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,o...°..".�..."....�oGBody Art Ins eco Report date: t <br /> a San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 Program <br /> • c4�; .6.. www.siogv.org/ehd g I t <br /> Element: l <br /> PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> 523104 Cesar Flores <br /> 523590 Paul Bellinger <br /> Observations and Corrective Actions: <br /> 2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized <br /> immediately after each procedure. HSC 119309 <br /> If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains <br /> process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a) <br /> 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization <br /> shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and <br /> temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br /> sterilizer after a failed spore-test. HSC 119315(b) <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste"or with the biohazard symbol <br /> and the word"Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) <br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303 <br /> 27. Products applied to skin prior to tattooing or application of permanent cosmetics, including, but not limited to, stencils, <br /> marking and transfer agents, shall be single use and discarded into a waste container at the end of the procedure. HSC <br /> 119311(a) <br /> 28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from <br /> dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if <br /> condition is compromised. HSC 119315 <br /> 30. The practitioner shall wear disposable gloves on both hands when touching, decontaminating, or handling a soiled object, <br /> instruments,jewelry or cleaning surfaces in the procedure, decontamination and sterilization areas. The surfaces and objects in <br /> the procedure area shall be disinfected before performing body art in that area. Inks, pigments, soaps, and other products in <br /> multiple-use containers shall be dispensed in a manner to prevent contamination of the storage container through the use of a <br /> single-use receptacle. HSC 119309 <br /> Reinspecion on/about: A reinspection fee of$125 per hour may charged. Page 2 of 3 <br /> EH-04/2014 <br />