Montclair, CA —
OSHA Injury Report: Montclair Manor Care Center
Injury · Days away from work
At a glance
On , an injury at Montclair Manor Care Center in Montclair, CA 91763 resulted in days away from work. Employee was certified Nursing Assistant in nursing homes.
Where did this happen?
- Establishment
- Montclair Manor Care Center
- Street
- 5119 Bandera St.
- City
- Montclair
- State
- CA
- ZIP
- 91763
- On-site location
- 5119 BANDERA ST MONTCLAIR CA 91763
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 14
Before the incident
The employee reports that he was assigned to a resident who was in quarantine for COVID-19. He became ill the [REDACTED].
What happened
Sore throat swelling to throat body aches stuffy nose and fever. The employee reports he has the ability to taste and smell.
Injury or illness
Covid
Object or substance involved
The Covid Virus.
Summary line
The employee reports that he was assigned to a resident who was in quarantine for COVID-19. He became ill the [REDACTED].
Employee and industry
- Job description
- Certified Nursing Assistant
- SOC code
- 31-1131 — Nursing Assistants
- NAICS code
- 623110 — Nursing homes
- NAICS vintage
- 2022
- Avg employees
- 72
- Total hours worked
- 1099998
- EIN
- 954873161
- Establishment ID
- 307742
- Employer case #
- 23W61K8509
When (timing detail)
- Date of incident
- Shift started
- 2:00:00.000
- Time of incident
- 15:00:00.000
- Submitted
- 01MAR24:04:40:00
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.