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

Case No. ADJ7269472
Regular
Mar 20, 2012

SHARON EWEGBEMI vs. OAKLAND UNIFIED SCHOOL DISTRICT

The Appeals Board granted reconsideration of a WCJ's finding that the applicant did not sustain an injury in the course of employment. The applicant argued exceptions to the going-and-coming rule, including special mission, dual purpose, special risk, and required vehicle exceptions. Reconsideration was granted because crucial hearing minutes and summary of evidence were missing from the record, and the original WCJ was unavailable. This prevents the Board from issuing a just decision and necessitates further review.

Workers' Compensation Appeals BoardGoing and Coming Rule ExceptionSpecial Mission ExceptionSpecial Risk ExceptionRequired Vehicle ExceptionCourse of EmploymentSidewalk InjuryConstructive PremisesPetition for ReconsiderationFindings and Order
References
Case No. GOL 96757
Regular
Jun 10, 2008

SA YANG LO vs. CUSTOM SENSORS & TECHNOLOGIES, INC., STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied reconsideration of a prior award, upholding the application of the 2005 Permanent Disability Rating Schedule. The Board found that exceptions allowing for the 1997 Schedule did not apply, as the applicant's temporary disability indemnity extended beyond January 1, 2005, and no qualifying pre-2005 reports indicated permanent disability. Furthermore, the Board found the applicant's vocational expert's opinion regarding diminished future earning capacity unpersuasive, thus affirming the initial 9% permanent disability rating.

Workers' Compensation Appeals BoardSA Yang LoCustom Sensors & TechnologiesInc.State Compensation Insurance FundGOL 96757Opinion and Order Denying ReconsiderationFindings and AwardWorkers' Compensation Administrative Law JudgeWCJ
References
Case No. ADJ473373 (ANA 0406381)
Regular
Feb 10, 2012

FERNANDO GUTIERREZ vs. SOCAL FRAMING aka BMHC; ACE AMERICAN INSURANCE, administered by ESIS, INC.

This case concerns applicant's claim for extended temporary disability (TD) benefits beyond 104 weeks due to a left eye injury. The Appeals Board affirmed the WCJ's denial of the "amputation" exception, ruling that the surgical removal of an eye does not fit the statutory definition. However, the Board remanded the case for further development of the record on the "high-velocity eye injury" exception, as the velocity and force of the object that struck the applicant's eye were unclear. The applicant's Petition for Removal was dismissed as reconsideration was the appropriate remedy.

Workers' Compensation Appeals BoardFernando GutierrezSoCal FramingBMHCACE American InsuranceESISInc.ADJ473373ANA 0406381Opinion and Decision
References
Case No. ADJ10204439
Regular
Sep 02, 2016

JEFF SMITH vs. COUNTY OF RIVERSIDE

The Workers' Compensation Appeals Board denied the County of Riverside's petition for reconsideration. The Board found that Deputy Sheriff Jeff Smith's injury, sustained en route to mandatory employer-ordered training, fell under the "special mission" exception to the "going and coming rule." The training's deviation in location, time, and nature from Smith's regular duties satisfied the three-part test for a special mission. Therefore, Smith's injury was deemed to have arisen out of and occurred in the course of employment.

going and coming rulespecial mission exceptionspecial errand exceptionDeputy Sherifftraffic investigation classBen Clark Training Centermotor vehicle accidentcourse of employmentroutine dutiesemployer's benefit
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. ADJ10324875
Regular
Sep 19, 2016

YU QIN ZHU vs. DEPARTMENT OF SOCIAL SERVICES IHSS, YORK RISK SERVICES GROUP, INC.

The Workers' Compensation Appeals Board granted reconsideration and rescinded the WCJ's decision. The Board found that the applicant, a caregiver for IHSS, did not sustain an injury arising out of and occurring in the course of employment when she was hit by a car while cycling between clients. The Board determined that her commute between clients did not fall under an exception to the "going and coming" rule as she chose her clients, work hours, and method of transportation for her own convenience. Therefore, the Board substituted its own finding that the injury was not compensable.

Workers' Compensation Appeals BoardIHSSYork Risk Services GroupInc.ADJ10324875Petition for ReconsiderationOpinion and OrderFindings of FactWorkers' Compensation Judge (WCJ)Labor Code Section 3351.5
References
Case No. ADJ7304028
Regular
Jan 16, 2013

ROBERT DECOURCEY, JR. vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) rescinded its prior finding of injury for Robert Decourcey, Jr. This decision follows a Court of Appeal ruling that a shift swap did not constitute a "special mission" exception to the going and coming rule. Therefore, Decourcey's injury sustained during his commute after the shift exchange was not deemed industrial. The applicant is awarded nothing for his claim except for potential reimbursement of medical-legal costs.

Workers' Compensation Appeals BoardOpinion and Decision After Remittiturgoing and coming rulespecial mission exceptionspecial risk exceptionshift swapcorrectional officerindustrial injuryCourt of AppealPetition for Review
References
Case No. ADJ10147686
Regular
Jun 12, 2017

TOBY LAPESARDE vs. CALIFORNIA DEPARTMENT OF CORECTIONS AND REHABILITATION, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration of a prior decision finding the applicant's injury compensable. The Board rescinded the original findings and returned the case for further proceedings to determine if the "special risk" exception to the going-and-coming rule applies. The WCJ initially found the injury compensable under the "special mission" exception, but the Board noted credibility issues regarding the applicant's assertion of mandatory overtime. The applicant sustained injuries in a motor vehicle accident while commuting home after working a double shift.

Workers' Compensation Appeals BoardIndustrial InjuryLicensed Vocational NursePetition for ReconsiderationFindings of FactGoing and Coming RuleSpecial Mission ExceptionSpecial Risk ExceptionMandatory OvertimeCollective Bargaining Agreement
References
Case No. ADJ6490654
Regular
Nov 23, 2009

KI B. CHOI vs. UNION LEE CONSTRUCTION, INC., STATE COMPENSATION INSURANCE FUND

The WCAB denied applicant's petition for reconsideration of the September 10, 2009 Findings and Order, affirming the WCJ's decision that the applicant did not sustain an industrial injury. The applicant's injury occurred during his commute home, and the court found that the special mission/errand exception and other arguments did not apply.

Going and coming rulespecial mission exceptionspecial risk exceptioncommercial traveler ruleLabor Code section 5402presumption of compensabilitycourse of employmentindustrial injurypetition for reconsiderationWCJ report and recommendation
References
Case No. ADJ7136047
Regular
Aug 24, 2012

TARA GELLMAN vs. GOLDMAN, MAGDALIN, & KRIKES, LLP, FEDERAL INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration of a prior decision. The applicant, an attorney, sought compensation for an injury sustained during her commute, arguing it fell under the "special mission" exception to the "going and coming" rule. The Board found that the applicant failed to prove her activities were extraordinary or undertaken for the employer's benefit, as she routinely worked from home and carried files. Therefore, the injury was deemed to have occurred during a non-compensable commute.

AOE/COEgoing and coming rulespecial mission exceptiondual purpose exceptionpetition for reconsiderationadministrative law judgeWCJinjurycompensablecommute
References
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