SAN PEDRO, CA —
OSHA Injury Report: CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
Injury · Days away from work
At a glance
On , an injury at CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA in SAN PEDRO, CA 90732 resulted in days away from work. Employee was certified Nursi 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
- PATIENTS ROOM 216A
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 53
- Days restricted or transferred
- 3
Before the incident
TAKEN CARE OFF THE PT
What happened
the patient in 216a kick me on the right side off my head when i was assisting the sitter rendering care I was applying wrist restraint back on to the pt after changing his diaper pt suddenly kicked me on my right side of my head.
Injury or illness
Strained Right Head Struck by individual Patient
Object or substance involved
Patient
Summary line
the patient in 216a kick me on the right side off my head when i was assisting the sitter rendering care I was applying wrist restraint back on to the pt after changing his diaper pt suddenly kicked me on my right side of my head.
Employee and industry
- Job description
- Certified Nursi
- SOC code
- 29-1141 — Registered 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 #
- 86404
When (timing detail)
- Date of incident
- Shift started
- 19:00:00.000
- Time of incident
- 5:30:00.000
- 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.