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•� PpUI/y <br /> Body Art Insp n Report 40 Date: 113A/1,9 <br /> San Joaquin County Environmental Health Department <br /> Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PV_c53 q-qZ) <br /> (209)468-3420 <br /> c.. P Program <br /> q<'iF0 www.siogv.org/ehd Element: L4(U <br /> Facility Name Address City Zip Code <br /> Fresher Naiis&Spa LLC 221 w.yokut ave.#a Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Lieu Thi Nguyen 6/30/18 Routine <br /> The above facility is inspected for compliance with nivision 144. Part 15, Chapter 7 of California Health and Safety Code(FISC` <br /> V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont.) C <br /> ❑ 1 Autoclave:approved and effective-passed integrator Parts replaced between clients-grommets,elastic bands, [ <br /> test ❑ ❑ 22 etc. <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and <br /> sterilized E] PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated [ <br /> El4. Integrators used/monthly spore test/log maintained [3 El 24. Appropriate chemical disinfectant used <br /> ❑ 5 Decontamination/sanitation area separated and supplied E:a ro riatel El Chemical used: Caviwipes,ProSpa Disinfectant <br /> ® 6 Invoices and log kept for disposable,pre-sterilized <br /> equipment E] E] 25. Disinfectant used appropriately/sufficient contact time <br /> [ <br /> ® 7 Sharps containers labeled, used,and disposed of <br /> a ro riatel ❑ Wet contact time provided: 30 sec,until dry <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and <br /> El [:126. Barriers used [ <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ® 27. aseptically [ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments, needles,tubes,etc. [ <br /> 01 10. Hands washed effectively and timely ❑ ® 29. Jewelry, Inks,Needles etc approved and used correctly [ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> El 11. warm water El ❑ 30' procedure C <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodbome Pathogen trainingEl ❑ 31. Areas separated/no living or sleeping quarters [ <br /> Source: Cathy Montie ❑ 32. Floors and walls clean and in good repair,adequate light [ <br /> ❑ 14 Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc. in <br /> used El ❑ 33" good repair [ <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted [ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El ® 35. Operation and employee training records present [ <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review [ <br /> Client records approved and available-Consent form <br /> ® 18. El [_137. Permits obtained and available [ <br /> andquestionnaire <br /> ® 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment [ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled [ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure [ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. [ <br /> Received by(Print): Lieu Thi-Nguyen Received b (Signature): Phone:(205)477-9960 <br /> Specialist(Print):_ Naylot_Sahota Specialist(S ature): _ Phone: (209)468-3178 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged Page 1 of <br /> EH-11/17 <br />