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Body Art Inspect•Report - Date: Z San Joaquin County Environmental Health Department Program 1868 E.Hazelton Ave.,Stockton,CA 95205 g Record: a% (209)468-3420 Program / / ;Foaa` www.siogv.org/ehd Element: ` 21 PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME Angel U arte,BBP CM 12/10/2020 Ulices Camona,BBP CM 12/19/2019 Hector Lopez,BBP CM 12/11/2020 Observations and Corrective Actions: 1. Each sterilization load shall be monitored with mechanical indicators for time, temperature and pressure, Sterilization shall be accomplished by steam autoclave, manufactured for the sterilization of medical instruments, and pass a Class V integrator test. HSC 119315(b) Provide evidence that the integrators in use are Class V integrators or obtain Class V integrators. 3. Sterilizer shall be loaded, operated, decontaminated, and maintained according to manufacturer's recommendations. HSC 119315(b) Provide a copy of the owner's manual for the Pelton-Crane autoclave. 5. Decontamination and sterilization areas shall be separated from procedure areas by a space of at least 5 feet or by a cleanable barrier and equipped with a sink with hot and cold running water, containerized liquid soap, and single use paper towels dispensed from a wall-mounted, touchless dispenser that is readily accessible to practitioner. HSC 119314(c) Restock the paper towel dispenser in the clean room. 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, date of procedure, instruments used, and written evidence from the manufacture that the instruments have undergone sterilization. The record of purchase, evidence of sterilization, type and number of instruments used shall be maintained for a minimum of 90 days after use. HSC 119315(f) Provide sterilization certificates for the piercing needles in inventory in the facility. Provide sterilization certificates for needles in use in the facility. 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are available for inspection. HSC 119303 The medical questionnaire requires updating with a statement that"Notice that tattoo inks, dyes, and pigments have not been approved by the federal Food and Drug Administration and that the health consequences of using these products are unknown.." 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in Form B. HSC 119308(b) The Aftercare instructions require updating with a statement of when to seek medical attention: Signs and symptoms of infection, including, but not limited to, redness, swelling, tenderness of the procedure site, red streaks going from the procedure site to- wards the heart, elevated body temperature, or purulent drainage from the procedure site. Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 3 EH-11/17