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Caballero, Caritina

CARITINA CABALLERO, Applicant vs. CLUB DONATELLO; SECURITY NATIONAL INSURANCE COMPANY administered by AMTRUST NORTH AMERICA, Defendants

ADJ number: ADJ14646082
Decision date: Mar 23, 2026
District office: Oakland
WCJ: —
Claim administrator: AmTrust North America (administering for Security National Insurance Company)
Commissioners: KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: right shoulder, left shoulder, right upper extremity, right elbow, right wrist, right hand

LC §5909LC §5900LC §3600LC §3202.5LC §5903LC §5952LC §4663LC §4664LC §5701LC §5906LC §4600

Summary

Applicant Caritina Caballero, a longtime housekeeper, sought reconsideration of a December 29, 2025 F&A that found no industrial injury to her left shoulder, right upper extremity, right elbow, and right wrist, while finding an industrial right shoulder injury causing 9% permanent disability. Applicant argued that PQME Dr. John Welborn's reporting was not substantial evidence on causation and right shoulder impairment. The WCAB agreed, finding Dr. Welborn's opinions speculative, conclusory, lacking reasoning, based on an incomplete medical history (he never reviewed 2013 injury records), and resting on an incorrect legal theory regarding compensable consequence injuries. The Board granted reconsideration, rescinded the F&A, and returned the matter to the WCJ for further development of the record consistent with the McDuffie procedure.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.