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I <br /> Body Art Insp Report Date: l <br /> 0 <br /> k San Joaquin County Environmental Health Department Programa <br /> h', K 1666 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> J (209)466-3420 Program <br /> wwwsiogv.org/ehd Element: <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0515393 Jon Highland PR0537375 Shawn Edwards <br /> PR0541553 Leana Martinez <br /> PR0537376 Ne htali Bru ueras <br /> PRO539346 Kristal Betancourt <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, 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. HSC 119315(f)-This is a repeat violation. If corrective action documentation is not <br /> received within 30 days,a re-inspection wil be conducted at a rate of$139 per hour. <br /> 31. A body art facility shall be separated from any residential areas used for sleeping, bathing, or meal preparation and shall not <br /> share a common entrance or toilet facility with residence. The toilet facility must have a sink with hot and cold water, <br /> containerized liquid soap, and single-use paper towels that are dispensed from a wall-mounted,touchless dispenser. <br /> HSC 119314 <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 <br /> Unless Otherwise Noted, Corrective Action Due in 30 days. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />