ANN AIKEN, District Judge.
Plaintiff Jennifer Velez brings this action pursuant to the Social Security Act ("the Act"), 42 U.S.C. § 405(g), to obtain judicial review of a final decision of the Commissioner of Social Security ("Commissioner"). The Commissioner found plaintiff not disabled under the Act and denied her application for Supplemental Security Income ("SSI"). For the reasons set forth below, the Commissioner's decision is reversed and remanded for further proceedings.
Plaintiff applied for SSI on May 16, 2012 and was denied on July 10, 2012. She was denied again upon reconsideration on Oct. 30, 2012. She subsequently appeared, unrepresented, at a hearing before an ALJ on June 20, 2014. The ALJ set the hearing over so plaintiff could attend a consultative examination. The ALJ reconvened the hearing on January 27, 2015; plaintiff testified unrepresented, and a vocational expert ("VE") also testified. The ALJ issued her decision on May 15, 2015, and after the Appeals Council denied review, plaintiff filed a complaint in this Court.
"An ALJ's disability determination should be upheld unless it contains [harmful] legal error or is not supported by substantial evidence." Garrison v. Colvin, 759 F.3d 995, 1009 (9th Cir. 2014). "Substantial evidence means more than a mere scintilla, but less than a preponderance; it is such relevant evidence as a reasonable person might accept as adequate to support a conclusion." Id. (quoting Lingenfelter v. Astrue, 504 F.3d 1028, 1035 (9th Cir. 2007)) (internal quotation marks omitted). The record must be evaluated as a whole, and the court must weigh "both the evidence that supports and the evidence that detracts from the Commissioner's conclusion[.]" Id. The court "may not affirm simply by isolating a specific quantum of supporting evidence." Id. If the evidence is subject to more than one interpretation but the Commissioner's decision is rational, the Commissioner must be affirmed, because "the court may not substitute its judgment for that of the Commissioner." Edlund v. Massanari, 253 F.3d 1152, 1156 (9th Cir. 2001).
The initial burden of proof rests upon plaintiff to establish disability. Howard v. Heckler, 782 F.2d 1484, 1486 (9th Cir. 1986). To meet this burden, plaintiff must demonstrate an "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected . . . to last for a continuous period of not less than 12 months[.]" 42 U.S.C. § 423(d)(1)(A).
"The Secretary has established a five-step sequential evaluation process for determining whether a person is disabled." Bowen v. Yuckert, 482 U.S. 137, 140 (1987) (citing 20 C.F.R. §§ 404.1520, 416.920). At step one, the ALJ found plaintiff has not engaged in "substantial gainful activity" since the alleged disability onset date of Jan. 31, 2012. Tr. 18; 20 C.F.R. §§ 416.920(a)(4)(i), (b). At step two, the ALJ found that plaintiff had "the following severe impairments: morbid obesity, degenerative disc disease status post-surgery, mild disc bulge at L2-3, and chronic pedal edema secondary to history of chronic deep vein thrombosis (DVT)." Tr. 18; see also 20 C.F.R. § 416.920(a)(4)(ii), (c). At step three, the ALJ determined plaintiff's impairments, whether considered singly or in combination, did not meet or equal "one of the listed impairments" that the Commissioner acknowledges are so severe as to preclude substantial gainful activity. Tr. 19; see also 20 C.F.R. §§ 416.920(a)(4)(iii), (d). The ALJ found plaintiff retained
Tr. 20; see also 20 C.F.R. § 416.920(e).
Plaintiff's only period of gainful employment from the last fifteen years is when she served as a caregiver for six months while her mother was in hospice. In the written decision, the ALJ briefly addressed plaintiff's past employment, saying "her job entailed making sure [her mother] took her medications and giving [her mother] meals, but [plaintiff] did not prepare them. [Plaintiff] reported she did not do any lifting and she mainly just spent time with her mother." Tr. 23. At step four, the ALJ concluded that plaintiff "is capable of performing past relevant work as a companion," linking plaintiff's work as a caregiver to Dictionary of Occupation Titles number 309.677-010. Tr. 23. Consequently, the ALJ found plaintiff not disabled as of her application date and denied her application for SSI Tr. 24.
Plaintiff objects to the ALJ's finding with respect to step four and claims that finding is not based on substantial evidence. Plaintiff's argument is narrow: she does not challenge the ALJ's determination that she was capable of returning to the work she did while serving as her mother's caregiver. Rather, her argument rests on her contention that the companion work does not qualify as past relevant work because she "did not perform substantial duties so as to render this work substantial gainful activity." Pl.'s Opening Br. 4 (emphasis in original).
The Social Security regulations define "[p]ast relevant work" as "work that you have done within the past 15 years, that was substantial gainful activity, and that lasted long enough for you to learn to do it." 20 C.F.R. § 416.960(b). "Substantial gainful activity" is defined as "work activity that involves doing significant physical or mental activities." 20 C.F.R. § 416.972(a). The burden falls on the plaintiff to establish she cannot perform past relevant work. See Pinto v. Massanari, 249 F.3d 840, 844 (9th Cir. 2001). Therefore, it is plaintiff's burden to show her work as a companion was not "substantial."
Plaintiff highlights 20 C.F.R. § 416.973(c), which outlines situations in which "special conditions" may prevent past work from being "substantial." Examples include
Id.
At the hearing, plaintiff described her care giving job by explaining
Tr. 33-34. Moreover, her sisters ensured that plaintiff received all remunerations from the state so she could support herself. Tr. 35. When this description is compared to § 416.973(c) submitted by plaintiff, it appears to me that subsections (1), (2), (4), and (5) would apply. At the supplemental hearing, the VE made multiple statements regarding plaintiff's ability to perform past related work. First, he posited,
Tr. 36-37. Later, when describing more about the DOT position of companion, he explained that
Tr. 43.
In her decision, the ALJ explained that
Tr. 23. The ALJ then compared plaintiff's residual functional capacity with "the physical and mental demands of [her] past relevant work as a companion," and concluded that plaintiff could perform the job of companion "as actually and generally performed." Tr. 24.
While the ALJ devoted substantial time to considering whether plaintiff could perform her past work as a caregiver, she did not make any express finding as to the substantiality of the past work. I cannot review a decision by the ALJ without an express finding on this specific issue. Plaintiff makes a compelling argument that the applicable subsections of § 416.973(c) weigh against a finding of substantiality, but I am not in the position to draw that conclusion without allowing the ALJ to address it in the first instance. I note that remand is particularly appropriate because, had plaintiff been represented at the hearings, it is likely that an attorney would have brought § 416.973(c) to the ALJ's attention. On remand, the ALJ must consider whether the caregiving job is substantial enough to qualify as past relevant work, bearing in mind the§ 416.973(c) examples.
The court has discretion to reverse the Commissioner's final decision and remand for further proceedings or to award benefits. Harman v. Apfel, 211 F.3d 1172, 1177 (9th Cir. 2000). Accordingly, the Commissioner's decision is REVERSED and REMANDED for further proceedings consistent with this opinion.
IT IS SO ORDERED.