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Body Art Inspection Report Date: March 31,2025' `.. San Joaquin County Environmental Health Department Program Q �, 1868 E.Hazelton Ave.,Stockton,CA 95205 ' 1 Record: PR0547909 (209)468-3420� Program _iii•R�'•- ?� www.siogv.org/ehd Element: 4120 - � Facility Name Address City Zip Code Ooh La!Lash&Brow Room 115 N.School St Lodi 95240 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Belen Diaz 06/30/2023 Routine The facility is inspected for compliance with Division 104, Part 15,Chapter 7 of California Health and Safety Code(HSC). V=Violation C=Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C HSC 119315-Autoclave:approved and effective-passed HSC 119311 -Parts replaced between clients-grommets, ❑ 1 integrator test ❑ ❑ 22 elastic bands,etc. ❑ ❑ HSC 119309-Items washed,disinfected, packaged,2' labeled,and sterilized ❑ PREVENTING CROSS-CONTAMINATION ❑ HSC 119315-Autoclave loaded correctly/packages 3. allowed to d ❑ ❑ 23. HSC 119309 Workstation/procedure area decontaminated ❑ HSC 119315-Integrators used/monthly spore test/log ❑ 4. El24. HSC 119301 -Appropriate chemical disinfectant used maintained ElHSC 119314-Decontamination/sanitation area separated ❑ ❑ 5' and supplied appropriately ❑ Chemical used: Caviwipes ❑ 6 HSC 119315-Invoices and log kept for disposable, pre- ❑ 25 HSC 119309-Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ HSC 119314-Sharps containers labeled, used,and ® 7' ro riatel ❑ Wet contact time provided: 3min disposed of a ❑ HSC 119310, 119315-Jewelry,tattoo and piercing 8. equipment-clean and sterilized El26. HSC 119314-Barriers used❑ El HSC 119311 -Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE El 27' use/dispensed asepticallyEl ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks, pigments, needles, Elclothes tubes,etc. ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 -Jewelry, Inks, Needles etc approved ❑ and used correct) ® HSC 119314-Handwashing facilities properly supplied and HSC 119308-Cross-contamination avoided during all 11. accessible,warm water ❑ ❑ 30' phases of procedure El ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES 13. HSC 119307-Bloodborne Pathogen training ❑ 31. HSC 119314-Areas separated/no living or sleeping quarters ❑ ❑ Source: Cathy Montie ❑ ❑ 32 HSC 119314-Floors and walls clean and in good repair, ❑ adequate light HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, ❑ 14. available and used El ❑ 33' armrests,etc.in good repair El CUSTOMERS/CLIENTS ❑ 34. HSC 119312-Permit/registration posted ❑ ❑ HSC 119309-Branding is completed with no other 35 HSC 119313-Operation and employee training records 15. customers in procedure area ❑ ® . resent El ❑ 16. HSC 119302-Customers eighteen(18)years of age or ❑ older COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312-Plan(s)submitted for review ❑ ® HSC 119303-Client records approved and available 18. questionnaire ❑ El37. HSC 119312-Permits obtained and available ElConsent form and HSC 119303, 119308-Appropriate aftercare instructions ❑ 19' El El38. HSC 119319-Impoundment Elgiven to client MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320-Hearing scheduled ❑ ❑ 20. HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320-Closure ❑ ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ ❑ 41. ❑ clients Received by(Print): Belen Diaz Received by(Signature): EMAILED Phone:209-329-2535 Specialist(Print): Vicky Vang-Lee Specialist(Signature): V+a V4-9-Lee Phone:209-616-3028 Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 1 of 2 EH-11/17