Delgadillo v. O'Malley

• Court: District Court, S.D. California
• Decided: July 30, 2025
• Docket: 3:24-cv-01487
• Status: Unknown

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 ROSALINDA D.,1 Case No.: 24cv1487-W(LR)

12 Plaintiff, REPORT AND 13 v. RECOMMENDATION REGARDING JOINT MOTION 14 FRANK BISIGNANO, Commissioner of FOR JUDICIAL REVIEW OF THE Social Security,2 15 FINAL DECISION OF THE

COMMISSIONER OF SOCIAL 16 Defendant. SECURITY 17 [ECF No. 12] 18 19 20 This Report and Recommendation is submitted to the Honorable Thomas J. 21 Whelan, United States District Judge, pursuant to 28 U.S.C. § 636(b)(1) and Civil Local 22 23 24 1 Pursuant to Civil Local Rule 7.1(e)(6)(b), the Court’s opinions in Social Security cases filed under 25 42 U.S.C. § 405(g) “refer to any non-government parties by using only their first name and last initial.”

26 2 Plaintiff named Martin O’Malley, who was the Commissioner of Social Security when Plaintiff filed her Complaint on August 21, 2024, as a Defendant in this action. (See ECF No. 1 at 1.) Frank 27 Bisignano is now the Commissioner of Social Security Administration, and he is automatically substituted as a party pursuant to Federal Rule of Civil Procedure 25(d). 28 1 Rule 72.1(c) of the United States District Court for the Southern District of California. 2 On August 21, 2024, Rosalinda D. (“Plaintiff”) filed a Complaint pursuant to 42 U.S.C. 3 § 405(g) seeking judicial review of a decision by the Commissioner of Social Security 4 (“Defendant”) denying Plaintiff’s application for supplemental security income benefits 5 under Title XVI. (ECF No. 1.) 6 Now pending before the Court is the parties’ “Joint Motion for Judicial Review.” 7 (ECF No. 12 (“J. Mot.”).) For the reasons set forth below, the Court RECOMMENDS 8 that the Commissioner’s decision be REVERSED, and that Judgment be entered 9 reversing the decision of the Commissioner and remanding this matter for further 10 administrative proceedings. 11 I. PROCEDURAL BACKGROUND 12 On June 1, 2020, Plaintiff filed an application for Supplemental Security Income 13 benefits under Title XVI of the Social Security Act (the “Act”). (ECF No. 8 (“AR”)3 at 14 63–65, 217–23; see also ECF No. 1 at 1.) Plaintiff originally reported her onset date as 15 May 5, 2019, but she amended the onset date to June 1, 2020, during the administrative 16 hearing. (See AR at 17, 65; see also ECF No. 1 at 2.) After Plaintiff’s application was 17 denied initially and on reconsideration, she requested a hearing before an Administrative 18 Law Judge (“ALJ”). (AR at 83, 109, 124.) An administrative hearing was held on 19 December 12, 2023. (See id. at 37–63.) Plaintiff appeared at the hearing with counsel, 20 and testimony was taken from her and a vocational expert (“VE”). (See id.) 21 On February 26, 2024, the ALJ issued a written decision finding that Plaintiff had 22 not been under a disability, as defined in the Social Security Act, from June 1, 2020, 23 through the date of the decision. (Id. at 14, 17–18, 26.) The ALJ’s decision became the 24

25 26 3 “AR” refers to the Administrative Record filed on October 21, 2024. (ECF No. 8.) The Court’s citations to the AR in this Report and Recommendation are to the pages listed on the original document 27 rather than the page numbers designated by the Court’s Case Management/Electronic Case Filing System (“CM/ECF”). For all other documents, the Court’s citations are to the page numbers affixed by 28 1 final decision of the Commissioner on July 8, 2024, when the Appeals Council denied 2 Plaintiff’s request for review. (Id. at 2–6.) This timely civil action followed. (See ECF 3 No. 1.) 4 II. SUMMARY OF THE ALJ’S FINDINGS 5 In rendering his decision, the ALJ followed the Commissioner’s five-step 6 sequential evaluation process. See 20 C.F.R. § 416.920. At step one, the ALJ found that 7 Plaintiff had not engaged in substantial gainful activity since the alleged onset of her 8 disability. (AR at 19.) At step two, the ALJ determined that Plaintiff had the following 9 severe impairments: “major depressive disorder; learning disorder, reading, writing; 10 diabetes mellitus, hypertension, obesity, and hypothyroid.” (Id.) At step three, the ALJ 11 found that Plaintiff did not have an impairment or combination of impairments that met 12 or medically equaled the severity of one of the impairments listed in the Commissioner’s 13 Listing of Impairments. (Id. at 20.) Next, the ALJ determined that Plaintiff had the 14 residual functional capacity (“RFC”) to perform light work as defined in 20 C.F.R. 15 416.967(b), except Plaintiff was limited to “understanding, remembering, and carrying 16 out simple, routine, and repetitive tasks,” and “occasional interaction with the public.” 17 (Id. at 23.) 18 At step four, the ALJ determined that Plaintiff could perform her past relevant 19 work as a cook helper4 (DOT 317.687-010), “as Plaintiff actually performed that work.” 20 (Id. at 25–26.) The ALJ then found that Plaintiff had not been disabled from June 1, 21 2020, through the date of the ALJ’s decision. (Id. at 26.) 22 / / / 23 / / / 24 / / / 25

26 4 The Court notes that the parties and the ALJ also refer to this job as a “breakfast attendant.” (See J. 27 Mot. at 5, 7, 11, 13, 22, 24, 26; AR at 25, 43.) The Court’s references to the “breakfast attendant” job and “cook helper” job (as the VE and the ALJ classified the position) in this Report and 28 1 III. DISPUTED ISSUES 2 As reflected in the parties’ Joint Motion, Plaintiff is raising the following issues as 3 grounds for reversal and remand: (1) whether the ALJ properly evaluated the non- 4 examining medical source opinion of the State agency psychologist, John Petzelt, Ph.D.; 5 (2) whether the ALJ properly evaluated the examining medical source opinion of the 6 consultative psychologist, Scott Hilborn, Ph.D.; and (3) whether the ALJ properly 7 developed the record regarding the mental and physical demands of Plaintiff’s past 8 relevant work to determine whether she could perform such work as “actually 9 performed.” (J. Mot. at 3.) 10 IV. STANDARD OF REVIEW 11 Section 405(g) of the Social Security Act allows unsuccessful applicants to seek 12 judicial review of the Commissioner’s final decision. 42 U.S.C. § 405(g). The scope of 13 judicial review is limited, and the denial of benefits will not be disturbed if it is supported 14 by substantial evidence in the record and contains no legal error. See id.; Buck v. 15 Berryhill, 869 F.3d 1040, 1048 (9th Cir. 2017). “Substantial evidence means more than a 16 mere scintilla, but less than a preponderance. It means such relevant evidence as a 17 reasonable mind might accept as adequate to support a conclusion.” Revels v. Berryhill, 18 874 F.3d 648, 654 (9th Cir. 2017) (quoting Desrosiers v. Sec’y Health & Hum. Servs., 19 846 F.2d 573, 576 (9th Cir. 1988)). In determining whether the Commissioner’s decision 20 is supported by substantial evidence, a reviewing court “must assess the entire record, 21 weighing the evidence both supporting and detracting from the agency’s conclusion,” 22 and “may not reweigh the evidence or substitute [the court’s] judgment for that of the 23 ALJ.” Ahearn v. Saul, 988 F.3d 1111, 1115 (9th Cir. 2021). Where the evidence can be 24 interpreted in more than one way, the court must uphold the ALJ’s decision. Id. at 1115– 25 16; Attmore v. Colvin, 827 F.3d 872, 875 (9th Cir. 2016). The Court may consider “only 26 the reasons provided by the ALJ in the disability determination and may not affirm the 27 ALJ on a ground upon which [he or she] did not rely.” Revels, 874 F.3d at 654 (internal 28 quotation omitted). 1 V. MEDICAL RECORDS AND TESTIMONY 2 A. Relevant Medical Records 3 On May 27, 2020, Alex Vanderzant, P.A. examined Plaintiff. (AR at 407–11.) He 4 noted that Plaintiff had type II diabetes, hypothyroidism,5 hypertension,6 and 5 hypocholesterolemia.7 (Id.) P.A. Vanderzant further stated that Plaintiff had an 6 appropriate mood and was not in acute distress, but recommended continuing 7 Atorvastatin,8 as well as improving her diet and losing weight. (Id. at 410.) In a follow- 8 up visit on July 24, 2020, P.A. Vanderzant again recommended weight loss to Plaintiff 9 and increased her dosage of Levothyroxine.9 (Id. at 413, 416.) 10 On October 2, 2020, Plaintiff was screened for depression, and her score of 11 eighteen indicated “[m]oderately severe depression.” (Id. at 445, 448.) During several 12 subsequent visits, Plaintiff reported taking her prescribed medications, but failed to 13 provide her blood sugar log. (See id. at 438, 466.) On March 11, 2021, Plaintiff reported 14 chest pain, burning of extremities, frequent infections, foot ulcers, increased fatigue, 15 16 17 5 “Hypothyroidism is a condition associated with a deficiency in thyroid secretion, resulting in a 18 lowered basal metabolism.” United States v. Buscher, No. 205-CR-201 JCM RJJ, 2007 WL 2264536, at *2 (D. Nev. Aug. 3, 2007) (citation omitted). 19

20 6 Hypertension, also known as high blood pressure, when uncontrolled, increases a person’s risk of serious health problems, such as heart attacks and strokes. See https://www.mayoclinic.org/diseases- 21 conditions/high-blood-pressure/symptoms-causes/syc-20373410 (last visited July 25, 2025).

