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Case Law Database

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

Case No. MISSING
Regular Panel Decision

People v. Sanad

The People moved to reargue the court's September 5, 2014 decision that granted the defendant's motion for a Huntley hearing. The defendant, a police officer, was questioned by an Assistant District Attorney (ADA) regarding a prior arrest report, recanting an earlier statement where she claimed to have witnessed an assault. The People argued the defendant was not in custody or interrogated, thus not entitled to a Huntley hearing. The defendant countered that her statement was compelled, potentially under threat of job forfeiture, making it involuntary. The court granted the reargument motion but ultimately adhered to its prior decision, citing People v Weaver which mandates a Huntley hearing whenever a defendant claims a statement was involuntary. The court will determine the voluntariness of the statement by reviewing the totality of the circumstances at the hearing.

Criminal LawMotion PracticeReargumentHuntley HearingVoluntary StatementPolice OfficerSelf-IncriminationMiranda RightsGarrity RightsPublic Employment
References
27
Case No. ADJ2765298 (RIV 0026091)
Regular
Aug 13, 2010

PETE SORIA vs. FLEETWOOD ALUMINUM PRODUCTS, INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION For RELIANCE INSURANCE, In Liquidation

The WCAB granted reconsideration and rescinded a WCJ's order awarding costs to lien claimants. The WCJ's original order lacked a proper evidentiary hearing, a summary of evidence, and an opinion explaining the grounds for the decision, violating due process and Board rules. The Board found the WCJ's subsequent attempt to rescind the order was untimely. The case is returned to the trial level for further proceedings, including an evidentiary hearing and a properly documented decision.

ADJ2765298RIV 0026091ReconsiderationLien ConferenceWCJ OrderStipulated AwardPermanent Total DisabilityRemovalRescinding OrderEvidentiary Hearing
References
1
Case No. ADJ10145832, ADJ6745686
Regular
Jul 12, 2019

SARALEE GILPIN vs. PORTERVILLE UNIFIED SCHOOL DISTRICT, KEENAN & ASSOCIATES, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior arbitrator's decision. The WCAB rescinded the April 22, 2019 decision and returned the case to the arbitrator for further proceedings. The arbitrator must now issue a new decision with comprehensive findings of fact on all relevant issues, including the underlying industrial injury, employment, insurance coverage, and apportionment of liability. The arbitrator is also required to provide an opinion explaining the basis for the decision and the Minutes of Hearing and Summary of Evidence.

Workers' Compensation Appeals BoardPorterville Unified School DistrictKeenan & AssociatesState Compensation Insurance FundPetition for ReconsiderationArbitrator's ReportIndustrial InjuryPeriods of EmploymentInsurance CoverageApportionment of Liability
References
0
Case No. ADJ3533858 (LBO 0309427) ADJ2616945 (LBO 0309428)
Regular
May 19, 2010

RONALD DE FELICE vs. AB FREIGHT SYSTEMS, ALTERNATIVE SERVICE CONCEPTS

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior award due to significant procedural deficiencies. The original decision failed to adequately memorialize submitted issues, stipulated facts, and the evidence relied upon, violating Labor Code §5313 and case law. Specifically, the Minutes of Hearing and the Opinion on Decision lacked clarity regarding stipulated injuries and the basis for disability findings. The case is remanded to the trial level for proper proceedings and a new decision.

Workers' Compensation Appeals BoardReconsiderationJoint Findings and AwardSpecific InjuryContinuous Trauma InjuryPsyche Permanent DisabilityTemporary Total DisabilityPermanent and StationaryLabor Code Section 5313Minutes of Hearing
References
2
Case No. ADJ10749554
Regular
Nov 06, 2018

APRIL SIMMONS COOK vs. DESERT OASIS HEALTHCARE, GALLAGHER BASSETT SERVICES, INC.

This case involves a dispute over whether defendant's communication with a Qualified Medical Evaluator (QME) violated Labor Code section 4062.3. The Workers' Compensation Appeals Board (WCAB) granted reconsideration and removal, rescinding the original Findings and Award. The WCAB will return the matter to the trial level for further proceedings and a new decision by the WCJ. This action is taken to align the decision with the recent en banc opinion in *Suon v. California Dairies* regarding violations of section 4062.3.

