Alva v. Kijakazi

CourtDistrict Court, S.D. California
DecidedSeptember 30, 2024
Docket3:23-cv-00147
StatusUnknown

This text of Alva v. Kijakazi (Alva v. Kijakazi) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alva v. Kijakazi, (S.D. Cal. 2024).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 MICHELLE L. A.,1 Case No.: 3:23-cv-00147-VET

12 Plaintiff, ORDER REGARDING JOINT 13 v. MOTION FOR JUDICIAL REVIEW

14 MARTIN O’MALLEY,2 [Doc. No. 11] 15 Defendant. 16 17 18 I. INTRODUCTION 19 Plaintiff seeks review of Defendant Commissioner’s denial of her application for 20 disability insurance benefits and supplemental security income. Doc. No. 1. Before the 21 Court is the parties’ Joint Motion for Judicial Review of Final Decision of the 22 Commissioner of Social Security (“Joint Motion”). Doc. No. 11. Therein, Plaintiff seeks 23 resolution of the following issues: (1) whether the Administrative Law Judge’s (“ALJ”) 24 residual functional capacity (“RFC”) determination is supported by substantial evidence 25

26 27 1 Partially redacted in compliance with Civil Local Rule 7.1(e)(6)(b). 2 Martin O’Malley, Commissioner of the Social Security Administration, is automatically 28 1 when he failed to assess Plaintiff’s mental impairments as severe; and (2) whether the 2 ALJ’s RFC determination is supported by substantial evidence given new evidence 3 submitted to the Appeals Council. Doc. No. 11 at 14. Having considered the parties’ 4 arguments, applicable law, and the record before it, and for the reasons discussed below, 5 the Court VACATES the Commissioner’s decision denying benefits and REMANDS for 6 further administrative proceedings consistent with this Order. 7 II. BACKGROUND 8 A. Procedural History 9 Pursuant to the Social Security Act, Plaintiff applied for disability insurance benefits 10 and supplemental security income on May 19, 2020, alleging disability commencing on 11 January 17, 2019. Administrative Record (“AR”) 196–197.3 The Commissioner denied the 12 application initially and on reconsideration. AR 125–129, 139–144. Plaintiff requested a 13 de novo hearing before an ALJ, and on December 2, 2021, the ALJ held a hearing. AR 14 146, 40–74. On January 27, 2022, the ALJ found that Plaintiff was not disabled because 15 she was able to perform past relevant work. AR 14–33. On December 8, 2022, the Appeals 16 Council declined review, rendering the ALJ decision the final decision of the 17 Commissioner. AR 1–4. On January 26, 2023, Plaintiff initiated this action seeking judicial 18 review of the ALJ’s decision. Doc. No. 1. The parties filed the Joint Motion on August 3, 19 2023. Doc. No. 11. 20 B. Summary of the ALJ’s Decision 21 The ALJ followed the Commissioner’s five-step sequential evaluation process to 22 determine whether Plaintiff was disabled. See 20 C.F.R. § 404.1520(a)(4). At step one, the 23 ALJ determined that Plaintiff had “not engaged in substantial gainful activity since January 24 17, 2019,” the alleged onset date. AR 19. At step two, the ALJ found that Plaintiff had the 25 following severe impairments: fibromyalgia, irritable bowel syndrome, lumbar 26 27 28 3 1 degenerative disc disease, and headaches. Id. In analyzing Plaintiff’s mental impairments 2 at step two, the ALJ considered the four areas of mental functioning commonly referred to 3 as the “paragraph B” criteria: 1) understanding, remembering, and applying information; 4 2) interacting with others; 3) concentrating, persisting, or maintaining pace; and 4) adapting 5 or managing oneself. AR 21–22 (citing 20 C.F.R. Part 404, Subpart P, Appendix 1). The 6 ALJ found no limitation in “interacting with others” and “mild” limitations in the 7 remaining three paragraph B criteria. AR 21–22. Based thereon, the ALJ concluded that: 8 The [Plaintiff’s] medically determinable mental impairments of major 9 depressive disorder, generalized anxiety disorder, and posttraumatic stress disorder, considered singly and in combination, do not cause more than 10 minimal limitation in [her] ability to perform basic mental work activities and 11 are therefore non-severe. 