WCPanelIQ
PanelDenied

Anthony Pineda — ADJ3676889

ANTHONY PINEDA, Applicant vs. DATS TRUCKING; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ3676889
Decision date
Jul 6, 2021
District office
Oakland
WCJ
Christopher Miller
Claim administrator
State Compensation Insurance Fund
Commissioners
—

Injury / body parts: brain (anoxic brain injury), leg (below-knee amputation/prosthesis)

LC §5909LC §133LC §111LC §4600

Summary

Anthony Pineda, a truck driver, sustained an admitted January 30, 2006 injury that rendered him 100% permanently and totally disabled, including a below-knee amputation and anoxic brain injury. His sister, Katherine Arao, serves as his guardian ad litem and caregiver, and sought increased compensation for her caregiving services. The WCJ assigned a special master (Janice Skiljo Haris, RN and certified life-care planner) to assess the value of Ms. Arao's services, who concluded her work was best classified as that of a field nurse case manager and recommended a monthly stipend at the 25th percentile of reported wages. Defendant sought reconsideration, arguing the decision lacked substantial evidence because the special master's estimate lacked a specific breakdown of services by skill level and that Ms. Arao was not qualified to perform some services. The WCAB denied reconsideration, adopting the WCJ's report, which found the special master's methodology sound and supported by substantial evidence. The Board also addressed the Shipley tolling issue regarding its delay in acting on the petition.

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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