ISAIAS VAZQUEZ, Applicant vs. LEPRINO FOODS, permissibly self-insured, administered by TRISTAR, Defendants
ADJ number
ADJ12900094
Decision date
Mar 3, 2022
District office
Fresno
WCJ
Javier A. Albart
Claim administrator
TRISTAR (administrator for permissibly self-insured Leprino Foods)
Commissioners
—
Injury / body parts: Low Back
LC §4657
Summary
Applicant Isaias Vazquez, a forklift driver, sustained an accepted low back injury on 3/21/2019 while working for permissibly self-insured Leprino Foods. TD benefits were terminated based on an 11/5/2019 full-duty release authored by a PA-C, Jaime Salvatierra, that was never countersigned by a treating physician. Applicant sought treatment from non-MPN physician Dr. Leon, who certified disability during the disputed period, and PQME Dr. Klassen retrospectively found temporary partial disability from 11/27/2019 to 4/5/2020, disagreeing with the PA-C's release. The WCJ awarded total temporary disability for that period (including EDD reimbursement and the differential to applicant), reasoning the PA-C report was not substantial evidence, applicant received no notice of his rights, and the employer failed to investigate accommodation. The WCAB denied defendant's Petition for Reconsideration, adopting the WCJ's report and noting that under Labor Code section 4657, temporary partial disability that effectively prevents the worker from performing any duty—absent a showing that work was available and offered—is deemed total.
Issues
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Holding
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Analysis
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Applicant takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Defense takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Provider takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Similar decisions
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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