Day v. Cedar Rapids Community School District

CourtDistrict Court, N.D. Iowa
DecidedMay 5, 2020
Docket1:19-cv-00137
StatusUnknown

This text of Day v. Cedar Rapids Community School District (Day v. Cedar Rapids Community School District) is published on Counsel Stack Legal Research, covering District Court, N.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Day v. Cedar Rapids Community School District, (N.D. Iowa 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF IOWA CEDAR RAPIDS DIVISION

TABITHA DAY, Mother of minor child, E.D., Plaintiff, No. C19-137-LTS vs. ORDER ON DEFENDANTS’ CEDAR RAPIDS COMMUNITY MOTION TO DISMISS SCHOOL DISTRICT, et al.,

Defendants.

I. INTRODUCTION This case is before me on a motion (Doc. No. 7) to dismiss by defendants Cedar Rapids Community School District (District), Grant Wood Area Education Agency (AEA), Sandra Byard and Cindy Fagan. Plaintiff Tabitha Day, mother of minor child, E.D., has not filed a response and the time for doing so has expired. I find that oral argument is not necessary. See Local Rule 7(c).

II. FACTUAL ALLEGATIONS Day has filed a claim pursuant to 42 U.S.C. § 1983, along with claims alleging violations of the Americans with Disabilities Act (ADA), Section 504 of the Rehabilitation Act of 1973, Titles VI and VII of the Civil Rights Act of 1964; Title IX of the Education Amendments of 1972; the Patient Protection and Affordable Care Act; and the Individuals with Disabilities Education Act (IDEA). See Doc. No. 5, 5-1. She claims E.D. was denied access to public school because her attendance was prohibited and restricted due to her disability. See Doc. No. 5 at 3. Defendants note that Day pursued similar claims in an administrative due process complaint filed against the District and the AEA pursuant to the IDEA, 20 U.S.C. § 1400 et seq. They argue that because Day explicitly references the administrative decision addressing that complaint, the decision is embraced by the pleadings and I may consider it in ruling on the motion to dismiss. See Doc. No. 7-2 at 3. I agree. See Ashanti v. City of Golden Valley, 666 F.3d 1148, 1151 (8th Cir. 2012). As such, I will start with a discussion of that decision as it provides helpful background to Day’s complaint. E.D. suffers from a variety of serious medical issues, including Lennox-Gastaut Syndrome (an intractable form of epilepsy), asthma, impaired mobility and developmental delays. She is prone to having absence, cluster, and tonic-clonic (grand mal) seizures. See Doc. No. 7-1 at 2. She has had an Individualized Education Program (IEP) since she began attending school in the District and the plan was unchanged from May 2010 through the end of the 2017-2018 school year. E.D.’s neurologist determined that medical intervention for E.D.’s seizures is required only when her seizures last 10 minutes. He prescribed a “rescue medication” known as Diastat. Id. at 3. School staff administered Diastat to E.D. on three occasions during each of the 2014-2015, 2015- 2016 and 2016-2017 school years. They administered it once in the 2017-2018 school year and once in 2018-2019 school year. On each of the 11 occasions in which they administered Diastat, E.D. returned to class without incident. Id. Since May 2010, E.D.’s Individual Health Plan (IHP) has provided a protocol for dealing with her seizures while in school. The IHP incorporated an Emergency Protocol for seizures that required health staff to respond to E.D.’s classroom at the first sign of a seizure. Staff would then use a magnet to activate E.D.’s VNS1 device and could repeat the procedure every minute for five minutes if necessary. If the seizure lasted more than five minutes, staff administered Diastat. If the seizure continued more than five minutes after administering Diastat, staff would call 911. Id. Upon learning that the District had varying protocols with regard to whether a

1 In 2013, E.D. had a vagus nerve stimulator (VNS) device implanted in her upper left chest that can be activated by swiping a magnet across the implant location. The purpose of the device is to prevent or lessen seizure activity. child stayed at school or was sent home following the administration of Diastat, the District’s Health Services Facilitator2 held a meeting with all school nurses. The nurses reviewed medical literature and other districts’ practices. The medical literature discussed the possibility of respiratory depression following administration of Diastat in children. The consistent practice in other districts was to send children home after the administration of Diastat. The nurses agreed that after administering Diastat, children should be sent home and adopted this as the new policy or protocol. Id. E.D.’s Emergency Seizure Protocol and IHP were amended in August 2018 to reflect the new protocol. Her IEP refers to the IHP and Emergency Protocol in three instances. It states that her health needs will be “addressed in the Health Plan as a part of the student’s health records,” refers to the “IHP/Emergency Protocol” following a discussion of the protocol for responding to her seizures, and in listing her health services, states “see IHP for details.” Id. at 5. E.D. moved to a new school for the 2018-2019 school year. The school nurse3 was in charge of drafting a new health plan and attempted to contact Day prior to the start of school. She was unable to reach her by phone but spoke to her in person at an open house the day before the start of school. They discussed responses to E.D.’s seizures, including Diastat, and the nurse informed Day about the policy change to send students home after administering Diastat. Day disagreed with the policy. The nurse attempted to contact E.D.’s physician for input but did not receive a response until October. The nurse sent a copy of the new IHP and Emergency Protocol, which contained the new Diastat policy, home with E.D. after school started. Day responded by crossing out language in the Emergency Protocol and adding

2 While the name is redacted in the administrative decision, it appears from Day’s complaint that defendant Byard is the Health Services Facilitator for the District. See Doc. No. 5 at 3. See also Doc. No. 7-2 at 4 (describing Byard’s and Fagan’s positions).

3 While the name is redacted in the administrative decision, it appears from Day’s complaint that defendant Fagan is the school nurse at E.D.’s new school. Id. handwritten notes and suggestions in other parts and gave the document back to the school nurse. She did not sign the document and noted that the new policy was added after eight years of not being required, was “not protocol” and had “nothing to do with her safety.” Id. at 6. She also spoke to E.D.’s teacher, the principal and school nurse. On the third day of the school year, E.D. suffered a seizure requiring the administration of Diastat. Pursuant to the policy, the school called Day and sent E.D. home. Day kept E.D. home from school the remainder of the school year claiming that she was concerned the school nurse would disregard the guidance of E.D.’s physician and that E.D. had been experiencing increased seizures requiring Diastat a couple times per week. Id. at 6-7. The school scheduled an IEP team meeting for September 10, 2018, between the school nurse, the school principal, E.D.’s special education teacher and Day. Day explained that E.D. had been experiencing increased seizures. District personnel encouraged her to let E.D. return to school. They offered to re-evaluate the situation and discuss alternative arrangements if E.D.’s need for Diastat at school had, in fact, increased. The meeting did not result in an agreement between Day and the District. Day kept E.D. out of school and filed a due process complaint. Day argued that nursing services, as embodied in the IHP, are “related services” subject to regulations that provide certain procedural protections for changing an IEP, such as parental input. Second, she argued that E.D.

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Day v. Cedar Rapids Community School District, Counsel Stack Legal Research, https://law.counselstack.com/opinion/day-v-cedar-rapids-community-school-district-iand-2020.