Report Number: INS Inspection Date: July 12, 2013 Contact Name: Test Community:

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1 Region of Waterloo Public Health 99 Regina Street S, 3rd Floor Waterloo, ON N2J 4V3 Phone Number: (519) Fax Number: (519) PERSONAL SERVICES SETTINGS INSPECTION REPORT Facility Information: Test Tattoo Facility Number: FAC Report Number: INS Inspection Date: Contact Name: Test Facility Category: Inspection Type: Action(s) Taken: Risk Rating: Delivery Method: Personal Services, Tattooing / Micropigmentation Required: Inspection Satisfactory - No Action Required, Report Reviewed - Action Required, Re-inspection Required, Closure Order Rescinded, Closure Order Served, License Signed, Opening Inspection, Section 13 Order Issued, Section 13 Order Rescinded, Summons Served, Water Sample Taken High Hand Delivery Opening Comments and Observations: Infection Control Work Area / Surfaces 1 Work surfaces are smooth, impervious and are cleaned and disinfected after each client Work Area / Lighting 2 Approved disinfectant are maintained at the appropriate strengths, stored properly and adhere to appropriate contact times Ensure all work surfaces have a smooth and impervious finish Ensure all work surfaces are cleaned and disinfected after each client All surfaces that may have been contaminated with body fluids must be cleaned and disinfected Work areas have adequate lighting Work Area / Hand Sink 3 Ensure all work areas have adequate lighting for working, cleaning, and disinfecting Hand wash sink with hot and cold running water available and supplied with liquid soap and paper towels in dispensers Provide liquid soap in a dispenser at the hand wash sink Provide a hand wash sink conveniently located near the work area Provide hot and cold running water at the hand wash sink Provide paper towels in a dispenser at the hand wash sink Connect sink directly to sanitary sewer Equipment / Reusable Equipment & Instruments 4 Reusable instruments are stored, handled and maintained in good condition Ensure all instruments are durable and in good repair Sterilize new, re-useable instruments before use Provide a labelled, puncture resistant container with lid for dirty, re-useable instruments that require sterilization Label the container for dirty, re-useable instruments requiring sterilization with the words: "dirty instruments for sterilizing" N/S = No Option Selected, YES = In, = Not in, CDI = Corrected During Inspection, N/O = Not Observed Page 1 of 5

2 The container for dirty, re-useable instruments must be used for this purpose only Store sterilized instruments in a manner that protects them from contamination Equipment / Disinfection/Sterilization Procedures 5 Proper cleaning, disinfection, and sterilization of reusable equipment and instruments Ultrasonic cleaner to be operated with lid on, solution changed daily or more often if visibly dirty, unit is cleaned and disinfected daily Use thick, heavy duty, non-disposable gloves when washing contaminated instruments/equipment Disassemble and clean dirty instruments in the cleaning area Provide a sink with hot and cold running water, conveniently located near the work area, for washing all instruments/equipment Instruments/equipment must be cleaned using water and a detergent with a brush or ultrasonic cleaning device Clean, disinfect and dry-store nylon cleaning brushes/pads after each use Clean and disinfect instruments/equipment according to instrument classification Semi-critical class instrument/equipment must be thoroughly cleaned and disinfected with high level disinfectant Non-critical class instrument/equipment must be thoroughly cleaned and disinfected with intermediate level disinfectant Critical class instrument/equipment must be thoroughly cleaned and sterilized Equipment / Tattoo Equipment/Procedures 6 Tattoo/ invasive equipment provided, handled and maintained in a sanitary condition Use impervious, single-use, disposable covers to protect the areas of tattooing instruments that cannot be sterilized Ensure all spray/ink bottles are covered with single-use plastic bags so that only nozzles are exposed Cover, with cling film, any surfaces that may need to be touched (e.g. light switch) and change cling film between clients Use disposable cups for rinse water Dispose of rinse water/cup after each client Remove and dispose of elastic bands on clamps/machine heads before cleaning and sterilizing Disinfect between each client, the areas of tattooing instruments that cannot be sterilized Equipment / Autoclave 7 Proper use and testing of autoclave Review written back-up plans in the event of positive (failed) spore test annually Provide a commercially approved autoclave/dry heat sterilizer Pack every autoclave load with temperature sensitive tape Perform bi-weekly challenge with a commercial preparation of heat resistant spores (Bacillus Stearothermophilus) Spore strips must be sent to a laboratory after exposure to confirm the bacteria are destroyed Maintain a log including temperature, pressure, cycle length, and test results for each load Equipment / Ear Piercing Procedures 8 Proper ear piercing procedures are followed Use sterile, pre-packaged studs on an integrated platform in the piercing gun Sell double-packaged studs in pairs, even if only a single ear is pierced Do not use piercing guns on any part of the body other than the lobes of the ear Do not handle sterile studs with bare hands Load all piecing guns without touching the stud or stud holding device Disinfect forceps or other instruments prior to using them for loading the studs Discard disposable cartridges after use on each client if they are used to hold the studs Fully disassemble, clean and disinfect the piercing gun after use on each client Store the piercing gun in a dry, clean case between uses N/S = No Option Selected, YES = In, = Not in, CDI = Corrected During Inspection, N/O = Not Observed Page 2 of 5

