SR0086863 - Laserfiche WebLink

Home Browse Search

p U I ly == Body Art Inspection Report Date: June 28, 2023 ` 2 San Joaquin County Environmental Health Department < Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: SR0086863 4 / (209) 468-3420 www.siogv.orq/ehd Program ' Element: 4103 Facility Name Address City Zip Code Lucky You Tattoo 14051 CA 88 Lockeford 95240 Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Esau Mendoza Consultation The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C ❑ 1. Autoclave: approved and effective - passed integrator test ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, ❑ etc. ❑ 2 Items washed, disinfected, packaged, labeled, and El sterilized CROSS -CONTAMINATION ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used El ❑ 5 Decontamination/sanitation area separated and supplied ❑ Chemical Chemicalro riatel used: [9 6 Invoices and log kept for disposable, pre -sterilized E]❑ 25. Disinfectant used appropriately/sufficient contact time e ui ment El ® Sharps containers labeled, used, and disposed of ❑ Wet contact time provided: appropriately ❑ 8 Jewelry, tattoo and piercing equipment - clean and E] [:126. Barriers used E]sterilized PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ ❑ 9. No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ ❑ 10. Hands washed effectively and timely [:1 ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ ® 11. Handwashing facilities properly supplied and accessible, El El30. Cross -contamination avoided during all phases of procedure El warm water ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES Bloodborne Pathogen training Areas separated/no living or sleeping quarters ❑ El E]El31. E] Source: ® 32. Floors and walls clean and in good repair, adequate light ❑ ❑ 14 Appropriate personal protective equipment available and El ❑ 33 33. surfaces, including chairs, armrests, etc. in used good repair CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ ❑ 15. Branding is completed with no other customers in El® 35. Operation and employee training records present El rocedure area ❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ❑ ® 18 Client records approved and available - Consent form and El El 37. Permits obtained and available E]uestionnaire ® 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. 1 ❑ Received by (Print): Esau Mendoza Received by (Signature): EMAILED Phone: 650-228-3308 Specialist (Print): Sandip Singh Specialist (Signature): �'� 494?2L Phone: 209-468-3526 Reinspection on/about: A reinspection fee of $156 per hour may be charged. Page 1 of 3 EH -11/17