WCPanelIQ
PanelQMEMed-legalDenied

Gamboa, Jose

JOSE GAMBOA, Applicant vs. SAPUTO CHEESE USA, INC.; SEDGWICK, Defendants

ADJ number
ADJ15999814
Decision date
Jun 23, 2025
District office
Fresno
WCJ
William R. McClelland
Claim administrator
Sedgwick Claims (administering for Stonington Insurance Co.)
Commissioners
—

Injury / body parts: left shoulder, bilateral shoulders, psyche

LC §5909LC §5900CCR §10964CCR §10787

Summary

Applicant Jose Gamboa sustained injuries to his shoulders (and psyche as a compensable consequence) while working as a production employee for Saputo Cheese USA. After a WCJ awarded benefits based on AME Dr. Peter Mandell's reports, including an Almaraz/Guzman alternative impairment rating, defendant petitioned for reconsideration arguing the rating was not substantial medical evidence, that surveillance (subrosa) video was improperly excluded, and that Dr. Mandell's apportionment was substantial. The Appeals Board first addressed the timeliness of its decision under amended Labor Code section 5909, concluding it acted within 60 days of transmission. On the merits, the Board adopted the WCJ's report, holding the subrosa video was properly excluded because it was never reviewed by the AME and defendant failed to lay a proper foundation for impeachment. The petition was denied.

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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