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Inspection Detail
Case Status: CLOSED
Inspection: 1489166.015 - 19 Varnum Street Operating Company, Llc.
Inspection Information - Office: Boston North Area Office
Inspection Nr: 1489166.015
Report ID: 0134000
Date Opened: 08/20/2020
Site Address:
19 Varnum Street Operating Company, Llc.
19 Varnum Street
Lowell, MA 01850
Mailing Address:
19 Varnum Street, Lowell, MA 01850
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: 11/16/2020
Emphasis:
Case Closed: 08/16/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1647839 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 2 | 2 | ||||
| Initial Penalty | $13,494 | $0 | $0 | $11,567 | $0 | $25,061 |
| Current Penalty | $0 | $0 | $0 | $11,567 | $0 | $11,567 |
| 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 C01 | 11/20/2020 | 01/11/2021 | $0 | $13,494 | $0 | 12/15/2020 | F - Formal Settlement | Citation has been deleted. |
| 2. | 01001B | Serious | 19100134 E01 | 11/20/2020 | 01/11/2021 | $0 | $0 | $0 | 12/15/2020 | F - Formal Settlement | Citation has been deleted. |
| 3. | 02001 | Other | 19040005 A | 11/20/2020 | 03/01/2022 | $1,928 | $1,928 | $0 | 12/15/2020 | F - Formal Settlement | |
| 4. | 02002 | Other | 19100502 R01 I | 11/20/2020 | 01/11/2021 | $9,639 | $9,639 | $0 | 12/15/2020 | F - Formal Settlement |
Investigation Summary
Investigation Nr: 128824.015
Event: 05/23/2020
Employee with COVID-19 infection dies
An employee was working at a nursing care or skilled nursing facility. She worked in a skilled rehabilitative facility. At 9:00 a.m. on May 23, 2020, she died of complications of COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1489166.015 | 60 | F | Fatality |