Arends v. Family Solutions of Ohio, Inc.

District Court, N.D. Ohio·Decided December 9, 2022·No. 1:18-cv-02017·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF OHIO

Jamal Stephenson, et al., Case No. 1:18cv2017 On behalf of himself and All others similarly situated,

Plaintiffs, JUDGE PAMELA A. BARKER -vs-

Family Solutions of Ohio, Inc., MEMORANDUM OPINION AND et al., ORDER

Defendants

Currently pending is Defendants Family Solutions of Ohio, Inc., Prostar Management, Inc., John Hopkins, and Dawn Smith’s Motion to Decertify the Class Conditionally Certified under 29 U.S.C. § 216(b). (Doc. No. 181.) Plaintiffs filed a Brief in Opposition on June 16, 2022, to which Defendants replied on June 23, 2022. (Doc. Nos. 186, 191.) For the following reasons, Defendants’ Motion (Doc. Nos. 181) is DENIED. I. Facts Defendant Family Solutions of Ohio, Inc. (“Family Solutions”) is a non-profit organization that provides mental and behavioral healthcare services for children and families throughout Ohio. (Decl. of Dawn Smith dated June 2, 2022 (Doc. 183-2) at ¶¶ 3, 7.) Defendant Dawn Smith (“Smith”) was highly involved in the development of Family Solutions and currently serves as its Vice President of Strategic Planning and Program Management. (Id. at ¶¶ 1, 3.) During the Class Period, Family Solutions had locations in Cleveland, Bedford Heights, Lorain, Columbus, and Cincinnati.1 (Id. at ¶ 10.) At each location, Family Solutions employs a Program Director or Assistant Program Director, as well as a Clinical Supervisor. (Id. at ¶ 11.) The Program Director/Assistant Program Director and Clinical Supervisor oversee employees based out of that site that work with patients in the field. (Id. at ¶ 12.) Each site’s Clinical Supervisor is the direct supervisor of certain employees based out of that particular site. (Id.)

Qualified Mental Health Specialists2 (“QMHSs”) are one of the categories of employees at Family Solutions that work with patients in the field. (Decl. of Dawn Smith dated Aug. 31, 2020 (Doc. No. 138-1) at ¶ 7.) See also Deposition of Jamal Stephenson (Doc. No. 115-1) at Tr. 78; Deposition of Melanie Baron (Doc. No. 113-1) at Tr. 18-19. The parties dispute the precise scope and nature of the QMHSs’ job duties. However, in general terms, the parties agree that QMHSs provide behavioral health services, including counseling services, to Family Solutions’ Medicaid- eligible patients. 3 (Smith Decl. dated Sept. 1, 2020 (Doc. No. 89-1) at ¶¶ 26, 29.) The parties also

1 According to Defendant Smith, the Cleveland Office is now closed. (Id. at ¶ 6.) In addition, although Family Solutions does not have an Akron location, it “has been offering services to patients located in Akron.” (Id.)

2 This position is currently referred to as “Qualified Behavioral Health Specialists.” (Decl. of Dawn Smith dated Aug. 31, 2020 (Doc. No. 138-1) at ¶ 7.) For purposes of this Opinion, the Court will refer to the position as it was known when it was held by Plaintiffs, i.e., as Qualified Mental Health Specialists.

3 Defendants assert that QMHSs provide “behavioral health services” and “counseling services,” which they claim consist of “office or non-manual” work that involves the “exercise of discretion and independent judgment with respect to matters of significance” including “providing medical care that needs to be documented in the patient’s medical files.” (Smith Decl. dated September 1, 2020 (Doc. No. 89-1) at ¶¶ 26, 29, 33-35.) Plaintiff Stephenson testified that, while employed as a QMHS, he provided important “mental health services,” including helping patients deal with mental health crises. (Stephenson Depo. at Tr. 78, 82-83.) Plaintiff Baron testified that she was not permitted to “treat” patients in the medical sense of the word; rather, she “helped [patients] with stuff” like finding a job, managing schoolwork, etc. (Baron Depo. at Tr. 22-24.) In response to Defendants’ Requests for Admissions, Plaintiffs admitted that, as QMHSs, they “performed behavioral health treatment and supportive duties,” including Community Psychiatric Supportive Treatment (“CPST”) and counseling services. According to Plaintiffs, “[s]uch work involved a variety of services that complement mental health counseling/therapy. Examples of CPST services include needs assessment, links to community resources, symptom monitoring, education, and help with practicing the skills introduced in counseling sessions.” (Doc. No. 101-1 at PageID#s 2354-2357.) 2 agree that, as part of their duties, QMHSs schedule appointments with clients and visit them at various locations, including in schools and homes. (Stephenson Depo. at Tr. 78; Baron Depo. at Tr. 18-19.) Because they visit clients in the field, virtually all QMHSs travel between clients during the course of the workday. (Smith Depo. (Doc. No. 114-1) at Tr. 262-263.) In addition, it is undisputed that QMHSs are required to create progress notes regarding their clients and enter documentation into their client’s files using the “ICANotes” electronic medical record system. See Smith Depo. at Tr.

262-263. Representative Plaintiffs Melanie Vilk Baron (“Baron”) and Jamal Stephenson (“Stephenson”) were QMHSs. (Baron Depo. at Tr. 6; Stephenson Depo. at Tr. 117-125.) Baron worked in Family Solutions’ Cleveland location between August 1, 2016 and October 7, 2016. (Doc. No. 183-2 at ¶ 60.) See also Baron Depo. at Tr. 5, 12. According to Defendants, Baron was still in her probationary period at the time she resigned from Family Solutions. (Doc. No. 183-2 at ¶ 60.) Stephenson worked in Family Solutions’ Cincinnati location from August 2016 to May 2017. (Id. at ¶ 56.) Hourly employees (such as QMHSs) are trained at the site-level by each site’s employees. (Doc. No. 183-2 at ¶ 27.) When first hired, QMHSs attend an orientation session that is conducted

by salaried employees at their respective sites. (Id. at ¶ 28.) Specifically, the site’s Program Director or Assistant Program Director and the site’s Clinical Supervisor explain time reporting and methods of pay during orientation. (Id.) In addition, the Program Director, Assistant Program Director, and/or Clinical Supervisor work individually with each employee to provide training regarding how hourly employees are required to report their time. (Id. ¶¶ 31, 32.) Among other things, employees who are paid hourly are instructed that they must follow Family Solutions’ Reporting Time Worked policy,

3 which provides (in relevant part) that: “Accurate recording of time worked and absence from work is the responsibility of every employee. All employees must complete and sign a time sheet that is signed by their immediate supervisor.” (Id. at ¶ 29.) Both Baron and Stephenson confirmed during deposition that, as QMHSs, they were required to submit weekly time sheets. (Baron Depo. at Tr. 27, 37; Stephenson Depo. at Tr. 143, 145.) Clinical Supervisors then reviewed the QMHSs’ time entries for accuracy and compliance with

Family Solutions’ policies. (Doc. No. 138-1 at ¶ 32; Doc. No. 183-2 at ¶ 33.) As part of this review, the time inputted by the QMHS was assigned a code pursuant to Family Solutions’ Medicaid fee schedule. (Doc. No. 89-1 at ¶ 23.) Family Solutions’ fee schedule also includes entries for time spent on non-billable matters. (Id. at ¶ 25.) See also Baron Depo. at Tr. 31-32. If any changes were needed to the time entries submitted by a QMHS, the Clinical Supervisor would speak with the QMHS and ask him/her to make the required change(s). (Doc. No. 89-1 at ¶ 24.) If the QMHS made the change and thereafter submitted his/her time sheet, the QMHS is considered by Family Solutions to have verified the accuracy of the time and billing codes on his/her time sheet. (Id.) If a QMHS disputed a change requested by a Clinical Supervisor, that issue was escalated, reviewed, and resolved.

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Arends v. Family Solutions of Ohio, Inc., (N.D. Ohio 2022).

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