OSHA Inspection: PEDIATRIC HEALTH ASSOCIATES, LTD.

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $10046.00 · Current $7032.00 Reduced

General-duty citation text

29 CFR 1910.1030(c)(1)(i): The employer having employee(s) with occupational exposure did not establish a written Exposure Control Plan designed to eliminate or minimize employee exposure:  (a) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about October 3, 2023, the employer did not develop and implement a written Exposure Control Plan in accordance with 29 CFR 1910.1030(c)(1)(i) that would describe or include at least the following elements:   1) Exposure determination; 2) Schedule and method of implementation for Methods of Compliance, Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, Communication of Hazards to Employees, and Recordkeeping; and 3) The procedure for the evaluation of circumstances surrounding exposure incidents.  Employees were exposed to bloodborne pathogens when administering vaccines with BD Eclipse safety needles and collecting blood test samples with Owen Mumford Unistik 3 lancets.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(c)(2)(i): The employer having employees with occupational exposure did not prepare an exposure determination:  (a) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about October 3, 2023, the employer did not determine job classifications in which employees have exposure to bloodborne pathogens.   Employees were exposed to bloodborne pathogens when administering vaccines with BD Eclipse safety needles to patients and collecting blood test samples from patients with Owen Mumford Unistik 3 lancets.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $0.00 · Current $0.00

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) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about October 3, 2023, the employer did not seek input from non-managerial employees who administer vaccines to patients, non-managerial employees who acquire patient blood test samples, or other non-managerial employees who are exposed to injuries from contaminated sharps in identifying, evaluating, and selecting effective controls.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $10046.00 · Current $7032.00 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 and follow-up:  (a) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about August 27, 2023, the employer did not ensure that a confidential medical evaluation and follow-up with a healthcare professional was made available to an employee who had injured their self with a syringe needle previously used to administer a patient vaccine.  A medical evaluation and follow-up following exposure require the minimum following elements:  1. Documentation of the route(s) of exposure, and the circumstances under which the exposure incident occurred; 2. Identification and documentation of the source individual, unless the employer can establish that identification is infeasible or prohibited by state or local law; 3. The source individual's blood shall be tested as soon as feasible and after consent is obtained in order to determine HBV and HIV infectivity. If consent is not obtained, the employer shall establish that legally required consent cannot be obtained. When the source individual's consent is not required by law, the source individual's blood, if available, shall be tested and the results documented. 4. When the source individual is already known to be infected with HBV or HIV, testing for the source individual's known HBV or HIV status need not be repeated. 5. 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. 6. Collection and testing of blood for HBV and HIV serological status; 7. The exposed employee's blood shall be collected as soon as feasible and tested after consent is obtained. 8. If the employee consents to baseline blood collection but does not give consent at that time for HIV serologic testing, the sample shall be preserved for at least 90 days. If, within 90 days of the exposure incident, the employee elects to have the baseline sample tested, such testing shall be done as soon as feasible. 9. Post-exposure prophylaxis, when medically indicated, as recommended by the U.S. Public Health Service; 10. Counseling; and 11. Evaluation of reported illnesses.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $0.00 · Current $0.00

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) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about August 27, 2023, the employer did not ensure that an employee who had injured their self with a syringe needle previously used to administer a patient vaccine received an evaluating health care professional's written opinion.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(f)(1)(ii): 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 provided according to recommendations of the US. Public Health Service current at the time these evaluations and procedure took place:  (a) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about August 27, 2023, the employer did not offer the hepatitis B vaccine to an employee who had injured their self with a syringe needle previously used to administer a patient vaccine.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-02-23 00:00:00

Penalty

Initial $10046.00 · Current $7032.00 Reduced

General-duty citation text

29 CFR 1910.1030(g)(2)(i): The employer did not ensure that each employee with occupational exposure participated in a training program:  (a) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about October 3, 2023, the employer did not ensure affected employees were trained in a bloodborne pathogen exposure control plan.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Abate by

2024-01-18 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.134(c)(2)(i): Respirator users were not provided with the information contained in Appendix D to 29 CFR 1910.134 when the employer determined that any voluntary respirator use was permissible:   (a) Medical office at 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about September 26, 2023, the employer provided employees with 3M 1860 filtering facepiece respiratory protection for voluntary use. The employer failed to provide employees offered to wear the respiratory protection with the information contained in Appendix D.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).

Issued

2024-01-03 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.305(b)(2)(i): Each outlet box in completed installations did not have a cover, faceplate, or fixture canopy:  (a) Exam Room 13 - The employer did not ensure the electrical outlet box was covered with a faceplate, thereby exposing employees required to use a Welch Allyn otoscope and ophthalmoscope set to shock hazards.  Abatement documentation is not required for this item.

Issued

2024-01-03 00:00:00

Abate by

2024-02-01 00:00:00

Penalty

Initial $0.00 · Current $0.00

General-duty citation text

29 CFR 1910.1030(d)(4)(iii)(A)(2)(i): During use, containers for contaminated sharps were not easily accessible to personnel or located as close as was feasible to the immediate area where sharps were used or could be reasonably anticipated to be found:  (a) 636 Raymond Drive, Suite 205, Naperville, IL 60563 - On or about October 3, 2023, the employer required employees to carry used hypodermic needle syringes and lancets to one of three nursing workstations where sharps disposal containers are located instead of providing sharps disposal containers inside exam rooms where syringes and lancets are administered on patients thereby exposing employees to bloodborne pathogen infection from potential needlestick injuries.  Abatement documentation is required of this item in accordance with the requirements of 29 CFR 1903.19(d).