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
- Unknown
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
N A
What happened
N A
Injury or illness
IW is a caregiver-- she has filed a CT for period 10-1-22 to 8--11-23 for back neckbilateral shoulders chestinternal organs.
Object or substance involved
N A
Summary line
caregiver has filed a CT for period [REDACTED] to [REDACTED] for back neckbilateral shoulders chestinternal organs.
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 #
- 4
When (timing detail)
- Date of incident
- Submitted
- 26FEB24:17:40:00
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.