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Body Art Inspection Report <br />San Joaquin County Environmental Health Department <br />1868 E. HazeIton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sioqv.orci/ehd <br />Date: October 12, 2022 <br />Program <br />Record: PR0547312 <br />Program <br />Element: 4121 <br /> <br />Facility Name <br />It's Just a Poke <br />Address <br />239 N Pilgrim St <br />City <br />Stockton <br />Zip Code <br />95204 <br />Name of Permit/Registration Holder <br />Sintia Mejia <br />Permit Exp. Date Time In <br />6/30/23 <br />Time Out Inspection Type <br />Reinspection <br />The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). <br />V = Violation C = Corrected On Site <br />V CLEANING AND STERILIZATION V MACHINE SAFETY AND SANITATION (cont.) <br />LI 1. Autoclave: approved and effective - passed integrator test 0 22. Parts replaced between clients - grommets, elastic bands, <br />etc. 0 <br />0 2. Items washed, disinfected, packaged, labeled, and <br />sterilized 0 PREVENTING CROSS-CONTAMINATION <br />LI 3. Autoclave loaded correctly/packages allowed to dry 0 P 23. Workstation/procedure area decontaminated 0 <br />0 4. Integrators used/monthly spore test/log maintained 0 <br />0 <br />24. Appropriate chemical disinfectant used <br />LI 5. Decontamination/sanitation area separated and supplied <br />appropriately 0 Chemical used: <br />El 6. Invoices and log kept for disposable, pre-sterilized <br />equipment LI <br />LI <br />25. Disinfectant used appropriately/sufficient contact time <br />LI <br />0 7. Sharps containers labeled, used, and disposed of <br />appropriately 0 Wet contact time provided: <br />0 8. Jewelry, tattoo and piercing equipment - clean and <br />sterilized LI Barriers used <br />PRACTITIONER HEALTH AND HYGIENE Products applied to skin are single use/dispensed aseptically LI <br />LI 9. No eating, drinking or smoking - clean clothes 0 28. Storage of inks, pigments, needles, tubes, etc. LI <br />10. Hands washed effectively and timely 0 LI 29. Jewelry, Inks, Needles etc approved and used correctly 0 <br />0 11. Handwashing facilities properly supplied and accessible, <br />warm water 0 0 30. Cross-contamination avoided during all phases of procedure <br />LI 12. Hepatitis B vaccination LI BEST BUSINESS PRACTICES <br />0 <br />13. Bloodborne Pathogen training <br />LI 0 Areas separated/no living or sleeping quarters <br />Source: Floors and walls clean and in good repair, adequate light LI <br />CI 14. Appropriate personal protective equipment available and <br />used LI Workstation, surfaces, including chairs, armrests, etc. in <br />good repair 0 <br />CUSTOMERS/CLIENTS 0 Permit/registration posted 0 <br />I=1 15. Branding is completed with no other customers in <br />rocedure area 35. Operation and employee training records present LI <br />16. Customers eighteen (18) years of age or older LI COMPLIANCE AND ENFORCEMENT <br />LI 17. Skin adequately prepared for procedure LI LI 36. Plan(s) submitted for review <br />18. Client records approved and available - Consent form and <br />questionnaire CI LI 37. Permits obtained and available <br />LI 19. Appropriate aftercare instructions given to client LI Impoundment <br />MACHINE SAFETY AND SANITATION LI Hearing scheduled LI <br />LI 20. Safe machine design LI LI 40. Closure LI <br />LI 21. Machines cleaned and disinfected between clients LI LI 41. <br />Received by (Print): Sintia Mejia Received by (Signature): Emailed Phone: 510-588-6059 <br />Specialist (Print): Sandip Singh Specialist (Signature): :5>zezeidio- Phone: 209-468-3526 <br /> <br />. A reinspection fee of $156 per hour may be charged. Page 1 of 2 Reinspection on/about: <br />EH-11/17