Inspection Detail

Inspection: 300834694 - Antelope Valley Care Center

Inspection Information - Office: Van Nuys District Office

Inspection Nr: 300834694

Report ID: 0950643

Date Opened: 06/23/2006

Site Address:
Antelope Valley Care Center
44567 - 15th Street West
Lancaster, CA 93536

Mailing Address:
, , 00000

Union Status: NonUnion

SIC:8059

NAICS: 623110/Nursing Care Facilities

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 10/05/2006

Emphasis:

Case Closed: 04/19/2007

Related Activity
Type	Activity Nr	Safety	Health
Accident	101113264

Violation Summary
Violations/Penalties	Serious	Willful	Repeat	Other	Unclass	Total
Initial Violations	1					1
Current Violations	1					1
Initial Penalty	$3,375	$0	$0	$0	$0	$3,375
Current Penalty	$3,375	$0	$0	$0	$0	$3,375
FTA Penalty	$0	$0	$0	$0	$0	$0

Violation Items
#	Citation ID	Citaton Type	Standard Cited	Issuance Date	Abatement Due Date	Current Penalty	Initial Penalty	FTA Penalty	Contest	Latest Event	Note
1.	01001	Serious	3212 D	10/05/2006	10/23/2006	$3,375	$3,375	$0	10/27/2006	W - Empr Withdrew

Investigation Summary

Investigation Nr: 202463550

Event: 04/07/2006

Employee Falls from Ladder and Fractures Leg

On April 7, 2007, Employee #1, a maintenance supervisor, was attempting to access the roof in order to turn off the disconnect switch for one of the air conditioning units which was producing burning odors. He went to the second floor and exited to the roof through the door. He stepped out on to the lower roof level and climbed a built in ladder up to the second level, 12 ft. He climb all the way up and was reaching for the side rails above the roof, when he lost his grip. He fell to the lower roof and was able to stop himself from falling off that roof level. He received a compound fracture of his right leg and was hospitalized.

Keywords: FRACTURE, ROOF, LADDER, SLIP, FALL, LOST BALANCE, LEG

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300834694			Hospitalized injury	Fracture	Supervisors, n.e.c.

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