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SAN 10 AQ U I N Environmental Health Department -- C U U N T Y— -_- - Body Art Inspection Report Facility Name: Facility Address: Date: XOCHICALCO TATTOOS & COSMETICS 5308 PACIFIC AVE , STOCKTON August 20, 2021 Preventing Cross Contamination 26 HSC 119311 (h) Barriers used o V o COS 27 HSC 119311 (a) Products applied to skin are single useldispensed aseptically o V o COS 28 HSC 119315 Storage of Inks, pigments, needles, tubes, etc. o V o COS 29 HSC 119310, 119311 Jewelry, Inks, Needles etc approved and used correctly o V o COS 30 HSC 119309 Cross-contamination avoided during all phases of procedure o V o COS Best Business Practices 31 HSC 119314 Areas separated/no living or sleeping quarters o V o COS 32 HSC 119314, 119317 Floors and walls clean and in good repair, adequate light 0 V o COS 33 HSC 119314 Workstation, surfaces, including chairs, armrests, etc. in good repair o V o COS 34 HSC 119306, 119312 Permit/registration posted o V n COS 35 HSC 119313 Operation and employee training records present o V ( i COS Compliance and Enforcement 36 HSC 119312 Plants) submitted for review o V o COS 37 HSC 119312, 119306 Permits obtained and available o V o COS 38 HSC 119319 Impoundment o V o COS 39 HSC 119320 Hearing scheduled o V o COS 40 HSC 119320 Closure ( IV o COS Other Violations 41 See below Other violations o V o COS OBSERVATIONS AND CORRECTIVE ACTIONS Item # Remarks 6 HSC 119315(f) Invoices and log kept for disposable, pre-sterilized equipment. 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) - A sterilization certificate and invoice were not provided for Yecenia's Kwadron needles with lot # 0902. A sterilization certificate was not available for Gerardo's Davinci needles with lot #14 200601 . Provide sterilization certificates and invoice to the EHD. 32 HSC 119314, 119317 Floors and walls clean and in good repair, adequate light. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each procedure area shall have lined waste containers. HSC 119314 & 119317 - There is electrical wiring exposed next to the storage room and an electrical outlet without a cover next to Gerardo's work station. Ensure electrical wiring and outlets are covered. Provide EHD with photographic evidence of correction. FA0025033 PRO544021 80001 08/20/2021 EHD Rev. 6/152021 Page 2 of 3 �— Body Art OIR 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD