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Inspection Detail
Inspection: 1480015.015 - 101571 - Sholom Community Alliance Llc
Inspection Information - Office: Minnesota Department Of Labor And Industry
Site Address:
101571 - Sholom Community Alliance Llc
3610 Phillips Parkway
Minneapolis, MN 55426
Mailing Address:
3610 Phillips Parkway, Minneapolis, MN 55426
Union Status: NonUnion
SIC:
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Fat/Cat
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 10/16/2020
Emphasis:
Case Closed: 02/26/2021
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1600211 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 2 | 3 | |||
| Current Violations | 1 | 1 | 2 | |||
| Initial Penalty | $25,000 | $0 | $0 | $7,000 | $0 | $32,000 |
| Current Penalty | $25,000 | $0 | $0 | $2,100 | $0 | $27,100 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19100134 A02 | 10/22/2020 | 11/15/2020 | $25,000 | $25,000 | $0 | 10/28/2020 | F - Formal Settlement | |
| 2. | 02001 | Other | 19040039 A01 | 10/22/2020 | 10/26/2020 | $2,100 | $3,500 | $0 | 10/28/2020 | F - Formal Settlement | |
| 3. | 02002 | Other | 19040039 A02 | 10/22/2020 | 10/26/2020 | $0 | $3,500 | $0 | 10/28/2020 | F - Formal Settlement | Citation has been deleted. |
Investigation Summary
At approximately 12:00 a.m. on May 18, 2020, an employee reporting illness, did not report to work that day. That same week, a patient in the Memory Care Unit, where the employee worked full-time, had been hospitalized and diagnosed with COVID-19, and later died from COVID-19 complications. The employee was hospitalized on April 26, 2020, with COVID-19 symptoms. On May 18, 2020, the employee died from COVID-19 complications.
Keywords: Infectious Disease
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1480015.015 | 62 | M | Fatality | Occupation not reported |