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a°U.N� <br />°' Body Art Inspection Report Date: October 28, 2021 <br />{; San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: New PR# <br />(209) 468-3420 Program <br />www.siogv.org/ehd <br />RLQ�c?i Element: 4120 <br />Facility Name Address City Zip Code <br />Peaches and Cream 902 Central Ave. #5 Tracy 95376 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Kylie Colvin 6/30/22 Routine <br />The above facility is inspected for compliance with Division <br />104, <br />Part 15, <br />Chapter 7 of California Health and Safety Code (HSC). <br />V = Violation <br />C = <br />Corrected On Site <br />V <br />CLEANING AND STERILIZATION <br />C' <br />V <br />MACHINE SAFETY AND SANITATION cont. <br />C <br />❑ <br />1. <br />Autoclave: approved and effective -passed integrator test <br />El <br />El <br />22. <br />22. <br />replaced between clients - grommets, elastic bands, <br />Eletc. <br />❑ <br />2. <br />Items washed, disinfected, packaged, labeled, and <br />❑ <br />sterilized <br />PREVENTING CROSS -CONTAMINATION <br />❑ <br />3. <br />Autoclave loaded correctly/packages allowed to dry <br />❑ <br />❑ <br />23. <br />Workstation/procedure area decontaminated <br />❑ <br />❑ <br />4. <br />Integrators used/monthly spore test/log maintained <br />❑ <br />24. <br />24. <br />Appropriate chemical disinfectant used <br />El <br />5' <br />Decontamination/sanitation area separated and supplied <br />❑ <br />Chemical used: <br />appropriately <br />❑ <br />6. <br />Invoices and log kept for disposable, pre -sterilized <br />❑ <br />Disinfectant used appropriately/sufficient contact time <br />ui ment <br />El <br />El <br />Ele <br />El <br />7' <br />Sharps containers labeled, used, and disposed of <br />❑ <br />Wet contact time provided: <br />a ro riatel <br />❑ <br />8. <br />Jewelry, tattoo and piercing equipment - clean and <br />❑ <br />El <br />26. <br />Barriers used <br />sterilized <br />PRACTITIONER HEALTH AND HYGIENE <br />❑ <br />27. <br />Products applied to skin are single use/dispensed aseptically <br />❑ <br />❑ <br />9. <br />No eating, drinking or smoking - clean clothes <br />❑ <br />28. <br />Storage of inks, pigments, needles, tubes, etc. <br />El <br />El <br />Hands washed effectively and timely <br />El <br />29. <br />Jewelry, Inks, Needles etc approved and used correctly <br />E]Handwashing <br />El <br />11. <br />facilities properly supplied and accessible, <br />❑ <br />r0l <br />30. <br />Cross -contamination avoided during all phases of procedure <br />❑ <br />warm water <br />❑ <br />12. <br />Hepatitis B vaccination <br />❑ <br />BEST BUSINESS PRACTICES <br />13. <br />Bloodborne Pathogen training <br />❑ <br />31. <br />Areas separated/no living or sleeping quarters <br />❑ <br />❑ <br />❑ <br />Source: <br />❑ <br />32. <br />Floors and walls clean and in good repair, adequate light <br />❑ <br />El <br />14. <br />Appropriate personal protective equipment available and <br />El <br />❑ <br />33' <br />Workstation, surfaces, including chairs, armrests, etc. in <br />El <br />used <br />good repair <br />CUSTOMERS/CLIENTS <br />❑ <br />34. <br />Perm it/registration posted <br />❑ <br />E] <br />15. <br />Branding is completed with no other customers in <br />❑ <br />❑ <br />35. <br />Operation and employee training records present <br />ElEl16. <br />procedure area <br />Customers eighteen (18) years of age or older <br />❑ <br />COMPLIANCE AND ENFORCEMENT <br />F117. <br />Skin adequately prepared for procedure <br />❑ <br />❑ <br />36. <br />Plan(s) submitted for review <br />❑ <br />® <br />18. <br />Client records approved and available - Consent form and <br />❑ <br />❑ <br />37. <br />Permits obtained and available <br />E]uestionnaire <br />❑ <br />19. <br />Appropriate aftercare instructions given to client <br />❑ <br />❑ <br />38. <br />Impoundment <br />❑ <br />MACHINE SAFETY AND SANITATION <br />❑ <br />39. <br />Hearing scheduled <br />❑ <br />❑ <br />20. <br />Safe machine design <br />❑ <br />❑ <br />40. <br />Closure <br />❑ <br />❑ <br />21. <br />Machines cleaned and disinfected between clients <br />❑ <br />❑ <br />41. <br />❑ <br />Received by (Print): Jenna Spadafore Received by (Signature): Emailed Phone: 209-814-8411 <br />Specialist (Print): Sandip Singh Specialist (Signature): �-o ��� - 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 />