Costa Mesa, CA —
OSHA Injury Report: Vivante Westside LLC
Injury · Job transfer or restriction
At a glance
On , an injury at Vivante Westside LLC in Costa Mesa, CA 92627 resulted in job transfer or restriction. Employee was server in senior citizens' homes without nursing care.
Where did this happen?
- Establishment
- Vivante Westside LLC
- Parent company
- Vivante on the Coast
- Street
- 1640 Monrovia Ave
- City
- Costa Mesa
- State
- CA
- ZIP
- 92627
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 7
Before the incident
Refilling ice bin by using the ice bucket
What happened
While lifting the ice bucket to dump in the ice bin worker strained left shoulder
Injury or illness
cervical spine and left shoulder sprain
Object or substance involved
Ice Bucket
Summary line
Sprain to cervical spine and left shoulder due to lifting ice bucket
Employee and industry
- Job description
- Server
- SOC code
- 35-3041 — Food Servers, Nonrestaurant
- NAICS code
- 623312 — Senior citizens' homes without nursing care
- NAICS vintage
- 2022
- Avg employees
- 181
- Total hours worked
- 285499
- EIN
- 273414124
- Establishment ID
- 1290121
- Employer case #
- 7
When (timing detail)
- Date of incident
- Shift started
- 6:45
- Time of incident
- 6:50
- Filing year
- 2025
- Submitted
- 27JAN26:23:59:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2025. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.