San Diego, CA ·
OSHA Injury Report: CCW La Jolla, LLC
Injury · Job transfer or restriction
At a glance
On , an injury at CCW La Jolla, LLC in 8515 Costa Verde Boulevard, San Diego, CA 92122 resulted in job transfer or restriction. Employee was server in continuing care retirement communities.
Where did this happen?
- Establishment
- CCW La Jolla, LLC
- Parent company
- Vi at La Jolla Village
- Street
- 8515 Costa Verde Boulevard
- City
- San Diego
- State
- CA
- ZIP
- 92122
- On-site location
- Kitchen
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 42
Before the incident
Employee was in the dining room
What happened
EE was in the dinning room states during lunch EE was taking food to a party of 4 or 5 people and as EE lifted the tray with the food EE felt a pinch in the right shoulder EE continued to work but the pain continued during his normal routine the pain got progressively worse. Supervisor is aware. Right hand dominant
Injury or illness
right shoulder strain
Object or substance involved
lifting a try
Summary line
employee was carrying a tray and as he lifted it higher to set it up on the jack stand he felt something pinch and pop in his right shoulder
Employee and industry
- Job description
- server
- SOC code
- 9999: Uncoded
- NAICS code
- 623311: Continuing care retirement communities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 341
- Hours worked at this establishment (2023 total)
- 493,758
- Establishment ID
- 1098938
- Employer case #
- 23
When (timing detail)
- Date of incident
- Shift started
- 06:00
- Time of incident
- 12:30
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-15
More injuries at CCW La Jolla, LLC
View CCW La Jolla, LLC's full OSHA safety record →
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Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year 2023. ITA Case Detail records are establishment-reported submissions, not OSHA inspections, so no per-record IMIS deep link exists.
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