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o P u iN,o <br /> Body Art Inspection Report Date: April 14,2026 <br /> N �{ San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548339 <br /> (209)468-3420 Program <br /> •\cq�/koR �P/ www.sioay.org/ehd Element: 4120 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PR0540999 Gerardo Padron(BBP Exp.3/13/26 PRO548934 Miguel Padron(BBP Exp. 11/9/26 <br /> PR2400249 David Loza-Watkins(BBP Exp.8/5/26 Apprentice Alejandro Martin(BBP Exp. 11/3/26 <br /> Observations and Corrective Actions: <br /> 6. HSC 119315-Invoices and log kept for disposable, pre-sterilized equipment <br /> OBSERVATIONS: <br /> Sterilization certificates were not available for the Cheyenne cartridges with the lot numbers 2022-35-046 and 2022-35-004. <br /> CORRECTIVE ACTIONS: <br /> A facility that uses single use instruments shall maintain record of purchase, log of procedures, names of practitioner and client, <br /> 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. Provide EHD with sterilization certificates for the cartridges mentioned above. <br /> 11. HSC 119314- Handwashing facilities properly supplied and accessible,warm water <br /> OBSERVATIONS: <br /> One of the paper towel dispensers in the procedure area was replaced with a hand dryer. <br /> CORRECTIVE ACTIONS: <br /> 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, touchless dispenser that is readily accessible to practitioner. Facility owner shall <br /> remove the hand dryer and install a wall mounted, touchless, single use paper towel dispenser and provide photographic <br /> evidence to the EHD. <br /> 18. HSC 119303-Client records approved and available-Consent form and questionnaire <br /> OBSERVATIONS: <br /> The client records were not complete. The medical questionnaire indicates to mark either"yes" or"no,"a majority of the clients <br /> did not mark either one and the description of the procedure was missing. <br /> CORRECTIVE ACTIONS: <br /> The facility's client consent form and medical questionnaire must include all of the information listed in Form B and are available <br /> for inspection. Ensure the client records are completely filled out. <br /> 25. HSC 119309 -Disinfectant used appropriately/sufficient contact time <br /> OBSERVATIONS: <br /> The wet contact time provided by the facility owner was 5 to 15 minutes. Per manufacturer's instructions, the wet contact time is <br /> 6 minutes. <br /> CORRECTIVE ACTIONS: <br /> Disinfectant shall be used according to the manufacturer's instructions. Ensure the Madacide is applied and left wet for a <br /> minimum of 6 minutes. <br /> 33. HSC 119314-Workstation,surfaces, including chairs, armrests, etc. in good repair <br /> OBSERVATIONS: <br /> Two chairs in the procedure area had absorbent mesh backs. <br /> Reinspection on/about: A reinspection fee of$179 per hour may be charged. Page 2 of 3 <br /> EH-7-1-25 <br />