22 7 Hypercholesterolemia is a disease that affects how the body processes cholesterol. See https://newsnetwork.mayoclinic.org/discussion/mayo-researchers-study-genetic-basis-of-high- 23 cholesterol-in-adults/ (last visited July 25, 2025). 24 8 Atorvastatin is used to reduce the risk of heart attack and stroke. See Abbink v. Berryhill, Case No. 25 SACV 16-0324-JPR, 2017 WL 1496918, at *5 n.10 (C.D. Cal. Apr. 25, 2017) (citation omitted).

26 9 Levothyroxine is a thyroid hormone, which is used to treat hypothyroidism, a condition in which the 27 thyroid gland does not produce enough thyroid hormone. See Womack v. Colvin, No. CV 13–7094– JPR, 2014 WL 3704538, at *4 n. 8 (C.D. Cal. July 24, 2014) (citation omitted). 28 1 polydipsia, slow healing wounds, and heartburn. (Id. at 474.) On May 13, 2021, P.A. 2 Vanderzant noted that Plaintiff was compliant with taking her medications. (Id. at 537.) 3 On November 24, 2020, Peter Holm, M.D., conducted a consultative mental status 4 examination of Plaintiff, and noted that Plaintiff’s chief complaint was depression and 5 anxiety, which had begun a year before. (Id. at 423–24.) Dr. Holm also noted that 6 Plaintiff had a history of diabetes “not well controlled,” hypertension, elevated lipids, and 7 hypothyroidism. (Id. at 423.) Plaintiff reported hearing her deceased mother’s voice 8 several times a week, depressed mood, paranoia, insomnia, limited energy, and difficulty 9 concentrating. (Id.) Dr. Holm stated that Plaintiff “denies interactional problems with 10 people other than she isolates, and is generally paranoid about strangers.” (Id.) During 11 Plaintiff’s mental status examination, she could not spell the word “world” backwards or 12 forwards; could only repeat four numbers forward and two numbers backwards; could not 13 do simple mathematic equations; and reported that if she found a sealed, addressed, and 14 stamped envelope, she would leave it where she found it. (Id. at 424.) Dr. Holm 15 determined that Plaintiff was of “below average” intelligence, and diagnosed her with 16 major depression and specific learning disorders with impairments in mathematics, 17 reading, and written expression. (Id.) 18 On June 2, 2021, Dr. Petzelt, A State agency psychologist, assessed Plaintiff’s 19 mental RFC. (Id. at 76–79.) He determined that Plaintiff’s ability to respond 20 appropriately to changes in the workplace was moderately limited, and she had 21 understanding and memory limitations. (Id. at 77, 79.) Dr. Petzelt noted that Plaintiff 22 was easily overwhelmed when dealing with stress and frequently cried. (Id. at 75.) He 23 opined that Plaintiff was “able to relate appropriately to and work with supervisors and 24 co-workers, but due to social withdrawal would do better on tasks involving no contact 25

26 10 Polydipsia causes people to “constantly feel thirsty and drink lots of fluids.” See 27 https://www.mayoclinic.org/diseases-conditions/diabetes-insipidus/symptoms-causes/syc-20351269 (last visited July 25, 2025). 28 1 with the general public in order to avoid stress.” (Id. at 76.) Dr. Petzelt also opined that 2 Plaintiff had the ability to: perform simple and lower level detailed instructions, but 3 would struggle with higher detailed tasks; focus on work activities and lower level tasks 4 for two-hour periods in a standard work week; ask simple questions and make requests 5 for assistance; and generally regulate her emotions, but might infrequently experience 6 difficulty in responding in an appropriate manner. (Id. at 80.) 7 On February 28, 2023, Dr. Hilborn, a Clinical Psychologist, conducted a 8 consultative examination of Plaintiff. (Id. at 671–73.) Plaintiff reported a history of 9 depression, including symptoms of sadness, anhedonia, feelings of worthlessness, 10 increased appetite, and reduced energy and concentration. (Id. at 671.) She also reported 11 visual and auditory hallucinations, although Dr. Hilborn noted that perceptual 12 abnormalities were not apparent during the evaluation. (Id. at 671–72.) Additionally, Dr. 13 Hilborn documented that Plaintiff’s social functioning was limited to her family. (Id. at 14 672.) Dr. Hilborn diagnosed Plaintiff with “Major Depressive Disorder, Recurrent 15 Episode, Severe with Psychotic Features.” (Id. at 673.) He determined that Plaintiff was 16 unable to complete tasks in a timely manner due to emotional and physical symptoms. 17 (Id. at 672.) Dr. Hilborn opined that Plaintiff’s comprehension and ability to understand, 18 remember, and apply information in a work setting was “somewhat impaired,” but she 19 was capable of understanding and carrying out simple instructions. (Id. at 673.) He also 20 opined that Plaintiff was capable of following one- and two-step oral instructions to carry 21 out tasks, recall and use information to perform work tasks, and use reason and judgment 22 to make simple work-related decisions. (Id.) Additionally, Dr. Hilborn opined that 23 Plaintiff’s ability to interact effectively with peers and coworkers was “somewhat 24 impaired,” and her executive functions were “fair.” (Id.) 25 / / / 26 / / / 27 / / / 28 / / / 1 B. Plaintiff’s Administrative Hearing 2 Plaintiff testified that despite undergoing a cataract surgery, she still had 3 difficulties with her vision. (Id. at 42–43.) She also stated that she took insulin, thyroid 4 medication, and antidepressants. (Id. at 50.) 5 Plaintiff further testified that she had worked as a breakfast attendant at Best 6 Western hotel from 2016 to 2018, where she “was doing the breakfast for the guests in 7 the hotel.” (Id. at 43.) She stated that she stopped working because she was falling and 8 losing her balance at work due to pain in her legs and thyroid issues. (Id. at 44.) Plaintiff 9 also testified that in 2022, she returned to her breakfast attendant position at Best 10 Western, but subsequently quit due to issues with her eyesight, balance, and because she 11 “was too slow . . . wasn’t doing good, [and because] the people complained.” (Id. at 45.) 12 Plaintiff stated that she could not work in a similar position because pain and swelling in 13 her legs caused her to fall, she was struggling with depression and anxiety, and had 14 difficulty in public and with large crowds. (See id. at 46, 55.) 15 The ALJ asked the VE if she had read Plaintiff’s application and listened to 16 Plaintiff’s testimony, and the VE responded that she did. (Id. at 57–58.) The ALJ further 17 inquired if the VE needed additional information about Plaintiff’s past relevant work, and 18 the VE asked the ALJ to confirm what Plaintiff’s lifting demands were at her breakfast 19 attendant job. (Id.) The ALJ then asked Plaintiff what was the heaviest item Plaintiff had 20 to lift and carry at her past job, and Plaintiff responded that she had to lift “the whole box 21 of eggs” and carry them to the kitchen table. (See id. at 58–59.) Plaintiff did not specify 22 or estimate how much the box of eggs weighed, but explained that the box contained 23 approximately twenty-seven eggs. (See id. at 59.) 24 The VE relied on the Dictionary of Occupational Titles (“DOT”) and classified 25 Plaintiff’s past relevant work as a “cook helper” (DOT 317.687-010), with a “strength 26 definition of medium, SVP: 2,” performed “at a light level.” (Id.) The ALJ asked the VE 27 whether a hypothetical person with Plaintiff’s age, education, and experience, and RFC 28 limited to “work at the light exertional level,” “performing simple, routine, and repetitive 1 tasks,” and “occasional interactions with the general public” could perform Plaintiff’s 2 past work, and the ALJ opined that such individual could perform Plaintiff’s past work as 3 she actually performed it. (Id. at 59–60.) The ALJ then asked the VE if the VE’s 4 testimony was consistent with the DOT, and the VE responded, in relevant part, that her 5 testimony was not consistent with the DOT because of “the difference between the jobs 6 actually performed versus generally performed.” (See id. at 61.) When the ALJ asked 7 the VE what was the basis for her testimony, the VE responded that her testimony was 8 “based on [her] education, training, and experience.” (Id.) 9 C. Plaintiff’s Reports and Third-Party Report 10 1. Plaintiff’s Work History Report 11 In her Work History Report, Plaintiff described her breakfast attendant job at the 12 Best Western hotel. (Id. at 244–45.) She stated that she “cooked breakfast all day,” and 13 used “machines, tools, or equipment,” and “technical knowledge or skills.” (Id. at 245.) 14 Plaintiff also indicated that she had to walk, sit, climb, kneel, and “handle, grab or grasp 15 big objects” for one hour per day, stand for five hours per day, and lift and carry objects 16 from counter to counter daily. (See id.) She noted that the heaviest weight she lifted and 17 the weight she most frequently lifted was “10 lbs.” (Id.) 18 2. Plaintiff’s disability report and questionnaire 19 Plaintiff listed the following physical and mental conditions that limited her ability 20 to work: high blood pressure, hypertension, high cholesterol, diabetes, anxiety, and 21 depression. (Id. at 264.) Plaintiff reported that she could not stand due to tingling and 22 swelling in her legs, but was able to cook meals, clean, and do laundry. (Id. at 270, 272.) 23 Additionally, Plaintiff stated that her illnesses and conditions impacted her ability to lift, 24 squat, bend, stand, kneel, walk, sit, climb stairs, see, remember, and understand. (Id. at 25 275.) 26 / / / 27 / / / 28 / / / 1 3. Third-party report from Plaintiff’s son 2 Plaintiff’s son Alexander reported that Plaintiff “gets anxiety, gets confused, [and] 3 does not understand right away,” which limits her ability to work. (Id. at 281.) He also 4 noted that Plaintiff’s conditions impacted her ability to walk, sit, talk, hear, see, and 5 climb stairs. (Id. at 282, 285, 287.) Alexander further stated that Plaintiff took multiple 6 medications, which gave her adverse side effects. (Id. at 288.) Additionally, he reported 7 that Plaintiff did not handle stress well, got overwhelmed, cried, was anxious, and 8 “want[ed] to be left alone.” (Id. at 285–87.) 9 VI. DISCUSSION 10 A. The ALJ Improperly Evaluated Dr. Petzelt’s Opinion 11 1. Parties’ arguments 12 Plaintiff argues that the ALJ improperly evaluated the opinion of State agency 13 psychologist, Dr. Petzelt. (J. Mot. at 3–8, 12–14.) Specifically, Plaintiff alleges that the 14 ALJ improperly evaluated the supportability and consistency of Dr. Petzelt’s opinion 15 limiting Plaintiff to no public contact. (Id. at 5, 7–8.) Plaintiff contends that Dr. Petzelt’s 16 opinion was well-supported because he explained that Plaintiff should avoid public 17 interaction due to social withdrawal and to minimize stress, and summarized medical 18 notes that documented Plaintiff’s difficulty dealing with stress and social withdrawal. 19 (Id. at 6 (citing AR at 74–75, 80).) Plaintiff asserts that the ALJ failed to develop the 20 record by asking Plaintiff about social demands of her past work as a breakfast attendant, 21 speculated regarding the degree of public interaction that job required, and did not 22 recognize that Plaintiff was forced to discontinue her breakfast attendant job because of 23 her impairments. (J. Mot. at 7.) Plaintiff maintains that the ALJ’s error was harmful, 24 because the RFC the ALJ assessed for Plaintiff and hypothetical questions the ALJ posed 25 to the VE did not contain the limitation Dr. Petzelt assessed; and the VE’s testimony 26 therefore did not constitute substantial evidence to support the ALJ’s step four 27 determination that Plaintiff was not disabled because she could return to her past relevant 28 work. (Id. at 8.) 1 Defendant responds that the ALJ reasonably evaluated Dr. Petzelt’s opinion. (Id. 2 at 9–12.) In support, Defendant states that the ALJ properly considered both the 3 supportability and consistency of Dr. Petzelt’s opinion. (Id. at 9.) Defendant contends 4 that the ALJ properly found that Dr. Petzelt’s opinion limiting Plaintiff to no contact with 5 the public was not well-explained and inconsistent with Plaintiff’s work as a breakfast 6 attendant at the hotel. (Id. at 11.) Further, Defendant contends that Dr. Petzelt 7 determined that Plaintiff had no limitations in social interaction. (Id.) Defendant 8 therefore asserts that the ALJ’s decision was supported by substantial evidence in the 9 record. (Id. at 9, 11.) 10 2. Applicable law 11 In evaluating the intensity and persistence of a claimant’s symptoms, an ALJ must 12 consider all available evidence from medical and nonmedical sources about how the 13 claimant’s symptoms affect the claimant. 20 C.F.R. § 416.929(c)(1). Revised 14 regulations apply to an ALJ’s analysis of medical opinion evidence for claims filed on or 15 after March 17, 2017. See Revisions to Rules Regarding the Evaluation of Medical 16 Evidence, 82 Fed. Reg. 5844-01, 5867–68. Under the revised regulations, an ALJ is no 17 longer required to “defer or give any specific evidentiary weight, including controlling 18 weight, to any medical opinion(s).” 20 C.F.R. § 416.920c(a). Instead, an ALJ is required 19 to consider all medical opinions in the record and evaluate each medical opinion’s 20 persuasiveness using factors, which include supportability, consistency, relationship with 21 the claimant, and specialization. Id. § 416.920c(c). 22 Supportability and consistency are the two most important factors in determining a 23 medical opinion’s persuasiveness. Id. An ALJ is required to articulate how the ALJ 24 considered the supportability and consistency factors for a medical source’s opinions. Id. 25 § 416.920c(b)(2); see also Kitchen v. Kijakazi, 82 F.4th 732, 739 (9th Cir. 2023) (stating 26 that an ALJ must provide an explanation, which is supported by substantial evidence, 27 articulating how the ALJ considered both supportability and consistency factors). 28 Supportability means the extent to which a medical source supports the medical opinion 1 by explaining the relevant objective medical evidence. See 20 C.F.R. § 416.920c(c)(1); 2 see also Woods v. Kijakazi, 32 F.4th 785, 791–92 (9th Cir. 2022). Consistency means 3 the extent to which a medical opinion is consistent with evidence from other medical and 4 nonmedical sources. See 20 C.F.R. § 416.920c(b)(3); Woods, 32 F.4th at 792. Under the 5 new regulations, an ALJ’s decision, “including the decision to discredit any medical 6 opinion, must simply be supported by substantial evidence.” Woods, 32 F.4th at 787. 7 Although the revised regulations provide new terms that an ALJ must use in 8 evaluating medical opinion evidence, an ALJ still may not cherry-pick evidence in 9 discounting a medical opinion. See Colter v. Berryhill, 685 F. App’x 616, 617 (9th Cir. 10 2017) (citing Ghanim v. Colvin, 763 F.3d 1154, 1164 (9th Cir. 2014)) (“The ALJ failed 11 to analyze the periods of improvement in the context of [the claimant’s] treatment 12 history to ensure that the improvement was not temporary.”). Nor may an ALJ dismiss 13 medical opinions without providing detailed explanations. See Regenmitter v. Comm’r 14 of Soc. Sec. Admin., 166 F.3d 1294, 1299 (9th Cir. 1999) (“The ALJ must do more than 15 offer his own conclusions. He must set forth his own interpretation and explain why 16 they, rather than [the claimant’s medical providers’], are correct.”). 17 3. Analysis 18 Dr. Petzelt, a State agency psychologist, opined that “due to social withdrawal 19 [Plaintiff] would do better on tasks involving no contact with the general public in order 20 to avoid stress.” (AR at 76.) The ALJ found that this portion of Dr. Petzelt’s opinion 21 was not well explained and inconsistent with Plaintiff’s prior work as a breakfast 22 attendant at a hotel. (Id. at 25.) The ALJ reasoned that the record did not contain any 23 evidence of “major interpersonal conflicts associated with [Plaintiff’s] work activity or 24 otherwise described in the record,” and found that Plaintiff was limited to “no more than 25 occasional interaction with the public.” (Id.) 26 The first reason the ALJ cited to discount Dr. Petzelt’s opinion was that the 27 opinion was not well explained. (See id.) With respect to supportability of the opinion, 28 the “more relevant the objective medical evidence and supporting explanations presented 1 by a medical source are to support his or her medical opinion(s), the more persuasive the 2 medical opinions . . . will be.” See 20 C.F.R. § 416.920c(c)(1). Dr. Petzelt explained in 3 his opinion that Plaintiff should avoid public interaction due to social withdrawal to avoid 4 stress. (See AR at 80.) In reaching this conclusion, Dr. Petzelt summarized the results of 5 Plaintiff’s treatment notes and consultative evaluations, which documented Plaintiff’s 6 social withdrawal and difficulty dealing with stress. (See id. at 74–75 (stating that during 7 three separate appointments in September and October 2020, Plaintiff reported several 8 stressors, including recent deaths of family members and racing thoughts); id. (noting that 9 during Plaintiff’s October 24, 2020 examination, she was tearful); id. at 74 (noting that 10 during November 2020 consultative evaluation with Dr. Holm, Plaintiff had blunted 11 affect, diminished eye contact and psychomotor functioning, and “tend[ed] to isolate 12 herself from others”); id. at 75 (citing third-party report from Plaintiff’s son that Plaintiff 13 was easily overwhelmed when dealing with stress, frequently cried, and was socially 14 withdrawn).) Accordingly, substantial evidence in the record does not support the ALJ’s 15 conclusion that the portion of Dr. Petzelt’s opinion restricting Plaintiff to no contact with 16 the public was unexplained and unsupported. 17 The other reason the ALJ cited to discount Dr. Petzelt’s opinion was that it was 18 inconsistent with Plaintiff’s “nearly six months of work as a breakfast attendant at a 19 hotel.” (Id. at 25.) With respect to consistency, the “more consistent a medical 20 opinion(s) is with the evidence from other medical sources in the claim, the more 21 persuasive the medical opinion(s) . . . will be.” 20 C.F.R. § 416.920c(c)(2). As 22 discussed in detail in section VI.C.3, there was no evidence in the record regarding 23 mental demands of Plaintiff’s breakfast attendant job, (see AR at 37–63), and the ALJ 24 merely speculated regarding the degree of public interaction required by the position. 25 Notably, the ALJ acknowledged that Plaintiff returned to her breakfast attendant position 26 in 2022, but left in less than six months, and found that Plaintiff’s work as a breakfast 27 attendant at Best Western hotel in 2022 was an “unsuccessful work attempt.” (Id. at 19); 28 see also McKenzie v. Apfel, No. C-00-0425-CAL, 2001 WL 58845, at *4 (N.D. Cal. 1 Jan. 5, 2001) (citing SSR 84–25, 1984 WL 49799 (1984)) (providing that “unsuccessful 2 work attempt” is a “work effort limited to six months” that “ended or [was] reduced to 3 the non-substantial gainful activity level due to the impairment or the removal of special 4 considerations that are essential to the performance of work.”). Courts have previously 5 determined that an ALJ cannot solely rely on the claimant’s unsuccessful work attempt to 6 discount a medical opinion that assessed functional limitations greater than those 7 assessed by the ALJ. See Bonnie B. v. Saul, Case No.: 3:20-cv-00653-RBM, 2020 WL 8 7695332, at *5 (S.D. Cal. Dec. 28, 2020) (finding that “[a] failed ‘work attempt alone is 9 not a clear and convincing reason’ to reject a [medical] opinion”); Jalexis O. v. Berryhill, 10 No. 6:17-cv-00172-MC, 2018 WL 4931996, at *8 (D. Or. Oct. 10, 2018) (finding that 11 “the ALJ . . . cannot use an unsuccessful work attempt to discredit the [medical] 12 opinion,” which “assesses limitations that would not allow a successful return to work”). 13 Additionally, clinical findings in the record were consistent with Dr. Petzelt’s 14 opinion that Plaintiff would have limitations in handling stress and when dealing with the 15 public. (See, e.g., AR at 423–24 (containing Dr. Helm’s November 24, 2020 16 psychological evaluation findings documenting Plaintiff’s diminished eye contact and 17 psychomotor activity, depressed mood, blunted affect, paranoia, inability to spell a 18 simple word or perform simple calculations, and difficulty understanding a simple 19 proverb, and documenting that Plaintiff socially isolated and “[wa]s generally paranoid 20 about strangers”); id. at 671–73 (containing Dr. Hilborn’s February 23, 2023 mental 21 status examination notes and findings documenting Plaintiff’s depressed mood, impaired 22 delayed recall, impaired working memory, inability to solve a math problem and spell a 23 simple word backwards, and noting that Plaintiff’s social functioning was limited to her 24 family).) Accordingly, the ALJ’s conclusion was not supported by substantial evidence. 25 For all the forgoing reasons, the Court finds that the ALJ improperly evaluated the 26 persuasiveness of Dr. Petzelt’s opinion, including the most important factors of 27 consistency and supportability. The ALJ therefore erred by improperly evaluating Dr. 28 Petzelt’s opinion that limited Plaintiff to no public contact. 1 The Court next examines whether the ALJ’s error was harmless. An error is 2 harmless if it is inconsequential to the ALJ’s ultimate nondisability determination. See 3 Rounds v. Comm’r Soc. Sec. Admin., 807 F.3d 996, 1007 (9th Cir. 2015) (finding that 4 the ALJ’s error was harmless because it was “inconsequential to the ultimate 5 nondisability determination.”); Tommasetti v. Astrue, 533 F.3d 1035, 1038 (9th Cir. 6 2008) (internal quotation marks and citation omitted) (“[H]armless error . . . exists when 7 it is clear from the record that the ALJ’s error was inconsequential to the ultimate 8 nondisability determination.”). In this case, the ALJ’s assessed RFC limited Plaintiff to 9 “occasional interaction with the public,” which was less restrictive than Dr. Petzelt’s 10 assessed limitation of “no contact with the general public.” (AR at 23, 80.) The ALJ did 11 not incorporate the more restrictive no public contact limitation in his hypothetical 12 questions to the VE. (See id. at 57–62.) Based on the VE’s testimony, the ALJ 13 determined that Plaintiff was able to perform her past relevant work of a cook helper 14 (DOT 317.687-010)11 as Plaintiff actually performed that job, and that Plaintiff was 15 therefore not disabled. (Id. at 25–26.) It is unclear how the VE would have testified had 16 the ALJ included the more restrictive limitation of no public contact in the hypotheticals 17 he posed to the VE, and whether the ALJ would still have concluded that Plaintiff was 18 not disabled. As such, the Court finds that the ALJ’s error was not harmless. See Chad 19 20 11 DOT describes the “cook helper” position in relevant part as follows: 21 Assists workers engaged in preparing foods for hotels, restaurants, or ready-to-serve 22 packages by performing any combination of following duties: Washes, peels, cuts, and seeds vegetables and fruits. Cleans, cuts, and grinds meats, poultry, and seafood. Dips 23 food items in crumbs, flour, and batter to bread them. Stirs and strains soups and sauces. Weighs and measures designated ingredients. Carries pans, kettles, and trays of food to 24 and from work stations, stove, and refrigerator. Stores foods in designated areas, 25 utilizing knowledge of temperature requirements and food spoilage. Cleans work areas, equipment and utensils, segregates and removes garbage, and steam-cleans or hoses 26 garbage containers [KITCHEN HELPER (hotel & rest.) 318.687-010]. Distributes supplies, utensils, and portable equipment, using handtruck. 27 DICOT 317.687-010, 1991 WL 672752. 28 1 B. v. Kijakazi, Case No.: 20cv1431-CAB(MSB), 2021 WL 5564496, at *10 (S.D. Cal. 2 Nov. 29, 2021) (finding that the error was not harmless, where the ALJ failed to properly 3 consider plaintiff’s [limitations at issue] when assessing plaintiff’s RFC, where it was 4 unclear “how the VE would have testified had more restrictive limitations been included 5 in the hypotheticals posed to the VE”); Godfrey v. Saul, Case No.: 20-CV-917-WVG, 6 2021 WL 3810561, at *17 (S.D. Cal. Aug. 26, 2021) (finding that the ALJ’s error was not 7 harmless, where the ALJ “might re-evaluate the RFC in its entirety”). 8 The Court therefore RECOMMENDS that the District Judge find that the ALJ 9 improperly evaluated the medical source opinion of State agency psychologist, Dr. 10 Petzelt, that Plaintiff should not interact with the public. The Court further 11 RECOMMENDS that the District Judge find that the ALJ’s error was not harmless. 12 B. The ALJ Improperly Evaluated the Opinion of Dr. Hilborn 13 1. Parties’ arguments 14 Plaintiff argues that the ALJ failed to properly evaluate the opinion of consultative 15 examiner, Dr. Hilborn, who opined that Plaintiff was capable of following one- and two- 16 step instructions to carry out tasks, and was “somewhat impaired” in her ability to 17 interact effectively with peers and coworkers. (J. Mot. at 14–18, 22–23.) Plaintiff 18 alleges that the ALJ failed to evaluate the supportability of Dr. Hilborn’s opinion, and 19 contends that this error was not harmless. (Id. at 15–16.) Plaintiff claims that an 20 individual restricted to one- to two-step tasks cannot perform DOT occupations requiring 21 Level Two reasoning. (Id. at 16.) Plaintiff asserts that because the ALJ did not 22 incorporate the restriction Dr. Hilborn assessed into Plaintiff’s RFC and into his 23 hypothetical questions to the VE, substantial evidence does not support the ALJ’s finding 24 that Plaintiff could perform a cook helper job, because the job requires Level Two 25 reasoning. (Id.) Plaintiff also argues that contrary to Dr. Hilborn’s finding that Plaintiff 26 was “somewhat impaired” in her ability to interact effectively with peers and coworkers, 27 the ALJ did not incorporate such restriction into Plaintiff’s RFC and hypothetical 28 questions to the VE, further amplifying the ALJ’s error. (Id. at 16–17.) 1 Defendant responds that the ALJ reasonably evaluated Dr. Hilborn’s opinion. (Id. 2 at 18–22.) Defendant alleges that the ALJ properly discounted Dr. Hilborn’s opinion 3 because it was “vague.” (Id. at 17–18.) Defendant further argues that even if the ALJ 4 erred by not analyzing the supportability of Dr. Hilborn’s opinion, “any omission by the 5 ALJ” was harmless because the ALJ reasonably accounted for Dr. Hilborn’s assessed 6 limitations by “translating and incorporating” them into Plaintiff’s RFC. (Id. at 20.) 7 Defendant also contents that Plaintiff does not demonstrate that the record supported a 8 more restrictive RFC assessment. (Id. at 21.) 9 2. Applicable law 10 The applicable legal standards are listed in Section VI.A.2. Accordingly, the Court 11 will not restate them in this section. 12 3. Analysis 13 Dr. Hilborn, a Clinical Psychologist, conducted a consultative examination of 14 Plaintiff and opined, in relevant part, that Plaintiff was capable of following one- to two- 15 step oral instructions to carry out tasks, and was “somewhat impaired” in her ability to 16 interact with peers and coworkers. (AR at 671, 673.) The ALJ discounted Dr. Hilborn’s 17 opinion as “vague as to the extent of the claimant’s ‘impairments’.” (Id. at 25.) The ALJ 18 further stated that “the finding that the claimant can perform at least one- to two[-]step 19 tasks is consistent with the state agency findings that [Plaintiff] can perform simple tasks 20 and instructions,” and with Plaintiff’s “work activity in an unskilled position as a 21 breakfast attendant.” (Id.) 22 The parties do not dispute that the ALJ considered the consistency of Dr. Hilborn’s 23 opinion that Plaintiff could follow one- and two-step instructions to carry out tasks, and 24 found that the opinion was consistent with other evidence in the record. (See J. Mot. at 25 17, 19–20; AR at 25.) However, as Plaintiff points out and Defendant appears to 26 concede, the ALJ did not address the supportability of Dr. Hilborn’s opinion. (See AR at 27 25; see also J. Mot. at 15–16, 20–21.) The Court has carefully reviewed the ALJ’s 28 discussion of Dr. Hilborn’s opinion and notes that it is completely devoid of any analysis 1 of the opinion’s supportability. (See AR at 18–27). Because the ALJ did not explain 2 how he considered the supportability of Dr. Hilborn’s medical opinion, the ALJ erred. 3 See 20 C.F.R. § 416.920c(b)(2) (requiring an ALJ to articulate how the ALJ considered 4 the supportability and consistency factors for a medical source’s opinion); see also Cross 5 v. O’Malley, 89 F.4th 1211, 1214 (9th Cir 2024) (“ALJs must explain how persuasive 6 they find the medical opinion by expressly considering the two most important factors for 7 evaluating such opinions: ‘supportability’ and ‘consistency.’”). 8 The Court must next determine whether the ALJ’s error was harmless—whether it 9 was inconsequential to the ALJ’s ultimate nondisability determination. See Rounds, 807 10 F.3d at 1007; Tommasetti, 533 F.3d at 1038. Courts have found that an ALJ’s failure to 11 articulate his consideration of the supportability factor was harmful error, where the court 12 could not conclude that had the ALJ fully considered the supportability of the medical 13 opinion at issue, the ALJ would not have reached a different decision. See David C. v. 14 Comm’r of Soc. Sec., Case No.: 23-cv-0655-WQH-MMP, 2024 WL 3596856, at *10 15 (S.D. Cal. July 31, 2024) (finding that the ALJ’s failure to explain how he considered the 16 supportability factor was not harmless error even where substantial evidence supported 17 the ALJ’s consideration of the consistency of the medical source’s opinion); Damon R v. 18 Dudeck, Case No. 4:24-cv-00156-BLW-REP, 2025 WL 955574, at *3 (D. Idaho Mar. 31, 19 2025) (finding that the ALJ’s failure to articulate his consideration of the supportability 20 factor was harmful error, because the court was not able to conclude, based on the record 21 before it, that had the ALJ fully considered the supportability of the medical opinion at 22 issue, the ALJ would not have reached a different decision). 23 In this case, the ALJ determined that Plaintiff had the RFC to perform light work,12 24 except Plaintiff was limited to “understanding, remembering, and carrying out simple, 25 26 27 12 Light work is defined as “lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds.” 20 C.F.R. § 416.967(b). 28 1 routine, and repetitive tasks,” and “occasional interaction with the public.” (AR at 23.) 2 At step four of his sequential evaluation process, the ALJ found that Plaintiff was capable 3 of performing her past relevant work as a cook helper, as Plaintiff actually preformed that 4 job, and that Plaintiff was therefore not disabled. (Id. at 26–27.) The cook helper 5 position requires Level Two reasoning, which requires the claimant to: “[a]pply 6 commonsense understanding to carry out detailed but uninvolved written or oral 7 instructions. Deal with problems involving a few concrete variables in or from 8 standardized situations.” DICOT 317.687-010, 1991 WL 672752. In contrast, Level One 9 reasoning requires the claimant to “[a]pply commonsense understanding to carry out 10 simple one- or two-step instructions. Deal with standardized situations with occasional 11 or no variables in or from these situations encountered on the job.” Rounds, 807 F.3d at 12 1003 (citing GED Reasoning Levels, App. C, § III, 1991 WL 688702). Therefore, an 13 individual restricted to one- to two-step tasks may not be able to perform occupations 14 requiring Level Two reasoning. See Rounds, 807 F.3d at 1003 (holding that the 15 limitation of “one to two step tasks” in the claimant’s RFC was in conflict with jobs that 16 required Level Two reasoning); see also Leach v. Kijakazi, 70 F.4th 1251, 1256 (9th Cir. 17 2023) (noting that “[t]he key distinction between [Level One and Level Two] reasoning 18 is that level-one jobs require instructions involving at most two steps, whereas level-two 19 jobs may require ‘detailed’—that is, potentially longer—instructions”). 20 In this case, the ALJ identified only one job that Plaintiff could perform, which 21 required greater reasoning abilities than those Dr. Hilborn assessed for Plaintiff. Had 22 Plaintiff’s RFC included the limitation to one- and two-step instructions to carry out tasks 23 that Dr. Hilborn assessed for Plaintiff, there would be an apparent conflict between 24 Plaintiff’s RFC and the ALJ’s identified job of the cook helper, which requires Level 25 Two reasoning. Because the ALJ did not adequately explain his basis for rejecting the 26 limitation assessed by Dr. Hilborn, and did not recognize there was a conflict to resolve, 27 the ALJ’s error was not harmless. See Little v. Berryhill, 708 F. App’x 468, 470 (9th Cir. 28 2018) (finding that the ALJ committed a harmful error by improperly discounting 1 medical opinion; concluding that had the claimant’s RFC included the “simple one- to 2 two-step instruction” language included in the medical opinion at issue, there would be 3 an “apparent conflict” between the claimant’s RFC and the ALJ’s identified job, which 4 required Level Two reasoning); Pallesi v. Berryhill, 696 F. App’x 798, 801 (9th Cir. 5 2017) (finding that the ALJ committed a harmful error by improperly discounting 6 medical opinion; reasoning that had the ALJ not improperly discounted the opinion, the 7 ALJ might have assigned an RFC limited to one- or two-step tasks, which “would be 8 inconsistent with the jobs in the ALJ’s opinion, all of which required Level Two 9 reasoning”). Accordingly, a proper evaluation of the supportability of Dr. Hilborn’s 10 opinion may have impacted the RFC the ALJ assessed for Plaintiff, the hypothetical 11 questions the ALJ posed to the VE, and the ALJ’s ultimate nondisability determination. 12 The Court therefore finds that the ALJ’s error was not harmless. 13 The Court further notes that to the extent the ALJ discounted Dr. Hilborn’s opinion 14 that Plaintiff was “somewhat impaired” in her ability to interact effectively with peers 15 and coworkers because the opinion was “vague,” the ALJ did not provide any further 16 analysis or explanation. (See AR at 25); see also Embrey v. Bowen, 849 F.2d 418, 421– 17 22 (9th Cir. 1988) (“The ALJ must do more than offer his conclusions. He must set forth 18 his own interpretations and explain why they, rather than the doctors’, are correct.”); 19 Mendiola v. Berryhill, CASE NO. 2:17-cv-01904-DWC, 2018 WL 2455441, at *3 (W.D. 20 Wash. June 1, 2018) (“[A]n ALJ may not reject a medical opinion in a vague or 21 conclusory manner”). The Court also notes that although the RFC the ALJ assessed for 22 Plaintiff contained a limitation to occasional interaction with the “public,” Dr. Hilborn’s 23 limitation concerned “peers and coworkers.” (See AR at 22, 673.) Because none of the 24 hypothetical questions the ALJ posed to the VE contained such limitation, (see id. at 57– 25 62), and for the same reasons as discussed in Section VI.A.3, the Court finds that the ALJ 26 committed a harmful error. 27 / / / 28 / / / 1 The Court therefore RECOMMENDS that the District Judge find that the ALJ 2 improperly evaluated the opinion of State agency psychologist, Dr. Hilborn. The Court 3 further RECOMMENDS that the District Judge find that the ALJ’s error was not 4 harmless. 5 C. The ALJ Failed to Develop the Record Regarding the Mental Demands of 6 Plaintiff’s Past Relevant Work 7 1. Parties’ arguments 8 Plaintiff contends that the ALJ failed to develop the record regarding the mental 9 and physical demands of Plaintiff’s past relevant work to substantiate the finding that 10 Plaintiff could perform such work as actually performed. (J. Mot. at 23–26.) Plaintiff 11 asserts that the ALJ did not ask any questions during the administrative hearing regarding 12 the mental demands of Plaintiff’s past work as a breakfast attendant, including whether 13 she performed more than simple tasks and whether she had to regularly interact with the 14 public. (Id. at 25.) Additionally, Plaintiff states that the VE did not explain why she 15 classified the physical exertion level required at Plaintiff’s past relevant job as light 16 exertion, despite Plaintiff’s testimony that she had to lift a box of eggs, which Plaintiff 17 opines had to weigh at least thirty pounds, thereby exceeding the light exertion lifting 18 capacity identified in her RFC. (Id. at 25–26.) Plaintiff therefore claims that the ALJ 19 committed a harmful error, and further development of the record is necessary to 20 determine the mental and physical functional demands of her past relevant work as a 21 breakfast attendant. (See id. at 26.) 22 Defendant responds that the ALJ properly developed the record and reasonably 23 relied on the VE’s testimony to find that Plaintiff could perform her past relevant work. 24 (Id. at 26–29.) Defendant claims that the ALJ considered Plaintiff’s statements in her 25 Work History Report and obtained additional testimony from Plaintiff during the 26 administrative hearing regarding her past relevant work, as well VE’s testimony. (Id. at 27 28.) Defendant argues that Plaintiff’s testimony regarding her past work was “highly 28 probative,” and the VE’s testimony that Plaintiff could perform past relevant work as 1 actually performed was “inherent[ly] reliabl[e].” (Id. at 28–29.) Defendant also contends 2 that the ALJ reasonably relied on Plaintiff’s testimony, written responses, and the VE’s 3 testimony, to find that Plaintiff could perform her past relevant work of cook helper as 4 she “actually performed” that work. (See id. at 28.) 5 2. Applicable law 6 “[T]he ALJ has a special duty to develop the record fully and fairly and ensure that 7 the claimant’s interests are considered, even when the claimant is represented by 8 counsel.” Mayes v. Massanari, 276 F.3d 453, 459 (9th Cir. 2001). “An ALJ’s duty to 9 develop the record further is triggered only when there is ambiguous evidence or when 10 the record is inadequate to allow for proper evaluation of the evidence.” Id. at 459–60. 11 At step four of the sequential evaluation process, the claimant has the burden to 12 prove that she cannot perform her past relevant work “either as actually performed or as 13 generally performed in the national economy.” See Lewis v. Barnhart, 281 F.3d 1081, 14 1083 (9th Cir. 2002). Although the burden of proof lies with the claimant at step four, 15 “the ALJ still has a duty to make the requisite factual findings to support his conclusion.” 16 Pinto v. Massanari, 249 F.3d 840, 844 (9th Cir. 2001). A determination that a claimant 17 has the capacity to perform past relevant work must contain the following specific 18 findings of fact: (1) the claimant’s RFC; (2) the physical and mental demands of the 19 claimant’s past job or occupation; and (3) that the claimant’s RFC permits the claimant to 20 return to the past job or occupation. SSR 82–62, 1982 WL 31386, at *4 (1982). 21 Adequate documentation of past work includes “factual information about those work 22 demands which have a bearing on the medically established limitations.” Id. at *3. A 23 claim involving mental impairment requires “precise description of the particular job 24 duties which are likely to produce tension and anxiety, e.g., speed, precision, complexity 25 of tasks, independent judgements, working with other people, etc., in order to determine 26 if the claimant’s mental impairment is compatible with the performance of such work.” 27 Id. Any determination regarding a claimant’s ability to perform past work “must be 28 developed and explained fully in the disability decision.” Id. 1 Occupational evidence provided by a VE should generally be consistent with the 2 occupational information contained in the DOT. See SSR 00-4p, 2000 WL 1898704, at 3 *2 (Dec. 4, 2000). When a VE provides evidence about the requirements of a claimant’s 4 past job, the ALJ has “an affirmative responsibility to ask about any possible conflict” 5 between the VE’s evidence and the DOT, and to ask for a reasonable explanation for any 6 deviation. See id. at *4;13 see also Massachi v. Astrue, 486 F.3d 1149, 1152–53 (9th Cir. 7 2007) (providing that an ALJ is required to inquire whether the VE’s testimony conflicts 8 with the DOT and to obtain a reasonable explanation for any conflict). A conflict 9 between the VE’s testimony and the DOT exists when the VE’s testimony is “obviously 10 or apparently contrary” to the DOT’s listing of job requirements that are “essential, 11 integral, or expected.” Gutierrez v. Colvin, 844 F.3d 804, 808 (9th Cir. 2016). The ALJ 12 may rely on VE testimony that contradicts the DOT if the record contains persuasive 13 evidence to support the deviation from the DOT. See Massachi, 486 F.3d at 1153; 14 Johnson v. Shalala, 60 F.3d 1428, 1435 (9th Cir. 1995). 15 3. Analysis 16 The ALJ found that Plaintiff had the RFC to perform light work, except Plaintiff 17 was limited to understanding, remembering, and carrying out simple, routine, and 18 repetitive tasks, as well as to occasional interaction with the public. (AR at 22.) 19

20 21 13 The Court notes that Social Security Ruling (“SSR”) 00-4p, requiring the ALJ to resolve conflicts between VE’s occupational information and the DOT was in effect at the time of the ALJ’s decision, 22 which was issued on February 26, 2024. (See AR at 17–26); see also SSR 00-4p, 2000 WL 1898704, at 23 *2. On January 6, 2025, the agency rescinded SSR 00-4p, and replaced it with SSR 24-3p, which “no longer require[s] [the agency’s] adjudicators to identify and resolve conflicts between occupational 24 information provided by [vocational specialists] and VEs and information in the DOT.” Social Security Ruling, SSR 24-3p; Titles II and XVI: Use of Occupational Information and Vocational Specialist and 25 Vocational Expert Evidence in Disability Determinations and Decisions, 89 Fed. Reg. 97158-01, 97158 (Dec. 6, 2024). However, rule SSR 24-3p explicitly states that the agency “expect[s] that Federal courts 26 will review our final decisions using the rules that were in effect at the time we issued the decisions.” 27 Id. at 97159 n.1 (emphasis added). Accordingly, the Court applies SSR 00-4p in this Report and Recommendation. 28 1 Although Plaintiff’s RFC included specific mental limitations, the record did not contain 2 any description or explanation of mental demands of Plaintiff’s breakfast attendant 3 position. Without this information, the ALJ could not meaningfully analyze whether 4 Plaintiff’s work duties involved simple, routine, or repetitive tasks—a mental limitation 5 set out in Plaintiff’s RFC. (See id.); see also SSR 82–62, 1982 WL 31386, at *3 6 (requiring “precise description” of the claimant’s job duties, including “complexity of 7 tasks” and “working with other people,” to “determine if the claimant’s mental 8 impairment is compatible with the performance of such work”); Pinto, 249 F.3d at 844– 9 45 (providing that the ALJ has a duty to make the requisite factual findings regarding the 10 mental and physical demands of the claimant’s past relevant work). In addition, the 11 record did not contain any information regarding the frequency of Plaintiff’s interactions 12 with the public while she worked as a breakfast attendant, which was another mental 13 limitation listed in Plaintiff’s RFC. (See AR at 22.) Thus, the ALJ failed to develop the 14 record regarding the mental demands of Plaintiff’s past relevant work. 15 With respect to physical demands of Plaintiff’s past relevant work, Plaintiff stated 16 in her Work History Report and testified during the administrative hearing that she 17 “cook[ed] breakfast all day,” carried boxes of eggs,14 lifted up to ten pounds, and had to 18 “handle, grab or grasp big objects.” (See id. at 58–59, 244–45.) Additionally, Plaintiff 19 specified that she had to walk, sit, climb, kneel, and “handle, grab or grasp big objects” 20 for one hour per day, stand for five hours per day, and lift and carry objects from counter 21 to counter daily. (Id. at 245.) 22 23

24 25 14 Plaintiff did not specify and could not estimate during her administrative hearing testimony the weight of the box of eggs that she had to lift in her breakfast attendant position, but she specifically 26 testified that the box she lifted contained approximately twenty-seven eggs. (See AR at 58–59.) As such, Plaintiff’s assertion in the Joint Motion that it was “likely” that during her testimony she was 27 referring to a “case” of eggs, which contained approximately three-hundred-and-sixty eggs and weighed thirty pounds, is purely speculative and directly contradicts Plaintiff’s administrative hearing testimony. 28 1 The VE classified Plaintiff’s past relevant work as a “cook helper” (DOT 317.687- 2 010), and stated that although the DOT specified that the job involved a medium 3 exertional level, Plaintiff actually performed the job at a light exertional level. (Id. at 59.) 4 The ALJ identified the conflict and asked the VE whether the VE’s testimony was 5 consistent with the DOT, and the VE noted the deviation in exertional levels and stated 6 that the deviation was based on her “education, training, and experience.” (See id. at 60– 7 61.) The ALJ relied on the VE’s testimony and concluded that Plaintiff actually 8 performed her past relevant work at a light exertional level. (See id. at 26.) Because the 9 ALJ did not obtain a reasonable explanation from the VE for the conflict between the 10 VE’s testimony and the DOT before relying on the VE’s testimony that Plaintiff actually 11 performed her past relevant work at a light exertional level, the ALJ erred. See 12 Tommasetti, 533 F.3d at 1042 (finding that the ALJ erred at step four when she “deferred 13 to the VE’s personal knowledge and experience as superseding the DOT,” where the 14 VE’s testimony was “brief and indefinite”); Lance Paul E. v. O’Malley, No. 4:23–CV– 15 00217–DKG, 2024 WL 1885821, at *6–7 (D. Idaho Apr. 30, 2024) (stating that 16 “[r]elying on the [VE’s] experience is not the same as obtaining a reasonable explanation 17 for the conflict” between the VE’s testimony and the DOT; finding that the ALJ’s 18 reliance on the VE’s experience was insufficient, where the ALJ failed to obtain an 19 explanation that addressed the conflict in adequate detail); Barbour v. Colvin, Case No. 20 3:15–cv–00380–HDM–WGC, 2016 WL 7383351, at *9 (D. Nev. July 29, 2016) 21 (explaining that the VE’s reliance on experience to substantiate his testimony was 22 insufficient, where the VE did not explain how his experience supported his conclusion; 23 reasoning that “[t]he ALJ’s broad statement concerning the VE’s vague experience in 24 placing people in [jobs at issue] d[id] nothing to clarify how [p]laintiff [wa]s able to 25 perform the [job at issue] at the light level”). 