Laserfiche WebLink
Body Art Inspection Report • <br /> Date: �l'�11`7 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 5(L is()�j 63 53 <br /> P1 (209)468-3420 Program 1 <br /> www.siogv.orq/eh4 <br /> d Element: <br /> Facility Name Address City Zip Code <br /> The B Hive 302 lincoln center Stockton 95207 <br /> Name of Perm it/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Chelsea Ramsey Initial Consult. <br /> The above facility is inspected for compliance with Division 104, Part 15,Chapter 7 of California Health and Safety Code(HSC). <br /> V=Violation C=Corrected On Site <br /> V CLEl+tING AND STERtLITA7 tON C,` \k: MACHINE SPS AND SANtTATIQN 41, <br /> _ G <br /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> ❑ 2 Items washed,disinfected,packaged, labeled, and ❑ <br /> sterilizedREVENTING CR� ,ONTAMINATC(at_ <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied El <br /> ❑ 5. a ropriatel El Chemical used: <br /> ® <br /> Invoices and log kept for disposable,pre-sterilized 6. ❑ El 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> ElSharps containers labeled, used,and disposed of <br /> ® 7' a ro riatel El et contact time provided: <br /> Jewelry,tattoo and piercing equipment-clean and <br /> [j 8' El El 26. Barriers used E]sterilized <br /> Products applied to skin are single use/dispensed <br /> PRADTtTIONER HEALT,*!AND HYGIENE .., , „ . ® 27' asepticall ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks, pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> F-1 11. warm water ❑ ❑ 30. procedure <br /> El <br /> ❑ 12. Hepatitis B vaccination ❑ BESI <br /> ST BUN6S"IllACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces, including chairs,armrests,etc. in <br /> [j 14. used E] ❑ 33. good repair <br /> ❑ <br /> -.- CUSTOMS LIENTS ".. <br /> ® 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El ® 35. Operation and employee training records present El <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE,AND ENFORGEINENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> El El® 18. i37. Permits obtained and available <br /> and questionnaire ❑ <br /> ® 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> '' ❑ 39. Hearing scheduled ❑ <br /> Nt14#thIESAFETY ANf]k SANITATION <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> K <br /> Received b (Print): Chelsea Ramsey Received by(Signature): m0A IeA Phone: 209 774-6508 <br /> Specialist(Print): Benjamin Escotto,Sr REHS Specialist(Signature): Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />