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Body Art Ins4wReport /3 /11 Date: r San Joaquin County Environmental Health Department Program p , i Y. 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: S I`�U 6)C) �S c (209)468-3420 Program L+ q�,F=oRa` www.siogv.org/ehd Element: PR Number PRACTITIONERIARTIST NAME PR Number PRACTITIONER/ARTIST NAME New PR Tanya Vrismo Observations and Corrective Actions: 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 evidence of sterilization for the blades and needles. Provide record of purchase for the blades and needles. Include the lot number of the blade/needle with the client records. 7. The sharps waste container shall be within arm's reach and labeled with the word"sharps waste"or with the biohazard symbol and the word"Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e)—Provide a contract or written agreement with a mail-back system. 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with section 119307. —Post bloodborne pathogen training certificate in a conspicuous place. 16. Client shall be at least 18 years of age to receive a tattoo, permanent cosmetics, or branding. Body piercing, unless performed in the presence of parent or guardian, the client, must be 18 years of age. HSC 119302—Ensure that all clients are at least 18 years of age. Include a copy of the client's driver's identification with their records. 17. If the skin is to be shaved, the area shall be washed first with soap and water, and then shaved with a single-use razor. The razor then discarded must be disposed of into an approved sharps container. Prior to performing body art, the client's skin shall be treated with an antiseptic solution, antimicrobial, or microbicide, according to manufacturer's instructions. HSC 119308(a)— Ensure that the client's skin is disinfected before starting the procedure. 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—Include all the requirements in Form B in the medical questionnaire. Provide a copy to the EHD. Form B will be provided to the practitioner. 19. At the completion of the procedure, the practitioner shall provide postprocedure instructions that include all elements listed in Form B. HSC 119308(b)—Include all the requirements in Form B in the post-procedure instructions. Provide a copy to the EHD. Form B will be provided to the practitioner. 24. Disinfectant shall have ability to reduce or eliminate the presence of disease-causing microorganisms, including HIV and hepatitis B virus. HSC 119301(k)—Ensure that the surfaces being disinfected remain wet for at least 3 minutes. If the surfaces start to dry out before the 3 minutes then rewipe the surfaces. 27. Products applied to skin prior to tattooing or application of permanent cosmetics, including, but not limited to, stencils, marking and transfer agents, shall be single use and discarded into a waste container at the end of the procedure. HSC 119311(a)—All markings and products applied to the skin should be single use. Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 3 EH-11/17