Dan Albertson, Appellant/cross-respondent v. Dshs, Respondent/cross-appellant

CourtCourt of Appeals of Washington
DecidedNovember 10, 2015
Docket45748-2
StatusPublished

This text of Dan Albertson, Appellant/cross-respondent v. Dshs, Respondent/cross-appellant (Dan Albertson, Appellant/cross-respondent v. Dshs, Respondent/cross-appellant) 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
Dan Albertson, Appellant/cross-respondent v. Dshs, Respondent/cross-appellant, (Wash. Ct. App. 2015).

Opinion

Filed Washington State Court of Appeals Division Two

November 10, 2015 IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

DAN ALBERTSON, as Limited Guardian ad No. 45748-2-II Litem for A.R.B.,†an incapacitated minor,

Appellant,

v.

STATE OF WASHINGTON acting through its PUBLISHED OPINION DEPARTMENT OF SOCIAL & HEALTH SERVICES,

Respondent.

SUTTON, J.— ARB, through his guardian ad litem, Dan Albertson, sued the Department of

Social and Health Services (DSHS) for negligent investigation of alleged abuse by his father, Jacob

Mejia. A jury found that DSHS was negligent in its investigation of ARB’ s injuries, but that its

actions were not a proximate cause of ARB’ s injuries. ARB appeals the judgment in favor of

DSHS based on several alleged evidentiary errors and the trial court’ s jury instructions on

superseding cause. DSHS cross-appeals, asserting that the trial court erred by instructing the jury

on DSHS’ s duty to ARB and denying DSHS’ s CR 50 motions to dismiss.

It is appropriate to provide some confidentiality in this case. Accordingly, it is hereby ordered that initials will be used in the case caption and in the body of the opinion to identify the minor involved. No. 45748-2-II

We hold that (1) the trial court erred by instructing the jury on superseding cause, ( 2) the

trial court’ s jury instruction misstated DSHS’ s duty to ARB, and (3) the trial court did not err in

denying DSHS’ s CR 50 motions to dismiss. Therefore, we reverse and remand for a new trial.1

FACTS

I. ARB’ S NOVEMBER 18 AND DECEMBER 22 INJURIES

ARB was born in late 2008 to Sarah Tate and Mejia. ARB’s birth was unremarkable and

he had no signs of trauma or physical injury as a newborn. Tate and Mejia lived with Mejia’ s

parents. Mejia was attending high school when ARB was born. Tate had already graduated from

high school, and she was ARB’s primary caregiver. Five days after ARB’s birth, he was a healthy

baby.

On the morning of November 18, Tate found that ARB’s left arm was limp. Mejia had fed

ARB, changed him, swaddled him, and placed him back into bed two hours earlier. Tate, Mejia,

and Mejia’ s mother brought ARB to Harrison Medical Center’ s emergency room that night.

X-rays showed that ARB’ s left humerus bone was broken. The break was a spiral fracture,

which typically requires a twisting, pulling, or jerking motion with greater than normal force

required to accomplish. Tate and Mejia first told the emergency room doctor, Dr. William Moore,

that the injury could have been caused at a wedding three days beforehand when ARB was passed

around. Later, Tate explained that she noticed ARB’ s limp arm after Mejia swaddled him that

morning. Dr. Moore suspected that ARB’s injury was caused from abuse and he contacted law

1 ARB also argues that ( 1) we should hold that DSHS’ s negligence was a proximate cause of ARB’ s injury as a matter of law and ( 2) the jury’s verdict was inconsistent. Because we reverse and remand for a new trial, we do not address these issues, nor do we address his challenge to the trial court’ s evidentiary rulings.

2 No. 45748-2-II

enforcement, who placed ARB into protective custody with Child Protective Services ( CPS).

Nicole Miller, a social worker at Harrison Medical Center, referred ARB’s case to DSHS after she

interviewed the family.

ARB was transferred to Mary Bridge Children’ s Hospital, where he was placed on a

hospital hold.2 The emergency room physician at Mary Bridge, Dr. Jeffrey Bullard-Berent,

ordered a skeletal survey and a CT scan of ARB’ s head. Those studies did not show any other

fractures, but did find a subscleral hemorrhage.

Dr. Bullard-Berent was concerned that ARB had been abused because ARB had two

abnormal” injuries, a broken humerus and the hemorrhage. Clerk’ s Papers (CP) at 4068. He did

not believe that Tate and Mejia’ s explanation for ARB’s broken bone, swaddling, was consistent

with the injury. Dr. Victoria Silas, a pediatric orthopedic specialist who examined and treated

ARB’ s broken arm at Mary Bridge, was also concerned that ARB’s broken arm had been caused

by non-accidental trauma.

On November 19, Dr. Yolanda Duralde, a child abuse and neglect medical specialist and

the medical director of child abuse intervention at MultiCare Health Systems, interviewed Tate

and Mejia at the request of Heather Lofgren, the CPS social worker assigned to investigate whether

ARB had been abused. Dr. Duralde also examined ARB. Dr. Duralde reported to Lofgren that

Tate and Mejia were appropriately concerned and remorseful about ARB’s injury and interacted

with him well. During the interview, Mejia demonstrated how he swaddled ARB using a doll.

Mejia put the doll’ s left arm behind its back, used a small blanket to swaddle it, and rotated the

2 Under RCW 26.44.056, a hospital may hold a child provided that within 72 hours CPS makes contact with the child and determines whether or not it is safe for the child to return home.

3 No. 45748-2-II

doll’ s arm forward so that the arm was on its side again. According to Dr. Duralde, Mejia’ s

demonstration was consistent with ARB’s injury. Dr. Duralde did not contact Dr. Silas about

ARB, but she was aware that doctors at Harrison and Mary Bridge were concerned that ARB’s

broken arm was caused by abuse. Based on Dr. Duralde’ s opinion that ARB’s injury was

accidental, DSHS returned him to Tate and Mejia’ s care on November 19.

In the early morning hours of December 23, ARB’s parents brought him to Harrison again.

ARB’ s skull was fractured and his brain tissue had been injured. He was experiencing seizures

and had bleeding on his brain. ARB had multiple other skeletal fractures, including rib fracture,

clavicular fracture, and a fracture to his right humerus.

Tate and Mejia said that ARB had been lying on the couch that evening, December 22,

when their dog jumped onto the furniture, bouncing ARB onto the floor. Dr. Duralde concluded

that ARB’ s December 22 injuries were caused in part by shaking and were probably caused by

non-accidental trauma. As a result of the injuries, ARB is permanently physically and cognitively

disabled and will need 24-hour care for the rest of his life.

II. DSHS’ S INVESTIGATION OF ARB’ S NOVEMBER 18 INJURY

At the time she was assigned to investigate ARB’ s case, Lofgren had recently completed

her social worker education and training. After she received Dr. Duralde’ s report on November

19, Lofgren and her supervisor removed the hospital hold on ARB, which allowed Tate and Mejia

to take him home. Dr. Duralde’ s opinion was the sole reason for Logren’ s determination that ARB

was not at risk of harm in the care of his parents.

On November 19 and 20, Lofgren completed several tasks to conduct her investigation

after ARB was returned to Tate and Mejia’ s care. Lofgren contacted Tate and Mejia’ s high school,

4 No. 45748-2-II

which did not report any concerns about either of them. Lofgren also completed a background

check on all the family members living with ARB, which did not uncover any criminal history or

CPS referrals for child abuse. 3

Lofgren conducted a home visit at the Mejias’ house the day after ARB was released to

Tate and Mejia’ s care. She interviewed Tate, Mejia, and Mejia’ s father about the home

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