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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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Body Art Inspection Report Date: June 16, 2021 <br />aSan Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0542186 <br />(209) 468-3420 <br />wvrx sioay.orglehtl Program <br />p R Element: 4121 <br />Facility Name Address City Zip Code <br />Union Tattoo 512 N Union Rd. Manteca 95337 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Josh Hughes 6/30/21 Routine <br />The above facility is inspected for compliance with Division 104, Pan 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 />Parts replaced between clients - grommets, elastic bands, <br />❑ 1. Autoclave: approved and effective -passed integrator test ❑ ❑ 22. etc. ❑ <br />Items washed, disinfected, packaged, labeled, and <br />❑ 2' sterilized ❑ PREVENTING 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 ❑ 24. Appropriate chemical disinfectant used <br />❑ 5 Decontamination/sanitation area separated and supplied ❑ ❑ Chemical used: ❑ <br />appropriately <br />® 6 Invoices and log kept for disposable, pre -sterilized ❑ 25. Disinfectant used appropriately/sufficient contact time <br />equipment ❑ ❑ <br />❑ 7 Sharps containers labeled, used, and disposed of ❑ Wet contact time provided: <br />appropriately <br />❑ 8 Jewelry, tattoo and piercing equipment - clean and ❑ ❑ 26. 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, ❑ ❑ 30. Cross -contamination avoided during all phases of procedure ❑ <br />warm water <br />❑ 12. Hepatitis B vaccination JEI <br />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 Workstation, surfaces, including chairs, armrests, etc. in <br />used 33. d re airCUSTOMERS/CLIENTS ❑ 34. Permit'registration posted ❑[E] <br />15 Branding is completed with no other customers in Elrocedure area ® 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 far procedure ❑ ❑ 36. Plan(s) submitted for review ❑18. Client records approved and available - Consent form and ® ❑ 37. Permits obtained and available ❑uestionnaire 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)' John Rios Received by (Signature)' EMAILED Phone: 209-825-5000 <br />Specialist (Print): Sandip Singh Specialist (Signature): Phone: 209-468-3526 <br />Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 3 <br />EH -11/17 <br />
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