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Body Art InspectieReport ` Date: 11 fq San Joaquin County Environmental Health Department Ar Program 1868 E. Hazelton Ave., Stockton, CA 95205�l0 fj (209) 468-3420 �j/�� nn �^ l3ecord: iFoaa`4 • www.siogv.org/ehd /1 �l �,Y vh'rogram /7X Element: (O Facility Name Address City Zip Code Art Body & Soul Tattoo Lounge 3008 hammer lane Stockton 95212 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Silva Ry Ann 6/30/20 Routine The above facility is inspected for compliance with Division V = Violation 104, Part 15, C = Chapter 7 of California Health and Safety Code (HSC). Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C ❑ 1 Autoclave: approved and effective - passed integrator ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, etc. E]test El 2' Items washed, disinfected, packaged, labeled, and sterilized ❑ PREVENTING CROSS -CONTAMINATION ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used ❑ ❑ 5. Decontamination/sanitation area separated and supplied appropriately❑ Chemical used: ❑ 6. Invoices and log kept for disposable, pre -sterilized equipment El 25. Disinfectant used appropriately/sufficient contact time ElSharps ❑ 7. containers labeled, used, and disposed of E]appropriately [Wet contact time provided: ❑ 8. Jewelry, tattoo and piercing equipment - clean and sterilized ❑ E]26. Barriers used E] PRACTITIONER HEALTH AND HYGIENE El 27' Products applied to skin are single use/dispensed asepticallyE] ❑ 9. No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ El 11 Handwashing facilities properly supplied and accessible, warm water El ❑ 30. Cross -contamination avoided during all phases of procedure ❑ ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES ❑ 13. Bloodborne Pathogen training El ❑ 31. Areas separated/no living or sleeping quarters ❑ Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ El 14. Appropriate personal protective equipment available and used El ❑ 33. Workstation, surfaces, including chairs, armrests, etc. in good repair El CUSTOMERS/CLIENTS ® 34. Permit/registration posted ❑ ❑ 15. Branding is completed with no other customers in procedure area E] El 35. Operation and employee training records present ❑ ❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ❑ ® 18. Client records approved and available - Consent form and El Eluestionnaire 37. Permits obtained and available ❑ ❑ 19. 1 Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 1 41. ❑ Received b (Print): Jose Zuni a Received by (Signature): Phone: 209-465-5856 Specialist (Print): J.Easter Specialist (Signature): TAW Phone: 209 953-7310 Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 EH -11 /17