County of Chesterfield v. Harry Overton, Jr. ( 2021 )


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  •                                              COURT OF APPEALS OF VIRGINIA
    UNPUBLISHED
    Present: Chief Judge Decker, Judges Beales and Fulton
    Argued by videoconference
    COUNTY OF CHESTERFIELD
    MEMORANDUM OPINION* BY
    v.     Record No. 0512-21-2                                   JUDGE JUNIUS P. FULTON, III
    NOVEMBER 16, 2021
    HARRY OVERTON, JR.
    FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
    Faraz A. Jindani (Brian A. Richardson; Ford Richardson, PC, on
    briefs), for appellant.
    B. Mayes Marks, Jr. (Marks & Associates, P.C., on brief), for
    appellee.
    The County of Chesterfield (employer) appeals a decision of the Workers’ Compensation
    Commission awarding temporary total disability benefits to Harry Overton, Jr. (claimant).
    Employer specifically takes issue with the Commission’s view that the termination for “just
    cause” did not include its allegation of fraud and was limited to “poor job performance.”
    Employer further asserts that the Commission erred by finding that claimant adequately
    marketed his residual work capacity. For the following reasons, we affirm the Commission’s
    decision on both issues.
    I. BACKGROUND
    Claimant suffered an accidental compensable injury on May 13, 2019, as he lifted a trash
    bag while on duty as a maintenance worker with his employer, the County of Chesterfield. He
    sustained a right rotator cuff injury as a result. The parties agreed to the award of medical
    *
    Pursuant to Code § 17.1-413, this opinion is not designated for publication.
    benefits and temporary total disability benefits beginning May 14, 2019, and continuing.
    Subsequently, both parties petitioned the Commission for adjustments to those benefits.
    Claimant filed a February 5, 2020 claim seeking temporary total disability from October 11,
    2019, through January 12, 2020, and temporary partial disability beginning January 13, 2020,
    and continuing. Employer filed its June 10, 2020 successive application for hearing. In this
    successive application, employer sought a cessation of claimant’s benefits, alleging that claimant
    was terminated for cause on October 10, 2019. In support of its claim of termination for cause,
    employer specifically said in its cover letter that the termination was “based on poor job
    performance” and in the supporting materials the basis for termination was stated as related to
    “performance deficiencies.”
    Following an evidentiary hearing, during which employer alleged and produced—for the
    first time—evidence of fraud by claimant,1 the deputy commissioner found that termination due
    to the fraud allegation was not properly before him and awarded temporary total disability
    benefits for October 11, 2019, through December 28, 2019, and January 5, 2020, through
    January 12, 2020. The deputy commissioner found that claimant adequately marketed his
    remaining work capacity during the periods provided in the award, but not for December 29,
    2019, through January 4, 2020. The full Commission affirmed, finding that employer’s
    successive application for hearing “specified that claimant was ‘terminated based upon poor job
    performance,’ and referenced attached exhibits.” In so finding, the Commission determined that
    the evidence did not support a finding that the termination was based upon poor job performance.
    The Commission elaborated and stated that the allegation of fraud and “the issue of the
    1
    Specifically, employer alleges claimant was terminated for fraud related to the reporting
    of his work hours by misrepresenting that he attended a compensated physical therapy session
    for which he only partially attended.
    -2-
    claimant’s termination for fraud was not raised in the application” and therefore “the
    Commission cannot adjudicate an issue that is not before it.” The Commission further affirmed
    the deputy commissioner’s finding that claimant adequately marketed his residual work capacity
    for the periods of time noted by the deputy commissioner.
    Employer filed its notice of appeal on May 14, 2021, claiming that it was error to
    conclude that claimant was not terminated based on his poor work performance and that the
    award of benefits was not supported by adequate evidence because claimant did not adequately
    market his residual work capacity for the awarded periods. Employer stressed that its successive
    application properly raised the issue of termination for fraud generally, including the claimant’s
    termination for fraudulently reporting his time on his timesheet.
    II. STANDARD OF REVIEW
    “On appeal from a decision by the Workers’ Compensation Commission, this Court
    views the evidence in the light most favorable to the prevailing party below.” Loudoun County
    v. Richardson, 
    70 Va. App. 169
    , 175 (2019). “The Commission’s factual findings, if supported
    by credible evidence, are binding on appeal.” 
    Id.
     See Code § 65.2-706(A). “In determining
    whether credible evidence exists, the appellate court does not retry the facts, reweigh the
    preponderance of the evidence, or make its own determination of the credibility of the
    witnesses.” United Airlines, Inc. v. Sabol, 
    47 Va. App. 495
    , 501 (2006) (quoting Pruden v.
    Plasser Am. Corp., 
    45 Va. App. 566
