My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
ELEVENTH
>
18
>
4100 – Safe Body Art
>
PR0547918
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 10:19:27 AM
Creation date
5/1/2023 1:27:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547918
PE
4121
FACILITY_ID
FA0027320
FACILITY_NAME
IN BLOOM TATTOO & PIERCING STUDIO (DHANOYA, AMANJIT)
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
18 E ELEVENTH ST STE B
P_LOCATION
03
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
38
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
UI -. <br />° coG Body Art Inspection Report Date: August 19 2022 <br />ySan Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205. <br />(209) 468-3420 Record: NewPR* <br />�P w .sioov.omleha Program <br />Element: 4121 <br />Facility Name Address City Zip Code <br />In Bloom Tattoo and Piercing Studio 18 E 11" St. #B Tracy 95377 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Amanjit Dhanoya 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 />El1. Autoclave: approved and effective -passed integrator test [I El 22 Parts replaced between clients - grommets, elastic bands, <br />Eletc. <br />❑ 2 Items washed, disinfected, packaged, labeled, and Elsterilized PREVENTING CROSS -CONTAMINATION <br />❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br />❑ 4. Integrators used/monthly spore testllog maintained ❑ 24. Appropriate chemical disinfectant used <br />❑ 5 Decontamination/sanitation area separated and supplied El El <br />T6O7appropriately ❑ Chemical used: <br />Invoices and log kept for disposable, pre -sterilized <br />e ui ment El25. Disinfectant used appropriately/sufficient contact time <br />Sharps containers labeled, used, and disposed of El El <br />ar)DroDriateiv ❑ Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />sterilized ❑ ❑ 26. Barriers used ❑ <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 30. Cross -contamination avoided during all phases of procedure El <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />13. Bloodborne Pathogen training❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br />Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />❑ 14. Appropriate personal protective equipment available andEl ❑ 33 Workstation, surfaces, including chairs, armrests, etc. in El <br />o0d repair <br />CUSTOMERS/CLIENTS ❑ 34. Permillregistratlon posted ❑ <br />❑ 15 Branding is completed with no other customers in <br />procedure area ❑ ❑ 35. Operation and employee training records present ❑ <br />❑ 16. Customers eighteen (18) years of age or older ❑ <br />COMPLIANCE AND ENFORCEMENT <br />❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ❑ <br />® 18. Client records approved and available - Consent form and <br />questionnaire ❑ ❑ 37. Permits obtained and available ❑ <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 ❑ ❑ q1, ❑ <br />Received by (Print): Amanjit Dhanoya Received by (Signature): Emailed Phone: 209-835-8413 <br />Specialist (Print): Sandlp Singh Specialist (Si nature):`A Phone: 209-468-3526 <br />/ <br />Reinspection on/about: A reinspection fee of $156 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />
The URL can be used to link to this page
Your browser does not support the video tag.