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SAN PEDRO, CA —

OSHA Injury Report: CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA

Injury · Other recordable case

At a glance

On , an injury at CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA in 1322 W SIXTH ST, SAN PEDRO, CA 90732 resulted in other recordable case. Employee was lPN LVN in general Medical and Surgical Hospitals.

Where did this happen?

Establishment
CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
Parent company
Providence Health & Services PROVIDENCE LITTLE CO OF MARY SUBACUTE CA
Street
1322 W SIXTH ST
City
SAN PEDRO
State
CA
ZIP
90732
On-site location
IN RECREATION ROOM

What was the outcome?

Outcome
Other recordable case (code 4)
Type
Injury (code 1)

Before the incident

PACKING HER BAG

What happened

[REDACTED] was in the recreation room. She reports packing her bag at the end of her shift. She blacked out and fell to her knees. [REDACTED] says she does not remember anything else.Witnesses report that they saw [REDACTED] packing her belongings she screamed tha

Injury or illness

Fainted Bilateral Knee Stress BODILY REACTION

Object or substance involved

BODILY REACTION

Summary line

[REDACTED] was in the recreation room. She reports packing her bag at the end of her shift. She blacked out and fell to her knees. [REDACTED] says she does not remember anything else.Witnesses report that they saw [REDACTED] packing her belongings she scr

Employee and industry

Job description
LPN LVN
SOC code
29-2061 — Licensed Practical and Licensed Vocational Nurses
NAICS code
622110 — General Medical and Surgical Hospitals
NAICS vintage
2022
Avg employees
127
Total hours worked
242707
EIN
461672810
Establishment ID
1191252
Employer case #
86469

When (timing detail)

Date of incident
Shift started
19:00:00.000
Time of incident
6:45:00.000
Submitted
29FEB24:18:41:00

More injuries at CA128 PROVIDENCE LITTLE CO OF MARY SUBACUTE CA

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Source

Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.