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°"`"s o\\ Body Art Inspeco Report Date: San Joaquin County Environmental Health Department Program e 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: POh LO SYIa Q J RIS (209)468-3420 Program / 64lIaRa�e www.sio4v.orgend Element: `I /211 PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME PR0523104 Cesar Flores,BBP CM,6/17/2020 PR0523590 Paul Bellinger, BBP CM 11/12/2020 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) Sterilization records were unavailable for lots in use in the facility. Obtain sterilization records for two lots in use in the facility,and submit them to the EHD by 12/11/2019. 7. Thp shaFps waste GeRtainer shall be within arm's reaGh and labeled with the word"sharps waste" or with the biehaz symbol and the word"Biehazard". Sharp waste tainers shall be disposed by a "Gensed waste hauler 9F approved baGk systerm DeGumentatiei; of proper disposal shall be maintained for 3 years. HSG 119314(e) The last shar-ps pir* up was Gn 911212018. Five fid,sh Fps Gontainers aFe stered in the facility awaiting p Gk-up. Sharps Gontainers must-he dwspesed at least once per year. Dispose of the full shaFPS container-and roubmit mewfidenGe to the E14D by 11.114120 Sharps were picked-up by Barnett Medical Services on 10/30/19. 11 T-N- prgGeduFe area shall be equipped with a sink with hot and Gold FUnning wateF, GOntainerized liquid soap, and single w6e paper towels dispensed from a wall meunted, tGUGhless dispei;seF that is readily aGGessible to PFaGtitieReF. HSC119314(b) Soap war, r-esupplied dUFiRg the inspection. The paper-UMAMIR are not dispensers. Restock the tourhiess papeF towel dispensers by 111441201 . The paper towel dispensers have been restocked. I I Pm.-Gtkioner shall pmvide evideRGe Of a GOmpleted, EH D appFeved, OSHA Bleadberne Pathogen T tent *n 119307. BlGedbGr-ne pathogens GertifiGate for Paul Bellinger 86 not posted in the faGility. PGst odenGe cA recent hl9GdbGFne pathogens training by ev . Paul Bellinger bloodborne pathogens certificate was posted. I R_ The fadlitoeS Glient GGRSeRt feFrn and rAediGal questionnaire must inGlude all of the infeFmatien listed On Form 13, and- are a "Able fGF iRSPeGtien. HSG 119303 The faGility had less than one month of records available f4GF review. No desGripti required to mawntaon , eaFs of cl"ent rer.Grds onsite fGr review by the END. Eftective 8;�Mpdbltplly, FeGGrd Io a nfer-matmon and a desGription GU 13 at the tome of the . Lot numbers and descriptions are listed on current client consent forms. 32. A body art facility shall have floors,walls, and ceilings that are smooth, nonabsorbent, free 6fopen oles, 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 facilities 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 The facility Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 3 EH-11/17