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Body Art Inspec Report 0 Date: 17,3701 <br /> �_ San Joaquin County Environmental Health Department Program11 <�j -�J )~7 Q <br /> �� i 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: y O / / / Z y <br /> (209)468-3420 Program <br /> �`gt;FaRe+'p www.siogv.orQ/ehd Element: <br /> Facility Name Address City Zip Code <br /> Exhale Salon&Spa 103 w.pine st Lodi 95240 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Rocio Leyva Initial Consult. <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 integratorEl ❑ 22.7Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> El 2. 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 ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ <br /> El 5. 11Chemical used: Cavi-Wipes <br /> appropriately® <br /> Invoices and log kept for disposable,pre-sterilized 6• El 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> Sharps atel containers labeled,used,and disposed of ❑ <br /> F-17. a ro ri ❑ Wet contact time provided: 1 minute <br /> Jewelry,tattoo and piercing equipment-clean and <br /> ❑ 8' sterilized FFE11 <br /> EJ26. Barriers used El <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ® 27. aseptically ❑ <br /> El 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, Cross-contamination avoided during all phases of <br /> ® 11. warm water 11 El 30. procedure <br /> El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Biologix ® 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> E] 14. used El ❑ 33. good repair <br /> El <br /> CUSTOMERSICLIENTS ❑ 34. Perm ittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15. El El® 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 <br /> ® 18. and uestionnaire El ❑ 37. Permits obtained and available El <br /> ® 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. 1 Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 4r ❑ <br /> Received b (Print): Rocio Leyva Received by(Signature): '`, Phone: (209)430-7018 <br /> Specialist Print): Har rit Mattu,Sr REHS Specialist(Signature): Phone:(209)468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />