Laserfiche WebLink
o`y <br /> Body Art Inspects Report 40 Date: <br /> San Joaquin County Environmental Health Department Program <br /> y 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: 2�j 5 .3? '1 Z <br /> `P (209)468-3420 Program <br /> ww ^\ <br /> ; ode• w.siogv.org U <br /> /ehd Element: Z <br /> Facility Name Address City Zip Code <br /> Fawn Yees Permanent Cosmetics 6231 pacific avenue#3 Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Fawn Liang 6/30/15 Routine <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 /> C <br /> ❑ 1 Autoclave:approved and effective-passed integrator ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> test etc. <br /> Items washed,disinfected,packaged, labeled,and <br /> ❑ 2' sterilized ❑ PREVE <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained [:1 ❑ 24. Appropriate chemical disinfectant used <br /> ElDecontamination/sanitation area separated and supplied <br /> El 5' ElChemical used: Caviwipes <br /> a ro riatel <br /> Invoices and log kept for disposable,pre-sterilized <br /> ® 6• a ui F1 El25. Disinfectant used appropriately/sufficient contact time <br /> ment <br /> ❑ El7 Sharps containers labeled, used,and disposed of ❑ Wet contact time provided: 3 minutes <br /> appropriately <br /> Jewelry,tattoo and piercing equipment-clean and <br /> El 8' ❑ El 26. Barriers used <br /> sterilized <br /> :y Products applied to skin are single use/dispensed <br /> EK, ® 27. asepticallyEl <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments, needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ [:1 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, Cross-contamination avoided during all phases of <br /> El 11. warm water ❑ ❑ 30' rocedure E]❑ 12. Hepatitis B vaccination ❑ <br /> ❑ 13. Bloodborne Pathogen trainingE] ElE]31. Areas separated/no living or sleeping quarters <br /> Source: Cathy Montie ❑ 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 /> ❑ 14. used ❑ ❑ 33. good repair <br /> El <br /> ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15. rocedure ❑ [j 35. Operation and employee training records present <br /> area <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ <br /> ❑ 17. Skin adequately prepared for procedure ❑ 7FE-11 lan(s)submitted for review ❑ <br /> Client records approved and available-Consent form <br /> ® 18. and questionnaire <br /> ❑ ermits obtained and available ❑ <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ <br /> ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received b (Print): Fawn Liang Received by(Signature)7 Phone: 209 478-1266 <br /> Specialist(Print): Har rit Mattu,Sr REHS Specialist(Signature): Phone: 209 468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 2 <br /> EH-03/2015 <br />