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qlJ 1I'y' �e °��' •°GBody Art Inspection Report Date: January 9,2025 San Joaquin County Environmental Health Department Program 1 i 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR2400391 1 (209)468-3420 www.siogv.org/ehd Program Element: 4120 Facility Name Address City Zip Code Colorful Addictions 1005 Pescadero Ave.#215 Tracy 95376 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type William Huggins 6/30/25 Closure The facility is inspected for compliance with Division 104,Part 15,Cha ter 7 of California Health and Safety Code(HSC). V=Violation C=Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C HSC 119315-Autoclave:approved and effective-passed THSC 119311 -Parts replaced between clients-grommets, El 1' integrator test ❑ ❑ 22astic bands,etc. El HSC 119309-Items washed,disinfected,packaged, El 2' labeled,and sterilized El CROSS-CONTAMINATION ❑ HSC 119315-Autoclave loaded correctly/packages ❑3. allowed to d ❑ 23. HSC 119309-Workstation/procedure area decontaminated ❑ HSC 119315-Integrators used/monthly spore test/log ❑ 4. maintained ❑ ❑ 24. HSC 119301 -Appropriate chemical disinfectant used ❑ HSC 119314-Decontamination/sanitation area separated ❑ 5' Chemical used: and supplied appropriately ❑ El 6 HSC 119315-Invoices and log kept for disposable, pre- El 25 HSC 119309-Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ ❑ HSC 119314-Sharps containers labeled,used,and 7' ❑ Wet contact time provided: dis osed of appropriately ❑ HSC 119310, 119315-Jewelry,tattoo and piercing 8. 26. HSC 119314-Barriers used equipment-clean and sterilized ❑ ❑ ❑ HSC 119311 -Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE ❑ 27. use/dis ensed asepticallyEl ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks,pigments, needles, ❑ clothes tubes,etc. ❑ 10. HSC 119308-Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 -Jewelry, Inks,Needles etc approved ❑ and used correct) HSC 119314-Handwashing facilities properly supplied HSC 119308-Cross-contamination avoided during all ❑ 11. and accessible,warm water El ❑ 30. phases of procedure ❑ ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES - 13. HSC 119307-Bloodborne Pathogen training El31. HSC 119314-Areas separated/no living or sleeping quarters El ❑ Source: ElEl 32 HSC 119314-Floors and walls clean and in good repair, ❑ adequate light HSC 119308-Appropriate personal protective equipment HSC 119314-Workstation,surfaces,including chairs, El 14. available and used ❑ ❑ 33' armrests,etc.in good repair ❑ CUSTOMERS/CLIENTS ❑ 34. HSC 119312-Perm it/registration posted ❑ HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records El 15. 35 customers in procedure area ❑ ❑ . resent ❑ ❑ 16. HSC 119302-Customers eighteen(18)years of age or ❑ older I COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312-Plan(s)submitted for review ❑ ❑ 18 HSC 119303-Client records approved and available- Consent form and uestionnaire ❑ ❑ 37. HSC 119312-Permits obtained and available El HSC 119303, 119308-Appropriate aftercare instructions El 19' given to client El El38. HSC 119319 Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320-Hearing scheduled ❑ ❑ 20. HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320-Closure ❑ ❑ 21 HSC 119311 -Machines cleaned and disinfected between ❑ r[:TI41. Elclients Received by(Print): Received by(Signature): Phone: Specialist(Print): Sandip Singh Specialist(Signature): L:'.raaz`i o-�21* Phone:209-468-3526 Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 1 of 2 EH-11/17