COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

- ----- -- - _ . :� 4 pUlry` Body Art Inspection Report Date(MM/DD/YY) 3 3� County of San Joaquin County,Environmental Health Department 1868 E.Hazelton Ave.,Stockton CA 95205 Permit Number 1G�t _ (209)468-3420 vAvw.sigov.ora/ehd - rc Permit Type - . Facility Name Address City Zip Code CT n ' Permit/Registration Holder Name f 1A)n Permit Exp.Date Total-Time ` Inspection Type S� c1 1 vi MilAQ Qa I}1{ ( rLiA 4 RISK FACTORS AND INTERVENTIONS 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 fiance Out=Not in Compliance NIO=Not Observed N/A=Not Applicable C05=Corrected On Site .. - - TATTOOAN15 PERMANENT COSMETICS MACHINE -`CLEANIN_6 ANd kER L)ZATtON z-g• _ F.L_ � n�--� -- -=-`our=cos- - SAFETXANSANITATION In N/O 1 Autoclave is approved and effective-passed ❑ ❑ 18. Safe machine design In N/O our. cos N/A integrator test N/A TE11 In N/O 2. Process of cleaning,labeling,packaging and ❑ f] In N/O 19. Machines cleaned and disinfected between N/A sferliziin items correctlyN/A clients In N/O3. Autoclave loaded correctly/packages allowed to ❑ ❑ In N/O 20. Parts replaced between clients-grommets, N/A d N/A elastic bands,etc. In N/O 4. Integrators used/monthly spore test/log PREVENTING'CROSS-CONTAMINATION N/A maintained ❑ ❑ w{{ . ,r• In N10 5. Decontamination/sanitation area separate ands P N/A supplied El U. InNNA/O 21. Workstation/procedure area decontaminated ❑ ❑ " In N10 6. Invoices and log kept for disposable,pre- ❑ ❑ In N/O 22. Chemical disinfectant used N/A sterilized e ui ment,backu supplies available* NIA Chemical used: ❑ ❑ In N/O 7. Sharps containers supplied,labeled,used and In N/O. 23. Disinfectant used sufficient contact time Wet N/A disposed of correctly El [I ❑ In N/O 8. Jewelry,tattoo and piercing equipment-storage N/A contact time provided: NIA ❑ ❑ In NIO 24. Barriers available and used as part of and use NIA rocedure* ❑ ❑ In NIO 25. Products applied to skin are single PRACTITIONER HEALTN'AND HYGIENE NIA use/dispensed aseptically ❑ ❑ In N/0 9. No eating,drinking or smoking-clean clothes In N/0 26, Storage of inks,pigments,needles,tubes,etc., El El N/A ❑ ❑ = In N/0 10. Hands washed effectively and timely ❑ 11InN A/O 27. Jewelry,Inks,Needles etc approved and used El El In N/O 11. Handwashing facilities properly supplied andEl ❑ In NIO 28. Cross-contamination avoided during all phases NIA accessible,warm potable water NIA of procedure ❑ ❑ In N/O 12. Personal protective equipment available and +BEST BUSINESS PRACTICES;. N/A used,eyewash station available CUSTOMERS/CLIENTS In NIO 29. Areas separated/no living or sleeping N/A quarters/no animals* ❑ ❑ In NIO 13. Branding is completed with no other customers in ❑ In N/O 30. Floors and walls clean and in good repair, NIA procedure area N/A ade uate light ❑ ❑ In N10 14. Customers eighteen(18)years of age or older NIA ❑ ❑ In NIO 31. Workstation,surfaces,including chairs,,etc.in N/A good repair,trash removed frequently ❑ ❑ In N10 15. Skin prepared for procedure. NIA ❑ 0 In N/O 32. Permns 9it/registration and required signs posted` El In N/O 16. Client records available-Consent form& In NIO 33. IPCP and employee(raining records and NIAquestionnaire ❑ ❑ ❑ ❑ N/A Hepatftiis B vaccination status Dresent In 1\1/0 17. Aftercare instructions given to client In N/O 34 Restrooms available,stocked NIA ::EITEII NIA ❑ I ❑ eceived b (Print): Sep, Received b (Signature): Phone: pecialist(Print): Specialist(Signature): Phone: This report is an Official Notice of Violation.Corrections must be completed in the time specified. A reinspection fee may be charged if violations noted on this report are not corrected by the reinspection date. Reinspection Date(on or about) Page of 3