WCPanelIQ
PanelQMEMed-legalDenied

Theresa Rocha — ADJ11672907

THERESA ROCHA, Applicant vs. MAS LI, INC., dba MCDONALDS; SAFETY NATIONAL CASUALTY CORPORATION, adjusted by BROADSPIRE, Defendants

ADJ number
ADJ11672907
Decision date
Sep 23, 2026
District office
Salinas
WCJ
—
Claim administrator
Broadspire (adjusting for Safety National Casualty Corporation)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: right ankle, right foot, left foot, left leg, psyche

LC §5909LC §5900LC §5705LC §5811LC §3202.5LC §5708LC §5709CCR §31.7

Summary

Applicant Theresa Rocha, a McDonald's cashier, sustained an accepted industrial injury to her right ankle and foot and later filed a Petition to Reopen for new and further disability, adding a psyche claim. The orthopedic AME, Dr. Feinberg, diagnosed CRPS, recommended psychiatric treatment and evaluation, and deferred to a psyche evaluator on questions of off-task time. After the WCJ denied a psyche panel and denied liability for the applicant's vocational expert report, the Board on reconsideration found good cause for an additional psyche QME panel and held defendant liable for the vocational expert costs, deferring the psyche injury and reopening issues. Defendant's subsequent Petition for Reconsideration argued unreasonable delay/due process violation, laches, lack of substantial evidence for the QME panel order, and that the vocational report was not reasonable or necessary. The Board denied the Petition, finding its decisions timely under section 5909, no due process violation, laches unproven, substantial evidence supporting the need to develop the psyche record, and the vocational report reasonably and necessarily incurred.

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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