Disability Rights Washington v. Meneses

District Court, W.D. Washington·Decided December 15, 2022·No. 3:22-cv-05651·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA G.G., by and through his grandmother and CASE NO. 3:22-cv-05651-RJB guardian, A.G.; A.M., by and through her parent and guardian, L.M.; and ORDER ON MOTION FOR LEAVE DISABILITY RIGHTS WASHINGTON, a TO FILE FIRST AMENDED nonprofit membership organization for the COMPLAINT federally mandated Protection and Advocacy Systems, Plaintiffs, v. JILMA MENESES, in her official capacity as Acting Secretary of the Washington State Department of Health and Human Services; and SUSAN BIRCH, in her official capacity as Director of the Washington State Health Care Authority, Defendants. This matter comes before the Court on the Plaintiffs’ Motion for Leave to File First Amended Complaint. Dkt. 76. The Court has considered the pleadings filed regarding the motion, including the proposed amended complaint (Dkt. 76-1) and the remaining file. The Plaintiffs in this case seek declaratory and injunctive relief regarding The Rainier School (“Rainier”), a state-run, residential facility for people with intellectual and developmental disabilities. Dkt. 1. The Plaintiffs contend that it is a dangerous place to live and fails to provide for the health and safety of its residents. Id. The Plaintiffs bring claims for violations of their Fourteenth Amendment due process rights (pursuant to 42 U.S.C. § 1983), Title II of the

Americans with Disabilities Act (“ADA”), 42 U.S.C. § 12101, et. seq., the Rehabilitation Act (“RA”), 29 U.S.C. § 701, et. seq., and the Washington Law Against Discrimination (“WLAD”), RCW 49.60. Id. In the instant motion to amend the Complaint, the Plaintiffs seek to remove Plaintiff G.G. and his legal guardian, A.G., as parties and remove Plaintiffs’ WLAD claim. Dkt. 76. This portion of the motion (Dkt. 76) should be denied as moot. On November 1, 2022, the Court granted, in part, and denied, in part, the Defendants’ motion to dismiss. Dkt. 72. That order dismissed Plaintiff G.G. and his legal guardian, A.G., for lack of standing and dismissed Plaintiffs’ WLAD claim as barred by the Eleventh Amendment. Id. No further analysis is

required on the motion to amend the Complaint to remove these parties and the WLAD claim. The motion to amend the Complaint also seeks to establish Plaintiff Disability Rights Washington’s associational standing to bring claims on behalf of its constituents at Rainier’s Intermediate Care Facilities, and to clarify the Plaintiffs’ due process claims, and claims for violations of the ADA and the RA. Dkt. 76. For the reasons provided below, this portion of the motion (Dkt. 76) should be denied, in part, and granted, in part. According to the proposed amended complaint, Rainier is one of four Residential Habilitation Centers (“residential centers”) established by the State. Dkt. 76-1 at 12. The purpose of a residential center is “[t]o provide for those persons who are exceptional in their needs for care, treatment, and education by reason of developmental disabilities . . . and to ensure a comprehensive program for the education, guidance, care, treatment, and rehabilitation of all

persons admitted . . .” RCW § 71A.20.010(1). They primarily serve adults and can only serve those under 21 when “there is no service options available in the community . . . such admission is limited to . . . short term respite or crisis stabilization services.” RCW § 71A.20.010(2). Defendant Meneses operates the residential centers through the Developmental Disabilities Administration. Dkt. 76-1 at 12. Portions of residential centers may be licensed as an intermediate care facility for individuals with intellectual and developmental disabilities (“intermediate care facility”) or as a skilled nursing facility. Dkt. 76-1 at 13. Intermediate care facilities and skilled nursing facilities “must be certified to be funded as Medicaid State Plan Services.” Id. To maintain their certification,

the residential centers must comply with federal conditions of participation. Id. State agencies must survey intermediate care facilities every 15 months for compliance. Id. When an intermediate care facility is found to be out of compliance, the state Medicaid agency may put the facility on a Denial of Payment for New Admissions instead of terminating the facilities’ certification. Id. If the intermediate care facility cannot come into compliance with the federal requirements within 11 months, the state Medicaid agency must terminate the facility’s certification. Id. at 14 (citing 42 C.F.R. 442.117(a)(2)). Defendant Susan Birch is responsible for Medicaid licenses for both intermediate care facilities and skilled nursing facilities. Id. at 13. Two units of Rainier are licensed as intermediate care facilities. Dkt. 76-1 at 15. Rainier also includes cottages, some of which are not certified as an intermediate care facility, skilled nursing facility, or otherwise licensed as a long-term care setting. Id. Plaintiff A.M. lives at one such cottage, Klamath Cottage. Id. Medicaid funds are alleged to pay for the medical and behavioral health care and vocational supports that Plaintiff A.M., and the other residents of this

cottage, receive. Id. As Acting Secretary of DSHS, Defendant Meneses has “‘custody of all residents of the [residential centers] and control of the medical, educational, therapeutic and dietetic treatment of all residents . . .’” Id. at 16 (quoting RCW 71A.20.050(2)). If a resident desires to leave a residential center and the DSHS Secretary believes that a departure “may be harmful to the resident,” the Secretary may hold a resident for a period not to exceed 48 hours “in order to consult with the person’s legal representative.” RCW 71A.20.140(1). The proposed amended complaint alleges that residents “have reported that they have been physically stopped and returned to the facility upon leaving the school grounds.” Dkt. 76-1 at 16.

The state’s Developmental Disabilities Administration places residents at Rainier “due to the complexity of their support needs;” some enter the facility “because there were no other available service-options to meet their assessed needs.” Id. at 15-16. Rainier serves around 120 individuals with developmental disabilities in its two intermediate care facility units; approximately 86 of whom also have co-occurring behavioral or mental health diagnoses. Id. at 14-16. There are approximately six people who live at either Klamath Cottage, at least one of whom (Plaintiff A.M.) has co-occurring behavioral or mental health diagnoses. Id. at 25. According to the proposed amended complaint, Rainier alleges it provides: a. Medical, dental and nursing care; b. Social and psychological services; c. Occupational therapy, physical therapy and speech therapy evaluations, treatment, and adaptive equipment; d. Vocational training and employment; e. Recreation facilities; and

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