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lU1 \ MEDICAL WASTE INSPECTION REPORT a � Date: August 14,2025 N San Joaquin County Environmental Health Department 1868 E.Hazelton Ave.,Stockton,CA 95205 ProgramRecord: PR0537858 (209)468-3420 Program gCikoR`' www.siogv.org/ehd Element: 4522 Observations and Corrective Actions: 12. HSC 117960- LQG shall file MWMP with the EA. OBSERVATIONS: The Medical Waste Management Plan was not available for review. - CORRECTED CORRECTIVE ACTIONS: A large quantity generator required to register with the EHD shall file with the EHD a MWMP on forms prescribed by the EHD. 19. HSC 118215-All medical waste shall be treated pursuant to this section. OBSERVATIONS: The autoclave is not spore tested on a monthly basis. Spore tests were not available from November 2024 to June 2025. Spore tests were provided for July 18, 2025 and August 9, 2025 for Chamber 1 and Chamber 2 (see PHOTO 18). CORRECTIVE ACTIONS: The biological indicator Geobacillus stearothermophillus or approved indicator shall be placed at the center of a load processed under standard operating conditions at least monthly to confirm the attainment of adequate sterilization conditions. Operator shall conduct a spore test monthly and provide EHD with results of the test for the next 6 months; beginning in September 2025 and concluding in March 2026. 23. HSC 117630 -Biohazard bag shall meet the standards set forth in this section. OBSERVATIONS: The biohazard bags that line the secondary containers meet the ASTM D1709 (see PHOTO 17) standard but do not meet the ASTM D1922 standard for transportation off site. Biohazard waste is occasionally transported off site for treatment. CORRECTIVE ACTIONS: Ensure that the biohazard bag is a red disposable film bag that is impervious to moisture and tear resistant. Operator shall provide either proof of purchase or photographic evidence indicating that biohazard bags meet both standards (ASTM D1709 and ASTM D1922) are available at the facility. 24. HSC 118275 -Medical, biohazardous, sharps,trace chemo, pathology, or pharmaceutical waste shall be segregated and contained pursuant to this section. The container shall be properly labeled. OBSERVATIONS: 1. The biohazard bags lining the biohazard containers in the Soiled Utility Room of A4 were not secure. When bagged medical waste was placed inside of the container, the liner in the container fell to the bottom of the container(see PHOTO 8). 2. The pharmaceutical waste containers located in the Soiled Utility Room of the Dialysis Clinic (see PHOTO 6) and in the Medication Room of C1A (see PHOTO 13—CORRECTED)were not labeled appropriately. 3. The pharmaceutical waste containers located in the Medication Room of Al B (see PHOTO 11 —CORRECTED), Medication Room of C1A(see PHOTO 13—CORRECTED) and Medication Room of D1A(see PHOTO 14—CORRECTED)were left open when not in use. 4. Used razors are stored in a lined 5-gallon bucket(see PHOTO 15) at the Nurses Station of D1A. Operator labeled the container with a biohazard label, during the inspection. 5. Solid waste was observed in the biohazard waste container located in MUT (see PHOTO 16). CORRECTIVE ACTIONS: 1. Biohazardous waste shall be placed in a biohazard bag conspicuously labeled with words"Biohazardous Waste"or "BIOHAZARD." The bag shall be securely placed in the biohazard waste container to prevent falling to the bottom of the container. Provide photographic evidence of correction to the EHD. 2. Nonradioactive and non-RCRA pharmaceutical wastes, that are regulated as medical waste, shall be placed in a container or secondary container labeled with the words"HIGH HEAT OR INCINERATION ONLY" on the lid and sides, so as to be visible from any lateral direction. Provide EHD with photographic evidence of correction. Reinspecion on/about: A reinspection fee of$179 per hour may be charged. Page 2 of 4 EH-2/2023