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A4U'" Body Art InspectiReport Date: IS ? San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: Q S�t9�3y (209)468-3420 Program 4rFo Nri www.siogv.org/ehd LiI-LI Element: PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME PRO540033 Angel U ante PRO537406 Ulices Carmona PRO540050 Felix Saavedra Observations and Corrective Actions: 1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. HSC 119315(b) 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the sterilizer after a failed spore-test. HSC 119315(b) 5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f) 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste"or with the biohazard symbol and the word"Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) Cw1,r c+4 W-tI/is 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303 *tot fcc+A (0/L►Ifs 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in Form B. HSC 119308(b)k, (WV,_JM 0121 (IS 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, durable, and nonabsorbent finish. HSC 119314 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infection Prevention and Control Plan (IPCP)shall be maintained, followed and updated. HSC 119313 Notes: 1. There are 3 registered practitioners. There can only be 2 practitioners for every 1 handwashing sink. Facility was instructed to install another handwashing sink. Unless otherwise noted, Corrective Action Due in 30 days. Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 EH-03/2015