SAN PEDRO, CA —
OSHA Injury Report: CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
Injury · Other recordable case
At a glance
On , an injury at CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA in SAN PEDRO, CA 90732 resulted in other recordable case. Employee was lPN LVN in general Medical and Surgical Hospitals.
Where did this happen?
- Establishment
- CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
- Parent company
- Providence Health & Services PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
- Street
- 1322 W SIXTH ST
- City
- SAN PEDRO
- State
- CA
- ZIP
- 90732
- On-site location
- IN RECREATION ROOM
What was the outcome?
- Outcome
- Other recordable case (code 4)
- Type
- Injury (code 1)
Before the incident
PACKING HER BAG
What happened
[REDACTED] was in the recreation room. She reports packing her bag at the end of her shift. She blacked out and fell to her knees. [REDACTED] says she does not remember anything else.Witnesses report that they saw [REDACTED] packing her belongings she screamed tha
Injury or illness
Fainted Bilateral Knee Stress BODILY REACTION
Object or substance involved
BODILY REACTION
Summary line
[REDACTED] was in the recreation room. She reports packing her bag at the end of her shift. She blacked out and fell to her knees. [REDACTED] says she does not remember anything else.Witnesses report that they saw [REDACTED] packing her belongings she scr
Employee and industry
- Job description
- LPN LVN
- SOC code
- 29-2061 — Licensed Practical and Licensed Vocational Nurses
- NAICS code
- 622110 — General Medical and Surgical Hospitals
- NAICS vintage
- 2022
- Avg employees
- 127
- Total hours worked
- 242707
- EIN
- 461672810
- Establishment ID
- 1191252
- Employer case #
- 86469
When (timing detail)
- Date of incident
- Shift started
- 19:00:00.000
- Time of incident
- 6:45:00.000
- Submitted
- 29FEB24:18:41:00
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.