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Inspection Detail

Inspection: 314753864 - Country Villa Huntington Drive Healthcare Center

Inspection Information - Office: High Hazard Unit - South

 

Inspection Nr: 314753864
Report ID: 0950662
Date Opened: 11/05/2010

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


Related Activity
Type Activity Nr Safety Health
Accident 101694552
Violation Summary
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

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 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

Investigation Nr: 201693686
Event: 11/01/2010
Employee Is Injured in Trip and Fall at Health Care Facility

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

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 314753864 Hospitalized injury Fracture Licensed practical nurses
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