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<br /> <br /> <br /> <br />Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 2 of 3 <br />EH- 12-4-23 <br /> <br /> Body Art Inspection Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sjogv.org/ehd <br /> <br />Date: March 3, 2025 <br />Program <br />Record: PR0541621 <br />Program <br />Element: 4120 <br /> <br />R Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br />PR0541622 Erica Frese-Green, BBP Exp 3/2/2026 <br /> <br /> <br /> <br /> <br />Observations and Corrective Actions: <br />6. A body art facility that uses single use, disposable, pre-sterilized equipment must maintain for 90 days, records of the <br />use of instruments at the site of practice for the purpose of verifying the use of presterilized equipment. A body art <br />facility must also maintain written proof on company or laboratory letterhead showing that the presterilized instruments <br />have undergone a steriliziation process. Written proof shall clearly identify the instruments sterilized by name or item <br />number and shall identify the lot or batch number of the sterilizer run. HSC 119315(f) <br /> <br />OBSERVATIONS: <br />1. No sterilization certificates were provided for Cyber Mast Cartridge with lot number 2023-06-01. <br /> <br />CORRECTIVE ACTIONS: <br />1. Provide sterilization certificates for the needle mentioned above to EHD. <br /> <br />18. Prior to the performance of body art, the client shall read, complete, and sign an informed consent form that shall <br />include: A questionnaire that includes “Other risk factors for bloodborne pathogen exposure”. HSC 119303 <br /> <br />OBSERVATIONS: <br />1. Client consent forms were not being full completed by the clients <br />2. Photo copy of IDs were not being taken and included onto the client consent forms <br />3. Client consent forms were missing the question asked to the client of “Other risk factors for bloodborne pathogen <br />exposure” <br /> <br />CORRECTIVE ACTIONS <br />1. Assure that clients are fully completing the client consent forms prior to performing any body art <br />2. Assure that the practitioner is obtaining photo copy of IDs and attaching them to the client consent forms <br />3. Update client consent form medical questionnaire to include the question of “Other risk factors for bloodborne pathogen <br />exposure” <br /> <br />31. A body art facility shall be separated, by a wall or ceiling to floor partition from nail and hair acitivities, and be <br />separated from all business not related to body art at the discretion of the local enforcement agency. HSC 119314 (b)(2) <br />and (b)(3). <br /> <br />OBSERVATIONS: <br />1. Pracitioner mentioned that other services that are being performed within the facility are waxing and facials. <br /> <br />CORRECTIVE ACTIONS: <br />1. Separate all hair and facial acitivities from the procedure area where body art is being performed. <br /> <br /> <br /> <br /> <br /> <br /> <br />