Fountain Valley, CA ·
OSHA Injury Report: Carmel Village
Injury · Days away from work
At a glance
On , an injury at Carmel Village in 17077 San Mateo Street, Fountain Valley, CA 92708 resulted in days away from work. Employee was housekeeper in assisted-living facilities with on-site nursing facilities.
Where did this happen?
- Establishment
- Carmel Village
- Street
- 17077 San Mateo Street
- City
- Fountain Valley
- State
- CA
- ZIP
- 92708
- On-site location
- Residents room Bldg 1 1st floor
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 29
- Days restricted or transferred
- 175
Before the incident
Employee was vacuuming residents ' room and tripped over the vacuum.
What happened
employee tripped backwards while vacuuming and landed on lower back.
Injury or illness
strained lower back injured head elbows back and legs.
Object or substance involved
carpeted residents room
Summary line
employee tripped backwards while vacuuming & landed on lower back.
Employee and industry
- Job description
- Housekeeper
- SOC code
- 37-2012: Maids and Housekeeping Cleaners
- NAICS code
- 623311: Assisted-living facilities with on-site nursing facilities
- NAICS vintage
- 2022
- Employees at this establishment (2023 average)
- 100
- Hours worked at this establishment (2023 total)
- 165,126
- EIN
- 352620254
- Establishment ID
- 1169132
- Employer case #
- 2
When (timing detail)
- Date of incident
- Time of incident
- Not known — the employer filed this case without a time of day.
- Filing year
- 2023
- Submitted to OSHA
- 2024-02-26
More injuries at Carmel Village
View Carmel Village's full OSHA safety record →
More injuries in this industry (NAICS 623311)
More injuries in CA
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.
Look up any company's OSHA accident reports by company, or browse severe injury reports by year, state, and company.