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Inspection Detail
Inspection: 1412706.015 - Los Robles Hospital Medical Staff, Inc.
Inspection Information - Office: Van Nuys District Office
Site Address:
Los Robles Hospital Medical Staff, Inc.
215 N Janss Road
Thousand Oaks, CA 91360
Mailing Address:
215 N Janss Road, Thousand Oaks, CA 91360
Union Status: Union
SIC:
NAICS: 622110/General Medical and Surgical Hospitals
Inspection Type: Accident
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 11/01/2019
Emphasis:
Case Closed: 12/03/2019
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 1464254 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 1 | ||||
| Current Violations | 1 | 1 | ||||
| Initial Penalty | $0 | $0 | $0 | $935 | $0 | $935 |
| Current Penalty | $0 | $0 | $0 | $935 | $0 | $935 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citaton Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Other | 3273(A) | 11/04/2019 | $935 | $935 | $0 | Z - Issued |
Investigation Summary
At 5:30 a.m. on June 7, 2019, an employee was walking to place blood specimens in the counter when she slipped and fell due to water accumulated on the floor next to the sink. The employee was hospitalized to treat neck, leg, and back pain.
Keywords: Back, Blunt force trauma, Fall, Leg, Neck, Slip, Slippery Surface, Walking Surface, Water
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 1412706.015 | 41 | F | Hospitalized injury | Occupation Not Listed |