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

Case No. ADJ6939425
Regular
Oct 01, 2016

Rene Garcia vs. American Tire Distributors, Broadspire

This case concerns a worker, Rene Garcia, seeking reconsideration of a Workers' Compensation Appeals Board decision. The applicant argued that a stipulation for an Agreed Medical Examiner (AME) should bind the defendant to their recommended bi-level neck surgery. The Board denied reconsideration, affirming the judge's finding that the AME stipulation did not override the statutory requirement to resolve medical treatment disputes through the Utilization Review/Independent Medical Review process. The Board also upheld the denial of attorney fees, as no benefits were awarded under the specific 2011 stipulation.

Workers' Compensation Appeals BoardRene GarciaAmerican Tire DistributorsBroadspirePetition for ReconsiderationFindings and OrderAdministrative Law Judgeunreasonable delaypayment of compensationtemporary disability
References
Case No. ADJ9301001
Regular
Sep 29, 2016

Armando Garcia vs. Geraldine Whitney, Fred Whitney

The Workers' Compensation Appeals Board denied Armando Garcia's petition for reconsideration, upholding the WCJ's finding that he was not an employee of Geraldine Whitney at the time of his injury. The Board agreed that Garcia's belief of working for free rent did not establish an employment contract. Conflicting evidence regarding the parties' relationship supported the WCJ's reasonable determination that no express or implied employment agreement existed due to lack of consideration. Therefore, Garcia's claim for workers' compensation benefits was denied.

Workers' Compensation Appeals BoardArmando GarciaGeraldine WhitneyFred WhitneyADJ9301001Employee statusImplied contractConsiderationLabor Code section 3357Presumption of employment
References
Case No. ADJ2786471 (AHM 0131083) ADJ1723308 (AHM 0131186) ADJ1776217 (AHM 0131184)
Regular
Jul 12, 2011

RENE GARCIA vs. CITY OF ANAHEIM

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior decision regarding applicant Rene Garcia's industrial injury to his low back and knees. The Board found that the treating physician's impairment rating was not substantial evidence because it impermissibly considered the applicant's ability to compete in the open labor market, in addition to Activities of Daily Living (ADLs), deviating from *Almaraz/Guzman* guidelines. The matter was returned to the trial level for further proceedings, including a supplemental report or deposition from the physician, to clarify the *Almaraz/Guzman* analysis solely on ADLs.

Workers Compensation Appeals BoardCity of Anaheimfirefightercumulative traumapermanent disability awardapportionmentAMA GuidesAlmaraz v. Environmental Recovery ServicesMilpitas Unified School Dist. v. Workers' Comp. Appeals Bd.Whole Person Impairment
References
Case No. ADJ4209445 (GRO 0034182)
Regular
Jul 01, 2013

MARICRUZ GARCIA vs. PUEBLO PACKING, INC., BERKSHIRE HATHAWAY HOMESTATE COMPANIES

This order dismisses Maricruz Garcia's Petition for Reconsideration in Case No. ADJ4209445. The Workers' Compensation Appeals Board (WCAB) adopted the administrative law judge's report, finding the petition was untimely filed. Therefore, the WCAB dismissed the reconsideration request.

Petition for ReconsiderationDismissedUntimelyWorkers' Compensation Appeals BoardWCJ ReportAdministrative Law JudgePueblo PackingBerkshire HathawayADJ4209445GRO 0034182
References
Case No. ADJ12393038
Regular
Mar 07, 2023

CRISTIAN AVILA GARCIA (Deceased) SINTIA YANETH GARCIA (Guardia Ad Litem) vs. BAYVIEW ENVIRONMENTAL SERVICES INCORPORATED, GREAT DIVIDE INSURANCE COMPANY, BERKELEY ENTERTAINMENT

In this workers' compensation case, the applicant's average weekly wage (AWW) was determined based on his higher earnings during the four weeks prior to his death on a special project. The defendant sought reconsideration, arguing the AWW should have been based on his entire tenure, but the Appeals Board affirmed the original award. The Board held that AWW is calculated based on earnings "at the time of injury" to reflect earning capacity, not necessarily the entire earnings history. Therefore, the calculation using the prevailing wage during the Santa Monica project was upheld.

