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Body Art Inspe&n Report Date: <br /> y 'E � San Joaquin County Environmental Health Department Program <br /> 1868 E.HazeKon Ave.,Stockton,CA 95205 Record: y 22,Z <br /> (209)468-3420 Program <br /> c°<;FcaNp.. www.siociv.org/ehd Element: <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITHMER/ARTIST NAME <br /> PRO544248 Ran Abelian-BBP current and posted <br /> Observations and Corrective Actions: <br /> 11. The procedure area shall be equipped with a sink with hot and cold running water, containerized liquid soap, and single use <br /> paper towels dispensed from a wall-mounted,touch less dispenser that is readily accessible to practitioner. HSC 119314(b) <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-Include in medical questionnaire: herpes infection at the procedure site. <br /> 31. A body art facility shall be separated from any residential areas used for sleeping, bathing, or meal preparation and shall not <br /> share a common entrance or toilet facility with residence. The toilet facility must have a sink with hot and cold water, <br /> containerized liquid soap, and single-use paper towels that are dispensed from a wall-mounted,touchless dispenser. <br /> HSC 119314 <br /> 32. A body art facility shall have floors,walls, and ceilings that are smooth, nonabsorbent,free of open holes, and <br /> washable. The body art facility shall be free of insect and rodent infestation. The procedure area must be separated, by a wall, <br /> ceiling to floor, from nail and hair activities and be separated from all business not related to body art. Approval of co-located <br /> body art facilites are at the discretion of the LEA. A procedure area must be equipped with adequate light to perform a <br /> procedure. Each procedure area shall have lined waste containers. HSC 119314& 119317 <br /> Notes: <br /> 1) Bloodborne pathogen training certification expires in August 2019, be sure to maintain current bloodborne <br /> pathogen training certification. <br /> Facility is approved for operations Upon receipt post facility and practitioner permits in a conspicuous place. <br /> Submit photos and forms as evidence that the corrective actions outlined have been completed by <br /> March 28, 2019. <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of <br /> EH-11/17 <br />