WCPanelIQ
PanelDenied

Transito Prieto — ADJ12382729

TRANSITO PRIETO, Applicant vs. SYLMAR HEALTH & REHABILITATION CENTER, INSURED BY CALIFORNIA HEALTHCARE INDUSTRY PROGRAM, administered by INTERCARE HOLDINGS INSURANCE SERVICES, INC., Defendants

ADJ number
ADJ12382729
Decision date
Aug 29, 2022
District office
Van Nuys
WCJ
David L. Pollak
Claim administrator
Intercare Holdings Insurance Services, Inc. (administering California Healthcare Industry Program, a self-insured group)
Commissioners
—

Injury / body parts: right lower leg, right shoulder, bilateral knees, bilateral ankles, right lower extremity, stomach/feet

LC §5702LC §4660LC §4660.1CCR §10835

Summary

Defendant sought reconsideration of a WCJ's Partial Findings of Fact and Orders finding that applicant Transito Prieto, a certified nursing assistant, sustained an industrial injury while performing tasks consistent with occupational group number 460. Defendant argued the original Minutes of Hearing were silent as to occupational group number, and alternatively that the WCJ erred because applicant claimed group 340 and defendant claimed group 311, neither of which was 460. The WCJ issued an amended MOH/SOE that listed occupational group number as a trial issue, curing the procedural defect, and found applicant's credible testimony established he physically restrained combative patients akin to an orderly. The WCAB adopted the WCJ's Report and denied reconsideration, holding the WCJ is not bound by the occupational group numbers asserted by the parties and may assign the group reflecting the actual physical demands of the work.

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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