COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Body Art Inspection Report Date: May 7,2026 San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 1 Record: PR2500160 (209)468-3420 Program t- ?� www.sdogv.org/ehd Element: 4120 Facility Name Address City Zip Code Elusive 3200 Naglee Rd Tracy 95304 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Alekxis Mondragon 6/30/26 Closure The facility is inspected for compliance with Division 104, Part 15,Chapter 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 HSC 119311 -Parts replaced between clients-grommets, L1 1 integrator test ❑ ❑ 22' elastic bands,etc. ❑ ❑ HSC 119309-Items washed,disinfected, packaged,2' labeled,and sterilized IE] 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 F1 4. El 24. HSC 119301 -Appropriate chemical disinfectant used maintained ElHSC 119314-Decontamination/sanitation area separated ❑ ❑ 5' Chemical used: and supplied appropriately ❑ ❑ 6 HSC 119315-Invoices and log kept for disposable, pre- ❑ 25 HSC 119309-Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ HSC 119314-Sharps containers labeled, used,and ❑ 7' ro riatel ❑ Wet contact time provided: disposed of a ❑ HSC 119310, 119315-Jewelry,tattoo and piercing 8. equipment-clean and sterilized El 26. HSC 119314-Barriers used❑ El HSC 119311 -Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE El 27' use/dispensed asepticallyEl ❑ 9 HSC 119309-No eating,drinking or smoking-clean ❑ ❑ 28 HSC 119309, 119311 -Storage of inks, pigments, needles, Elclothes 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 and HSC 119308-Cross-contamination avoided during all ❑ 11. accessible,warm water ❑ ❑ 30' phases of procedure El ❑ 12. HSC 119306-Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES 13. HSC 119307-Bloodborne Pathogen training ❑ 31. HSC 119314-Areas separated/no living or sleeping quarters ❑ ❑ Source: ❑ ❑ 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, ❑ 14. available and used El ❑ 33' armrests,etc.in good repair El CUSTOMERS/CLIENTS ❑ 34. HSC 119312-Permit/registration posted ❑ ❑ HSC 119309-Branding is completed with no other HSC 119313-Operation and employee training records 15. customers in procedure area El ❑ 35. resent El ❑ 16. HSC 119302-Customers eighteen(18)years of age or ❑ older COMPLIANCE AND ENFORCEMENT ❑ 17. HSC 119308-Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312-Plan(s)submitted for review ❑ ❑ HSC 119303-Client records approved and available 18. questionnaire [71 El 37. HSC 119312-Permits obtained and available ElConsent form and HSC 119303, 119308-Appropriate aftercare instructions ❑ 19' El El 38. HSC 119319-Impoundment Elgiven to client 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 ❑ ❑ 41. ❑ clients Received by(Print): Alekxis Mondragon Received by(Signature): EMAILED Phone:831-406-0418 Specialist(Print):Sandip Singh Specialist(Signature): a; z Phone:209-468-3526 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 2 EH-7-1-25