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p?�'U'r N•r. <br /> Body Art Inspection Report Date: 5/24/22 <br /> {` ', San Joaquin County Environmental Health Department Program <br /> l 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: PR0544621 <br /> (209)468-3420 <br /> \O• �Pf www.siogv.org/ehd Program <br /> `gClppR Element: 4120 <br /> Facility Name Address City Zip Code <br /> Tall Tales Tattoo 7170 West Ln Suite 4 Stockton 95210 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Christina Ramirez 6/30/22 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 /> V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION Cont. C <br /> ❑ 1. Autoclave:approved and effective-passed integrator test ❑ ❑ 22 Parts replaced between clients-grommets, elastic bands, ❑ <br /> etc. <br /> ❑ <br /> Items washed,disinfected, packaged, labeled, and 2' sterilized El <br /> PREVENTING 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 ❑ ❑ <br /> El 5. appropriately <br /> ❑ Chemical used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> ® 6. El25. Disinfectant used appropriately/sufficient contact time <br /> equipment <br /> El ElSharps containers labeled, used, and disposed of <br /> ® 7 appropriately El Wet contact time provided: <br /> Jewelry,tattoo and piercing equipment-clean and <br /> ❑ 8. El El26. Barriers used <br /> sterilized ❑ <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <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, <br /> El 11. hot water ❑ El30. Cross-contamination avoided during all phases of procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen training El <br /> 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: ® 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ <br /> Appropriate personal protective equipment available and Workstation, surfaces, including chairs,armrests,etc. in 14. used El ® 33. good repair <br /> El <br /> CUSTOMERS/CLIENTS ® 34. Perm it/registration posted ❑ <br /> ❑ <br /> Branding is completed with no other customers in 15. El ® 35. 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 and <br /> ® 18. questionnaire El El 37. Permits obtained and available El® 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients rEll ❑ 41. ❑ <br /> Received by(Print): Christina Ramirez Received by(Signature): EMAILED Phone:209-670-4452 <br /> Specialist(Print): Pinne Chao Specialist(Signature): Phone:209-468-3854 <br /> Reinspection on/about: A reinspection fee of$152 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />