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Inspection Detail

Case Status: CLOSED

Inspection: 1512858.015 - Wa317962506 - Hcsg West Llc

Inspection Information - Office: Dosh Tacoma Service Location, Tacoma, Wa

 

Inspection Nr: 1512858.015
Report ID: 1055330
Date Opened: 01/26/2021

Site Address:
Wa317962506 - Hcsg West Llc
140 S Marion Ave
Bremerton, WA 98312

Mailing Address:
850 Bear Tavern Rd Ste 306, Ewing, NJ 08628

Union Status: Union

SIC:

NAICS: 561210/Facilities Support Services


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 03/08/2021

Emphasis:

Case Closed: 07/29/2021


Related Activity
Type Activity Nr Safety Health
Accident 1726330
Inspection 1508606 Yes
Case Status: CLOSED
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 4 3 7
Current Violations 4 3 7
Initial Penalty $25,200 $0 $0 $0 $0 $25,200
Current Penalty $9,750 $0 $0 $0 $0 $9,750
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 Serious 296-842-13005 03/23/2021 04/10/2021 $2,500 $7,200 $0 04/15/2021 L - State Settlement  
2. 01002 Serious 296-842-12005(1) 03/23/2021 04/10/2021 $2,500 $3,600 $0 04/15/2021 L - State Settlement  
3. 01003 Serious 296-842-15005(1)(A) 03/23/2021 04/25/2021 $2,500 $7,200 $0 04/15/2021 L - State Settlement  
4. 01004 Serious 296-800-15030 03/23/2021 04/25/2021 $2,250 $7,200 $0 04/15/2021 L - State Settlement  
5. 02001 Other 296-27-031(1) 03/23/2021 01/26/2021 $0 $0 $0 04/15/2021 L - State Settlement  
6. 02002 Other 296-27-01101(1) 03/23/2021 04/25/2021 $0 $0 $0 04/15/2021 L - State Settlement  
7. 02003 Other 296-842-14005 03/23/2021 04/25/2021 $0 $0 $0 04/15/2021 L - State Settlement  

Investigation Summary

Investigation Nr: 133044.015
Event: 01/04/2021
Employee with COVID-19 infection dies

An employee worked as a Housekeeper at a long term care facility. On December 21, 2020, the employee was tested for COVID-19 after cleaning the rooms of COVID-19 positive patients. The employee was not provided respiratory protection. On December 24, 2020, the test result came back positive for COVID-19 at which time the employee was sent home for a 10-day quarantine. The employee returned to work on January 2, 2021, and worked until January 4, 2021, when the employee left work. The employee died that evening at 5:00 p.m., possibly due to a stroke.

Keywords: Infectious Disease

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 1512858.015 54 M Fatality Occupation not reported
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