WCPanelIQ
PanelGranted

Sosa, Biannka

BIANNKA SOSA, Applicant vs. REACH RESOURCE FOR EDUCATION; YORK RISK SERVICES GROUP, INC., A SEDGWICK COMPANY, Defendants

ADJ number
ADJ12553507
Decision date
Sep 30, 2024
District office
Pomona
WCJ
Sharon Bernal
Claim administrator
York Risk Services Group, Inc., a Sedgwick Company
Commissioners
—

Injury / body parts: left thumb, right thumb, wrist, hand

LC §4610.6LC §5909LC §5900CCR §10600

Summary

Applicant Biannka Sosa, a home attendant, sustained injuries to her left thumb (ADJ12553507) and right thumb (ADJ12552470) in July and August 2019. After treating physician Jared Myers, D.O. recommended Lyrica and Ketamine IV infusions, an IMR Final Determination dated May 17, 2024 was issued, and the WCJ initially found no plainly erroneous mistake of fact and denied applicant's appeal of the IMR/Administrative Director determination under Labor Code section 4610.6. Applicant petitioned for reconsideration, and the WCJ filed a Report recommending the petition be granted. The Appeals Board addressed the timeliness of its action under amended Labor Code section 5909, finding it timely acted within 60 days of transmission. Adopting the WCJ's Report, the Board granted reconsideration, rescinded the June 26, 2024 Joint Findings of Fact, and returned the matter to the trial level for further proceedings.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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