OSHA Inspection: ALDEN - TOWN MANOR REHABILITATION AND HEALTH CARE CENTER, INC.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $6,300 · Current $3,000 Reduced

General-duty citation text

29 CFR 1910.303(b)(2):  Listed or labeled electrical equipment was not used or installed in accordance with instructions included in the listing or labeling:    a)  On or about August 7, 2014, at the above located workplace, employees worked with and around two open (uncovered) 120 volt junction boxes. The electrical boxes were attached to a dish washer in a wet location. The conditions of the electrical boxes were not in accordance with instructions included in the listing or labeling. Employees were thereby exposed to electrical hazards.     b) On or about August 7, 2014, at the above located workplace, employees were required to work with and around a 120-220 volt dish washer. The dish washer's 240 volt control relay box, which was in a damp location, had an open cover. The condition of the control relay box was not in accordance with instructions included in the listing or labeling. Employees were thereby exposed to electrical hazards.    c) On or about August 7, 2014, at the above located workplace, employees working with and around a 120 volt stainless steel steam table. The steam table had a 120 volt cord and plug power supply which did not have properly installed strain relief. The condition of the cord was not in accordance with instructions included in the listing or labeling. Employees were thereby exposed to hazards associated with improperly wired electrical equipment.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $0 · Current $3,000

General-duty citation text

29 CFR 1910.1030(c)(1)(iv):   The Exposure Control Plan was not reviewed and updated at least annually and whenever necessary to reflect new or modified task and procedures which affect occupational exposure and reflect new or revised employee positions with occupational exposure.     a) On or about August 7, 2014, at the above located workplace employees were exposed to blood and experienced sharps injuries. The employer's Bloodborne Pathogen Exposure Control program had not been reviewed and updated at least annually.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

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 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) On or about August 7, 2014, at the above located workplace, employees were exposed to blood and experienced sharps injuries. The employer did not solicit input from non-managerial employees responsible for direct patient care in the identification, evaluation, and selection of effective engineering and work practice controls and did not document the solicitation in the Exposure Control Plan.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $4,500 · Current $2,000 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 or other potentially infectious materials:     a) On or about August 7, 2014, at the above located worksite all new employees having occupational exposure to blood or other potentially infectious materials were not offered the HBV series after training and within the first ten working days of initial assignment.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(A):  The employer did not ensure that training was provided to employees with occupational exposure at the time of initial assignment to tasks where occupational exposure might take place:   a) On or about August 7, 2014, at the above located workplace, new employees were required to perform duties having occupational exposure to blood or other potentially infectious materials. All new employees were not provided initial training (as required by 1910.1030(g)(2)) at the time of initial assignment.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(ii)(B):  The employer did not ensure that all employees with occupational exposure participated in a training program at least annually:   On or about August 7, 2014, at the above located workplace, all employees having occupational exposure to blood and other infectious material did not receive annual bloodborne pathogens training.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1904.8(a): When a work-related needlestick injury or cut from a sharp object that was contaminated with another persons blood or other potentially infectious material (as defined by 29 CFR 1910.1030) occurred, the employer did not enter the case on the OSHA 300 log as an injury:       a) On January 6, 2015, at the above located workplace, the employer's 2014 OSHA 300 log listed a needlestick injury which occurred on November 11, 2014. The entry included the employee's name where the name should not have appeared.

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(ii)(C):  The medical record for an employee with occupational exposure did not include a copy of results of examinations, medical testing, or follow-up procedures as required by 29 CFR 1910.1030(f)(3):     a) On or about August 7, 2014, at the above located workplace, the employer did not maintain complete written exposure evaluations of two exposure incidences that had occurred. The information the employer maintained did not include as a minimum, engineering controls in use at the time, work practices followed, a description of the device in use, protective equipment or clothing that was used at the time of the exposure incident, location, procedure being performed when the incident occurred, and the employee's training. The information is required to avoid future incidents and is required by 29 CFR 1030(f)(3)(i).

Issued

Feb 5, 2015

Abate by

Mar 4, 2015

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 injurers from contaminated sharps. The information in the sharps injury log was not maintained in such a manner as to protect the confidentiality of the injured employee. The sharps injury log did not contain at a minimum:   A) The type and brand of device involved in the incident.  B) The department or work area where the exposure occurred and  C) An explanation of how the incident occurred:   a) On or about August 7, 2014, at the above located workplace, the employer's sharps injury log did not included the type and brand of device involved in the injury. This lack of information prevented an effective determination of the of the device's safety features.