FAIRBORN, OH —
OSHA Inspection: COVENANT CARE OHIO, INC.
Complaint inspection · Health discipline
At a glance
On , OSHA opened a complaint health inspection of COVENANT CARE OHIO, INC. in 829 YELLOW SPRINGS-FAIRFIELD ROAD, FAIRBORN, OH 45324 (NAICS 623110). OSHA activity number 337830814.
What this inspection record means
OSHA opens inspections for many reasons — routine scheduling under a national or local emphasis program, an employee complaint or referral, or a follow-up after a reported injury. Opening or conducting an inspection is not itself an allegation or a finding that this employer broke any rule; any findings appear as the citations listed below, and citations can be contested, reduced, or withdrawn.
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Where did this inspection happen?
- Establishment
- COVENANT CARE OHIO, INC.
- Site address
- 829 YELLOW SPRINGS-FAIRFIELD ROAD
- City
- FAIRBORN
- State
- OH
- ZIP
- 45324
- Mailing
- 829 YELLOW SPRINGS-FAIRFIELD ROAD, FAIRBORN, OH 45324
What kind of inspection was it?
- Inspection type
- Complaint (B)
- Scope
- Complete (A)
- Discipline
- Health
- Advance notice
- No
- Union status
- B
When did the case open and close?
- Opened
- Closing conference
- Case closed
- Last modified
- Data loaded
Establishment context
- NAICS code
- 623110
- Employees
- 110
- Ownership type
- A
Citations
17 citations on file for this inspection.
1910.1030 C01 IV B
- Issued
- Jan 31, 2013
- Abate by
- Mar 29, 2013
- Penalty
- Initial $7,000 · Current $3,500 Reduced
General-duty citation text
29 CFR 1910.1030(c)(1)(iv)(B): The review and update of the exposure control plan did not document annually consideration and implementation of appropriate commercially available and effective safer medical devices designed to eliminate or minimize occupational exposure: (a) The employer did not document the evaluation of new, commercially available devices to reduce employee exposure to bloodborne pathogens, at least annually, when the Exposure Control Plan was updated by the Quality Assessment and Assurance Committee. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $3500
- — Z (S) $7000
1910.1030 C01 V
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(c)(1)(v): The employer, who was required to establish an Exposure Control Plan, did not solicit input from non-managerial employees responsible for direct patient care who were potentially exposed to injuries from contaminated sharps in the identification, evaluation and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control plan: (a) During the inspection, it was noted that the employer did not follow their own Exposure Control Plan, by soliciting input from nurses and nursing assistants who cared for residents in a nursing and rehabilitation center, on the effectiveness of engineering and work practice controls, such as safe needle devices, whenever the Exposure Control Plan was reviewed or when new safe needle devices became available. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 F01 II C
- Issued
- Jan 31, 2013
- Abate by
- Feb 12, 2013
- Penalty
- Initial $7,000 · Current $0 Reduced
General-duty citation text
29 CFR 1910.1030(f)(1)(ii)(C): The employer did not ensure that all medical evaluations or procedures including the hepatitis B vaccine, vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were performed by or under the supervision of a licensed physician or by or under the supervision of another licensed healthcare provider: (a) On or about December 7, 2012 a nurse received a needle stick in her fifth finger on her right hand while giving an injection to a nursing home resident with a 27 gauge luer-lock needle, but did not receive a medical evaluation from a licensed healthcare provider until December 14, 2012. (b) The six month follow up bloodwork due to a needlestick exposure in April 2012, was not done because the employer did not contact the exposed employee when the lab called the employer to say they could not run the blood tests because the first draw of blood was hemolyzed. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $7000
1910.1030 F05
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(f)(5): The employer did not obtain or provide the employee with a copy of the evaluating health care professional's written opinion within 15 days of the completion of the evaluation. (a) On or about December 7, 2012 a nurse had a needlestick in her fifth finger on her right hand. The nurse had her blood drawn on December 8, but did not receive a medical evaluation from a medical professional until December 14, 2012. Because the doctor had not ordered the bloodwork, the nurse was only evaluated for how her puncture wound had healed and the employer did not obtain or provide the nurse with a copy of the report. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 F02 I
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $7,000 · Current $3,500 Reduced
General-duty citation text
29 CFR 1910.1030(f)(2)(i): Hepatitis B vaccination was not made available after the employee had received the training required in 29 CFR 1910.1030(g)(2)(vii)(I) or within 10 working days of initial assignment to employees who had occupational exposure to blood and OPIM: (a) The employer did not offer the Hepatitis B vaccine to nurses, nursing assistants and housekeeping personnel who cared for residents in a nursing home by providing medication, injections, personal hygiene assistance, and housekeeping services within ten days of initial assignment. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $3500
- — Z (S) $7000
1910.1030 F02 III
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(f)(2)(iii): Hepatitis B vaccination was not made available to employees who initially declined the hepatitis B vaccination but at a later date, while still covered under this standard, decided to accept the vaccination. (a) An employee who had initially declined the Hepatitis B vaccine, who was exposed to bloodborne pathogens while performing their job tasks as a nurse, asked about the Hepatitis B vaccine after a few weeks on the job and was told that the employer did not have the vaccine on site. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 F02 IV
- Issued
- Jan 31, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(f)(2)(iv): The employer did not ensure that employees who declined to accept the hepatitis B vaccination offered by the employer signed the statement in appendix A: (a) Employees who had worked at the facility for more than one year signed Hepatitis B declination forms on January 3 and 16, 2013, the days when OSHA representative requested copies of the Hepatitis B acceptance and declination signed forms for review. (b) One certified nursing assistant who signed the form to accept the Hepatitis B vaccine on October 10, 2012 reportedly changed her mind when she learned it was a three injection series, but did not sign a new form declining the vaccine. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 F03
- Issued
- Jan 31, 2013
- Abate by
- Feb 12, 2013
- Penalty
- Initial $7,000 · Current $5,000 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) On or about December 7, 2012 a night shift nurse was giving a resident a sub-cutaneous injection in the abdomen when the patient jerked as the nurse was removing the needle from the injection site, causing the nurse to stick the needle in her fifth finger on her right hand. The nurse asked her Unit Manager (supervisor) and Director of Nursing for guidance, but nobody could tell her what procedure to follow for a needle stick. The nurse had her blood drawn with resident morning labs on December 8, but did not receive a medical evaluation from a medical professional until December 14, 2012. (b) The employee's blood work results were sent to the employer, specifically the Director of Nursing on December 13, 2012. The DON shared the employee's results with the Administrator then gave them to the employee over the telephone. The results were given to the employee in an envelope with her name on it that was in her mailbox on December 14, 2012. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $5000
- — Z (S) $7000
1910.1030 G02 VII D
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $7,000 · Current $3,500 Reduced
General-duty citation text
29 CFR 1910.1030(g)(2)(vii)(D): The bloodborne pathogens training program did not contain an explanation of the employer's exposure control plan and the means by which the employee could obtain a copy of the written plan: (a) The bloodborne pathogen training provided by the employer for nurses and nursing assistants who cared for residents in a nursing home, during orientation and in-services, did not cover the details of the employer's exposure control plan and where an employee could access a copy of it. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $3500
- — Z (S) $7000
1910.1030 G02 VII J
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(g)(2)(vii)(J): The bloodborne pathogens training program did not contain information on the appropriate actions to take or persons to contact in an emergency involving blood or other potentially infectious materials: (a) The bloodborne pathogen training provided by the employer for nurses and nursing assistants who cared for residents in a nursing home, during orientation and in-services, did not cover the names and telephone numbers of persons to contact if the employees were exposed to blood or OPIM. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 G02 VII K
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(g)(2)(vii)(K): The bloodborne pathogens training program did not contain an explanation of the procedure to follow if an exposure incident occurred, including the method of reporting the incident or the medical follow-up that would be made available: (a) The bloodborne pathogen training provided by the employer for nurses and nursing assistants who cared for residents in a nursing home, during orientation and in-services, did not cover the protocol for needlestick injuries, the reporting procedures and forms or the location of the confidential medical examination and blood testing center. (b) On or about December 7, 2012 a night shift nurse was stuck with a dirty needle that punctured the skin. The nurse asked co-workers for help, telephoned managers who were on call and looked for incident report forms, but the files were empty. None of the other nurses on duty knew what to do, other than the exposed employee needed to have blood drawn for laboratory testing. Managers did not answer their telephones. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 G02 VII N
- Issued
- Jan 31, 2013
- Abate by
- Feb 27, 2013
- Penalty
- Initial $0 · Current $0
General-duty citation text
29 CFR 1910.1030(g)(2)(vii)(N): The bloodborne pathogens training program did not contain an opportunity for interactive questions or answers with the person conducting the training session: (a) The bloodborne pathogen training provided by the employer for nurses and nursing assistants who cared for residents in a nursing home, during orientation and in-services, did not provide an opportunity for employees to ask questions or have the instructor clarify something they did not understand. The orientation stressed paperwwork and maintaining resident medical treatment forms. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $0
1910.1030 H01 III B
- Issued
- Jan 31, 2013
- Abate by
- Feb 12, 2013
- Penalty
- Initial $7,000 · Current $0 Reduced
General-duty citation text
29 CFR 1910.1030(h)(1)(iii)(B): The employer did not ensure that employee medical records required by 29 CFR 1910.103 (h)(1) were not disclosed or reported without the employee's expressed written consent to any person within or outside the workplace: (a) On or about December 13, 2012, the Director of Nursing shared the exposed employee's blood test results with the Administrator before giving the results to the employee over the telephone. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET), and in addition, documentation demonstrating that abatement is complete must be included with your certification. This documentation may include, but is not limited to, evidence of the purchase or repair of the equipment, photographic or video evidence, or written records.
Recent events (2)
- — I (S) $0
- — Z (S) $7000
1910.151 C
- Issued
- Jan 31, 2013
- Penalty
- Initial $1,000 · Current $500 Reduced
1060A614S227
General-duty citation text
29 CFR 1910.151(c): Where employees were exposed to injurious corrosive materials, suitable facilities for quick drenching or flushing of the eyes and body were not provided within the work area for immediate emergency use: (a) The employer did not provide an eyewash station with 15 minutes of continuous flow in the housekeeping and laundry departments where employees had to change buckets of concentrated, corrosive cleaning solutions, such as Virex II 256, glass cleaner, Ecotemp Ultra Klene, Ecolab Oasis Multi Quat Sanitizer and Tri Star Surlite, to refill the automated EcoLab dilution system. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET)
Recent events (2)
- — I (O) $500
- — Z (O) $1000
1910.1030 H05 I A
- Issued
- Jan 31, 2013
- Abate by
- Feb 12, 2013
- Penalty
- Initial $1,000 · Current $0 Reduced
General-duty citation text
29 CFR 1910.1030(h)(5)(i)(A): The employer did not maintain a sharps injury log that contained at a minimum the type and brand of device involved in the incident: (a) On or about December 7, 2012 a nurse received a needlestick injury which was recorded on the Sharps Log as "Hyperdermic Needle-Kindle" instead of 27 gauge luer-lock hypodermic needle-Kendall without a safety device. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET)
Recent events (2)
- — I (O) $0
- — Z (O) $1000
1910.1200 E01
- Issued
- Jan 31, 2013
- Penalty
- Initial $1,000 · Current $0 Reduced
1060A614S227
General-duty citation text
29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: (a) The employer did not provide a written hazard communication program for employees in the housekeeping and laundry departments who changed buckets of concentrated, corrosive cleaning solutions, such as Virex II 256, glass cleaner, Ecotemp Ultra Klene, Ecolab Oasis Multi Quat Sanitizer and Tri Star Surlite, to refill the automated EcoLab dilution system. (b) The employer did not provide a written hazard communication program for employees who cared for residents in a nursing and rehabilitation center where the housekeeping and laundry departments used concentrated, corrosive cleaning solutions, such as Virex II 256, glass cleaner, Ecotemp Ultra Klene, Ecolab Oasis Multi Quat Sanitizer and Tri Star Surlite, in the automated EcoLab dilution system. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET)
Recent events (2)
- — I (O) $0
- — Z (O) $1000
1910.1200 H03 II
- Issued
- Jan 31, 2013
- Penalty
- Initial $1,000 · Current $0 Reduced
1060A614S227
General-duty citation text
29 CFR 1910.1200(h)(3)(ii): Employee training did not include the physical and health hazards of the chemicals in the work area: (a) The employer did not provide hazard communication training for employees who cared for residents in a nursing and rehabilitation center where the housekeeping and laundry departments used concentrated, corrosive cleaning solutions, such as Virex II 256, glass cleaner, Ecotemp Ultra Klene, Ecolab Oasis Multi Quat Sanitizer and Tri Star Surlite, in the automated EcoLab dilution system. In accordance with 29 CFR 1903.19(d), abatement certification is required for this violation (using the CERTIFICATION OF CORRECTIVE ACTION WORKSHEET)
Recent events (2)
- — I (O) $0
- — Z (O) $1000
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Source
This record is reproduced from the U.S. Department of Labor Open Data API (OSHA inspection dataset). The original IMIS detail view is available at OSHA's Establishment Search for activity number 337830814.
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