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<br /> <br /> <br /> <br />Reinspection on/about:__________________. A reinspection fee of $172 per hour may be charged. Page 2 of 3 <br />EH- 12-4-23 <br /> <br /> Body Art Inspection Report <br />San Joaquin County Environmental Health Department <br />1868 E. Hazelton Ave., Stockton, CA 95205 <br />(209) 468-3420 <br />www.sjogv.org/ehd <br /> <br />Date: March 27, 2025 <br />Program <br />Record: PR0545320 <br />Program <br />Element: 4120 <br /> <br />R Number PRACTITIONER/ARTIST NAME PR Number PRACTITIONER/ARTIST NAME <br />PR0545463 Michelle Tabancura (BBP Exp: 2/28/26) <br /> <br /> <br /> <br /> <br />Observations and Corrective Actions: <br /> <br />9. No food, drink, tobacco product, or personal effects are permitted in the procedure area. The practitioner shall not <br />eat, drink, or smoke while performing a procedure. If a client requests to eat, drink, or smoke, the procedure shall be <br />stopped and the procedure site shall be protected from possible contamination while the client leaves the procedure <br />area to eat, drink, or smoke. HSC 119309(i) <br /> <br />OBSERVATIONS: <br />1. Water bottle observed in a basket, in the procedure room. – CORRECTED <br /> <br />18. Prior to the performance of body art, the client shall read, complete, and sign an informed consent form. HSC <br />119303(a). <br /> <br />OBSERVATIONS: <br />1. Client consent forms were not completed in full. Some client consent forms were observed to not have all of the medical <br />questionnaire questions answered. <br /> <br />CORRECTIVE ACTIONS: <br />1. Please assure that all of the information on the client consent forms are being completed in full prior to performing the <br />procedure. <br /> <br />33. A body art facility shall have all counter surfaces and tray with a smooth, durable, and nonabsorbent finish. <br />HSC(119314)(b)(6) <br /> <br />OBSERVATIONS: <br />1. Observed a plastic wrapped pillow. Pillow made of absorbable material. Plastic not durable enough for repeated use. <br />2. Foot stool made of absorbable material was under the procedure bed. – CORRECTED <br />3. Bench with pillows (both absorbable) observed in the procedure room. <br />4. Plant in the corner of the room can not be easily cleaned when needed. <br /> <br />CORRECTIVE ACTIONS <br />1. Remove all of the objects (mentioned above) from the procedure room. <br /> <br />35. A body art facility shall have a written Infection Prevention Control Plan, and have records of training and shall be <br />maintained for three years and shall be available for inspection upon request of the enforcement officer HSC 119313(e). <br />Infection Prevention Control Plan shall be revised when changes are made in the infection prevention practices, <br />procedures, or tasks HSC 119313(c). <br /> <br />OBSERVATIONS: <br />1. IPCP has the listed disinfectant as CaviSpray. Observed onsite disinfectant is CaviWipes. <br /> <br /> <br /> <br />