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Body Art Inspec-i Report 0 Date: VMS <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> \ `P (209)468-3420 Program <br /> q�,FORa www.siogv.org/ehd Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Donna Manokoun-BBP posted,permit not issued, need <br /> PR0537458 Gustavo Hurtado-BBP available,permit not PRO542601 Hep B declination <br /> Stephen Adkins(San Jo Sleepz)-Permit given,BBP <br /> PRO542500 posted <br /> PR0542492 Armando Perez-Permit given,BBP available <br /> PR0537993 Ruben Benites-Permit held,BBP e 1 ear <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(f)—Submit by July 8, 2018. <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)—Submit by July 8, 2018. <br /> 12. Practitioner shall provide evidence of current hepatitis B vaccination or hepatitis B immunity or comply with current federal <br /> OSHA hepatitis B vaccination declination requirements. HSC 119306(c)—Submit within 7 days. <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. —Submit within 14 days. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313—Submit within 30 <br /> days. <br /> 36. Design plans shall be submitted to EHD for approval prior to constructing or remodeling body art facility. HSC 119312. <br /> Submit within 7 days. <br /> All violations must be corrected by the deadlines stated above. If violations are not corrected, a re- <br /> inspection may be conducted at$152. <br /> Notes: 1.) Facility will be charged $152 for this re-inspection. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />