Brandon Apela Afoa v. Department Of Labor & Industries

418 P.3d 190
CourtCourt of Appeals of Washington
DecidedMay 29, 2018
Docket76130-7
StatusPublished
Cited by4 cases

This text of 418 P.3d 190 (Brandon Apela Afoa v. Department Of Labor & Industries) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brandon Apela Afoa v. Department Of Labor & Industries, 418 P.3d 190 (Wash. Ct. App. 2018).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION ONE

BRANDON APELA AFOA, No. 76130-7-1

Appellant, r- G") V. PUBLISHED OPINION

WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES,

Respondent. FILED: May 29, 2018

SCHINDLER, J. — As the result of a compromise between employers and workers,

in 1911, the legislature enacted the Industrial Insurance Act (IIA), Title 51 ROW.

Employers agreed to pay personal injury claims that were not compensable under

common law. In exchange, workers agreed to forfeit common law tort remedies. The

IIA gives the worker the right to appeal the decision of the Department of Labor and

Industries to the Board of Industrial Insurance Appeals. Either party may appeal the

decision of the Board to superior court. In 2013, Brandon Afoa filed a claim for 24-hour-

a-day in-home attendant care services. Based on an independent assessment, the

Department agreed to 16 hours a day for in-home attendant care services. The Board

affirmed the decision. Afoa appealed to superior court and filed a jury demand. The

jury found the Board correctly decided that Afoa needed only 16 hours a day for No. 76130-7-1/2

attendant care services. Afoa seeks reversal of the jury verdict. Afoa claims limiting the

record in an 11A appeal to the evidence presented at the Board violates his right to a jury

trial under article!, section 21 of the Washington Constitution and the separation of

powers doctrine. We reject the argument that the IIA violates the right to a jury trial

under article I, section 21 or separation of powers. The legislature had the authority to

abolish the common law cause of action for negligence for workers and in its place

enact workers' compensation under the IIA. The 11A limits the appeal to superior court

to the certified record of the evidence presented to the Board, and under the civil rules

the superior court IIA appeal is a special proceeding. We affirm.

Industrial Injury

Brandon Afoa worked at Seattle-Tacoma International Airport for Evergreen

Aviation Ground Logistics Enterprises Incorporated. On December 26, 2007, Afoa was

severely injured at work. Afoa is a paraplegic with nerve damage to his right arm and

hand.

After release from the hospital, the Department of Labor and Industries

(Department) paid for 24-hour-a-day in-home attendant care services. When Afoa was

stable, the Department reduced in-home attendant care services to 16 hours a day.

Afoa's father Mataala Te'o and Afoa's sister Hannah Mulifai provided in-home care

services through Maxim Healthcare Services. Te'o provided care for Afoa during the

day and Mulifai was available to provide care later in the day and at night.

Denial of Request for Additional In-Home Care Services

In 2013, Afoa filed a claim to increase the amount the Department paid for in-

home attendant care services from 16 to 24 hours a day. At the request of the

2 No. 76130-7-1/3

Department, registered nurse consultant Elaine Baker conducted an assessment to

determine necessary in-home attendant care services for Afoa. Baker recommended

16 hours a day for in-home attendant care services. The Department issued a notice of

decision on January 30, 2014. The Department denied the request to increase in-home

attendant care services to 24 hours a day.

Appeal to the Board

Afoa appealed the decision to the Board of Industrial Insurance Appeals (Board).

An industrial appeals judge (IAJ) conducted a hearing on the appeal. A number of

witnesses testified, including Afoa, Te'o, Mulifai, occupational therapist Christiane Buhl,

occupational nurse consultant Kimberly Skoropinski, and registered nurse Baker. The

IAJ admitted into evidence the videotaped deposition testimony of Afoa's expert Dr.

Paul Nutter.

Occupational therapist Buhl worked with Afoa before his discharge from the

hospital to skilled nursing care. Buhl focused on "strengthening his upper extremities,

using his right arm, and increasing his time out of bed? Buhl testified that with

assistance, Afoa could dress, groom, and feed himself. According to Buhl, Afoa

"needed maximum assistance" for 50 to 75 percent of the tasks needed to bathe.

Afoa testified about his injuries and the in-home care services Te'o and Mulifai

provide for him. Te'o and Mulifai testified about caring for Afoa.

Occupational nurse consultant Skoropinski testified that initially, Afoa received

24-hour attendant care, but when he "became more stable, care hours were reduced to

16." Skoropinski testified the Department pays "for actual care provided and not for

hours that the caregiver is sleeping." Skoropinski described the tasks necessary for the

3 No. 76130-7-1/4

care of Afoa and testified Afoa "needed only 6 hours of attendant care per day, but the

Department continues to pay for 16." Skoropinski testified that "care services are not

paid for on a per shift basis and the 16 hours per day payment is intended to be spread

throughout a 24-hour day."

Registered nurse consultant Baker testified about her assessment of the number

of hours Afoa needed for in-home attendant care services. Baker testified the

Washington Administrative Code "allow[s]for attendant care to take care of the

workerns activities of daily living and not chore services."' After reviewing the caregiver

records, Baker recommended the Department provide 16 hours of attendant care each

day. Baker testified that "even ... if each task were accounted for it would not add up

to that amount."

Afoa's expert Dr. Nutter testified that in his opinion,"optimal care would be for

[Afoa] to have 24-hour aide services." However, Dr. Nutter admitted he told the

Department that "continuously after January 1, 2013... 16 hours of care would be

appropriate."

The IAJ affirmed the decision of the Department to deny the request for 24-hour-

a-day in-home attendant care services. The IAJ found,"The time necessary to perform

these tasks, along with other daily needs, do not come close to a need for the

caregivers to be compensated for 24 hours." The IAJ concluded that while Te'o and

Mulifai are available throughout a 24-hour period, "their services are not needed

constantly through the day." Based on "the present tasks of daily living" and other

necessary attendant care, the IAJ concluded the Department "is adequately

compensating Mr. Afoa's caregivers with its determination of 16 hours per day" and

I See WAG 296-23-246.

4 No. 76130-7-1/5

affirmed the January 30, 2014 Department decision to deny the claim for 24-hour care

services.

The proposed decision and order states, in pertinent part:

FINDINGS OF FACT

2. Brandon A. Afoa sustained an industrial injury on December 26, 2007 and as a result has paralysis from T-9 down, internal injuries, and right arm nerve damage.

3. The December 26, 2007 industrial injury proximately caused Mr. Afoa to need assistance in activities of daily living along with frequent changing of bags and frequent changes of position in bed.

4. Through January 30, 2014, the assistance Mr. Afoa needed on a daily basis is best quantified as the 16 hours per day for which the Department of Labor and Industries is paying.

CONCLUSIONS OF LAW

1. The Board of Industrial Insurance Appeals has jurisdiction over the parties and subject matter of this appeal.

2.

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