Audrey Mae Peterson, V. D.S.H.S.

CourtCourt of Appeals of Washington
DecidedAugust 28, 2023
Docket84709-1
StatusPublished

This text of Audrey Mae Peterson, V. D.S.H.S. (Audrey Mae Peterson, V. D.S.H.S.) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Audrey Mae Peterson, V. D.S.H.S., (Wash. Ct. App. 2023).

Opinion

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IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

AUDREY MAE PETERSON, No. 84709-1-I Petitioner, v. DIVISION ONE

STATE OF WASHINGTON, PUBLISHED OPINION DEPARTMENT OF SOCIAL AND HEALTH SERVICES, ADULT PROTECTIVE SERVICES,

Respondent.

HAZELRIGG, A.C.J. — Audrey Peterson appeals from a review decision and

final order that determined she financially exploited a vulnerable adult. Because

the review judge failed to give due regard to the administrative law judge’s ability

to observe the witnesses, an error of law, we reverse.

FACTS

Audrey Peterson has been a registered nurse since 2009 and has worked

in hospice care since 2013. In October 2019, Peterson was employed by

Catholic Health Initiatives Franciscan Palliative and Hospice (CHI) and was

responsible for assessing patients to determine hospice care eligibility. On

October 5, she evaluated a patient named Reagan 1 in Reagan’s home. Reagan,

her husband Dean, and her daughter Krystel Hathaway were present for the

assessment. As part of the intake process, Peterson asked to see all of

1 Only Reagan’s first name appears in this opinion to protect her identity. For the current opinion, go to https://www.lexisnexis.com/clients/wareports/. No. 84709-1-I/2

Reagan’s medications to document them and ensure there was at least a five-

day supply of each medication in the home since another nurse would not return

for a follow-up visit for five days. Hathaway asserted that while documenting

medications, Peterson opened a bottle of Reagan’s prescription pain medication,

poured some of the pills into her hand, and put them into her laptop bag.

Hathaway called CHI and reported the incident; CHI contacted Adult Protective

Services (APS), a program of the Department of Social and Health Services

(DSHS). APS made an initial finding that Peterson financially exploited a

vulnerable adult. Peterson exercised her right to challenge the finding by timely

requesting an administrative hearing.

The hearing largely consisted of a credibility battle between Peterson and

Hathaway. Both testified and participated in a visual demonstration of how the

parties were positioned during the purported incident in order for the

Administrative Law Judge (ALJ) David Dunlap to determine the vantage points of

those present. Peterson also reenacted her method of handling pill bottles to

conduct a count. Erin Bush, an investigator for the Nursing Care Quality

Assurance Commission (NCQAC), testified regarding her investigation of the

incident. Grace Brower, an APS investigator, testified about her own

investigation. In Peterson’s case in chief, she called Thomas Browning and

Katherine Thomas, who each detailed their positive experiences working with

Peterson. ALJ Dunlap admitted and considered several exhibits during the

hearing, including Brower’s investigation notes and outcome report, Reagan’s

admission profile, notes from CHI supervisor Deborah Hagopian regarding

-2- For the current opinion, go to https://www.lexisnexis.com/clients/wareports/. No. 84709-1-I/3

Hathaway’s report, Bush’s memo from her phone interview of Hathaway, the

incident report from the Lakewood Police Department, a copy of Reagan’s

prescription for oxycodone, 2 the NCQAC notification that there was not

substantial evidence of a violation to support any disciplinary action with regard

to Peterson’s nursing license, and Peterson’s medical records.

After the conclusion of the hearing, ALJ Dunlap issued an initial order that

found Peterson did not financially exploit Reagan and reversed the initial finding

by APS. DSHS petitioned for review with the Board of Appeals. The review

judge, Thomas Sturges, reversed Dunlap’s initial order and affirmed the

substantiated finding by APS. Peterson timely petitioned for judicial review in

Thurston County Superior Court. The petition was transferred to the Court of

Appeals Division Two, then to this division.

ANALYSIS

An individual may seek judicial review of an administrative decision under

the Administrative Procedure Act. Ch. 34.05 RCW. The party challenging the

agency action bears the burden to demonstrate the invalidity of the agency

action. RCW 34.05.570(1)(a). This court will grant relief from an agency

adjudicative order only if one or more of the bases set out in RCW 34.05.570(3)

apply. Here, Peterson contends that the statute or rule on which the order is

based violates the constitution, the agency erroneously interpreted or applied the

law, the order is not supported by substantial evidence, and the order is arbitrary

and capricious.

2 Oxycodone is an opioid prescribed for moderate to high pain relief. It is classified as a schedule II controlled substance.

-3- For the current opinion, go to https://www.lexisnexis.com/clients/wareports/. No. 84709-1-I/4

In an appeal from a substantiated finding of abuse of a vulnerable adult,

an ALJ issues an initial order, subject to review by a reviewing officer.

Crosswhite v. Dep’t of Soc. & Health Servs., 197 Wn. App. 539, 547, 389 P.3d

731 (2017). The reviewing judge generally “shall exercise all the decision-

making power that the reviewing officer would have had to decide and enter the

final order had the reviewing officer presided over the hearing.” RCW

34.05.464(4). This court “review[s] the review judge’s final order, not the initial

order entered by the ALJ.” Crosswhite, 197 Wn. App. at 548.

I. Due Regard to ALJ’s Ability To Observe Witnesses

Peterson first asserts Review Judge Sturges erred as a matter of law

because he failed to give due regard to ALJ Dunlap’s opportunity to observe the

witnesses.

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