3 Equipment / Single-use Equipment & Instruments 9 Single-use equipment, instruments, and supplies are properly disposed of Dispose of all single-use equipment, instruments, and supplies after use Provide a labelled ("Biohazard"), puncture resistant sharps container with a lid, for all used disposable sharps Do not save electrolysis needles for re-use Do not save tattoo stencils for re-use Supplies / Creams and Lubricants 10 Cosmetic creams, lubricants, and waxes are stored and used in an approved manner Use a clean, single-use, disposable scoop for cosmetics from jars each time the jar is needed Use a new stick/applicator for wax each time wax is taken from container Dispense creams and lubricants onto a clean, single-use applicator Discard left over creams, lubricants, and waxes. Do not return to the original container Supplies / Linens 11 Linens and tissues are stored and handled in a sanitary manner Provide a receptacle for dirty linens Use dirty linen receptacle only for dirty linens Place dirty linens in receptacle after each use/client Wash linens prior to re-use Store clean linen in a manner that protects it from contamination Store clean tissues and wipes in a manner that protects them from contamination Use a clean towel/neck strip on each client where protective gowns are used Waste Disposal / Garbage & Waste Management 12 Garbage and wastes are handled in a sanitary manner Provide a plastic-lined, covered garbage pail with a lid in each work area Ensure all garbage is removed at the end of each day Ensure cloths used for wiping up blood/body fluids are disposed of in a sealed bag in the regular garbage Dispose of sharps in an approved sharps container Ensure the sharps container is disposed of by a licensed biomedical waste disposal company Ensure sharps are not disposed of in the municipal garbage Sanitary Facilities / Sanitary Facilities 13 Washrooms are kept clean and equipped with the required supplies Provide liquid soap in a dispenser at the hand wash sink Provide hot and cold running water at the hand wash sink Provide paper towels in a dispenser at the hand wash sink Provide a supply of toilet paper Ensure washroom(s) is kept in a clean and sanitary condition Health and Hygiene / Employee Hygiene 14 Personal service worker health and hygiene are satisfactory No eating, smoking or drinking in service area Ensure every personal service worker washes his/her hands with soap and water for seconds after each client Ensure personal service worker wears clean, washable clothing while working Ensure personal service worker wears impervious gloves for invasive procedures (tattooing/ piercing/electrolysis) Ensure personal service workers who perform invasive procedures are vaccinated against Hepatitis B N/S = No Option Selected, YES = In, = Not in, CDI = Corrected During Inspection, N/O = Not Observed Page 3 of 5

4 Health and Hygiene / Customer Hygiene 15 Customer health and hygiene are properly evaluated and proper procedures are followed Ensure the part of the body to be treated is clean and free from cuts, wounds, rash, or visible skin disease Ensure the client's nails are free from fungal and mould infections Ensure the skin area to be treated is disinfected with a skin antiseptic Ensure stencilling/marking are done prior to disinfection of the skin area to be treated Ensure after care instructions are available, dispensed, and explained to clients Ensure after care instructions describe possible complications including signs, symptoms, and indicators of each Ensure after care instructions include recommendations to consult a physician if complication persists more than 24 hours Record Keeping / Client Records 16 Accurate client records are kept for skin invasive procedures Records kept for five years with current year kept on-site Ensure accurate records are kept for clients where skin invasive procedures are performed Ensure client records include the date of the procedure Ensure client records include the client name, address, and phone number Ensure client records include the procedure that was performed Ensure client records include any relevant comments Ensure client records are kept for at least one year Record Keeping / Exposures 17 Accurate records are kept for accidental exposures Ensure a written procedure for accidental exposures is available to all staff Ensure all staff are familiar with written procedures for accidental exposures Ensure an accurate record of all accidental exposures is kept Ensure records of accidental exposures include the name, address, and phone number of the client Ensure records of accidental exposures include the name of the personal service worker Ensure records of accidental exposures include the date of injury Ensure records of accidental exposures include the circumstances surrounding the injury Ensure records of accidental exposures include the action taken Ensure records of accidental exposures are kept for at least one year Health Hazard / Health Hazard 18 The premises is operated and maintained free from potential/immediate health hazards Fail to operate and maintain premises free from every condition that may be a health hazard Fail to provide a supply of water adequate for the operation of the premises Sewage back-up observed within the premises No electricity within the premises Evidence of significant insect / rodent infestation Contact licensed pest control operator for insect / rodent / pest treatment and control Operate and maintain premises free from every condition that may be a health hazard CLOSE PREMISES Licensing / Licensing Approval 19 Licensing approval This premises is approved for licensing N/S = No Option Selected, YES = In, = Not in, CDI = Corrected During Inspection, N/O = Not Observed Page 4 of 5

5 I have read and understood this report Inspector Test Andrew Hong, N/S = No Option Selected, YES = In, = Not in, CDI = Corrected During Inspection, N/O = Not Observed Page 5 of 5