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PDU1N , BodyArt Inspection Report p p •G Date: April 14, 2025 z` San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0523952 (209)468-3420 www.sjogv.org/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 6/30/25 Routine The facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). V = Violation C = Corrected On Site V CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C ❑ 1 HSC 119315 - Autoclave: approved and effective - passed ❑ ❑ 22' HSC 119311 - Parts replaced between clients - grommets, L1integrator test elastic bands, etc. ® 2 HSC 119309 - Items washed, disinfected, packaged, ❑ labeled, and sterilized PREVENTING CROSS -CONTAMINATION Ll 3. HSC 119315 - Autoclave loaded correctly/packages ElF123. HSC 119309 -Workstation/procedure area decontaminated El allowed to d ® 4 HSC 119315 - Integrators used/monthly spore test/log El24. HSC 119301 -Appropriate chemical disinfectant used maintained El El ❑ 5 HSC 119314 - Decontamination/sanitation area separated E] Chemical used: MADACIDE and supplied appropriately ❑ 6. HSC 119315 - Invoices and log kept for disposable, pre- Elsterilized HSC 119309 - Disinfectant used appropriately/sufficient equipment El25. contact time ❑ ® 7 HSC 119314 - Sharps containers labeled, used, and ❑ Wet contact time provided: WIPES = 2 mins SPRAY = 10 disposed of appropriately I I mins ❑ HSC 119310, 119315 -Jewelry, tattoo and piercing ❑ ❑ 26. HSC 119314 -Barriers used El8. equipment - clean and sterilized ❑ 27 HSC 119311 - Products applied to skin are single ❑ PRACTITIONER HEALTH AND HYGIENE use/dispensed aseptically ❑ 9 HSC 119309 - No eating, drinking or smoking - clean ❑ ❑ 28 HSC 119309, 119311 - Storage of inks, pigments, needles, ❑ clothes tubes, etc. ❑ 10. HSC 119308 - Hands washed effectively and timely ❑ ❑ 29 HSC 119310, 119311 - Jewelry, Inks, Needles etc approved ❑ and used correct) ❑ 11. HSC 119314 - Handwashing facilities properly supplied and El ❑ 30. HSC 119308 - Cross -contamination avoided during all ❑ accessible, warm water phases 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: HSC32 HSC 119314 - Floors and walls clean and in good repair, adequate light ❑ 14. HSC 119308 - Appropriate personal protective equipment El ❑ 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 ❑ ® 35 HSC 119313 - Operation and employee training records El customers in procedure area . resent El 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 El El 37. HSC 119312 -Permits obtained and available Consent form and questionnaire ® 19. HSC 119303, 119308 -Appropriate aftercare instructions El El 38. HSC 119319 -Impoundment ❑ iven 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 b (Print): Melissa Santos Received by (Signature): EMAILED Phone: 209-981-0814 Specialist (Print): Sandip Singh Specialist (Signature): Phone: 209-468-3526 Reinspection on/about: A reinspection fee of $172 per hour may be charged. Page 1 of 4 EH -11/17