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oPqu i' •c <br /> Body Art Inspection Report Date: February 19,2025 <br /> mtij San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PRO544621 <br /> (209)468-3420 Program <br /> MAWSoov.oro/ehd <br /> Element: 4120 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0544524 Jessie Witt(BBP Exp.2/18/26 PR0546909 Robert Franco BBP Exp.9/16/25 <br /> PR0547379 Luz Gaxiola BBP Exp.9/20/25 PR0539819 Mark Escalante BBP Exp.1/31/26 <br /> Observations and Corrective Actions: <br /> 6. HSC 119315-Invoices and log kept for disposable, pre-sterilized equipment <br /> OBSERVATIONS: <br /> A sterilization certificate was not provided for Jessie Witt's Cheyenne needle cartridges with the lot#2024-10-082 or for Mark <br /> Escalante's Metal Mafia needles with the lot#241001. <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 /> 7. HSC 119314-Sharps containers labeled, used, and disposed of appropriately <br /> OBSERVATIONS: <br /> The sharps container located in Mark Escalante's procedure room was filled above the fill line. <br /> CORRECTIVE ACTIONS: <br /> The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br /> and the word "Biohazard". Sharp waste containers shall be disposed of by a licensed waste hauler or approved mail back <br /> system. Documentation of proper disposal shall be maintained for 3 years. Ensure all sharps containers are replaced and <br /> disposed of appropriately. Provide photographic evidence of the replacement of the sharp container to the EHD. <br /> 8. HSC 119310, 119315 -Jewelry,tattoo and piercing equipment-clean and sterilized <br /> OBSERVATIONS: <br /> Sterilization certificates were not available for the jewelry. <br /> CORRECTIVE ACTIONS: <br /> Jewelry placed in newly pierced skin shall be sterilized prior to piercing or purchased presterilized. Provide EHD with sterilization <br /> certificates for the jewelry. <br /> 18. HSC 119303 -Client records approved and available-Consent form and questionnaire <br /> OBSERATIONS: <br /> 1. Mark Escalante's client records were missing the clients' personal information and some of the tattoo client records were <br /> missing the artists' names. <br /> 2. The tattoo consent form did not have all the information from Form B. <br /> 3. The piercing consent form did not have all the information from Form B. <br /> 4. The tattoo medical questionnaire did not include all the items from Form B. <br /> 5. The piercing medical questionnaire did not include all the items from Form B. <br /> Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 2 of 4 <br /> EH-11/17 <br />