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i C '4 <br /> ° Body Art Inspection Report Date: August 17,2023 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: SR0086434 <br /> (209)468-3420 <br /> www.sioay.org/ehd Program <br /> _ Element: 4103 <br /> Facility Name Address City Zip Code <br /> Changes Beaute Lounge 211 E March Lane#C Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Nicole Barber Consultation <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 /> ❑ 1. Autoclave:approved and effective-passed integrator test ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> etc. <br /> ❑ 2 Items washed,disinfected,packaged, labeled,and <br /> 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 1:124. Appropriate chemical disinfectant used <br /> El 5. Decontamination/sanitation area separated and supplied ❑ E]aro <br /> appropriately E] Chemical used: <br /> ® 6 Invoices and log kept for disposable,pre-sterilized <br /> equipment <br /> E) ❑ 25. Disinfectant used appropriately/sufficient contact time Elaro <br /> appropriately 7 Sharps containers labeled,used,and disposed of <br /> ElElWet contact time provided: 3 mins <br /> ® 8 Jewelry,tattoo and piercing equipment-clean and <br /> El F-126. 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 /> ❑ 11. Handwashing facilities properly supplied and accessible, <br /> warm water ❑ ❑ 30. Cross-contamination avoided during all phases of procedure F] <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 ElWorkstation,surfaces,including chairs,armrests,etc.in <br /> used ❑ ❑ 33' good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> ❑ 15. Branding is completed with no other customers in <br /> rocedure area E] ® 35. Operation and employee training records present ❑ <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 /> ® <br /> Client records approved and available-Consent form and 18. El El 37. Permits obtained and available Eluestionnaire <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): Nicole Barber Received by(Signature): Emailed Phone:209-326-4224 <br /> Specialist(Print): Sandip Singh Specialist(Signature): � Phone:209-468-3526 <br /> Reinspection on/about: A reinspection fee of$162 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />