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o Body Art Inspection Report <br />Date: May 11, 2022 <br /><I San Joaquin County Environmental Health Department <br />Program <br />1 1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 Record: SR0085129 <br />�P www.siogv.oro/ehd Program <br />x•1;0 <br />Element: 4103 <br />Facility Name Address City Zip Code <br />Flawless Studios 9210 Thornton Rd Suite #3 Stockton 95209 <br />Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br />Nicholette Vonmarkle Consultation <br />The above facility is inspected for compliance with Division <br />104, <br />Part <br />15, Chapter 7 of California Health and Safety Code (HSC). <br />V = Violation <br />C <br />= Corrected On Site <br />V <br />CLEANING AND STERILIZATION <br />C <br />V <br />MACHINE SAFETY AND SANITATION (cont.) <br />C <br />❑ <br />1. <br />Autoclave: approved and effective -passed integrator test <br />El <br />El22 <br />Parts replaced between clients - grommets, elastic bands, <br />❑ <br />etc. <br />❑ <br />2 <br />Items washed, disinfected, packaged, labeled, and <br />Elsterilized <br />PREVENTING CROSS -CONTAMINATION <br />❑ <br />3. <br />Autoclave loaded correctly/packages allowed to dry <br />❑ <br />❑ <br />23. <br />Workstation/procedure area decontaminated <br />❑ <br />❑ <br />4. <br />Integrators used/monthly spore test/log maintained <br />❑ <br />❑ <br />24. <br />Appropriate chemical disinfectant used <br />❑ <br />❑ <br />5 <br />Decontamination/sanitation area separated and supplied <br />❑ <br />Chemical <br />appropriately <br />used: <br />® <br />6 <br />Invoices and log kept for disposable, pre -sterilized <br />❑ <br />25. <br />equipment <br />El <br />Disinfectant used appropriately/sufficient contact time <br />El <br />El <br />7 <br />Sharps containers labeled, used, and disposed of <br />❑ <br />Wet <br />appropriately <br />contact time provided: <br />❑ <br />8 <br />Jewelry, tattoo and piercing equipment - clean and <br />El <br />El <br />26. <br />Barriers used <br />❑ <br />PRACTITIONER HEALTH AND HYGIENE <br />❑ <br />27. <br />Products applied to skin are single use/dispensed aseptically <br />❑ <br />❑ <br />9. <br />No eating, drinking or smoking - clean clothes <br />❑ <br />❑ <br />28. <br />Storage of inks, pigments, needles, tubes, etc. <br />❑ <br />❑ <br />10. <br />Hands washed effectively and timely <br />❑ <br />❑ <br />29. <br />Jewelry, Inks, Needles etc approved and used correctly <br />❑ <br />® <br />11, <br />Handwashing facilities properly supplied and accessible, <br />❑ <br />El <br />30. <br />Cross <br />hot water <br />-contamination avoided during all phases of procedure <br />El <br />❑ <br />12. <br />Hepatitis B vaccination <br />❑ <br />BEST BUSINESS PRACTICES <br />13. <br />Bloodborne Pathogen training <br />❑ <br />31. <br />Areas separated/no living or sleeping quarters <br />❑ <br />❑ <br />Source: <br />® <br />32. <br />Floors and walls clean and in good repair, adequate light <br />❑ <br />❑ <br />14 <br />Appropriate personal protective equipment available and <br />❑El33 <br />Workstation, surfaces, including chairs, armrests, etc. in <br />good repair <br />El <br />CUSTOMERS/CLIENTS <br />❑ <br />34. <br />Permit/registration posted <br />❑ <br />❑ <br />15. <br />Branding is completed with no other customers in <br />El <br />El <br />35. <br />Operation <br />procedure area <br />and employee training records present <br />El <br />❑ <br />16. <br />Customers eighteen (18) years of age or older <br />❑ <br />COMPLIANCE AND ENFORCEMENT <br />❑ <br />17. <br />Skin adequately prepared for procedure <br />❑ <br />❑ <br />36. <br />Plan(s) submitted for review <br />❑ <br />❑ <br />18 <br />Client records approved and available - Consent form and <br />ElEl37. <br />Permits <br />obtained and available <br />El <br />❑ <br />19. <br />Appropriate aftercare instructions given to client <br />❑ <br />❑ <br />38. <br />Impoundment <br />❑ <br />MACHINE SAFETY AND SANITATION <br />❑ <br />39. <br />Hearing scheduled <br />❑ <br />❑ <br />20. <br />Safe machine design <br />❑ <br />❑ <br />40. <br />Closure <br />❑ <br />❑ <br />21. <br />Machines cleaned and disinfected between clients <br />❑ <br />❑ <br />41. <br />❑ <br />Received by (Print): Nicholette Vonmarkle Received b (Signature): EMAILED Phone: 209-407-7274 <br />Specialist (Print): Pinne Chao Specialist (Sinn ture): Phone: 209-468-3854 <br />Reinspection on/about: A reinspection fee of $152 per hour may be charged. Page 1 of 2 <br />EH -11/17 <br />