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Inspection Detail
Case Status: CLOSED
Inspection: 1476007.015 - Kf Sunray, Llc
Inspection Information - Office: Los Angeles District Office
Inspection Nr: 1476007.015
Report ID: 0950641
Date Opened: 05/21/2020
Site Address:
Kf Sunray, Llc
3210 West Pico Boulevard
Los Angeles, CA 90019
Mailing Address:
6300 Wilshire Boulevard Suite 1800, Los Angeles, CA 90048
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/26/2021
Emphasis:
Case Closed: 11/19/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1593965 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 4 | 7 | |||
| Current Violations | 3 | 4 | 7 | |||
| Initial Penalty | $50,625 | $0 | $0 | $3,180 | $0 | $53,805 |
| Current Penalty | $24,300 | $0 | $0 | $1,800 | $0 | $26,100 |
| 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 | 43000004 A | 01/26/2021 | 03/01/2021 | $300 | $375 | $0 | 03/08/2021 | O - Administrative Law Judge Order | |
| 2. | 01002 | Other | 3203(B) | 01/26/2021 | 03/01/2021 | $0 | $935 | $0 | 03/08/2021 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 5199(C)(1) | 01/26/2021 | 03/01/2021 | $750 | $935 | $0 | 03/08/2021 | O - Administrative Law Judge Order | |
| 4. | 01004 | Other | 5199(C)(6) | 01/26/2021 | 03/01/2021 | $750 | $935 | $0 | 03/08/2021 | O - Administrative Law Judge Order | |
| 5. | 02001 | Serious | 5193(C)(1) | 01/26/2021 | 02/05/2021 | $10,800 | $16,875 | $0 | 03/08/2021 | O - Administrative Law Judge Order | |
| 6. | 03001 | Serious | 5199(C)(3) | 01/26/2021 | 02/05/2021 | $6,750 | $16,875 | $0 | 03/08/2021 | O - Administrative Law Judge Order | |
| 7. | 04001 | Serious | 5199(C)(7) | 01/26/2021 | 02/05/2021 | $6,750 | $16,875 | $0 | 03/08/2021 | O - Administrative Law Judge Order |
Investigation Summary
Investigation Nr: 126781.015
Event: 05/19/2020
Employee with COVID-19 infection dies
An employee was working in a skilled nursing facility when she reported feeling ill and left work mid-shift. The employee was later hospitalized and diagnosed with COVID-19. The employee subsequently died from her infection at 6:00 p.m. on May 19, 2020.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1476007.015 | 63 | F | Fatality | Housekeepers and butlers |