    , 574-75 (2005)). “If there is evidence or reasonable
    inference that can be drawn from the evidence to support the Commission’s findings, they will
    not be disturbed by [the] Court on appeal, even though there is evidence in the record to support
    contrary findings of fact.” Richardson, 70 Va. App. at 176 (quoting Caskey v. Dan River Mills,
    Inc., 
    225 Va. 405
    , 411 (1983)). “Such deference to the Commission does not extend to questions
    of law, which we review de novo.” Anderson v. Anderson, 
    65 Va. App. 354
    , 361 (2015).
    -3-
    On appeal, this Court will also “accord great deference to the interpretation given by the
    [C]omission to its rules.” Summit Pharmacy v. Costco Wholesale, 
    73 Va. App. 96
    , 108 (2021)
    (quoting Arellano v. Pam E. K’s Donuts Shop, 
    26 Va. App. 478
    , 483 (1998)). Consequently,
    “our review is limited to a determination whether the [C]ommission’s interpretation of its own
    rule was reasonable.” 
    Id.
     (quoting Classic Floors, Inc. v. Guy, 
    9 Va. App. 90
    , 93 (1989)). Thus,
    we “will not set aside the [C]ommission’s interpretation of its rules unless that interpretation is
    arbitrary and capricious.” See Diaz v. Wilderness Resort Ass’n., 
    56 Va. App. 104
    , 114 (2010).
    III. ANALYSIS
    A. The Commission did not err in determining that the basis for termination offered in
    employer’s successive application was limited to poor job performance.
    On appeal, employer argues that its successive application generally alleged “for cause”
    grounds and that the Commission erroneously placed more weight on its cover letter asserting
    “poor job performance” than on the language in the successive application itself. If only its
    successive application was considered, employer argues that its claim of fraud would have been
    encapsulated in the “for just cause” grounds listed in the application. For these reasons employer
    argues that the Commission erred in determining that claimant was terminated for a reason other
    than poor job performance. We disagree.
    The issue before the Commission was not, as employer tries to make it, whether fraud
    was a factor in claimant’s termination or whether fraud is a justified basis for terminating an
    employee. If those were the questions below, the rulings in this case very well could have been
    different. Instead, the issue on appeal is a procedural one—did employer properly identify fraud
    as a basis for the claimant’s termination in the employer’s successive application and supporting
    termination paperwork? To this, the answer is no.
    -4-
    Employer’s successive application for hearing sought to suspend benefits on the basis
    that the “[c]laimant was terminated for just cause effective 10/10/2019, wage loss after this date
    is no longer causally related to subject work accident.” Exhibit 1 thereto was a “Chesterfield
    County Report of Separation” in which the “Reason for Separation” section of the report marked
    “Probationary Release (Full-time only)” stated, in part: “[Claimant] failed to meet the
    performance expectations of a Principal maintenance Worker.” The termination paperwork
    clearly points to poor work performance as the “cause” for the termination, but the testimony at
    the hearing told a different story. Mr. Cooke, claimant’s former supervisor, testified that
    fraud—not the other “minor things” cited by employer—was “the major thing” leading to the
    termination. The Commission determined that Mr. Cooke’s testimony was clear that it was the
    fraud that precipitated the consult with Human Resources and claimant’s ultimate termination.
    In seeking a modification of an award, an employer has the burden of proof. As noted in
    the rulings below, all that is required to establish a termination for cause and a forfeiture of
    subsequent compensation benefits is a showing (1) that the wage loss is properly attributable to
    the wrongful act and (2) that the employee is responsible for that wrongful act. Shenandoah
    Motors v. Smith, 
    53 Va. App. 375
    , 386 (2009) (citing Artis v. Ottenberg’s Bakers, 
    45 Va. App. 72
    , 85 (2005)).
    When viewed in its entirety, employer’s successive application sought cessation of
    benefits based on claimant’s termination for poor work performance. Neither the successive
    application nor the attached documents mentioned that claimant fraudulently reported his time.
    The reason for separation, attached to employer’s successive application, is specific that the
    termination was for performance-related reasons. An employer must show that the termination
    was justified in order to be entitled to a modification of an award. There was not sufficient
    -5-
    support in the record to support a termination for poor work performance as alleged by employer
    in its application and supporting materials.
    The Commission’s ruling is not as draconian as employer portrays in its briefing.
    Employer had the burden of establishing a justified basis for the termination and, by the own
    testimony of claimant’s supervisor, the termination was not for the basis claimed by employer.
    Employer could have corrected its mistake by making its application clear or providing
    supporting materials at the time of filing to show that fraud was the basis for the termination.
    See Cent. Virginia Training Ctr. v. Martin, 
    2 Va. App. 188
    , 193 (1986). Employer did not.
    The Commission found that employer can only rely on the basis of termination that it
    pled in its application. Rule 1.4(A) of the Commission specifies that “An employer’s application
    for hearing, shall be in writing and shall state the grounds and relief sought.” In interpreting its
    own rule, the Commission rejected employer’s successive application because the only basis
    given in the application and supporting documents was “performance” related. Nowhere in the
    application or the supporting materials did employer mention fraud, yet it was clear at the
    hearing that fraud was the basis of the termination. The factual record supports the
    Commission’s conclusion that the alleged fraud and not the claimant’s minor infractions were
    the basis for the termination and that a termination based on the alleged fraud was not properly
    before the deputy commissioner. Rule 1.4 does not require painstaking specificity, but
    where—as here—there is a distinction with a difference that made the application and the
    evidence at trial diverge, then such distinction should be reflected in employer’s successive
    application and supporting materials. In light of the pleadings of employer, the Commission
    stated that it “cannot adjudicate an issue that is not before it.” And, for purposes of this appeal,
    the Court of Appeals “will not set aside the [C]ommission’s interpretation of its rules unless that
    -6-
    interpretation is arbitrary and capricious.” See Diaz, 56 Va. App. at 114. The Commission’s
    finding on this issue was not arbitrary and capricious.
    B. The Commission’s award of temporary total disability was correct.
    Employer also argues that the award of benefits was in error because claimant did not
    adequately market his residual work capacity for the relevant periods. We again disagree. In
    viewing the record in the light most favorable to claimant, credible evidence exists to support the
    Commission’s award of benefits for the designated periods.
    “On appeal, ‘we view the evidence in the light most favorable to the prevailing party
    before the [C]ommission’” and “‘defer to the [C]ommission in its role as fact finder . . . .’”
    Paramont Coal Co. Va., LLC v. McCoy, 
    69 Va. App. 343
    , 349-50 (2018) (alterations in original)
    (quoting Clinchfield Coal Co. v. Reed, 
    40 Va. App. 69
    , 72 (2003)). As to whether an award of
    benefits is appropriate, “[a] partially incapacitated employee, absent an award from the
    Commission, is not entitled to temporary total disability benefits unless he has made a reasonable
    effort to market his remaining work capacity.” White v. Redman Corp., 
    41 Va. App. 287
    , 292
    (2003) (citing Wash. Metro. Area Transit Auth. v. Harrison, 
    228 Va. 598
    , 600-01 (1985)). “An
    employee must ‘exercise reasonable diligence in seeking employment’ and the reasonableness of
    an employee’s effort will be determined on a case by case basis, taking into account ‘all of the
    facts and surrounding circumstances.’” Ford Motor Co. v. Favinger, 
    275 Va. 83
    , 89-90 (2008).
    In determining whether credible evidence exists, this Court does not retry the facts, reweigh the
    evidence, or make its own determination of the witnesses’ credibility. Smith-Adams v. Fairfax
    Cnty. Sch. Bd., 
    67 Va. App. 584
    , 590 (2017).
    Employer cursorily argues that claimant did not act in good faith because he applied for
    jobs that were outside his capabilities. But employer does not point to which jobs were outside
    of claimant’s abilities and how that factors into the “reasonable efforts” analysis required to be
    -7-
    conducted. See Herbert Bros., Inc. v. Jenkins, 
    14 Va. App. 715
    , 717 (1992). Instead, employer
    simply makes a blanket claim that there was “no testimony insinuating that he thoroughly
    reviewed his marketing evidence.” The Commission disagreed and considered the marketing
    efforts of claimant given his “age, work restrictions, education, and employment experience.”
    As the Commission noted, the advisory marketing guidelines published by the Commission
    suggest a partially disabled employee should contact “at least five potential employers per week
    where the employee has reasonable basis to believe there might be a job available that he might
    be able to perform.” Based on claimant’s marketing log and testimony, the Commission found it
    “reasonable that [claimant] believed there might have been a job within his restrictions available
    with the employers he contacted.” We are satisfied with the Commission’s evaluation of the
    evidence before it. Because credible evidence exists on the record and such evidence was
    considered by the Commission, there should be no disruption to the result on appeal.
    Richardson, 70 Va. App. at 175 (“The Commission’s factual findings, if supported by credible
    evidence, are binding on appeal.”). Hereto we affirm.
    IV. CONCLUSION
    We hold that the Commission did not err in affirming the deputy commissioner’s findings
    that employer’s successive application was limited to poor job performance and in awarding
    temporary total disability benefits. There was adequate evidence in the record to support both
    findings. Accordingly, we affirm the Commission’s decision.
    Affirmed.
    -8-
    

Document Info

Docket Number: 0512212

Filed Date: 11/16/2021

Precedential Status: Non-Precedential

Modified Date: 11/16/2021