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Body Inspect*Report Y Art Ins P Date: a. San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: (209)468-3420 .\cd ......•.-:e'• Program www_sioov.org/ehd Element: PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONERIARTIST NAME PR0523104 Cesar Flores-Permit posted PRO523590 Paul Bellinger-Not registered Observations and Corrective Actions: 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f) 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) 16. Client shall be at least 18 years of age to receive a tattoo, permanent cosmetics, or branding. Body piercing, unless performed in the presence of parent or guardian, the client, must be 18 years of age. HSC 119302 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303 25. Disinfectant shall be used according to the manufacturer's instructions. HSC 119309(b) 30. The practitioner shall wear disposable gloves on both hands when touching, decontaminating, or handling a soiled object, instruments,jewelry or cleaning surfaces in the procedure, decontamination and sterilization areas. The surfaces and objects in the procedure area shall be disinfected before performing body art in that area. Inks, pigments, soaps, and other products in multiple-use containers shall be dispensed in a manner to prevent contamination of the storage container through the use of a single-use receptacle. Distilled water must be used to rinse needles when changing inks. HSC 119309 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each procedure area shall have lined waste containers. HSC 119314& 119317 33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, durable, and nonabsorbent finish. HSC 119314 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313 36. Design plans shall be submitted to EHD for approval prior to constructing or remodeling body art facility. HSC 119312 Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 3 EH-03/2015