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Body Art Inspection Report Date: March 31,2025' <br /> San Joaquin County Environmental Health Department Program <br /> Q' <br /> _ 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> ' 1 Record: PR0547909 <br /> (209)468-3420 Program <br /> www.sioov.org/ehd Element: 4120 <br /> R Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0547621 Belen Diaz(BBP exp.03/08/2026 <br /> Observations and Corrective Actions: <br /> V. HSC 119314 -Sharps containers labeled, used, and disposed of appropriately <br /> OBSERVATION: The procedure area did not have a sharps waste container. Per Belen, she had it picked up recently and is still <br /> waiting for her new sharps waste container to arrive. <br /> CORRECTIVE ACTION: Place a sharps waste container in the procedure area. A sharps waste container shall meet all the <br /> requirements listed in HSC 119314 (e). <br /> #11. HSC 119314- Handwashing facilities properly supplied and accessible, warm water <br /> OBSERVATION: The handwash sink in the procedure area was not supplied with containerized liquid soap. <br /> CORRECTIVE ACTION: Supply the procedure area handwash sink with containerized liquid soap. Submit photos to the <br /> Environmental Health Department(EHD). <br /> #18. HSC 119303 -Client records approved and available -Consent form and questionnaire <br /> OBSERVATION: The medical questionnaire does not ask about all current medications. <br /> CORRECTIVE ACTION: Update the medical questionnaire to include information regarding client medications and submit a <br /> copy to the EHD. <br /> #35. HSC 119313 -Operation and employee training records present <br /> OBSERVATION: The Infection Prevention Control Plan (IPCP) includes disinfection procedures that are not consistent with the <br /> Caviwipe disinfection directions listed on the label. <br /> CORRECTIVE ACTION: Update the IPCP to ensure proper disinfection procedures per the manufacturer's guidelines and <br /> submit the revised IPCP to the EHD. <br /> Submit evidence of corrections to the EHD by <br /> 04/30/2025. <br /> NOTES: <br /> 1. The inspection report was emailed to the facility owner Belen Diaz, belensbrowrm((Dg mail.com <br /> 2. Reviewed the client consent forms, medical questionnaire, and after-care instructions. <br /> 3. Reviewed the IPCP. Ensure to provide training annually and keep records for 3 years. <br /> 4. Reviewed sterilization certification for Beauty Angels Academy needle lot#BAA082021. <br /> 5. Sharps waste disposal is provided by Sharps Compliance. Ensure to keep disposal records for 3 years. <br /> 6. Per Belen, she has not performed any body art procedures since the beginning of 2023. Belen states she anticipates to <br /> start again once she has paid and received her permits. <br /> 7. The facility and practitioner has unpaid permit fees. Immediately pay the outstanding balance. <br /> a. HSC 119312: A body art facility shall not conduct business without a valid health permit. <br /> b. HSC 119306: (a)A person shall not perform body art at any location other than a permitted permanent or <br /> temporary body art facility. (b)A person shall not perform body art if he or she is not registered with the local <br /> enforcement agency. <br /> Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />