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Body Art Inspe* Report Date: L/ el Aq San Joaquin County Environmental Health Department Program pROS��6S6 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 1" d (209)468-3420 Program Li www.siogv.org/ehd Element: Paula Keli Degenstein-BBP and Permit Current and PR0541657 Posted Bridget Wagner-BBP and Permit Current and PR0543803 Posted PR0543540 Shelly Mekeel-BBP and Permit Current and Posted 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)—Provide evidence of sterilization for blades use on clients to the EHD. 28. Sterilized instrument packs, equipment and jewelry shall be stored in a labeled container or cabinet that is protected from dust or moisture. Sterile instrument packs shall be evaluated before use; instrument packs shall be discarded or reprocessed if condition is compromised. HSC 119315—Stored Tina Davies inks in a container or cabinet to prevent dust and moisture contamination. 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—Curtains must be nonabsorbent. Replace the curtains with nonabsorbent curtains or rearrange the chairs so that they are away from the curtains. Observed one set of absorbent curtains being used as an divider for the room. Corrected on site.Another set of absorbent curtains observed by the windows. The tables are positioned away from the curtains by the windows. Corrected on site. 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—When there is anew practitioner or the IPCP has been updated, review the IPCP. Review the IPCP with the new practitioners and send a copy of the signed IPCP to the EHD. Note: 1. If you have any question, please contact me at(209) 468-3284 or mvue@sjcehd.com 2. Keep record of purchase for the needles/blades in the facility. 3. Keep evidence of sterilization for the blades and needles in the facility. Send copy of the sterilization certificate for the blades to the EHD. 4. Maintain a copy of clients' identification with their records. 5. Provide a copy of the signed IPCP to the EHD. Correct all violations prior to March 5, 2019. Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 EH-11/17