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Body Art Inspection Report <br /> / Date: September 14,2023 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0547312 <br /> (209)468-3420 <br /> �P www.siogv.org/ehd Program <br /> Element: 4121 <br /> Facility Name Address City Zip Code <br /> It's Just 3 Poke 239 N Pilgrim St. Stockton 95204 <br /> Name cf Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Sintia Mejia 6/30/24 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 I 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 /> ❑ <br /> Items washed,disinfected,packaged,labeled,and 2' sterilized El 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 1:1 El 5' a ro riatel ElChemical used: <br /> ❑ <br /> Invoices and log kept for disposable,pre-sterilized 6. ❑ ® 25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> ® <br /> Sharps containers labeled,used,and disposed of 7• ElWet contact time provided: 30 seconds <br /> a ro riatel <br /> ❑ 8 Jewelry,tattoo and piercing equipment-clean and ❑ ❑ 26. 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 /> ❑ <br /> Handwashing facilities properly supplied and accessible,11. El 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 ❑ ❑ 31. Areas separated/no living or sleeping quarters El <br /> Source: ® 32. Floors and walls clean and in good repair,adequate light El <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> F1 14. used El [1 33' ood re air El <br /> CU:TOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> ❑ <br /> Branding is completed with no other customers in 15. rocedure area El ® 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 ❑ ❑ 36. Plan(s)submitted for review ❑ <br /> Client records approved and available-Consent form and <br /> ® 18. questionnaire <br /> ❑ ® 37. Permits obtained and available <br /> uest ❑ <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 /> 1:1❑ 21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received by(Print): Sintia Mejia Received by(Signature): EMAILED Phone:510-588-6059 <br /> Specialis* (Print): Sandip Singh Specialist(Signature): a4" - Phone:209-468-3526 <br /> Reinspection on/about: A reinspection fee of$162 per hour may be charged. Page 1 of 3 <br /> EH-11/17 <br />