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�Qp•U <br /> _h. \ Body Art Inspection Report Date: October 9,2025 <br /> {� San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: AP2502730 <br /> (209)468-3420 Program <br /> c<'.; �P,• www.siogy.or0/ehd <br /> Element: 4103 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0548598 Britteni Chandler(BBP Exp.4/30/26 <br /> Observations and Corrective Actions: <br /> 6. HSC 119315- Invoices and log kept for disposable, pre-sterilized equipment <br /> OBSERVATIONS: <br /> Sterilization certificates were not available for the Meka cartridges with the lot numbers 202505 and 32503. <br /> CORRECTIVE ACTIONS: <br /> A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, <br /> date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. Provide EHD with the sterilization certificates for the cartridges mentioned above. <br /> 7. HSC 119314-Sharps containers labeled, used, and disposed of appropriately <br /> OBSERVATIONS: <br /> There was only one wall mounted sharps container in the procedure area for three stations. <br /> CORRECTIVE ACTIONS: <br /> The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br /> and the word "Biohazard". Ensure there is an adequate number of sharps containers for practitioners and ensure the sharps <br /> containers are within arm's reach. <br /> 11. HSC 119314- Handwashing facilities properly supplied and accessible,warm water <br /> OBSERVATIONS: <br /> The wall mounted paper towel dispenser located at the procedure sink has an opening. <br /> CORRECTIVE ACTIONS: <br /> The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. Replace the paper <br /> towel dispenser with another dispenser that does not have an opening. <br /> 18. HSC 119303-Client records approved and available-Consent form and questionnaire <br /> OBSERVATIONS: <br /> 1. The SMP consent form did not include all the items from Form B. <br /> 2. The SMP medical questionnaire did not include all the items from Form B. <br /> 3 The permanent cosmetic consent form did not include all the items from Form B. <br /> CORRECTIVE ACTIONS: <br /> 1. The facility's client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. Include the following on the SMP consent form and provide a copy to the EHD: <br /> -Client is at least 18 years of age. <br /> - Description of the procedure. <br /> - Description of what the client should expect following the procedure. <br /> -Notice that inks are not FDA approved and health consequences are unknown. <br /> Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 2 of 3 <br /> EH-7-1-25 <br />