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Inspection Detail
Case Status: CLOSED
Inspection: 1549132.015 - Shelby Senior Care, Llc
Inspection Information - Office: Los Angeles District Office
Inspection Nr: 1549132.015
Report ID: 0950641
Date Opened: 08/23/2021
Site Address:
Shelby Senior Care, Llc
3340 Shelby Drive
Los Angeles, CA 90034
Mailing Address:
3340 Shelby Drive, Los Angeles, CA 90034
Union Status: NonUnion
SIC:
NAICS: 623312/Homes for the Elderly
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 01/12/2022
Emphasis:
Case Closed: 03/01/2022
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1802646 |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 4 | 4 | ||||
| Current Violations | 4 | 4 | ||||
| Initial Penalty | $0 | $0 | $0 | $2,195 | $0 | $2,195 |
| Current Penalty | $0 | $0 | $0 | $2,195 | $0 | $2,195 |
| 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 | 5144(M) | 01/12/2022 | 02/17/2022 | $275 | $275 | $0 | Z - Issued | ||
| 2. | 01002 | Other | 3203(A) | 01/12/2022 | 02/17/2022 | $685 | $685 | $0 | Z - Issued | ||
| 3. | 01003 | Other | 3205(C) | 01/12/2022 | 02/17/2022 | $685 | $685 | $0 | Z - Issued | ||
| 4. | 01004 | Other | 5144(C) | 01/12/2022 | $550 | $550 | $0 | Z - Issued |
Investigation Summary
Investigation Nr: 138393.015
Event: 08/15/2021
Employee with COVID-19 infection dies
At approximately 10:30 p.m. on August 15, 2021, an employee contracted COVID-19 and later died from complications from the virus.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1549132.015 | 70 | M | Fatality | Housekeepers and butlers |