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4100 – Safe Body Art
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PR0537407
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COMPLIANCE INFO
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Last modified
9/20/2024 2:16:39 PM
Creation date
9/17/2024 8:44:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4100 – Safe Body Art
File Section
COMPLIANCE INFO
RECORD_ID
PR0537407
PE
4120
FACILITY_ID
FA0020796
FACILITY_NAME
LASH HOUSE BEAUTY (GONAZALEZ, ANA)
STREET_NUMBER
702
STREET_NAME
PORTER
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09771001
CURRENT_STATUS
01
SITE_LOCATION
702 PORTER AVE STE A
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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Body Art Inspection Report <br /> Date: 3/23/22 <br /> _4+ San Joaquin County Environmental Health Department <br /> IL CI 1868 E.Hazelton Ave.,Stockton,CA 95205 Program <br /> Record: PR0537407 <br /> ago (209)468-3420 <br /> www.siogv.org/ehd Program <br /> Element: 4120 <br /> PR Numbe,r a.�. -,P,RAQTITIONER/ARTIST NAME PR Number PRACTITIONEP./ARTIST NAME <br /> PR0546428 Ana Gonzalez(BBP exp. 2/9/22) <br /> Observations and Corrective Actions: <br /> 7. The sharps waste container shall be within arm's reach and labeled with the word "sharps waste" or with the biohazard symbol <br /> and the word "Biohazard". Sharp waste containers shall be disposed by a licensed waste hauler or approved mail back system. <br /> Documentation of proper disposal shall be maintained for 3 years. HSC 119314(e)—Sharps waste container was last picked <br /> up 2 years ago. Sharps is to be picked up at least once annually. Provide EHD with proof of sharp waste container <br /> disposal receipt. <br /> 13. Practitioner shall provide evidence of a completed, EHD approved, OSHA Bloodborne Pathogen Training consistent with <br /> section 119307. — Bloodborne Pathogen certificate for Ana Gonzalez expired 2/9/22. Provide EHD with proof of current <br /> Bloodborne Pathogen certificate. <br /> 18. The facilities client consent form and medical questionnaire must include all of the information listed in Form B, and are <br /> available for inspection. HSC 119303—Client records missing lot#for instruments used and photocopy of photo I.D. <br /> Medical questionnaire was not available to review. Provide EHD with Medical questionnaire. <br /> 35. Operation and employee training records shall be maintained for 3 years and made available for inspection. A written <br /> Infection Prevention and Control Plan (IPCP) shall be maintained, followed and updated. HSC 119313— Infection Prevention <br /> and Control Plan was not available at time of inspection. Provide EHD with Infection Prevention and Control Plan. <br /> Unless otherwise noted, correct all violations and provide evidence of correction to <br /> the EHD by April 12, 2022. <br /> Notes: <br /> 1. Inspection report emailed to facility owner, Ana Gonzalez, at lash housebeautyC�icloud.com <br /> 2. Sharps disposal with Solutions: Waste Hauler. <br /> Reinspection on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />
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