(SS) Espinoza v. Commissioner of Social Security

CourtDistrict Court, E.D. California
DecidedFebruary 19, 2025
Docket1:23-cv-01499
StatusUnknown

This text of (SS) Espinoza v. Commissioner of Social Security ((SS) Espinoza v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
(SS) Espinoza v. Commissioner of Social Security, (E.D. Cal. 2025).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 RAFAEL ESPINOZA, Case No. 1:23-cv-1499-JLT-BAM 12 Plaintiffs, FINDINGS AND RECOMMENDATIONS REGARDING PLAINTIFF’S MOTION 13 v. FOR SUMMARY JUDGMENT 14 COMMISSIONER OF SOCIAL (Docs. 14, 18) SECURITY, 15 FOURTEEN-DAY DEADLINE Defendant. 16 17 Findings and Recommendations 18 INTRODUCTION 19 Plaintiff Rafael Espinoza (“Plaintiff”) seeks judicial review of a final decision of the 20 Commissioner of Social Security denying his application for supplemental security income under 21 Title XVI of the Social Security Act. The matter is currently before the Court on Plaintiff’s 22 motion for summary judgment, which was submitted without oral argument, to Magistrate Judge 23 Barbara A. McAuliffe for findings and recommendations. 24 Having considered the briefing and record in this matter, the Court finds that the decision 25 of the Administrative Law Judge (“ALJ”) is supported by substantial evidence in the record as a 26 whole and based upon proper legal standards. Accordingly, this Court will recommend denying 27 Plaintiff’s motion for summary judgment and granting the Commissioner’s request to affirm the 28 agency’s determination to deny benefits. 1 FACTS AND PRIOR PROCEEDINGS 2 Plaintiff filed an application for disability insurance benefits on November 3, 2020, and an 3 application for supplemental security income on October 30, 2020. AR 243-49, 250-59.1 4 Plaintiff alleged he became disabled on June 11, 2018, due to blind or low vision, retinal 5 detachment left eye, cornea transplants both eyes, lower back pain due to BK amputation, below 6 knee amputation left leg and pain, diabetes, high blood pressure, and high cholesterol. AR 131, 7 295. Plaintiff’s applications were denied initially and on reconsideration. AR 131-33, 134-37, 8 139-44, 145-49. Subsequently, Plaintiff requested a hearing before an ALJ. Following a hearing, 9 ALJ Melissa Hammock issued an order denying benefits on September 26, 2022. AR 15-28, 40- 10 64. Thereafter, Plaintiff sought review of the decision, which the Appeals Council denied, 11 making ALJ’s decision the Commissioner’s final decision. AR 1-6. This appeal followed. 12 Hearing Testimony and Medical Record 13 The hearing testimony and medical record were reviewed by the Court and will be 14 referenced below as necessary to this Court’s decision. 15 The ALJ’s Decision 16 On September 26, 2022, using the Social Security Administration’s five-step sequential 17 evaluation process, the ALJ determined that Plaintiff was not disabled under the Social Security 18 Act. 2 AR 18-28. Specifically, the ALJ found that Plaintiff had not engaged in substantial gainful 19 activity since June 11, 2018, the alleged onset date. AR 20. The ALJ identified the following 20 severe impairments: status post below-the-knee amputation of the left lower extremity with use 21 of a prosthetic limb; obesity; diabetes mellitus; proliferative retinopathy with retinal detachment 22 involving the fovea of the left eye; proliferative diabetic retinopathy with clinically significant 23 macular edema (CSME): and a history of bilateral keratoconus surgery. AR 21. The ALJ 24 determined that Plaintiff did not have an impairment or combination of impairments that met or 25 medically equaled any of the listed impairments. AR 21. 26 1 References to the Administrative Record will be designated as “AR,” followed by the 27 appropriate page number. 2 Plaintiff, through counsel, withdrew his claim under Title II of the Social Security Act. AR 18, 28 44. 1 Based on a review of the entire record, the ALJ found that Plaintiff retained the residual 2 functional capacity (“RFC”) to perform light work, except he could sit for six hours, stand and/or 3 walk in combination for two hours, occasionally balance, stoop, crouch, climb ramps, and climb 4 stairs, but could never kneel, crawl, or climb ladders, ropes, or scaffolds. He could have no 5 exposure to workplace hazards, including unprotected heights and moving mechanical parts, 6 could never operate a motor vehicle for work-related tasks, and could perform tasks that did not 7 require peripheral vision on the left side. AR 21-27. With this RFC, the ALJ found that Plaintiff 8 could not perform his past relevant work, but could perform other jobs in the national economy, 9 such as dowel inspector, surveillance system monitor, addresser, sorter, and button reclaimer. AR 10 27-28. 11 SCOPE OF REVIEW 12 Congress has provided a limited scope of judicial review of the Commissioner’s decision 13 to deny benefits under the Act. In reviewing findings of fact with respect to such determinations, 14 this Court must determine whether the decision of the Commissioner is supported by substantial 15 evidence. 42 U.S.C. § 405(g). Substantial evidence means “more than a mere scintilla,” 16 Richardson v. Perales, 402 U.S. 389, 402 (1971), but less than a preponderance. Sorenson v. 17 Weinberger, 514 F.2d 1112, 1119, n.10 (9th Cir. 1975). It is “such relevant evidence as a 18 reasonable mind might accept as adequate to support a conclusion.” Richardson, 402 U.S. at 401. 19 The record as a whole must be considered, weighing both the evidence that supports and the 20 evidence that detracts from the Commissioner’s conclusion. Jones v. Heckler, 760 F.2d 993, 995 21 (9th Cir. 1985). In weighing the evidence and making findings, the Commissioner must apply the 22 proper legal standards. E.g., Burkhart v. Bowen, 856 F.2d 1335, 1338 (9th Cir. 1988). This 23 Court must uphold the Commissioner’s determination that the claimant is not disabled if the 24 Commissioner applied the proper legal standards, and if the Commissioner’s findings are 25 supported by substantial evidence. See Sanchez v. Sec’y of Health and Human Servs., 812 F.2d 26 509, 510 (9th Cir. 1987). 27 REVIEW 28 In order to qualify for benefits, a claimant must establish that he or she is unable to engage 1 in substantial gainful activity due to a medically determinable physical or mental impairment 2 which has lasted or can be expected to last for a continuous period of not less than twelve months. 3 42 U.S.C. § 1382c(a)(3)(A). A claimant must show that he or she has a physical or mental 4 impairment of such severity that he or she is not only unable to do his or her previous work, but 5 cannot, considering his or her age, education, and work experience, engage in any other kind of 6 substantial gainful work which exists in the national economy. Quang Van Han v. Bowen, 882 7 F.2d 1453, 1456 (9th Cir. 1989). The burden is on the claimant to establish disability. Terry v. 8 Sullivan, 903 F.2d 1273, 1275 (9th Cir. 1990). 9 DISCUSSION3 10 Plaintiff contends that the ALJ’s RFC determination is not supported by substantial 11 evidence because the ALJ failed to fully develop the record with regard to Plaintiff’s visual 12 limitations. (Doc. 14 at 9, 11.) To that end, Plaintiff asserts that the ALJ had a duty to develop 13 the record with a consultative eye examination. (Id.

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