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Inspection Detail
Case Status: CLOSED
Inspection: 1513873.015 - Wa317962505 - Evangelical Lutheran Good Samaritan Soc
Inspection Information - Office: Dosh Everett Service Location, Everett, Wa
Inspection Nr: 1513873.015
Report ID: 1055310
Date Opened: 02/05/2021
Site Address:
Wa317962505 - Evangelical Lutheran Good Samaritan Soc
456 "C" Street
Blaine, WA 98230
Mailing Address:
4800 West 57th Street, Sioux Falls, SD 57108
Union Status: NonUnion
SIC:
NAICS: 623110/Nursing Care Facilities
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 03/04/2021
Emphasis:
Case Closed: 08/03/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 1726337 | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $6,000 | $0 | $0 | $0 | $0 | $6,000 |
| Current Penalty | $3,000 | $0 | $0 | $0 | $0 | $3,000 |
| 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 | 296-842-13005 | 03/15/2021 | 02/05/2021 | $3,000 | $6,000 | $0 | 04/08/2021 | L - State Settlement |