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Inspection Detail
Inspection: 1505625.015 - Saddleback Memorial Medical Center
Inspection Information - Office: Santa Ana District Office
Site Address:
Saddleback Memorial Medical Center
24451 Health Center Drive
Laguna Hills, CA 92653
Mailing Address:
24411 Health Center Drive Employee Health Department, Laguna Hills, CA 92653
Union Status: NonUnion
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 06/04/2021
Emphasis:
Case Closed: 01/03/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1702214 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 3 | 5 | |||
| Current Violations | 1 | 4 | 5 | |||
| Initial Penalty | $20,250 | $0 | $0 | $6,400 | $0 | $26,650 |
| Current Penalty | $1,010 | $0 | $0 | $3,150 | $0 | $4,160 |
| 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) | 06/04/2021 | $1,750 | $5,000 | $0 | 07/15/2021 | O - Administrative Law Judge Order | ||
| 2. | 01002 | Other | 5193(C)(1) | 06/04/2021 | 07/07/2021 | $700 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 3. | 01003 | Other | 5199(D) | 06/04/2021 | 07/07/2021 | $700 | $700 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 4. | 02001 | Other | 5199(G)(5) | 06/04/2021 | 06/15/2021 | $0 | $10,125 | $0 | 07/15/2021 | O - Administrative Law Judge Order | |
| 5. | 03001 | Serious | 5199(G)(6)(B) | 06/04/2021 | 06/15/2021 | $1,010 | $10,125 | $0 | 07/15/2021 | O - Administrative Law Judge Order |
Investigation Summary
An employee was working as a housekeeper in a general medical and surgical hospital and operated a Xenex portable UV cleaning machine in patient rooms after they were cleaned by other housekeeping employees. The employee last worked on November 7, 2020, then went on vacation and was hospitalized for COVID-19 while on vacation on November 16. On December 8, 2020, the employee died due to complications of her infection.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1505625.015 | 56 | F | Fatality | Housekeepers and butlers |