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Body Art Inspection Report Date: June 6,2022 <br /> IN ? San Joaquin County Environmental Health Department Program <br /> �+ 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: New PR# <br /> (209)468-3420 <br /> c gip' www.sdoov.ora/ehd Program <br /> Element: 4120 <br /> Faiciity Na-1e Address City Zip Code <br /> Master Your Beautw 3031 W March Lane#104 Stockton 95219 <br /> Narre of Psrmit/Regstration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Mariana Castillo 6/30/23 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 CLEPNING AND STERILIZATION C V MACHINE SAFETY AND SANITATION cont. C <br /> ❑ 1. Autocla te:approved and effective-passed integrator test El El22 Parts replaced between clients-grommets,elastic bands, ❑ <br /> etc. <br /> ❑ <br /> Items washed,disinfected,packaged, labeled,and <br /> 2. sterilized El CROSS-CONTAMINATION <br /> ❑ 3. Autoclaie loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. IntegratDrs used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontam ration/sanitation area separated and supplied ❑ ❑ <br /> ❑ 5. approprateEl Chemical used: <br /> Invoice, and log kept for disposable, pre-sterilized <br /> El 6. a ui ment El 25. Disinfectant used appropriately/sufficient contact time <br /> El ❑ <br /> Sharps containers labeled, used,and disposed of <br /> El 7 ❑ Wet contact time provided: <br /> aro rate <br /> Jewelry tattoo and piercing equipment-clean and <br /> F1 8 sterilize] El El 26. Barriers used El <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eatirc,crinking 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. ❑ El 30. Cross-contamination avoided during all phases of procedure <br /> ,Harm water <br /> ❑ 12. Hepatiti3 E•vaccination ❑ BEST BUSINESS PRACTICES <br /> ❑ 13. Bloodbcrne Pathogen training ❑ ❑ 31. Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in 14. used ❑ ❑ 33. go repair ❑ <br /> CUSTOMERS.CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15. El El 35. Operation and employee training records present <br /> rocedtre area <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 reccrds approved and available-Consent form and <br /> El 18. El El 37. Permits obtained and available <br /> questionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACFINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe mact-ine design ❑ ❑ 40. Closure ❑ <br /> El21. Machines cleaned and disinfected between clients ❑ El 41. ❑ <br /> Received Ly(Print) Mariana Castillo Received by(Signature): EMAILED Phone:209-915-7553 <br /> Specialist(Print): Sandip Singh Specialist(Signature): 5adf'21 , 5, df Phone:209-468-3526 <br /> Reirspecton on/about: A reinspection fee of$152 per hour may be charged. Page ' of 2 <br /> Eh 1/17 A <br />