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$1.7 Million Settlement Resolves Kern County Wingstop Wage Theft Case

The California Labor Commissioners’ Office announced a settlement in the amount of $1.7 million in a wage theft case that impacts over 550 Wingstop employees in Kern County. This announcement follows a state investigation that uncovered a scheme in which a franchisee disguised the ownership of five Wingstop locations to deprive employees of wages, overtime, and meal breaks.

The LCO began its investigation in November 2020 after receiving a Report of Labor Law Violation for one of the locations.

The investigation revealed that, between 2019 and 2022, five Wingstop businesses were each operating as separate corporate entities, although one owner, Clinton Lewis, operated each site and shared employees between the multiple locations.

By treating each location as a separate employer, Lewis was able to pay workers the lower minimum wage rate designated for smaller employers with 25 or fewer employees.

Employees scheduled to work at more than one Wingstop in one day were denied overtime pay when they worked more than eight hours in a workday or 40 hours in a workweek. Lewis avoided paying missed meal break premiums to staff when scheduling them at more than one location. Additionally, employees were not compensated for off-the-clock work during their time traveling from one location to another.  

This settlement resolves the citations that covered minimum wage violations, contract wage violations, meal period premiums, liquidated damages, and waiting time penalties. Today’s settlement is an update from an earlier announcement.  

Employees who worked at the following Wingstop restaurant locations from June 9, 2019, and April 30, 2022, should contact LCO at (661) 587-3070 as they may be entitled to owed wages and damages under the settlement agreement:

– – 5628 Stockdale HWY, Bakersfield, CA 93309
– – 4580 Coffee Rd B, Bakersfield, CA 93308
– – 2600 Oswell St E, Bakersfield, CA 93306
– – 1523 Panama Ln, Bakersfield, CA 93307  
– – 3800 Gosford 100, Bakersfield, CA 93309  

The Labor Commissioner’s Office in 2020 launched an interdisciplinary outreach campaign, “Reaching Every Californian.” The campaign amplifies basic protections and builds pathways to vulnerable populations, providing critical information to workers and employers on legal protections and obligations, as well as the Labor Commissioner’s enforcement procedures. Californians can follow the Labor Commissioner on Facebook and Twitter.

Southern California Healthcare Provider Indicted for $60M Fraud

The California Attorney General announced the grand jury indictment of Southern California healthcare provider, Gerardo Santillan, along with seven other individuals, for defrauding the state Medi-Cal program of nearly $60 million through their operation of three home health agencies between 2016 and 2022.

Following grand jury proceedings, Gerardo Santillan, Ruth Elizabeth Eley, Marisol, Rodriguez, Christopher Gonzalez, Vivien Kono, Maria Consorcia Pagtakhan Lim, Vivian Bonotan Pagtakhan, and Vartan Akopyan, were indicted on 23 felony charges. The charges include conspiracy to commit insurance fraud, conspiracy to commit money laundering, grand theft, Medi-Cal fraud, insurance fraud, and money laundering.

Due to a prior conviction for defrauding the Medi-Cal program in August 2018, Santillan had been excluded from further participation in the Medi-Cal program.

It is alleged in the indictment that Santillan nonetheless continued his fraudulent activities by using other home health agencies to submit fraudulent claims for medical services to Medi-Cal. Those home health agencies include the Four P’s Health Services, dba Covenant Home Health, Angel Care Home Health and Neighborhood Home Health Care, Inc.

Among the various entities involved, Santillian allegedly entered into a General Services Agreement with defendants Ruth Elizabeth Eley and Four P’s Health Services, dba Covenant Home Health. The two directed all Medi-Cal operations at Four P’s, by directing employees, managing patients, making business decisions. and submitting false claims to Medi- Cal. Billing at Four P’s increased after Santillantook over all Medi-Cal operations at Four P’s, billing the Medi- Cal Program $26.2 million and Medi-Cal paying Four P’s a total of$23.8 million despite being suspended from Medi-Cal.

The owners and operators of Angel Care Home Health, permitted defendants Santillan and some of his co-defendants to take over the Medi-Cal operation at Angel Care Home Health in exchange for kickback payments. Billings increased after they took over Angel Care took over all Medi-Cal operations at Angel Care Home Health, billing the Medi-Cal Program over $85 million and Medi-Cal paying Angel Care Home Health over $27 million.

