| Name: | SPRING VALLEY REST HOME LLC |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC LIMITED LIABILITY COMPANY |
| Status: | Inactive |
| Date of registration: | 11 Oct 2018 (7 years ago) |
| Date of dissolution: | 13 Aug 2024 |
| Entity Number: | 5424472 |
| ZIP code: | 11561 |
| County: | Nassau |
| Place of Formation: | New York |
| Address: | 157 LONG BEACH BLVD, LONG BEACH, NY, United States, 11561 |
| Name | Role | Address |
|---|---|---|
| MYRNA A. DAOS | DOS Process Agent | 157 LONG BEACH BLVD, LONG BEACH, NY, United States, 11561 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2018-10-11 | 2024-08-14 | Address | 157 LONG BEACH BLVD, LONG BEACH, NY, 11561, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 240814000329 | 2024-08-13 | CERTIFICATE OF DISSOLUTION-CANCELLATION | 2024-08-13 |
| 221003001198 | 2022-10-03 | BIENNIAL STATEMENT | 2022-10-01 |
| 201007060337 | 2020-10-07 | BIENNIAL STATEMENT | 2020-10-01 |
| 190426000670 | 2019-04-26 | CERTIFICATE OF PUBLICATION | 2019-04-26 |
| 190103000332 | 2019-01-03 | CERTIFICATE OF AMENDMENT | 2019-01-03 |
| 181011010489 | 2018-10-11 | ARTICLES OF ORGANIZATION | 2018-10-11 |
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| 344779038 | 0216000 | 2020-06-09 | 184 SOUTH PASCACK RD, NANUET, NY, 10954 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Accident |
| Activity Nr | 1602518 |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19100134 C01 |
| Issuance Date | 2020-10-05 |
| Current Penalty | 3000.0 |
| Initial Penalty | 4048.0 |
| Final Order | 2020-10-23 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(c)(1): A written respiratory protection program that included the provisions in 29 CFR 1910.134(c)(1)(i) - (ix) with worksite specific procedures was not established and implemented for required respirator use: a) Spring Valley Rest Home LLC at 184 South Pascack Rd. Nanuet, NY 10954: The employer did not establish and implement a written respiratory protection program for employees such as but not limited to Housekeepers, Laundry Aides, and an Assistant in charge of medications who were required to wear 3M N95 respirators when working with residents suspected or confirmed to be infected with SARS-CoV-2 coronavirus. The violation occurred on or about 04/05/2020. This instance also refers to OSHA inspection #s 1477917 and 1477908 opened on 6/9/2020. NOTE: BECAUSE ABATEMENT OF THIS VIOLATION IS ALREADY DOCUMENTED IN THE INSPECTION CASE FILE, THE EMPLOYER NEED NOT SUBMIT CERTIFICATION OF ABATEMENT FOR THIS VIOLATION AS NORMALLY REQUIRED BY 29 CFR 1903.19. |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19100134 E01 |
| Issuance Date | 2020-10-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-10-23 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(e)(1): The employer did not provide a medical evaluation to determine the employee's ability to use a respirator, before the employee is fit tested or required to use the respirator in the workplace: a) Spring Valley Rest Home LLC at 184 South Pascack Rd. Nanuet, NY 10954: The employer did not provide medical evaluations for employees such as but not limited to Housekeepers, Laundry Aides, and an Assistant in charge of medications who were required to wear 3M N95 respirators when working with residents suspected or confirmed to be infected with SARS-CoV-2 coronavirus. The violation occurred on or about 04/05/2020. This instance also refers to OSHA inspection #s 1477917 and 1477908 opened on 6/9/2020. NOTE: BECAUSE ABATEMENT OF THIS VIOLATION IS ALREADY DOCUMENTED IN THE INSPECTION CASE FILE, THE EMPLOYER NEED NOT SUBMIT CERTIFICATION OF ABATEMENT FOR THIS VIOLATION AS NORMALLY REQUIRED BY 29 CFR 1903.19. |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19100134 F02 |
