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Inspection Detail

Inspection: 316438522 - Mariner Healthcare, Inc Dba Skyline Healthcare Cen

Inspection Information - Office: Ca Oakland (Hh Unit)
Nr: 316438522Report ID: 0950661Open Date: 05/07/2012
Mariner Healthcare, Inc Dba Skyline Healthcare Cen
2065 Forest Ave
San Jose, CA 95128 		Union Status: Union
SIC: 8051/Skilled Nursing Care Facilities
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type:Planned
Scope:Complete Advanced Notice:N
Ownership:Private
Safety/Health:Health Close Conference:09/14/2012
Planning Guide: Health-Manufacturing Close Case:08/14/2014
Emphasis: L:Regionp1, S:Targeted Compl & Consult

Violation Summary
Serious Willful Repeat Other Unclass Total
Initial Violations 3 10 13
Current Violations 3 10 13
Initial Penalty $12,690 $0 $0 $3,300 $0 $15,990
Current Penalty $11,340 $0 $0 $3,300 $0 $14,640
FTA Amount $0 $0 $0 $0 $0 $0

Violation Items
# ID Type Standard Issuance Abate Curr$ Init$ Fta$ Contest LastEvent
  1. 01001 Other 461 A 09/14/2012 10/17/2012 $300 $300 $0 -
  2. 01002 Other 24730001 B 09/14/2012 10/17/2012 $300 $300 $0 -
  3. 01003 Other 25000009 A 09/14/2012 10/17/2012 $300 $300 $0 -
  4. 01004 Other 3225 A01 09/14/2012 10/17/2012 $300 $300 $0 -
  5. 01005 Other 3249 B 09/14/2012 10/17/2012 $600 $600 $0 -
  6. 01006 Other 3400 C 09/14/2012 10/17/2012 $150 $150 $0 -
  7. 01007 Other 3577 E 09/14/2012 10/17/2012 $300 $300 $0 -
  8. 01008 Other 3578 G 09/14/2012 10/17/2012 $300 $300 $0 -
  9. 01009 Other 5199 G03 A 09/14/2012 10/17/2012 $600 $600 $0 -
  10. 01010 Other 6151 C01 09/14/2012 10/17/2012 $150 $150 $0 -
  11. 02001 Serious 3249 C 09/14/2012 09/24/2012 $5,400 $6,750 $0 A - Amendment
  12. 03001 Serious 5162 A 09/14/2012 09/24/2012 $5,400 $5,400 $0 -
  13. 04001 Serious 5162 B 09/14/2012 09/24/2012 $540 $540 $0 -

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