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Inspection Detail
Inspection: 1503110.015 - Windsor Elk Grove Care And Rehabilitation Center, Llc
Inspection Information - Office: Sacramento District Office
Site Address:
Windsor Elk Grove Care And Rehabilitation Center, Llc
9461 Batey Ave.
Elk Grove, CA 95624
Mailing Address:
9461 Batey Ave., Elk Grove, CA 95624
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: 06/01/2021
Emphasis:
Case Closed: 06/11/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1653097 | ||
| Accident | 1653109 | ||
| Accident | 1653115 |
Investigation Summary
At 8:00 p.m. on August 11, 2020, Employee #1, who worked as a health care provider, tested positive for COVID-19. A family member called in to report that Employee #1 was hospitalized, but the date is not indicated in the narrative. Employee #2 and #3, who worked as Certified Nursing Assistants, were also reported hospitalized with COVID-19 but no dates are indicated in the narrative. Employee #1's daughter reported that she had died on September 1, 2020. Information regarding engineering, administrative and personal protective equipment controls for COVID-19 are not included in the narrative.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1503110.015 | 49 | F | Fatality | Physician/Nurse | |
| 2 | 1503110.015 | 62 | F | Hospitalized injury | Nursing aides, orderlies, and attendants | |
| 3 | 1503110.015 | 53 | F | Hospitalized injury | Nursing aides, orderlies, and attendants |