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Vl: - <br />r oo'\ Body Art Inspection Report Date: April 14 2022 <br />y ; San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0547622 <br />(209) 468-3420 <br />eq r• siogv.om/end Program <br />r.F;oS Element: 4120 <br />Facility Name Address City Zip Code <br />Ooh Lal Lash & Brow Room 104 N School St. Lodi 95242 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Belen Diaz 6/30/22 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 />❑ 1. Autoclave: approved and effective - passed integrator test ❑ ❑ 22 Pads <br />tc. replaced between clients - grommets, elastic bands, ❑ <br />e <br />❑ 2 Items washed, disinfected, packaged, labeled, and <br />sterilized ❑ PREVENTING CROSS -CONTAMINATION <br />❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br />❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br />❑ 5 Decontamination/sanitation area separated and supplied ❑ ❑ Chemical used: ❑ <br />appropriately <br />❑ 6 Invoices and log kept for disposable, pre -sterilized <br />equipment ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time Elaro <br />appropriately <br />El 7. Sharps containers labeled, used, and disposed of <br />El 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 ❑ ❑ 30. Cross -contamination avoided during all phases of procedure ❑ <br />❑ 12. Hepatitis B vaccination ❑ <br />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 and Workstation,: surfaces, including chairs, armrests, etc. in ❑ <br />used El El 33. <br />good repair <br />CUSTOMERS/CLIENTS ❑ 34. Permit/registration 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 ❑ 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 ❑ 11uestionnaire El37. 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 ❑ ❑ 41. ❑ <br />Received by (Pring: Belen Diaz Received by (Signature): <br />EMAILED <br />Phone 209-329-2535 <br />Specialist (Print): Sandip Singh <br />Specialist (Signature): <br />�,ed. Sut4/E <br />Phone: 209-468-3526 <br />Reinspection onlabout: <br />A reinspection fee of $152 <br />per hour may be charged. <br />Page 1 of 2 <br />EH -11/17 <br />