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0o U <br /> o� Body Art Inspection Report Date: November 18, 2021 <br /> y < San Joaquin County Environmental Health Department Program <br /> 1969 E. Hazelton Ave., Stockton, CA 95205 Record: New PR# <br /> (209) 468-3420 <br /> `p 4' • w .sioay.ora/ehd Program <br /> r,Fo tJ' Element: 4120 <br /> Facility Name Address City Zip Code <br /> Flawless Ink Studios 227 N Main St Manteca 95336 <br /> Name of Permit/Regislration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Nicholette Von Markle 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 /> Pads replaced between clients - grommets, elastic bands, <br /> ❑ 1 . Autoclave: approved and effective - passed Integrator test ❑ ❑ 22, etc. ❑ <br /> Items washed, disinfected, packaged, labeled, and <br /> ❑ 2' sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore lest/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ ❑ <br /> ❑ 5' <br /> appropriately ❑ Chemical used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> ❑ 6. ❑ El El Disinfectant used appropriately/sufficient contact time Elequipment <br /> Sharps containers labeled, used, and disposed of <br /> ❑ 7' ElWet contact time provided: <br /> appropriately <br /> Jewelry, tattoo and piercing equipment - clean and <br /> El 8' [10 26. Barriers used ❑ <br /> sterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> El9. No eating, drinking or smoking - clean clothes El El28. Storage of inks, pigments, needles, tubes, etc. ❑ <br /> El10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, <br /> ❑ 11 . warm water ❑ ❑ 30. Cross-contamination avoided during all phases of procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbome Pathogen training ❑ ❑ 31 . Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation, surfaces., including chairs, armrests, etc. in <br /> El 14. used El ❑ 33' 00d repair 1-1 <br /> CUSTOMERSICLIENTS ❑ 34. Permittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. procedure area ❑ ❑ 35. Operation and employee training records present El <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 /> Client records approved and available - Consent form and <br /> El 18. uestionnaire EJ 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 El 41 . ❑ <br /> Received by (Print): Nicholelte Von Markle Received by (Signature): Phone: 209-407-7274 <br /> Specialist (Print): Sandip Singh Specialist (Signature): q'j ' Phone: 209-468-3526 <br /> Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />