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<br /> <br />Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 1 of 2 <br />EH-11/17 <br /> Body Art Inspection Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sjogv.org/ehd <br /> <br />Date: 03/20/2025 <br />Program <br />Record: PR0547967 <br />Program <br />Element: 4120 <br /> <br /> <br />The facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site <br />V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C <br /> 1. HSC 119315 - Autoclave: approved and effective - passed <br />integrator test 22. HSC 119311 - Parts replaced between clients - grommets, <br />elastic bands, etc. <br /> 2. HSC 119309 - Items washed, disinfected, packaged, <br />labeled, and sterilized PREVENTING CROSS-CONTAMINATION <br /> 3. HSC 119315 - Autoclave loaded correctly/packages <br />allowed to dry 23. HSC 119309 - Workstation/procedure area decontaminated <br /> 4. HSC 119315 - Integrators used/monthly spore test/log <br />maintained <br />24. HSC 119301 - Appropriate chemical disinfectant used <br /> <br /> 5. HSC 119314 - Decontamination/sanitation area separated <br />and supplied appropriately Chemical used: Cavicide <br /> 6. HSC 119315 - Invoices and log kept for disposable, pre- <br />sterilized equipment <br />25. HSC 119309 - Disinfectant used appropriately/sufficient <br />contact time <br /> 7. HSC 119314 - Sharps containers labeled, used, and <br />disposed of appropriately Wet contact time provided: 5m <br /> 8. HSC 119310, 119315 - Jewelry, tattoo and piercing <br />equipment - clean and sterilized 26. HSC 119314 - Barriers used <br /> PRACTITIONER HEALTH AND HYGIENE 27. HSC 119311 - Products applied to skin are single <br />use/dispensed aseptically <br /> 9. HSC 119309 - No eating, drinking or smoking - clean <br />clothes 28. HSC 119309, 119311 - Storage of inks, pigments, needles, <br />tubes, etc. <br /> 10. HSC 119308 - Hands washed effectively and timely 29. HSC 119310, 119311 - Jewelry, Inks, Needles etc approved <br />and used correctly <br /> 11. HSC 119314 - Handwashing facilities properly supplied and <br />accessible, warm water 30. HSC 119308 - Cross-contamination avoided during all <br />phases of procedure <br /> 12. HSC 119306 - Hepatitis B vaccination BEST BUSINESS PRACTICES <br /> <br />13. HSC 119307 - Bloodborne Pathogen training <br /> 31. HSC 119314 - Areas separated/no living or sleeping quarters <br /> Source: 32. HSC 119314 - Floors and walls clean and in good repair, <br />adequate light <br /> 14. HSC 119308 - Appropriate personal protective equipment <br />available and used 33. HSC 119314 - Workstation, surfaces, including chairs, <br />armrests, etc. in good repair <br /> CUSTOMERS/CLIENTS 34. HSC 119312 - Permit/registration posted <br /> 15. HSC 119309 - Branding is completed with no other <br />customers in procedure area 35. HSC 119313 - Operation and employee training records <br />present <br /> 16. HSC 119302 - Customers eighteen (18) years of age or <br />older COMPLIANCE AND ENFORCEMENT <br /> 17. HSC 119308 - Skin adequately prepared for procedure 36. HSC 119312 - Plan(s) submitted for review <br /> 18. HSC 119303 - Client records approved and available - <br />Consent form and questionnaire 37. HSC 119312 - Permits obtained and available <br /> 19. HSC 119303, 119308 - Appropriate aftercare instructions <br />given to client 38. HSC 119319 - Impoundment <br /> MACHINE SAFETY AND SANITATION 39. HSC 119320 - Hearing scheduled <br /> 20. HSC 119311 - Safe machine design 40. HSC 119312, 119317, 119320 - Closure <br /> 21. HSC 119311 - Machines cleaned and disinfected between <br />clients 41. <br />Received by (Print): Andrew Soldana Received by (Signature): EMAILED Phone: 209-408-5790 <br />Specialist (Print): Vicky Vang-Lee Specialist (Signature): Vicky Vang-Lee Phone: 209-616-3028 <br />Facility Name Address City Zip Code <br />Divine Eye Tattoo & Permanent Cosmetics 24 W. Elm St #E Lodi 95240 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Stevie Rae Vasquez 06/30/2025 Routine