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

Case No. ADJ13900666
Regular
Aug 01, 2025

German Renteria Pina vs. Miguel Diaz dba Brother Landscape, Da Vinci Schools

German Renteria Pina, the applicant, sustained a specific injury while employed by Miguel Diaz dba Brother Landscape, an uninsured entity. Da Vinci Schools, a permissibly self-insured entity, was also named as a defendant. The Uninsured Employers Benefits Trust Fund (UEBTF) petitioned for reconsideration of a WCJ's finding that Pina was an employee of Diaz and not Da Vinci, arguing errors in employment burden of proof and insufficient evidence. The Workers' Compensation Appeals Board granted the petition, rescinded the prior Findings of Fact and Order, and returned the matter to the trial level for further proceedings. This decision was made because the record was deemed incomplete to adequately determine Diaz's independent contractor status or the applicability of licensing requirements.

Workers' Compensation Appeals BoardUninsured Employers Benefits Trust FundMiguel Diaz dba Brother LandscapeDa Vinci SchoolsAdjudication NumberPetition for ReconsiderationFindings of Fact and OrderWCJBurden of ProofUltimate Hirer
References
Case No. ADJ8791212, ADJ9504979
Regular
Apr 19, 2016

HECTOR MELGAR vs. SEQUOIA UNION HIGH SCHOOL DISTRICT, PROTECTED INSURANCE PROGRAM FOR SCHOOLS

This case involves a Petition for Reconsideration filed by Hector Melgar against Sequoia Union High School District. The Workers' Compensation Appeals Board issued an order dismissing this petition. The dismissal is due to the petitioner's withdrawal of the reconsideration request. Therefore, the Board has formally closed the matter regarding this specific petition.

Petition for Reconsideration withdrawnDismissed petitionWorkers' Compensation Appeals BoardSequoia Union High School DistrictProtected Insurance Program for SchoolsADJ8791212ADJ9504979San Francisco District OfficeMarguerite SweeneyFrank M. Brass
References
Case No. ADJ1407862 ADJ8053285
Regular
Jan 29, 2014

RAYMOND SCHAUER vs. WINDSOR UNIFIED SCHOOL DISTRICT, REDWOOD EMPIRE SCHOOL INSURANCE GROUP

In this workers' compensation case, venue is transferred from the Santa Rosa to the San Francisco District Office. This change is necessary because the assigned judge must recuse himself and the alternative judge has been disqualified. The San Francisco Presiding Judge will assign a new judge and schedule a lien conference. This order facilitates the continued proceedings for Applicant Raymond Schauer against Windsor Unified School District.

Venue changeRecusalJudge challengeAppeals Board Rule 10453Santa Rosa District OfficeSan Francisco District OfficePresiding JudgeLien conferencePermissibly Self-InsuredWindsor Unified School District
References
Case No. ADJ4318563 (SAL 0103841)
Regular
Nov 03, 2010

SANDRA PETERSON vs. SANTA CRUZ CITY SCHOOLS; Permissibly Self-Insured, Administered By EMPLOYERS SLEF INSURANCE SERVICES

This case involves an applicant who sustained industrial injuries as a teacher and later earned a significantly higher salary at a different school district. The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration. The Board affirmed the administrative law judge's decision to base temporary disability indemnity on the applicant's higher post-injury earnings. This was justified because her subsequent earnings provided concrete evidence of her earning capacity.

Workers' Compensation Appeals BoardIndustrial InjuryTemporary Total Disability IndemnityTDI Rate CalculationPost-Injury EarningsEarning CapacityWCJ FindingsPetition for ReconsiderationSanta Cruz City SchoolsCampbell School District
References
Case No. ADJ2496250
Regular
Dec 15, 2008

PATRICIA A. ORTIZ vs. SALINAS UNION HIGH SCHOOL DISTRICT, MONTEREY COUNTY SCHOOLS, WCJPA, administrator

This case involves a workers' compensation applicant who sustained a low back injury in 1999, initially awarded 15% permanent disability. After reopening her case, an award of 23% permanent disability was issued, but the board clarified that gastric bypass surgery was not considered reasonably necessary treatment for the industrial injury. Both applicant and defendant sought reconsideration, but the Appeals Board ultimately affirmed the WCJ's findings and awards.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardPermanent DisabilityIndustrial InjuryLow Back InjurySubstitute Health TechnicianPetition to ReopenGastric Bypass SurgerySelf-Procured Medical Treatment
References
Case No. ADJ1139787 (SRO 0139011) ADJ1497360 (SRO 0140505)
Regular
Apr 26, 2013

DANETTE ELLSWORTH vs. SANTA ROSA CITY SCHOOLS, REDWOOD EMPIRE SCHOOLS INSURANCE GROUP

In this case, the Workers' Compensation Appeals Board (WCAB) denied the applicant's Petition for Reconsideration. The Board adopted and incorporated the reasoning of the workers' compensation administrative law judge (WCJ). Crucially, the WCAB gave "great weight" to the WCJ's credibility findings, a standard established in *Garza v. Workers' Comp. Appeals Bd.* The Board also considered supplemental pleadings before issuing its final denial.

Workers' Compensation Appeals BoardPetition for ReconsiderationWorkers' Compensation Administrative Law JudgeWCJGarza v. Workers' Comp. Appeals Bd.Cal. Code Regs.tit. 8§ 10848Order Denying Reconsiderationcredibility finding
References
Case No. ADJ916313 (SFO 0511481)
Regular
Dec 07, 2009

ENA PARELLA vs. SAN RAMON UNIFIED SCHOOL DISTRICT, Administered By CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP

The WCAB granted reconsideration, amending the decision to find that the applicant sustained a cumulative injury to her low back while working as a school bus driver, rather than a specific injury on February 14, 2007.

Cumulative injurySpecific injuryAOE/COEPetition for reconsiderationLow back injurySchool bus driverTemporary disabilityWitness credibilityMedical recordsDeposition transcript
References
Case No. ADJ429247 (ANA 0407707)
Regular
Nov 14, 2008

DIANE FLEMING vs. SANTA ANA UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board granted reconsideration to review a trial transcript concerning a teacher's industrial injury claim. The defendant school district disputes the finding that the applicant sustained an injury while transporting school work home, arguing it does not qualify as an exception to the going and coming rule. The Board needs the transcript to accurately assess the facts and testimony before issuing a just decision.

Workers' Compensation Appeals Boardindustrial injuryteacherbreak-inhome as second worksitegoing and coming rule exceptiontransporting school workwhite-collar exceptionreconsiderationadministrative law judge
References
Case No. ADJ7115274
Regular
Apr 20, 2011

JOYCE MORRIS vs. TWIN RIVERS UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured, Administered By SCHOOLS INSURANCE AUTHORITY

Defendant Twin Rivers Unified School District sought reconsideration of a finding that applicant Joyce Morris sustained an industrial back injury. The defendant argued a lack of substantial medical evidence supported the original finding. However, a Compromise and Release agreement was submitted, prompting the Appeals Board to grant reconsideration. The Board rescinded the initial findings and returned the case to the WCJ to consider the adequacy of the C&R agreement.

Workers' Compensation Appeals BoardTwin Rivers Unified School DistrictPlayground SupervisorIndustrial InjuryBack InjuryPetition for ReconsiderationFindings of FactCompromise and ReleaseWCJMedical Evidence
References
Case No. ADJ3262016
Regular
Sep 18, 2015

BETTY DYKEMAN vs. WALNUT VALLEY UNIFIED SCHOOL DISTRICT, VALLEY INSURANCE PROGRAM

This case involves Betty Dykeman's workers' compensation claim against Walnut Valley Unified School District for a 1992 back injury. The School District sought reimbursement from a lien claimant, Monrovia Memorial Hospital, for an alleged overpayment of medical services provided in 2009. The Workers' Compensation Appeals Board denied reconsideration, adopting the WCJ's report. The WCJ denied the reimbursement claim due to insufficient and conflicting evidence regarding the value of the medical services and the amount of the alleged overpayment.

Petition for ReconsiderationWorkers' Compensation Appeals BoardWalnut Valley Unified School DistrictYork Risk Services GroupLien ClaimantMonrovia Memorial HospitalPetition for ReimbursementStipulated AwardMedical TreatmentSurgery
References
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