OSHA Inspection: RENOTTA HEALTH CARE SYSTEMS INC

Issued

Feb 10, 2012

Abate by

Mar 11, 2012

Penalty

Initial $2,295 · Current $1,377 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(i) When the employer had employees with occupational exposure as defined by paragraph (b) of this section the employer did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The employer did not establish a written Exposure Control Plan which addressed all of the elements required. This condition exposed employees to sharps injuries.    Abatement Note: The written exposure control plan must include the following elements:   The exposure determination required by paragraph (c)(2),  The schedule and method of implementation for paragraphs (d) Methods of Compliance, (e) HIV and HBV Research Laboratories and Production Facilities, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard, and  The procedure for the evaluation of circumstances surrounding exposure incidents as required by paragraph (f)(3)(i) of this standard.    Abatement Note: The annual review and update of such plans shall:  Reflect changes in technology that eliminate or reduce exposure to bloodborne pathogens; and    Document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure.    An employer, who is required to establish an Exposure Control Plan, shall solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and shall document the solicitation in the Exposure Control Plan.    Abatement Note: The standard does not specify the level of detail that must be included in this documentation; however, sufficient information must be provided to substantiate the facility's judgment. As discussed in the preamble of the Final Rule, consideration and implementation of safer medical devices could be documented in the Exposure Control Plan by describing the safer devices identified as candidates for adoption; the method or methods used to evaluate devices and the results of the evaluations; and justification for selection decisions. (Excerpt from a Letter of Interpretation to Dr. Hyman on May 5, 2008)    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Feb 10, 2012

Abate by

Mar 11, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(B) The training program shall contain a general explanation of the epidemiology and symptoms of bloodborne diseases:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The training program for bloodborne pathogens did not include a general explanation of the epidemiology and symptoms of bloodborne diseases in that employees were not aware of the diseases that could be transmitted by blood.  This condition exposed employees to a bloodborne pathogens hazard.    Abatement Note: Trainees must have the opportunity for interactive questions and answers with the person conducting the training session. The person conducting the training shall be knowledgeable in the subject matter covered by the elements contained in the training program as it relates to the workplace that the training will address.    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Feb 10, 2012

Abate by

Mar 11, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(5)(i): The employer did not establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps. The information in the sharps injury log shall be recorded and maintained in such manner as to protect the confidentiality of the injured employee.     (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The employer did not establish and maintain sharps injury logs for recording percutaneous injuries form contaminated sharps.  There were at least 4 sharps injuries in the past four years.  This condition prevented the employer from identifying trends associated with sharps injuries.    Abatement Note: The sharps injury log shall contain, at a minimum:  The type and brand of device involved in the incident,  The department or work area where the exposure incident occurred, and  An explanation of how the incident occurred.

Issued

Feb 10, 2012

Abate by

Mar 11, 2012

Penalty

Initial $3,825 · Current $2,295 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(i) Engineering and work practice controls were not used to eliminate or minimize employee exposure:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The employer did not ensure that engineering and workpractice controls were used to eliminate or minimize employee exposure.  Residents of The Towers were allowed to use syringes without sharps injury protection.  At least one resident was shaved by an employee with a reusable razor.  This condition exposed employees to sharps injuries.    Abatement Note:  Abatement certification is required for this item (see enclosed "Certification of Corrective Action Worksheet").

Issued

Feb 10, 2012

Abate by

Mar 11, 2012

Penalty

Initial $1,000 · Current $600 Reduced

General-duty citation text

29 CFR 1904.29(b)(1): The employer did not enter a one or two line description for each recordable injury or illness:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The 2007-2010 OSHA 300 Logs did not contain complete injury descriptions as required in that the specific injury or illness, parts of body affected, and objects/substance that directly injured or made the person ill were not recorded.  This condition materially impaired the understandability of the information on the OSHA 300 Logs.

Issued

Feb 10, 2012

Abate by

Mar 11, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1904.40(a) When an authorized government representative asked for the records kept under Part 1904, the employer did not provide copies of the records within four (4) business hours:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The employer was not able to provide the OSHA 300 Logs and 300A Summaries for 2008 or 2011 within four business hours.    Abatement Note:  Abatement certification is not required for this item.

Issued

Feb 10, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(e)(1) The employer did not develop, implement, and maintain at each workplace, a written hazard communication program which at least describes how the criteria specified in paragraphs (f), (g), and (h) of this section for labels and other forms of warning, material safety data sheets, and employee information and training will be met:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: The employer did not develop, implement, and maintain at the workplace a written hazard communication program which describes how the criteria specified in paragraphs (f), (g), and (h) of this section for labels and other forms of warning, material safety data sheets, and employee information and training will be met.  This condition exposed employees to chemical hazards.    Abatement Note: The written program must also include the following:  A list of the hazardous chemicals known to be present using an identity that is referenced on the appropriate material safety data sheet (the list may be compiled for the workplace as a whole or for individual work areas); and,  The methods the employer will use to inform employees of the hazards of non-routine tasks ; and  The methods the employer will use to provide the other employer(s) on-site access to material safety data sheets for each hazardous chemical the other employer(s)' employees may be exposed to while working.    Abatement Note:  Abatement certification is not required for this item.

Issued

Feb 10, 2012

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1200(g)(8) The employer did not maintain in the workplace copies of the required material safety data sheets for each hazardous chemical:    (a) Renotta Health Care Systems Inc. DBA Hillcrest Care Center at 360 Canyon Ridge Dr. in Wray, CO: the employer did not maintain copies of the required material safety data sheets (MSDS) for each hazardous chemical.  MSDSs were not available for the Ecolab brand products used onsite.  This condition exposed employees to a chemical hazard.    Abatement Note:  Abatement certification is not required for this item.