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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0542186
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COMPLIANCE INFO
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Entry Properties
Last modified
10/10/2024 2:54:26 PM
Creation date
9/17/2024 9:24:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0542186
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0024227
FACILITY_NAME
UNION TATTOO (HUGHES, JOSHUA)
STREET_NUMBER
512
Direction
N
STREET_NAME
UNION
STREET_TYPE
RD
City
MANTECA
Zip
95337-7325
CURRENT_STATUS
Active, billable
SITE_LOCATION
512 N UNION RD
P_LOCATION
04
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
512 N UNION RD MANTECA 95337-7325
Tags
EHD - Public
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FACILITIES USING REUSABLE EQUIPMENT AND DAMINATiON AND STERILIZATION PROCEDURES <br /> RECORDKEEPING <br /> If disposable, single-use, pre-sterilized instruments are used, the following records must be <br /> maintained for a minimum of 90 days after use. <br /> 1. A record of purchase: <br /> Where are these records maintained? <br /> Ail records will be maintained by manager and found at front desk. <br /> 2. Written proof on company or laboratory letterhead showing that the presterilized instruments <br /> have undergone a sterilization process. Written proof shall clearly identify the instruments <br /> sterilized by name or item number and shall identify the lot or batch number of the sterilizer <br /> run. <br /> This written proof will be maintained in the facility at: <br /> All records will be maintained by manager and found at front desk. <br /> 3. Documentation must be kept of all procedures, the practitioner performing the procedure, <br /> client name, lot numbers of presterilized instruments used, and date of procedure. <br /> Where are these records maintained? <br /> Information will be written on each consent form and will be maintained by manager. <br /> All information gathered from the client that is personal medical information and that is subject <br /> to the federal Health Insurance Portability and Accountability Act of 1996(HIPAA) or similar <br /> state laws shall be maintained or disposed of in compliance with those provisions. <br /> Consent and medical questionnaires will be stored at: At the front desk counter area. <br /> The location of the first aid kit is: Behind the front counter in plain view. <br /> The location of the nearest healthcare facility is: <br /> NAME: Doctors Hospital of Manteca PHONE: 209-823-3111 <br /> ADDRESS: 1205 E North St CITY: Manteca STATE: CA Zip: 95336 <br /> Page 10 of 15 <br />
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