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Inspection Detail
Case Status: CLOSED
Inspection: 1488568.015 - Life Care Centers Of America, Inc.
Inspection Information - Office: Santa Ana District Office
Inspection Nr: 1488568.015
Report ID: 0950631
Date Opened: 08/12/2020
Site Address:
Life Care Centers Of America, Inc.
12332 Garden Grove Blvd.
Garden Grove, CA 92843
Mailing Address:
12332 Garden Grove Blvd., Garden Grove, CA 92843
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: 06/18/2021
Emphasis:
Case Closed: 04/03/2023
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1644995 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 9 | 9 | ||||
| Current Violations | 9 | 9 | ||||
| Initial Penalty | $0 | $0 | $0 | $9,950 | $0 | $9,950 |
| Current Penalty | $0 | $0 | $0 | $4,363 | $0 | $4,363 |
| 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) | 06/22/2021 | 07/22/2021 | $3,500 | $5,000 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 2. | 01002 | Other | 3203(B) | 06/22/2021 | 07/22/2021 | $0 | $375 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 5199(C)(9) | 06/22/2021 | 07/22/2021 | $300 | $375 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 4. | 01004 | Other | 5193(C)(1)(D) | 06/22/2021 | 07/22/2021 | $563 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 5. | 01005 | Other | 5199(C)(1) | 06/22/2021 | 07/22/2021 | $0 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 6. | 01006 | Other | 5199(C)(2) | 06/22/2021 | 07/22/2021 | $0 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 7. | 01007 | Other | 5199(C)(3) | 06/22/2021 | 07/22/2021 | $0 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 8. | 01008 | Other | 5199(C)(4) | 06/22/2021 | 07/22/2021 | $0 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 9. | 01009 | Other | 5199(C)(5) | 06/22/2021 | 07/22/2021 | $0 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order |
Investigation Summary
Investigation Nr: 128721.015
Event: 08/07/2020
Employee with COVID-19 infection dies
At approximately 3:30 a.m. on August 7, 2020, an employee who was an RN Supervisor left work not feeling well on July 6, 2020. The employee tested positive for COVID-19 on July 8, 2020 and died on August 7, 2020.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1488568.015 | 61 | M | Fatality | Nursing aides, orderlies, and attendants |