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_ o�Z Body Art Inspection Report Date: September 12,2023 <br /> Ewe. <1 San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 <br /> Record: New PR# <br /> (209)468-3420 <br /> Program <br /> CN:; �P' www.sioay.oro/ehd 9 <br /> 4 t i F ot??i Element: 4120 <br /> Facility Name Address City Zip Code <br /> Changes Beaute Lounge 211 E March Lane#C Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp.Date Time In Time Out Inspection Type <br /> Nicole Barber 6/30/24 Final <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 /> El1. Autoclave:approved and effective-passed integrator test El 11 Parts replaced between clients-grommets,elastic bands, <br /> 22. etc. ❑ <br /> Items washed,disinfected,packaged, labeled,and <br /> ❑ 2' sterilized 11PREVENTING CROSS-CONTAMINATION <br /> E33. Autoclave loaded correctly/packages allowed to dry 11 El 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical disinfectant used <br /> Decontamination/sanitation area separated and supplied ❑ ❑ <br /> ❑ 5' ElChemical used: <br /> appropriately <br /> 6. <br /> ro riatel <br /> ❑ <br /> Invoices and log kept for disposable,pre-sterilized 6. ❑ El25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> Sharps containers labeled, used,and disposed of <br /> El 7 El Wet contact time provided: <br /> appropriately <br /> Jewelry,tattoo and piercing equipment-clean and <br /> El 8' El El 26. Barriers used Elsterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating,drinking or smoking-clean clothes ❑ [:1 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. warm water ❑ El30. Cross-contamination avoided during all phases of procedure E] <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> El El <br /> Bloodbome Pathogen training ElF-131. Areas separated/no living or sleeping quarters ❑ <br /> Source: ❑ 32. Floors and walls clean and in good repair,adequate light ❑ <br /> Appropriate personal protective equipment available and Workstation,surfaces,including chairs,armrests,etc.in <br /> El 14. ❑used El 33' good repair <br /> 1:1 <br /> CUSTOMERS/CLIENTS ❑ 34. Permit/registration posted ❑ <br /> Branding is completed with no other customers in <br /> ❑ 15' 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 /> ❑ 18 Client records approved and available-Consent form and [10 37. Permits obtained and available ❑ <br /> questionnaire <br /> ❑ 19. Appropriate aftercare instructions given to client ❑ ❑ 38. Impoundment ❑ <br /> MACHINE SAFETY AND SANITATION ❑ 39. Hearing scheduled ❑ <br /> ❑ 20. Safe machine design ❑ ❑ 40. Closure ElEl21. Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received by(Print): Nicole Barber Received by(Signature): EMAILED Phone:209-326-4224 <br /> Specialist(Print): Sandip Singh Specialist(Signature): Phone:209-468-3526 <br /> Reinspection on/about: A reinspection fee of$162 per hour may be charged. Page 1 of 2 <br /> EH-11/17 00 <br />