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"`- Body Art Inspection Report <br /> Date: October 12,2022 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: PR0547312 <br /> .• (209)468-3420 Program <br /> c. www.siogv.org/ehd <br /> �� -...., <br /> Element: 4121 <br /> Facility Name Address City Zip Code <br /> It's Just a Poke 239 N Pilgrim St Stockton 95204 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Sintia Mejia 6/30/23 Reinspection <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 /> Parts replaced between clients-grommets,elastic bands, <br /> El 1. Autoclave:approved and effective-passed integrator test El [122. etc. El <br /> ❑ 2 Items washed,disinfected,packaged,labeled,and <br /> sterilized E] 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' <br /> appropriately <br /> E] El <br /> used: <br /> Invoices and log kept for disposable,pre-sterilized <br /> E] 6. ❑ 1:125. Disinfectant used appropriately/sufficient contact time E]equipment <br /> Sharps containers labeled,used,and disposed of <br /> El 7' ElWet contact time provided: <br /> appropriately <br /> 8. <br /> ro riatel <br /> ❑ <br /> Jewelry,tattoo and piercing equipment-clean and 8. El El26. 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 El El30. Cross contamination avoided during all phases of procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> El El <br /> Bloodborne Pathogen training El ❑ 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 /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted El <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El ❑ 35. Operation and employee training records present E] <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 /> Client records approved and available-Consent form and <br /> El 18. uestionnaire El El 37. Permits obtained and available <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 ❑ ❑ 41. ❑ <br /> Received by(Print): Sintia Mejia Received by(Signature): Emailed Phone:510-588-6059 <br /> Specialist(Print): Sandip Singh Specialist(Signature): 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 />