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Inspection Detail
Case Status: CLOSED
Inspection: 1479868.015 - Queens Boulevard Extended Care Facility Management Llc
Inspection Information - Office: Queens District Office
Inspection Nr: 1479868.015
Report ID: 0215600
Date Opened: 06/18/2020
Site Address:
Queens Boulevard Extended Care Facility Management Llc
61-11 Queens Boulevard
Flushing, NY 11377
Mailing Address:
61-11 Queens Boulevard, Flushing, NY 11377
Union Status: Union
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 10/16/2020
Emphasis:
Case Closed: 08/09/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1608061 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $13,494 | $0 | $0 | $1,928 | $0 | $15,422 |
| Current Penalty | $0 | $0 | $0 | $10,795 | $0 | $10,795 |
| 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 E01 | 10/16/2020 | 11/04/2020 | $0 | $13,494 | $0 | 10/23/2020 | R - Review Commission | Citation has been deleted. |
| 2. | 01001B | Other | 19100134 F02 | 10/16/2020 | 11/04/2020 | $10,795 | $0 | $0 | 10/23/2020 | R - Review Commission | |
| 3. | 02001 | Other | 19040004 A | 10/16/2020 | 11/12/2020 | $0 | $1,928 | $0 | 10/23/2020 | R - Review Commission | Citation has been deleted. |
| 4. | 02002 | Other | 19100134 C02 I | 10/16/2020 | 11/10/2020 | $0 | $0 | $0 | 10/23/2020 | R - Review Commission | Citation has been deleted. |
Investigation Summary
Investigation Nr: 127237.015
Event: 04/08/2020
Employee with COVID-19 infection dies
At approximately 6:00 a.m. on April 8, 2020, an employee was performing regular job duties. The employee died from complications related to COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1479868.015 | 47 | M | Fatality |