COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

)O' pU�N.CO Body Art Inspection Report Date: December 18,2025 N { San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: No PR# (209)468-3420 www.sioay.oro/ehd Program 4120—Body Art Facility � !Fi3Ra� Element: Single-use Facility Name Address City Zip Code The Chameleon Method 37 W.Yokuts Ave.Suite 5 Stockton,CA 95207 Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type Harleigh Quintana Final Inspection 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, El 1 integrator test El ❑ 22' elastic bands,etc. ❑ 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' appropriately ElChemical used: CaviCide,Caviwipes and supplied El 6 HSC 119315-Invoices and log kept for disposable,pre- El25 HSC 119309-Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ ❑ HSC 119314-Sharps containers labeled,used,and 7' ro riatel ❑ Wet contact time provided: 4 minutes dis osed of a ❑ 8 HSC 119310, 119315-Jewelry,tattoo and piercing ❑ ❑ 26. HSC 119314-Barriers used ❑ e ui ment-clean and sterilized HSC 119311 -Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE ❑ 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. HSC 119310,119311 -Jewelry, Inks,Needles etc approved El10. HSC 119308 Hands washed effectively and timely ❑ ❑ 29. and used correctlyEl HSC 119314-Handwashing facilities properly supplied and HSC 119308-Cross-contamination avoided during all El 11. accessible,warm water ❑ ❑ 30' phases of procedure ❑ ❑ 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: ProTrainings(Expires 11/18/26) El ❑ 32 HSC 119314-Floors and walls clean and in good repair, Eladequate 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 ❑ 35' resent El❑ HSC 119302-Customers eighteen(18)years of age or ❑ 16. older El 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 El 18. Consent form and uestionnaire El El 37. HSC 119312-Permits obtained and available ❑ ❑ HSC 119303, 119308-Appropriate aftercare instructions 19. iven to client El El38. HSC 119319-Impoundment El 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): Harleigh Quintana Received by(Signature): EMAIL Phone:209-923-0633 Specialist(Print): Alexander Cruz Specialist(Signature): a4zar*,v" 6 Z`o Phone:209-616-3042 Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 2 EH-7-1-25