Claimant Josue Lopez: Case Study

To help us process your claims more efficiently, we are providing you with a copy of our Workers’ Compensation intake sheet similar to the sheets we use for our PIP Arbitration matters. Please submit this cover sheet completed with your file when you provide our office with the initial files. Please put this sheet first in any PDF that you send to our office. All intakes for Workers Compensation should be forwarded to “Attention: Penelope Rodriquez” at wcfile@massoodlaw.com.

On Friday, 06/08/18, at approximately 0933 hours, I was on duty, dressed in full police uniform and driving a marked patrol vehicle, in Daly City. I was dispatched, along with Officer Chittenden, to Stanford Medical Center in Palo Alto, on a report of a rape that occurred at the Mylo Hotel in Daly City between the dates of 06/03/18 and 06/06/18. The reporting party was identified as CV-1.

The evidence in file shows the claimant has a history of memory loss since 2015. On 12/23/15, the claimant seemed more depressed she was unkempt and non-compliant with medication. She notes she started to care less about herself after the death of her mother The office visit on 9/7/16 shows the claimant continued isolating herself

This is a report of an AOA that occurred on 4/22/17 at Windmoor 11300 US Highway 19 N, Pinellas Park FL 33782. The complainant Suzanne Weaver stated a subject by the name of Jonathan Elder, left the facility through an emergency door and started heading towards US Highway 19 N. Sgt. Lantco made contact with the Elder at US 19/126th Ave N. Sgt. Lantco placed him in custody and brought him back to the facility. While walking with the subject into Unit 14, Elder became uncooperative and started to offer resistance by tensing up and pulling away. Elder verbally threatens officers at this time but continued to tense up not allowing himself to walk forward. At this time Elder was walked around the corner of the hallway to calm down, officers explained

Officer Lajoie’s prior law enforcement experience has enabled him show he has a good grasp on the fundamentals of being a solo patrol officer. This has allowed him to focus more time on investigating in-depth cases such as a sexual assault on a child case (Case #17007910) and a sex registrant in possession of multiple firearms (#17008132). During both cases Officer Lajoie investigated them from start to finish, working with detectives to create solid cases.

Claimant is an 18 year old single female (DOB 6/11/97 – 17 at time of loss) and not a Medicare beneficiary. She has no prior claims history and her Accurint report was clean, with the exception if showing she has recently purchased and registered a new 2016 vehicle. Claimant’s Facebook profile, while private, has many photos that have been posted since the DOL of claimant squatting, posing and wearing high heels, not indicative of an

Mr. Gonzalez states after he became aware of the claimants intentions to file a workers’ comp claim regarding 2-21-15 could have not occurred, since the plant was closed that Saturday. He did alleged that he saw the claimant for work the day prior to the DOI, on 2-20-15 and found the claimant appeared to be Ok did not appear to be in any pain or discomfort.

Workers Compensation Claim is time-consuming and also involves working with the patient’s employer, and it may require a lot of time and follow-up, and most practices cannot afford losing time and money.

On 04-08-16 at approximately 0915 hours, I responded to the area of Los Robles Avenue at Adena Street for an Officer Involved Shooting investigation. Upon my arrival I was directed by Sergeant Burgess # 2003 to assist with the Command Post. The Command Post was located at the northeast corner of Los Robles Avenue at Jackson Street (in front of 1034 Los Robles Avenue). I filed out the Pasadena Police Department Crime Scene Log and documented personnel who entered the crime scene (see attached log).

A pre-determination meeting was held on June 26, 2015 regarding the allegation that, despite prior counseling, Mr. Burkhouse continued to fail to follow proper procedure for notifying his supervisor when absent. Specifically, on June 15, 2015 and June 16, 2015 Mr. Burkhouse did not report to his scheduled shift and failed to notify anyone of his absence prior to his assigned schedule. At the meeting Mr. Burkhouse recalled the leave procedure provided to him in January, stating that he is to notify his supervisor if absent and to provide a leave slip upon return to work. Mr. Burkhouse also recalled that he had received the leave procedure due to a situation in which he let his supervisor know about his absence after the fact that he had taken

CM was out for the period of 1/9/2017 to 1/6/2017. On 1/20/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. In the meeting client appears to be exhausted, weary and tire. CM inquire the reason client appear to be tired. Client replies” she is not feeling well, her diabetic and high glucose blood pressure is either low or high. CM inquires if the client met with the onsite medical staff. Client replies “no’. She has an appointment with the PCP.

The question is what will be the consequence since he is FMLA and he does bring Doctor’s notes.

The Misc Non Disability Development worksheet in file indicates the claimant was unable to recall the exact dates he worked but he failed to return the 821. A POD of 7/1/15 was recommended. At an office visit on 1/13/14, the claimant indicated he was still working 34-48 hours a week but was performing modified duties and missed work often due to his condition. At an orthopedic evaluation on 3/26/15, the claimant stated he has been off work on temporary disability 2/2014 to the present. These statements conflict and should be resolved before to a finding a disabled can be

On July 21, 2015, a phone hearing was held before Administrative Law Judge Thomas Burden to determine if the Claimant was disqualified for UIA benefits due to the issue of quitting work at Summit Dental Group or being fired.

Ms. Steele has been unable to work. The duration is unknown. On 11/16/16 a current off work slip was obtained. Ms. Steele is off work for 3 months. Vocational counseling was also added by Dr.