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UI <br /> ;o eoGBody Art Inspection Report Date: November 23, 2021 <br /> mSan Joaquin County Environmental Health Department Program <br /> 1868 E. Hazelton Ave., Stockton, CA 95205 Record: New PR# <br /> (209) 46a-3420 <br /> �4 • V .6Ioay.ore/ehd Program <br /> trF, Element: 4120 <br /> Facility Name Address City Zip Code <br /> Its Just a Poke 239 N Pilgrim St Stockton 95205 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Sintia Melia 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 ❑ ❑ 22. Parts replaced between clients - grommets, elastic bands, ❑ <br /> etc. <br /> El Items washed, disinfected, packaged, labeled, and <br /> 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 lest/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ ❑ <br /> ❑ 5' appropriately ❑ Chemical used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> ❑ 6. ❑ ❑ <br /> equipment 25. Disinfectant used appropriately/sufficient contact time El <br /> 7 Sharps containers labeled, used, and disposed of <br /> appropriately ❑ Wet contact time provided: <br /> Jewelry, tattoo and piercing equipment - clean and <br /> El 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 El <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13, Bloodborne Pathogen training ❑ ❑ 31 . Areas separated/no living or sleeping quarters ❑ <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 ❑ ❑ 33' ood repair <br /> El <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> El 15. rocedure area El E] 35. Operation and employee training records present El <br /> ❑ 16. Customers eighteen (18) years of age or older ❑ COMPLIANCE AND ENFORCEMENT <br /> ❑ 17. Skin adequately prepared for procedure [E] E] 36. Plan(s) submitted for review ElClient records approved and available - Consent form and Eluestionnaire <br /> El 18. El37. Permits obtained and availableE] 19. Appropriate aftercare instructions given to client El38. ImpoundmentMACHINE SAFETY AND SANITATION E] 39. Hearing scheduled <br /> 20. Safe machine design El40. ClosureEl21 . Machines cleaned and disinfected between clients 1 ❑ 41 , ❑ <br /> Received by (Print): Sintia Melia Received by (Signature): Emailed Phone: 510-588-6059 <br /> Specialist (Print): Sandip Singh Specialist (Signature): $'.,�.,- .S�Kg,� Phone: 209-468-3526 <br /> Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br /> EH-11/17 <br />