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Qur <br /> ° °O BodyArt Inspection Report <br /> y 2 p p Date: May 19 2022 <br /> y San Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave.,Stockton,CA 95206 Record: PR0545320 <br /> (209)468-342D <br /> • P vR x .siogv.omlehd Program <br /> ra ,yet Element: 4120 <br /> Facility Name Address City Zip Code <br /> Brows by Michelle Grace 37 W Yokuts Ave#B Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Michelle Tabancura 6/30122 Routine <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 /> El . Autoclave: approved and effective-passed integrator test El Eletc.22. Parts replaced between clients -grommets, elastic bands, El <br /> ❑ 2 Items washed, disinfected, packaged, labeled, and Elsterilized PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dryI <br /> ❑ 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 sup ❑ ❑ <br /> appropriately Chemical used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> ❑ 6. 25. Disinfectant used appropriately/sufficient contact timee ui ment❑ 7Sharps containers labeled, used, and disposed of Wet contact time provided: <br /> a ro riatel❑ 8 Jewelry, tattoo and piercing equipment- clean andsterilized ❑ 25. Barriers used ❑ <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 /> Handwashing facilities properly supplied and accessible, <br /> El 11. warm water El El30. Cross-contamination avoided during all phases of procedure El <br /> ❑ 12. Hepatitis B vaccination ❑ 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 /> El 14. <br /> Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in ❑ <br /> used ❑ ❑ 33' good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15. 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 and <br /> ❑ 18. El El 37. Permits.obtained and available Eluestionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled El <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure El <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received by(Print): Michelle Tabancura Received by(Signature): EMAILED Phone: 209-762-2669 <br /> Specialist(Print): Sandip Singh Specialist(Signature): dag4k 5'zyp./Z Phone: 209-468-3526 <br /> Relnspectlon onlabout: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11117 <br />