Daphne Reissland v. Valluzzo Companies, LLC

Louisiana Court of Appeal·Decided December 29, 2025·No. 2025-CA-0379·Published

Opinion

DAPHNE REISSLAND * NO. 2025-CA-0379

VERSUS * COURT OF APPEAL

VALLUZZO COMPANIES, * LLC FOURTH CIRCUIT

*

STATE OF LOUISIANA

*******

APPEAL FROM

THE OFFICE OF WORKERS’ COMPENSATION NO. 23-04315, DISTRICT “7”

Honorable Heather Fairchild, Judge ******

Judge Dale N. Atkins

******

(Court composed of Judge Tiffany Gautier Chase, Judge Dale N. Atkins, Judge Monique G. Morial)

Timothy E. Benedetto WORKERS' COMPENSATION, LLC 3045 Ridgelake Ave., Suite 100 Metairie, LA 70002

COUNSEL FOR PLAINTIFF/APPELLANT, Daphne Reissland

Trenton J. Oubre Terrel A. Thomas Charles C. Szeszycki BREAZEALE, SACHSE & WILSON, LLP One American Place 23rd Floor P.O. Box 3197 Baton Rouge, LA 70821

COUNSEL FOR DEFENDANT/APPELLEE, Valluzzo Companies, LLC

REVERSED IN PART; VACATED IN PART; REMANDED WITH INSTRUCTIONS; ANSWER TO APPEAL DENIED DECEMBER 29, 2025

DNA

TGC

MGM

This is a workers’ compensation case. Employee-appellant is Daphne Reissland (“Ms. Reissland”), and employer-appellee is Valluzzo Companies, LLC (“Valluzzo”). Ms. Reissland appeals the judgment issued by the workers’ compensation judge (“WCJ”)1 on December 5, 2024. In that judgment, in pertinent part, the WCJ found Ms. Reissland was a part-time employee when she worked for Valluzzo and sustained a workplace injury; and Ms. Reissland assigns error to the finding that she was a part-time employee as opposed to a full-time employee. Further, the WCJ held Ms. Reissland proved she experienced a work place accident; she experienced a work-related injury; she sustained injuries related to the work accident; and a causal connection between the work accident and her injuries. However, the WCJ found Ms. Reissland made false statements for the purpose of obtaining workers’ compensation benefits in violation of La. R.S. 23:1208, such that she forfeited her right to benefits and would be required to pay restitution to Valluzzo. In this latter regard, the WCJ issued another judgment on January 13, 2025, in which it delineated the amount Ms. Reissland owed Valluzzo in restitution and ordered Ms. Reissland to pay a civil penalty pursuant to La. R.S.

1 Throughout this Opinion, “WCJ” will refer to the particular workers’ compensation judge who rendered the decision in this matter.

23:1208(D). Ms. Reissland assigns error to the WCJ’s finding that she made misstatements in violation of La. R.S. 23:1208 such that she forfeited her right to benefits and must pay restitution. In the alternative, Ms. Reissland assigns error to the WCJ’s restitution calculation.

In addition to asserting assignments of error in its appellee brief, Valluzzo filed an “Answer . . . to the Appeal of Appellant” (“Answer”). Therein, Valluzzo seeks review of the WCJ’s failure to award it all attorney’s fees incurred pursuant to La. R.S. 23:1208(C)(4); the total requested attorney’s fees and costs pursuant to La. R.S. 23:1310.9; judicial interest on the restitution award pursuant to La. R.S. 23:1201.3; and additional costs, including penalties and attorney’s fees, pursuant to La. R.S. 23:1201(G) for Ms. Reissland’s failure to pay any of the amount ordered in the restitution judgment. Additionally, Valluzzo asserts the WCJ erred in certain parts of the December 5, 2024 judgment, specifically in finding that Ms. Reissland proved the alleged workplace accident of May 4, 2023; proved she sustained a work-related injury; proved she sustained injuries related to the work accident; and proved a causal connection between the accident and her injuries. Valluzzo also contends the WCJ erred in the December 5, 2024 judgment in finding Valluzzo did not prove entitlement to the intoxication presumption due to Ms. Reissland’s delay in submitting to its drug testing request. Further, Valluzzo asserts the WCJ erred in finding Valluzzo failed to prove Ms. Reissland’s intoxication was the cause of her work accident.

For the following reasons, we reverse the WCJ’s December 5, 2024 judgment in part; vacate the January 13, 2025 judgment; and remand this matter to the WCJ with instructions. We deny the requests by Valluzzo in its Answer.

FACTUAL AND PROCEDURAL HISTORY Incident, Early Treatment, and Initiation of Benefits According to Ms. Reissland, she injured her left hip on May 4, 2023, while employed by Valluzzo at a McDonald’s located in Meraux, Louisiana. Describing the accident and injury in the Disputed Claim for Compensation - Form 1008 she ultimately filed, Ms. Reissland stated that “[w]hile in the course and scope of her employment . . . , [she] injured her left hip while throwing away garbage.” Based on Ms. Reissland’s account of the incident in the record, she injured herself while attempting to lift a bag of garbage that was heavier than anticipated because, unbeknownst to her, another employee had placed liquids and grease in it. Additionally, Ms. Reissland explained she was unable to perform her job duties the day after the incident, May 5, 2023, and left her shift early, whereupon she immediately sought treatment with her primary care physician, Dr. Lagarde-May (“Dr. May”) at DePaul Community Health Center.

On June 6, 2023, Dr. Kevin Johnson (“Dr. Johnson”) evaluated Ms.

Reissland and noted complaints of pain in her lower back, left hip, and left leg. Dr. Johnson recommended Ms. Reissland undergo conservative care and rendered her totally disabled from work. Thereafter, on June 19, 2023, Valluzzo instituted Ms. Reissland’s indemnity benefits, ultimately determining that Ms. Reissland was entitled to temporary total disability benefits in the amount of $275.02 per week as calculated based on an average weekly wage of $412.53 per week.

Subsequently, on June 23, 2023, Dr. Nicholas DiGerolamo (“Dr.

DiGerolamo”) evaluated Ms. Reissland, and he also noted that she complained of pain in her lower back, left hip, and left leg, with pain centralized in her left lower back area. Then, Dr. Johnson evaluated Ms. Reissland again on July 25, 2023, and

likewise noted her complaints of pain in her lower back, left hip, and left leg. Dr. Johnson maintained his designation of Ms. Reissland as totally disabled from work, recommended that she continue conservative care, and ordered a lumbar MRI.

On November 6, 2023, orthopedic spine specialist Dr. Marco Rodriguez (“Dr. Rodriguez”) evaluated Ms. Reissland, reviewed the MRI taken of her spine, and reported two bulging discs and one herniated disc in her lumbar spine. Given Ms. Reissland’s continued pain, Dr. Rodriguez recommended she undergo epidural steroid injections and continued her total disability restrictions. Dr. Rodriguez requested authorization for continued care on November 15, 2023, but Valluzzo denied the request based on a “causality issue.” On November 20, 2023, Dr. Rodriguez also requested authorization to perform lumbar transforaminal injections, but Valluzzo denied this too on the basis of a “question of causality.”

Medical Authorization Forms On June 22, 2023, Valluzzo forwarded several release authorization forms to Ms. Reissland, including a Health Insurance Portability and Accountability Act (“HIPAA”) authorization. Approximately one month later, Ms. Reissland signed the HIPPA authorization thereby allowing Valluzzo’s claims adjuster to access her medical records.

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