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°U'" Body Art Inspect* Report <br />�o \ <br />a, San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.siogv.org/ehd <br />,LyFORa` <br />PR Number <br />PRACTITIONERIARTIST NAME <br />PRO523951 <br />Melissa Santos - BBP Posted, Permit Posted <br />PR0537371 <br />Daniel Ju e - BBP Posted, Permit Posted <br />Frieda Lynn Per - BBP Posted, Sac County Permit <br />PR0537369 <br />Michael Wright - No BBP, Permit not Posted <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: <br />Program <br />Element: <br />PR Number PRACTITIONER/ARTIST NAME <br />PR0537374 Ricardo Cardenas - no longer here <br />1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be <br />accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. <br />HSC 119315(b) <br />4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization <br />shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and <br />temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br />sterilizer after a failed spore -test. HSC 119315(b) <br />5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br />cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br />towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <br />6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br />client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br />sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br />minimum of 90 days after use. HSC 119315(f) <br />7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br />and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br />13. Practitioner shall provide evidence of a completed, END approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. <br />19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in <br />Form B. HSC 119308(b) <br />28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from <br />dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if <br />condition is compromised. HSC 119315 <br />33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br />repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br />durable, and nonabsorbent finish. HSC 119314 <br />35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br />Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 <br />Reinspecion onlabout: A reinspection fee of $152 per hour may be charged. Page 2 of 3 <br />EH -11/17 <br />