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Environmental Health - Public
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4100 – Safe Body Art
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PR0548004
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COMPLIANCE INFO
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Entry Properties
Last modified
4/27/2026 11:14:46 AM
Creation date
3/5/2024 9:14:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0548004
PE
4121 - BODY ART FACILITY-STERILIZATION
FACILITY_ID
FA0027381
FACILITY_NAME
LOST DREAMS TATTOOS & PIERCING (CARTER, MICHAEL)
STREET_NUMBER
5920
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
Site Address
5920 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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Body Art Inspection Report Date: July 10,2024 <br /> San Joaquin County Environmental Health Department Program <br /> l 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0548004 <br /> ' (209)468-3420 <br /> '•�Q. �4 www.siopv.orplehd Program <br /> iF oRr'/ Element: 4121 <br /> - Indications when to seek medical care. <br /> 25. HSC 119309 -Disinfectant used appropriately/sufficient contact time <br /> OBSERVATIONS.- <br /> The wet contact time provided for the Madacide was 3 minutes. The wet contact time indicated on the bottle of Madacide is 5 <br /> minutes. <br /> CORRECTIVE ACTIONS: <br /> Disinfectant shall be used according to the manufacturer's instructions. Train practitioners on the correct wet contact time for all <br /> disinfectants used at the facility. Provide training record to the EHD. <br /> 32. HSC 119314-Floors and walls clean and in good repair, adequate light <br /> OBSERVATIONS: <br /> Holes observed on the walls of David Javier and Sonny"Jerome" Brown procedure area. <br /> CORRECTIVE ACTIONS: <br /> A body art facility shall have floors, walls, and ceilings that are smooth, nonabsorbent, free of open holes, and washable. Repair <br /> all holes and provide EHD photographic evidence of correction. <br /> 33. HSC 119314-Workstation, surfaces, including chairs, armrests, etc. in good repair <br /> OBSERVATIONS: <br /> 1.Absorbent canvass paintings observed in various areas of the shop. —Corrected on site. <br /> 2. The procedure table in the piercing room was torn. <br /> 3. Some of the decorations in the piercing room and the curtain to the entrance of the piercing room are absorbent. <br /> CORRECTIVE ACTIONS: <br /> 1. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. <br /> 2. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. Repair or replace the piercing table and provide photographic evidence to the EHD. <br /> 3. All surfaces and objects in the procedure area, including chairs, armrests, tables, countertops, and trays, shall be in good <br /> repair and capable of being disinfected. All counter surfaces and service trays in the procedure area shall have a smooth, <br /> durable, and nonabsorbent finish. Remove all absorbent decorations and curtain from the piercing room. <br /> 34. HSC 119312 - Permit/registration posted <br /> OBSERVATIONS: <br /> Ava Reyes' permit was not current. <br /> CORRECTIVE ACTIONS: <br /> Certificate of registration and health permit shall be posted in a conspicuous place. Post Ava Reyes' current permit and provide <br /> photographic evidence to the EHD. <br /> 35. HSC 119313 -Operation and employee training records present <br /> OBSERVATIONS: <br /> 1. The facility uses Sani-cloth disinfectant and it is not mentioned on the IPCP. <br /> 2. The disinfectant wet contact time stated on the IPCP is 3 minutes. The wet contact time mentioned on the manufacturer's <br /> instruction for Madacide is 5 minutes. <br /> CORRECTIVE ACTIONS: <br /> 1. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written Infection <br /> Prevention and Control Plan (IPCP) shall be maintained, followed and updated. Update the IPCP to include Sani-cloth as a <br /> Reinspection on/about: A reinspection fee of$172 per hour may be charged. Page 3 of 4 <br /> EH-11117 <br />
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