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Inspection Detail
Inspection: 1280398.015 - Columbian Retirement Home, Inc.
Inspection Information - Office: Sacramento District Office
Site Address:
Columbian Retirement Home, Inc.
230 8th St
Marysville, CA 95901
Mailing Address:
2442 Savanna Way, Palm Springs, CA 92262
Union Status: NonUnion
SIC:
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 12/18/2017
Emphasis:
Case Closed: 04/16/2018
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1283445 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $5,390 | $0 | $5,390 |
| Current Penalty | $0 | $0 | $0 | $2,140 | $0 | $2,140 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 342(A) | 12/28/2017 | $1,750 | $5,000 | $0 | 01/29/2018 | F - Formal Settlement | ||
| 2. | 01002 | Other | 3203(A) | 12/28/2017 | $175 | $175 | $0 | Z - Issued | |||
| 3. | 01003 | Other | 3276(C)(2) | 12/28/2017 | 02/02/2018 | $85 | $85 | $0 | Z - Issued | ||
| 4. | 01004 | Other | 3395(I) | 12/28/2017 | $130 | $130 | $0 | Z - Issued |
Investigation Summary
At 9:30 a.m. on November 9, 2017, Employee #1 was using a ladder to clean roof gutters when he fell from the ladder to a concrete floor. He sustained arm lacerations, fractured ribs, and a concussion, which he was hospitalized.
Keywords: Arm, Concrete Slab, Concussion, Fall, Fall Protection, Fracture, Laceration, Ladder, Rib, Roof, Struck Against
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1280398.015 | 69 | M | Hospitalized injury | Laborers, except construction |