My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SR0085223
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
G
>
GEORGETOWN
>
4545
>
4100 – Safe Body Art
>
SR0085223
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/11/2023 4:04:23 PM
Creation date
8/11/2023 3:54:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085223
PE
4103
FACILITY_NAME
DEVINE BEAUTY LOUNGE
STREET_NUMBER
4545
STREET_NAME
GEORGETOWN
STREET_TYPE
PL
City
STOCKTON
Zip
95207
APN
11023013
ENTERED_DATE
5/3/2022 12:00:00 AM
SITE_LOCATION
4545 GEORGETOWN PL STE F32
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
s° c0a Body Art Inspection Report Dale: May 18, 2022 <br />y < San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: SR0085223 <br />(209)468-3429 <br />�P • w .sioev.om/ehd Program <br />'.aFoa Element: 4103 <br />Facility Name Address City Zip Code <br />Devine Beauty Lounge 4545 Georgetown Place #F32 Stockton 95207 <br />Name of PermillRegistration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Christian Hernandez Consultation <br />The above facility is inspected for compliance with Division 104, Pad 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 />Parts replaced between clients - grommets, elastic bands, <br />❑ 1. Autoclave: approved and effective -passed integrator lest ❑ ❑ 22. etc. ❑ <br />Items washed, disinfected, packaged, labeled, and <br />❑ 2' sterilized El CROSS -CONTAMINATION <br />❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br />❑ 4. Integrators used/monthly spore tesUlog maintained ❑ 24. Appropriate chemical disinfectant Used <br />Decontamination/sanitation area separated and supplied ❑ ❑ <br />❑1 5'1 appropriately ❑ I Chemical used: <br />Invoices and log kept for disposable, pre -sterilized <br />❑ 6. ❑1125. Disinfectant usedapproprtafely/suffcient contact time Elequipment <br />Sharps containers labeled, used, and disposed of <br />❑ 7' ElWet contact time provided: <br />appropriately❑ 8 Jewelry, tattoo and piercing equipment - clean and ❑ ❑ 26. Barriers used ❑ <br />sterilized <br />PRACTITIONER HEALTH AND HYGIENE ®2T Products applied to skin are single use/dispensed aseptically El <br />❑9. No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ <br />❑ 10. Hands washed effectively and timely El❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br />Handwashing facilities properly supplied and accessible, <br />❑ 11. warm water ❑ El 30, Cross -contamination avoided during all phases of procedure ❑ <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />❑ 13. Bloodborne Pathogen training <br />El <br />31. Areas separated/no living or sleeping quarters ❑ <br />Source: ® 32. Floors and walls clean and in good repair, adequate light ❑ <br />Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in <br />E] 14. used El ❑ 33' good repair ❑ <br />CUSTOMERSICLIENTS El 34. Permitiregistration posted ❑ <br />Branding is completed with no other customers in <br />❑ 15. rocedure area ❑ ® 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. Plants) submitted for review ❑ <br />Client records approved and available - Consent form and <br />❑ 18. questionnaire <br />❑ ❑ 37. Permits obtained and available El <br />❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br />MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />❑ 20. Safe machine designA <br />❑ 40. Closure. El <br />❑ 21. Machines cleaned and disinfected between clients ❑ 41. ❑ <br />Received by (Print): Christian Hernandez Received by (Signature): EMAILED Phone: 714-926-3384 <br />Specialist (Print)' Sandip Singh Specialist (Signature): a' f Phone: 209-458-3526 <br />Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />
The URL can be used to link to this page
Your browser does not support the video tag.