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" Body Art InspectAReport ` Date: 1/2.31197 <br /> a. < <br /> San Joaquin County Environmental Health Department Programtj <br /> Q <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: S�LOU'7(o� <br /> (209)468-3420 Program <br /> ��C'FORa�.'• wwwsiogv.org/ehd Element: 413 <br /> Facility Name Address City Zip Code <br /> Allure Salon and Spa 67 e. 10"st. Tracy 95376 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Initial Consult. <br /> Desiree Bozek <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 /> ❑ Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> 1. test etc. <br /> Items washed,disinfected,packaged,labeled,and ❑ <br /> ❑ 2' sterilized PREVENTING CROSS-CONTAMINATION <br /> ❑ El3. 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 El <br /> Decontamination/sanitation area separated and supplied El Chemical used: <br /> ❑ 5• appropriately <br /> Invoices and log kept for disposable,pre-sterilized ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> ® 6 equipment ❑ <br /> ® <br /> 7. Sharps containers labeled,used,and disposed of ElWet contact time provided: <br /> appropriately <br /> Jewelry,tattoo and piercing equipment-clean and El El 26. Barriers used ❑ <br /> El 8. sterilized <br /> El 27 Products applied to skin are single use/dispensed ❑ <br /> PRACTITIONER HEALTH AND HYGIENE aseptically <br /> ❑ 9. No eating,drinking or smoking-clean clothes El El28. Storage of inks,pigments,needles,tubes,etc. El <br /> ❑ 10. Hands washed effectively and timely E] El29. Jewelry,Inks,Needles etc approved and used correctly ❑ <br /> ® 11 Handwashing facilities properly supplied and accessible, ❑ ❑ 30 Cross-contamination avoided during all phases of El <br /> warm waterprocedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: ® 32. Floors and walls clean and in good repair,adequate light ❑ <br /> E] 14 Appropriate personal protective equipment available and El ❑ 33 Workstation,surfaces,including chairs,armrests,etc.in El good repair <br /> CUSTOMERS/CLIENTS ® 34. PermiUregistration posted E] <br /> ❑ 15 Branding is completed with no other customers in ❑ ® 35. 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 /> ® 18 Client records approved and available-Consent form ❑ ❑ 37. Permits obtained and available ❑ <br /> and questionnaire <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): Jennifer S adafore Received b Si nature: Phone: 209 814-8411 <br /> Specialist(Print): Benjamin Escotto,Sr REHS S ecialist Si nature): Phone: 209 468-3178 <br /> Reinspecion onlabout: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />