Item 19 - Denial of Claim
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AGENDA REPORT SUMMARy
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TO: Honorable Mayor and Members of the City Council
FROM: James L. Bowersox, City Man~
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INITIATED BY: John 0, Fitch, Assistant City Manager~)t ~
Peggy A. Stewart, Director of Administ ativ service~
Douglas A. Milton, General Services Manage '_ .
DATE: September 5, 1995
SUBJECf: Denial of Claim -- Lupe Van Roy
ABSTRACf
Ms. Lupe Van Roy presented the City of Poway with a claim for damages relating to an
ankle injury she received while climbing on rocks near Boulder Bay at Lake Poway, The
amount of the claim is $32,000. It is recommended that this claim be denied,
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ENVIRONMENTAL REVIEW
This agenda item is not subject to CEQA review,
FISCAL IMPACf
Unknown
ADDITIONAL PUBLIC NOTIFICATION AND CORRESPONDENCE
None
RECOMMENDATION
It is recommended that the City Council deny this claim.
ACfION
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1 of 6 SEP 5 1995 ITEM 19
.- AGENDA REPOR'l
CITY OF POW A Y
This report is included on the Consent Calendar. There will be no separate discussion of the report prior to approval by the
City Council unless members of the Council. staff or public request it to be removed from the Consent Calendar and
discussed separately. If you wish to have this report pulled fOf discussion. please fill out a slip indicating the report number
and give it to th, City Clerk prior to the beginning of the City Council meeting.
TO: Honorable Mayor and Members~e City Council
FROM: James l. Bowersox, City Man
,
INITIATED BV: John D. Fitch, Assistant City Manage~~
Peggy A. Stewart, Director of Administ ativ~s
Douglas A, Milton, General Services Manager
DATE: September 5, 1995
SUBJECT: Denial of Claim -- lupe Van Roy
BACKGROUND
A claim was received from Ms. lupe Van Roy of Oceanside, California, on July 21,
1995, The amount of the claim is $32,000. It is recommended that this claim be
denied.
FINDINGS
Ms, Van Roy was standing on rocks at the Boulder Bay area of lake Poway when she
slipped and injured her ankle.
ENVIRONMENTAL REVIEW
This agenda item is not subject to CEQA review.
FISCAL IMPACT
Unknown
ADDITIONAL PUBLIC NOTIFICATION AND CORRESPONDENCE
None
RECOMMENDATION
It is recommended that the City Council deny this claim.
JlB:JDF:PAS:DAM:eg
Attachment: Claim for Damages -- lupe Van Roy
ACTION:
SEP 5 1995 ITEM 19 J
2 of 6
D � d
City of Poway _ 2 I D
CLAIM AGAINST THE CITY OF POWAY
Received by �• G��-�'�o �'/ via
U:8 Mail _�_
Inter-ONice Mail
�ver tfie Counter
� 9S- 9` -oo/
A,claim must be filed with the Ciy'Clerk or Risk Managero} the City of Poway.within':6 months which the incident or event
aCCUned:'Be sure your'daim is against the G of Poway, not anoiher pubY'�c eMity. Where: space,is insufficient, please use
sdditional paper and identrfy information by�paragraph numbec Completed claims�:must be mailed o� delivered to The City of
Poway; 13325 Civic Genter D'nve, Poway, CA?92064 (P.O: 8ox 789). Attn: Rfsk Manager.
fO THE HONORABLE MAYOR AND CITY COUNCIL„THE CCfY OF POWAY,:CALIFORNIA
lhe.undersigned respectfuity submits'the'toflowing claim and Infortnatwn relative to damage to personsantl/or personal
ProPertY:
1. Narne oi�claimant � � � � '
a. Address oi claimant
—h. Phone No. c. Date oYBirth
d.'Social Securiry No: e: Driver's Lic: No.
2. Name, tele hone and °�
p post oHice address to which ciaiinant desires notices to be sentif'other than above: r .,
..��,�r� �r �o��e _ __ _
W
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3: Occurrence o� event trom wfiich the claim,arisesi
a. Date .- � � � — 7..5 - b. Time �- ,J &�'
c. Place (exact a d s ec'rfic location) a . : ' '' — . • ! 7f . "'
t.citcfe.r.�</�'a ,STe�vh �ccn >'.SE• e. in a� ir y. :
d. How and uhder whatcircumstanoes d�d`damage or injury ocxur? pecify he� ular occurre e, eve f; act of omissio�
you claimoaused the'injury ordamage:(use additional paper it necessary). �
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S�,v�>h� o�, � s,�,�tr.� .r.x;�L.s/�9;��- �w� �,� r..��,�,.�,,: �,.�f� r«,�l ,.,,�/ �r-�„�se,,
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�� � -� �' Ti� �� '. I e?o!ta G C.��2? i'!t uC.,d» rr}r 4h/(fC ,
hat particular actio y e, iry or its emplbyees, c used the Ileged damage or injury? ,
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2�—! !S� �1.�6'r w: G'it�a ���'imr� � i� f Ocs f
/�%l�diiiG'e� ('G«fo�ri.rc /Jvnot;,,_� 6� q/a� � Dn4C„ �N� �,rlci� ' Exc�.�/� ��I't �v
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_ . . � � ., Pr Tliit f `�ii+� `�i 1 .SP ory.� �`'!y''.SD/t;, y/y1��' �R''S ✓/"OF Ph Q P�.!` /H � � �!�'rFi
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4. Give a description of ihe injury, pra mage or loss so far as is'known at th f the Gaim. If there were no injuries,
state "No Iniuries."
