| Inspection Type |
Complaint
|
| Scope |
Complete
|
| Safety/Health |
Health
|
| Close Conference |
2016-04-15
|
| Emphasis |
N: NURSING
|
| Case Closed |
2016-06-24
|
Related Activity
| Type |
Complaint |
| Activity Nr |
1051807 |
| Health |
Yes |
|
| Type |
Inspection |
| Activity Nr |
1117928 |
| Health |
Yes |
|
Violation Items
| Citation ID |
01001A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 C01 IV |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
2500.0 |
| Initial Penalty |
2550.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
47 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(c)(1)(iv): The Exposure Control Plan was not reviewed and updated at least annually: a. On or about January 12, 2016, the Exposure Control Plan was established on October, 1999 and was reviewed on November 15, 2005. The employer did not review and update the Exposure Control Plan at least annually. |
|
| Citation ID |
01001B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 C01 V |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
8 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, solicited input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: a. On or about January 12, 2016, the employer solicited input from non-managerial employees responsible for direct resident care such as, but not limited to, Licensed Practical Nurses (LPNs) and Med Care Managers, in the identification, evaluation of effective engineering and work practices controls that would potentially minimize the number of injuries from exposures to contaminated sharps and the employer did not document the solicitation in the Exposure Control Plan. |
|
| Citation ID |
01001C |
| Citaton Type |
Serious |
| Standard Cited |
19101030 C02 I C |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
47 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(c)(2)(i)(C): The exposure determination did not include a list of all tasks and procedures or groups of closely related tasks and procedures in which occupational exposure occurs and that are performed by employees in job classifications listed in accordance with 29 CFR 1910.1030(c)(2)(i)(B): a. On or about January 12, 2016, the exposure determination of the company's Exposure Control Plan did not contain a list of all tasks and procedures or groups of closely related tasks and procedures for those job classifications where employees may incur an occupational exposure to bloodborne pathogens such as, but not limited to, Registered Nurse, Licensed Nurse, Care Manager, Housekeeper, Laundry, and Maintenance. The tasks being performed include, but not limited to, taking care of residents, drawing blood, starting IVs, handling contaminated personal protective equipment and/or laundry, transporting and disposing contaminated waste, and cleaning surfaces contaminated with blood or other potentially infectious materials. |
|
| Citation ID |
01002 |
| Citaton Type |
Serious |
| Standard Cited |
19101030 D04 III A 2 I |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
2500.0 |
| Initial Penalty |
4250.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
2 |
| Nr Exposed |
2 |
| Gravity |
5 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(d)(4)(iii)(A)(2)(i): During use, containers for contaminated sharps were not easily accessible to personnel or located as close as was feasible to the immediate area where sharps were used or could be reasonably anticipated to be found: a. On or about January 12, 2016, at the resident room #218, the employer did not ensure that a container for contaminated sharps was easily accessible or located as close as feasible to the immediate area where sharps were used while the resident administered her own medical injection. Therefore an employee or the resident would have to travel to a remote location to discard a sharp. b. On or about January 12, 2016, at the laundry room, the employer did not ensure that a container for contaminated sharps was easily accessible or located as close as feasible to the laundry area where sharps could be reasonably anticipated to be found. |
|
| Citation ID |
01003A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 F02 I |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
2500.0 |
| Initial Penalty |
7000.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
6 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination was not made available after the employee had received the training required in 29 CFR 1910.1030(g)(2)(vii)(I) or within 10 working days of initial assignment to employees who had occupational exposure to bloodborne pathogens: a. On or about January 12, 2016, employees were potentially exposed to bloodborne pathogen hazards while taking care of the residents, drawing blood or administering medical injection and the employer did not make available the Hepatitis B vaccine to employees after training had been provided and within 10 days of initial assignment. |
|
| Citation ID |
01003B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 F01 II D |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
3 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(f)(1)(ii)(D): The employer did not ensure that all medical evaluations or procedures including the hepatitis B vaccine, vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were provided according to recommendations of the US. Public Health Service current at the time these evaluations and procedure took place: a. On or about January 12, 2016, the employer did not make available the full hepatitis B vaccination series to employees with occupational exposure to blood or other potentially infectious materials after the completion of the first dose. |
|
| Citation ID |
01004A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 G02 VII B |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
2500.0 |
| Initial Penalty |
7000.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
47 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(g)(2)(vii)(B): The bloodborne pathogens training program did not contain a general explanation of the epidemiology and symptoms of bloodborne diseases: a. On or about January 12, 2016, the employer provided a bloodborne pathogen training to the employees who had occupational exposure to bloodborne pathogens while taking care of the residents, drawing blood, and disposing contaminated waste etc. The training did not include a general explanation of the epidemiology and symptoms of bloodborne diseases. |
|
| Citation ID |
01004B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 G02 VII I |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-05-31 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
47 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(g)(2)(vii)(I): The bloodborne pathogens training program did not contain information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge: a. On or about January 12, 2016, the employer provided a bloodborne pathogen training to the employees who had occupational exposure to bloodborne pathogens while taking care of the residents, drawing blood, and disposing contaminated waste etc. The training did not include the information on the hepatitis B vaccine's efficacy, safety, method of administration, and the benefits of being vaccinated. |
|
| Citation ID |
02001 |
| Citaton Type |
Other |
| Standard Cited |
19040032 B03 |
| Issuance Date |
2016-05-04 |
| Abatement Due Date |
2016-06-21 |
| Current Penalty |
850.0 |
| Initial Penalty |
850.0 |
| Final Order |
2016-05-27 |
| Nr Instances |
1 |
| Nr Exposed |
68 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1904.32(b)(3): A company executive did not certify the he or she has examined the OSHA 300 Log and that he or she reasonably believes, based on his or her knowledge of the process by which the information was recorded, that the annual summary is correct and complete: a. On or about January 12, 2016, a company executive did not certify the he or she has examined the OSHA 300 Log of 2015, 2014, 2013, 2012, and 2011, so that the annual summary were correct and complete. |
|
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