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Q.0 <br /> Body Art Inspection Report <br /> Date: 6/20/22 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0537491 <br /> (209)468-3420 <br /> < www.siogv.org/ehd Program <br /> Element: 4120 <br /> Fac lity Name Address City Zip Code <br /> Pennanen- Makeup by Sara 318 E.Yosemite Ave Manteca 95336 <br /> Narne of P--rmit/Registration Holder Permit Exp. Date Time In Time Out Inspectioi Type <br /> Sara Price 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 GLEAMING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C <br /> Parts replaced between clients-grommets,elastic bands, <br /> F11. Autoclave: approved and effective-passed integrator test El 1:122. etc. ❑ <br /> Items was-)ed,disinfected, packaged, labeled,and <br /> F] 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 ® El <br /> El 5' a ro riately El ED <br /> used: Lysol Disinfectant Wipes <br /> Invoices and log kept for disposable, pre-sterilized <br /> ® 6. E] 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> ElSharps containe•s labeled, used,and disposed of ❑ <br /> ® 7' a ro riately El Wet contact time provided: <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. F1 El 26. Barriers used <br /> sterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating,d-inking 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 /> F-1 11. El El 30. Cross contamination avoided during all phases of procedure <br /> hot water <br /> ❑ 12. Hepatitis B vaccination ❑ 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 /> Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests,etc. in <br /> ❑ 14. used El ® 33. good repair ❑ <br /> CUSTOMERS/CLIENTS ® 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area [I El35. Operation and employee training records present ❑ <br /> ❑ 16. Customers eighteer (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 /> ® 18. F1 El 37. Permits obtained and available <br /> questionnaire <br /> F1 19. Appropriate aftercare instructions given to client El El38. Impoundment El <br /> MACHINE SAFET"AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Sa-e ma hire design ❑ ❑ 40. Closure El <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. El <br /> Received by(Print): Sara Price Received by(Signature): EMAILED Phone: 209-470-3785 <br /> Specialist Print): Pinne Chao Specialist(Signature): Phone:209-468-3854 <br /> Rei ispecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br /> lX <br />