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Address: Ooh La! Lash and Brown Room, 115 N School, Lodi 95240 Record ID: PR0547909 <br /> Date: 03-31-2025 Program: Body Art <br /> PHOTO 12 & 13: Disinfection procedures inconsistent with labeling on the Caviwipes packaging <br /> FnewlY <br /> terilization of Jewelry:Describe the procedure for the sterilization of jewelry prior to placing into <br /> pierced skin. <br /> Procedure for an Accidental Spill:Describe the clean-up and disinfection procedure taken when <br /> there is an accidental spill of sharps or biohazardous waste. <br /> S <br /> terilization Equipment:List the equipment used in the decontamination and sterilization room <br /> and describe the procedure for decontaminating instruments prior to placing inside the autoclave. `n uou <br /> "Nov� avLL �a rI Sit o{�,pro f\ar S <br /> Indicate whether instruments are manually washed or machine washed,such as with an Q.PTras Recepefac�l s and ais�osal of c�n mmated rash: ist the type o trash receptac es and <br /> Ultrasonic machine. Include the material used for soaking dirty instruments in the machine, their location throughout the body art facility. Describe the procedure for the disposal of u <br /> such as Tergazyme. 1\` contaminated items,such as gloves. \ <br /> \ 1 � <br /> K. Disinfection Products:List the disinfectant products used at the body art facility. R. Negative/Failed Spore Test: Describe the procedure conducted when a monthly spore test <br /> has failed. <br /> L. Time and Temperature:List the duration of time and temperature of the autoclave required for <br /> the sterilization of clean instruments. Maintain a copy of this document in your files. Submit one copy to the local enforcement agency. <br /> ` I hereby certify that to the best of my knowledge and belief,the statements made herein are correct <br /> Time <br /> Temperature V and true. <br /> Psi <br /> M. Personal Protective Equipment: List the personal protective equipment used during a body art Signature:`, 't 1 a �' EDUAR.A Date: — <br /> procedure. <br /> O _S o r\ <br /> N. Handwashing Sink:List the locations of the handwash sinks and describe the items supplied at <br /> each sink. <br /> a 4-6-Q -o- A�_94 <br /> i <br /> O. Aftercare Procedure:Describe the written recommendations and care provided to the client after <br /> a body art procedure. List the type of bandages or wrappings provided after a body art <br /> Pr ure. <br /> �u <br /> _1J3Aa S2"M>z\'% 0 \nut'nt.1u a-3 mc4S. a l <br /> J(u1 3 0; t10 "ir'L6 at�O ',tx� �1p brows &A I �rt age 5 of 9 <br /> AVold � -3 x""k tk�r4 or n0(tWsuft. 1-d�.�� oQ voikk I\A YJ <br /> Tao?_�'oir dins IjX' 0o"py s L` a N o S5 oc Scx��c <br /> Pie <br /> dz.KL4.b(o ws. <br /> Vicky Vang-Lee, REHS Page 10 of 10 <br />