| Issuance Date | 2020-10-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-10-23 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(f)(2): Employee(s) using tight-fitting facepiece respirators were not fit tested prior to initial use of the respirator and at least annually thereafter. a) Spring Valley Rest Home LLC at 184 South Pascack Rd. Nanuet, NY 10954: The employer did not fit test employees such as but not limited to Housekeepers, Laundry Aides, and an Assistant in charge of medications who were required to wear 3M N95 respirators when working with residents suspected or confirmed to be infected with SARS-CoV-2 coronavirus. The violation occurred on or about 04/05/2020. This instance also refers to OSHA inspection #s 1477917 and 1477908 opened on 6/9/2020. NOTE: BECAUSE ABATEMENT OF THIS VIOLATION IS ALREADY DOCUMENTED IN THE INSPECTION CASE FILE, THE EMPLOYER NEED NOT SUBMIT CERTIFICATION OF ABATEMENT FOR THIS VIOLATION AS NORMALLY REQUIRED BY 29 CFR 1903.19. |
| Citation ID | 01001D |
| Citaton Type | Serious |
| Standard Cited | 19100134 K01 |
| Issuance Date | 2020-10-05 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2020-10-23 |
| Nr Instances | 1 |
| Nr Exposed | 1 |
| Gravity | 10 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.134(k)(1): The employer did not provide effective training that covered the required elements in 1910.134(k)(1)(i) through 1910.134(k)(1)(vii): a) Spring Valley Rest Home LLC at 184 South Pascack Rd. Nanuet, NY 10954: The employer did not provide respirator training for employees such as but not limited to Housekeepers, Laundry Aides, and an Assistant in charge of medications who were required to wear 3M N95 respirators when working with residents suspected or confirmed to be infected with SARS-CoV-2 coronavirus. The violation occurred on or about 04/05/2020. This instance also refers to OSHA inspection #s 1477917 and 1477908 opened on 6/9/2020. NOTE: BECAUSE ABATEMENT OF THIS VIOLATION IS ALREADY DOCUMENTED IN THE INSPECTION CASE FILE, THE EMPLOYER NEED NOT SUBMIT CERTIFICATION OF ABATEMENT FOR THIS VIOLATION AS NORMALLY REQUIRED BY 29 CFR 1903.19. |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19040039 A01 |
| Issuance Date | 2020-10-05 |
| Current Penalty | 1000.0 |
| Initial Penalty | 2892.0 |
| Final Order | 2020-10-23 |
| Nr Instances | 2 |
| Nr Exposed | 2 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.39(a)(1): The employer did not report within 8-hours the death of an employee resulting from a work-related incident: Spring Valley Rest Home LLC at 184 South Pascack Rd. Nanuet, NY 10954: a) On or about 4/6/20 the employer learned of the 4/6/20 work-related death of an employee (Laundry Aide) due to COVID-19 illness but then failed to report this death to OSHA until 06/06/2020. The violation occurred on or about 4/6/2020. This instance refers to OSHA inspection #1477917 opened on 6/9/2020. b) On or about 4/16/20 the employer learned of the 4/16/20 work-related death of an employee (Assistant in charge of medications) due to COVID-19 illness but then failed to report this death to OSHA until 06/06/2020. The violation occurred on or about 4/16/2020. This instance refers to OSHA inspection #1477908 opened on 6/9/2020. NOTE: BECAUSE ABATEMENT OF THIS VIOLATION IS ALREADY DOCUMENTED IN THE INSPECTION CASE FILE, THE EMPLOYER NEED NOT SUBMIT CERTIFICATION OF ABATEMENT FOR THIS VIOLATION AS NORMALLY REQUIRED BY 29 CFR 1903.19. |
| Inspection Type | Fat/Cat |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2020-06-09 |
| Case Closed | 2022-04-22 |
Related Activity
| Type | Accident |
| Activity Nr | 1602537 |
| Inspection Type | Fat/Cat |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2020-06-09 |
| Case Closed | 2022-04-22 |
Related Activity
| Type | Accident |
| Activity Nr | 1602560 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4504777309 | 2020-04-29 | 0202 | PPP | 184 South Pascack Road, Nanuet, NY, 10954 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 23 Mar 2025
Sources: New York Secretary of State
