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Inspection Detail
Case Status: CLOSED
Inspection: 1487180.015 - 88 Clark Lane Operating, Llc
Inspection Information - Office: Hartford Area Office
Inspection Nr: 1487180.015
Report ID: 0112000
Date Opened: 08/11/2020
Site Address:
88 Clark Lane Operating, Llc
88 Clark Lane
Waterford, CT 06385
Mailing Address:
88 Clark Lane, Waterford, CT 06385
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: 08/11/2020
Emphasis:
Case Closed: 11/16/2020
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1639361 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,475 | $0 | $1,475 |
| Current Penalty | $0 | $0 | $0 | $1,475 | $0 | $1,475 |
| 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 | 19040004 A | 10/19/2020 | 12/07/2020 | $1,475 | $1,475 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 128694.015
Event: 05/21/2020
Employee with COVID-19 infection dies
At approximately 12:00 p.m. on May 21, 2020, an employee provided direct care for residents of a skilled nursing facility with an active COVID-19 outbreak. Employee contracted COVID-19 and later died from its complications.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1487180.015 | 69 | M | Fatality | Nursing aides, orderlies, and attendants |