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SR0085619
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4100 – Safe Body Art
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SR0085619
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Entry Properties
Last modified
11/19/2024 10:19:58 AM
Creation date
8/11/2023 4:23:40 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085619
PE
4103
FACILITY_NAME
IN BLOOM TATTOO & PIERCING STUDIO
STREET_NUMBER
18
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95377
APN
23517130
ENTERED_DATE
8/4/2022 12:00:00 AM
SITE_LOCATION
18 E ELEVENTH ST STE B
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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Body Art Inspection Report Date: August 10, 2022 <br />c San Joaquin County Environmental Health Department <br />N { Program <br />1868 E. Hazelton Ave., Stockton, CA 95295 <br />(209)468-3429 Record: SR0085619 <br />vP • w .sioay.om/ehd Program <br />IF Element: 4103 <br />Facility Name Address City Zip Code <br />InBloom Tattoo and Piercing Studio 18 E 111h St. #B Tracy 95377 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Amanjit Dhanoya Consultation <br />The above facility is inspected for compliance with Division 104, Pad 15, Chapter 7 of California Health and Safety Code (HSC) <br />u = viniaenn c = r rrPrrPH nn Rap <br />V <br />CLEANING AND STERILIZATION <br />C <br />V <br />MACHINE SAFETY AND SANITATION cont. <br />C <br />❑ <br />1. <br />Autoclave: approved and effective - passed integrator test <br />❑ <br />❑ <br />22 <br />Parts replaced between clients -grommets, elastic bands, <br />etc. <br />❑ <br />❑ <br />2. <br />Items washed, disinfected, packaged, labeled, and <br />sterilized <br />❑ <br />PREVENTING CROSS -CONTAMINATION. <br />® <br />3. <br />Autoclave loaded correctly/packages allowed to dry <br />❑ <br />❑ <br />23. <br />Workstation/procedure area decontaminated <br />❑ <br />® <br />4. <br />Integrators used/monthly spore testllog maintained <br />❑ <br />El <br />24. <br />Appropriate chemical disinfectant used <br />El <br />El <br />5'I <br />Decontamination/sanitation area separated and supplied <br />appropriately <br />❑ <br />Chemical used: <br />El <br />6. <br />Invoices and log kept for disposable, pre -sterilized <br />equipment <br />ElEl25. <br />Disinfectant used appropriately/sufficient contact time <br />I -]Sharps <br />❑ <br />7' <br />containers labeled, used, and disposed of <br />a ro riatel <br />❑ <br />Wet contact time provided: <br />❑ <br />8 <br />Jewelry, tattoo and piercing equipment - clean and <br />sterilized <br />El <br />El <br />26. <br />Barriers used <br />❑ <br />PRACTITIONER HEALTH AND HYGIENE <br />❑ <br />27, <br />Products applied to skin are single useldispensed aseptically <br />❑ <br />❑ <br />9. <br />No eating, drinking or smoking - clean clothes <br />❑ <br />❑ <br />28. <br />Storage of inks, pigments, needles, tubes, etc. <br />❑ <br />❑ <br />10. <br />Hands washed effectively and timely <br />❑ <br />❑ <br />29, <br />Jewelry, Inks, Needles etc approved and used correctly <br />❑ <br />® <br />11 <br />Handwashing facilities properly supplied and accessible, <br />warm water <br />FI <br />El30. <br />Cross -contamination avoided during all phases of procedure <br />El <br />❑ <br />12. <br />Hepatitis B vaccination <br />❑ <br />BEST BUSINESS PRACTICES <br />® <br />13. <br />Bloodborne Pathogen training <br />❑ <br />® <br />31. <br />Areas separated/no living or sleeping quarters <br />❑ <br />Source: <br />32. <br />Floors and walls clean and in good repair, adequate light <br />❑ <br />El <br />14. <br />Appropriate personal protective equipment available and <br />used <br />El <br />® <br />33" <br />Workstation, surfaces, including chairs, armrests, etc. in <br />good repair <br />El <br />CUSTOMERS/CLIENTS <br />❑ <br />34. <br />Perm! Ureg(stration posted <br />❑ <br />El <br />15. <br />Branding is completed with no other customers in <br />rocedure area <br />El® <br />35. <br />Operation and employee training records present <br />El <br />❑ <br />16. <br />Customers eighteen (18) years of age or older <br />❑ <br />COMPLIANCE AND ENFORCEMENT <br />❑ <br />17. <br />Skin adequately prepared for procedure <br />❑ <br />® <br />36. <br />Plan(s) submitted for review <br />❑ <br />® <br />18. <br />Client records approved and available - Consent form and <br />El® <br />37. <br />Permits obtained and available <br />Eluestionnaire <br />® <br />19. <br />Appropriate aftercare instructions given to client <br />❑ <br />❑ <br />38. <br />Impoundment <br />❑ <br />MACHINE SAFETY AND SANITATION <br />❑ <br />39. <br />Hearing scheduled <br />❑ <br />❑ <br />20. <br />Safe machine design <br />❑ <br />❑ <br />40. <br />Closure <br />❑ <br />❑ <br />21. <br />Machines cleaned and disinfected between clients <br />❑ <br />❑ <br />41. <br />❑ <br />Received by (Print): Amanjit Dhanoya Received by (Signature): Emailed Phone: 209-835-8413 Pr <br />SpecialistSandip Singh Specialist (Signature): .5'n �� �s� Phone: 209-468-3526 <br />Reinspection <br />A reinspection fee of $156 per hour may be charged. <br />Page 1 of 4 <br />EH -11/17 <br />
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