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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
Case No. ADJ383777
Regular
Apr 04, 2011

Roxanna Ortiz vs. ONE SOURCE, ESIS

The Workers' Compensation Appeals Board denied Roxanna Ortiz's petition for reconsideration of a prior findings and order. The initial ruling determined she sustained industrial injury only to her cervical spine as a janitor, not to other body parts or any resulting temporary/permanent disability or need for further medical treatment. Ortiz argued the judge erred by favoring defense medical reports and discrediting her testimony due to minor inconsistencies in her injury description. The Board adopted the WCJ's report, emphasizing deference to credibility determinations and that admissibility of medical reports should have been challenged at trial, not on reconsideration. A dissenting opinion argued the judge overemphasized minor variations in Ortiz's account and that medical evidence did not sufficiently support denial of other injuries or further treatment.

OrtizOne SourceESISWCABFindings and OrderPetition for ReconsiderationWorkers' Compensation Administrative Law Judgeindustrial injurycervical spineright arm
References
Case No. ADJ6950787
Regular
Jun 22, 2012

JOSE BARRIENTOS vs. MARK GREENBERG, ALLSTATE INSURANCE COMPANY, SEDGWICK CMS

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration. The defendant argued the administrative law judge (WCJ) abused discretion by finding the applicant credible, specifically regarding the duration of employment to exclude him from employee status under Labor Code §3352(h). The WCJ adopted the report recommending denial, emphasizing applicant's credible testimony regarding hours worked and pay, and finding the defendant's testimony less reliable due to a lack of direct knowledge. The Board extended great weight to the WCJ's credibility findings, affirming the denial of reconsideration.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJcredibility findingLabor Code §3352(h)employee definitionconflicting testimonyobservational demeanorunreliable testimonyunrebutted testimony
References
Case No. ADJ10806223
Regular
Sep 17, 2019

ISRAEL RAMOS vs. THE CRÈME SHOP, INC., EMPLOYERS PREFERRED INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the petition for reconsideration, upholding the Administrative Law Judge's (ALJ) decision. The ALJ found the applicant's testimony regarding an industrial injury in 2015 to be not credible due to significant inconsistencies. These inconsistencies were contradicted by medical reports from subsequent treatment and the applicant's own statements to physicians. Additionally, the Board affirmed that the Statute of Limitations barred the claim, as there was insufficient evidence of timely reporting or provision of medical treatment by the employer.

AOE/COEPetition for ReconsiderationWCJ credibilityunrebutted testimonyStatute of Limitationsmedical reportingcontemporaneous evidenceapplicant testimonycredibility determinationemployer awareness
References
Case No. ADJ1063483 (SBR 0342621)
Regular
Sep 07, 2016

SONG ROGERS (Deceased); RICHARD ROGERS, vs. ALLIED VAN LINES, TRANSGUARD INSURANCE COMPANY OF AMERICA

This case involves Allied Van Lines seeking reconsideration of a prior order finding their employee, Song Rogers (now deceased), sustained a work-related injury. The employer argued the finding was based solely on the inconsistent testimony of the deceased's husband regarding employment details. The Board denied the petition, adopting the judge's findings that the husband's testimony was credible despite apparent inconsistencies. The Board emphasized the judge's opportunity to assess witness demeanor as critical to the credibility determination.

Workers' Compensation Appeals BoardAllied Van LinesTransguard Insurance Company of AmericaSong RogersRichard RogersFindings and OrderDarren Bergey M.D.employee statuscredibility determinationdeposition testimony
References
Case No. ADJ8009793
Regular
Nov 07, 2013

FELICIANO BARRANDA, FAUSTINO BASABES vs. MIKE ETCHANDY FARIAS, INC.; STAR INSURANCE COMPANY, Administered by MEADOWBROOK INSURANCE GROUP

In this workers' compensation case, the Workers' Compensation Appeals Board (WCAB) denied the defendants' petition for reconsideration of a prior decision. The WCAB affirmed the finding that the applicants sustained injuries arising out of and in the course of employment, specifically applying the "required vehicle" exception to the going and coming rule. This exception was found applicable because the employer benefited incidentally from the use of applicant's private vehicle for transporting workers and tools between fields on the same day. The WCAB gave great weight to the Administrative Law Judge's credibility findings, particularly the testimony of applicant Feliciano Barranda.

Workers' Compensation Appeals BoardAOE-COEGoing and Coming RuleRequired Vehicle ExceptionJoint Petition for ReconsiderationCredibility FindingSubstantial EvidenceSole Witness TestimonyEmployer Witness TestimonyApplicant Testimony
References
Case No. ADJ9120742
Regular
May 11, 2016

CHRIS KING vs. SAN JOSE JOB CORPS, INSURANCE COMPANY STATE OF PA, BROADSPIRE

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration of an award to the applicant, Chris King. The defendant argued the applicant's testimony was not credible due to discrepancies in medical records and reporting delays. However, the Board gave great weight to the Administrative Law Judge's credibility determination, which was supported by independent witness testimony corroborating the claimed injury during an MMA class. The Board found no substantial evidence to reject the judge's findings, affirming the original award.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJcredibility determinationTrainee Employee Assistance Program SpecialistMixed Martial ArtsMMAneck injuryright shoulder injurydysphagia
References
Case No. ADJ8186548
Regular
Jan 10, 2014

JOSE GONZALEZ TORRES vs. GREAT WALL SEAFOOD CORPORATION, TRANSPORTATION INSURANCE COMPANY, CNA CLAIMS PLUS

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration, upholding the findings of the Workers' Compensation Judge. The applicant's claim was denied based on inconsistent testimony and a lack of credible evidence establishing an employment relationship. Defense witnesses, including the company's general manager and secretary, credibly testified that the applicant was not an employee on the date of the alleged injury. The Board gave great weight to the judge's credibility findings, which were supported by substantial evidence.

Petition for ReconsiderationWorkers' Compensation Appeals BoardWCJ reportcredibility findingGarza v. Workmen's Comp. Appeals Bd.employee statusloader/unloaderinconsistent testimonydeposition testimonywitness testimony
References
Case No. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ8442050
Regular
Dec 18, 2014

RAMON SANTIAGO vs. GRIFFITH COMPANY, OLD REPUBLIC INSURANCE GROUP

The applicant sought reconsideration of a decision finding no industrial injury to his spine. The Workers' Compensation Appeals Board affirmed the original decision. The Board deferred to the administrative law judge's credibility findings, which found the applicant's testimony unreliable and non-credible. Conversely, the defense witnesses' testimony was deemed reliable and consistent, supporting the denial of the claim.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings of Fact and OrderWCJindustrial injurylumbar spinethoracic spinecompensable presumptionnotice requirementscredibility determination
References
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