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Body Art Inspection Report <br />Date: August 1, 2023 <br />y1, San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0548601 <br />(209) 468-3420 <br />,C •_ P' www.sio_qy.org/ehd Program <br />-_ Element: 4120 <br />Facility Name Address City Zip Code <br />Ink'd Beauty Lounge 5759 Pacific Ave #208 Stockton 95207 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Arriane Torres 6/30/24 Final Inspection <br />The above facility is inspected for compliance with Division <br />V = Violation <br />104, <br />Part <br />C = <br />15, Chapter 7 of California Health and Safety Code (HSC). <br />Corrected On Site <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 />El <br />El <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 />El <br />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 test/log maintained <br />❑ <br />El <br />24. <br />Appropriate chemical disinfectant used <br />❑ <br />5 <br />Decontamination/sanitation area separated and supplied <br />riatel <br />❑ <br />Chemical used: <br />Chemicalro <br />❑ <br />6 <br />Invoices and log kept for disposable, pre -sterilized <br />e ui ment <br />❑ <br />El <br />25. <br />Disinfectant used appropriately/sufficient contact time <br />El <br />7 <br />Sharps containers labeled, used, and disposed of <br />appropriately <br />❑ <br />Wet contact time provided: <br />❑ <br />8 <br />Jewelry, tattoo and piercing equipment - clean and <br />El <br />26. <br />Barriers used <br />Elsterilized <br />PRACTITIONER HEALTH AND HYGIENE <br />❑ <br />27. <br />Products applied to skin are single use/dispensed 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 />El <br />[130. <br />Cross -contamination avoided during all phases of procedure <br />❑ <br />❑ <br />12. <br />Hepatitis B vaccination <br />❑ <br />BEST BUSINESS PRACTICES <br />❑ <br />13. <br />Bloodborne Pathogen trainingEl❑ <br />31. <br />Areas separated/no living or sleeping quarters <br />E] <br />Source: <br />❑ <br />32. <br />Floors and walls clean and in good repair, adequate light <br />❑ <br />❑ <br />14. <br />Appropriate personal protective equipment available and <br />used <br />❑ <br />❑33 <br />Workstation, surfaces, including chairs, armrests, etc. in <br />ood re air <br />❑ <br />CUSTOMERS/CLIENTS <br />❑ <br />34. <br />Perm ittregistration posted <br />❑ <br />❑ <br />15. <br />Branding is completed with no other customers in <br />rocedure area <br />El <br />[135. <br />Operation and employee training records present <br />E] <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 />questionnaire <br />El <br />El <br />37. <br />Permits obtained and available <br />1:1 <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): Arriane Torres Received b (Signature): EMAILED Phone: 209-990-6713 <br />Specialist (Print): Sandip Singh Specialist (Signature): Liu�/� Phone: 209-468-3526 <br />Reinspection on/about: A reinspection fee of $162 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />