COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

oPQ;u iH..c \ Body Art Inspection Report Date: June 22, 2026 San Joaquin County Environmental Health Department Program it 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0547208 (209) 468-3420 ' Program www.siogv.org/ehd g Element: 4120 Facility Name Address City Zip Code Infusion SMP 1150 W Robinhood Dr#2B Stockton 95207 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Sarah Williams 6/30/26 Routine 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, ❑ 1' inte rator test El ❑ 22' elastic bands, etc. El HSC 119309 - Items washed, disinfected, packaged, El 2' labeled, and sterilized ❑ PREVENTING CROSS-CONTAMINATION ❑ HSC 119315 - Autoclave loaded correctly/packages 3' allowed to d ElEl23. HSC 119309 - Workstation/procedure area decontaminated El ❑ HSC 119315 - Integrators used/monthly spore test/log 4. El24. HSC 119301 - Appropriate chemical disinfectant used maintained El ❑ HSC 119314 - Decontamination/sanitation area separated 5' and supplied appropriately ❑ Chemical used: Caviwipes ❑ 6 HSC 119315 - Invoices and log kept for disposable, pre- ❑ 25 HSC 119309 - Disinfectant used appropriately/sufficient sterilized equipment El contact time ❑ ❑ HSC 119314 - Sharps containers labeled, used, and 7appropriatelyElWet contact time provided: 2 mins dis osed of HSC 119310, 119315 - Jewelry, tattoo and piercing El 8. a ui ment - clean and sterilized El El26. HSC 119314 Barriers used El HSC 119311 - Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE El 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. ❑ 10. HSC 119308 - Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 - Jewelry, Inks, Needles etc approved ❑ and used correct) HSC 119314 - Handwashing facilities properly supplied and HSC 119308 - Cross-contamination avoided during all El 11. accessible, warm water El ❑ 30 phases of procedure ❑ ❑ 12. HSC 119306 - Hepatitis B vaccination ❑I BEST BUSINESS PRACTICES 13. HSC 119307 - Bloodborne Pathogen training ❑ 31. HSC 119314 - Areas separated/no living or sleeping quarters ❑ ❑ ❑ HSC 119314 - Floors and walls clean and in good repair, Source: ❑ 32. adequate light ❑ HSC 119308 - Appropriate personal protective equipment HSC 119314 - Workstation, surfaces, including chairs, El 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 El 15. customers in procedure area ❑ ❑ 35. resent El ❑ 16 HSC 119302 - Customers eighteen (18) years of age or ❑ older COMPLIANCE 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 - 18. Consent form and uestionnaire El El37. HSC 119312 - Permits obtained and available El HSC 119303, 119308 - Appropriate aftercare instructions El 19. iven to client El ❑ 38. HSC 119319 - Impoundment ❑ 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): Sarah Williams Received by (Signature): EMAILED Phone: 209-244-4111 Specialist (Print): Sandip Singh Specialist (Signature): �' i,;o-5Z Phone: 209-468-3526 —V Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 1 of 2 EH- 7-1-25