| Inspection Type |
Complaint
|
| Scope |
Complete
|
| Safety/Health |
Health
|
| Close Conference |
2017-06-22
|
| Case Closed |
2018-11-07
|
Related Activity
| Type |
Complaint |
| Activity Nr |
1221576 |
| Health |
Yes |
|
Violation Items
| Citation ID |
01001A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 C01 I |
| Issuance Date |
2017-09-19 |
| Current Penalty |
6250.0 |
| Initial Penalty |
8873.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
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) Facility, On or about 06/08/17, a written Exposure Control Plan designed to eliminate or minimize employee exposure to blood and or OPIM (other potentially infectious materials) was not established by the employer for employees exposed to blood and or OPIM while working as a Licensed Practical Nurses, Medication Technicians, and Resident Care Aides. NO ABATEMENT CERTIFICATION REQUIRED |
|
| Citation ID |
01001B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 C01 II A |
| Issuance Date |
2017-09-19 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(c)(1)(ii)(A): The employer's Exposure Control Plan did not include the exposure determination required by 29 CFR 1910.1030(c)(2): a) Facility, On or about 06/08/2017, the employer's written Exposure Control Plan did not include the exposure determination for employees with Occupational Exposure to blood and OPIM including LPN's and Medical Technicians and Resident Care Aides, as required by 29 CFR 1910.1030(c)(2). NO ABATEMENT CERTIFICATION REQUIRED |
|
| Citation ID |
01002A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 D02 I |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-10-20 |
| Current Penalty |
6250.0 |
| Initial Penalty |
8873.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(d)(2)(i): Engineering and work practice controls were not used to eliminate or minimize employees exposure: a) Facility - On or about 05/27/2017, LPNs recapped contaminated, non-engineered insulin syringes following insulin administration. Engineering and work practice controls were not used to eliminate or minimize employees exposure. b) Facility - On or about 05/27/2017, LPN's were handed contaminated, uncapped non-engineered insulin syringes following insulin administration. Engineering and work practice controls were not used to eliminate or minimize employees exposure. ABATEMENT DOCUMENTATION REQUIRED |
|
| Citation ID |
01002B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 D02 VII B |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-10-20 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(d)(2)(vii)(B): Bending, recapping, or needle removal was not accomplished through the use of a mechanical device or a one-handed technique: a) Facility, On or about 06/08/17, a written Exposure Control Plan designed to eliminate or minimize employee exposure to blood and or OPIM (other potentially infectious materials) was not established by the employer for employees exposed to blood and or OPIM while working as a Licensed Practical Nurses, Medication Technicians, and Resident Care Aides. NO ABATEMENT CERTIFICATION REQUIRED |
|
| Citation ID |
01003A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 F01 I |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2018-01-19 |
| Current Penalty |
6250.0 |
| Initial Penalty |
8873.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
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) Facility, On or about 06/08/17, the employer did not make available the hepatitis B vaccine and vaccination series to all employees who have occupational exposure including LPN's, Medical Technicians, and Resident Care Aides. ABATEMENT CERTIFICATION REQUIRED |
|
| Citation ID |
01003B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 F02 I |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2018-01-19 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
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) Facility, On or about 06/08/17, 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 including LPN's, Medical Technicians, and Resident Care Aides. ABATEMENT DOCUMENTATION REQUIRED |
|
| Citation ID |
01004 |
| Citaton Type |
Serious |
| Standard Cited |
19101030 F03 I |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-10-20 |
| Current Penalty |
0.0 |
| Initial Penalty |
8873.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
40 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(f)(3)(i): The post-exposure evaluation and follow-up of an exposure incident did not include documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred: a) Facility, On or about 05/27/17, an employee was involved in a needlestick incident. The post-exposure evaluation and follow-up of the exposure incident did not include documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred. ABATEMENT DOCUMENTATION REQUIRED |
|
| Citation ID |
01005A |
| Citaton Type |
Serious |
| Standard Cited |
19101030 G02 I |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-10-20 |
| Current Penalty |
6250.0 |
| Initial Penalty |
8873.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(g)(2)(i): The employer did not ensure that each employee with occupational exposure participated in a training program: a) Facility, On or about 06/08/17, the employer did not ensure that each employee including Licensed Practical Nurses, Medication Technicians, and Resident Care Aides with occupational exposure participated in a training program. ABATEMENT DOCUMENTATION REQUIRED |
|
| Citation ID |
01005B |
| Citaton Type |
Serious |
| Standard Cited |
