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Body Alit Inspect*Report it Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 g <br /> Record: 114 <br /> �� ,r (209)468-3420 P�S �3 <br /> , P Program U�� <br /> , 4.. Program <br /> www.sioqv.org/ehd <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO537385 Shane Winans <br /> PR0539842 William Morgan <br /> PR0537386 Daniel Bryant <br /> PR0537883 Alyssa Dunnet-no longer working here <br /> Observations and Corrective Actions: <br /> 4. Sterilizer shall be spore-tested after initial installation, after major repair, and at least once per month. A written sterilization <br /> shall be maintained for 3 years. The log shall include spore-test results each sterilization cycle, date, contents, exposure time and <br /> temperature, results of the Class V integrator for every cycle/load, and evidence of a acceptable spore test before reuse of the <br /> sterilizer after a failed spore-test. HSC 119315(b) <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 /> towels dispensed from a wall-mounted,touchless dispenser that is readily accessible to practitioner. HSC 119314(c) <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone <br /> sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a <br /> minimum of 90 days after use. HSC 119315(f) <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP)shall be maintained, followed and updated. HSC 119313 <br /> Unless otherwise noted, Corrective Action Due in 30 dans. <br /> Reinspeclon on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-03/2015 <br />