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SR0085959
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4100 – Safe Body Art
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SR0085959
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Last modified
8/22/2023 12:39:01 PM
Creation date
8/22/2023 11:46:26 AM
Metadata
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Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
SR0085959
PE
4103
STREET_NUMBER
4525
STREET_NAME
QUAIL LAKES
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
11222003
ENTERED_DATE
10/27/2022 12:00:00 AM
SITE_LOCATION
4525 QUAIL LAKES DR STE A
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Body Art Inspection Report Date: <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: <br />(209) 468-3420 <br />www.siogv.org/ehd Program <br />Element: <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />Jamie Sanchez (BBP ex . 1/24/23 <br />Observations and Corrective Actions: <br />PR Number I PRACTITIONER/ARTIST NAME <br />November 21. 2022 <br />SR0085959 <br />4103 <br />6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br />client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br />sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br />minimum of 90 days after use. HSC 119315(f) — A sterilization certificate and invoice were not available for the Midas <br />blades with lot number QJ02TI21 and the Vertix needles with lot number 220412. Provide EHD with sterilization <br />certificates and invoices for the instruments mentioned. <br />11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br />paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) — <br />The paper towel dispenser at the procedure area sink was not touchless, the faucet was leaking and a power strip was <br />observed behind the leaking faucet. Ensure the paper towel dispenser in the procedure area is touchless, repair the <br />leak and remove/ relocate the power strip. <br />18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br />available for inspection. HSC 119303 — The client consent form and medical questionnaire were not available. Provide the <br />client consent form and medical questionnaire to the EHD for review. <br />32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br />The body art facty shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceng to <br />floor, from nail and hair activities and be separated from all business not related to body art. Approval of co -located body art <br />facilities are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br />procedure area shall have lined waste containers. HSC 119314 & 119317 — There were gaps between the floor and <br />baseboard, holes in the wall (next to the procedure room doorway and the window), and cracks observed in wall <br />corners. Repair the holes and seal the gaps/ cracks. <br />33. All surf <br />aces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br />repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br />durable, and nonabsorbent finish. HSC 119314 —An absorbent window curtain was observed in the procedure room. <br />Ensure all objects in the procedure room are nonabsorbent. <br />35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br />Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 —The facility is <br />currently using Sani-cloth for disinfectant, the IPCP mentions only Madacide. Update the IPCP to include Sani-cloth. <br />Submit all corrections to the EHD by December 5, 2022 and pay all applicable fees <br />prior to scheduling the routine inspection. <br />Reinspection on/about: A reinspection fee of $156 per hour may be charged. Page 2 of 3 <br />EH -11/17 <br />
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