIENE 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 /> ❑ 11. Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of [ <br /> warm water El ❑ 30. procedure <br /> ❑ 12. Hepatitis B vaccination ❑ <br /> BEST BUSINESS PRACTICES <br /> ,E] 13. Bloodborne Pathogen training ❑ 31. Areas separated/no living or sleeping quarters [ <br /> Source: Biologix,Abovetraining.com,Body Art Training ❑ <br /> Group ❑ 32. Floors and walls clean and in good repair,adequate light [ <br /> ❑ 14. Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc. in [ <br /> used El ❑ 33. good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Perm ittregistration posted [ <br /> ❑ 15 Branding is completed with no other customers in <br /> rocedure area [:1 ® 35. Operation and employee training records present E: <br /> ® 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review [ <br /> ® 18 Client records approved and available-Consent form ❑ ❑ 37. Permits obtained and available [ <br /> and questionnaire <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 b (Print): Taylor Mulrooney Received by(Signature): �UjkNone: 209 712-8345 <br /> Specialist(Print): Nav'ot Sahota Specialist(Signature): Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of <br /> EH-11/17 <br />