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Body Art Inspect Report41 <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.stogy.org/ehd <br />PR Number <br />PRACTITIONERIARTIST NAME <br />537379 <br />Sultan Abdullah <br />537381 <br />Terry Minatre <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: <br />Program <br />Element: L <br />PR Number PRACTITIONER/ARTIST NAME <br />1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be <br />accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. <br />HSC 119315(b) PYo-,A-c-)C_ `i7e-,h-,Wl yi — -z, 6A :( C 0,--� W AA 20 cr_ <br />5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a <br />cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper <br />to els dispensed from a wall -mounted touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <br />7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br />and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br />Documentation of proper disposal shall be maintained for 3 years. HSC 119 14(e) <br />D►-_ZD� phi ����n� ct�r� <br />13. Practitioner shall provide evidence of a comp'tbted, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. <br />18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br />available for inspection. This facility's consent form needs to include the following statement "Notice that tattoo inks, dyes, and <br />pigments have not been approved by the federal Food and Drug Administration and that the health consequences of using these <br />products are unko',C) wn.° HSC 119303 <br />33. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br />repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br />durable, and nonabsorbent finish. HSC 119314 <br />41. The bathroom does have a wall mounted containerized paper towel dispenser that dispenses single use paper towels. <br />Reinspecion on/about: A reinspection fee of $125 per hour may charged. Page 2 of 2 <br />EH -04/2014 <br />