Kono, Lim, and Nicholas allegedly received over $4.8 million in kickbacks from Medi-Cal payments for claims submitted by defendants Santillian and his co-conspirators on behalf of Angel Care Home Health.

“We will not tolerate fraud where individuals take advantage of Medi-Cal to profit, potentially jeopardizing critical, necessary medical services our most vulnerable residents rely on,” said Attorney General Bonta. “Today’s action is possible due to my team’s efforts to hold accountable those that defraud Medi-Cal, and we will continue to do so.”

Employees Denied Attorney Fees in Employment Law Dispute

Appellants Sarah Anoke and other current or former employees initiated arbitration proceedings with Judicial Arbitration and Mediation Services to resolve employment-related disputes with X. Anoke’s employment contract with X provides for arbitration of such disputes.

On March 7, 2023, the arbitrator emailed an invoice for $27,200, X’s share of the initial fees for the 15 individual arbitrations here, to all counsel. The invoice stated that “[p]ayment is due upon receipt.” Anoke’s counsel mistakenly paid the invoice the same day. As a result, when X’s counsel accessed the arbitrator’s online portal on March 8, the system listed the status of the invoice as “[c]losed” and indicated that $27,200 had been “[p]aid” on the invoice.

Anoke’s counsel notified the arbitrator of the error on March 8, and the arbitrator issued a refund check on March 21. Anoke’s counsel apparently did not notify X that it had paid the fees or requested a refund. Notwithstanding the refund, when the arbitrator emailed counsel for both parties near the end of March to schedule an initial administrative call, the arbitrator represented that – ‘[t]he initial filing fees . . . have now been paid.”

On April 11, the arbitrator emailed counsel for both parties, stating that “[i]t appears [the] billing department may have nulled the original invoice” for the case-opening fees. The email included, as an attachment, a second invoice for X’s share of the case initiation fees, $27,200. The new invoice, dated April 7, indicated that “[p]ayment is due upon receipt.” The arbitrator’s online portal continued to list the earlier invoice as “[c]losed” and “[p]aid.”

On May 5, X remitted payment on the April 7 invoice.

In the superior court, Anoke filed a motion to compel an arbitration in which X is liable for her reasonable attorney fees and costs, a remedy for untimely payment under CCP section 1281.97, subdivision (b)(2).

After a hearing, the court denied relief. The court reasoned that, because the arbitrator nullified the first invoice after Anoke’s attorney mistakenly paid it, and X timely paid the second invoice, X met the statutory deadline. The plaintiffs appealed the denial.

The court of appeal affirmed in the published case of Anoke v. Twitter -A168675 (September 2024).

The purpose of section 1281.97 is “[t]o avoid delay” from nonpayment of the fees needed at the outset of an arbitration, encouraging efficient and prompt resolution of disputes subject to arbitration.

Our Legislature recognized that “[a] company’s strategic non-payment of [arbitration] fees and costs severely prejudices the ability of employees or consumers to vindicate their rights,” particularly when the company refusing to pay the fees is the party who insisted on arbitration in the first place.

By “provid[ing] employees and consumers remedies if a drafting party refuses to pay,” the statute seeks “[t]o ensure that a drafting party cannot unilaterally prevent a party from adjudicating their claims” in arbitration.

Accordingly, section 1281.97 establishes a 30-day time frame for payment of the fees required to initiate an employment or consumer arbitration. As the party that imposed the arbitration clause, the statute refers to X as the “drafting party.” (§§ 1280, subd. (e), 1281.97, subd. (a)(1).) If the fees “are not paid within 30 days after the due date the drafting party is in material breach of the arbitration agreement, is in default of the arbitration, and waives its right to compel arbitration[.]” (§ 1281.97, subd. (a)(1).) When the drafting party is in default, the employee or consumer may (as applicable here) compel an arbitration in which the drafting party is liable for reasonable attorney fees and costs. (§ 1281.97, subd. (b)(2).)

Importantly, the “due date” that triggers the 30-day grace period is set by an invoice from the arbitration provider. Once an employee or consumer initiates an arbitration, the arbitration provider must “immediately provide an invoice for any fees and costs required before the arbitration can proceed to all of the parties to the arbitration.” (§ 1281.97, subd. (a)(2).) “To avoid delay” the arbitration provider must issue the invoices “to the parties as due upon receipt,” unless the agreement states otherwise. (Ibid.) In sum, a default occurs when the arbitration fees go unpaid for 31 days after “the due date” (§ 1281.97, subd. (a)(1)) set by an arbitration provider’s “invoice.” (§ 1281.97, subd. (a)(2).)

“That never happened here. After the arbitrator issued the first invoice, properly marked due upon receipt, Anoke’s counsel immediately paid the invoice in full. When the arbitrator issued a new invoice, also marked due upon receipt, X paid the fees within 30 days. Neither invoice was ever past due for 31 days, as the statute requires for a default.”

“Anoke makes several arguments. None has merit.”

In these unique circumstances, we conclude that Anoke’s counsel “paid” the first invoice. As Anoke acknowledges, the reasons for a late payment are irrelevant.

DWC Announces Closure of Virtual Eureka Office

The Division of Workers’ Compensation (DWC) announced that it will close the Eureka office, which has been virtual since 2020. As a result, the venue of Eureka cases will shift to the Santa Rosa district office.

Beginning October 1, 2024, all hearing requests will be scheduled in the Santa Rosa district office.

In conformance with statewide DWC policy, trials, expedited hearings and lien trials in Santa Rosa are set in-person. Mandatory settlement conferences, status conferences, lien conferences and priority conferences will remain virtual and take place on the assigned judge’s conference call line. A list of conference call phone numbers and access codes may be found on DWC’s website.

All hearings currently set in Eureka will remain as scheduled.

The Eureka virtual district office will cease operations on Friday October 18, 2024. Any hearings set after that time will be held in the Santa Rosa office. For in-person hearings, the parties may petition the judge for a virtual hearing. Such requests will be decided on a case-by-case basis.

Dignity Health in Legal Battle With Orthopedic Surgeon Over His Competency

Dignity Health dba French Hospital Medical Center filed its suit against Troy I. Mounts, M.D. and Troy I. Mounts, M.D., Inc., an orthopedic surgeon, to recover an advance paid to him under their Physician Recruitment Agreement.

Dr. Mounts filed a cross-complaint alleging Dignity retaliated against him for complaining about the quality of patient care, interfered with his prospective economic opportunities and engaged in unlawful business practices.

Dignity filed an anti-SLAPP motion to strike the cross-complaint. (Code Civ. Proc., § 425.16.) The trial court denied that motion. In an unpublished February 2022 opinion, the court of appeal reversed the trial court’s order and remanded the matter for the trial court to determine whether Mounts had demonstrated a probability of prevailing on the merits of his claim.

On remand the trial court concluded Mounts had not demonstrated a probability of prevailing because Dignity’s actions were subject to the litigation privilege, the common interest privilege, and barred by the statute of limitations. It therefore granted the motion to strike Mounts’ cross-complaint and ordered him to pay Dignity’s attorney fees and costs.

The court of appeal affirmed the cross-complaint dismissal in the published case of Dignity Health v. Mounts – A167089 (September 2024). The Opinion provides information about the internal disciplinary system within hospitals that are not well known by the workers’ compensation industry.

Dignity hired Dr. Mounts to work in a spine surgery practice at the San Luis Obispo French Hospital Center. Dignity contends that concerns regarding his clinical competence arose almost immediately. At the same time, Mounts complained that he was not getting staff support or adequate time in the operating room to perform complex surgeries. Dignity put his complex surgeries “on hold” and required him to complete a previously scheduled surgery with a second surgeon he had not worked with before.

Disputes regarding Mounts’ practice continued. In December 2015, Dignity’s Chief of the Medical Staff, Chief of Anesthesiology, Vice President of Medical Affairs and the Chair of the Surgery Department requested that Dr. Mounts refrain from operating until they completed a Focused Professional Practitioner Evaluation (FPPE) review. He agreed to this restriction.

Two days later, Dignity’s Medical Executive Committee (“MEC”) sent Mounts a letter notifying him that Dignity would be required to submit a report to the Medical Board of California under Business & Professions Code section 805 (“805 Report”) if the voluntary restriction of privileges lasted longer than 30 days. When Mounts attempted to rescind his voluntary restriction of privileges, the Chief of Staff responded that he could do so, but Dignity could respond by summarily suspending his privileges. A suspension that lasted longer than 14 days would also require an 805 Report.

By the time Mounts’ attorney notified Dignity that he wanted to lift his voluntary restriction, it had already lasted 30 days. Dignity filed an 805 Report with the Medical Board and a report with the National Practitioner Data Bank (NPDB). The NPDB report stated that the “basis for action” was “IMMEDIATE THREAT TO THE HEALTH OR SAFETY.” (Capitalization added.)

After a meeting, the hospital chief of staff called Mounts to advise him that, although nothing was final yet, the committee’s decision was probably not going to be favorable to him. He encouraged appellant to resign his position. Mounts resigned on February 10, 2016. He subsequently lost privileges at two hospitals in California. He was considered for employment at a hospital in Montana and another in Tennessee but lost both employment opportunities

In the Anti-SLAPP motion filed by Dignity in response to his cross-complaint, Mounts did not present evidence that Dignity acted with malice when it engaged in these communications. Unless they were malicious, Dignity’s communications in this category were privileged. Privileged communications cannot form the basis of a claim for retaliation. The trial court’s orders granting the motion to strike and the motion for attorney’s fees were affirmed.

California Cannabis Industry, and State Regulator in Chaos Over Pesticides

The Los Angeles Times has been publishing a number of investigative reports surrounding the contamination of cannabis by dangerous pesticides. Now the industry, and the Department that regulates it, is in turmoil  And potentially it is a story of interest to the employment law community as it has elements of whistleblower retaliation and other violations of state and federal law by a State of California Department, and to the workers’ compensation community as there is possible apportionment of of industrial diseases and injuries caused in part by the dangerous pesticides ingested by long term cannabis users.  

Last month, California cannabis regulators recalled a pesticide-tainted vape, one of the contaminated products identified in a Los Angeles Times investigation. The report reveals that the California Department of Cannabis Control (DCC) has for months been aware of the presence of dangerous chemicals in legal cannabis sold to the public.

And in a surprise announcement, Department of Cannabis Control (DCC) Chief Deputy Director Rasha Salama is stepping down, effective September 30, after Tanisha Bogans, a former DCC official, sued the agency alleging she was retaliated against and fired after raising concerns about pesticide contamination.

The former staffer at the main cannabis regulator in California who was in charge of overseeing testing labs filed suit in state court on September 9 against her ex-employer, alleging she was wrongfully terminated in January after pushing for action on reports of serious business violations. The details contained in her suit, if true, add substantial detail to the investigation published by the Los Angeles time.

The suit, filed in Los Angeles County Superior Court by Tanisha Bogans – Bogans v California Department of Cannibis Control (24ST CV 23203) – claims that Bogans was fired by Director Nicole Elliott after she repeatedly raised concerns about the possibility that multiple testing labs were falsifying results and covering up product contamination. The lawsuit was first reported by Bloomberg Law.

Bogans, hired in December 2022 as deputy director of lab services, was in charge of ensuring cannabis testing labs were compliant with state rules.

But Bogans in her new lawsuit alleges she was fired after less than a year and a half on the job, specifically because Elliott and Chief Deputy Director Rasha Salama didn’t want to deal with “regulatory issues rampant throughout the California cannabis market,” including reports of testing labs falsely inflating product THC potency in order to satisfy marijuana brand clients.

Issues began cropping up just a few months into her tenure at the DCC, Bogans alleges in her suit. They began in June 2023, when Elliott got an email from U.S. Cannabis Laboratories insisting that there were systemic problems in California with labs lying about product THC potency to curry favor with brands, since higher THC numbers can command higher prices and consumer loyalty.

“This laboratory had independently retested products available on the shelf and discovered that potency inflation beyond the acceptable margin of error set by the DCC was widespread,” Bogans’ suit claims. But Bogans didn’t learn of the email “until months later.”

Then in July last year, Infinite Chemical Analysis Labs also contacted the DCC over similar concerns, and claimed that inaction by the DCC was “causing laboratories to cheat in order to get more business from the growers who desire higher potency to be labeled on their packaged products.” In October, Bogans said in her suit, the issue really began to explode. That month, the California Cannabis Industry Association sent a formal plea to the DCC, also highlighting the same potency inflation problem as a systemic issue that was undermining the integrity of the legal cannabis market.

A letter from Pacific Star Labs also arrived in October, claiming that widespread lies about product potency “had driven ethical laboratories out of the market.” And the same month, yet another lab, Anresco, contacted Bogans to report “finding a Category 1 pesticide in a product purchased from the shelf” in a legal dispensary.

“In her efforts to collaborate between divisions within the DCC to address this issue, Plaintiff faced hostility and accusations from Elliott, the Director of DCC” according to allegation in her lawsuit.

