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a Body Art Inspection Report Date: 5/26/22 <br /> y � San Joaquin County Environmental Health Department program <br /> 1868 E. Hazelton Ave., Stockton, CA 95205 Record: PR0547232 <br /> .+ (209) 468-3420 <br /> •�� - q. _ ,k wxw.sioay.omlehd Program <br /> K•2 ' Element: 4120 <br /> Facility Name Address City Zip Code <br /> The Hidden Gem 4545 Georgetown Place F-42 Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Liana Hoang 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 /> ❑ 2 Items washed, disinfected, packaged, labeled, and <br /> sterilized El CROSS-CONTAMINATION <br /> El3. Autoclave loaded correctly/packages allowed to dry El ❑ 23. Workstationlprocedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> El 5 Decontamination/sanitation area separated and supplied El El <br /> appropriately ❑ Chemical used: <br /> ® 6 Invoices and log kept for disposable, pre-sterilized <br /> equipment ❑ 25. Disinfectant used appropriately/sufficient contact time <br /> ® 7 Sharps containers labeled, used, and disposed of ❑ F1a propriatel ❑ Wet contact time provided: <br /> ❑ 8 Jewelry, tattoo and piercing equipment - clean and <br /> sterilized ❑ ❑ 26. Barriers used ❑ <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 /> ❑ 11 Handwashing facilities properly supplied and accessible, <br /> hot water ❑ ❑ 30. Cross-contamination avoided during all phases of procedure ❑ <br /> ❑ 12. Hepatitis B vaccination ❑ <br /> BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen training ❑ ElEl31 . Areas separated/no living or sleeping quarters <br /> Source: El32. Floors and walls clean and in good repair, adequate light El <br /> 114 Appropriate personal protective equipment available and ❑ Workstation, surfaces, including chairs, armrests, etc. in El El 33' good repair <br /> CUSTOMERS/CLIENTS ❑ 34. Perrnit/registration posted ❑ <br /> ❑ 15. Branding is completed with no other customers in <br /> procedure area ❑ ❑ 35. Operation and employee training records present ❑ <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. uestionnaire El El37. Permits obtained and available El <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ =Safe design ❑ ❑ 40. Closure ❑ <br /> ❑ 1 21 . Machines cleaned and disinfected between clients ❑ ❑ 41 . 1 1 ❑ <br /> Received by (Print): Liana Hoang Received by (Signature): EMAILED Phone: 209-373-5889 <br /> Specialist (Print): Pinne Chao Specialist (Signature): Phone: 209-468-3854 <br /> Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br /> EH-11117 <br /> Vwe/ <br />