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� � Body Art Inspection Report a �� San Joaquin County Environmental Health Department x � 1668 E. Hazelton Ave., Stockton, CA 95205 (209)466-3420 c1`o-, vrvrH sioov.orn/ehd (�.r Facility Name Ooh La! Lash &Brow Room Name of PermiURegistration Holder Address 115 N School St Permit Exp. Date Time In Date: August 19 2022 Program Record: PR0547909 Program Element: 4120 City Zip Code Lodi 95240 Time Out Inspection Type Belen Diaz 6/30/23 Routine The above facility is inspected for compliance with Division 104, Part 15, Chapter 7 of California Health and Safety Code (HSC). v - vl„lal�„n r. = r.,,rre�fed nr, sae Received by (Pring' Belen Diaz Received by (Signature) Emailed Phone' 209-329-2535 Specialist (Print)' Sandip Singh Specialist (Signature)' � �.� 5' � � V MACHINE SAFETY AND SANITATION cont. C V CLEANING AND STERILIZATION C ❑ 22. Parts replaced between clients -grommets, elastic bands, etc. ❑ ❑ 1. Autoclave: approved and effective -passed integrator lest ❑ PREVENTING CROSS -CONTAMINATION ❑ 2' Items washed, disinfected, packaged, labeled, and sterilized ❑ ❑ 23. Workstation/procedure area decontaminated ❑ ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 24. Appropriate chemical disinfectant used ❑ ❑ 4. Integrators used/monthly spore tesVlog maintained ❑ Chemical used: ❑ 5' Decontamination/sanitation area separated and supplied a ro riatel ❑ ❑ 25. Disinfectant used appropriately/sufficient contact time ❑ ❑ 0 Invoices and log kept for disposable, pre -sterilized e ui ment ❑ Wet contact time provided: ❑ 7 Sharps containers labeled, used, and disposed of a ro riatel ❑ ❑ 26. Barriers used ❑ ❑ 8 Jewelry, tattoo and piercing equipment -clean and sterilized ❑ ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ PRACTITIONER HEALTH AND HYGIENE ❑ 28. Storage of inks, pigments, needles, tubes, etc. ❑ ❑ 9. No eating, drinking or smoking -clean clothes ❑ ❑ 29. Jewelry, Inks, Needles etc approved and used correctly ❑ ❑ 10. Hands washed effectively and timely ❑ ❑ 30. Cross -contamination avoided during all phases of procedure ❑ ❑ 11. Handwastiing facilities properly supplied and accessible, warm water ❑ BEST BUSINESS PRACTICES ❑ 12. Hepatitis B vaccination ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ ❑ 13. Bloodborne Pathogen training ❑ � 32. Floors and walls clean and in good repair, adequate Ilghl ❑ Source: ❑ 33. Workstation, surtaces, including chairs, armrests, etc. in ood re air ❑ ❑ 14 Appropriate personal protective equipment available and used ❑ ❑ 34. PermiVregistration posted ❑ CUSTOMERSICLIENTS ❑ 35. Operation and employee training records present ❑ ❑ 15 Branding is completed with no other customers in rocedure area ❑ COMPLIANCE AND ENFORCEMENT ❑ 10. Customers eighteen (18) years of age or older ❑ ❑ 36. Plans) submitted for review ❑ ❑ 17. Skin adequately prepared for procedure ❑ ❑ 37. Permits obtained and available ❑ ❑ 18. Client records approved and available -Consent form and uesfionnalre ❑ ❑ 38. Impoundment � ❑ ❑ 19. Appropriate aftercare instructions given to Client ❑ ❑ 39. Hearing scheduled ❑ MACHINE SAFETY AND SANITATION ❑ 40. Closure ❑ ❑ 20. Safe machine design ❑ ❑ 41. ❑ ❑ 21. Machines cleaned and disinfected between clients ❑ Received by (Pring' Belen Diaz Received by (Signature) Emailed Phone' 209-329-2535 Specialist (Print)' Sandip Singh Specialist (Signature)' � �.� 5' � � Phone 209-468-3526 Reinspection onlabout: A reinspection fee of $156 per hour may be charged. Page 1 of 2 EH -11/17