OSHA Inspection: SUSQUEHANNA NURSING AND REHABILITATION CENTER

Issued

Sep 22, 2015

Abate by

Oct 25, 2015

Penalty

Initial $4,000 · Current $2,600 Reduced

General-duty citation text

29 CFR 1910.132(d)(1)(i): When the employer had assessed the workplace hazard(s) and determined that hazard(s) were present, the employer did not select and/or use the types of personal protective equipment that would protect the affected employee from the hazards:      a) Throughout the facility, on or about 6/23/15: The employer's hazard assessment did not account for housekeepers' use of suitable eye protection when working with corrosive cleaning agents.    Abatement certification must be submitted for this item.

Issued

Sep 22, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.133(a)(1): Protective eye equipment was not required where there was a reasonable probability of injury that could be prevented by such equipment:   a) Throughout the facility, on or about 6/23/15: Splash goggles were not provided for housekeepers using corrosive cleaners including, but not limited to, bleach and bowl cleaners for cleaning bathrooms and isolation rooms.

Issued

Sep 22, 2015

Abate by

Oct 25, 2015

Penalty

Initial $5,000 · Current $3,250 Reduced

General-duty citation text

29 CFR 1910.1030(d)(2)(i): Engineering and work practice controls were not used to eliminate or minimize employees exposure:)    a) Golden Days Adult Day care Center, on or about 7/29/15: An 8 mm x 31 G short B-D Ultra Fine Pen Needle, not equipped with sharps injury protection, was used for administration of insulin.     Abatement certification must be submitted for this item.

Issued

Sep 22, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(d)(2)(vii)(A): Contaminated needles and other contaminated sharps were bent, recapped, or removed::    a) Golden Days Adult Day care Center, on or about 7/29/15: An 8 mm x 31 G short B-D Ultra Fine Pen Needle, not equipped with sharps injury protection, was recapped after administration of insulin.

Issued

Sep 22, 2015

Abate by

Oct 25, 2015

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) Throughout the facility, on or about 6/23/15: Temporary employees, such as nurses and certified nurses aides, hired through AMN Healthcare, were not provided on training on engineering controls and work practices specific to Susquehanna Nursing  and Rehabilitation Center including, but not limited to, application of safety mechanism on needles and labeling system for isolation room laundry bags.  b) Throughout the facility, on or about 6/23/15: Nurses were not provided with training on engineering controls  specific to Susquehanna Nursing  and Rehabilitation Center including, but not limited to, application of safety mechanism on needles and adherence to policy on only using safety needles   Abatement certification must be submitted for this item.

Issued

Sep 22, 2015

Abate by

Oct 25, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(g)(2)(vii)(M): The bloodborne pathogens training program did not contain an explanation of the signs, labels, or color coding required by 29 CFR 1910.103 (g)(1):   a) Throughout the facility, on or about 6/23/15: Temporary employees, such as nurses and certified nurses aides, hired through AMN Healthcare, were not provided on training on signs, labels and color coding used to designate biohazards within the facility.  Abatement certification must be submitted for this item.

Issued

Sep 22, 2015

Abate by

Oct 25, 2015

Penalty

Initial $5,000 · Current $3,250 Reduced

General-duty citation text

29 CFR 1910.1030(f)(1)(i): The employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure:      a) Throughout the facility, on or about 7/15/15, Six licensed practical nurses were not provided with the hepatitis B vaccination series. No declination forms were signed.    b) Throughout the facility, on or about 7/15/15, Six certified nurses aides were not provided with the hepatitis B vaccination series. No declination forms were signed.    c)Throughout the facility, on or about 7/15/15, Four environmental services staff were not provided with the hepatitis B vaccination series. No declination forms were signed.    Abatement certification must be submitted for this item.

Issued

Sep 22, 2015

Abate by

Oct 25, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.1030(h)(1)(ii)(B): The medical record for an employee with occupational exposure did not include a copy of the employee's hepatitis B vaccination status, including the dates of all the hepatitis B vaccinations or any medical records relative to the employee's ability to receive vacination as required by 29 CFR 1910.1030(f)(2):   a) Throughout the facility, on or about 7/15/15, Records on the hepatitis B vaccination status was not available for six licensed practical nurses. No declination forms were signed.  b) Throughout the facility, on or about 7/15/15, Records on the hepatitis B vaccination status was not available for six certified nurses. No declination forms were signed.  c)Throughout the facility, on or about 7/15/15, Records on the hepatitis B vaccination status were not available for four environmental services staff. No declination forms were signed.  Abatement certification must be submitted for this item.

Issued

Sep 22, 2015

Penalty

Initial $1,000 · Current $650 Reduced

General-duty citation text

29 CFR 1904.32(b)(3): The 300A annual summary was not certifyed by a company executive to ensure  that he or she has examined the OSHA 300 Log and that he or she reasonably believes, based on his or her knowledge of the process by which the information was recorded, that the annual summary is correct and complete.      a) Throughout the facility, on or about 6/23/15: The OSHA 300A for the calendar year 2014 was not certified as correct and complete.

Issued

Sep 22, 2015

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR 1910.303(f): Each disconnecting means for motors and appliances was not located and arranged so the purpose was evident, nor legibly marked to indicate its purpose:   a) Dish room in kitchen area, on or about 6/24/15: The following breakers in the circuit breaker box were not labeled: 4, 5, 6, 8, 15, 17, 18, 20, 22 and 24.