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":, Body Art Inspoon Report Date: o..., r San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: d3 (209)468-3420 .:. P wwProgram 41w Siogv.or /ehd F°"4 9 Element: SIZDO Facility Name Address City Zip Code Flow Yoga&Wellness Studio 145 w. 10v'st. Tracy 95376 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Silvia Kruse Initial Consult. 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 Parts replaced between clients-grommets,elastic bands, [ test ❑ ❑ 22. etc. ❑ 2 Items washed,disinfected,packaged,labeled,and sterilized El 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 ❑ 5 Decontamination/sanitation area separated and supplied E:a ro riatel E] Chemical used: Sani-Cloth wipes,Dicide spray,Caviwipes ® 6 Invoices and log kept for disposable,pre-sterilized equipment El El 25, Disinfectant used appropriately/sufficient contact time ® 7 Sharps containers labeled,used,and disposed of [ appropriate y ❑ Wet contact time provided: 1 min,3 min, 1 min Jewelry,tattoo and piercing equipment-clean and El 8. El 26. Barriers used [ sterilized ® 27 Products applied to skin are single use/dispensed [ PRACTITIONER HEALTH AND HYGIENE 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, Cross-contamination avoided during all phases of [ warm water El ❑ 30. procedure ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES ® 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters [ Source: Biologix,Protraining ❑ 32. Floors and walls clean and in good repair,adequate light [ ❑ 14 Appropriate personal protective equipment available and ❑ ❑ 33 Workstation,surfaces,including chairs,armrests,etc. in [ used good repair CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted [ ❑ 15 Branding is completed with no other customers in rocedure area ❑ ® 35. Operation and employee training records present [ ® 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 questionnaire El El 37. Permits obtained and available and [ ® 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. [ Received b Print): Received b Si natur &y Pho eta! Specialist Print): Nav'ot Sahota Specialist(Signature): Phone: 209 468-3178 Reinspecion onlabout: A reinspection fee of$152 per hour may be charged. Page 1 of EH-11/17