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Body Art Inspection Report Date: September 25,2023 <br /> San Joaquin County Environmental Health Department Program <br /> 1 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 4120 <br /> / (209)468-3420 <br /> www.s'oclv.org/ehd Program <br /> Element: PR0548686 <br /> Facility Name Address City Zip Code <br /> DNA Beauty Suites 4502 N Pershing Ave. Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Courtney Conley 6/30/2024 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 /> Pa__[ rts replaced between clients-grommets,elastic bands, <br /> ❑ 1. Autoclave:approved and effective-passed integrator test ❑ ❑ 22• etc. El <br /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 2' sterilized 11PREVENTING 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 E] El <br /> 5' a ro riatel ElChemical used: CaviWipes <br /> ❑ <br /> Invoices and log kept for disposable,pre-sterilized 6' ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> a uipment <br /> El ElSharps containers labeled,used,and disposed of <br /> ❑ 7' ❑ Wet contact time provided: 3 minutes <br /> appropriately <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 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 ❑ ❑ 29. Jewelry,Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, <br /> El 11. ❑ ❑ 30. Cross-contamination avoided during all phases of procedure Elwarm water <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ 14. Appropriate personal protective equipment available and ❑ ❑ 33 Workstation,surfaces,including chairs,armrests,etc.in Elused good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Perm it/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. ❑ ❑ 35. Operation and employee training records present <br /> procedure area ❑ <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form and <br /> ® 18. El [j37. Permits obtained and available E]uestionnaire <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 ❑ FE]I41.T ❑ <br /> Received by(Print): Courtney Conley Received by(Signature):email Phone:541-905-8266 <br /> Specialist(Print): Stephanie Ramirez Specialist(Signature): Phone:209-616-3069 <br /> Reinspection on/about: A reinspection fee of$162 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />