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

Related Activity
Type	Activity Nr	Safety	Health
Accident	1802646

Case Status: CLOSED

Violation Summary
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

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Latest Event
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

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	1549132.015	70	M	Fatality		Housekeepers and butlers

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