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Inspection Detail
Inspection: 314759192 - 12072 Trask Inc Dba Pacific Haven Healthcare Cntr
Inspection Information - Office: High Hazard Unit - South
Site Address:
12072 Trask Inc Dba Pacific Haven Healthcare Cntr
12072 Trask Ave
Garden Grove, CA 92843
Mailing Address:
, , 00000
Union Status: NonUnion
SIC:8051
NAICS: 623311/Continuing Care Retirement Communities
Inspection Type: Accident
Scope: Complete
Advanced Notice: N
Ownership: Private
Safety/Health: Safety
Close Conference: 05/01/2012
Planning Guide: Safety-Manufacturing
Emphasis: S:Targeted Compl & Consult
Case Closed: 12/10/2012
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Accident | 101695310 |
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 1 | 3 | 4 | |||
| Current Violations | 3 | 3 | ||||
| Initial Penalty | $3,375 | $0 | $0 | $680 | $0 | $4,055 |
| Current Penalty | $0 | $0 | $0 | $610 | $0 | $610 |
| 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 | 14300032 B06 | 05/01/2012 | 05/31/2012 | $310 | $310 | $0 | - | ||
| 2. | 01002 | Other | 3203 A04 | 05/01/2012 | 05/31/2012 | $0 | $185 | $0 | 05/21/2012 | F - Formal Settlement | Citation has been deleted. |
| 3. | 01003 | Other | 3328 D | 05/01/2012 | 05/31/2012 | $0 | $185 | $0 | 05/21/2012 | F - Formal Settlement | |
| 4. | 02001 | Other | 4184 B | 05/01/2012 | 05/08/2012 | $300 | $3,375 | $0 | 05/21/2012 | F - Formal Settlement |
Investigation Summary
At approximately 3:00 p.m. on March 25, 2012. Employee #1 was cleaning up water on the floor when she slipped, grabbing a heavy, self-closing door. The door started to close on her left middle finger and smashed her fingertip. She was treated and released from Kaiser's Garden Grove clinic. Employee #1 is employed by Pacific Haven Healthcare Center, a nursing home for the elderly.
Keywords: FINGER, SLIP, CAUGHT BY, CRUSHED, FALL, SLIPPERY SURFACE, DOOR
| # | Inspection | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 314759192 | Non Hospitalized injury | Cut/Laceration | Occupation Not Listed |