Laserfiche WebLink
u'M'.so Body Art Inspe&n Report " ° Date: V3141 <br /> r � <br /> 1 Z San Joaquin County Environmental Health Department Program UU <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: Aelsq1 <br /> (209)468-3420 Program 4 1?,v <br /> www.siogv.org/ehd Element: <br /> Facility Name Address City Zip Code <br /> Xochicalco Tattoo&Cosmetics 5308 pacific ave,suite 20 Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Gerardo Rivera&Yecenia Rosas Routine/Final <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 ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, E <br /> test I etc. <br /> Items washed,disinfected,packaged,labeled,and <br /> El 2' sterilized ❑ 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 /> C <br /> Decontamination/sanitation area separated and supplied ❑ Chemical used: Cavicide <br /> 5. appropriately <br /> Invoices and log kept for disposable,pre:-sterilized <br /> El 6. ❑ I 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> Sharps containers labeled,used,and disposed of Wet contact time provided: 2 min <br /> El 7. <br /> a ro riatel El <br /> Jewelry,tattoo and piercing equipment-clean and <br /> El 8' sterilized ❑ ❑ 26. Barriers used [ <br /> El Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE 27 aseptically [ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments,needles,tubes,etc. [ <br /> El 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry,Inks,Needles etc approved and used correctly [ <br /> ❑ 11 Handwashing facilities properly supplied and accessible, ❑ ❑ 30 Cross-contamination avoided during all phases of [ <br /> warm water procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters [ <br /> Source: Abovetraining.com ❑ 32. Floors and walls clean and in good repair,adequate light [ <br /> ❑ 14. Appropriate personal protective equipment available and ❑ ❑ Workstation,surfaces,including chairs,armrests,etc.in <br /> used 33' ood re air [ <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted [ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area ❑ ❑ 35. Operation and employee training records present [ <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 /> El 18 Client records approved and available-Consent form ❑ ❑ 37. Permits obtained and available [ <br /> and uestionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment [ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled C <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure [ <br /> ❑ 21. Machines cleaned and disinfected between clients I .E] ❑ 41. [ <br /> Received b (Print): `l , VI t'CL CSCt S Received b (Signature): Phone:(209)643-9947 <br /> Specialist Print): Nav of Sahota SpecialistSi nature: I Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of <br /> EH-11/17 <br />