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i 4,J.••• C°G1 Body Art Inspection Report Date: 8/11/22 San Joaquin County Environmental Health Department Program �`. 1868 E. Hazelton Ave., Stockton, CA 95205 Record: SR0084943 `•` (209) 468-3420 www.smogv.org/ehd Program '4�fp pRr%� Element: 4103 Faci ity Name Address City Zip Code VIP Nails and Spa 280 W. Kettleman Ln Lodi 95240 Na•re of Permit/Regis ration Holder Permit Exp. Date Time In Time Out Inspection Type Ph.iong Nguyen 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 El 1. Autoclave: approved and effective passed integrator test El 1122. Parts replaced between clients - grommets, elastic bands, ❑ etc. ❑ 2' Items washed, disinfected, packaged, labeled, and E]PREVENTING sterilized CROSS-CONTAMINATION ❑ 3. Autoclave oaded correctly/packages allowed to dry ❑ [1 23. Workstation/procedure area decontaminated ❑ ❑ 4. Integrato-s used/monthly spore test/log maintained ❑ E] 24. Appropriate chemical disinfectant used El 5. Decontam nation/sanitation area separated and supplied E]Chemical used: a ro ri2tal ❑ 6. Invoices and log kept for disposable, pre-sterilized ❑El25. Disinfectant used appropriately/sufficient contact time Elequipment ❑ 7 Sharps CDntainers labeled, used, and disposed of El Wet contact time provided: aro rietel ❑ 8. Jewelry, tattoo and piercing equipment - clean and [710 26. Barriers used Elsterilized 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 ❑ ❑ 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 ❑ hot water ❑ 12. Hepatitis E vaccination ❑ BEST BUSINESS PRACTICES 13. Bloodbom> Pathogen training ❑ 31. Areas separated/no living or sleeping quarters ❑ ❑ ❑ Source: ® 32. Floors and walls clean and in good repair, adequate light ❑ ❑ 14. Appropria3 personal protective equipment available and El ❑ 33' Workstation, surfaces, including chairs, armrests, etc. in E] used ood repair = _ ❑ 34. Permit/registration posted Elk i- "Pil ❑ 15. Branding is completed with no other customers in 11 ❑ Operation and employee training records present El35. procedure 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 [:1 [j 37. Permits obtained and available uestioniaire ❑ 19 Appropriase aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ 39. 1 Hearing scheduled ❑ ❑ 20 Safe ma:pine design ❑ ❑ 40. Closure ❑ ❑ 21 Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ Received by (Print): randy Nguyen Received by (Signature): EMAILED Phone: 209-310-2142 Specialist (Print): Prone Chao Specialist (Signature): Phone: 209-468-3854 Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 EH-11/17