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U <br />° BodyArt InspectionReport p Date: March 21, 2022 <br />m t San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0544790 <br />(209) 468-3420 <br />vP , w .sionv.ora/ehd Program <br />Element: 4120 <br />Facility Name Address City Zip Code <br />Salon De Belleza 5940 Pacific Ave. #C Stockton 95207 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Lorlie Ty 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 CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C <br />❑ 1. Autoclave: approved and effective - passed integrator test ❑ ❑ 22. Parts replaced between clients - grommets, elastic bands, Eletc. <br />El 2' Items washed, disinfected, packaged, labeled, and <br />sterilized ❑ PREVENTING 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 ElEl <br />appropriately <br />El El <br />used: <br />® <br />Invoices and log kept for disposable, pre -sterilized 6. <br />equipment ElEl25. Disinfectant used appropriately/sufficient contact time El <br />containers labeled, used, and disposed of <br />El 7' a ro riatel ❑ Wet contact time provided: <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and <br />El El 26. Barriers used Elsterilized <br />PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed 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 />Handwashing facilities properly supplied and accessible, <br />El warm water [I El30. Cross -contamination avoided during all phases of procedure E] <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />El 13. Bloodborne Pathogen training ® El 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 Workstation, surfaces, including chairs, armrests, etc. in <br />used El El 33. Workstation, <br />repair El <br />CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br />❑ <br />Branding is completed with no other customers in 15. rocedure area El 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 />El 18. <br />Client records approved and available - Consent form and ❑ <br />El El 37. Permits obtained and available <br />questionnaire <br />19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br />MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />❑ 20. Safe machine design El El 40. Closure ❑ <br />E]21. Machines cleaned and disinfected between clients El El 41. ❑ <br />Received by (Print): Lorlie Ty Received by (Signature): EMAILED '" Phone: 209-639-8889 <br />Specialist (Print): Sandip Singh Specialist (Signature): cScc+zayN-;29* Phone: 209-468-3526 <br />Reinspection onlabout: A reinspection fee of $152 per hour may be charged, Page 1 of 2 <br />EH -11/17 ^ <br />