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Body Art Inspection Report Date: May 19,2022 <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: PP0545320 <br /> (209)468-3420 <br /> , f P • v .sioay.ore/ehd Program <br /> 'tFo>R�Y Element: 4120 <br /> PR Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br /> PRO545463 Michelle Tabancura(BBP exp.5119/23 <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 mstabancurana amail.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 onlabout: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11117 J� <br />