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Body Art Inspection Report Date: March 24,2026 <br /> yz� San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PRO544621 <br /> < <br /> (209)468-3420 Program <br /> • C vP,/ www.siogv.org/ehd Element: 4120 <br /> �q��FOR�: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0544524 Jessie Witt BBP Exp.3/23/27 PR0546909 Robert Franco BBP Exp.3/24/27 <br /> PR0547379 Luz Gaxiola BBP Expired) PR0539819 Mark Escalante BBP Exp.3/23/27 <br /> PR0541076 Ian Goff BBP Exp.3/20/27 <br /> Observations and Corrective Actions: <br /> 6. HSC 119315 -Invoices and log kept for disposable, pre-sterilized equipment <br /> OBSERVATIONS: <br /> Sterilization certificates were not provided for the Cheyenne cartridge with the lot number 2025-11-004 or the XXX cartridge with <br /> the lot number 23-08 or Mark Escalante's Metal Mafia piercing needle with the lot number 240601. <br /> CORRECTIVE ACTIONS: <br /> A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, <br /> 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. Provide EHD with sterilization certificates for the instruments mentioned above. <br /> 13. HSC 119307 -Bloodborne Pathogen training <br /> OBSERVATIONS: <br /> A Bloodborne Pathogen Training Certificate was not available for Luz Gaxiola. Per Mr. Gaxiola, he is in the process of <br /> completing the training. <br /> CORRECTIVE ACTIONS: <br /> Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training. Mr. Gaxiola is to <br /> provide EHD with a current BBP Training Certificate when he is finished with the training. <br /> 18. HSC 119303-Client records approved and available-Consent form and questionnaire <br /> OBSERVATIONS: <br /> Some of the client records were missing photo IDs. <br /> CORRECTIVE ACTIONS: <br /> The facility's client consent form and medical questionnaire must include all of the information listed in Form B, and are available <br /> for inspection. Ensure client photo IDs are attached to all of the client records. <br /> 33. HSC 119314-Workstation,surfaces, including chairs, armrests, etc. in good repair <br /> OBSERVATIONS: <br /> Mark Escalante's procedure table was torn. <br /> CORRECTIVE ACTIONS: <br /> All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good repair <br /> and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, durable, and <br /> nonabsorbent finish. Replace or repair the procedure table in the piercing room and provide photographic evidence of correction <br /> to the EHD. <br /> Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 2 of 3 <br /> EH-7-1-25 <br />