COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

omaBody Art Inspec Report40 Date: San Joaquin County Environmental Health Department g t Pro ram 1868 E. Hazelton Ave., Stockton, CA 95205 Record: J 3 / 7e (209) 468-3420 Program oR"' www.siogv.orq/ehd Element: Facility Name Address City Zip Code Port City Ink 1415 rosemarie In. #b Stockton 95207 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Marisa Correa-Amaya 6/30/19 Routine The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION (cont.) C ❑ 1 Autoclave: approved and effective - passed integrator ❑ ❑ 22 Parts replaced between clients - grommets, elastic bands, ❑ test ❑ 2 Items washed, disinfected, packaged, labeled, and sterilized ❑ etc. PREVENTING CROSS -CONTAMINATION ❑ El Elappropriately❑ Elsterilized E]PRACTITIONER ❑ ❑ El ElSource: El ❑ ❑ ❑ ❑ 1:1uestionnaire ❑ ❑ ❑ ❑ ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used ❑ 5 Decontamination/sanitation area separated and supplied appropriately ❑ Chemical used: ® 6 Invoices and log kept for disposable, pre -sterilized equipment El El25. Disinfectant used appropriately/sufficient contact time ❑ 7 Sharps containers labeled, used, and disposed of Wet contact time provided: ❑ 8 Jewelry, tattoo and piercing equipment - clean and El El 26. Barriers used HEALTH AND HYGIENE ❑ 27 Products applied to skin are single use/dispensed aseptically ❑ 9. No eating, drinking or smoking - clean clothes ❑ ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ 11 Handwashing facilities properly supplied and accessible, wane water ❑ ❑ 30" Cross -contamination avoided during all phases of ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ® 32. Floors and walls clean and in good repair, adequate light ❑ 14 Appropriate personal protective equipment available and used ❑ ® 33. Workstation, surfaces, including chairs, armrests, etc. in ood re air CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ 15 Branding is completed with no other customers in rocedure area El El 3& Operation and employee training records present ❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s) submitted for review ® 18' Client records approved and available - Consent form and El® 37. Permits obtained and available ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. Received b Print Yt0((tA,-.4paA(AV,Received b Si nature Phone: !, Specialist (Print): J Easter Specialist Si nature : Phone: 209 953-7310 Reinspecion onlabout: A reinspection fee of $152 per hour may be charged. Page 1 of 2 EH -11/17