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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4100 – Safe Body Art
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PR0547535
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COMPLIANCE INFO
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Entry Properties
Last modified
11/8/2024 11:26:06 AM
Creation date
6/27/2023 9:12:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0547535
PE
4120 - BODY ART FACILITY-SINGLE USE
FACILITY_ID
FA0027032
FACILITY_NAME
MONARCH BEAUTY COLLECTIVE (CLEMENTS, TAYLOR)
STREET_NUMBER
20
Direction
W
STREET_NAME
TENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
20 W TENTH ST TRACY 95376
Tags
EHD - Public
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° BodyArt InspectionReport p Date: March 3, 2022 <br />N San Joaquin County Environmental Health Department Program <br />1868 E Hazelton Ave., Stockton, CA 95205 Record: PR0547535 <br />(209)468-3420 <br />vmwsioay.oro/ehd Program <br />v o Element: 4120 <br />Facility Name Address City Zip Code <br />Hairdressers Rock Studios 20 W W St. Tracy 95376 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Taylor Clements 6/30/22 Routine <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 ❑ ❑ 2P. Pads replaced between clients - grommets, elastic bands, Eletc. <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 ❑ ElEl 5' <br />appropriately <br />El Chemical used: <br />Invoices and log kept for disposable, pre -sterilized <br />El 6' <br />equipment ❑ 25. Disinfectant used appropriately/sufficient contact time <br />Sharps containers labeled, used, and disposed of ❑ ❑ <br />❑ 7. appropriately ❑ Wet contact time provided: <br />Jewelry, tattoo and piercing equipment - clean and <br />El 8' El E]26. Barriers used Elsterilized <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 ❑ [1 29. Jewelry, Inks, Needles etc approved and used correctly ❑ <br />Handwashing facilities properly supplied and accessible, <br />El11. El 30. Cross -contamination avoided during all phases of procedure Elwarm water <br />❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br />❑ 13. Bloodborne Pathogen training El <br />31. Areas separated/no living or sleeping quarters El <br />Source: ❑ 32. Floors and walls clean and in good repair, adequate light ❑ <br />Appropriate personal protective equipment available and Workstation, surfaces, including chairs, armrests, etc. in <br />El 14. used El ❑ 33" good repair <br />El <br />CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br />Branding is completed with no other customers in <br />❑ 15. E]❑ 35. Operation and employee training records present Elrocedure area <br />❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br />❑ 17. Skin adequately prepared for procedure ❑ El36. Plan(s) submitted for review ❑ <br />Client records approved and available - Consent form and <br />El 18. 37. Permits obtained and available Eluestionnaire ❑ El <br />19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ElMACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br />E] M Safe machine design ❑ El40. Closure 11El 21. Machines cleaned. and disinfected between clients ❑ ❑ 41. Ell <br />Received by (Print): Taylor Clements Received by (Signature): Emailed Phone: 209-666-7000 <br />Specialist (Print): Sandip Singh Specialist (Signature): Phone: 209-468-3526 <br />Reinspection onlabout: <br />A reinspection <br />fee of $152 <br />per hour may be <br />charged. <br />^ Page 1 of 2 <br />EH -11/17 <br />/�QJ/' <br />
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