Inspection Detail
Inspection: 315567495 - D. Gray Angell, Jr. Dba Cmba, Llc
Inspection Information - Office: Nc Department Of Labor - Winston-Salem
Site Address:
D. Gray Angell, Jr. Dba Cmba, Llc
4430 Clinard Road
Clemmons, NC 27012
Mailing Address:
P.O. Box 1682, Clemmons, NC 27012
Union Status: NonUnion
SIC:8052
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Planned
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 05/04/2011
Planning Guide: Health-Manufacturing
Emphasis: N:Nursing, S:Long Term Care Facilities, S:Program Improvements
Case Closed: 09/20/2011
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 2 | 3 | 5 | |||
| Current Violations | 2 | 3 | 5 | |||
| Initial Penalty | $1,200 | $0 | $0 | $0 | $0 | $1,200 |
| Current Penalty | $1,200 | $0 | $0 | $0 | $0 | $1,200 |
| 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. | 01001A | Serious | 19101030 C01 I | 06/10/2011 | 07/06/2011 | $600 | $600 | $0 | - | ||
| 2. | 01001B | Serious | 19101030 C01 IV | 06/10/2011 | 06/15/2011 | $0 | $0 | $0 | - | ||
| 3. | 01001C | Serious | 19101030 C02 IA | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - | ||
| 4. | 01002A | Serious | 19101200 E01 | 06/10/2011 | 06/15/2011 | $600 | $600 | $0 | - | ||
| 5. | 01002B | Serious | 19101200 E01 I | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - | ||
| 6. | 01002C | Serious | 19101200 G01 | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - | ||
| 7. | 01002D | Serious | 19101200 H | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - | ||
| 8. | 02001 | Other | 19040002 A02 | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - | ||
| 9. | 02002 | Other | 19100132 D02 | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - | ||
| 10. | 02003 | Other | 19100303 G01 II | 06/10/2011 | 07/06/2011 | $0 | $0 | $0 | - |
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