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Body Art Inspe&n Report Date: 3/Iq/19 <br /> y"{' San Joaquin County Environmental Health Department Program <br /> a xa <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: rrzo 53�{?l{ <br /> (209)468-3420 Program <br /> www.siogv.orq/ehd x-11211 <br /> Element: <br /> Facility Name Address City Zip Code <br /> Fawn Yee's Permanent Cosmetics 6231 pacific ave.#3 Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Fawn Y.Liang 6/30/18 Routine <br /> The above facility is inspected for compliance with Division 104,Part 15,Chapter 7 of California Health and Safety Code(NSC). <br /> V=Violation C=Corrected On Site <br /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont 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 /> F1 2. sterilized El CROSS-CONTAMINATION <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 C <br /> ❑ 5' ElChemical used: Cavicide <br /> appropriately <br /> El 6. <br /> ro riatel <br /> Invoices and log kept for disposable,pre-sterilized <br /> El 6' ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> [ <br /> Sharps containers labeled,used,and disposed of <br /> [_1 7" ❑ Wet contact time provided: 3 min,2 min <br /> aro riatel <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 26. 1 Barriers used [ <br /> sterilized <br /> Products applied to skin are single use/dispensed <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27' asepticallyC <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 /> El 11. warm water El ❑ 30. procedure <br /> E: <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters [ <br /> Source: Cathy Montie ❑ 32. Floors and walls clean and in good repair,adequate light E:Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> ❑ 14. used El [:1 33. good repair <br /> C <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted [ <br /> ❑ <br /> Branding is completed with no other customers in 15. El El35. Operation and employee training records present [ <br /> procedure area <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review [ <br /> Client records approved and available-Consent form <br /> El 18. El 37. Permits obtained and available [ <br /> and questionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ rEl <br /> 38. Impoundment [ <br /> MACHINE SAFETY AND SANITATION 39. Hearing scheduled [ <br /> El20. Safe machine design ❑ 40. Closure [ <br /> El21. Machines cleaned and disinfected between clients Ell El41. TE <br /> Received b (Print): Fawn Y.Living Received b (Signature): Phone:(209)478-1266 <br /> Specialist(Print): Nav'ot Sahota Specialist(Signature): Phone: 209 468-3178 <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 n <br />