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Body Art Inspe& Report Date: B tag l h! <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 <br /> .c417`b 'gip• www.sioogv.org/ehd Program (i 10 3 <br /> Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> Yo esh Patel Ntp ji <br /> Observations and Corrective Actions: <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) <br /> 2. Instruments or other reusable items shall be placed in a basin of water or cleaned, decontaminated, packaged, and sterilized <br /> immediately after each procedure. HSC 119309 <br /> If not being processed for immediate use, clean instruments shall be placed in sealed sterilization package that contains <br /> process indicator, name of instrument, date sterilized, and initial of person/operator. HSC 119315(a) <br /> 3. Sterilizer shall be loaded, operated, decontaminated, and maintained according to manufacturer's recommendations. HSC <br /> 119315(b) <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, touch less 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 119314(e) <br /> 8. Jewelry placed in newly pierced skin shall be sterilized prior to piercing or purchased presterilized. If purchased presterilized, <br /> sterile packs shall be discarded if integrity is compromised. Clean calipers shall be used and the skin marked using clean <br /> toothpicks and ink or a single-use marking pen. Sterilized instruments shall be stored in sterilization packaging or in sterilization <br /> equipment cartridge until time of use. Sterile instrument packs shall be evaluated before use and shall be discarded if integrity is <br /> compromised. HSC 119310 <br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(b) <br /> 12. Practitioner shall provide evidence of current hepatitis B vaccination or hepatitis B immunity or comply with current federal <br /> OSHA hepatitis B vaccination declination requirements. HSC 119306(c) <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. <br /> Reinspecion on/about: A reinspection fee of$125 per hour may charged. Page 2 of 3 <br /> EH-04/2014 <br /> 1 <br />