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Inspection Detail

Inspection: 316702562 - Bethany Home Society Of S.J. County

Inspection Information - Office: Modesto District Office

 

Inspection Nr: 316702562
Report ID: 0950624
Date Opened: 11/08/2013

Site Address:
Bethany Home Society Of S.J. County
368 S. Wilma Ave
Ripon, CA 95366

Mailing Address:
930 W. Main St, Ripon, CA 95366

Union Status: NonUnion

SIC:8059

NAICS: 623110/Nursing Care Facilities


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: LocalGovt

Safety/Health: Safety

Close Conference: 01/24/2014

Emphasis: S:Bloodborne Pathogens

Case Closed: 01/27/2015


Related Activity
Type Activity Nr Safety Health
Accident 102731429
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 1
Current Violations 1 1
Initial Penalty $0 $0 $0 $5,000 $0 $5,000
Current Penalty $0 $0 $0 $3,000 $0 $3,000
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 Contest Latest Event Note
1. 01001 Other 342 A 02/04/2014 02/07/2014 $3,000 $5,000 $0 02/25/2014 F - Formal Settlement  

Investigation Summary

Investigation Nr: 202692349
Event: 09/28/2013
Worker Pulling Cart Trips, Falls and Breaks Wrist and Hip

On September 28, 2013, Employee #1, a 78-year-old female with Bethany Home Society of S.J. County, tripped over her feet and fell while pulling a cart into the kitchen. Employee #1's same-level-fall to the ground resulted in a fracture to the left hip, left arm and wrist. Emergency Medical Services were summoned and Employee #1 was transported to the nearest hospital where she was immediately admitted as an inpatient and taken to surgery. During the course of her hospitalization and the treatment of her injuries, Employee #1 developed an infection which became systemic throughout the body. This progressed into sepsis that resulted in Employee #1 dying on December 2, 2013.

Keywords: FRACTURE, TRIPPED, FALL, ARM, HIP, CART, WRIST

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 316702562 Fatality Fracture Cooks, except short order
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