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Inspection Detail
Inspection: 316585132 - Madison House/Totem Lake
Inspection Information - Office: Dosh Seattle Service Location, Seattle, Wa
Inspection Nr: 316585132
Report ID: 1055320
Date Opened: 02/25/2013
Site Address:
Madison House/Totem Lake
12215 Ne 128th St
Kirkland, WA 98034
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8361
NAICS: 623312/Homes for the Elderly
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 06/05/2013
Emphasis:
Case Closed: 07/30/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 102371325 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| Current Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| 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 | 8001302001 | 06/17/2013 | 07/20/2013 | $0 | $0 | $0 | - |
Investigation Summary
Investigation Nr: 202369534
Event: 02/18/2013
Nursing Aid Dies from Legionellosis
On February 18, 2014, Employee #1, a 49-year-old nursing aid with Madison House-Totem Lake, died of Legionellosis.
Keywords: HEALTH CARE WORKER, LEGIONNAIRES DISEASE
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 316585132 | Fatality | Other | Occupation not reported |