Laserfiche WebLink
Body Art inspection Report <br />Date: <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 <br />February 6, 2023 <br />PR0541621 <br />www.siogv.org/ehd Program <br />Element: 4120 <br />Facility Name Address City Zip Code <br />Versailles Salon 1010 Central Ave. Tracy 95376 <br />Name of Permit/Registration Holder Permit Exp, Date Time In Time Out Inspection Type <br />Erica Green-Frese 6/30/23 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, ❑ <br />etc. <br />Items washed, disinfected, packaged, labeled, and <br />El 2' sterilized 1:1PREVENTING 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 El❑ <br />El 5' ❑ Chemical used: <br />appropriately <br />® 6 Invoices and log kept for disposable, pre -sterilized <br />❑ 25. Disinfectant used appropriately/sufficient contact time <br />equipment El ❑ <br />® <br />Sharps containers labeled, used, and disposed of 7' <br />appropriately ❑ Wet contact time provided: <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 />❑ 11. Handwashing facilities properly supplied and accessible, <br />warm water El El30. Cross contamination avoided during all phases of procedure El <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />® 13. Bloodborne Pathogen training El <br />31. Areas separated/no living or sleeping quarters El <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 ❑ 33' El repair <br />CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br />Branding is completed with no other customers in <br />El 15. rocedure area 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 El El 36, Plan(s) submitted for review ❑ <br />® 18 Client records approved and available - Consent form and ❑ <br />El El 37. Permits obtained and available <br />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 by (Print): Erica Green-Frese Received by (Signature): EMAILED Phone: 209-275-9133 <br />Reinspection on/about: A reinspection fee of $156 per hour may be charged. <br />EH -11/17 <br />Page 1 of 3 <br />