OSHA Inspection: HOPE HOUSE OF LANCASTER, INCORPORATED

Issued

Jul 14, 1995

Abate by

Oct 15, 1995

Penalty

Initial $200 · Current $100 Reduced

General-duty citation text

Section 5(a)(1) of the Occupational Safety and Health Act of 1970:
%%
a)Hope House, Incorporated, 1509 Crescent Avenue, Lancaster, Pennsylvania
- The
employer did not furnish employment and a place of employment which were
free
from recognized hazards that were causing or likely to cause death or
serious
physical harm to employees in that Staff Nurses and Certified Nursing
Assistants
were exposed to the hazard of being infected with tuberculosis through
contact
with residents who were or may be infected with tuberculosis.
ABATEMENT NOTE:
Feasible and useful abatement methods for reducing this hazard, as
recommended by the
Centers for Disease Control, among others are:
1.Protocol for the early identification of individuals with active
tuberculosis.
2.Medical surveillance (at no cost to employees) including preplacement
evaluation,
administration and interpretation of TB Mantoux skin tests, and periodic
evaluations shall be offered to employees as follows:  an initial baseline
screening
at the time of employment for all employees in the covered facilities;
annually for
all employees in the covered facilities; re-testing every six months for
workers
with exposure.
3.Evaluation and management (at no cost to employees) of workers with a
positive
skin test, or with skin test conversion on repeat testing, or who are
exhibiting
symptoms of TB, including work restrictions for infectious employees.
Workers
who experience a TB exposure incident (exposure to a patient/client with
infectious TB for whom infection control precautions have not been taken)
shall
also be managed according to CDC recommendations.
4.Placement of individuals with suspected or confirmed TB disease in an
AFB (acid
fast bacilli) isolation room.  AFB isolation rooms for persons with
suspected or
confirmed infectious TB and areas in which high hazard procedures are
performed
on such individuals must be maintained under negative pressure and
appropriately
exhausted (either directly to the outside away from intake vents or through
properly designed, installed, and maintained HEPA filters).
5.Training and information to ensure employee knowledge of such issues as
the
hazard of TB transmission, its signs and symptoms, medical surveillance and
therapy, and site specific protocols including the purpose and proper use
of
controls.

Issued

Jul 14, 1995

Abate by

Oct 15, 1995

Issued

Jul 14, 1995

Abate by

Sep 15, 1995

Penalty

Initial $200 · Current $100 Reduced

Issued

Jul 14, 1995

Abate by

Sep 15, 1995

Penalty

Initial $200 · Current $100 Reduced

Issued

Jul 14, 1995

Abate by

Aug 16, 1995

Issued

Jul 14, 1995

Abate by

Jul 24, 1995

Issued

Jul 14, 1995

Abate by

Jul 24, 1995

Issued

Jul 14, 1995

Abate by

Aug 1, 1995

Issued

Jul 14, 1995

Abate by

Aug 1, 1995