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Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 3 of 4 EH-11/17 Body Art Inspection Report San Joaquin County Environmental Health Department 1868 E. Hazelton Ave., Stockton, CA 95205 (209) 468-3420 www.sjogv.org/ehd Date: 06/18/2025 Program Record: PR0547918 Program Element: 4120 CORRECTIVE ACTION: Toilet facilities shall be equipped with a sink supplied with hot and cold running water, containerized liquid soap, and single-use paper towels that are dispensed from a wall-mounted, touchless dispenser. Discontinue the use of the counter-top paper towel dispenser and restock the wall-mounted paper towel dispenser. Submit photos to the EHD. #18. HSC 119303 - Client records approved and available - Consent form and questionnaire OBSERVATION: 1. Brianna – some client records were missing the medical questionnaire. 2. Koedy – some client records are missing the client’s signature and/or artist name 3. Piercing client records – all records are missing lot numbers. Some records are missing minor IDs and/or guardian IDs 4. Piercing consent forms – missing statement regarding the permanent nature of the procedure 5. Piercing medical questionnaire – missing questions regarding (1) allergies to latex, (2) allergies to antibiotics, (3) current medications, (4) requirements for antibiotics prior to surgery or dental procedures, (5) other risk factors of bloodborne pathogens CORRECTIVE ACTION: 1. Prior to the performance of body art, the client shall receive, complete, and sign a questionnaire. Implement moving forward. 2. Prior to the performance of body art, the client shall read, complete, and sign an informed consent form. Implement moving forward. 3. Ensure to document lot numbers of all pre-sterilized instruments used for each procedure, and IDs for minors and guardians for all piercings. Implement moving forward. 4. Update the piercing consent forms and submit the revised copy to the EHD. 5. Update the piercing medical questionnaire and submit the revised copy to the EHD. #32. HSC 119314 - Floors and walls clean and in good repair, adequate light OBSERVATION: 1. The floor in Koedy’s procedure area and outside Kyle’s procedure room is damaged. 2. The wall in the piercing station has peeling paint. 3. The doorway into Natalie’s room has holes. CORRECTIVE ACTION: 1. A body art facility shall have floors and walls that are smooth, nonabsorbent, free of open holes and washable. Repair the damaged floors. Submit photos to the EHD. 2. Repair with gloss finish paint. Submit photos to the EHD. 3. Repair holes in the walls. Submit photos to the EHD. #33. HSC 119314 - Workstation, surfaces, including chairs, armrests, etc. in good repair OBSERVATION: The procedure chair in the piercing station is damaged. CORRECTIVE ACTION: Repair (patching not acceptable) or replace the procedure chair and submit photos to the EHD. #35. HSC 119313 - Operation and employee training records present OBSERVATION: Infection Prevention Control Plan (IPCP) training records were missing for Carlos Hernandez and James (Mikey) Langley. CORRECTIVE ACTION: Provide IPCP training to Carlos and James and submit the training record to the EHD. #37. HSC 119312 - Permits obtained and available OBSERVATION: James (Mikey) Langley is currently registered as a practitioner with Stanislaus County. Per the piercing client records on-site, James has performed piercings in San Joaquin County for more than 5 consecutive days and more than 15 days total this calendar year. CORRECTIVE ACTION: A valid and current registration issued by a local enforcement agency shall be valid in any other jurisdiction for no more than 5 consecutive days, or 15 days total, in any one calendar year. James’ Stanislaus County registration is no longer valid outside of their jurisdiction. James must register as a practitioner in San Joaquin County immediately.