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IN., C Body Art Inspection Report Date: January 25, 2024 ` San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0523952 (209) 468-3420 ,c • �e' www.sioay.orp/ehd Program Element: 4121 Facility Name Address City Zip Code Canvas Tattoo 304 W Harding Way #B Stockton 95204 Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type Melissa Santos 6/30/24 Routine The facility is inspected for compliance with Division 104, Part 15, Cha ter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION V MACHINE SAFETY AND SANITATION cont. C E] 1 HSC 119315 - Autoclave: approved and effective - passed 1101 ❑ 22' HSC 119311 - Parts replaced between clients - grommets, E]HSC integrator test elastic bands, etc. 119309 - Items washed, disinfected, packaged,El2.labeled, and sterilized PREVENTING CROSS -CONTAMINATION ® 3. HSC 119315 - Autoclave loaded correctly/packages El® 23. HSC 119309 -Workstation/procedure area decontaminated ❑ allowed to d ❑ 4. HSC 119315 - Integrators used/monthly spore test/log El 24. HSC 119301 -Appropriate chemical disinfectant used maintained 1:1 ❑ ® 5' HSC 119314 - Decontamination/sanitation area separated ❑ Chemical used: and supplied appropriately ® 6 HSC 119315 - Invoices and log kept for disposable, pre- ❑ 25 HSC 119309 - Disinfectant used appropriately/sufficient sterilized equipment ❑ contact time ❑ 7' HSC 119314 - Sharps containers labeled, used, and El Wet contact time provided: disposed of appropriately ❑ 8 HSC 119310, 119315 - Jewelry, tattoo and piercing ❑ ❑ 26. HSC 119314 - Barriers used ❑ equipment - clean and sterilized El 27 HSC 119311 - Products applied to skin are single PRACTITIONER HEALTH AND HYGIENE nse/dis ensed asepticallyEl ® 9 HSC 119309 - No eating, drinking or smoking - clean ❑ ❑ 28 HSC 119309, 119311 - Storage of inks, pigments, needles, Elclothes tubes, etc. El 10. HSC 119308 -Hands washed effectively and timely [_1® 29. HSC 119310, 119311 - Jewelry, Inks, Needles etc approved ❑ and used correctl ❑ 11. HSC 119314 - Handwashing facilities properly suppliedHSC EI El30'phases 119308 - Cross -contamination avoided during all ❑ and accessible, warm water of procedure ❑ 12. HSC 119306 - Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES 13. HSC 119307 - Bloodborne Pathogen training ❑ 31. HSC 119314 - Areas separated/no living or sleeping quarters ❑ ❑ El® Source: 32. HSC 119314 - Floors and walls clean and in good repair, El adequate light ❑ 14. HSC 119308 -Appropriate personal protective equipment E] ® 33. HSC 119314 - Workstation, surfaces, including chairs, El available and used armrests, etc. in good repair CUSTOMERS/CLIENTS ® 34. HSC 119312 - Permit/registration posted ❑ ❑ 15. HSC 119309 - Branding is completed with no other [:1 ❑ 35' HSC 119313 - Operation and employee training records E] customers in procedure area resent ❑ 16. HSC 119302 - Customers eighteen (18) years of age or El older AND ENFORCEMENT ❑ 17. HSC 119308 - Skin adequately prepared for procedure ❑ ❑ 36. HSC 119312 - Plan(s) submitted for review ❑ ® 18. HSC 119303 - Client records approved and available ❑ ❑ 37. HSC 119312 -Permits obtained and available ElConsent form and questionnaire ❑ 19. HSC 119303, 119308 - Appropriate aftercare instructions HSC El38. HSC 119319 -Impoundment Eliven to client MACHINE SAFETY AND SANITATION ❑ 39. HSC 119320 - Hearing scheduled ❑ ❑ 20. HSC 119311 -Safe machine design ❑ ❑ 40. HSC 119312, 119317, 119320 - Closure ❑ ❑ 21 HSC 119311 - Machines cleaned and disinfected between ❑ ❑ 41 ❑ clients Received Reinspection on/about: A reinspection fee of $162 per hour may be charged. Page 1 of 4 EH -11/17