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Body Art Inspecu(sReportZ 12 q <br /> Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> PROS N I4 21 <br /> (209)468-3420 Program 11( <br /> ,c N` www.siogv.ora/ehd ``�1 <br /> c;F•�...- Element: <br /> Facility Name Address City Zip Code <br /> Versailles Salon 1010 n central avenue Tracy 95376 <br /> Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Erica Green-Frese 6/30/19 Routine <br /> The above facility is inspected for compliance with Division 104,Part 15,Chapter 7 of California Health and Safety Code(HSG). <br /> V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C Nt. <br /> E SAFETY AND SANITATION(cont C <br /> F11 Autoclave:approved and effective-passed integrator El Elarts replaced between clients-grommets,elastic bands, Eltest tc. <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and El <br /> sterilized PREVENTING GROSS-CONTAMfNATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry rEl <br /> ❑ 23. Workstationtprocedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore testilog maintained ❑ 24. Appropriate chemical disinfectant usedDecontamination/sanitation area separated and supplied Chemical used: Cavi Wipes <br /> ❑ 5. appropriately <br /> ❑ 6 Invoices and log kept for disposable,pre-sterilized <br /> El 25. Disinfectant used appropriately/sufficient contact time <br /> ui ment <br /> Sharps containers labeled,used,and disposed of Wet contact time provided: 3 mins <br /> ❑ 7. appropriately <br /> El <br /> Jewelry,tattoo and piercing equipment-clean and El E] 26. Barriers used ❑ <br /> ❑ 8' sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27' asepticallyEl <br /> ❑ 9. No eating,drinking or smoking-clean clothes [I ❑ 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, ❑ ❑ 30 Cross-contamination avoided during all phases of ❑ <br /> warm water procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Body Art Training Group ❑ 32. Floors and walls clean and in good repair,adequate light E]❑ 14. Appropriate personal protective equipment available and El El Workstation,surfaces,including chairs,armrests,etc.in ❑ <br /> used good repair <br /> CUSTOMERSICLIENTS El 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. procedure area [I El 35. Operation and employee training records present El <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 /> Client records approved and available-Consent form <br /> ® 18. and El El37. Permits obtained and available <br /> uestionnaire ❑ <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 ❑ rEfl 41. ❑ <br /> Received b Print): Erica Green-Frese Received b (Si nature): Phone: 209 275-9133 <br /> Specialist(Print): Mai Vue Specialist Si nature): Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />