Opinion

Frances Gaona Hernandez v. Andrew Saul

Court
District Court, C.D. California
Filed
Jul 26, 2021
Cited by
0 cases
Authority
More cited than 18.0%

“If 24 the evidence can support either affirming or reversing the ALJ’s conclusion, we may not 1 substitute our judgment for that of the ALJ.”

How later courts described this case

  • “If 24 the evidence can support either affirming or reversing the ALJ’s conclusion, we may not 1 substitute our judgment for that of the ALJ.”
  • “[The] Court need 15 not address the other claims plaintiff raises, none of which would provide plaintiff with 16 any further relief than granted, and all of which can be addressed on remand.”

Written by the judges who cited it.

The opinion

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8 UNITED STATES DISTRICT COURT

9 CENTRAL DISTRICT OF CALIFORNIA

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11 FRANCES G. H., an Individual, Case No.: 2:19-10388 ADS

12 Plaintiff,

13 v.

MEMORANDUM OPINION AND ORDER

14 KILOLO KIJAKAZI, Acting Commissioner OF REMAND

of Social Security,

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Defendant.

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17 I. INTRODUCTION

18 Plaintiff Frances G. H.1 (“Plaintiff”) challenges Defendant Kilolo Kijakazi2, Acting

19 Commissioner of Social Security’s (hereinafter “Commissioner” or “Defendant”) denial

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1 Plaintiff’s name has been partially redacted in compliance with Federal Rule of Civil

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Procedure 5.2(c)(2)(B) and the recommendation of the Committee on Court

Administration and Case Management of the Judicial Conference of the United States.

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2 The Complaint, and thus the docket caption, do not name the current Acting

Commissioner. The parties list Andrew M. Saul as the Commissioner in the Joint

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Stipulation. On July 9, 2021, Kijakazi became the Acting Commissioner of Social

Security. Thus, he is automatically substituted as the defendant under Federal Rule of

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Civil Procedure 25(d).

1 of her application for a period of disability and disability insurance benefits (“DIB”).

2 For the reasons stated below, the decision of the Commissioner is REVERSED and

3 REMANDED.

4 II. FACTS RELEVANT TO THE APPEAL

5 Plaintiff protectively filed for DIB on November 15, 2016, stating that the

6 following conditions limited her ability to work: “neck pain with nerve damage; both

7 hands carpal tunnel; wrist joint pain; left and right shoulder pain; right shoulder torn

8 rotator cuff; anxiety with depression/panic attacks; obesity; bilateral medical and lateral

9 elbow pain; bilateral knee pain; and difficulty sleeping. (Administrative Record “AR”

10 73-74). When asked at the Administrative hearing what prevents her from working,

11 Plaintiff testified of the following conditions: pain in her neck to her shoulders with

12 nerve damage, pain in her elbows and pain in her hands. (AR 45, 52-54). Plaintiff

13 further testified, and submitted medical records confirm, that she had rotator cuff

14 surgery for her right shoulder, surgery on her left elbow and surgeries on both hands for

15 carpal tunnel. (AR 57, 63-64). Plaintiff described that she continues to have problems

16 with her hands even after surgeries on both hands in that when she picks something up,

17 she feels like it she is going to drop it and it will fall. (AR 64-65). She testified that she

18 could maybe lift seven pounds and that when she gets a glass of water, she has to use

19 both hands to hold the glass. (Id.).

20 A vocational expert, Paul Ramirez, testified at the hearing that if Plaintiff’s

21 assessed residual functional capacity included a limitation to “occasionally handle and

22 finger and feel” that would eliminate the jobs he had assessed as possible, namely

23 salesclerk, receptionist, sales attendant and medical records clerk. (AR 68-70).

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1 III. PROCEEDINGS BELOW

2 A. Procedural History

3 Plaintiff filed an application for DIB on November 15, 2016, alleging a disability

4 onset date of April 20, 2012. (AR 168-71, 73-74). Plaintiff’s claims were denied initially

5 on March 22, 2017 (AR 90, 107-11) and upon reconsideration on May 30, 2017 (AR 106,

6 115-19). Thereafter, on June 15, 2017, Plaintiff filed a request for an administrative

7 hearing. (AR 120-21). A hearing was held before ALJ Henry Koltys on August 28, 2018.

8 (AR 41-72). Plaintiff, represented by counsel, appeared and testified at the hearing.

9 Also appearing and testifying at the hearing was vocational expert Paul Steve Ramirez.

10 (Id.).

11 On November 26, 2018, the ALJ found that Plaintiff was “not disabled” within

12 the meaning of the Social Security Act.3 (AR 20-35). The ALJ’s decision became the

13 Commissioner’s final decision when the Appeals Council denied Plaintiff’s request for

14 review on October 2, 2019. (AR 164-67). Plaintiff then filed this action in District Court

15 on December 6, 2019, challenging the ALJ’s decision. [Docket “Dkt.” No. 1].

16 On June 29, 2020, Defendant filed an Answer, as well as a copy of the Certified

17 Administrative Record. [Dkt. Nos. 24, 25]. The parties filed a Joint Stipulation on

18 December 4, 2020. [Dkt. No. 32]. The case is ready for decision.4

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3 Persons are “disabled” for purposes of receiving Social Security benefits if they are

unable to engage in any substantial gainful activity owing to a physical or mental

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impairment expected to result in death, or which has lasted or is expected to last for a

continuous period of at least 12 months. 42 U.S.C. §423(d)(1)(A).

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4 The parties filed consents to proceed before the undersigned United States Magistrate

Judge, pursuant to 28 U.S.C. § 636(c), including for entry of final Judgment. [Dkt. Nos.

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19, 21].

1 B. Summary of ALJ Decision After Hearing

2 In the decision (AR 20-35), the ALJ followed the required five-step sequential

3 evaluation process to assess whether Plaintiff was disabled under the Social Security

4 Act.5 20 C.F.R. § 404.1520(a). At step one, the ALJ found that Plaintiff had not been

5 engaged in substantial gainful activity during the period from her alleged onset date of

6 April 20, 2012 through her date last insured of December 31, 2017. (AR 22). At step

7 two, the ALJ found that Plaintiff had the following severe impairments: (a) right rotator

8 cuff tear with tendonitis, status post right rotator cuff surgical repair; (b) bilateral carpal

9 tunnel syndrome, status post bilateral carpal tunnel releases; (c) bilateral epicondylitis

10 of the elbows, status post left lateral epicondylar debridement; (d) left knee

11 osteoarthritis, status post left knee partial medical meniscectomy; and (e) cervical

12 degenerative disc disease. (AR 22). At step three, the ALJ found that Plaintiff “did not

13 have an impairment or combination of impairments that met or medically equaled the

14 severity of one of the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1 (20

15 CFR 404.1520(d), 404.1525 and 404.1526).” (AR 24).

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5 The ALJ follows a five-step sequential evaluation process to assess whether a claimant

is disabled: Step one: Is the claimant engaging in substantial gainful activity? If so, the

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claimant is found not disabled. If not, proceed to step two. Step two: Does the claimant

have a “severe” impairment? If so, proceed to step three. If not, then a finding of not

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disabled is appropriate. Step three: Does the claimant’s impairment or combination of

impairments meet or equal an impairment listed in 20 C.F.R., Pt. 404, Subpt. P, App. 1?

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If so, the claimant is automatically determined disabled. If not, proceed to step four.

Step four: Is the claimant capable of performing his past work? If so, the claimant is not

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disabled. If not, proceed to step five. Step five: Does the claimant have the residual

functional capacity to perform any other work? If so, the claimant is not disabled. If

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not, the claimant is disabled. Lester v. Chater, 81 F.3d 821, 828 n.5 (9th Cir. 1995).

1 The ALJ then found that Plaintiff had the Residual Functional Capacity (“RFC”)6

2 to perform light work as defined in 20 C.F.R. §§ 404.1567(b)7, with no exceptions. (AR

3 24). At step four, the ALJ found that Plaintiff is capable of performing her past

4 relevant work as a salesclerk, a receptionist, a sales attendant, and a medical records

5 clerk. The ALJ found that “[t]his work did not require the performance of work-related

6 activities precluded by the claimant’s residual functional capacity.” (AR 34). As such,

7 the ALJ did not proceed to step five and determined that Plaintiff had not been under a

8 disability, as defined in the Social Security Act, at any time from April 20, 2012, the

9 alleged onset date, through December 31, 2017, the date last insured. (AR 35).

10 IV. ANALYSIS

11 A. Issues on Appeal

12 Plaintiff raises three issues for review: (1) whether the residual functional

13 capacity finding accounted for the limitations caused by all severe impairments;

14 (2) whether the evaluation of subjective allegations was legally sufficient; and

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6 An RFC is what a claimant can still do despite existing exertional and nonexertional

18 limitations. See 20 C.F.R. §416.945(a)(1).

7 “Light work” is defined as

19 lifting no more than 20 pounds at a time with frequent lifting or carrying

of objects weighing up to 10 pounds. Even though the weight lifted may be

20 very little, a job is in this category when it requires a good deal of walking

or standing, or when it involves sitting most of the time with some pushing

21 and pulling of arm or leg controls. To be considered capable of performing

a full or wide range of light work, you must have the ability to do

22 substantially all of these activities.

20 C.F.R. § 416.967(b); see also Rendon G. v. Berryhill, 2019 WL 2006688, at *3 n.6

23 (C.D. Cal. May 7, 2019).

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1 (3) whether the step four determination was based on legally sufficient findings. [Dkt.

2 No. 32 (Joint Stipulation), 5].

3 B. Standard of Review

4 A United States District Court may review the Commissioner’s decision to deny

5 benefits pursuant to 42 U.S.C. § 405(g). The District Court is not a trier of the facts but

6 is confined to ascertaining by the record before it if the Commissioner’s decision is

7 based upon substantial evidence. Garrison v. Colvin, 759 F.3d 995, 1010 (9th Cir. 2014)

8 (District Court’s review is limited to only grounds relied upon by ALJ) (citing Connett v.

9 Barnhart, 340 F.3d 871, 874 (9th Cir. 2003)). A court must affirm an ALJ’s findings of

10 fact if they are supported by substantial evidence and if the proper legal standards were

11 applied. Mayes v. Massanari, 276 F.3d 453, 458-59 (9th Cir. 2001). An ALJ can satisfy

12 the substantial evidence requirement “by setting out a detailed and thorough summary

13 of the facts and conflicting clinical evidence, stating his interpretation thereof, and

14 making findings.” Reddick v. Chater, 157 F.3d 715, 725 (9th Cir. 1998) (citation

15 omitted).

16 “[T]he Commissioner’s decision cannot be affirmed simply by isolating a specific

17 quantum of supporting evidence. Rather, a court must consider the record as a whole,

18 weighing both evidence that supports and evidence that detracts from the Secretary’s

19 conclusion.” Aukland v. Massanari, 257 F.3d 1033, 1035 (9th Cir. 2001) (citations and

20 internal quotation marks omitted). “‘Where evidence is susceptible to more than one

21 rational interpretation,’ the ALJ’s decision should be upheld.” Ryan v. Comm’r of Soc.

22 Sec., 528 F.3d 1194, 1198 (9th Cir. 2008) (citing Burch v. Barnhart, 400 F.3d 676, 679

23 (9th Cir. 2005)); see Robbins v. Soc. Sec. Admin., 466 F.3d 880, 882 (9th Cir. 2006) (“If

24 the evidence can support either affirming or reversing the ALJ’s conclusion, we may not

1 substitute our judgment for that of the ALJ.”). However, the Court may review only “the

2 reasons provided by the ALJ in the disability determination and may not affirm the ALJ

3 on a ground upon which he did not rely.” Orn v. Astrue, 495 F.3d 625, 630 (9th Cir.

4 2007) (citation omitted).

5 C. The ALJ Failed to Properly Evaluate Plaintiff’s Claimed

6 Limitations in the Assessed Residual Functional Capacity

7 Plaintiff contends that the ALJ erred in failing to include limitations from

8 Plaintiff’s severe impairments in the RFC determination, despite crediting medical

9 source statements that would preclude the manipulative activities required of all of the

10 past work cited at step four.

11 As noted, the ALJ found that Plaintiff had the following severe impairments at

12 step two: (a) right rotator cuff tear with tendonitis, status post right rotator cuff surgical

13 repair; (b) bilateral carpal tunnel syndrome, status post bilateral carpal tunnel releases;

14 (c) bilateral epicondylitis of the elbows, status post left lateral epicondylar debridement;

15 (d) left knee osteoarthritis, status post left knee partial medical meniscectomy; and

16 (e) cervical degenerative disc disease. (AR 22). The ALJ then found that Plaintiff had

17 the RFC to perform light work, with no exceptions. (AR 24). In other words, despite

18 finding that Plaintiff had severe impairments of bilateral carpal tunnel syndrome, right

19 rotator cuff tendonitis and bilateral epicondylitis of the elbows, the ALJ included no

20 restrictions with regard to handling or fingering in Plaintiff’s assessed RFC.

21 Given the significant testimony of Plaintiff concerning her fingering and handling

22 restrictions, as well as the medical records of Plaintiff’s history of procedures and care

23 for her shoulders, elbows and hands, the ALJ should have specifically addressed why

24 handling and fingering manipulative limitations were not included in Plaintiff’s RFC in

1 the ALJ’s decision. (AR 24-34). Accordingly, the Court agrees and finds that the ALJ

2 failed to properly evaluate or consider Plaintiff’s limitations in her upper extremities, as

3 noted in the medical records and testified to by Plaintiff.

4 A residual functional capacity is what a claimant can still do despite existing

5 exertional and nonexertional limitations. See 20 C.F.R. §§ 404.1545(a)(1). In

6 determining a claimant’s RFC, an ALJ must consider all relevant evidence in the case

7 record. See Robbins v. Soc. Sec. Admin., 466 F.3d 880, 883 (9th Cir. 2006); Laborin v.

8 Berryhill, 867 F.3d 1151, 1153 (9th Cir. 2017). “The ALJ must consider both the medical

9 evidence and ‘descriptions and observations of [the claimant’s] limitations from [the

10 claimant’s] impairment(s), including limitations that result from [the claimant’s]

11 symptoms, such as pain, provided by’ the claimant, family, friends, and other people.

12 [20 C.F.R.§ 416.945(a)(3)] The RFC assessment must ‘[c]ontain a thorough discussion

13 and analysis of the objective medical and other evidence, including the individual’s

14 complaints of pain and other symptoms and the adjudicator’s personal observations, if

15 appropriate.’ [SSR 96–8p, 61 Fed. Reg. at 34478 (emphasis added).] In other words, the

16 ALJ must take ‘the claimant’s subjective experiences of pain’ into account when

17 determining the RFC. [Garrison v. Colvin, 759 F.3d 995, 1011 (9th Cir. 2014)(emphasis

18 added)].” Laborin, 867 F.3d at 1153.

19 As set forth above, Plaintiff’s medical records and testimony make numerous

20 references to limitations in her upper extremities. The ALJ was required to consider

21 this evidence in assessing Plaintiff’s RFC. See Robbins v. Soc. Sec. Admin., 466 F.3d at

22 883; Laborin v. Berryhill, 867 F.3d at 1153. The ALJ’s decision failed to include a

23 specific discussion of whether Plaintiff’s RFC should include functional limitations. This

24 lack of discussion or analysis of any upper extremity limitation by the ALJ is particularly

1 problematic, given that the vocational expert, Paul Ramirez, testified at the hearing that

2 if Plaintiff’s assessed RFC included a limitation to “occasionally handle and finger and

3 feel” that would eliminate the jobs he had assessed as possible. (AR 68-70).

4 Accordingly, the Court finds that the ALJ committed legal error in failing to address

5 Plaintiff’s allegations of upper extremity limitations.

6 D. The Court Declines to Address Plaintiff’s Remaining Arguments

7 Having found that remand is warranted, the Court declines to address Plaintiff’s

8 remaining arguments. See Hiler v. Astrue, 687 F.3d 1208, 1212 (9th Cir. 2012)

9 (“Because we remand the case to the ALJ for the reasons stated, we decline to reach

10 [plaintiff’s] alternative ground for remand.”); see also Alderman v. Colvin, 2015 WL

11 12661933, at *8 (E.D. Wash. Jan. 14, 2015) (remanding in light of interrelated nature of

12 ALJ’s decision to discount claimant’s credibility and give appropriate consideration to

13 physician’s opinions, step-two findings, and step-five analysis); Augustine ex rel.

14 Ramirez v. Astrue, 536 F. Supp. 2d 1147, 1153 n.7 (C.D. Cal. 2008) (“[The] Court need

15 not address the other claims plaintiff raises, none of which would provide plaintiff with

16 any further relief than granted, and all of which can be addressed on remand.”).

17 Because it is unclear, in light of these issues, whether Plaintiff is in fact disabled, remand

18 here is on an “open record.” See Brown-Hunter, 806 F.3d at 495; Bunnell, 336 F.3d at

19 1115-16. The parties may freely take up all issues raised in the Joint Stipulation, and any

20 other issues relevant to resolving Plaintiff’s claim of disability, before the ALJ.

21 E. Remand For Further Administrative Proceedings

22 Remand for further administrative proceedings, rather than an award of benefits,

23 is warranted here because further administrative review could remedy the ALJ’s errors.

24 See Brown-Hunter, 806 F.3d at 495 (remanding for an award of benefits is appropriate

1 in rare circumstances). The Court finds that the ALJ failed to properly evaluate

2 Plaintiff’s asserted upper extremity limitations. On remand, the ALJ shall properly

3 review and evaluate evidence of Plaintiff’s upper extremity limitations and reassess

4 Plaintiff’s RFC. The ALJ shall then proceed through steps four and five, if necessary, to

5 determine what work, if any, Plaintiff is capable of performing.

6 V. ORDER

7 IT IS ORDERED that Judgment shall be entered REVERSING the decision of the

8 Commissioner denying benefits, and REMANDING the matter for further proceedings

9 consistent with this Order. Judgement shall be entered accordingly.

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11 DATE: July 26, 2021

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/s/ Autumn D. Spaeth

13 THE HONORABLE AUTUMN D. SPAETH

United States Magistrate Judge

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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