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Body hst Insp@ Report Date: <br /> nvironmentalaltapeant ProgramSan Joaquin Coun ® <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: C <br /> (209)468-3420 Program / }� <br /> wwwr.a 2w.omfehd Element <br /> Facility Name Address City Zip Code <br /> Sola Salon Studios/Pink Luxx Make-up Studio 37 w yokuts ave., Stockton 95207 <br /> Name of Permit/Registration Halder Permit Exp.Date Time in Time Out Inspection Type <br /> Tanisha Green Consultation <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 /> ® 1 Autoclave:approved and effective-passed integrator ❑ ® 22. Parts replaced between clients-grommets,elastic bands, 01 <br /> test etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> ® 2. sterilized <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry El ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied Chemical used: <br /> ❑ 5' a ro riatel <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 ofEl Wet contact time provided: <br /> appropriately <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ 26. Barriers used ❑ <br /> sterilized <br /> N��W I i ❑ 27 Products applied to skin are single use/dispensed ❑ <br /> i 111in I aseptically <br /> = "I <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, ❑ ❑ 3o. Cross-contamination avoided during all phases of ❑ <br /> warm water 1rocedure NOMMM <br /> ❑ 12. Hepatitis B vaccination El i <br /> ❑ 13. Bloodbome Pathogen training ❑ ❑ 31. Areas separatedino 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 ® 33. Workstation,surfaces,including chairs,armrests,etc.in 01 <br /> used 222d reit <br /> 34. Permit/registration posted ❑ <br /> ❑ 15. Branding is completed with no other customers in ❑ ❑ S5_ Operation and employee training records present ❑ <br /> procedure area <br /> ❑ 16. Customers eighteen(18)years of age or oldermom <br /> ❑ 17. Skin adequately prepared for procedure ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form 37. Permits obtained and available ❑ <br /> ® 1$. and questionnaire <br /> ® 19. Appropriate aftercare instructions given to client ❑ 38. Impoundment ❑ <br /> 0 N M; ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ 40. Closure ❑ <br /> ❑ 21. 1 Machines cleaned and disinfected between clients ❑ 41 <br /> Received b (Print): Tanisha Green Received by iSionature): f r1Zg& o AY Phone: 209 518-0557 <br /> Specialist(Print): J.Easter Specialist Signature): Phone: (2091953-7310 <br /> Reinspeclon on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />