COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

- . _ _, Body Art Inspection Report County of San Joaquin County,Environmental Health Department Date(MM/DD/YY) n,,� 1 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number S _ (209)468-3420 vnvw-sigov.org/ehd �C <rFa� Permit Type LA13 Facility Name Address City Zip Code CT V4-4 fd 4cnowmil en t GAlli1n5�,�,7o tiq ui., Permit/Registratron Holder Name Permit Exp.Date Total Time Inspection Type ovAc, and At-1 ctr614WPh RISK FACTORS AND INTERVENTIONS gni 1�1 ,tYr t'dU-\ / Risk factors are improper practices or procedures identified as contributing factors of cross-contamination. Interventions are control measures to prevent cross-contamination and transfer of pathogens from one person to another. In=In Com liarice Out-Not in Compliance N/0=Not Observed N/A=Not Applicable COS=Corrected On Site ::°' - - - TATiOOAND PERIAANENT,COSMETICS MACHINE= ZI " -CLEANING�ANI ERIW TIONSAFETX IAV USANITATION' -- - In N/O 1. Autoclave is approved and effective-passed ❑ ❑ In N/O 18. Safe machine design our cos N/A integrator fest N/A ❑ ❑ In N10 2. Process of cleaning,labeling,packaging and ❑ In N/O 19. Machines cleaned and disinfected between N/A sterliziin items correct) N/A clients ❑ ❑ In N/O 3. Autoclave loaded correctlylpackages allowed to ❑ In N/O 20. Parts replaced bettmeen clients-grommets, N/A d N/A elastic bands,etc. ❑ ❑ In N/0 4. Integrators used/monthly spore test/log N/A maintained 11 11PREVENTING_CROSS•CONTAMINATION, , In N/0 5. Decontamination/sanitation area separate and P ❑ ❑ In N10 21. Workstation/procedure area decontaminated ❑ ❑ N/A supplied* In N/0 6. Invoices and log kept for disposable,pre- ❑ In N/O 22. Chemical disinfectant used NIA 171 sterilized e ui equipment,backu supplies available* NIA Chemical used: ❑ ❑ In N/0 7. Sharps containers supplied,labeled,used and In N10. 23. Disinfectant used sufficient contact time Wet N/A disposed of correct) * ❑ 11 N/A contact timeprovided: +11E] In N10 8 Jewelry,tattoo and piercing equipment-storage ❑ ❑ In N10 124. Barriers available and used as part of NIA and use N/A procedure* In WO 25. Products applied to skin are single PRACTITIONER HEALTH�AND HYGIENE. NIA useldis ensed asepticall ❑ 11 In N/0 9. No eating,drinking or smoking-clean clothesElInNNA10 26. Storage of inks,pigments,needles,tub------------ es,etc., El El N/A El In N10 10. Hands washed effectively and timely ❑ InN A/0 27. Jewelry,Inks,Needles etc approved and used El El In N/0 11. Handwashing facilities properly supplied andElIn N/0 28. Cross-contamination avoided during a N/A accessible,warm table water* ll phases NIA of procedure ❑ ❑ = In N/0 12. Personal protective equipment available and BESTi BUSINESS PRACTICES; N/A used,eyewash station available* El ElSINE 9 P t= •, rCUSTOMERSlCLIENTS In N10 29. Areas separated/no living or sleeping ,., P g N/A quarters/no animals* ❑ ❑ :::TN WO Branding is completed with no other customers in In N/O 30. Floors and walls clean and in good repair, rocedure area ❑ ❑ N/A adequate light* ❑ ❑ In Customers eighteen(18)years of age or older In NIU 31. Workstation,surfaces,including chairs,,etc.in NIA 11 ElNIA good repair,trash removed frequently* El ❑ - In N/O 15. Skin prepared for procedure. ❑ In N/0 32. Per-nit/registration and required signs posted NIA ❑ NIA ❑ ❑ In N10 16. Client records available-Consent form& ❑ ❑ In N/0 33. IPCP and employee training records and N/A questionnaire N/A Hepatitiis B vaccination status present ❑ ❑ In N/0 17. Aftercare instructions given to client In N/O 34 Restrooms available,stocked NIA ❑ ❑ NIA ❑ I ❑ eceived by(Print): P. J Received by(Signature) Phone pecialist(Print): Specialist(S" nature): Phone: This report is an Official Notice of Violation.Corrections must be completed in the time specified. A reinspection fee maybe charged if violations noted on this report are not corrected by the reinspection date. Reinspection Date(on or about) Page 1 of 3