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Inspection Detail
Inspection: 1491959.015 - Champaign Residential Services, Inc.
Inspection Information - Office: Toledo Area Office
Site Address:
Champaign Residential Services, Inc.
2430 Mandolin Drive
Lima, OH 45801
Mailing Address:
2430 Mandolin Drive, Lima, OH 45801
Union Status: Union
SIC:
NAICS: 623210/Residential Mental Retardation Facilities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/18/2021
Emphasis:
Case Closed: 01/28/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1657626 | ||
| Inspection | 1487912 | Yes |
Investigation Summary
Employee # 1 was working as a program instructor, providing care to residents. On or about August 1, 2020, she was sent home from work due to a fever. Employee # 1 was hospitalized on August 2, 2020 due to pneumonia, after receiving a negative coronavirus test. On or about August 5, 2020, she was placed on a ventilator. At 11:00 a.m. on August 9, 2020, she died. The death certificate listed the cause of death as complications due to COVID-19.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1491959.015 | 30 | F | Fatality |