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Inspection Detail
Case Status: CLOSED
Inspection: 1473237.015 - Job Haines Home For Aged People, Inc.
Inspection Information - Office: Parsippany Area Office
Inspection Nr: 1473237.015
Report ID: 0214200
Date Opened: 04/28/2020
Site Address:
Job Haines Home For Aged People, Inc.
250 Bloomfield Ave.
Bloomfield, NJ 07003
Mailing Address:
250 Bloomfield Ave., Bloomfield, NJ 07003
Union Status: NonUnion
SIC:
NAICS: 623312/Homes for the Elderly
Inspection Type: Fat/Cat
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 10/23/2020
Emphasis:
Case Closed: 02/12/2026
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Referral | 1578979 | Yes | |
| Accident | 1578844 | ||
| Referral | 1578958 | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | 2 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $12,145 | $0 | $0 | $0 | $0 | $12,145 |
| Current Penalty | $7,000 | $0 | $0 | $0 | $0 | $7,000 |
| 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. | 01001A | Serious | 19100134 C01 | 10/23/2020 | 01/19/2021 | $7,000 | $12,145 | $0 | I - Informal Settlement | ||
| 2. | 01001B | Serious | 19100134 E01 | 10/23/2020 | 01/19/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 3. | 01001C | Serious | 19100134 F02 | 10/23/2020 | 01/19/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 4. | 01001D | Serious | 19100134 K01 | 10/23/2020 | 01/19/2021 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 02001 | Other | 19040039 A01 | 10/23/2020 | $0 | $0 | $0 | I - Informal Settlement |
Investigation Summary
Investigation Nr: 125689.015
Event: 04/22/2020
Employee with COVID-19 infection dies
At 11:45 p.m. on April 22, 2020, an employee's last date of work at the facility was April 2, 2020. The employee had a second CNA job at another nursing home. The employee died from a COVID-19 infection.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1473237.015 | 68 | F | Fatality | Nursing aides, orderlies, and attendants |