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Body Art InspectiO Report Date: hVI <br /> aQ ? San Joaquin County Environmental Health Department Program (� I <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: p ►'t 0 S <br /> o p, (209)468-3420 Program <br /> 4 �` oov.org/ehd i <br /> < F oR www.sioqv.org/ehd Element: L1 ! Z <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> James McGovern <br /> Alex Cox <br /> John Hot mb <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) No sterilization records were available for needles currently in inventory. <br /> Submit evidence of sterilization records to the EHD by 2/112019. <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. John Holocomb's Bloodborne Pathogens certification has expired. Submit evidence of correction to <br /> the EHD by 2/1/2019. <br /> 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. HSC 119314 Message Table surface is deteriorating. Repair surface by 2/1/2019. <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 No records to verify <br /> training of staff with IPCP. Submit evidence of training to the EHD by 2/1/2019. <br /> Notes: <br /> 1) Sharps pick-up is done by Stericycle. <br /> A complaint was received by the EHD that alleges that the facility was dirty. At the time of the inspection, the floors were clean. <br /> The counters and work area clean. Unable to verify the allegations in the complaint. <br /> Unless otherwise stated, all corrections are to be completed by 2/1/2019. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />