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PR Number PRACTITIONER/ARTIST NAME <br />PRO539729 Humberto Granados <br />PR0539785 Raul Granados <br />Robert Veirra <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: — / �1s,3 7 <br />Program 111j26 <br />Element: <br />I PR Number I PRACTITIONER/ARTIST NAME I <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) Sterilization records were not available for the needles and tubes currently <br />in use. Submit evidence to the EHD by 2/8/19. <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 Some of the client records do not have copies of the client's identification. Obtain <br />copies of all client's identification at the time of the procedure. <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 There is a cut-out in the wall behind the sink that <br />is absorbent. Repair the area, and submit evidence of the correction to the EHD by 2/8/19. <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 Two of the chairs in the procedure area have holes. Repair the holes in <br />the chairs, and submit evidence of the correction to the EHD by 2/8/19. <br />37. A body art facility shall not conduct business without a valid health permit. A person shall not perform body art without a <br />valid registration and a permitted facility. A body art facility shall notify the LEA in writing within 30 days of resignation, <br />termination of a practitioner. A new hire or apprentice must be registered the EHD prior to performing body art at the facility. <br />HSC 119312 & 119306 The permits for the facility and artists Humberto and Raul are not posted. Post copies of the <br />permits when obtained. Submit evidence of correction to the EHD by 2/8/19. <br />All corrections are due by 2/8/19. <br />Failure to submit evidence of correction by 2/8/19 will result in a charge of $152 for a re -inspection. <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />Body Art Inspeco Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />c4�;FORc�`p <br />www.siogv.org/ehd <br />PR Number PRACTITIONER/ARTIST NAME <br />PRO539729 Humberto Granados <br />PR0539785 Raul Granados <br />Robert Veirra <br />Observations and Corrective Actions: <br />Date: <br />Program <br />Record: — / �1s,3 7 <br />Program 111j26 <br />Element: <br />I PR Number I PRACTITIONER/ARTIST NAME I <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) Sterilization records were not available for the needles and tubes currently <br />in use. Submit evidence to the EHD by 2/8/19. <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 Some of the client records do not have copies of the client's identification. Obtain <br />copies of all client's identification at the time of the procedure. <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 There is a cut-out in the wall behind the sink that <br />is absorbent. Repair the area, and submit evidence of the correction to the EHD by 2/8/19. <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 Two of the chairs in the procedure area have holes. Repair the holes in <br />the chairs, and submit evidence of the correction to the EHD by 2/8/19. <br />37. A body art facility shall not conduct business without a valid health permit. A person shall not perform body art without a <br />valid registration and a permitted facility. A body art facility shall notify the LEA in writing within 30 days of resignation, <br />termination of a practitioner. A new hire or apprentice must be registered the EHD prior to performing body art at the facility. <br />HSC 119312 & 119306 The permits for the facility and artists Humberto and Raul are not posted. Post copies of the <br />permits when obtained. Submit evidence of correction to the EHD by 2/8/19. <br />All corrections are due by 2/8/19. <br />Failure to submit evidence of correction by 2/8/19 will result in a charge of $152 for a re -inspection. <br />Reinspecion on/about: A reinspection fee of $152 per hour may be charged. Page 2 of 2 <br />EH -11/17 <br />