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Maria Concepcion Caselin Huerta — ADJ16754017

MARIA CONCEPCION CASELIN HUERTA, Applicant vs. LEONOR DEALBA DBA L&A CLEANING SERVICE; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, Defendants

ADJ number: ADJ16754017
Decision date: Sep 27, 2026
District office: Goleta District Office
WCJ: —
Claim administrator: Travelers Property Casualty Company of America
Commissioners: LISA A. SUSSMAN, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: lumbar spine, cervical spine

LC §5909LC §5900LC §5402LC §3600LC §3202.5LC §5952CCR §10600

Summary

Applicant, a housekeeper, claimed injury to her lumbar and cervical spine from a November 15, 2021 fall while cleaning a bathroom mirror. The PQME, Dr. Scott Graham, initially found industrial causation based on the mechanism of injury and applicant's credibility, but later 'reversed' his opinion because applicant never sought treatment in over four years. After an AOE/COE trial, the WCJ found injury based on applicant's credible, unrefuted testimony coupled with Dr. Graham's consistent finding that the mechanism of injury matched applicant's account. The Board denied defendant's Petition for Reconsideration, holding that the lack of treatment and other claims bore on apportionment rather than industrial causation, and that substantial evidence supported the WCJ's credibility determination.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.