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Body Art InspeL...,n Report <br />5.-• ��� •-:�. , Date: <br />San Joaquin County Environmental Health Department Program <br />Record: � <br />1868 E. Hazelton Ave., Stockton, CA 95205 S Q.b (7 r] U� <br />s<yJP,�' (209) 468-3420 <br />. Program <br />•�i;�,,•�i;i�`www.sio4v.or4�ehd 1 <br />Element: � 1 03 <br />Facility Name Address City Zip Code <br />Flawlous 806 w, lodi ave. Lodi 95240 <br />Name of Permit/Registration Holder Permit Exp, Date Time In Time Out Inspection Type <br />Kell Degenstein Initial Consult. <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 Parts replaced between clients III, grommets, elastic bands, <br />test 11 ❑ 22' etc. <br />❑ 2 Items washed, disinfected, packaged, labeled, and <br />sterilized 1:1PREVENTING 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 />❑ 5 Decontamination/sanitation area separated and supplied El <br />appropriately ❑ Chemical used: <br />® 6 Invoices and log kept for disposable, pre-sterilized <br />equipment El El25, Disinfectant used appropriately/sufficient contact time <br />® <br />71 Sharps containers labeled, used, and disposed of Ela ro riatel El Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />sterilized El [126. Barriers used El <br />El 27, Products applied to skin are single use/dispensed ElPRACTITIONER HEALTH AND HYGIENE 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 ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br />® 11. Handwashing facilities properly supplied and accessible, ❑ ❑ 30 Cross-contamination avoided during all phases of ❑ <br />warm water procedure <br />❑ 12. Hepatitis B vaccination ❑ <br />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 />❑ 14 Appropriate personal protective equipment available and ❑ ❑ 33 Workstation, surfaces, including chairs, armrests, etc. in El <br />good repair <br />CUSTOMERS/CLIENTS ® 34. Perm it/registration posted ❑ <br />❑ 15. Branding is completed with no other customers in <br />rocedure 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 />® <br />180 Client records approved and available - Consent form <br />and uestionnaire El 37. Permits obtained and available El <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 ❑ ❑ 41. ❑ <br />Keli <br />in Escotto, Sr REHS <br />natu <br />Phone: <br />556-3281 <br />468-3178 <br />Reinspecion on/about: A reinspection fee of $130 per hour may be charged. Page 1 of 2 <br />EH -03/2015 <br />