Laserfiche WebLink
°"`" Y P Body Art Ins eca Report <br /> �oDate: 10/31119 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 'FRO 374 W O <br /> •`o (209)468-3420 Program <br /> Fod` wwwsiogv.org/ehd Element: J4/a <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Esau Mendoza(BBP exp. 10-13-20) <br /> PR0539116 Permit and BBP posted Linda Hernandez-Guest Artist(BBP exp.8-6-20 <br /> Carlos Vargas(BBP exp. 10-13-20) <br /> PRO544526 Permit and BBP posted <br /> Joseph Sandoval(BBP exp. 10-13-20) <br /> PR0544540 Permit and BBP posted <br /> Phillip Mendoza(BBP exp. 10-13-20) <br /> Permit and BBP posted <br /> Observations and Corrective Actions: <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)—The record of purchase and sterilization certificates were not available for <br /> the equipment used by Esau or Linda. Provide purchase records and sterilization certificates to the EHD. <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)—The client consent forms of Carlos and Linda did not have the lot number <br /> for the needle/cartridge used.Attach or write the lot numbers of the equipment used on the client consent forms. <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—A chair in the procedure area is torn. Repair the torn chair. <br /> All corrections are due by November 14, 2019. <br /> NOTES: <br /> 1. Linda Hernandez is a guest artist from Sacramento County.She has a current BBP issued from Biologix and a <br /> current permit from Sacramento County. <br /> 2. Medical/Biohazard Waste Disposal is the company used for sharps disposal. Last pick-up was on 6-7-19. <br /> 3. Provide current Infection Prevention Control Plan training record to the EHD. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />