OSHA Inspection: SENIORS MANAGEMENT NORTH, INC.

Issued

Nov 24, 2014

Penalty

Initial $2,700 · Current $1,620 Reduced

General-duty citation text

29 CFR 1910.37(b)(2): Each exit was not clearly visible and marked by a sign reading "Exit":  a) Laundry: An exit door located in the laundry department was not marked by a sign reading "Exit", on or about 6/6/14.  b) Second Floor Dining Room: An exit door located in the dining room was not marked by a sign reading "Exit", on or about 6/6/14.

Issued

Nov 24, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.37(b)(6): Each exit sign was not illuminated to a surface value of at least five foot-candles (54 lux) by a reliable light source:  a) Laundry Drying Area: An exit sign located above an emergency exit doorway was not illuminated, on or about 6/6/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $4,500 · Current $2,700 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 engineering controls, (i.e., safer medical devices) designed to eliminate or minimize occupational exposure:  a) Establishment: Employees including, but not limited to, Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants, have exposure to blood and other potentially infectious material in the course of their work activity, and annual consideration and implementation of effective and safer medical devices to eliminate or minimize occupational exposure was not documented, thus, potentially exposing employees to bloodborne pathogens, on or about 6/6/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(c)(1)(v): The employer, who is required to establish an Exposure Control Plan, did not 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 did not document the solicitation in the Exposure Control plan:  a) Establishment: Employees including, but not limited to, Registered Nurses, Licensed Practical Nurses and Certified Nursing Assistants, have exposure to blood and other potentially infectious material in the course of their work activity, and input regarding identification, evaluation and selection of effective engineering and work practice controls were not solicited, thus, potentially exposing employees to bloodborne pathogens, on or about 6/6/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $4,500 · Current $2,700 Reduced

General-duty citation text

29 CFR 1910.1030(f)(3)(ii)(C): Results of the source individual's testing shall be made available to the exposed employee, and the employee shall be informed of applicable laws and regulations concerning disclosure of the identity and infectious status of the source individual.  a) Establishment: A Registered Nurse experienced a percutaneous needlestick injury while administering medication via insulin injection, and the employer did not provide a copy of the source individual's test results to the exposed employee, on or about on 5/28/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(4)(ii)(D): The employer shall ensure that the healthcare professional evaluating an employee following an exposure incident is provided the following information: Results of the source individual's blood testing, if available:  a) Establishment: Medical records including, but not limited to, the source individual's blood test results were not provided to the employee's healthcare provider following a percutaneous needlestick incident, thus, exposing the employee to potential illnesses form bloodborne pathogens, on or about 5/28/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(5): Healthcare Professional's Written Opinion. The employer shall obtain and provide the employee with a copy of the evaluating healthcare professional's written opinion within 15 days of the completion of the evaluation.  a) Establishment: A Registered Nurse who experienced a percutaneous needlestick injury, after administering medication via insulin injection, completed post-exposure evaluation and the employer did not provide the healthcare professional's written opinion for post-exposure evaluation and follow-up, to the exposed employee, on or about 5/28/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(ii)(D): The medical record for an employee with occupational exposure did not include the employer's copy of the health care professional's written opinion as required by 29 CFR 1910.1030(f)(5):  a) Establishment: The medical records file for a Registered Nurse who was occupationally exposed to bloodborne pathogens through a percutaneous needlestick injury, did not include the employer's copy of the healthcare professional's written opinion, on or about 5/28/14.

Issued

Nov 24, 2014

Penalty

Initial $4,500 · Current $2,700 Reduced

General-duty citation text

29 CFR 1910.1030(g)(1)(i)(A): Warning labels were not affixed to containers of regulated waste, refrigerators, or freezers containing blood or other potentially infectious material:  a) Biohazard Room (Second Floor): Employees are required to store biohazard materials, including, but not limited to urine, stool specimens and other potentially infectious materials, in specimen refrigerators, and the refrigerators used for storing these materials were not labeled or color coded, on or about 6/6/14.  b) Biohazard Room (Second Floor): Employees are required to dispose contaminated waste materials, including, but not limited to, contaminated personal protective equipment, and other contaminated materials, in biohazard waste containers, and these bags located inside the containers were not labeled or color coded, on or about 6/6/14.

Issued

Nov 24, 2014

Abate by

Dec 28, 2014

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(f)(1)(ii)(A): The employer did not ensure that medical evaluations and procedures including the hepatitis B vaccine and vaccination series, post-exposure evaluation, or follow-up, including prophylaxis, were made available at no cost to the employee:  a) Establishment: A registered Nurse reported a percutaneous injury from a needlestick and the employer did not ensure post-evaluation and follow-up including prophylaxis were made available to the exposed employee at no cost. The employee was not compensated for the time and travel expenses it took to travel from their residence to Valley Health Medical Group, on or about 5/28/14.

Issued

Nov 24, 2014

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) Establishment: Employees, including, but not limited to Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants, who have occupational exposure to blood and other potentially infectious material in the course of their work duties, who decline to complete the hepatitis B Vaccination, were not informed of their right in detail to complete the testing at a later date, on or about 6/6/14.