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Inspection Detail
Inspection: 1488526.015 - Healthcare Services Group Inc
Inspection Information - Office: Santa Ana District Office
Site Address:
Healthcare Services Group Inc
13075 Blackbird St
Garden Grove, CA 92843
Mailing Address:
3220 Tillman Dr, Ste 300, Bensalem, PA 19020
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: 04/22/2021
Emphasis:
Case Closed: 12/20/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1644997 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 3 | ||||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $0 | $0 | $0 | $1,200 | $0 | $1,200 |
| Current Penalty | $0 | $0 | $0 | $1,200 | $0 | $1,200 |
| 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 | 3203(B)(2) | 04/22/2021 | 05/27/2021 | $300 | $300 | $0 | 05/05/2021 | O - Administrative Law Judge Order | |
| 2. | 01002 | Other | 3203(A)(1) | 04/22/2021 | 05/27/2021 | $150 | $150 | $0 | 05/05/2021 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 5144(C) | 04/22/2021 | 05/27/2021 | $750 | $750 | $0 | 05/05/2021 | O - Administrative Law Judge Order |
Investigation Summary
At approximately 12:00 p.m. on August 10, 2020, an employee worked as a heavy housekeeper for employer. The employee did not feel well on August 7, 2020, tested positive for COVID-19 on August 9, 2020, and died on August 10, 2020. The employer had two other housekeepers at the facility who test positive for COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1488526.015 | 26 | M | Fatality | Housekeepers and butlers |