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Body Art Inspect*Report <br /> San Joaquin County Environmental Health Department <br /> Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> Program �(y3 <br /> q��F. .� ,• www.slogv.org/ehd Element: <br /> Facility Name Address City Zip Code <br /> Beauty Luxe&Co. 9210 thornton rd. Stockton 95209 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Fong Vang 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 /> FE-11 Autoclave:approved and effective-passed integrator EI El22Te <br /> arts replaced between clients-grommets,elastic bands, Eltest tc. <br /> Items washed,disinfected,packaged,labeled,and <br /> ❑ 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 ❑ [1 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ <br /> ❑ 5. E] Chemical used: Cavi-wipes <br /> appropriately <br /> F1 6. <br /> ro riatel <br /> Invoices and log kept for disposable,pre-sterilized <br /> F1 6. appropriately/sufficient 25. Disinfectant used appropriately/sucient contact time <br /> equipment <br /> E]Sharps containers labeled,used,and disposed of <br /> ® 7' E]appropriately <br /> [Wet contact time provided: 3 mins <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. sterilized E] 1:126. Barriers used El <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE El 27. asepticallyEl <br /> ❑ 9. 1 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 /> El 11. warm water [j ❑ 30. procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: Biologix ® 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 /> ❑ 14. used El ❑ 33. good repair <br /> El <br /> CUSTOMERS/CLIENTS ❑ 34. Permittregistration posted ❑ <br /> Branding is completed with no other customers in <br /> F-1 15. rocedure area ❑ ® 35. Operation and employee training records present ElEl16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ El 36. Plan(s)submitted for review El <br /> ® <br /> Client records approved and available-Consent form 18. El El 37. Permits obtained and available <br /> and questionnaire <br /> Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> 6 <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑r41. ❑ <br /> Received b (Print): Fong Vang Received by(Signature): Phone: 916 715-8401 <br /> Specialist(Print): Harprit Mattu,Sr REHS Specialist(Signature): 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 />