26 Having concluded that the ALJ erred, the Court needs to determine whether the 27 ALJ’s error was harmless. See Rounds, 807 F.3d at 1007; Tommasetti, 533 F.3d at 1038. 28 Without any information in the record regarding the mental demands of Plaintiff’s past 1 relevant work, the Court cannot determine whether the ALJ’s step four finding was 2 supported by substantial evidence, and this error therefore was not harmless. See 3 Geraldine C. B. v. Kijakazi, Case No.: 21-cv-1750-DEB, 2023 WL 6390432, at *4 (S.D. 4 Cal. Sept. 29, 2023) (finding that the ALJ’s error was not harmless, where “[t]he record 5 call[ed] into question whether” plaintiff could have performed the requirements of past 6 relevant work positions “given his mental limitations”; noting that “[a] properly 7 formulated RFC might contain mental health limitations inconsistent with the [past 8 relevant work positions] the ALJ found Plaintiff could perform”); Carlson v. Berryhill, 9 Case No. 18-cv-03107-LB, 2019 WL 1116241, at *18 (N.D. Cal. Mar. 10, 2019) (finding 10 that the ALJ committed harmful error, where the court “c[ould] not determine what 11 would have happened had the ALJ considered the plaintiff’s mild mental impairments 12 when assessing the RFC or how the vocational experts would have testified had that 13 limitation been included in the hypotheticals posed”). 14 With respect to physical demands of Plaintiff’s past relevant work, while the ALJ 15 erred by not obtaining a reasonable explanation from the VE for the deviation from the 16 DOT regarding exertional levels, this error was harmless. The record contained 17 Plaintiff’s Work History Report, which indicated that ten pounds was the heaviest weight 18 Plaintiff lifted and the weight she frequently lifted in her breakfast attendant position, as 19 well as Plaintiff’s testimony that she had to lift a box of eggs that contained 20 approximately twenty-seven eggs. (See id. at 58–59, 245.) This evidence supported the 21 VE’s testimony that Plaintiff actually performed her past relevant work at a light 22 exertional level. See 20 C.F.R. § 416.967(b) (defining “light work” as “lifting no more 23 than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 24 pounds”). 25 Nevertheless, as discussed above, due to the ALJ’s failure to develop the record 26 regarding the mental demands of Plaintiff’s past relevant work to substantiate the finding 27 that Plaintiff could perform such work as she actually performed it, the ALJ’s error at 28 step four was not harmless. Notably, although the ALJ found that Plaintiff’s return to her 1 breakfast attendant job in March 2022, was an “unsuccessful work attempt,” (AR at 19), 2 the ALJ concluded, without any additional explanation, that Plaintiff could perform this 3 very same job as she actually performed it in the past, (see id. at 25–26). Additionally, 4 the ALJ did not proceed to step five of the sequential evaluation process and did not 5 identify if there was any other work that Plaintiff could perform, (see id. at 26), thereby 6 further supporting the Court’s conclusion that the ALJ’s error at step four was not 7 harmless. 8 For all the reasons stated above, the Court RECOMMENDS that the District 9 Judge find that the ALJ erred by failing to develop the record regarding the mental 10 demands of Plaintiff’s past relevant work to substantiate the finding that Plaintiff could 11 perform such work as she actually performed it. The Court further RECOMMENDS 12 that the District Judge find that the ALJ’s error was not harmless. 13 VII. REMEDY 14 Plaintiff moves to reverse the Commissioner’s decision and remand for further 15 proceedings, while Defendant asks the Court to affirm the Commissioner’s decision. 16 (See J. Mot. at 29; see also id. at 12, 17–18, 22, 26.) The reviewing court may enter a 17 judgment “affirming, modifying, or reversing” the Commissioner’s decision. 42 U.S.C. 18 § 405(g). The reviewing court may also remand the case to the Social Security 19 Administration for further proceedings. Id. The decision whether to remand for further 20 proceedings or for immediate payment of benefits is within the discretion of the court. 21 Id.; Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1099 (9th Cir. 2014). A 22 remand for an immediate award of benefits is appropriate only in rare circumstances. See 23 Brown-Hunter v. Colvin, 806 F.3d 487, 495 (9th Cir. 2015). “[T]he district court should 24 credit evidence that was rejected during the administrative process and remand for an 25 immediate award of benefits if (1) the ALJ failed to provide legally sufficient reasons for 26 rejecting the evidence; (2) there are no outstanding issues that must be resolved before a 27 determination of disability can be made; and (3) it is clear from the record that the ALJ 28 would be required to find the claimant disabled were such evidence credited.” Benecke 1 v. Barnhart, 379 F.3d 587, 593 (9th Cir. 2004) (citing Harman v. Apfel, 211 F.3d 1172, 2 1178 (9th Cir. 2000)). However, “[i]f additional proceedings can remedy defects in the 3 original administrative proceedings, a social security case should be remanded.” Lewin 4 v. Schweiker, 654 F.2d 631, 635 (9th Cir. 1981). 5 The Court finds that further administrative proceedings will serve a meaningful 6 purpose in this case by allowing the ALJ to properly evaluate the opinions of Drs. Petzelt 7 and Hilborn, and, if warranted, reassess Plaintiff’s RFC. Further administrative 8 proceedings will also allow the ALJ to develop the record regarding the mental demands 9 of Plaintiff’s past relevant work, and determine whether Plaintiff can perform her past 10 relevant work or whether there are any available jobs that Plaintiff can perform. The 11 Court therefore RECOMMENDS that the District Judge find that remand for further 12 proceedings is appropriate. 13 VIII. CONCLUSION AND RECOMMENDATION 14 For the foregoing reasons, the Court RECOMMENDS that the Commissioner’s 15 decision be REVERSED, and that Judgment be entered reversing the decision of the 16 Commissioner and remanding this matter for further administrative proceedings. 17 IT IS ORDERED that no later than August 13, 2025, any party to this action may 18 file written objections with the Court and serve a copy on all parties. The document 19 should be captioned “Objections to Report and Recommendation.” 20 IT IS FURTHER ORDERED that any reply to the objections shall be filed with 21 the Court and served on all parties no later than August 20, 2025. The parties are 22 advised that failure to file objections within the specified time may waive the right to 23 / / / 24 / / / 25 / / / 26 / / / 27 / / / 28 / / / 1 || raise those objections on appeal of the Court’s order. See Turner v. Duncan, 158 F.3d 2 455 (9th Cir. 1998); Martinez v. YIst, 951 F.2d 1153, 1157 (9th Cir. 1991). 3 IT IS SO ORDERED. 4 ||Dated: July 30, 2025 5 LY 7 Honorable Lupe Rodriguez, Jr. 8 United States Magistrate Judge 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28