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• �� ��, Body Art Inspection Report Date: 3/8/22 <br /> Q San Joaquin County Environmental Health Department <br /> Program <br /> 1868� E.Hazelton Ave.,Stockton,CA 95205 Record: PR0542033 <br /> (209)468-3420 <br /> www.sioay.oro/ehd Program <br /> Element: 4120 <br /> PR Number PRACTITIONER/ARTIST NAMEPR Number PRACTITIONER/ARTIST NAME <br /> PRO545888 Georgi a Carranza BBP exp. 11/14/22 <br /> PRO545978 Jessica Klein BBP exp. 10/2/22 <br /> Observations and Corrective Actions: <br /> 6. A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and <br /> client, 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. HSC 119315(f)—Invoice and sterilization certificate was not available for the following <br /> instrument: PHIBROWS LOT#214760408. Provide EHD with the invoice and sterilization certificate for the above <br /> mentioned instrument. <br /> 7. 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 by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e)— Provide proof of sharps disposal record <br /> to EHD. <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303—Client records is missing lot#for instruments used and photocopy of I.D. Medical <br /> questionnaire is missing the following information listed on Form B: "History of hemophilia or other bleeding <br /> disorders" and "Other risk factors for blood borne pathogens." Include the missing items on the medical questionnaire <br /> and provide EHD with a revised medical questionnaire. <br /> 32. A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. <br /> The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, ceiling to <br /> floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located body art <br /> facilities are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a procedure. Each <br /> procedure area shall have lined waste containers. HSC 119314& 119317—Holes on the wall near the procedure sink and <br /> above the coat hanger. Repair the holes in the wall and provide EHD with photographic proof of corrections. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313—IPCP and training <br /> records were not available at the time of inspection. Provide IPCP and training records to EHD. <br /> Unless otherwise noted, correct all violations and provide evidence of correction to the EHD bV <br /> March 23, 2022. <br /> Reinspection on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 3 <br /> EH-11/17 <br />