Jimenez v. District of Columbia Department of Employment Services

701 A.2d 837, 1997 D.C. App. LEXIS 239, 1997 WL 619717
CourtDistrict of Columbia Court of Appeals
DecidedOctober 9, 1997
Docket96-AA-790, 96-AA-899
StatusPublished
Cited by19 cases

This text of 701 A.2d 837 (Jimenez v. District of Columbia Department of Employment Services) is published on Counsel Stack Legal Research, covering District of Columbia Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jimenez v. District of Columbia Department of Employment Services, 701 A.2d 837, 1997 D.C. App. LEXIS 239, 1997 WL 619717 (D.C. 1997).

Opinion

GALLAGHER, Senior Judge:

Petitioner Jimenez seeks review of a decision of the District of Columbia Department of Employment Services that his failure to provide his employer with timely notice of work-related injuries barred his claim for income replacement benefits under the Workers’ Compensation Act. 1 He contends the agency erred in finding that his notice was untimely and, in the alternative, contends the agency failed to determine whether he qualified for statutory exceptions excusing late notice. The employer, Capitol Paving of D.C., Inc., and its insurer, The PMA Group, argue that the agency erred in concluding that Jimenez’s failure to give timely notice did not bar his claim for medical benefits. We conclude that the finding that Jimenez failed to give timely notice is supported by substantial evidence, but we must remand the case because the agency failed to determine whether the untimely notice was excused for “some satisfactory reason.” D.C.Code § 36—313(d)(2) (1997). Accordingly, we do not reach the employer-insurer’s question whether unexcused, untimely notice bars a claim for medical benefits.

I.

Jimenez is an immigrant whose formal education ended in the third grade in El Salvador. In 1988, he began working for Capitol Paving of D.C., Inc. As a cement finisher, his duties required him to work on his knees performing repetitive, circular arm movements.

After suffering increasing pain in his knees and right shoulder, Jimenez sought treatment from Dr. Paul, an orthopedic surgeon, on July 6, 1994. Dr. Paul diagnosed what the Hearing Examiner later described as a “cumulative traumatic injury” to appellant’s knees and right shoulder as a result of his work duties. Dr. Paul operated on Jimenez in July, August, and September of 1994.

Although the surgeries significantly improved Jimenez’s condition, the doctor’s prognosis included the anticipation of some future pain from normal activities. The doctor also imposed work restrictions that precluded Jimenez from returning to his profession as a cement finisher. Jimenez eventually filed a claim for compensation.

The Hearing Examiner denied Jimenez’s claim for income replacement benefits, but ordered the employer-insurer to pay causally related medical expenses, including vocational rehabilitation. The Hearing Examiner concluded that Jimenez’s failure to notify his employer within thirty days of July 6, 1994, the date of his first visit to Dr. Paul, barred his claim for income benefits. See D.C.Code § 36-313(a) (1997). The Hearing Examiner also concluded that Jimenez’s claim for medical benefits was a distinct claim, see Santos v. District of Columbia Dep’t of Employment Servs., 536 A.2d 1085, 1089 n. 6 (D.C.1988), that was not time barred, and ordered the employer/insurer to provide medical services pursuant to D.C.Code § 36-307(a) (1997).

Jimenez filed a petition for review of the provision of the Hearing Examiner’s decision barring his claim for income benefits. The employer-insurer filed a cross-petition for review of the provision of the Hearing Examiner’s decision providing medical benefits. When the Director did not respond within forty-five days, the agency adopted the Hearing Examiner’s decision as required by D.C.Code § 36-322(b)(2) (1997). Both parties sought judicial review. See D.C.Code § 36-322(b)(3) (1997); Joyner v. District of Columbia Dep’t of Employment Servs., 502 A.2d 1027, 1029 (D.C.1986).

II.

The District of Columbia Administrative Procedures Act requires that the agency’s decision in this case include “a concise statement of the conclusions upon each contested issue of fact.” D.C.Code § l-1509(e) (1992). Furthermore, these findings and conclusions must be supported “by substantial evidence in the record.” D.C.Code § l-1510(a)(3)(E) (1992). We have refashioned these requirements into a three-part test for judicial review: “(1) the decision must state findings of *839 fact on each material, contested factual issue; (2) those findings must be based on substantial evidence; and (3) the conclusions of law must follow rationally from the findings.” Colton v. District of Columbia Dep’t of Employment Servs., 484 A.2d 550, 551-52 (D.C.1984) (quoting Perkins v. District of Columbia Dep’t of Employment Servs., 482 A.2d 401, 402 (D.C.1984)).

A,

The agency’s explicit findings are supported by substantial evidence. See Dell v. Department of Employment Servs., 499 A.2d 102, 108 (D.C.1985). The agency found that Jimenez was aware of the relationship between his injuries and his employment on July 6, 1994. Jimenez testified that he visited the doctor on July 6, 1994, for treatment of the pain in his knees and shoulder. He further admitted on cross-examination that he knew that his work activities were aggravating the pain. Thus, Jimenez’s own testimony provides substantial evidence supporting the agency’s finding. See Teal v. District of Columbia Dep’t of Employment Servs., 580 A.2d 647, 651 (D.C.1990).

Although the agency did not make a factual finding as to precisely when Jimenez provided notice to his employer of his work-related injuries, it did find that Jimenez failed to provide notice within thirty days of July 6,1994. Jimenez’s only argument to the contrary is that an interrogatory answer by Capitol Paving is an admission of notice on July 20, 1994. We disagree. The interrogatory answer, which reads “claimant informed Capitol Paving of D.C., Inc., on or about July 20, 1994, that he would be seeking medical leave for corrective surgery to his knees,” does not establish that the employer had notice that Jimenez’s injury was work-related. Moreover, the admission does not establish that Jimenez complied with the requirements of D.C.Code § 36

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701 A.2d 837, 1997 D.C. App. LEXIS 239, 1997 WL 619717, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jimenez-v-district-of-columbia-department-of-employment-services-dc-1997.