OSHA Inspection: SUNSET NURSING AND REHABILITATION CENTER

Issued

Mar 6, 2013

Abate by

Mar 25, 2013

Penalty

Initial $4,500 · Current $3,100 Reduced

General-duty citation text

29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination was not made available within 10 working days of initial assignment to all employee(s) with occupational exposure:    a) Laundry Area, on or about 11/27/12; The hepatitis B vaccination series was not provided for a laundry aide hired on 3/14/12.       Abatement certification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 1, 2013

Penalty

Initial $2,700 · Current $1,990 Reduced

General-duty citation text

29 CFR 1910.1030(d)(4)(ii)(A): Contaminated work surfaces were not decontaminated with an appropriate disinfectant after completion of procedures:    a) B-Wing, on or about 11/27/12: An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not approved for use to clean contamination due to mycobacterium tuberculosis, hepatitis B virus and HIV virus.    b) C-Wing, on or about 11/27/12: An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not approved for use to clean contamination due to mycobacterium tuberculosis, hepatitis B virus and HIV virus.        Abatement cerification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 1, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(F): The bloodborne pathogens training program did not contain an explanation of the use or limitations of methods that would prevent or reduce exposure including appropriate engineering controls, work practices or personal protective equipment:    a) B-Wing, on or about 11/27/12: Training was not provided on the proper disinfectant to use for cleaning up blood. An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not tuberculocidal.    b) C-Wing, on or about 11/27/12: Training was not provided on the proper disinfectant to use for cleaning up blood. An inappropriate disinfectant was used to clean up blood in that the disinfectant, Prime Source System's Scrubbles Foaming Disinfectant Cleaner, was not tuberculocidal.        Abatement cerification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 10, 2013

Penalty

Initial $4,500 · Current $3,100 Reduced

General-duty citation text

29 CFR 1910.1030(f)(3): Following a report of an exposure incident, the employer did not make immediately available to the exposed employee a confidential medical evaluation or follow-up:    a) Nursing Dept., on or about 11/3/12: An employee stuck by a needle at or about 4:30 PM was not immediaitely sent to the emergency room. The employee was sent to the emergency room at 11:00 PM after the end of the shift, six and one half hours later.    Abatement certification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 10, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(B): The employer did not ensure that the training was provided to employees with occupational exposure at least annually:    a) Nursing Department, on or about 11/27/12: An employee stuck by a needle 11/3/12 was not provided with annual training on bloodborne pathogens. Last training was on 9/6/11.    Abatement certification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Mar 18, 2013

Penalty

Initial $900 · Current $0 Reduced

General-duty citation text

29 CFR 1904.29(b)(3): Each recordable injury or illness was not entered on the OSHA 300 Log and/or an incident report (OSHA Form 301or equivalent) within seven (7) calendar days  of receiving information that a recordable injury or illness has occurred:    a) Throughout the facility, on or about 11/27/12; A needlestick occurring on 11/3/12 was not recorded on the 2012 Log of Work Related Injuries and Illnesses (OSHA's Form 300).      Abatement certification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 22, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.37(b)(2): Each exit was not clearly visible and marked by a sign reading "Exit":      a) Loading dock, on or about 11/27/12: A loading dock exit door at the end of the corridor near dietary area was not labeled with an "EXIT" sign.      Abatement certification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 10, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(ii)(B): The employer's Exposure Control Plan did not include the schedule and method of implementation for 29 CFR 1910.1030(f), Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up:    a) Throughout the facility, on or about 11/27/12: The exposure control plan did not include the administration of and schedule for  testing for the hepatitis B surface antigen, 1- 2 months following the third shot in the three shot hepatitis B vaccination series.    Abatement certification must be submitted for this item.

Issued

Mar 6, 2013

Abate by

Apr 22, 2013

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(I): The bloodborne pathogens training program did not contain information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, or the fact that the vaccination will be offered free of charge:    a) Throughout the facility, on or about 11/27/12: Training was not provided on the requirement to provide testing for the hepatitis B surface antigen, 1-2 months following the third shot in the three shot vaccination series.    Abatement certification must be submitted for this item.