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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. ADJ8026817
Regular
Apr 22, 2013

MARIA OCHOA vs. RANGERS DIE CASTING COMPANY, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding the applicant sustained injury to her respiratory system and psyche AOE/COE. The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr. Lipper and Dr. Curtis lacked substantiality. Specifically, the physicians failed to provide clear diagnoses, quantify exposures, or adequately explain causation. The Board noted contradictory testimony from the applicant's supervisor and insufficient evidence to support the initial findings.

Workers' Compensation Appeals BoardMaria OchoaRangers Die Casting CompanyCOMPWEST INSURANCE COMPANYADJ8026817Los Angeles District OfficeOpinion and Order Granting ReconsiderationDecision After ReconsiderationFindings of FactWorkers' Compensation Administrative Law Judge (WCJ)
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. 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. 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. 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. ADJ9240835
Regular
May 24, 2016

MARIA ESCOBEDO vs. D&C CARE CENTER, INC.; dba SUNRISE CONVALESCENT HOSPITAL, ZURICH NORTH AMERICA INSURANCE, PATRIOT RISK SERVICES

This case involves an applicant seeking workers' compensation for a cumulative trauma injury. The Workers' Compensation Appeals Board (WCAB) denied the applicant's petition for reconsideration, upholding the Administrative Law Judge's (ALJ) decision. The ALJ found the applicant's testimony regarding the injury and its reporting to be not credible due to inconsistencies and lack of corroboration. Consequently, the WCAB found insufficient evidence to support a finding of injury arising out of and occurring in the course of employment. The WCAB gave great weight to the ALJ's credibility determination based on observing the witness's demeanor.

Petition for ReconsiderationWCJ ReportCredibility DeterminationGarza v. Workmen's Comp. Appeals Bd.Injury AOE/COECumulative TraumaPost-Termination FilingLabor Code §3600(a)(10)Unrebutted TestimonyUncorroborated Testimony
References
Case No. LAO 823855, LAO 823856
Regular
Oct 03, 2007

PEDRO M. RODRIGUEZ vs. RALPHS GROCERY COMPANY

The applicant sought reconsideration of a denial of workers' compensation benefits, which was based on the finding that his claims were filed after notice of termination. The Board affirmed the denial, concluding that the applicant's job abandonment led to a termination prior to the filing of his claims. The Board also determined that the employer properly denied both the specific and cumulative trauma claims, thus negating a presumption of compensability.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderFindings of FactAdministrative Law JudgeApplicantDefendantRalphs Grocery CompanySecurity GuardIndustrial Injury
References
Case No. ADJ10443669
Regular
Oct 04, 2017

Donna Carter vs. Rose International Group, OneBeacon Insurance Group

The Appeals Board affirmed the Workers' Compensation Judge's finding that Donna Carter sustained an industrial injury to her right knee and left wrist on May 18, 2016. Despite inconsistencies in the applicant's testimony regarding a slip and fall incident, her account was corroborated by a witness who found her on the floor. Medical records from the day of the incident also supported the applicant's claim, establishing a clear mechanism of injury. The Board found that the common sense nature of a slip and fall does not require expert medical opinion to establish industrial causation for the incident itself.

ADJ10443669Rose International GroupOneBeacon Insurance GroupDonna CarterWorkers' Compensation Appeals BoardOpinion and Decision After Reconsiderationslip and fallindustrial injuryright kneeleft wrist
References
Case No. RIV 81540
Regular
Apr 25, 2008

LEONARD KOLAR vs. TMI PRODUCTS, INC., TRUCK INSURANCE EXCHANGE

The Appeals Board granted removal because the Workers' Compensation Judge (WCJ) erroneously excluded an employer's designated representative, who was also a witness, from the applicant's testimony. This exclusion prejudiced the defendant. The Board struck the applicant's testimony and returned the case for further proceedings, but declined to disqualify the WCJ.

Petition for RemovalEmployer RepresentativeWitness ExclusionEvidence Code Section 777Applicant TestimonyIndustrial InjuryLeft Shoulder InjuryLeft Upper ExtremityEmployer DenialPriority Conference
References
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