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Body Art Inspect*Report 46 Date: �/ <br /> it �a1 San Joaquin County Environmental Health Department Program �y�^ <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: {V� -1 h � -/ <br /> (209)468-3420 Program (,� <br /> Q�t_Fpaa` www.siogv.om/ehd Element: "it�-I <br /> Facility Name Address City Zip Code <br /> Uptown Ink 3228 pacific ave#a Stockton 95204 <br /> Name of Permit/Registration Holder Permit Exp.Date Time in Time Out Inspection Type <br /> Cesar Flores 6/30/16 Routine <br /> The above 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 /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C <br /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ [_122 Parts replaced between clients-grommets,elastic bands, Eltest etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> 2. sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> El 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore testilog maintained F1 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied <br /> El5' appropriately ❑ Chemical used: Madacide ❑ <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6• equipment ❑ E] 25. Disinfectant used appropriately/sufficient contact time <br /> El <br /> 7 Sharps containers labeled,used,and disposed ofrE_1 <br /> Wet contact time provided: 6 mins <br /> appropriately <br /> Jewelry,tattoo and piercing equipment-clean and <br /> El 8' sterilized ❑ 26. Barriers used ❑ <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE El 27. asepticallyE] <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 /> ❑ 11 Handwashing facilities properly supplied and accessible, ❑ ® 30 Cross-contamination avoided during all phases of ❑ <br /> warm water I procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Cathy Montie ® 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ 14. Appropriate personal protective equipment available and ❑ ❑ 33 Workstation,surfaces,including chairs,armrests,etc.in ❑ <br /> used good repair <br /> CUSTOMERS/CLIENTS ® 34. Permit/registration posted E] <br /> Branding is completed with no other customers in <br /> ❑ 15. ❑ F135. 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 <br /> ® 18. and questionnaire ❑ ❑ 37. Permits obtained and available ❑ <br /> ❑ 19. Appropriate aftercare instructions given to client El ❑ 38. impoundment ElMACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Cesar Flores Received b Si nature): 6-1007 <br /> Specialist(Print): Har rit Mattu,Sr REHS Specialist(Signature)7 Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />