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Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 3 of 4 EH- 12-4-23 Body Art Inspection Report San Joaquin County Environmental Health Department 1868 E. Hazelton Ave., Stockton, CA 95205 (209) 468-3420 www.sjogv.org/ehd Date: February 28, 2025 Program Record: PR0547916 Program Element: 4120 18. Prior to the performance of body art, the client shall read, complete, and signed and informed consent form. On the consent, a statement that depicts that tattoo inks, dyes, and pigments have not been approved by the federal Food and Drug Administration and that the health consequences of using these products are unknown. HSC 119303(a) and (a)(4) OBSERVATION: Client consent forms were not being fully completed by the client or the practitioner. One of the client consent forms did not have all of the required client signatures. There were procedure description forms that were not being completed. 1. Client consent forms were not being fully completed by the client. Signatures from the client were missing on the forms. 2. Description of the procedure form was not being filled out. 3. Practioner signatures were missing on the client consent forms. 4. No notice on the client consent forms that tattoo dyes and inks are not approved by the FDA CORRECTIVE ACTION: 1. Assure that the client consent forms are being completed in full. 2. Assure the description of procedure form is being completed in full. 3. Assure the practitioner who is performing the body art is also signing all necessary documents to ensure that the client consent forms are being fully complete. 4. Update the client consent to include that the FDA does not approve of tattoo dyes and inks and that they health consequences are unknown. 24. A facility that performs body art shall use a an appropriate disinfectant which is a product that is registered by the federal EPA and the Department of Pesticide Regulation, as indicated on the label, to reduce or eliminate the presence of disease-causing microorganisms, including HIV and HBV for use in decontaminating work surfaces. HSC 119301(k) OBSERVATIONS: The disinfectant provided for review was Lysol disinfectant spray. Upon review of the product, it does not adhere to regulation in eliminating HIV and HBV. CORRECTIVE ACTION: Provide proof of purchase of an appropriate disinfectant that eliminates presence of HIV and HBV. 32. A body art facility shall comply with having floors and walls that are smooth, nonabsorbent, and free of open holes, and washable. HSC 119314(a)(2) OBSERVATIONS: The walls of the procedure area had patches of plaster did not feel like they were easily washable and nonabsorbent. CORRECTIVE ACTIONS: Please provide a finish to the walls that are smooth, non, absorbent, and easily washable. 33. A body art facility shall have all counter surfaces and treys shall have a smooth, durable, and non absorbent finish. HSC 119314(b)(6) OBSERVATIONS: 1. A lamp shade that was within the procedure area was made of a felt material that was absorbable. 2. A throw pillow on the chair to the right of the hand washing sink was made of cloth material making it absorbable. CORRECTIVE ACTIONS: Remove any and all decorations from the procedure room that are made of an absorbable material.