Inspection Detail
Case Status: CLOSED |
Inspection: 1506594.015 - Skyline San Jose Operating Company Lp
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Inspection Information - Office: Ca Fremont District Office | ||||
Nr: 1506594.015 | Report ID: 0950612 | Open Date: 12/14/2020 | ||
Skyline San Jose Operating Company Lp | ||||
2065 Forest Ave. San Jose, CA 95128 | Union Status: NonUnion | |||
SIC: | ||||
NAICS: 623110/Nursing Care Facilities | ||||
Mailing: 2065 Forest Ave., San Jose, CA 95128 | ||||
Inspection Type: | Fat/Cat | |||
Scope: | Partial | Advanced Notice: | N | |
Ownership: | Private | |||
Safety/Health: | Health | Close Conference: | 07/08/2021 | |
Close Case: | 06/13/2022 | |||
Related Activity: | Type | ID | Safety | Health |
Accident | 1703463 |
Case Status: CLOSED |
Serious | Willful | Repeat | Other | Unclass | Total | |
---|---|---|---|---|---|---|
Initial Violations | 1 | 1 | 2 | |||
Current Violations | 1 | 1 | ||||
Initial Penalty | $15,750 | $0 | $0 | $875 | $0 | $16,625 |
Current Penalty | $0 | $0 | $0 | $5,000 | $0 | $5,000 |
FTA Amount | $0 | $0 | $0 | $0 | $0 | $0 |
# | ID | Type | Standard | Issuance | Abate | Curr$ | Init$ | Fta$ | Contest | LastEvent | |
---|---|---|---|---|---|---|---|---|---|---|---|
Deleted | 1. | 01001 | Other | 3203(A) | 07/08/2021 | 08/12/2021 | $875 | $875 | $0 | 10/29/2021 | O - Administrative Law Judge Order |
2. | 02001 | Other | 5199(C)(1) | 07/08/2021 | 08/12/2021 | $5,000 | $15,750 | $0 | 10/29/2021 | O - Administrative Law Judge Order |
Accident Investigation Summary | ||||||
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Summary Nr: 131730.015 | Event: 12/06/2020 | Employee With Covid-19 Infection Dies | ||||
At approximately 1:25 p.m. on December 6, 2020, an employee worked as a CNA for a nursing home facility and worked at the nurse's work station. The employee too k a COVID-19 test November 30, 2020, and the employee worked until test results came back December 4, 2020. The employee died on December 9, 2020 after complica tions from COVID-19. | ||||||
Keywords: infectious disease | ||||||
Inspection | Degree | Nature | Occupation | |||
1 | 1506594.015 | Fatality | Registered nurses |