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Inspection Detail
Inspection: 1476125.015 - Magnolia Gardens Convalescent Hospital, Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Magnolia Gardens Convalescent Hospital, Inc.
17922 San Fernando Mission Blvd.
Granada Hills, CA 91344
Mailing Address:
17922 San Fernando Mission Blvd., Granada Hills, CA 91344
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: 05/28/2021
Emphasis:
Case Closed: 05/16/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1593818 | ||
| Accident | 1594731 | ||
| Accident | 1594725 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | 8 | |||
| Current Violations | 2 | 6 | 8 | |||
| Initial Penalty | $53,435 | $0 | $0 | $7,335 | $0 | $60,770 |
| Current Penalty | $10,800 | $0 | $0 | $6,740 | $0 | $17,540 |
| 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) | 05/28/2021 | 07/05/2021 | $3,000 | $5,000 | $0 | 09/16/2021 | O - Administrative Law Judge Order | |
| 2. | 01002 | Other | 5199(C)(1) | 05/28/2021 | 07/05/2021 | $750 | $935 | $0 | 09/16/2021 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 5199(C)(4) | 05/28/2021 | 07/05/2021 | $560 | $700 | $0 | 09/16/2021 | O - Administrative Law Judge Order | |
| 4. | 01004 | Other | 5199(C)(8) | 05/28/2021 | 07/05/2021 | $560 | $700 | $0 | 09/16/2021 | O - Administrative Law Judge Order | |
| 5. | 02001 | Other | 5199(C)(2) | 05/28/2021 | 06/14/2021 | $935 | $16,875 | $0 | 09/16/2021 | O - Administrative Law Judge Order | |
| 6. | 03001 | Other | 5199(C)(3) | 05/28/2021 | 07/05/2021 | $935 | $11,250 | $0 | 09/16/2021 | O - Administrative Law Judge Order | |
| 7. | 04001 | Serious | 5199(C)(5) | 05/28/2021 | $5,400 | $8,435 | $0 | 09/16/2021 | O - Administrative Law Judge Order | ||
| 8. | 05001 | Serious | 5199(C)(6)(B) | 05/28/2021 | 06/23/2021 | $5,400 | $16,875 | $0 | 09/16/2021 | O - Administrative Law Judge Order |
Investigation Summary
Employee #1 worked primarily in an office setting. May 13, 2020 was his last day at work. Employee #1 tested positive for the COVID-19 virus on May 18, 2020, but he was not symptomatic. Employee # 1 fell ill, and he died at 4 p.m. on May 20, 2020. Employee # 2 and Employee # 3 were hospitalized with COVID-19. No other information is provided.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1476125.015 | 49 | M | Fatality | Occupation Not Listed | |
| 2 | 1476125.015 | 57 | F | Hospitalized injury | Occupation Not Listed | |
| 3 | 1476125.015 | 55 | F | Hospitalized injury | Cooks, except short order |