CRAIG M. KELLISON, Magistrate Judge.
Plaintiff, who is proceeding with retained counsel, brings this action for judicial review of a final decision of the Commissioner of Social Security under 42 U.S.C. § 405(g). Pending before the court are plaintiff's motion for summary judgment (Doc. 17) and defendant's cross-motion for summary judgment (Doc. 23).
Plaintiff applied for social security benefits on April 20, 2011, alleging an onset of disability on August 22, 2010, due to depression, anxiety, paranoia, diabetes, high blood pressure, and a right hand problem (Certified administrative record ("CAR") 61, 73, 74, 144, 160-61). Plaintiff's claim was denied initially and upon reconsideration. Plaintiff requested an administrative hearing, which was held on August 1, 2012, before Administrative Law Judge ("ALJ") Mark C. Ramsey. In a September 11, 2012, decision, the ALJ concluded that plaintiff is not disabled
(CAR 8-16).
After the Appeals Council declined review on December 5, 2013, this appeal followed.
The court reviews the Commissioner's final decision to determine whether it is: (1) based on proper legal standards; and (2) supported by substantial evidence in the record as a whole.
Plaintiff argues the ALJ erred in the following ways: (1) the ALJ failed to develop and evaluate plaintiff's mental impairment; (2) the ALJ failed to properly weigh the opinion evidence in the record in formulating plaintiff's residual functional capacity; and (3) the ALJ failed to properly evaluate plaintiff's testimony and third party's statements.
Plaintiff first argues that the ALJ failed to properly evaluate his mental impairment. Specifically he contends the ALJ failed to consider his low IQ under section 12.05 of the Listing of Impairments at 20 C.F.R. Pt. 404, App. 1. Defendant counters that plaintiff failed to allege in his application or otherwise that he was unable to work due to intellectual disability, and that he bears the burden of proving he has such an impairment.
Generally, claimants have the initial burden of proving their symptoms rise to the severity set forth in the listings.
The Social Security Regulations "Listing of Impairments" is comprised of impairments to fifteen categories of body systems that are severe enough to preclude a person from performing gainful activity.
Listing 12.05, which governs mental retardation, explains that:
20 CFR, Part 404, Subpart P, Appendix 1.
In this case, plaintiff claimed disability based on depression, anxiety, paranoia, diabetes, high blood pressure, and a right hand problem. He did not specifically allege low intellectual abilities in his application. However, based on his claim of depression, anxiety and paranoia, a psychological evaluation was done by consultative examiner, Ona Stiles, Ph.D. (CAR 666-72). During the examination, Dr. Stiles conducted psychological testing, including WAIS-IV, VCI, WMI, WMS-IV, Bender-Gestalt-II, Trail Making Test, and Test of Memory Malingering (TOMM). Dr. Stiles found plaintiff put forth an adequate level of effort on the tests, and considered the result to be an accurate representation of plaintiff's psychological functioning. Dr. Stiles stated, "The test results indicate that the claimant is functioning in the extremely low range for his working memory, and the borderline range for his verbal comprehension, perceptual reasoning and processing speed." (CAR 669). Plaintiff's full scale IQ was 65.
The ALJ, in reviewing plaintiff's mental impairments, analyzed plaintiff's impairments under Listings 12.04 (Affective (mood) Disorder), 12.06 (Anxiety-related Disorders), and 12.09 (Substance Addition Disorder), and found plaintiff's impairments do not meet or equal any of the criteria. The ALJ noted that plaintiff does not have a longitudinal history of mental health treatment, but had received mental health treatment and diagnoses after being assaulted in 2009. The ALJ set forth the findings from the psychological evaluation, including Dr. Stiles' finding that plaintiff's full scale IQ was 65, and that plaintiff put forth an adequate effort during testing. The ALJ also acknowledged that plaintiff told Dr. Stiles that he had a learning disability and was in special education throughout his schooling. Despite plaintiff's low IQ and questionable abilities relating to his education, the ALJ failed to address Listing 12.05.
While plaintiff did not specifically argue that he met Listing 12.05, it is clear that the ALJ was presented with evidence that plaintiff's IQ score was low enough to meet at least that prong of Listing 12.05, and no indication that the ALJ determined the IQ score to be invalid. The ALJ's failure to acknowledge and discuss Listing 12.05 based on the evidence of plaintiff's low IQ would support a remand in this case for further analysis.
An IQ low enough to meet one prong of Listing 12.05 is only part of the analysis. Listing 12.05(c) also requires additional limitations and a manifestation of the mental deficiencies prior to age 22. Here, there is limited evidence as to when plaintiff's mental deficiencies manifested. However, there is some evidence, albeit very limited, that plaintiff had learning difficulties in school which could be developed and used to determine when his deficiencies manifested. Plaintiff failed to meet his burden to show that his mental deficiencies occurred prior to age 22, and most importantly prior to the assault, but the ALJ's failure to address the evidence at all does not render that defect fatal. Therefore, it is appropriate to remand for further development of the record. Depending on what the evidence shows, the defendant's analysis of the information may not change the outcome of this case. However, based on the information presented and the lack of any analysis of Listing 12.05, further development is necessary.
Plaintiff next argues the ALJ erred in failing to adopt appropriate limitations supported by the opinions he accorded great weight. Specifically, he claims the ALJ accorded Dr. Stiles' opinion great weight, but failed to incorporate all of the limitations in Dr. Stiles' opinion into plaintiff's residual functional capacity (RFC).
In determining the plaintiff's RFC, the ALJ must assess what the plaintiff can still do in light of both physical and mental limitations.
Here, the ALJ found plaintiff capable of performing the full range of medium work, but limited to simple unskilled work, without frequent public or fellow employee contact. (CAR 13). Plaintiff argues this does not encompass all of his limitations, most importantly Dr. Stiles' finding that plaintiff had moderate difficulties in social functioning and in concentration, persistence or pace.
The medical evidence in the record includes the opinion of Dr. Stiles, who examined plaintiff on November 29, 2011. (CAR 666-72). Dr. Stiles found plaintiff had the following work-related abilities:
(CAR 671-72).
In addition to Dr. Stiles' opinion, the ALJ stated the RFC assessment was supported by the State agency determination, the objective medical evidence and plaintiff's presentation at the hearing. In reviewing the record, the State agency doctor, Dr. Meenakshi, completed a mental residual functional capacity assessment. (CAR 85-87). Specifically, Dr. Meenakshi found plaintiff not significantly limited in his ability to carry out short and simple instructions; perform activities within a schedule, maintain regular attendance, and be punctual; sustain an ordinary routine without special supervision; and make simple work-related decisions. But the doctor found plaintiff moderately limited in his ability to work in coordination or in proximity to others, maintain attention and concentration for extended periods, and complete a normal workday and workweek, without interruptions from psychologically based symptoms and perform at a consistent pace without an unreasonable number and length of rest periods; and markedly limited in his ability to carry out detailed instructions. As to plaintiff's ability for sustained concentration and persistence, Dr. Meenakshi stated, "Claimant is able to maintain concentration, persistence, and pace for simple work tasks." (CAR 86). In addition, Dr. Meenakshi found plaintiff able to perform simple work tasks, perform limited public work, and adapt to changes found in a simple work setting. (CAR 87).
The ALJ used both of these medical opinions in formulating plaintiff's RFC. Contrary to plaintiff's argument that the ALJ failed to credit the limitations Dr. Stiles set forth, specifically in regards to his ability to maintain concentration, persistence or pace, as well as difficulty adapting to change in routine work-related settings and interacting with the public, coworkers, and supervisors, the ALJ adequately incorporated both Dr. Stiles' and Dr. Meenakshi's limitations into the RFC. While plaintiff may have moderate limitations in his abilities, both doctors opined that plaintiff could maintain concentration, persistence, and pace for simple work tasks, which is what the ALJ accepted.
Accordingly, the undersigned finds the RFC adopted by the ALJ is supported by substantial evidence.
Next, plaintiff argues the ALJ erred in failing to call a vocational expert to testify at the administrative hearing, and in using the Medical-Vocational Guidelines (GRIDs) without the aid of a vocational expert.
At step four of the sequential disability evaluation set forth in 20 C.F.R. §§ 404.1520 (a)-(f) and 416.920(a)-(f), if the claimant's impairment is not listed in the regulations, a determination is then made as to whether the impairment prevents the claimant from performing his or her past work. At this stage of the analysis, the ALJ should consider the demands of the claimant's past work as compared with his or her present capacity. (
Here, the ALJ initially found plaintiff capable of performing his past relevant work, a step four analysis. The ALJ set forth plaintiff's past work as apartment maintenance ("He cleaned around grounds and washrooms. He prepared apartments for renting. He had to move fridges and pull stoves out." CAR 15) and janitor ("He testified that at Wal-Mart, he had to vacuum, buff floors, and clean bathrooms." CAR 15), and determined that as plaintiff described it, plaintiff would be capable of performing the work given his RFC for medium exertion. The ALJ acknowledged the DOT refers to Janitor as heavy, but determined that as plaintiff actually performed his past work, he is capable of returning to it.
Plaintiff contends that the ALJ could not make that determination without of vocational expert. However, the determination as to whether a claimant can perform his past relevant work is a step four determination. The burden remains with the claimant at this step to prove he does not retain the ability to perform his past relevant work. Only once the ALJ determines the claimant cannot perform his past relevant work does the analysis proceed to the fifth step to determine whether the claimant has the residual functional capacity to perform other work. At step five, the ALJ must determine whether a vocational expect is necessary or whether the GRIDS apply.
Here, the ALJ determined plaintiff had the ability to perform his past work as he described it. Specifically, the ALJ found:
(CAR 15).
As such, the analysis could end without continuing to step five. Plaintiff's contention that the ALJ erred in making this determination without a vocational expert is unsupported by case law. As to plaintiff's contention that the ALJ erred in finding plaintiff capable of performing his past relevant work based on the definition of his past work in the Dictionary of Occupational Titles (DOT), the undersigned agrees with defendant that the definition contained in the DOT is only one possible determination. Another possibility is when a "claimant retains the capacity to perform the particular functional demands and job duties peculiar to an individual job as he or she actually performed it." SSR 82-61. Here, the ALJ determined that while plaintiff may not be capable of performing the job of janitor as described in the DOT, he was capable of performing his prior work as apartment complex janitor based on his testimony as to what was required to perform that particular job. As plaintiff performed that job, the ALJ determined he retained the ability to perform the job of apartment complex janitor, as none of his impairments would render him incapable. Plaintiff argues that moving a refrigerator, which would weigh over 200 pounds, would render him incapable. However, as the defense points out, moving a refrigerator would require pushing and pulling 200 pounds, not lifting. Plaintiff was limited in his abilities to lift more than 50 pounds, but was not limited in his ability to push and/or pull. In addition, the ALJ found plaintiff capable of performing his past work for Wal-Mart, also in the janitorial area, which does not appear to have such a lifting requirement.
Therefore, the undersigned finds no error in the ALJ's determination at step four that plaintiff is capable of performing his past relevant work.
Finally, plaintiff argues the ALJ erred in determining the credibility of both plaintiff and his third party witness.
As to plaintiff's credibility, the ALJ stated:
(CAR 14)
The Commissioner determines whether a disability applicant is credible, and the court defers to the Commissioner's discretion if the Commissioner used the proper process and provided proper reasons.
If there is objective medical evidence of an underlying impairment, the Commissioner may not discredit a claimant's testimony as to the severity of symptoms merely because they are unsupported by objective medical evidence.
80 F.3d 1273, 1282 (9th Cir. 1996) (referring to the test established in
The Commissioner may, however, consider the nature of the symptoms alleged, including aggravating factors, medication, treatment, and functional restrictions.
The undersigned finds the reasons provided by the ALJ for discrediting plaintiff are clear and convincing. Specifically, plaintiff's reputation for being manipulative, and the inconsistency in his statements are both proper considerations given to the credibility of a claimant. The undersigned finds no error.
As to plaintiff's third party witness, the ALJ stated:
(CAR 14-15).
In determining whether a claimant is disabled, an ALJ generally must consider lay witness testimony concerning a claimant's ability to work.
The undersigned finds the ALJ did not outright reject Ms. Clover's statements. Rather, the ALJ accorded the statements some weight. To the extent the ALJ failed to fully credit the statements, the undersigned agrees with plaintiff that the reason provided is insufficient. However, in that the ALJ did not outright reject Ms. Clover's statements, the undersigned finds the error harmless in that it is inconsequential to the ultimate decision because the ALJ's disability determination nonetheless remains valid.
Based on the foregoing, the undersigned finds that the ALJ committed reversible error for his failure to address Listing 12.05, and will recommend this matter be remanded under sentence four of 42 U.S.C. § 405(g) for further development of the record and/or further findings addressing the deficiencies noted above.
Accordingly, the undersigned recommends that:
1. Plaintiff's motion for summary judgment (Doc. 17) be granted;
2. Defendant's cross-motion for summary judgment (Doc. 23) be denied;
3. This matter be remanded for further proceedings consistent with this order;
and
4. The Clerk of the Court be directed to enter judgment and close this file.
These findings and recommendations are submitted to the United States District Judge assigned to the case, pursuant to the provisions of 28 U.S.C. § 636(b)(l). Within 14 days after being served with these findings and recommendations, any party may file written objections with the court. Responses to objections shall be filed within 14 days after service of objections. Failure to file objections within the specified time may waive the right to appeal.
The claimant bears the burden of proof in the first four steps of the sequential evaluation process.