OSHA Inspection: SAVA SENIOR CARE DBA BELMONT LODGE HEALTH CARE CENTER

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $3,000 · Current $2,400 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(i):  The employer having employee(s) with occupational exposure did not established a written Exposure Control Plan designed to eliminate or minimize employee exposure:    On or about November 17, 2011 and at times prior, the employers written Exposure Control Plan (ECP) was not adequate in that the program was not specific to this employer who had employees working at this site.   The employers program consists of a  sample program with the fill-in-the blanks sections not completed.     The employers program does not identify the following areas/duties/procedures/policies:     a) Facility name, Name of responsible person or department for the implementation of the ECP, or who is assigned to maintain, review and update the ECP at least annually. The person or department who is responsible for Personal Protective Equipment (PPE), medical records, and employee training.     b) Specific key Sections of the program also left blank include:   The list of job titles and departments under the employee exposure determination. Specific engineering control and work practices to follow    How new procedures or new products are evaluated involving both front line workers and management. Who is responsible for the effective implementation of recommendation made.  Informing about where PPE is located, its types, PPE disposal, and the procedure for handling used PPE.  Housekeeping rules relating to sharp container disposal and regulated waste handling.   Policies /Procedures for contaminated laundry, which ones are cleaned in house, what PPE is required, and what procedure to use with contaminated laundry that is wet  Who administers the post-exposure evaluation.   The procedures for recording percutaneous injuries.    Who is responsible for employee training.  Responsible person/department for Training records, medical records, and OSHA records           Abatement Note: Abatement Certification is required for this item. (see enclosed Certification of Corrective Action worksheet).

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $3,000 · Current $2,400 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(IV)(B): The Exposure Control Plan did not document annual consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure:     a) On or about November 17, 2011 and at times prior, the employer did not adequately document the annual consideration and implementation of appropriate commercially available and effective safer medical devices for the Year 2011.  The employers safety products annual evaluation form, completed on July 18, 2011 did not indicate what safety product(s) were being evaluated.  The employers employee input about engineering and work practice controls form, completed on July 18, 2011 contains a recommendation of changing the lids on the sharps containers currently being used in that the lids often will not close at times. There is no documentation that any subsequent action was taken by the facility concerning this recommendation.    b) On or about November 17, 2011 and at times prior, the employer did not adequately document the annual consideration and implementation of appropriate commercially available and effective safer medical devices for the Year 2009 or Year 2010.

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $3,000 · Current $2,400 Reduced

General-duty citation text

29 CFR 1910.1030(h)(5)(i): The employer did not establish and maintain a sharps log for the recording of percutaneous injuries from contaminated sharps:    a) On or about November 17, 2011 and at time prior, the employer did not adequately maintained the sharps injury log to cover the calendar year 2010 in that the required documentation of the two incidents only provided the type of device and the work area where the incident occurred. The following segments of the log were left blank: The date of the incident, the brand name of the device and the description of how the incident occurred:    On July 26, 2010, an employee had an incident in which the needle of a syringe used to administer insulin, dragged across the left thumb.    On August 30, 2010, an employee received a needle stick in the right thumb from a syringe used to administer medication.       b) On or about November 17, 2011 and at time prior, the employer had not maintained a sharps injury log to cover the calendar year 2011 in that there was a needle stick incident that was not recorded:     On May 3, 2011, an employee received a laceration on her left middle finger, from a used razor blade while placing it in a sharps container.

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1904.7(b)(3): When an injury or illness involves one or more days away from work, you must record the injury on the OSHA 300 log with a check mark in the space for cases involving days away from work:    a) On or about November 17, 2011 and at times prior, the employer did not accurately record the following workplace injury and/or illness on the OSHA 300 Log for Calendar year 2011:    For an employee who experienced a rotator cuff strain on or about September 3, 2011, where it was recorded with a check in Column (I) and 47 days in Column (L). The employer should have recorded the injury with a check in Column (H) and 9 days in Column (K) and 44 days in Column (L).      Definitions:  Column (H) is to record Days Away From Work.  Column (I) is to record Days of Job Transfer or Restriction. Column (J) is to record Other Recordable Cases. Column (K) is to record the number of days away from work. Column (L) is to record the number of days with restricted activity or job transfer.  Column (M)(1) through (M)(6) indicates if entry is an injury or one of 5 types of illness.    Abatement Note: Abatement Certification is required for this item. (see enclosed Certification of Corrective Action worksheet).

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1904.7(b)(4): When an injury or illness involves restricted work or job transfer but does not involve death or days away from work the employer must record the injury or illness on the OSHA 300 log by placing a check mark in the space:    a) On or about February 17, 2011 and at times prior, the employer did not properly record work-related injury or illness that resulted in restricted work or job transfer. Such injuries are to be recorded on the OSHA 300 Log by placing a check mark in the space for job transfer or restriction and an entry in the number of restricted workdays column. The employer failed to properly record the following cases that met this recording criteria:     On or about October 5, 2009, Entry #18 on the 2009 Log was recorded with 14 days in Column (L).  The correct recording should be 22 days in Column (L)    On or about October 24, 2011, Entry #17 on the 2011 Log was recorded with a check in Column (H) and 23 days in Column (K).  The correct recording should be a check in Column (I) and 28 days in Column (L).      Definitions:  Column (H) is to record Days Away From Work.  Column (I) is to record Days of Job Transfer or Restriction. Column (J) is to record Other Recordable Cases. Column (K) is to record the number of days away from work. Column (L) is to record the number of days with restricted activity or job transfer. Column (M)(1) through (M)(6) indicates if entry is an injury or one of 5 types of illness.

