My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
ELM
>
24
>
4100 – Safe Body Art
>
PR0547967
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
4/10/2025 12:53:26 PM
Creation date
4/27/2023 1:37:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547967
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0027346
FACILITY_NAME
DIVINE EYE TATTOO & PERMANENT COSMETICS (VASQUEZ, STEVIE)
STREET_NUMBER
24
Direction
W
STREET_NAME
ELM
STREET_TYPE
ST
City
LODI
Zip
95240
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
24 W ELM ST LODI 95240
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
30
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br /> <br />Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 2 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 />R Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br />PR0541543 Stevie Vasquez (BBP exp. 08/14/2025) <br /> <br /> <br /> <br /> <br />Observations and Corrective Actions: <br /> <br />11. HSC 119314 - Handwashing facilities properly supplied and accessible, warm water <br />1. OBSERVATION: The trash bin next to the sink in the procedure area was not lined. <br />CORRECTIVE ACTION: This violation was corrected at the time of the inspection. <br /> <br />2. OBSERVATION: Both the men’s and women’s restrooms did not have hot water. <br />CORRECTIVE ACTION: Ensure that the restroom sinks are supplied with hot water. Notify the Environmental Health Department (EHD) once this has <br />been corrected and a reinspection will be scheduled to verify the sinks are in compliance. <br /> <br />18. HSC 119303 - Client records approved and available - Consent form and questionnaire <br />1. OBSERVATION: Client consent forms are inadequate. The consent forms are lacking the description of the procedure. <br />CORRECTIVE ACTION: This violation was corrected at the time of the inspection. Stevie uses electronic forms. The consent form was updated at the <br />time of the inspection. <br /> <br />2. OBSERVATION: The medical questionnaire did not address “other risk factors for blood borne pathogens”. <br />CORRECTIVE ACTION: This violation was corrected at the time of the inspection. Stevie uses electronic forms. The questionnaire was updated at the <br />time of the inspection. <br /> <br />33. HSC 119314 - Workstation, surfaces, including chairs, armrests, etc. in good repair <br />1. OBSERVATION: Decoration in the procedure area was made of absorbent material. <br />CORRECTIVE ACTION: This violation was corrected at the time of the inspection. The décor was removed from the procedure area. <br /> <br />35. HSC 119313 - Operation and employee training records present <br />1. OBSERVATION: The Infection Prevention Control Plan (IPCP) documented the incorrect medical waste hauler and did not adequately document a <br />response for a spill of sharps waste. <br />CORRECTIVE ACTION: This violation was corrected at the time of the inspection. The IPCP was updated while I was on site. <br /> <br /> <br /> <br /> <br /> Submit evidence of corrections to the EHD by <br />04/20/2025 <br /> <br /> <br /> <br />NOTES: <br />1. Inspection report emailed to facility owner, Stevie Vasquez, at divineeyeartwork@gmail.com <br />2. Reviewed ICPC. Ensure to keep training records for 3yrs. <br />3. Reviewed client consent forms, medical questionnaire, after-care instructions, and client records. <br />4. Reviewed sterilization certificates for Dragon Hawk needle cartridge lot number 10/2024 and Tattoo Express lot number 23-05. <br />5. The facility utilizes Rynocare for their sharps disposal. Reviewed records on site. Ensure to keep records for 3yrs. <br /> <br /> <br /> <br />
The URL can be used to link to this page
Your browser does not support the video tag.