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0i <br />°' eoc Body Art Inspection Report Date: May 19t 2022 <br />a�i San Joaquin County Environmental Health Department Program <br />1868 E. Hazelton Ave., Stockton. CA 95205 Record: PR0545320 <br />(209) 46&3420 <br />C P • y .sioey.ore/ehd Program <br />+}�O�tg Element: 4120 <br />PR Number <br />PRACTITIONER/ARTIST NAME <br />PRO545463 <br />Michelle Tabancura (BBP exp. 5119/23 <br />m <br />Observations and Corrective Actions: <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 — The IPCP was not on <br />site. Provide photographic evidence that the IPCP is at the site. <br />Correct all violations and provide EHD with evidence of corrections by June 6, 2022. <br />Notes: <br />1. Inspection report emailed to facility owner, Michelle Tabancura, at mstabancuraCaZamail.com. <br />2. Ensure the final copy of the waste manifest/ tracking document is received from the sharps waste disposal company. Keep <br />proof of disposal for 3 years. <br />3. The absorbent curtain in the procedure room is approved by the EHD. <br />4. Sterilization certificates and invoices provided for instruments used. <br />Reinspection <br />EH -11!17 <br />A reinspection fee of $152 per hour may be charged. <br />Page 2 of 2 <br />