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2�0 c02 Body Art Inspection Report Date: May 24, 2022 <br />N San Joaquin County Environmental Health Department Program <br />18668 E. Hazelton Ave., Stockton, CA 95205 Record: PRO544944 <br />(209)468-3420 <br />• O P • w .sioov.oru/ehd Program <br /><iFo %�� Element: 4121 <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO542569 <br />Robert Vierra (BBP exp. 1/22/23 <br />PRO539729 <br />Humberto Granados BBP exp. 5/19/23 <br />PR0543495 <br />Alexis Castillo -Rocha (BBP exp, 7/4/22 <br />3/8/22 <br />PR0544557 <br />Observations and Corrective Actions: <br />PR. Number <br />PRACTITIONER/ARTIST <br />NAME <br />PR0539785 <br />Raul Granados BBP exp. <br />3/8/23 <br />PR0537548 <br />Herny Coronilla (BBP exp. <br />3/8/22 <br />PR0544557 <br />Gabriel Flores Alcauter (BBP exp, 8110/22 <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) — A sterilization certificate for Gabriel Flores' Mast Pro cartridges with lot <br />number 2021-12-01 was not available. Provide EHD with a sterilization certificate for the instrument mentioned. <br />13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br />section 119307. — A current Bloodborne Pathogen Training Certificate was not available for Henry Coronilla. Provide <br />EHD with a current copy of Mr. Coronilla's BBP Certificate and ensure a copy is posted in a conspicuous place at the <br />facility. <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. HSC 119303 — Not all of the client records were at the facility. Ensure all client records for the <br />last 3 years are at the facility. <br />32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br />The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br />floor, from nail and hair activities and be separated from all business not related to body art. Approval of co -located body art <br />facilities are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br />procedure area shall have lined waste containers. HSC 119314 & 119317— The following was observed: <br />-The garbage cans were not lined in Raul Granados' procedure room and in Henry Coronilla's procedure room <br />(corrected on site). <br />- The wall behind Alexis Castillo-Rocha's procedure chair is in need of paint and the baseboard is in need of repair. <br />- Gabriel Alcauter's procedure room and Robert Vierra's procedure room do not have baseboards. <br />Correct all violations and provide evidence of corrections to the EHD <br />bIL June 7, 2022. <br />Notes: <br />1. The inspection report was emailed to Marisa Correa-Amaya, facility owner, at marisa frank209la�vahoo.com. <br />2. Barnett is used for sharps waste disposal. The last disposal was on 10/20/21. <br />3. The floors in the waiting room, Gabriel Flores' room, Raul Granados' room and the hallway have been replaced. The floor was <br />replaced with laminate waterproof flooring (see diagram). Operator is to contact EHD prior to installing flooring in the future. <br />4. The results of the last spore test was from March 13, 2022. The facility was closed in the month of April, so no spore test was <br />conducted. Per operator, a spore test was sent to the lab for the month of May. <br />Reinspection on/about: <br />A reinspection fee <br />of $152 <br />per hour may be <br />charged. <br />Page 2 of 2 <br />EH -11/17 <br />