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Body Art Inspection Report Date: 3/23/22 <br /> San Joaquin County Environmental Health Department Program <br /> °7 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PR0537407 <br /> �t (209)468-3420 <br /> www.siogv.oro/ehd Program <br /> Element: 4120 <br /> Facility Name Address City Zip Code <br /> Lash House Beauty 702 Porter Ave Suite A Stockton 95207 <br /> Name of Permit/Registration Holder Permit Exp. Date Time In Time Out Inspection Type <br /> Ana Gonzalez 6/30/22 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 CLEANING AND STERILIZATION C V MACHINE SAFETY AND SANITATION(cont.) C_ <br /> ❑ 1. Autoclave: approved and effective-passed integrator test El 1:1 22T Parts replaced betwee i clients-grommets, elastic bands,etc. El <br /> ❑ <br /> Items washed,disinfected,packaged, labeled,and 2. sterilized El CROSS-CONTAMINATION <br /> ❑ 3. Autoclave loaded correctly/packages allowed to dry ❑ ❑ 23. Workstation/procedure area decontaminated ❑ <br /> ❑ 4. Integrators used/monthly spore test/log maintained ❑ 24. Appropriate chemical cisinfectant used <br /> Decontamination/sanitation area separated and supplied El E] <br /> 5. appropriatelyElChemical used: <br /> Invoices and log kept for disposable, pre-sterilized <br /> El 6. ❑ El25. Disinfectant used appropriately/sufficient contact time Elequipment <br /> ® <br /> Sharps containers labeled, used,and disposed of 7' ElWet contact time provided: <br /> appropriately <br /> F� 8. <br /> p ropriatel <br /> Jewelry,tattoo and piercing equipment-clean and <br /> ❑ 8. El El 26. Barriers used <br /> sterilized <br /> PRACTITIONER HEALTH AND HYGIENE ❑ 27. Products applied to skin are single use/dispensed aseptically ❑ <br /> ❑ 9. No eating,drinking 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 /> ❑ 11. El E] 30. Cross contamination avoidedEl during all phases of procedure <br /> hot water <br /> ❑ 12. Hepatitis B vaccination ❑ BEST BUSINESS PRACTICES <br /> ® 13. Bloodborne Pathogen trainingEl [jEl31. Areas separated/no liv ng 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 /> ❑ 14. used ❑ ❑ 33' ood repair El <br /> ❑ 34. Permit/registration posted ❑ <br /> ❑ <br /> Branding is completed with no other customers in 15. procedure area El ® 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 /> Client records approved and available-Consent form and <br /> ® 18. El El37. Permits obtained and available <br /> questionnaire ❑ <br /> ❑ 19. 1 Appropriate aftercare instructions given to client rEl <br /> El 38. Impoundment El <br /> MACHINE SAFETY AND SANITATION El 39. Hearing scheduled 1:1F] 20. Safe machine design El40. Closure El <br /> F] Machines cleaned and disinfected between clients ❑ ❑ 41. ❑ <br /> Received by(Print): Ana Gonzalez Received by(Signature): EMAILED Phone:209-298-5355 <br /> Specialist(Print): Pinne Chao Specialist(Signature): 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 />