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PUBLIC'kEALTH SER110ES <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DIVISION <br />Ernest M. Fujimoto, M. D., M.P.H., Acting Health Officer <br />304 E. Weber Ave., Third Floor • P. O. Box 388 • Stockton, CA 95201-0388 <br />2091468-3420 <br />April 1, 1996 <br />Linda Knowles, R.N., M.S., C.I.C. <br />Infection Control <br />Dameron Hospital <br />525 W. Acacia Street <br />Stockton, CA 95203 <br />Ms. Knowles, <br />Thank you for your letter dated March 26, 1996, regarding the Department of Health Services <br />interpretation of California Health and Safety Code Section 118280. I have received a copy <br />of that letter from Mr. Michael Schott that clearly identifies your inside storage of medical <br />waste to be in compliance with the signage requirements. If your medical waste storage areas <br />are under constant supervision by nursing staff, as described in Mr. Schott's letter, then they <br />are also in compliance. <br />As you accurately pointed out, my inspection report requested that you identify the biological <br />indicator and expiration date on each sterilization report. This was not a requirement as I <br />explained to Mrs. Parrott, it was simply a request to make my job easier. <br />You requested a follow up report to verify compliance. This letter serves as the addendum to <br />my inspection report dated December 6, 1995. Dameron Hospital appears to be in compliance <br />with the issues discussed above, however, not with Health and Safety Code Section 25090 <br />(c)(2). My inspection report dated December 6, 1995, did not indicate the lack of your <br />annual sterilizer calibration. This is because it was to be faxed to me once it was found. The <br />calibration report faxed to me was not performed until after my inspection,. indicating the <br />sterilizer missed its annual calibration. Please be sure to have the sterilizer calibrated annually <br />to ensure compliance with the Medical Waste Management Act. <br />Thank you for your cooperation in meeting all compliance issues. Should you have any <br />questions regarding this letter, please contact me at (209) 468-3451. <br />Sincerely, <br />Kasey Foley <br />Medical Waste Management Program <br />A Division of San Joaquin County Health Care Services <br />