My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MAIN
>
1308
>
4100 – Safe Body Art
>
PR2500664
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/13/2025 8:50:38 AM
Creation date
10/20/2025 12:18:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR2500664
PE
4120 - Single Use
FACILITY_ID
FA0004772
FACILITY_NAME
INKED ARCHES BY DINA (SHUJA, MADINA)
STREET_NUMBER
1308
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
1308 D W MAIN ST RIPON 95366
Suite #
D
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
27
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<br /> <br /> <br /> <br />Reinspection on/about:__________________. A reinspection fee of $179 per hour may be charged. Page 2 of 3 <br />EH- 7-1-25 <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: August 25, 2025 <br />Program <br />Record: AP2502529 <br />Program <br />Element: 4103 – Consultation <br /> <br />R Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br />PR2500612 Madina Shuja – Biologix exp. 8/20/26 <br /> <br /> <br /> <br /> <br />Observations and Corrective Actions: <br /> <br />6. HSC 119315 (f) & (3) - A body art facility that does not afford access to a decontamination and sterilization area or <br />does not have sterilization equipment shall use only purchased disposable, single-use, presterilized instruments. The <br />following records shall be kept and maintained for a minimum of 90 days following the use of the instruments at the <br />site of practice for the purpose of verifying the use of disposable, single -use, pre-sterilized instruments: (3) Written <br />proof on company or laboratory letterhead showing that the pre-sterilized instruments have undergone a sterilization <br />process. Written proof shall clearly identify the instruments sterilized by name or item number and shall identify the lot <br />or batch number of the sterilizer run. <br /> <br />OBSERVATIONS: <br />1. Sterilization certificates were not provided for the following Mast Pro needles with the following lot numbers: 2023 -12-01. <br />and 2025-04-01. <br /> <br />CORRECTIVE ACTIONS: <br />1. Provide sterilization certificates for the mentioned needles above or remove these needles from the facility and provide <br />new needles with sterilization certificates that have matching lot numbers. Provide proof of correction to EHD. <br /> <br />7. HSC 119314(e)(3)(A) – (3) All sharps waste produced during the process of tattooing, body piercing, or the <br />application of permanent cosmetics shall be disposed by the following methods: (A) Removal and disposal by a license <br />waste hauler. Materials shall be disposed of at a licensed treatment facility or removed and transported through a mail - <br />back system authorized by the State Department of Public Health. <br /> <br />OBSERVATIONS: <br />1. No waste hauler contract was observed on site. <br /> <br />CORRECTIVE ACTIONS: <br />1. Provide a copy of the waste hauler contract to EHD. <br /> <br /> <br />19. HSC 119303 (a)(5)(B) & (C) & (D) – Prior to the performance of body art, the client shall read, complete, and sign, an <br />informed consent form that shall include, but not be limited (5) post procedure instructions that include all of the <br />following: (B) Restrictions on physical activities such as, bathing, recreational water activities, gardening, or contact <br />with animals, and the duration of the restrictions. (C) Signs and symptoms of infection including but not limited to, <br />redness, swelling, tenderness of the procedure site, red streaks going from the procedure site towards the heart, <br />elevated body temperature, or purulent drainage from the procedure site. (D) Signs and symptoms that indicate the <br />need to seek medical care. <br /> <br />OBSERVATIONS: <br />1. After care instructions on the lip form did not include restrictions on physical activities, signs and symptoms of infection, <br />and indication of when to seek medical care. <br /> <br />CORRECTIVE ACTIONS: <br />1. Please update the lip aftercare instructions with the information mentioned above and provide updated copy to EHD.
The URL can be used to link to this page
Your browser does not support the video tag.