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Is "'" s Body Art Inspeco Report Date: Ghalis •:l San Joaquin County Environmental Health Department Program �j 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: (209)468-3420 q' ••••• a`' www.siogv.orgeProgram / hd �rFOR Element: 41 ZD PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME PR0536985 Rosemarie Haas Observations and Corrective Actions: 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and numbQr of instrumen#s used shall be maintained for a (� minimum of 90 days after use. HSC 119315(f)-n 'A S�u:l��i un Wfca t- (N v-11w,"c,&,. 71u-11S) 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall-mounted, touch less dispenser that is readily accessible to practitioner. HSC 119314(b) 16. Client shall be at least 18 years of age to receive a tattoo, permanent cosmetics, or branding. Body piercing, unless performed in the presence of parent or guardian, the client, must be 18 years of age. HSC 119302 _mix&,&7I.U)I5 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303-Wig Ael 7)zzj1S 19. At the completion of the procedu e, thepractitioner shall provide postprocedure instructions that include all elements listed in Form B. HSC 119308(b) cl�f�CG �117�iZ11S 27. Products applied to skin prior to tattooing or application of permanent cosmetics, including, but not limited to, stencils, marking and transfer agents, shall be single use and discarded into a waste container at the end of the procedure. HSC 119311(a) 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each procedure area shall have lined waste containers. HSC 119314 & 119317-Correct within 60 days. 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 -coifwA-erg 7/ZLI1S Notes: 1. Remove the biohazard label on the garbage container. 2. Only use the BBP training that is provided on our list. Unless otherwise noted, Corrective Action Due in 30 days . Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 EH-03/2015