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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0547931
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COMPLIANCE INFO
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Entry Properties
Last modified
8/28/2023 4:07:18 PM
Creation date
8/28/2023 4:00:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547931
PE
4120
FACILITY_ID
FA0027330
FACILITY_NAME
PRETTY OBSESSED BOUTIQUE (PRECIADO, RAYNELLE)
STREET_NUMBER
147
Direction
W
STREET_NAME
ALDER
STREET_TYPE
ST
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
147 W ALDER ST
P_LOCATION
01
QC Status
Approved
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Tags
EHD - Public
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BodyArt Inspection Report <br />G P p Date: 8/30/22 <br />San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PROxxxxxx <br />(209) 468-3420 <br />�P • www.siogv.orglehd Program <br />Element: 4120 <br />Facility Name Address City Zip Code <br />Pretty Obsessed Boutique 147 W. Alder St Stockton 95204 <br />Name of Permit/Registration Holder Permit Exp, Date Time In Time Out Inspection Type <br />Raynelle Preciado Routine <br />The above facility is inspected for compliance with Division 104, Part 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 test El El22. etc. El <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 test/log maintained ❑ 24. Appropriate chemical disinfectant used <br />Decontamination/sanitation area separated and supplied El❑ <br />❑ 5. appropriately El El <br />used: <br />❑ <br />Invoices and log kept for disposable, pre -sterilized 6. ❑El25. Disinfectant used appropriately/sufficient contact time Elequipment <br />Sharps containers labeled, used, and disposed of <br />F1 7' ElWet contact time provided:�Kiaw <br />appropriate) <br />❑ <br />Jewelry, tattoo and piercing equipment - clean and 8. El El 26, Barriers used <br />sterilized <br />PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br />❑ 9. No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ <br />❑ 10. Hands washed effectively and timely [I ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br />❑ <br />Handwashing facilities properly supplied and accessible, 11. ElEl❑ 30. Cross -contamination avoided during all phases of procedure <br />hot water <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />❑ 13. Bloodborne Pathogen trainingElElEl31. Areas separated/no living or sleeping quarters <br />Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />❑ <br />Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in 14. used El ❑ 33' good repair El <br />CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br />Branding is completed with no other customers in <br />El 15. El El 35. Operation and employee training records present <br />procedure area <br />❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br />F117. Skin adequately prepared for procedure El E]'36. Plan(s) submitted for review ❑ <br />Client records approved and available - Consent form and <br />El 18. El El 37, Permits obtained and available <br />questionnaire <br />❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br />MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br />❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br />Received by (Print): Raynelle Preciado Received by (Signature): EMAILED Phone: 510-828-3244 <br />Specialist (Print): Pinne Chao Specialist (Signature): Phone: 209-468-3854 <br />Reinspection onlabout: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />
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