12 AR at 21. 13 At step three, the ALJ determined that Plaintiff did not have an impairment or 14 combination of impairments that met or was medically equivalent to those in the 15 Commissioner’s Listing of Impairments. AR 23. Before proceeding to step four, the ALJ 16 assessed Plaintiff’s RFC and found that she has the RFC to perform light work, with the 17 following limitations: (1) occasionally perform postural activities and (2) avoid work 18 environments that would expose her to concentrated cold, heat, vibration, pulmonary 19 irritants, or hazards. AR 25. The RFC included no mental limitations. Id. 20 As part of the RFC assessment, the ALJ considered the mental health opinions of 21 Dr. Ernest Banger, the psychological consultative examiner, and Dr. E. Campbell, the state 22 agency psychological consultant. AR 30–32. He found Dr. Banger’s opinion partially 23 persuasive, stating that Dr. Banger’s “moderate limitations” findings were inconsistent 24 with the totality of the evidence. AR 31. The ALJ found Dr. Campbell’s opinion 25 unpersuasive, citing examples in the record as the basis for concluding that “the record 26 does not support Dr. Campbell’s opinion as to mental limitations in the residual functional 27 capacity.” AR 31–32, 108–109. The ALJ also considered Plaintiff’s testimony on “mental 28 issues,” specifically testimony that she has memory loss and panic attacks one to three 1 times per week. AR 25. As part of his RFC analysis, the ALJ states that he took into 2 consideration statements and objective medical evidence regarding Plaintiff’s 3 fibromyalgia, irritable bowel syndrome, lumbar degenerative disease, and headaches, as 4 well as her asthma (which he determined to be non-severe). AR 32 (summarizing the 5 conditions considered by the ALJ). Although he refers to “previously discussed non-severe 6 impairments,” see AR 25, the ALJ does not list or expressly reference or analyze the mild 7 mental limitations he identified at step two. Nor does the ALJ discuss or incorporate by 8 reference his analysis of the paragraph B criteria at step two. Nonetheless, at step two, the 9 ALJ states that he “considered all the medically determinable impairments when 10 determining the [RFC] for [Plaintiff].” AR 22. 11 At step four, based on Plaintiff’s RFC, the ALJ found that Plaintiff could perform 12 past relevant work as an automobile salesperson, head animal keeper, retail store manager, 13 and restaurant manager. Id. The ALJ relied, in part, on the testimony of a Vocational Expert 14 (“VE”). Id. Having found that Plaintiff could perform past relevant work, the ALJ did not 15 continue to step five in the sequential evaluation process. 16 C. New Evidence Submitted to the Appeals Council 17 Following the ALJ’s decision, Plaintiff submitted to the Appeals Council a one-page 18 letter from Dr. Ray Mabaquiao, dated February 4, 2022 (“Mabaquiao Letter”). AR 13. 19 Therein, Dr. Mabaquiao opines that Plaintiff is “unable to physically perform work and 20 maintain employment due to her multiple medical problems.” Id. He states that Plaintiff 21 “spends the majority of her time at home laying down in bed” and relies on her mother to 22 do household chores as she is “unable to maintain her household.” Id. Dr. Mabaquiao also 23 indicates that “as far as [he] can tell,” Plaintiff suffers from “a type of spondyloarthropathy 24 SpA” that causes chronic spine pain and painful swollen stiff joints and is “possibly 25 associated with her chronic diarrhea.” Id. He details Plaintiff’s gastrointestinal problems 26 and then describes Plaintiff’s various treatments and challenges in treating her conditions. 27 Id. The Appeals Council concluded that the Mabaquiao Letter “does not show a reasonable 28 probability that it would change the outcome of [the ALJ’s] decision.” AR 2. 1 III.

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Alva v. Kijakazi, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alva-v-kijakazi-casd-2024.