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U o° GZ BodyArt Inspection Report <br /> Date: March 29,2023 <br /> ` San Joaquin County Environmental Health Department Program <br /> 1 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548339 <br /> (209)468-3420 <br /> www.s*ogv.org/ehd Program <br /> �[►`F oR�/ Element: 4120 <br /> Facility Name Address City Zip Code <br /> Work Ethic Tattoo Studio 6360 S Pacific Ave#7 Stockton 95205 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Gerardo Cortes Pardon 6/30/23 Final <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 C V MACHINE SAFETY AND SANITATION cont. C <br /> ❑ 1. Autoclave:approved and effective-passed integrator test ❑ ❑ 22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> etc. <br /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 2' sterilized ❑ PREVENTING CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied El ❑ <br /> ❑ 5. appropriately El El <br /> used: <br /> Invoices and log kept for disposable,pre-sterilized <br /> El 6. ❑ El25. Disinfectant used appropriately/sufficient contact time ❑ <br /> equipment <br /> Sharps containers labeled,used,and disposed of <br /> El 7' ❑ Wet contact time provided: <br /> appropriately❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 26. Barriers used ❑ <br /> sterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ ❑ 28. Storage of inks,pigments,needles,tubes,etc. ❑ <br /> ❑ 10. Hands washed effectively and timely ❑ ❑ 29. Jewelry,Inks, Needles etc approved and used correctly ❑ <br /> Handwashing facilities properly supplied and accessible, <br /> El 11. warm water ❑ El30. Cross contamination avoided during all phases of procedure El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodborne Pathogen training ❑ ro <br /> 31. Areas separated/no living or sleeping quarters ❑Source: 32. Floors and walls clean and in good repair,adequate light ElAppropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> ❑ 14. Elused 33' good repair ❑ <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. El ElEl35. Operation and employee training records present <br /> procedure area <br /> ❑ 16. Customers eighteen(18)years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> ❑ <br /> Client records approved and available-Consent form and 18. El El37. Permits obtained and available <br /> questionnaire ❑ <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ❑ <br /> ❑ 21. Machines cleaned and disinfected between clients ❑ El41. El <br /> Received by(Print): Gerardo Cortes Padron Received by(Signature): EMAILED Phone:209-720-9451 <br /> Specialist(Print): Sandip Singh Specialist(Signature): o aur414 Phone:209-468-3526 <br /> Reinspection on/about: A reinspection fee of$156 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />