Brenda Martinez, Pedro Bernal, and A.B., a minor, by and through her Guardian ad Litem, William Phippard v. Shalon Nienow, M.D., Sarah Vega, M.D.; Natalie Laub, M.D.; Rady Children’s Hospital; and Does 1 through 50 Inclusive

CourtDistrict Court, S.D. California
DecidedDecember 5, 2025
Docket3:23-cv-02338
StatusUnknown

This text of Brenda Martinez, Pedro Bernal, and A.B., a minor, by and through her Guardian ad Litem, William Phippard v. Shalon Nienow, M.D., Sarah Vega, M.D.; Natalie Laub, M.D.; Rady Children’s Hospital; and Does 1 through 50 Inclusive (Brenda Martinez, Pedro Bernal, and A.B., a minor, by and through her Guardian ad Litem, William Phippard v. Shalon Nienow, M.D., Sarah Vega, M.D.; Natalie Laub, M.D.; Rady Children’s Hospital; and Does 1 through 50 Inclusive) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brenda Martinez, Pedro Bernal, and A.B., a minor, by and through her Guardian ad Litem, William Phippard v. Shalon Nienow, M.D., Sarah Vega, M.D.; Natalie Laub, M.D.; Rady Children’s Hospital; and Does 1 through 50 Inclusive, (S.D. Cal. 2025).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 BRENDA MARTINEZ, PEDRO Case No.: 23-cv-02338-BJC-AHG BERNAL, and A.B., a minor, by and 12 through her Guardian ad Litem, William REPORT AND 13 Phippard, RECOMMENDATION FOR ORDER GRANTING MOTION TO 14 Plaintiffs, APPROVE MINOR’S 15 v. COMPROMISE

