Inspection Detail

Inspection: 1487717.015 - Millbrae Care Center, Llc

Inspection Information - Office: Foster City District Office

Investigation Summary

An employee had worked as a kitchen staff member for a skilled nursing facility. On May 10, 2020, the employee had worked her last day. On May 5, 2020, the employee was tested for COVID-19 by the employer, but the test was not reported positive until May 14, 2020. Since the employer failed to follow-up, the employee worked for as many as five or more days while potentially infectious. The employee died at 10:00 a.m. on July 13, 2020, but the employer did not report her death until July 31, 2020. The first week of May 2020, the worksite was experiencing a COVID-19 outbreak. The employer did not have Adequate Aerosol Transmissible Diseases policies and procedures in place, including not requiring employees to wear N-95 respirators during an outbreak and allowing a coworker to perform an aerosol generating nebulizer treatment on one of the index cases without the use of a PAPR. The employer was later assisted by local public health officials and required by licensing to designate strict quarantine zones, evaluate hand hygiene, institute appropriate respiratory protection, and institute transfer and isolation protocols.

Keywords: Infectious Disease