Workers' Compensation Appeals BoardCristan Avila GarciaSintia Yaneth GarciaBayview Environmental Services IncorporatedGreat Divide Insurance CompanyBerkeley EntertainmentAdjudication NumberFindings and AwardAverage Weekly WageTemporary Disability Indemnity
References
Case No. ADJ8175471
Regular
Sep 16, 2015

HARRISON GARCIA vs. ROBERTSON'S READY MIX

This order denies Harrison Garcia's Petition for Removal from a Workers' Compensation Appeals Board decision. Removal is an extraordinary remedy requiring a showing of substantial prejudice or irreparable harm, which the applicant failed to demonstrate. The Board found that reconsideration would be an adequate remedy if an adverse final decision occurs. The Board also noted that their prior ruling in *Dubon v. World Restoration* was directly applicable to this case.

Workers' Compensation Appeals BoardPetition for RemovalWCJ reportsubstantial prejudiceirreparable harmreconsiderationadequate remedyJose Dubon v. World Restorationen banc decisionADJ8175471
References
Case No. ADJ10523325 ADJ10523356 ADJ10789474 ADJ10523323
Regular

SANDRA GARCIA vs. DIMENSION DEVELOPMENT TWO, LLC, CYPRESS INSURANCE COMPANY

The Workers' Compensation Appeals Board denied Sandra Garcia's petition for reconsideration. The Board adopted and incorporated the findings of the workers' compensation administrative law judge in their decision. Therefore, the petition to reconsider the prior ruling was officially denied.

Workers' Compensation Appeals BoardPetition for ReconsiderationDenying ReconsiderationWCJ reportAdministrative Law JudgeDimension Development TwoCypress Insurance CompanyBerkshire Hathaway Homestate CompaniesADJ10523325Van Nuys District Office
References
Case No. ADJ8979988
Regular
Sep 20, 2017

MIGUEL GARCIA vs. SERVISAIR, LLC, LIBERTY MUTUAL INSURANCE COMPANY

This Workers' Compensation Appeals Board case, ADJ8979988, involved an applicant, Miguel Garcia, and defendants Servisair, LLC and Liberty Mutual Insurance Company. The defendant, Servisair, LLC, withdrew its Petition for Reconsideration, which had been filed on July 31, 2017. Consequently, the Board dismissed the petition. The Board also reminded the defendant of its obligation to serve all documents on all parties involved in the case, noting proper service had now been made regarding the withdrawal.

Petition for ReconsiderationWithdrawn PetitionDismissed PetitionWCAB RulesService of DocumentsWorkers' Compensation Appeals BoardMiguel GarciaServisair LLCLiberty Mutual Insurance CompanyADJ8979988
References
Case No. ADJ1557376 (RIV 0052354) ADJ3175359 (RIV 0053956)
Regular
Oct 20, 2008

RENEE WORLEY vs. NORCO DAISY KART FLORIST, EMPLOYERS COMPENSATION INSURANCE COMPANY

This case consolidated two workers' compensation claims for Renée Worley. The Board affirmed the original findings that she sustained no permanent disability and required no further treatment for her right hand, while awarding 14% permanent disability and further medical treatment for her bilateral upper extremities and low back for a separate injury period. The applicant's petition for reconsideration, arguing for a different disability rating schedule and additional treatment for her hand, was denied.

Workers' Compensation Appeals BoardRenee WorleyNorco Daisy Kart FloristEmployers Compensation Insurance CompanyADJ1557376RIV 0052354ADJ3175359RIV 0053956ReconsiderationFindings and Award
References
Case No. ADJ8657704
Regular
Oct 22, 2013

CLARA GARCIA vs. CITY OF LONG BEACH

The Workers' Compensation Appeals Board denied Clara Garcia's petition for reconsideration. The Board adopted the Workers' Compensation Judge's report, which found Garcia to be an independent contractor, not an employee, of the City of Long Beach. This determination was based on several factors, including Garcia's control over her curriculum, her ability to hire substitutes, and her sale of props. The Board's order upholds the original finding that Garcia is not entitled to workers' compensation benefits under an employment relationship.

Workers' Compensation Appeals BoardPetition for ReconsiderationAdministrative Law JudgeIndependent ContractorEmployee StatusBorello FactorsControl TestDance InstructorCumulative TraumaSpecific Injury
References
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