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Inspection Detail
Inspection: 1509439.015 - Wa317962251 - Marysville Operations Llc
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Site Address:
Wa317962251 - Marysville Operations Llc
1821 Grove St
Marysville, WA 98270
Mailing Address:
1821 Grove St, Marysville, WA 98270
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 02/19/2021
Emphasis:
Case Closed: 04/20/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1713554 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 3 | 5 | |||
| Current Violations | 2 | 3 | 5 | |||
| Initial Penalty | $12,000 | $0 | $0 | $0 | $0 | $12,000 |
| Current Penalty | $12,000 | $0 | $0 | $0 | $0 | $12,000 |
| 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 | Serious | 296-842-15005(1)(A) | 03/16/2021 | 12/29/2020 | $6,000 | $6,000 | $0 | Z - Issued | ||
| 2. | 01002 | Serious | 296-842-16005(4)(A) | 03/16/2021 | 01/26/2021 | $6,000 | $6,000 | $0 | Z - Issued | ||
| 3. | 02001 | Other | 296-27-031(1) | 03/16/2021 | 12/29/2020 | $0 | $0 | $0 | Z - Issued | ||
| 4. | 02002 | Other | 296-800-16010 | 03/16/2021 | 04/03/2021 | $0 | $0 | $0 | Z - Issued | ||
| 5. | 02003 | Other | 296-842-14005 | 03/16/2021 | 01/26/2021 | $0 | $0 | $0 | Z - Issued |
Investigation Summary
An employee was working as a certified nurse assistant who provided direct patient care such as feeding, grooming and bathing to nursing home residents. The employee was diagnosed with COVID 19 on November 30, 2020, and died on December 24, 2020, as a result of her infection.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1509439.015 | 61 | F | Fatality | Occupation not reported |