Despite the conflicts with Elliott, Bogans received a performance evaluation in November and was given top marks.

But the cannabis industry problems and reports of bad behavior kept snowballing, Bogans said in the suit, and she received more reports in November of pesticides and even fentanyl being found in legal cannabis products available for sale.

Bogans became desperate and notified the U.S. Department of Justice about some of the tips she’d received, but when she shared with Elliott and Salama that she’d contacted the DOJ, she was allegedly “severely reprimanded,” and her superiors began excluding her from “key meetings in which she otherwise would have participated.”  The problems even extended to a distribution company whose principal was an elected official, according to the suit.

In December last year, a whistleblower shared with Bogans that Gold Mountain Distribution – whose owners included La Puente City Councilman David Argudo, who’s had past legal cannabis business troubles – was alllegedly “manufacturing and cultivating cannabis products without a license.” Gold Mountain was a licensed distributor, though according to the DCC license database, its permit expired in July. The company held no other permits, according to the database.

When Bogans tried raising concerns in December with Elliott and Salama about Gold Mountain, she was ignored. The same month, she also tried to bring attention to reports from other testing labs that Category 1 pesticides – which could harm consumers – were found in cannabis products that were on shelves at licensed dispensaries. Bogans was also ignored on that front for weeks.

Eventually, on Jan. 11, Bogans “raised the matter again, requesting contact information to refer the issue to the Environmental Protection Agency, Department of Justice, Department of Fish and Wildlife, and CalEPA.” “The very next day, on January 12, 2024, Plaintiff was informed by Elliott that she was terminated,” the suit states. The case is scheduled for a case management conference on March 20, according to court records.

Newsom Signs Remote Court Reporter Technology Pilot Project

In recent years, California law has moved to increase the use of remote technology in court proceedings. While the pandemic spurred significant advancements in online teleconferencing technology, the use of remote technology in court proceedings has proved to be highly contentious in the Legislature.

As a result of compromises by all stakeholders, the use of remote technology in Superior Courts now generally requires the consent of the various parties and the court reporter’s physical presence in the courtroom to protect the accuracy of the record.

However, utilizing technology to develop court transcripts remains far less settled. Due to the potential for critical errors or failure in the technology used to develop transcripts, the Legislature must proceed with extreme caution in authorizing the use of technology for developing court records.

Indeed, the Legislature has indicated a strong preference for a person to continue to play a role in the development of a record, as utilizing recording technology without some form of human oversight may result in large segments of proceedings being omitted from the record as a result of an error by a recording system.

California courts are rarely able to provide court reporters in civil matters. To this end, starting in 2021, the Legislature allocated $30 million per year to the Judicial Council to increase the number of court reporters available in family and civil law cases. (SB 170 (Skinner), Chapter 240, Statutes of 2021.) Notwithstanding the Legislature’s infusion of funding, and although stakeholders dispute the underlying causes, the Judicial Council has been unable to hire enough court reporters to ensure the availability of accurate records for all litigants.

Recognizing that technology may exist to enable a court reporter to record the official transcript of proceedings in Superior Courts from a remote location, and a new law, AB 3013, just signed by Governor Newsom, authorizes a remote court reporting pilot program to be deployed in 11 superior courts across the state.

The new law establishes the minimum technological standards necessary for remote court reporting to ensure that any record produced by a court reporter working remotely is accurate and functional for use in potential appeals.

Given the often contentious relationship between California’s courts and court reporters, this new law clarifies that court reporters working remotely cannot be treated differently than their peers who physically are working in courtrooms.

Finally, this law requires a report to the Legislature at the conclusion of the pilot program to enable the Legislature to evaluate the program’s success and determine if remote court reporting is a viable option for assisting in the recruitment and retention of qualified court reporters.

The superior courts of the Counties of Alameda, Contra Costa, Los Angeles, Mendocino, Monterey, Orange, San Bernardino, San Diego, San Joaquin, San Mateo, Santa Clara, Tulare, and Ventura are authorized to conduct pilot projects to study the potential use of remote court reporting to make the verbatim record of certain court proceedings.

The WCAB is not part of this pilot project. Nonetheless, it can probably benefit from the results of the study sent to the legislature. There will no doubt be technologies that work better than others, and thus guide further regulation of the WCAB adjudication system.

UCSD Evaluates Surgical Use of Spatial Computing App on Apple Vision Pro

Minimally invasive surgeons at UC San Diego Health are the first in the nation to evaluate the potential use of spatial computing apps on Apple Vision Pro in the operating room. This feasibility study was initiated after two months of testing in the Center for the Future of Surgery at the University of California San Diego School of Medicine.

“As surgeons, we are always looking for technologies that can help us deliver more safe and precise surgeries for our patients,” said Santiago Horgan, MD, chief of minimally invasive surgery at UC San Diego Health and director of the Center for the Future of Surgery. “The experience of the surgeon in the operating room, while interacting with imaging, is critical to patient outcomes.”

“This study is investigating whether spatial computing technology can enhance the surgical experience. Using an app that can stream a video feed from other devices, Apple Vision Pro can display the patient’s medical imaging, vital signs and the surgical camera view in real-time to guide decision making while the surgeon operates in a more ergonomic position,” said Horgan. “We are exploring whether this technology could revolutionize the operating room environment to benefit patients and doctors.”

Patients consented to the use of the technology prior to the procedure. All surgeries were performed under the guidance of the Institutional Review Board, which ensures the safe treatment of research volunteers.

The current trial is evaluating this use for ergonomic and clinical capabilities. During the study, surgeons using Apple Vision Pro also have access to a simultaneous set-up of traditional operating room monitors and displays.

Surgeons may stand in a surgery for anywhere from 30 minutes to more than 12 hours, depending on the complexity of the procedure. The length of the surgery and concurrent use of multiple technologies mounted from floor and ceiling can take a negative toll on the surgeon’s body, especially the neck and shoulders.

Published studies show that minimally invasive surgeons experience musculoskeletal pain at higher rates due to continuous use of multiple imaging systems,” said Ryan Broderick, MD, principal investigator and minimally invasive surgeon at UC San Diego Health. “More technology platforms in surgery often means that the physical space in the operating room is crowded. A spatial computing platform, however, allows for infinite digital space to display imaging and potentially an overall streamlined workflow.”

With the successful completion of the first surgery using an app on Apple Vision Pro, we may identify new applications in health care technology,” said Christopher Longhurst, MD, executive director, executive director, Joan and Irwin Jacobs Center for Health Innovation, and chief clinical and innovation officer, UC San Diego Health. “The knowledge learned will potentially enhance the surgical experience and pave the way for transformative advancements in medical practice.”

Launched in 2021, the Jacobs Center for Health Innovation is dedicated to advancing digital health solutions, including wearables, apps, and leading-edge AI-driven health service models. The center’s mission is to enhance access to data, facilitate better communication between patients and health care providers, and empower individuals to make informed decisions about their health.

Appellate Court Expedites Injured Police Officer Through Multi-Forum Litigation

Justin W. Webster was a San Francisco police officer who was injured in the course of his employment. After a full evidentiary hearing, the administrative law judge denied Mr. Webster’s application for Industrial Disability Retirement (IDR). The administrative law judge found the retirement system’s medical expert more persuasive than Mr. Webster’s medical expert. Specifically, the administrative law judge found Mr. Webster’s medical expert did not rely on “objective evidence.” After the decision, Mr. Webster filed a petition for writ of administrative mandate.

Additionally, Mr. Webster sought to return to work as a police officer. Before Mr. Webster could return to work, he was required to complete a medical examination. After completing this examination, the medical doctor found Mr. Webster was “not fit for duty.”

In a companion workers’ compensation case, another medical doctor found Mr. Webster was not capable of performing his job duties. Mr. Webster filed a second IDR application. The retirement system declined to process his second IDR application.

The superior court granted in part Mr. Webster’s petition for writ of mandate, setting aside the denial of his IDR application. The court rejected the retirement system’s argument that Mr. Webster had failed to exhaust all administrative remedies. The court ruled that requesting a rehearing based upon the same facts and law would have been futile. Finally, the court, relying on the two new medical reports, remanded the case for reconsideration.

The court of appeal affirmed the trial court in the unpublished case of Webster v. S.F. Employees’ Retirement System -A168995 (September 2024).

San Francisco Employees’ Retirement System appeals from the superior court order setting aside an administrative agency’s denial of respondent’s Industrial Disability Retirement (IDR) application and remanding the case to be reconsidered in light of new evidence pursuant to Code of Civil Procedure section 1094.5, subdivision (e). It argues the superior court erred in finding that respondent’s writ was not barred by failing to exhaust all administrative remedies and admitting two new medical reports.

While it is true the superior court did not reverse or affirm the agency’s decision, the court decided all issues presented to it. The court set aside the agency’s decision denying respondent’s IDR application. Under section 1094.5, the court exercised its discretion to consider the two new medical reports and remand the case back to the agency to reconsider its decision in light of the new evidence. At that point there was nothing left for the superior court to do. Moreover, dismissing the appeal now could moot the issue of whether respondent had exhausted all administrative remedies before he sought a petition of writ of administrative mandate. We therefore conclude the challenged order is appealable.”

Because the two additional medical reports were not available within 30 days after the hearing officer’s decision had been served, both sides appear to agree the only basis respondent had for requesting a new hearing was ‘that the evidence did not justify the decision.’ “

“Here, the applicable charter section designates the review hearing as permissive not mandatory. Respondent had no new evidence or legal arguments to present at a review hearing where the same judicial officer would be presiding. Requesting a duplicative hearing on the same facts and law would have been meaningless, costly, and inefficient.

Appellant also contends the superior court erred by admitting two additional medical reports and remanding the matter back to the agency to consider the new reports.

When the Legislature granted the superior court the discretion to receive “relevant evidence which, in the exercise of reasonable diligence, could not have been produced at the administrative hearing,” it reasonably may be inferred that it meant to authorize the receipt of evidence of events which took place after the administrative hearing. (Curtis v. Board of Retirement (1986) 177 Cal.App.3d 293, 299 (Curtis).)

Here, the court did not err by considering the two medical reports that were prepared after the hearing. Moreover, section 1094.5 gives the court the option to remand the case in light of the new evidence or admit the evidence and proceed with the court’s independent review.”

“Contrary to Appellant’s argument, the court here merely considered the new medical reports in deciding to remand the matter back to the agency; the court did not admit the medical reports into the record.”

The superior court made a reasonable determination that the new evidence was sufficient to require the agency to reconsider its decision. Indeed, it is preferred ” ‘that the administrative agency should have the first opportunity to decide the case on the basis of all the evidence’ ” and that the better practice is to remand the action in light of the new evidence.

Jury Finds Treatment Center Owner Guilty of $2.9M in Body Broker Kickbacks

A federal jury has found a Hollywood Hills man guilty of nearly a dozen felonies for paying illegal kickbacks for patient referrals to his addiction treatment facilities located in Orange County. Casey Mahoney, 48, was found guilty earlier this month of one count of conspiracy to solicit, receive, pay, or offer illegal remunerations for patient referrals, seven counts of illegal remunerations for patient referrals, and three counts of money laundering.

According to evidence presented at a nine-day trial, from at least October 2018 to December 2020, paid nearly $2.9 million in illegal kickbacks to so-called “body brokers” who referred patients to Mahoney’s addiction treatment facilities, the Huntington Beach-based Healing Path Detox LLC, and the San Juan Capistrano-based Get Real Recovery Inc.

Those body brokers in turn paid thousands of dollars in cash to patients, which some patients used to purchase drugs, to induce those patients to attend treatment at Mahoney’s facilities. Mahoney concealed the illegal kickbacks by entering into sham contracts with the body brokers which purportedly required fixed payments and prohibited payments based off of the volume or value of the patient referrals.

In reality, Mahoney and the brokers negotiated payments based on the patients’ insurance reimbursements and the number of days Mahoney was able to bill for treatment. Mahoney also laundered the proceeds of the conspiracy through payments to the mother of one of the body brokers, which Mahoney falsely characterized as consulting fees.

The jury also found Mahoney not guilty of one count of aiding and assisting the preparation of a false tax document.

United States District Judge Josephine L. Staton scheduled a January 17, 2025, sentencing hearing, at which time Mahoney will face a maximum penalty of five years in prison on the conspiracy charge, up to 10 years in prison on each illegal remuneration count, and up to 20 years in prison on each money laundering count.

The FBI and IRS Criminal Investigation investigated this matter. The California Department of Insurance provided valuable assistance.

Assistant United States Attorney Nandor Kiss of the Santa Ana Branch Office and Justice Department Trial Attorney Siobhan M. Namazi of the Criminal Division’s Fraud Section are prosecuting this case.

Mahoney’s conviction arose out of violations of the Eliminating Kickbacks in Recovery Act (EKRA). EKRA was enacted in October 2018 as part of comprehensive legislation designed to address the opioid crisis in order to target the rise in body brokering and substance abuse facility profiteering.