OSHA Inspection: ELMWOOD HILLS HEALTHCARE CENTER LLC

Issued

Apr 24, 2024

Abate by

May 27, 2025

Penalty

Initial $16,131 · Current $12,000 Reduced

General-duty citation text

1910.132(d)(1)  The employer shall assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE). If such hazards are present, or likely to be present, the employer shall:  a)Northbrook Behavioral Health: On and before December 28, 2023, the employer failed to conduct an adequate assessment of the workplace to determine if workplace violence hazards were present, or were likely to be present, which necessitate the use of personal protective equipment.   NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM, FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $ 1,000.00 AS PER 29 CFR 1903.19

Issued

Apr 24, 2024

Abate by

May 27, 2025

Penalty

Initial $12,676 · Current $10,500 Reduced

General-duty citation text

29 CFR  1910.1030(c)(1)(ii)(B): The Employer's Exposure Control Plan did not contain the schedule and method of implementation for paragraphs (d) Methods of Compliance, (f) Hepatitis B Vaccination and Post-Exposure Evaluation and Follow-up, (g) Communication of Hazards to Employees, and (h) Recordkeeping, of this standard:  a) Northbrook Behavioral Health: The Bloodborne Pathogen Exposure Control plan did not include  the specific engineering controls used for items, such as sharps, the location of sharps disposal containers,  the parties responsible for maintaining sharps containers, the cleaning schedule and decontamination procedures for surfaces and items contaminated with blood or OPIM,   PPE required for use when exposed to circumstances where blood or OPIM are present, the location of PPE and the parties responsible for providing PPE, procedures to handle contaminated laundry, training requirements for employees, including the department responsible for training, recordkeeping, including the retention period for certain records, the specific records that must be maintained and the parties responsible for retaining those records,  the department responsible for administering the hepatitis B vaccination, when it would be available and the declination form, and annual evaluation of  the Bloodborne Pathogen Exposure Control program, including review of the sharps used in the facility.  Employees administer sharps and are exposed to body fluids when bitten by patients while performing restraints, on or about 11/7/2024.   NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 24, 2024

Abate by

May 27, 2025

Penalty

Initial $0 · Current $0

General-duty citation text

29 CFR  1910.1030(c)(2)(i)(A): The exposure determination did not include a list of all job classifications in which all employees in those job classifications had occupational exposure:   a) Northbrook Behavioral Health: The Bloodborne Pathogen Exposure Control plan did not include an exposure determination for employees who job task exposed them to blood or other potentially infectious materials, such as, but not limited to, Mental Health Associates.  Employees  are exposed to body fluids when bitten  by patients when doing restraints, on or about 11/7/2024.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 24, 2024

Abate by

May 27, 2025

Penalty

Initial $12,676 · Current $10,500 Reduced

General-duty citation text

29 CFR  1910.1030(f)(1)(ii)(D):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) Northbrook Behavioral Health Hospital: On or about 11/7/2024 a Mental Health Associate that is exposed to blood and other potentially infectious materials during routine job tasks, such as being bitten by psychiatric patients during restraints or de-escalation, did not receive the Hepatitis B vaccination according to the U.S. Public Health Service recommendations.  The employee received the first two vaccines on 11/15/2021 and 5/11/2022 and never received the third vaccine.   NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 24, 2024

Abate by

May 27, 2025

Penalty

Initial $12,676 · Current $10,500 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:  a) Northbrook Behavioral Health: The hepatitis vaccine was not made available to an employee within 10 days of initial assignment and after the completion of training.  The employee was hired in August 2023 and consented to receiving the vaccination, but the employer did not arrange for the administration of the first dose and as of 11/7/2023 the employee has not yet received the vaccination.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.

Issued

Apr 24, 2024

Abate by

May 27, 2025

Penalty

Initial $2,534 · Current $1,500 Reduced

General-duty citation text

29 CFR 1904.4(a): The employer did not record each work-related fatality, injury or illness case that resulted in the general recording criteria on the OSHA Form 300 or equivalent.   Northbrook Behavioral Health Hospital, 425 Woodbury-Turnersville Road, Blackwood, NJ 08012: On or about 1/23/2023, the employer did not record the following work-related injuries on the OSHA 300 Log for calendar year 2023:   a) On or about 10/27/2023, a Registered Nurse Manager was scratched in the face by a patient which resulted in medical treatment beyond first aid.   b) On or about 11/1/2023, a Mental Health Associate was bitten by a patient which required medical treatment beyond first aid.  NOTE: IN ADDITION TO ABATEMENT CERTIFICATION, THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT DOCUMENTATION FOR THIS ITEM, FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY PER 29 CFR 1903.19.

Issued

Apr 24, 2024

Abate by

May 27, 2025

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 vaccination as required by 29 CFR 1910.1030(f)(2):   a) Northbrook Behavioral Health: The employer did not have any medical records or other documents for employees who did not consent to receive the vaccination due to prior receipt, that included the dates the vaccines were administered.  Employees  such as, but not limited to RNs, LPNs and MHAs are exposed to blood and other potentially infectious materials when administering sharps and  when bitten and spat on by patients when doing restraints, on or about 11/7/2024.  NOTE: THE EMPLOYER IS REQUIRED TO SUBMIT ABATEMENT CERTIFICATION FOR THIS ITEM. FAILURE TO COMPLY WILL RESULT IN AN ADDITIONAL PENALTY OF $1000.00 IN ACCORDANCE WITH 29 CFR 1903.19.