Inspection Detail

Inspection: 305476731 - Country Villa South Bay Llc Dba Cv Belmont Heights

Inspection Information - Office: Long Beach District Office

Inspection Nr: 305476731

Report ID: 0950635

Date Opened: 08/05/2004

Site Address:
Country Villa South Bay Llc Dba Cv Belmont Heights
1730 Grand Avenue
Long Beach, CA 90804

Mailing Address:
5120 W Goldleaf Circle Ste 400, Los Angeles, CA 90056

Union Status: NonUnion

SIC:8051

NAICS: 623110/Nursing Care Facilities

Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Safety

Close Conference: 09/10/2004

Emphasis:

Case Closed: 09/10/2004

Related Activity
Type	Activity Nr	Safety	Health
Accident	362437758

Investigation Summary

Investigation Nr: 201036092

Event: 07/23/2002

Employee Injures Back While Lifting Patient

At approximately 3:17 p.m., Employee #1, a certified nursing aide (CNA), had back surgery due to an accident that occurred at approximately 5:00 a.m. on July 23, 2002. Employee #1 was in the process of changing a patient's diaper, and as she pulled the patient toward her, she felt something snap in her back. Employee #1 dislocated the L4 and L5 discs in her back. Employee #1 had been working for the company for 10 months as a CNA. Employee #1 worked in the home health care business performing similar duties for 3years prior to this accident. Changing adult diapers was part of her normal practice. Employee #1 was hospitalized and treated for her injuries.

Keywords: HEALTH CARE WORKER, BACK, DISLOCATED

Investigated Inspection
#	Inspection	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	305476731			Hospitalized injury	Other	Licensed practical nurses

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