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4100 – Safe Body Art
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PR0548958
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COMPLIANCE INFO
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Entry Properties
Last modified
7/31/2025 9:19:57 AM
Creation date
7/18/2025 11:51:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548958
PE
4103 - Consultation
FACILITY_ID
FA0028076
FACILITY_NAME
JANE BROWS (ADONIS, MARY JANE)
STREET_NUMBER
37
Direction
W
STREET_NAME
YOKUTS
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Closed - Issued
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
37 3 W YOKUTS AVE STOCKTON 95207
Tags
EHD - Public
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<br /> <br /> <br /> <br />Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 3 of 4 <br />EH- 12-4-23 <br /> <br /> Body Art Inspection Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sjogv.org/ehd <br /> <br />Date: March 17, 2025 <br />Program <br />Record: AP2501748 <br />Program <br />Element: 4103 <br /> <br />11. Procedure areas in the body art facilty shall be equipped with a sink that is suppli ed with hot and cold water, <br />containerized liquid soap, and single-use paper towels from a touchless dispenser that is accessible to the practitioner. <br />HSC 119314(b)(4) <br /> <br />OBSERVATIONS: <br />1. Automatic soap dispenser that was being used for the practitioner sink within the room was not charged and therefore <br />not able to dispense soap when needed. <br /> <br />CORRECTIVE ACTIONS: <br />1. Please maintain the soap dispenser charged at all times so as to function as intended when needed. <br /> <br />18. Prior to the performance of body art, the client shall read, complete, and sign an informed consent form. The client <br />consent form shall include information on the care of the procedure site HSC 119303(a)(5)(A). Prior to the performance <br />of body art the client shall receive, complete, and sign a questionnaire that includes “other risk factors for bloodborne <br />pathogen exposure” HSC 119303(b)(4). <br /> <br />OBSERVATIONS: <br />1. The client consent form did not include information for proper care of the procedure site. <br />2. Medical questionnaire did not include the question “Other risk factors for bloodborne pathogens”. <br /> <br />CORRECTIVE ACTIONS: <br />1. Update the client consent forms to include information for the proper care of the procedure site. <br />2. Update the medical questionnaire to include the question of “Other risk factors for bloodborne pathogens”. <br /> <br /> <br />33. A body art facility shall have counter surfaces and treys that have a smooth, durable, and non absorbent finish. <br />HSC 119314(b)(6) <br /> <br />OBSERVATIONS: <br />1. There was a decorative bunny that had cloth absorbable clothes. <br />2. On top of the procedure bed there was a pillow that was absorbable. <br /> <br />CORRECTIVE ACTIONS: <br />1. Please remove mentioned items above from the procedure room. <br /> <br /> <br />35. A body art facility shall have a written Infection Prevention Control Plan, and have records of training and shall be <br />maintained for three years and shall be available for inspection upon request of the enforcement officer. HSC 119313(e) <br /> <br />OBSERVATION: <br />1. Facility did not have an IPCP on site for review. <br /> <br />CORRECTIVE ACTION: <br />1. Please maintain a copy of the IPCP available onsite. <br /> <br />Correct all violations prior to final inspection. <br /> <br /> <br />Notes: <br />1. Inspection report emailed to janebrowsca@gmail.com <br />2. Jane Adonis is already a permitted practitioner. Practitioner is switching rooms. <br />3. Facility offers permanent cosmetics.
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