19101030 G02 II |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-10-20 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(g)(2)(ii): The employer did not ensure that training provided to employees with occupational exposure met the requirements of 29 CFR 1910.1030(g)(2)(ii)(A) through (g)(2)(ii)(B): a) Facility, On or about 06/08/17, the employer did not ensure that training provided to employees with occupational exposure including Licensed Practical Nurses, Medication Technicians, and Resident Care Aides met the requirements of 29 CFR 1910.1030(g)(2)(ii)(A) through (g)(2)(ii)(B). ABATEMENT DOCUMENTATION REQUIRED |
|
| Citation ID |
01005C |
| Citaton Type |
Serious |
| Standard Cited |
19101030 G02 VII |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-10-20 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
35 |
| Gravity |
10 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(g)(2)(vii): The employer's training program did not contain the minimum elements required by 29 CFR 1910.1030(g)(2)(vii)(A) through (g)(2)(vii)(N): a) Facility - On or about 06/08/2017, the employer's training program for LPNs and RSAs did not contain the minimum elements which included but not limited to: A-An accessible copy of the regulatory text of this standard and an explanation of its contents; B-A general explanation of the epidemiology and symptoms of bloodborne diseases; C-An explanation of the modes of transmission of bloodborne pathogens; D-An explanation of the employer's exposure control plan and the means by which the employee can obtain a copy of the written plan; E-An explanation of the appropriate methods for recognizing tasks and other activities that may involve exposure to blood and other potentially infectious materials; F-An explanation of the use and limitations of methods that will prevent or reduce exposure including appropriate engineering controls, work practices, and personal protective equipment; G-Information on the types, proper use, location, removal, handling, decontamination and disposal of personal protective equipment; H-An explanation of the basis for selection of personal protective equipment; I-Information on the hepatitis B vaccine, including information on its efficacy, safety, method of administration, the benefits of being vaccinated, and that the vaccine and vaccination will be offered free of charge; J-Information on the appropriate actions to take and persons to contact in an emergency involving blood or other potentially infectious materials; K-An explanation of the procedure to follow if an exposure incident occurs, including the method of reporting the incident and the medical follow-up that will be made available; L-Information on the post-exposure evaluation and follow-up that the employer is required to provide for the employee following an exposure incident; M-An explanation of the signs and labels and/or color coding required by paragraph (g)(1); and N-An opportunity for interactive questions and answers with the person conducting the training session. a) Facility, On or about 06/08/17, the employer's training program did not contain the minimum elements required by 29 CFR 1910.1030(g)(2)(vii)(A) through (g)(2)(vii)(N). ABATEMENT DOCUMENTATION REQUIRED |
|
| Citation ID |
01006A |
| Citaton Type |
Serious |
| Standard Cited |
19101200 H01 |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-09-25 |
| Current Penalty |
0.0 |
| Initial Penalty |
3802.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
2 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1200(h)(1): Employees were not provided effective information and training on hazardous chemicals in their work area at the time of their initial assignment and whenever a new hazard that the employees had not been previously trained about was introduced into their work area: a) 749 Maiden Park, Rochester, NY - On or about 06/22/2017, employees working with Damp Mop which included alcohol ethoxylate, isopropanol and Fast & Easy which included propylene glycol n-propyl ether. The employer had not provided Hazard Communication training to the exposed employees at the time of their initial assignment and whenever new hazards were introduced into the workplace. ABATEMENT CERTIFICATION REQUIRED |
|
| Citation ID |
01006B |
| Citaton Type |
Serious |
| Standard Cited |
19101200 E01 |
| Issuance Date |
2017-09-19 |
| Abatement Due Date |
2017-09-25 |
| Current Penalty |
0.0 |
| Initial Penalty |
0.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
2 |
| Gravity |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1200(e)(1): The employer did not develop, implement, and/or maintain at the workplace a written hazard communication program which describes how the criteria specified in 29 CFR 1910.1200(f), (g), and (h) will be met: a) 749 Maiden Park, Rochester, NY - On or about 06/22/2017, employees working with Damp Mop which included alcohol ethoxylate and isopropanol; and Fast & Easy which included propylene glycol n-propyl ether. The employer does not have a written and implemented Hazard Communication program for hazardous chemicals that the employees use. ABATEMENT CERTIFICATION REQUIRED |
|
| Citation ID |
02001 |
| Citaton Type |
Other |
| Standard Cited |
19101030 H05 I |
| Issuance Date |
2017-09-19 |
| Current Penalty |
0.0 |
| Initial Penalty |
711.0 |
| Final Order |
2017-10-10 |
| Nr Instances |
1 |
| Nr Exposed |
1 |
| FTA Current Penalty |
0.0 |
| Citation text line |
29 CFR 1910.1030(h)(5)(i): The employer did not establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps: a) Facility - On or about and ongoing 05/07/2017, an exposure incident involving a needlestick was not recorded on a sharps log. NO ABATEMENT CERTIFICATION REQUIRED |
|
|
