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t 4 <br /> Body Art In:ection Report Date: <br /> N San Joaquin County Environmental Health Department Program 7 C' <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: Sp-cX1 T n <br /> (209)468-3420 <br /> Program <br /> gi;F �Ra` w- it gv.org/ehd t(1Q�j <br /> Element: <br /> Facility Name Address City Zip Code <br /> Bigherk Visual Changes Tattoos 445 w.weber,site 124b Stockton 95203 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Hynek Washington Initial Consult. <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, [ <br /> test etc. <br /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 2. sterilized PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ [_1 23. Workstation/procedure area decontaminated [ <br /> El4. Integrators used/monthly spore test/log maintained El ID <br /> 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied C <br /> appropriately El 5. El Chemical used: Madacide,Caviwipes <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6. equipment El El25. Disinfectant used appropriately/sufficient contact time <br /> [ <br /> Sharps containers labeled,used,and disposed of <br /> ® 7 appropriately El Wet contact time provided: 30 sec,3-5 min <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 El 27' aseptically [ <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, Cross-contamination avoided during all phases of [ <br /> ❑ 11. 30 <br /> warm water . procedure <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodbome Pathogen training ® 31. Areas separated/no living or sleeping quarters [ <br /> Source: Compliance training ® 32. Floors and walls clean and in good repair,adequate light [ <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> E] 14. used E] ® 33. good repair <br /> [ <br /> CUSTOMERS/CLIENTS ❑ 34. Perm ittregistration posted [ <br /> Branding is completed with no other customers in <br /> El 15. rea El ® 35. Operation and employee training records present [ <br /> procedure a <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 /> ® <br /> Client records approved and available-Consent form 18. ire El El 37. Permits obtained and available [ <br /> and questionnaire <br /> ® 19. 1 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 leaned and disinfected betwn clients ❑ ❑ 41. [ <br /> JCS SIS os� <br /> Received b (Print): Received by(Signature): Phone:.O 8: <br /> Specialist Print): Nav'ot Sahota Specialist(Signature): 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 />