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a° o Body Art Inspection Report Date: June 9, 2021 a San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: SR0083738 (209) 468-3420 • Vin . w .sicay.ora/ehd Program Element: 4103 Facility Name Address City Zip Code Sonia Salon 277 N Main St. Manteca 95336 Name of PermlURegistration Holder Permit Exp. Date Time In Time Out Inspection Type Nicholette VonMarkle Consultation The above 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 El i . Autoclave: approved and effective - passed integrator test El [:122 Parts replaced between clients - grommets, elastic bands, Eletc. ❑ 2 Items washed, disinfected, packaged, labeled, and sterilized ❑ PREVENTING CROSS-CONTAMINATION ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used ❑ 5 Decontamination/sanitation area separated and supplied ElElappropriately El El used: ® 6 Invoices and log kept for disposable, pre-sterilized equipment ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time ❑ ❑ 7 Sharps containers labeled, used, and disposed of ❑ Wet contact time provided: appropriately ❑ 8 Jewelry, tattoo and piercing equipment - clean and sterilized ❑ ❑ 26. Barriers used ❑ PRACTITIONER HEALTH AND HYGIENE _ ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ ❑ 9. No eating , drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ ❑ 10. Hands washed effectively.and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ ® 11 Handwashing facilities properly supplied and accessible, warm water ❑ ❑ 30. Cross-contamination avoided during all phases of procedure ❑ ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES ® 13. Bloodborne Pathogen training ❑ ❑ 31 . Areas separated/no living or sleeping quarters ❑ Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ ❑ 14 Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in ❑ used ❑ ❑ 33' good repair CUSTOMERS/CLIENTS ❑ 34. Permittregistration posted ❑ ❑ 15. Branding is completed with no other customers in procedure area ❑ ❑ 35. Operation and employee training records present ❑ ❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ❑ ❑ 18 Client records approved and available - Consent form and ❑ questionnaire ❑ ❑ 37. Permits obtained and available ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ ❑ 21 . Machines cleaned and disinfected between clients ❑ ❑ 41 . ❑ Received by (Print): Nicholette VonMarkle Received by (Signature): Emailed Phone: 209-407-7274 Specialist (Print): Sandip Singh Specialist (Signature): Phone: 209-468-3526 Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 1 of 2 EHA 1117