WCPanelIQ
PanelQMEMed-legalGranted

Moore, Candy

CANDY MOORE, Applicant vs. STATE OF CALIFORNIA, CALIFORNIA STATE PRISON KINGS COUNTY AT CORCORAN, Legally Uninsured; STATE COMPENSATION INSURANCE FUND, Adjusting Agency, Defendants

ADJ number
ADJ17893407
Decision date
Aug 12, 2024
District office
Fresno
WCJ
—
Claim administrator
State Compensation Insurance Fund (adjusting agency for legally uninsured State of California, California State Prison Kings County at Corcoran)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: psyche, right wrist, right hand, right fingers/thumb, abdomen

LC §3208.3LC §5313LC §5303LC §4663LC §3208.2LC §5701LC §5906

Summary

Applicant, a licensed vocational nurse, claimed a specific injury on May 6, 2022 when she was assaulted by an inmate-patient, including injury to her psyche. The WCJ found an industrial psychiatric injury and that the good faith personnel action (GFPA) defense under section 3208.3(h) did not apply. Defendant sought reconsideration, arguing the WCJ failed to comply with section 5313 in analyzing the GFPA defense. The Board granted reconsideration, rescinded the F&A, and substituted new findings affirming the psychiatric injury and that the claim is not barred by section 3208.3(h), while deferring other issues. The Board reasoned that QME Dr. Stowell found the assault was the predominant cause (65%) of the psychiatric injury, rendering the question of personnel actions moot for causation of injury, though the remaining 35% attributed to supervisor difficulties is properly addressed as apportionment of disability. The matter was returned to the WCJ for further proceedings, including possible supplemental reporting from the QME.

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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