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>° �� Body Art Inspection Report Date: March 3, 2022 <br />aSan Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: New PR # <br />(209)468-3420 <br />w .sioay.org/ehd Program <br />4ce:o `' Element: 4120 <br />Facility Name Address City Zip Code <br />Colorful Addictions 24 E Tenth St. Tracy 95367 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Dan Wilson and William Huggins 6/30/22 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 test ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, Eletc. <br />Items washed, disinfected, packaged, labeled, and <br />El 2' 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 />❑ 5 Decontamination/sanitation area separated and supplied ❑ ❑ <br />❑ Chemical used: <br />appropriately <br />® 6 Invoices and log kept for disposable, pre -sterilized <br />equipment ment ❑ El El Disinfectant used appropriately/sufficient contact time El❑ 7 Sharps containers labeled, used, and disposed of <br />appropriately ❑ Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />❑ El 26. Barriers used Elsterilized <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 ❑ El29. Jewelry, Inks, Needles etc approved and used correctly El <br />❑ 11. Handwashing facilities properly supplied and accessible, <br />warm water FO❑ 30. Cross -contamination avoided during all phases of procedure E] <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />El ED <br />Bloodborne Pathogen training EDElEl31. Areas separated/no living or sleeping quarters <br />Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in <br />E) 14. used El El33'good repair ❑ <br />CUSTOMERSICLIENTS ❑ 34. Permit/registration posted ❑ <br />Branding is completed with no other customers in <br />❑ 15. rocedure area El El 35. Operation and employee training records present 11 <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 and <br />uestionnaire ❑ El37. 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): Dan Wilson and William Huggins Received by (Signature): Emailed Phone: 209-834-5322 <br />Specialist (Print): Sandip Singh Specialist (Signature): U 47w" , Phone: 209-468-3526 <br />O <br />Reinspection on/about: A reinspection fee of $152 per hour may be charged./_\ Page 1 of 2 <br />EH -11/17 tv <br />