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Inspection Detail
Inspection: 314753864 - Country Villa Huntington Drive Healthcare Center
Inspection Information - Office: High Hazard Unit - South
Site Address:
Country Villa Huntington Drive Healthcare Center
400 W Huntington Dr
Arcadia, CA 91007
Mailing Address:
, , 00000
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: 12/29/2010
Planning Guide: Safety-Manufacturing
Emphasis: L:Regionp1, S:Targeted Compl & Consult
Case Closed: 02/16/2011
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101694552 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 1 | 3 | 4 | |||
| Initial Penalty | $3,375 | $0 | $0 | $745 | $0 | $4,120 |
| Current Penalty | $3,375 | $0 | $0 | $745 | $0 | $4,120 |
| 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 | 23400016 B | 12/29/2010 | 01/28/2011 | $280 | $280 | $0 | - | ||
| 2. | 01002 | Other | 3273 A | 12/29/2010 | 01/28/2011 | $280 | $280 | $0 | - | ||
| 3. | 01003 | Other | 6151 C01 | 12/29/2010 | 01/28/2011 | $185 | $185 | $0 | - | ||
| 4. | 02001 | Serious | 4559 A | 12/29/2010 | 01/05/2011 | $3,375 | $3,375 | $0 | - |
Investigation Summary
At approximately 7:30 p.m. on November 1, 2010, Employee #1, with Country Villa Huntington Drive Healthcare Center, was transporting a resident to the bed in Room 34. A telephone line had been left dangling from the wall near the bed just above floor level. Employee #1 tripped on the phone line and fell. She was hospitalized for neck and right hip fractures.
Keywords: FRACTURE, HEALTH CARE WORKER, HEALTH CARE FACILITY, TRIPPED, FALL, NECK, VERTEBRA, HIP
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314753864 | Hospitalized injury | Fracture | Licensed practical nurses |