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Inspection Detail
Inspection: 1512689.015 - Friendship Village
Inspection Information - Office: Iowa 0751910
Site Address:
Friendship Village
600 Park Lane
Waterloo, IA 50702
Mailing Address:
600 Park Lane, Waterloo, IA 50702
Union Status: NonUnion
SIC:
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 02/01/2021
Emphasis:
Case Closed: 03/17/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1727637 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $797 | $0 | $797 |
| Current Penalty | $0 | $0 | $0 | $797 | $0 | $797 |
| 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 | 19040032 A01 | 03/05/2021 | $797 | $797 | $0 | Z - Issued |
Investigation Summary
An employee was working in an assisted living facility when he ended his work shift on the morning of January 4, 2021. On January 7, the employee started to develop symptoms of COVID-19. The employee sent a message to his supervisor that his spouse had tested positive for COVID-19 and that he was now showing symptoms. On January 12, the employee was hospitalized and he died on January 16, 2021, from complications of the COVID-19 infection.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1512689.015 | 64 | M | Fatality | Guards and police, excluding public service |