San Rafael, CA —
OSHA Injury Report: Smith Ranch Homes Homeowners' Association
Other illness · Days away from work
At a glance
On , an other illness at Smith Ranch Homes Homeowners' Association in San Rafael, CA 94903 resulted in days away from work. Employee was busser in continuing care retirement communities.
Where did this happen?
- Establishment
- Smith Ranch Homes Homeowners' Association
- Street
- 500 Deer Valley Road
- City
- San Rafael
- State
- CA
- ZIP
- 94903
- On-site location
- Dining Room
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Other illness (code 6)
- Days away from work
- 5
Before the incident
The [REDACTED] was performing his regular duties.
What happened
The [REDACTED] was in contact with customers who had COVID-19.
Injury or illness
COVID-19
Object or substance involved
Close contact with customers who had COVID-19.
Summary line
Positive COVID-19 test after contact at work
Employee and industry
- Job description
- Busser
- SOC code
- 9999 — Uncoded
- NAICS code
- 623311 — Continuing care retirement communities
- NAICS vintage
- 2022
- Avg employees
- 80
- Total hours worked
- 156051
- EIN
- 680220972
- Establishment ID
- 405848
- Employer case #
- 1
When (timing detail)
- Date of incident
- Shift started
- 14:00:00.000
- Submitted
- 29FEB24:17:24:00
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.