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,o;-" Co\ Body Art Inspection Report Date: 6/20/22 N {I San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0537491 \ (209)468-3420 www.sioov.oro/ehd Program Element: 4120 PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME PR0537492 Sara Price(BBP exp.6/19/23 PR0547789 Cynthia Perales(BBP exp.6/10/23 Observations and Corrective Actions: 6. A facility that uses sincle use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of p-ocedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The -ecord of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f)—The invoice and sterilization certificate for instruments NOUVEAU CARTRIDGE 7-FOUNDS LOT#2021-22-150 and TINA DAVIES HARMONY MICROBLADE LOT# 195-208 were not available. Provide EHD with the invoice and sterilization certificates for the instruments. 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation o'proper disposal shall be maintained for 3 years. HSC 119314(e)—Sharps waste is not picked up annually and disposal receipt was not available at the time of inspection. Ensure that sharps waste is picked up annually. 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303—Client consent form was not available at the time of inspection. Ensure that client records are avaiable to review during a routine inspection and that records are maintained for up to 3 years. 24. Disinfectant shall have ability to reduce or eliminate the presence of disease-causing microorganisms, including HIV and hepatitis B virus. HSC 119301(k)— Disinfectant used is Lysol Disinfecting wipes. Ensure that appropriate disinfectant is used. Provide EHD with photographic proof of appropriate disinfectant used. Correct IMMEDIATELY. 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, durable, and nonabsorbent finish. HSC 119314— Holes on the wall near the procedure table and absorbent curtain was near procedure:able. Repair/patch holes and paint with nonabsorbent finish. Replace window curtain with nonabsorbent material. Provide EHD with photographic proof of corrections. 34. Certificate of registration and health permit shall be posted in a conspicuous place. HSC 119306 and 119312— Health permit was not posted at time of inspection. Ensure that health permit is posted at all times. Provide EHD with photographic proof of posted health permit. Reinspection on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 3 EH-11/17 LC