Fountain Valley, CA —
OSHA Injury Report: Carmel Village
Injury · Other recordable case
At a glance
On , an injury at Carmel Village in Fountain Valley, CA 92708 resulted in other recordable case. Employee was caregiver 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
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
EE was transferring resident from wheelchair to the bed
What happened
EE was assisting a resident of unknown weight to take a shower and had transferred him multiple times when lifting transferring the resident from the wheelchair to the bed he injured his lower back causing continued pain.
Injury or illness
He injured his lower back causing continued pain after transferring resident.
Object or substance involved
N A
Summary line
EE was lifting transferring resident from the wheelchair to the bed he injured his lower back causing continued pain
Employee and industry
- Job description
- Caregiver
- SOC code
- 31-1122 — Personal Care Aides
- 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 #
- 3
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Submitted
- 26FEB24:17:35:00
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.