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Body Art Inspec* Report l,ya. •.coy 2 y' San Joaquin County Environmental Health Department 1868 E. Hazelton Ave., Stockton, CA 95205 (209) 468-3420 \4ti.F6ai+`p www.siogv.org/ehd PR Number PRACTITiONER1ARTIST NAME PR0537490 Christopher Flores PR0542483 Michael Silva PR0536973 Jose Zuniga PRO540259 Bryan Lares Observations and Corrective Actions: Date: All q Program kP S-3 16 Record: r Program q17_0Element: PR Number PRACTITIONERIARTIST NAME 1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. HSC 119315(b) The Tuttnauer Valueklave does not have both temperature and pressure gauges. When replaced, the autoclave must have both temperature and pressure gauges. 4. Sterilizer shall be spore -tested after initial installation, after major repair, and at least once per month. A written sterilization shall be maintained for 3 years. The log shall include spore -test results each sterilization cycle, date, contents, exposure time and temperature, results of the Class V integrator for every cycle/load, and evidence of an acceptable spore test before reuse of the sterilizer after a failed spore -test. HSC 119315(b) An integrator is missing for an autoclave run on 12/1/18. Barrels were autoclaved in October during the time only single use equipment was to be used. There is only one spore test available for the autoclave. Discontinue use until at least two test results have been obtained. Submit evidence of correction to the EHD by 2/4/2019. (Corrected during inspection.) 6. 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) No records are available for some of the pre -sterilized equipment in inventory. Submit evidence of sterilization for lots in use by 2/4/2019. 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e) No records are available for sharps disposal. Have a licensed hauler do a pick-up and submit evidence of disposal to the EHD by 2/4/2019. Then have sharps picked -up at least once per year. 9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. HSC 119309 There is a vape pen in the procedure area. 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall -mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) The soap dispensers in two of the work stations are empty. Submit evidence of correction by 2/4/2019. 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303 Some of the client records are incomplete, some do not have copies of client identification, and some do not have the lot information attached. Effective immediately, complete client documents at the time f the procedure and attach the lot information for pre -sterilized equipment used. The medical questionnaire does not have a statement of when to seek medical care. Submit evidence of correction by 2/4/2019. 32. A body art facility shall have floors, walls, and ceilings that are smooth, rionabso les, and washable. Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 2 of 3 EH -11/17