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1904.7(b)(5): When an injury or illness involves medical treatment beyond first aid, you must record it on the OSHA 300 Log. You must enter a check mark in the box for cases where the employee received medical treatment but remained at work and was not transferred or restricted:    a) On or about November 24, 2009, Entry #20 was only recorded with a check in Column (I). The correct recording should be a check in Column (J) and a check in Column (M1).      Definitions:  Column (H) is to record Days Away From Work.  Column (I) is to record Days of Job Transfer or Restriction. Column (J) is to record Other Recordable Cases. Column (K) is to record the number of days away from work. Column (L) is to record the number of days with restricted activity or job transfer.  Column (M)(1) through (M)(6) indicates if entry is an injury or one of 5 types of illness.    Abatement Note: Abatement Certification is required for this item. (see enclosed Certification of Corrective Action worksheet).

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $1,000 · Current $800 Reduced

General-duty citation text

29 CFR 1904.29(b)(1): A Log of all recordable work-related injuries and illnesses (OSHA form 300 or equivalent) was not completed in the detail as required by the regulation:    a) On or about November 17, 2011 and at times prior, the OSHA 300 for the following years were not completed in the detail as required by the regulation, in that, Column (F) did not include the description of the injury or illness, parts of body affected, and object/substance that directly injured or made the person ill:    Year 2009: Column (F) lacked the information detailing what the injury or illness was and/or what part(s) of the body were affected on the following: Entry #1 (injury date- January 28, 2009), Entry #2 (injury date - January 27, 2009), Entry #11 (injury date- August 17, 2009) , Entry #12 (injury date  August 26, 2009), Entry #13 (injury date  September 15, 2009), Entry #16 (injury date  September 20, 2009), Entry #17 (injury date  October 5, 2009), and Entry #19 (injury date  December 18, 2009).     Year 2010: Column (F) lacked the information detailing the object/substance that directly injured or made the person ill on the following:  Entry #1 (injury date  January 12, 2010), Entry #4 (injury date  June 15, 2010) and Entry #5 (injury date  June 19, 2010).    Year 2010: Column (F) lacked the information detailing what the injury or illness was and/or what part(s) of the body were affected for Entry #2 (injury date  February 25, 2010).    Year 2011: Column (F) lacked the information detailing the object/substance that directly injured or made the person ill on the following: Entry #1 (illness date  January 21, 2011), Entry #2 (illness date  January 31, 2011), Entry #3 (illness date  February 3, 2011), Entry #4 (illness date  February 3, 2011), Entry #5 (illness date -February 3, 2011), Entry #6 (illness date  February 11, 2011), Entry #7 (injury  date  February 23, 2011), Entry #8 (injury date  March 12, 2011), Entry #10 (illness date  May 13, 2011), Entry #11 (illness date  May 13, 2011), Entry #13 (injury date  September 3, 2011), Entry #14 (injury date  September 12, 2011), Entry #16 (injury date  October 18, 2011), and Entry #17 (injury date  October 24, 2011).        b) On or about November 17, 2011 and at times prior, the OSHA 300 for the following year was not completed as required by the regulation, in that, events were classified incorrectly as injuries:    Year 2011: Entries classified as skin disorders were recorded with a check in Column (M1).  For the following entries, the correct recording should be check in Column (M2): Entry #1 (illness date  January 21, 2011), Entry #2 (illness date  January 31, 2011), Entry #3 (illness date  February 3, 2011), Entry #4 (illness date  February 3, 2011), Entry #5 (illness date -February 3, 2011), Entry #10 (illness date  May 13, 2011), and Entry #11 (illness date  May 13, 2011).      Definitions:  Column (H) is to record Days Away From Work.  Column (I) is to record Days of Job Transfer or Restriction. Column (J) is to record Other Recordable Cases. Column (K) is to record the number of days away from work. Column (L) is to record the number of days with restricted activity or job transfer. Column (M)(1) through (M)(6) indicates if entry is an injury or one of 5 types of illness.    Abatement Note: Abatement Certification is required for this item. (see enclosed Certification of Corrective Action worksheet).

Issued

Jan 23, 2012

Abate by

Jan 28, 2012

Penalty

Initial $1,000 · Current $800 Reduced

General-duty citation text

Related Injury and Illnesses  (OSHA 300A or equivalent) with the total of the columns on the OSHA 300 Log (If you had no recordable cases, enter zeros for each column total):    29 CFR 1904.32(b)(2)(i):  The employer failed to complete the Summary of Work-a) On or about November 17, 2011, the employer did not adequately complete the OSHA 300A Form for the year 2009. The employers on site OSHA 300A for the Year 2009 contained incorrect totals in Columns (J), (K), and (L). The onsite copy of the OSHA 300A,  provided by the employer, for the year 2009,  listed the total hours worked by all employees for that year as 159048.  The DART incidence rate using this total number of employees work hours is 17.60.  OSHA ODI Summary calculation for the Year 2009, previously submitted by the employer, has the total hours worked as 170043, thus  having a DART incidence rate of  16.5.        Definitions:  Column (H) is to record Days Away From Work.  Column (I) is to record Days of Job Transfer or Restriction. Column (J) is to record Other Recordable Cases. Column (K) is to record the number of days away from work. Column (L) is to record the number of days with restricted activity or job transfer.  Column (M)(1) through (M)(6) indicates if entry is an injury or one of five types of illness.  DART= days of restricted work activity or job transfer .   DART incidence rate = Number of entries in Column (H) plus Column (I) times 200,000. divided by the number of hours worked by all employees.      Abatement Note: Abatement Certification is required for this item. (see enclosed Certification of Corrective Action worksheet).