Jackson, CA —
OSHA Injury Report: Amador Residential Care Facility
Injury · Job transfer or restriction
At a glance
On , an injury at Amador Residential Care Facility in Jackson, CA 95642 resulted in job transfer or restriction. Employee was cAREGIVER in assisted-living facilities without on-site nursing care facilities.
Where did this happen?
- Establishment
- Amador Residential Care Facility
- Parent company
- Amador Residential Care Facility
- Street
- 155 Placer Drive
- City
- Jackson
- State
- CA
- ZIP
- 95642
- On-site location
- UNKNOWN . EMPLOYEE SUSPECTS RESIDENT ROOM
What was the outcome?
- Outcome
- Job transfer or restriction (code 3)
- Type
- Injury (code 1)
- Days restricted or transferred
- 158
Before the incident
UNKNOWN
What happened
THE EMPLOYEE STARTED EXPERIENCING PAIN IN BACK AND SUSPECTS SHE INJURED HERSELF DURING ASSISTING A RESIDENT BUT DID NOT HAVE SPECIFIC DETAILS OF WHEN OR WITH WHO.
Injury or illness
BACK INJURY LUMBAR STRAIN
Object or substance involved
UNKNOWN. SUSPECTED RESIDENT
Summary line
BACK INJURY. EMPLOYEE SUSPECTS INJURED ASSISTING LIFTING A RESIDENT
Employee and industry
- Job description
- CAREGIVER
- SOC code
- 31-1122 — Personal Care Aides
- NAICS code
- 623312 — Assisted-living facilities without on-site nursing care facilities
- NAICS vintage
- 2022
- Avg employees
- 27
- Total hours worked
- 61573
- Establishment ID
- 1042134
- Employer case #
- 4
When (timing detail)
- Date of incident
- Shift started
- 22:00:00.000
- Submitted
- 12MAR24:18:56:00
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.