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PanelQMERemanded

Julio Pineda — ADJ13303390

JULIO PINEDA, Applicant vs. CITY OF RANCHO CUCAMONGA, permissibly self-insured, administered by LWP CLAIMS SOLUTIONS, INC., Defendants

ADJ number
ADJ13303390
Decision date
Feb 14, 2023
District office
Van Nuys
WCJ
—
Claim administrator
LWP Claims Solutions, Inc.
Commissioners
PATRICIA A. GARCIA, DEPUTY COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: psyche

LC §3208.3LC §3202.5

Summary

Applicant Julio Pineda, a Community Improvement Officer for the City of Rancho Cucamonga, claimed a psychiatric injury (adjustment disorder) over a cumulative period from August 20, 2018 through May 30, 2020. The WCJ found a compensable psychiatric injury based on QME Dr. McDonald's opinion. Defendant sought reconsideration, arguing the QME relied on an inaccurate history and asserting a 'good faith personnel action' defense supported by supervisor testimony. The Appeals Board found that although the good faith personnel action defense was submitted for decision, neither the Opinion on Decision nor the WCJ's Report contained the required detailed Rolda analysis. The Board rescinded the Findings and Award and returned the matter to the WCJ to issue a new decision containing the full Rolda analysis under the section 3202.5 preponderance standard.

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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