Workers' Compensation Appeals BoardPetition for RemovalEx Parte CommunicationLabor Code Section 4062.3Qualified Medical EvaluatorAttorney's FeesFindings and AwardEn Banc DecisionSuon v. California DairiesRescinded
References
1
Case No. ADJ7730252
Regular
Jan 08, 2016

MARIA OLVERA vs. LOS ANGELES UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured

This case concerns sanctions and costs imposed against Peter T. Brown & Associates, Peter T. Brown, Esq., and hearing representative Shapoor Ashorzadeh. The Court of Appeal annulled the Appeals Board's previous decision and remanded the case for further proceedings. Specifically, the matter is returned to the trial level for an evidentiary hearing on sanctions and costs, allowing the petitioners their right to be heard. The WCJ will then issue a new decision after this hearing.

Workers' Compensation Appeals BoardSanctions and CostsRemandCumulative Trauma ClaimSpecific InjuryDue ProcessEvidentiary HearingLabor Code section 5813Non-attorney Representative SupervisionPetition for Writ of Review
References
0
Case No. ADJ3844537 (ANA 0379640)
Regular
Apr 21, 2016

RAUL MERCADO CHAVEZ vs. PC INDUSTRIES, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board rescinded the WCJ's decision and returned the case for further proceedings. The Board found the WCJ's decision was procedurally flawed for failing to resolve all issues and substantively deficient because the finding of 100% permanent disability was not supported by substantial evidence. Specifically, the vocational expert's opinion was found unreliable as it did not adequately consider the AMEs' medical restrictions. The Board ordered updated medical opinions and further development of the record before a new decision is rendered.

Workers' Compensation Appeals BoardReconsiderationPermanent DisabilityVocational RehabilitationSubstantial EvidenceBifurcated DecisionDue ProcessLabor CodeMedical OpinionsApportionment
References
8
Case No. ADJ1124701 (OAK 0304697)
Regular
Jan 25, 2010

GENE THOMAS vs. SLEEP TRAIN MATTRESS CENTER, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) rescinded a prior decision favoring the applicant's spinal surgery, finding that proper procedural steps were not followed. The employer's utilization review (UR) had denied the surgery, but neither party followed the required second-opinion process under Labor Code section 4062(b). The WCAB returned the case to the trial level, allowing the employer ten days from receipt of the decision to object to the surgery and initiate the second-opinion process. This decision aligns with the WCAB's en banc ruling in *Cervantes*, which clarified the procedures for handling spinal surgery disputes after UR denials.

Workers' Compensation Appeals BoardUtilization ReviewLabor Code section 4062(b)Spinal SurgerySecond OpinionCervantes v. El Aguila Food ProductsACOEM GuidelinesExperimental TreatmentEn Banc DecisionAdministrative Director Rules
References
4
Case No. ADJ8916696, ADJ8912549
Regular
Oct 21, 2014

GUSTAVO CHAIREZ MURILLO vs. SMART & FINAL STORES, SEDGWICK

The Appeals Board granted the applicant's Petition for Removal, rescinding an order compelling a medical evaluation by an orthopedic QME. The applicant argued he was denied a hearing and the PWCJ failed to provide an opinion on decision. While the underlying dispute appears to involve a disagreement over QME specialty selection, the Board found the procedural record unclear. Consequently, the case is returned to the trial level for further proceedings, including potentially an evidentiary hearing, without addressing the merits of the underlying issues.

Petition for RemovalOrder Compelling Medical ExaminationQualified Medical Evaluator (QME)Presiding Workers' Compensation Administrative Law Judge (PWCJ)Labor Code Section 5313Medical Director disputechiropracticorthopedicevidentiary hearingDecision After Removal
References
0
Case No. ADJ1122368 (SJO 0223390)
Regular
Mar 24, 2015

MINH LY vs. LORAL SPACE SYSTEMS, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for RELIANCE NATIONAL INDEMNITY COMPANY, in liquidation

The Appeals Board granted removal and rescinded the WCJ's order taking the case off calendar, holding that the applicant is entitled to an expedited hearing regarding the denial of Lyrica prescription refills. The WCJ erred by prematurely determining that utilization review (UR) was timely and jurisdictionally barred further proceedings, without allowing evidence and a hearing. The Board emphasized that the applicant has a right to an expedited hearing to contest UR decisions, challenge their applicability, or present evidence of changed circumstances. The case was returned to the trial level for an expedited hearing and a new decision based on the record.

Utilization ReviewIndependent Medical ReviewPetition for RemovalExpedited HearingOrder Taking Case Off CalendarPrescription MedicationLyricaDue ProcessLabor Code Section 5310Dubon II
References
10
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