Inspection Detail

Case Status: CLOSED

Inspection: 1508751.015 - Manteca Care & Rehabilitation Center

Inspection Information - Office: Modesto District Office

Inspection Nr: 1508751.015

Report ID: 0950624

Date Opened: 12/23/2020

Site Address:
Manteca Care & Rehabilitation Center
410 Eastwood Avenue
Manteca, CA 95336

Mailing Address:
410 Eastwood Avenue, Manteca, CA 95336

Union Status: NonUnion

SIC:

NAICS: 622310/Specialty (except Psychiatric and Substance Abuse) Hospitals

Inspection Type: Fat/Cat

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 06/07/2021

Emphasis:

Case Closed: 08/30/2021

Related Activity
Type	Activity Nr	Safety	Health
Accident	1710134

Case Status: CLOSED

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations				2		2
Current Violations				2		2
Initial Penalty	$0	$0	$0	$1,400	$0	$1,400
Current Penalty	$0	$0	$0	$1,400	$0	$1,400
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Other	5199(C)(3)	06/07/2021	07/22/2021	$700	$700	$0		Z - Issued
2.	01002	Other	5199(C)(6)(B)	06/07/2021	07/22/2021	$700	$700	$0		Z - Issued

Investigation Summary

Investigation Nr: 132169.015

Event: 12/22/2020

Employee with COVID-19 infection dies

An employee was working in the office of a nursing home with no direct contact with residents in the facility when she became ill with COVID-19. The employee was provided a face covering, social distancing was practiced, and screening was conducted prior to entry for work. The employee's daughter worked for a different healthcare facility and also contracted COVID-19. The employee's symptoms worsened and she subsequently died at 8:00 a.m. on December 22, 2020.

Keywords: Infectious Disease

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1508751.015	61	F	Fatality		Managers, medicine and health

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