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t_ <br /> t <br /> Body Art Inspect4pRepoll ?� �g <br /> N Date: <br /> San Joaquin County Environmental Health Department Program P <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: " `126-,4 <br /> (209)468-3420 <br /> q -p Program <br /> b�F0. www.siogv.org/ehd l� Izo <br /> Element: _1� cw <br /> Facility Name Address City Zip Code <br /> The Beauty Lounge&Co. 49 e. 10'"street suite a Tracy 95376 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Lisa Marie Bates 6/30/18 Final/Routine. <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 Parts replaced between clients-grommets,elastic bands, Eltest ❑ ❑ 22" etc. <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and <br /> sterilized E] PREVENTING 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 /> ❑ <br /> 5 appropriately Decontamination/sanitation area separated and supplied ❑ <br /> ❑ Chemical used: Barbicide <br /> ❑ 6 Invoices and log kept for disposable,pre-sterilized <br /> equipment El El 25. Disinfectant used appropriately/sufficient contact time <br /> Sharps containers labeled,used,and disposed of ElF-17 appropriately <br /> ❑ [Wet contact time provided: 10 mins <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 26. Barriers used ❑ <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27' asepticallyEl <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, ElE] avoided during all phases of E]❑ 11. warm water ❑ 30. procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> El 13. Bloodborne Pathogen training El ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Above Training,Pro Trainings ❑ 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. [1 El used 33. ood re air E]CUSTOMERS/CLIENTS ❑ 34. Perm it/registration posted E] <br /> ❑ <br /> Branding is completed with no other customers in 15. ❑ F135. 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 ❑1 ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> ❑ 18. and questionnaire ❑ ❑ 37. Permits obtained and available ❑ <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): Lisa Marie Bates Received by(Signature)7 Phone: 209 257-2599 <br /> Specialist(Print): Har rit Mattu,Sr REHS Specialist(Signature)7 Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />