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Body Art Inspe on Report is Date: 9/14/11 <br /> San Joaquin County Environmental Health Department Program 1090Cj 36 ?8t/ <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> r, oRa` www.siogv.oro/ehd Program q1 W <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0536985 Rosemarie Haas:BBP expired,permit posted <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 <br /> for a minimum of 90 days after use. HSC 119315(f)-Contact manufacturers Mei-cha and SofTap for record of sterilization, <br /> including lot number. <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303-Include in medical questionnaire: history of herpes infection at the procedure site, <br /> and other risk factors for bloodborne pathogens. <br /> 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed it <br /> Form B. HSC 119308(b)-Include restrictions on physical activities. <br /> 27. Products applied to skin prior to tattooing or application of permanent cosmetics, including, but not limited to, stencils, <br /> marking and transfer agents, shall be single use and discarded into a waste container at the end of the procedure. HSC <br /> 119311(a) <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 /> Notes: <br /> 1) Bloodborne pathogen training certification expired 7/6/16. Maintain current bloodborne pathogen training <br /> certification (from list of approved courses). <br /> 2) Maintain updated copy of Infection Prevention and Control Plan on site. <br /> 3) If you are planning on long-term operations, procedure area must be equipped with a sink. <br /> Unless otherwise noted, correct all violations by March 28, 2018. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of <br /> EH-11/17 (1, <br />