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PanelGranted in Part

Plascencia, Rigoberto

RIGOBERTO PLASCENCIA, Applicant vs. OASIS OUTSOURCING, INCORPORATED; ZURICH AMERICAN INSURANCE COMPANY, administered by ESIS, INC., Defendants

ADJ number: ADJ11597078
Decision date: Nov 20, 2025
District office: Van Nuys
WCJ: —
Claim administrator: ESIS, Inc. (administering for Zurich American Insurance Company)
Commissioners: KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: lumbar spine, bilateral knees, neurological system, bowels

LC §5909LC §5900LC §4600LC §4610LC §5705LC §5502LC §5307.1LC §5307.8LC §5902LC §5903LC §5904CCR §10759CCR §10109

Summary

Applicant Rigoberto Plascencia, a welder, sustained cumulative and specific injuries to his lumbar spine, bilateral knees, neurological system, and bowels. After the PTP Dr. Longacre repeatedly requested home health care services beginning May 2, 2022, defendant delayed nearly a year before agreeing to a home health assessment, which occurred May 10, 2023. The WCJ awarded home health care at four hours/day, four days/week retroactive to January 20, 2023 and from December 5, 2024 forward. On reconsideration, the Board amended the award to four hours/day five days/week from January 23, 2023 to May 9, 2023 and eight hours/day seven days/week as of May 10, 2023 continuing until medical evidence shows changed circumstances, and deferred the May 2, 2022 to January 22, 2023 period for further development. The Board emphasized defendant's failure to investigate and its inability to benefit from its own delay.

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.