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Body Art Inspec Report Date: 6Z t 9 <br /> San Joaquin County Environmental?ie'alth Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 Program / <br /> www.slogv.orq/ehdElement: N/Zl <br /> FA I TN F (WtE 5 Cyw►cAsr,nET <br /> Facility Name Address City Zip Code <br /> Uptown Ink 3228 pacific ave. Stockton 95204 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Cesar Flores 6/30/2020 Re-inspection <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 ❑ ❑ 22J Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> El 2' Items washed,disinfected,packaged,labeled,and <br /> sterilized El 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 El <br /> El 5. appropriatelyE] Chemical used: <br /> ® <br /> Invoices and log kept for disposable,pre-sterilized 6. E] E] 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> 11Sharps containers labeled, used,and disposed of <br /> ® 7' E] Wet contact time provided: <br /> appropriately <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. ❑ El 26. Barriers used <br /> sterilized <br /> Products applied to skin are single use/dispensed El <br /> PRACTITIONER HEALTH AND HYGIENE El 27. 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, Cross-contamination avoided during all phases of <br /> El 11. E] 30warm water " procedure <br /> E] <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ro 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: 32. Floors and walls clean and in good repair,adequate light El <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc. in <br /> El 14. Elused 33" ood repair <br /> r_1CUSTOMERS/CLIENTS 34. Permit/registration posted El <br /> Branding is completed with no other customers in <br /> [:1 15. rocedure area El ® 35. Operation and employee training records present EJ <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 /> El 18. El 37. Permits obtained and available El <br /> and <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 ❑ ❑ 41. ❑ <br /> Received b (Print): C C75A YL F IU t: s Received by(Signature): ;;Z Phone: <br /> Specialist(Print): J.Easter Specialist(Signature): Phone: (209)953-7310 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br /> ■ <br />