Laserfiche WebLink
.c <br /> Body Art Inspect Report Date: (2 <br /> '�'pq........ 0. <br /> 2 2 <br /> San Joaquin County Environmental Health Department Program (� ? <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: V �Z(5�J a I I 1 <br /> (209)468-3420 <br /> ` Program <br /> 4 <br /> C...c;FORe+�p•/ www.sogy.org/ehd Element: y ZO <br /> Facility Name Address City Zip Code <br /> Permanent Makeup by Sara 318 e.yosemite ave Manteca 95336 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Sara Price(Silva) 6/30/17 Initial 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 ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 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 /> ElDecontamination/sanitation area separated and supplied <br /> El 5. ElChemical used: Barbicide(spray/wipes) <br /> a ro riatel <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6. ElEl25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> El <br /> Sharps containers labeled,used,and disposed of <br /> ® 7' ap ropriatel El [Wet contact time provided: 1 min <br /> Jewelry,tattoo and piercing equipment-clean and <br /> 7 1 <br /> El 8. E] El 26. Barriers used <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27' 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 ❑ ❑ j 29. Jewelry, Inks,Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> El 11 warm water El ❑ 30' procedure El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Cathie Montie ® 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and 33Workstation,surfaces,including chairs,armrests,etc. in <br /> ❑ 14. used ❑ ❑ ' good repair <br /> El <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> ❑ <br /> Branding is completed with no other customers in 15. rocedure area El ® 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 <br /> ® 18. and questionnaire <br /> ❑ El 37. Permits obtained and available El <br /> ® 19. Appropriate aftercare instructions given to client ❑ El 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION El 39. Hearing scheduled El <br /> El Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ r. ❑ <br /> Received b (Print): Sara Price Received by(Signature): Phone: 209 824-7252 <br /> Specialist(Print): Har rit Mattu,Sr REHS Specialist(S nature): Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />