WCPanelIQ
PanelQMEMed-legalGranted in Part

Maria Carmen Jimenez — ADJ6805309

MARIA CARMEN JIMENEZ, Applicant vs. STATE OF CALIFORNIA/IN-HOME SUPPORTIVE SERVICES, legally uninsured, administered by YORK RISK SERVICES GROUP, INC., Defendants

ADJ number
ADJ6805309
Decision date
Aug 30, 2021
District office
Los Angeles
WCJ
—
Claim administrator
York Risk Services Group, Inc.
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: low back/lumbar spine, left hip (trochanteric bursitis), psyche, hypertension/hypertensive cardiovascular disease, sleep disorder, gastrointestinal/digestive system, coccyx

LC §4453LC §4456LC §4459LC §5952CCR §10510

Summary

Applicant Maria Carmen Jimenez, an IHSS caregiver, sustained an industrial injury on December 22, 2008 to her low back, left hip (trochanteric bursitis), psyche, and in the form of hypertension and sleep disorder. The WCJ found 63% overall PD, including only 14% low back disability based on a misread of the orthopedic AME's report, and set earnings at the statutory minimum ($148.98/week). Applicant sought reconsideration, arguing higher low back PD, sleep disorder PD, and higher earning capacity. The Board affirmed the earnings finding as supported by W-2 evidence, but amended the lumbar PD upward to 39% based on AME Dr. Woods' Almaraz/Guzman rating of 27% WPI (corrected from a typographical error). The Board deferred the sleep disorder PD because internal medicine AME Dr. Majcher's 5% WPI conclusion was not substantial evidence, and returned the matter to the WCJ to develop the record.

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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