11.7 I ��G�O//� /'��� 1 ,Ywc T�%�i./J /Ji�/�i� /h i �o ��' ��IP Hi� �` Q�iiid' lin >i
="�:</�-�T�PA f�/r:c�� �Tr i7;u�5B�ai�f�✓���.°aSS/c.f'-.�P�sFr a�.r�tt,/�/s� 7XQ l.�.i�e �u�S�
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5. Give name(s) of the City employee(s) causing the damage or injury:
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6. Name and address oi any other person injured:
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7: Name and address of the ownerof any damagedproperty:
---_.__-
8. Damages claimed:
a. Amount claimed as of this date $ 3:? l•T�J •d�
?
b. Estimated amount oi future costs: $
c. Total amount claimed: $� 7�n• 4�
��./c�i��
d. Basis for computation oi.amounts claimed (include.copies of all bills, invoices;,esiimates, etc.) —= •--•
�llp�P L^lr.� r
9. Names and addresses of all witnesses,.hospitals;,doctprs, etc.
��,v.t�� �- ��P��/�f ni� /'l�l� �. �--, ('
a. '
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b. �. . - y �- . . G'� <c�v
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10. Any additional information that might,be helPful in considering the claim:
-,��' lfiu n � 2. a� � f Qu.� �i
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.ti...r>-ls�;.� e'� Tke b'aw �; iaw ..�io., � os i6/ iryeqr • 7�fc ��
WARNING: IT IS A CRIMINAL.OF TO FILE A:FALSE Cl'AIM!'(P,enaf Gode�72, insurance Code'§ 556.1) y � `�
J have read the matters,and,statements made,in the above;claim and I.know the�same to be true of'my own knowledge excepf
as.to tFiose-matters stated upon information;or beliei as to such matters I believe the same to be,true. I certify under penalty'of
pe�jury that the foregoing°is TRUE!and CO5AECT.
$igned tfiis ��dayot� �Y , 19 � , at /a �3o,G7�1
ClaimanYs.Signaturec---- /J� ���t �,, )
Office of the Ciry Clerk
Powa��, Califomia
DOri innFn�T ��n FILED �EP 5 1995 �E� 19
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��^'��"••u�•^�•�^�M�••. PU'FP����SYS`�B�Y�� EbW�'�tb A VENNWATSON MD
�� m "` � ' 615 PDMERADO RD
1263,0 MONTE VIBTA RD 105
CA 92064
E 1 1 5 ; POWAY GA 92064
MED O�TE
� _ PINi'. WGZQOI'ZQ. ...GRP��
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� 5 Of 6 FORYOWLP,IS00 FORMRRB�1500
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SEP 5 1995 RERA 19 ��fnAly�II1Hf�Y��IPIMiM.W11
PREOPERATIVE DIAGNOSiS: Simalleolar fracCUre, open, left ankle.
POSTOPERATIVE DiAGNOSIS: Bimalleolar fracture, open.
PROCEDURE PERFORMED.: Open reduction internal fixation of inedial
malleolue and fibula.
SyRGEON: Edward A, Venn-WaCSOa, M.D.
ASSISTANT: Judy Venn-Wataon, R.N., R.N.F.A.
ANESTHESIA: Spinal
FROeEDURE: The patient waa taken to the operating room and
leg was pre placed under spinal aneetheeia. The patient'e
pped and draped, tourniqueE' was applied to 350 mm Hg. A lateral
inciafon was made to the f;ibula, carried down through ekin and eubcutaneoua
tiasue�. There was a large amount of clot,and blood. The fibul`a was expoaed
after the periosteum was cut. The:fracture aite was.expoaed and cleaned.
with irrigating solution with anG'abiotice. T6e patiant wae on:anCibiocics
duririg the procedure. The fracture was then ieduced with a lion,jaw. A
croas-ecrew was then,pleced using interfragmentary;eompresaion. The 7-hole
plate was then applied to the fibula, and a reduction,done. The distal most
screws were difficult to feel the depth on repeated triea. A;2a and a 22
acrew were placed. On x-ray, Chese were too Iong and were changed to an 18
and a 16. The fibula was then exposed. There was an open wound. Thie was.
debrided. The fibula was expoaed. Thie wae cleaned with,a Surgilav of;ail
debrie. The curet wae uaed, the fracture aite wae open. The talus was
cleaned. The talus articul'ar aurfice looked good. A K-wire wae then,placed
at the back of the tibia, seabilizing rhe fragment. A 55 mm malleolaz ecrew
was the:n placed using a 3.2 drill and ecrewdriver and depth gauge, X•:raye
were taken which ahowed a good reduct'aon. The two acrewa in ,the lateral
side were changed after the x-ray'. The ankle moved'freely, The tourniquet
was released, fiemostasis obtained_ The aubcu wae-clo.aed.using 2-A Dexon,
the akin was closed using,siaplea on the lateral eide and nylon on the
medial aide. A short-leg cast was ,appli`ed. Marcaine was placed in the
wound. The patient left the opersting room in good condition. There eeemsd
Lo be no complicatione.
�- . ,. .__ .- __ _.�d
Edward A: Venn-W�teon, M.D.
F�+v/j,ea
D: OS'/24/95 7:26 P
'T: 05'/24/9'S 8:44 P
cc: Edwar.d A. Venn-Watson, M.D.
Judy Venn-Wateon, R.:N'.F,A ,P�
-1-
:vr�w � . . . -
VANROY, LUPE �r ro:
DATE OF ;OP,ERATION: O5/24/95 O.perative Report
Room SUR 04160i
SEND TO� Edward A. Voan-Wat�on, 14.D. °O��'`DOXOSxrti,
I COPY
' 6 of 6 SEP 5 1995 ITEAA 19