Fountain Valley, CA —
OSHA Injury Report: Carmel Village
Injury · Days away from work
At a glance
On , an injury at Carmel Village in 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
- Avg employees
- 100
- Total hours worked
- 165126
- EIN
- 352620254
- Establishment ID
- 1169132
- Employer case #
- 2
When (timing detail)
- Date of incident
- Shift started
- 8:30:00.000
- Submitted
- 26FEB24:17:31:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.