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0ovo <br />Bod Art Ins ection Re ort y p p Date: March 2, 2022 <br />2{San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0547507 <br />(209)468-3420 <br />•vxrv,�.sloay.oro/ehd Program <br />.- Element: 4120 <br />Facility Name Address city Zip Code <br />Bella Vita Beauty Bar 125 N Main St. Manteca 95336 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Cassandre Uecker 6/30/22 Routine <br />The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safely Code (HSC). <br />V = Violation C = Corrected On Site <br />V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C <br />Parts replaced between clients - grommets, elastic bands, <br />El 1. Autoclave: approved and effective - passed integrator test El El 22. etc. ❑ <br />Items washed, disinfected, packaged, labeled, and <br />F1 2. sterilized El 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 />Decontamination/sanitation area separated and supplied ElChemicalused: El <br />El 5' <br />appropriately <br />El <br />Invoices and log kept for disposable, pre -sterilized <br />El g. ❑El25. Disinfectant used appropriately/sufficient contact time ❑ <br />equipment <br />❑ <br />Sharps containers labeled, used, and disposed of 7" ❑ Wet contact time provided: <br />appropriatelyJewelry, tattoo and piercing equipment - clean and <br />❑ 8' sterilized El El 26- Barriers used El <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 />Handwashing facilities properly supplied and accessible, <br />❑ 11. El El 30. Cross -contamination avoided during all phases of procedure <br />warm water <br />❑ 12. Hepatitis B vaccination ElBESTBUSINESS PRACTICES <br />13. Bloodborne Pathogen training El El 31. Areas separated/no living or sleeping quarters El <br />❑ Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />❑ 14 Appropriate personal protective equipment available and ❑ ❑ 33 Workstation, surfaces, including chairs, armrests, etc. in ❑ <br />used good repair <br />CUSTOMERS/CLIENTS ❑ 34. Permitfregistration posted ❑ <br />Branding is completed with no other customers in <br />❑ 15. rocedure 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 />® <br />Client records approved and available - Consent. toren and ❑ <br />questionnaire <br />1S' L1 El 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 ❑ ❑ 41. ❑ <br />Received by (Print)' Cassandra Decker Received by (Signature): Emailed Phone: 209-603-2176 <br />Specialist (Print): Sandip Singh Specialist (Signature)•Sn.d* &'i,;t Phone: 209-468-3526 <br />Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />