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,�O•.t'C L.��•.C'Q,. <br /> Body Art Inspection Report <br /> Date: <br /> 4/27/22 <br /> San Joaquin County Environmental Health Department <br /> Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0540595 <br /> (209)468-3420 <br /> vAM.sioay.orq/ehd Program <br /> Element: 4120 <br /> =acility Name Address City Zip Code <br /> Jptown Ink 3228 Pacific Ave Suite A Stockton 95204 <br /> Varve of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> :�esar Flxes 6/30/22 Routine <br /> The aoove facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code(HSC). <br /> V=Violation C=Corrected On Site <br /> ✓ CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION(cont.) C <br /> [ 1. Autoclave: approved and effective-passed integrator test ❑ [:1 22 replaced between clients-grommets,elastic bands.22. Eletc. <br /> Items washed,disinfected, packaged, labeled,and <br /> El 2' sterilized E] PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ElE] <br /> 5' <br /> appropriatelyElChemical used: <br /> ® <br /> Invoices and log kept for disposable, pre-sterilized 6. ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> ® <br /> Sharps containers labeled, used,and disposed of 7' ❑ Wet contact time provided: <br /> appropriately I❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. El El 26. Barriers used <br /> sterilized <br /> PRPCTITIONER HEALTH AND HYGIENE ❑ 27• Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks, pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, <br /> El 11. ❑ F1 30. Cross-contamination avoided during all phases of procedure <br /> hot water <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen trainingE] F1El31. Areas separated/no living or sleeping quarters <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces, including chairs,armrests,etc. in <br /> ❑ 14. El 33.used ❑ good repair <br /> El <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. El El 35. Operation and employee training records present <br /> procedure area ❑ <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 and <br /> ❑ 18. uestionnaire El ❑ 37. Permits obtained and available E] <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 ❑ FEI 41. ❑ <br /> F:e:;aived by(Print): Cesar Flores Received by(Signature): Phone:209-466-1200 <br /> Ep-3,ialist(Print): Pinne Chao Specialist(Signature): Phone:209-468-3854 <br /> Reinspection on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 /L�� <br />