16 SHALON NIENOW, M.D., SARAH [ECF No. 67] VEGA, M.D.; NATALIE LAUB, M.D.; 17 RADY CHILDREN’S HOSPITAL; and 18 DOES 1 through 50 Inclusive, 19 Defendants. 20 21 Before the Court is the Petition to Approve Minor’s Interest in the Settlement of 22 Action with Rady Children’s Hospital and Drs. Shalon Nienow, Sarah Vega, and Natalie 23 Laub (“Petition”), filed on September 29, 2025, by Plaintiffs Brenda Martinez, Pedro 24 Bernal, and minor Plaintiff A.B., by and through her guardian ad litem, William Phippard 25 (collectively, “Plaintiffs”). ECF No. 67. On October 16, 2025, Rady Children’s Hospital 26 (“RCHSD”) and Drs. Shalon Nienow, Sarah Vega, and Natalie Laub (“Doctor 27 Defendants”) filed notices of non-opposition to the Petition. ECF Nos. 69-70. This Report 28 and Recommendation follows. 1 I. BACKGROUND 2 Plaintiffs filed the underlying action on December 27, 2023, bringing constitutional 3 claims against numerous defendants, including RCHSD and the Doctor Defendants. ECF 4 No. 1. 5 According to the Second Amended Complaint, minor A.B. is a special needs child 6 with a number of severe medical conditions, including global developmental delay, 7 developmental dysplasia of the hip, hydronephrosis, and skin conditions including vitiligo 8 and urticaria. ECF No. 66 at ¶ 11. She is essentially nonverbal and able to speak fewer than 9 six words, although she has developed her own form of sign language to communicate with 10 her family members. Id. ¶¶ 11-12. During the events underlying this action, A.B. was four 11 years old. Id. ¶ 12. Plaintiffs allege that in January 2022, following the recommendation of 12 A.B.’s urologist, A.B.’s mother Plaintiff Brenda Martinez brought A.B. to Urgent Care at 13 RCHSD to have a rash and hives evaluated. Id. ¶¶ 13-14. At RCHSD, A.B. was treated by 14 Emergency Department doctor Michele A. McDaniel, whose differential diagnosis 15 included “inflicted injury such as strangulation” based on a petechial patch along A.B.’s 16 neck and petechiae to the skin surrounding A.B.’s eyes, which appeared as bruising. Id. ¶ 17 14. Dr. McDaniel then spoke with Defendant Dr. Nienow, the on-call child abuse 18 pediatrician, who reviewed photographs taken in the emergency room to conclude that a 19 “strangulation event” had occurred, and that bruising on A.B.’s abdomen was “highly 20 suspicious for a human bite mark.” Id. ¶ 16. Dr. Nienow advised that an immediate report 21 should be made to law enforcement and child welfare services, and, following the report, 22 she told County social workers that strangulation was the only explanation for the marks 23 on A.B.’s neck. Id. ¶¶ 16-17. 24 Based on the information received from Dr. Nienow, County social workers 25 removed A.B. from the custody of her parents and took her to the County’s Polinsky 26 Children’s Center (“Polinsky”). Id. ¶ 18. On January 7, 2022, A.B. underwent a physical 27 examination at Rady’s Chadwick Center, without the presence or consent of her parents. 28 Id. ¶¶ 19-20, 44. A.B.’s parents were not given an opportunity to be present for the 1 examination or to explain A.B.’s extensive medical history. Id. A.B. was upset and crying 2 at various points of the exam, which included an examination to rule out sexual abuse. Id. 3 ¶ 22. Defendant Drs. Vega and Laub concluded from the physical examination that the 4 marks on A.B.’s body were consistent with a strangulation event, and that they could not 5 rule out blunt force trauma as well. Id. They further recommended that urine be collected 6 after the physical exam. Id. 7 On January 10, 2022, County social workers submitted a detention report to the 8 Juvenile Court, in which they recommended that A.B. continue to be detained at Polinsky 9 or a licensed resource home. Id. ¶ 24. On February 1, 2022, the County social workers 10 submitted an additional report to the Juvenile Court in which they once more recommended 11 continued detention, despite having received further information from A.B.’s 12 dermatologist and primary care physician indicating that the bruising could have been 13 caused by A.B. rubbing and scratching her hives, and that the marks on A.B.’s neck and 14 petechiae were consistent with exacerbation of her preexisting rash. Id. ¶ 26. On 15 February 15, 2022, the County social workers submitted a third report to the Juvenile Court 16 detailing their contacts with A.B.’s regular physicians. Id. ¶ 27. The social workers did not 17 make these contacts until nearly a month after A.B. had been removed from the custody of 18 her parents. Id. In the third report, the County social workers recommended the petition be 19 dismissed based on the information from A.B.’s regular physicians indicating that A.B.’s 20 bruising and petechiae were not caused by abuse. Id. The Juvenile Court eventually 21 dismissed the petition on March 10, 2022, extended an apology to the family “on behalf of 22 the justice system,” and terminated its jurisdiction over A.B. as part of the order. Id. ¶¶ 28- 23 29. In all, A.B. was removed from her parents’ care and custody and detained for 63 days 24 between January 7 and March 10, 2022. 25 Plaintiffs resolved their claims against the County Defendants in November 2023 26 for a total payment of $250,000. See ECF No. 9-1. In April 2024, the Court granted in part 27 and denied in part Plaintiffs’ petition for approval of A.B.’s settlement with the County 28 Defendants, ultimately allocating $35,000 of the $250,000 to A.B. ECF No. 25. In 1 August 2025, during a settlement conference before the undersigned, Plaintiffs reached a 2 separate settlement with RCHSD and the Doctor Defendants. ECF No. 62. 3 On September 29, 2025, Plaintiffs filed the instant Petition seeking approval of the 4 proposed distribution of the $200,000 settlement as follows: 5 • $30,000 allocated to A.B., which Plaintiffs propose be paid to A.B.’s parents, 6 Brenda Martinez and Pedro Bernal, for purposes of A.B.’s care; 7 • $74,000 in attorney fees, payable to “The Law Office of Donnie R. Cox”; 8 • $96,000 distributed to adult Plaintiffs Brenda Martinez and Pedro Bernal. 9 ECF No. 67 at 5, 8. 10 The proposed distribution reflects Plaintiffs’ counsel’s plan to deduct a 25% 11 contingency fee from A.B.’s $40,000 share of the settlement and a 40% contingency fee 12 from the $160,000 portion allocated to Plaintiffs Brenda Martinez and Pedro Bernal. Id. at 13 8. 14 II. LEGAL STANDARD 15 It is well-settled that courts have a special duty to safeguard the interests of litigants 16 who are minors in the context of settlements proposed in civil suits. Robidoux v. Rosengren, 17 638 F.3d 1177, 1181 (9th Cir. 2011); see also Fed. R. Civ. P. 17(c) (district courts “must 18 appoint a guardian ad litem—or issue another appropriate order—to protect a minor or 19 incompetent person who is unrepresented in an action.”). “In the context of proposed 20 settlements in suits involving minor plaintiffs, this special duty requires a district court to 21 ‘conduct its own inquiry to determine whether the settlement serves the best interests of 22 the minor.’” Robidoux, 638 F.3d at 1181 (quoting Dacanay v. Mendoza, 573 F.2d 1075, 23 1080 (9th Cir. 1978)); see also Salmeron v. United States, 724 F.2d 1357, 1363 (9th Cir.

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Brenda Martinez, Pedro Bernal, and A.B., a minor, by and through her Guardian ad Litem, William Phippard v. Shalon Nienow, M.D., Sarah Vega, M.D.; Natalie Laub, M.D.; Rady Children’s Hospital; and Does 1 through 50 Inclusive, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brenda-martinez-pedro-bernal-and-ab-a-minor-by-and-through-her-casd-2025.