Inspection Detail
Inspection: 1534027.015 - Wa317964209 - Embassy Management Llc
Inspection Information - Office: Dosh Tacoma Service Location, Tacoma, Wa
Site Address:
Wa317964209 - Embassy Management Llc
8815 S. Tacoma Way Ste 200
Lakewood, WA 98499
Mailing Address:
5709 W Sunset Hwy Ste 100 Attn: Tammy Cassezza, Spokane, WA 99224
Union Status: NonUnion
SIC:
NAICS: 623312/Homes for the Elderly
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 09/07/2021
Emphasis:
Case Closed: 09/29/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1773340 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 3 | 2 | 5 | |||
| Current Violations | 3 | 2 | 5 | |||
| Initial Penalty | $24,000 | $0 | $0 | $0 | $0 | $24,000 |
| Current Penalty | $8,000 | $0 | $0 | $0 | $0 | $8,000 |
| 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 | 296-800-11005 | 09/29/2021 | 06/02/2021 | $2,000 | $6,000 | $0 | 03/11/2022 | F - Formal Settlement | |
| 2. | 01002A | Serious | 296-842-13005 | 09/29/2021 | 06/02/2021 | $3,000 | $6,000 | $0 | 03/11/2022 | F - Formal Settlement | |
| 3. | 01002B | Serious | 296-842-12005(1) | 09/29/2021 | 06/02/2021 | $0 | $3,000 | $0 | 03/11/2022 | F - Formal Settlement | |
| 4. | 01004A | Serious | 296-842-15005(1)(A) | 09/29/2021 | 06/02/2021 | $3,000 | $3,000 | $0 | 03/11/2022 | F - Formal Settlement | |
| 5. | 01004B | Serious | 296-842-16005(1) | 09/29/2021 | 06/02/2021 | $0 | $6,000 | $0 | 03/11/2022 | F - Formal Settlement | |
| 6. | 02001 | Other | 296-27-031(1) | 09/29/2021 | 06/02/2021 | $0 | $0 | $0 | 03/11/2022 | F - Formal Settlement | |
| 7. | 02002 | Other | 296-842-14005 | 09/29/2021 | 06/02/2021 | $0 | $0 | $0 | 03/11/2022 | F - Formal Settlement |
Investigation Summary
An employee worked as a direct support professional in a group home. The home had a small cluster of COVID-19 cases involving both employees and clients. The employee was in close contact with all of the infected individuals. The employee called in sick on April 27, 2021, and he died on May 18, 2021.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1534027.015 | 47 | M | Fatality | Occupation not reported |
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