Santa Rosa, CA —
OSHA Injury Report: Ivy Park at Santa Rosa
Injury · Job transfer or restriction
At a glance
On , an injury at Ivy Park at Santa Rosa in Santa Rosa, CA 95409 resulted in job transfer or restriction. Employee was lead Server in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Ivy Park at Santa Rosa
- Parent company
- Well Ivy 6 Tenant LLC
- Street
- 4225 Wayvern Dr
- City
- Santa Rosa
- State
- CA
- ZIP
- 95409
- On-site location
- Dining
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 20
Before the incident
serving in dining room
What happened
new uniform shirt caused irritation in arm pits
Injury or illness
rash
Object or substance involved
shirt
Summary line
Rash in armpits from wearing new work shirt
Employee and industry
- Job description
- Lead Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2012
- Avg employees
- 103
- Total hours worked
- 162217
- EIN
- 871441747
- Establishment ID
- 997520
- Employer case #
- F4Q6160
When (timing detail)
- Date of incident
- Shift started
- 6:33
- Time of incident
- 12:00
- Filing year
- 2024
- Submitted
- 25FEB2025:00:16:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2024. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.