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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. 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. 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. ADJ7039301
Regular
Mar 16, 2011

ROBLY HART vs. LA JOLLA PACIFIC/DRR NEFF & ASSOCIATES, OAKS RIVER INSURANCE/BERKSHIRE HATHAWAY HOMESTATE COMPANIES

This case concerns Robly Hart's workers' compensation claim for an injury sustained in a motorcycle accident. The applicant was a construction consultant who used his motorcycle for work, traveling between home, job sites, and interviews. The primary dispute centers on whether the accident occurred during the course and scope of his employment, with conflicting evidence regarding his activities and timeline leading up to the incident. The Workers' Compensation Appeals Board denied reconsideration, adopting the judge's report that found the applicant's testimony lacked credibility due to inconsistent statements and timeline discrepancies.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJGarza v. Workers' Comp. Appeals Bd.Findings and OrderCourse of EmploymentConstruction ConsultantBuilding InspectorMotorcycle TravelJob Sites
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. ADJ3533537 (VNO 0556925)
Regular
Apr 14, 2016

Richard Varela vs. Morley Group, National Union Fire Insurance Company of Pittsburgh, Pennsylvania

The Workers' Compensation Appeals Board affirmed an award of $2,737.50 for an expert witness's trial testimony, clarifying that such expenses are permissible costs under Labor Code section 5811. The Board held that the expert's testimony regarding the necessity of home health care services was relevant to the lien claimants' burden of proof, even though the primary injury claim was ultimately unsuccessful. This decision distinguishes between medical-legal expenses and trial witness costs, allowing for the latter when reasonably incurred for essential elements of a lien claim. The Board found the expert's testimony necessary for the lien claimants to establish all elements of their case.

Workers' Compensation Appeals BoardSupplemental Findings of Fact and OrderLabor Code section 5811lien claimantshome health care servicesexpert testimonytrial testimonyreasonableness and necessityinjury AOE/COEmedical-legal expenses
References
Case No. ADJ8541832
Regular
Oct 20, 2016

JOE JOHN VENTURA vs. THE HOME DEPOT, INC.

The Workers' Compensation Appeals Board denied Joe John Ventura's petition for reconsideration in this case against The Home Depot, Inc. The Board adopted and incorporated the reasoning of the workers' compensation administrative law judge. Therefore, the petition was denied, and the previous decision stands.

Ventura v. Home DepotHelmsman Management ServicesPetition for ReconsiderationDeniedWorkers' Compensation Appeals BoardWCJ ReportAdoptedIncorporatedADJ8541832Stockton District Office
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. ADJ7726177
Regular
Feb 08, 2019

DEMETRIUS CERRILLO vs. THE HOME DEPOT

The applicant sought reconsideration of a compromise and release agreement settling his workers' compensation claim for $15,000. He alleged he was pressured by an Information and Assistance officer and the WCJ to settle, and that the settlement terms were not adequately explained. The Appeals Board dismissed the petition as premature because the applicant failed to verify the petition and did not provide sworn testimony to support his allegations of duress or manipulation. The matter was remanded to the trial level for a hearing on the applicant's contentions to establish an evidentiary record.

Workers' Compensation Appeals BoardDemetrius CerrilloThe Home DepotLiberty Mutual Insurance CompanyHelmsman Management ServicesADJ7726177Petition for ReconsiderationCompromise & ReleaseInformation and Assistance (I&A) officerWCJ
References
Case No. ADJ7622993
Regular
Mar 23, 2012

William Wong vs. The Home Depot, Liberty Mutual Insurance Co., Helmsman Management Services

The Workers' Compensation Appeals Board denied William Wong's petition for reconsideration. The Board adopted the Workers' Compensation Judge's (WCJ) report which found Wong's testimony lacked credibility due to inconsistencies regarding his legal and substance abuse history. While the WCJ acknowledged a potential psychotic break, it was deemed not industrially caused, thus rebutting the presumption of compensability.

WORKERS' COMPENSATION APPEALS BOARDPetition for ReconsiderationWCJGarza v. Workers' Comp. Appeals Bd.ADJ7622993THE HOME DEPOTLIBERTY MUTUAL INSURANCE CO.HELMSMAN MANAGEMENT SERVICESLabor Code Section 5402presumption of compensability
References
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