LINDA LILIENTHAL v. JLK, INC.

Court of Appeals of Georgia·Decided May 24, 2023·No. A23A0290·Published

Opinion

FIRST DIVISION

BARNES, P. J.,

PIPKIN and LAND, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed.

https://www.gaappeals.us/rules

May 24, 2023

In the Court of Appeals of Georgia A23A0290. LILIENTHAL v. JLK, INC. et al.

LAND, Judge.

We granted discretionary review of the superior court’s order affirming the decision of the Appellate Division of the State Board of Workers’ Compensation denying Linda Lilienthal’s (the “employee”) motion for a change of physician.1 At issue is whether the panel of physicians offered by her employer was prominently posted upon the work site’s premises at the time of the employee’s compensable job- related injury as required by OCGA § 34-9-201 (c). For the following reasons, we reverse and remand.

1 The Georgia Legal Foundation filed an amicus curiae brief in support of the employee.

Pursuant to OCGA § 34-9-103 (a), “[a]ny party dissatisfied with a decision of an administrative law judge in the trial division of the State Board of Workers’ Compensation may appeal that decision to the State Board of Workers’ Compensation which shall have original appellate jurisdiction in all workers’ compensation cases.” “If, after assessing the evidence of record, the Appellate Division determines that the findings of the ALJ were supported by a preponderance of the competent and credible evidence, the Appellate Division must accept the factual findings of the ALJ.” (Citation omitted.) Stokes v. Coweta County Bd. of Ed., 313 Ga. App. 505, 506 (722 SE2d 118) (2012). After a workers’ compensation case becomes final at this administrative level, a claimant has the right of direct appeal to the superior court, pursuant to OCGA § 34-9-105 (b). Stokes, 313 Ga. App. at 506. “As a reviewing court, the superior court applies an any-evidence standard of review to the Board’s findings of fact, construing the evidence in the light most favorable to the party prevailing before the Board, and lacks authority to substitute itself as a factfinding body in lieu of the Board.” (Citation omitted). Id. However, “[e]rroneous applications of law to undisputed facts, as well as decisions based on erroneous theories of law . . . are subject to the de novo standard of review.” Id. An appeal to this Court from the decision of a superior court reviewing a decision of the Board is not a matter of right,

but rather is discretionary. OCGA § 5-6-35 (a) (1). And, appeals to this Court are governed by the same standards of review as appeals to the superior court under OCGA § 34-9-105. Home Depot v. McCreary, 306 Ga. App. 805, 807 (1) (703 SE2d 392) (2010). See also Harris v. Peach County Bd. of Commrs., 296 Ga. App. 225 (674 SE2d 36) (2009) (“The question of whether the trial court applied the correct legal standard in evaluating the evidence . . . is one of law, which we review de novo”) (citation and punctuation omitted).

The record shows that the employee began working as a preschool teacher for JLK, Inc. in March 2016. On July 15, 2019, the employee slipped and fell on a child’s blanket in the classroom, injuring her left shoulder and both knees. When the employee asked to see a doctor, JLK’s owner provided her with a photocopied copy of the panel of physicians.2 The director then made an appointment for the employee at Academy Orthopedics because it was the option closest to her house and gave her a piece of paper with Academy’s name and address handwritten on it. The employee testified that she did not know that she had the right to tell the director she did not

2 An employer may satisfy its duty to furnish an injured employee with reasonably required medical treatment by maintaining a list of six physicians, known as the “panel of physicians,” from which an employee can accept services. See OCGA § 34-9-201 (b) (1).

want to go to Academy Orthopedics or to Dr. Jonathan Katz. The employee received initial medical treatment from Dr. Katz at Academy Orthopedics on July 16, 2019, and continued treatment with him through February 2020.

Although the employee continued to work, she continued to suffer from significant pain despite Dr. Katz’s treatment and physical therapy. Although the employee did not ask JLK’s director for an appointment with any other physician, the employee sought an independent evaluation with Dr. Christopher Haraszti, a non- panel knee-specialist. Dr. Haraszti recommended that the employee would be a “good candidate for a right total knee arthroplasty.” Based upon the condition of her left shoulder and left knee, Dr. Haraszti opined that she had achieved “maximal medical improvement,” but still suffered significant impairments and thus, she should be placed on the following work restrictions: “no overhead activity”; “no lifting greater than 15 lbs;” and sedentary work only.

Accident Fund Insurance Company of America, JLK’s workers’ compensation insurance, provided the panel of physicians to be posted at the school. During their new hire orientation, JLK employees had to sign a “manual acknowledgment form” which stated where the panel of physicians was located. The evidence shows that the employee signed such a form on March 14, 2016. The ALJ, however, found that the

language of the Employee Manual Acknowledgment did not clearly explain where the panel is located or the function of the panel. The employee likewise testified that she never received a new hire orientation physically showing her the location of the panel of physicians or explaining its purpose.

The panel of physicians notice states, in bold language at the top of the document, that the notice “must be posted in a conspicuous place readily accessible to the employee at all times.” The panel of physicians was posted inside the school’s Resource Room, which is an art supply closet in the school’s main corridor. The school’s policy required the single door to the Resource Room to remain locked when not in use because there was certain equipment stored inside, such as a mechanical paper cutter, that could be harmful to a child. The only key to the Resource Room was located in a metal box inside a closed drawer of a desk used by the school’s administration. The upper half of the door to the Resource Room is composed of a glass window panel. Although JLK argued at the hearing before the ALJ that the lights were not often kept off in the Resource Room, three of JLK’s employees testified that the lights were kept off in the Resource Room when it was unoccupied. The employee testified that she rarely used the Resource Room because it did not contain supplies or materials that she needed for her classroom.

The employee sought a change of physician to Dr. Haraszti. See OCGA § 34-9-

201 (e) (“upon the request of an employee . . . the board may order a change of physician as provided under [OCGA § ] 34-9-200”). A hearing was held before an administrative law judge on July 29, 2021. The employee acknowledged that Dr. Haraszti is not a panel physician, but contended that she was entitled to choose her own physician rather than have one appointed because the employer failed to post a copy of the panel of physicians in “prominent places upon the business premises” as required by OCGA § 34-9-201 (c).

Free access — add to your briefcase to read the full text and ask questions with AI

LINDA LILIENTHAL v. JLK, INC., (Ga. Ct. App. 2023).

LINDA LILIENTHAL v. JLK, INC. (LINDA LILIENTHAL v. JLK, INC.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Boaz v. K-Mart Corp.
334 S.E.2d 167 (Supreme Court of Georgia, 1985)
Harris v. Peach County Board of Commissioners
674 S.E.2d 36 (Court of Appeals of Georgia, 2009)
Home Depot v. McCreary
703 S.E.2d 392 (Court of Appeals of Georgia, 2010)
Stokes v. Coweta County Board of Education
722 S.E.2d 118 (Court of Appeals of Georgia, 2012)
Cartersville City Schools v. Celia Johnson
812 S.E.2d 605 (Court of Appeals of Georgia, 2018)
Ware County Board of Education v. Roy Taft
830 S.E.2d 326 (Court of Appeals of Georgia, 2019)
State v. Bullock
641 S.E.2d 9 (Supreme Court of North Carolina, 2006)
Glanton v. State
641 S.E.2d 234 (Court of Appeals of Georgia, 2007)
Brasher v. US Xpress Enterprises, Inc.
761 S.E.2d 448 (Court of Appeals of Georgia, 2014)