Doe v. Fairfax Behavioral Health

District Court, W.D. Washington·Decided August 10, 2020·No. 2:19-cv-00635·Unknown

Opinion

WESTERN DISTRICT OF WASHINGTON JANE DOE, JOHN DOE, and H.S., by and through his guardian, individually and on behalf of all others similarly situated, and JANE DOE 2, JOHN DOE 2, N.B., JANE DOE 3, and JANE DOE 4, individually, Plaintiffs, C19-635 TSZ v. ORDER BHC FAIRFAX HOSPITAL, INC. d/b/a FAIRFAX BEHAVIORAL HEALTH, Defendant.

THIS MATTER comes before the Court on a motion to deny class certification and strike class allegations, docket nos. 18 and 20, brought by defendant BHC Fairfax Hospital, Inc., which does business as Fairfax Behavioral Health (“Fairfax”), and a motion for class certification, docket no. 35, brought by plaintiffs Jane Doe, John Doe, and H.S. (the “Putative Class Representatives”). Having reviewed all papers1 filed in support of, and in opposition to, both motions, the Court enters the following order. Background Fairfax is a privately-owned entity that provides inpatient psychiatric services in Washington. 2d Am. Compl. at ¶ 17 (docket no. 62). Fairfax operates three facilities: 1 Fairfax’s motion, docket no. 42, to strike the declaration of Amanda McGill, docket no. 38, is DENIED. Although the declaration provides no expert opinion relevant to the claims for which (i) a 157-bed hospital located in Kirkland; (ii) a 30-bed unit located within the Pacific Campus of Providence Regional Medical Center in Everett; and (iii) a 34-bed unit

situated at EvergreenHealth Monroe, a public hospital. See id. at ¶ 18. Fairfax generates most, if not all, of its revenue from inpatient care for persons who are either voluntarily or involuntarily committed in connection with some form of mental illness. 2d Am. Compl. at ¶¶ 17-19 (docket no. 62). The Putative Class Representatives, Jane Doe, John Doe, and H.S., were admitted to Fairfax’s hospital in Kirkland2 in March 2018, December 2018, and May 2017,

respectively. Id. at ¶¶ 24, 39, & 47. The Putative Class Representatives allege that, during the intake process, each of them was subjected to a cavity and/or strip search, which was video recorded, and that, as a result of the “humiliating invasion of privacy,” each of them attempted suicide after release from Fairfax.3 Id. at ¶¶ 24-26, 36-37, 39-41, 45-46, 47-49, 53-54. Although the Second Amended Complaint4 contains seven causes

of action, only two of these claims are asserted on behalf of a class, namely violation of

2 The Putative Class Representatives attempt to make class-wide claims with respect to Fairfax’s facilities in Everett and Monroe, but none of them received services at either location, and the two plaintiffs, namely John Doe 2 and Jane Doe 2, who were admitted to the units in Everett and Monroe, respectively, are not asserting claims on behalf of any class. See 2d Am. Compl. at ¶¶ 55, 67, & 125 (docket no. 62). 3 This allegation in the operative pleading is contradicted in part by the deposition testimony of plaintiff John Doe, who denied having attempted suicide after discharge from Fairfax’s Kirkland facility. See John Doe Dep. at 91:17-19, Ex. K to Neiman Decl. (docket no. 45-11). 4 Plaintiffs were granted leave to file their Second Amended Complaint after the pending cross- motions relating to class certification had already been filed. See Minute Order (docket no. 61). The parties, however, have addressed in their briefing the proposed class definition set forth in the Second Amended Complaint, and the matter is ripe for the Court’s consideration. See id. at ¶ 4. Title III of the Americans with Disabilities Act (“ADA”) and violation of the Washington Law Against Discrimination (“WLAD”), see id. at Counts I & VII; the other five claims

are pleaded by various plaintiffs individually, see id. at Counts II-VI.5 With respect to the ADA and WLAD claims, the following class definition has been proposed: All persons who were admitted to Fairfax6 between April 30, 2016,7 and the date of class certification. Id. at ¶ 125. The parties disagree concerning the contours of Fairfax’s admission process. According to Fairfax, new patients generally undergo a contraband search and a skin assessment, but either procedure may be modified or omitted at the patient’s request. See Graham Dep. at 92:23-93:15, Ex. C to Neiman Decl. (docket no. 45-3); Graham Rule 30(b)(6) Dep. at 38:10-16 & 45:11-23, Ex. D to Neiman Decl. (docket no. 45-4). The Putative Class Representatives contend that “[n]ot searching a patient is not an option,” citing for support an undated PowerPoint slide prepared for a safety training. See Supp. Resp. at 1 (docket no. 43) (citing Ex. A to Smith Decl. (docket no. 44-1 at 5)). 5 All plaintiffs other than H.S. allege claims individually under RCW Chapter 74.34, which allows “vulnerable” adults to sue certain types of facilities for “abuse.” See RCW 74.34.200(1); see also RCW 74.34.020(2), (6), & (22) (defining “abuse,” “facility,” and “vulnerable adult”). In addition, all plaintiffs individually sue Fairfax for negligence, invasion of privacy, intentional infliction of emotional distress (outrage), and negligent infliction of emotional distress. 6 For purposes of certifying a class, “Fairfax” is defined as BHC Fairfax Hospital Inc. d/b/a Fairfax Behavioral Health, see 2d Am. Compl. at 1:2-3 (docket no. 62), and no distinction has been drawn between the three sites operated by Fairfax. 7 This commencement date for the proposed class period corresponds with the date that precedes by three years the filing of the original complaint in this action, see Compl. (docket no. 1) (filed April 30, 2019), and is intended to preclude any statute-of-limitations defense, see Supp. Resp. Fairfax replies that, during discovery, “no one remembered seeing or using” the outdated training materials on which the Putative Class Representatives rely. See Supp. Reply at 1

(docket no. 48). Fairfax’s search for contraband, defined as items that might compromise patient safety or privacy, begins with a scan, using a hand-held metal detector, while the patient is clothed, and then entails a search of the patient’s garments, after the patient, in a private area, out of camera view, and without staff surveillance, has removed them and dressed in a hospital gown. See Fairfax Policy No. 1000.7, Ex. 4 to Berman Decl.

(docket no. 36-4). While the clothing is being searched elsewhere, a skin assessment of the patient may be conducted. During a skin assessment, a nurse looks for wounds and signs of infection. See Fairfax Policy No. 1001.40, Ex. 3 to Berman Decl. (docket no. 36-3). The skin assessment is supposed to be performed in a private area, also out of camera view, while the patient is wearing a gown that can be moved around to permit the

nurse to view only portions of the body in sequence. See id.; see also Resp. at 4 (docket no. 42) (citing deposition testimony). Fairfax asserts that a patient’s body is not ordinarily searched for contraband, and that the Putative Class Representatives’ experiences were atypical. See Resp. at 4-5 (docket no. 42); see also Graham Dep. at 74:7-21 & 75:14-20, Ex. C to Neiman Decl.

(docket no. 45-3) (Fairfax’s policy refers to a search of belongings, not of a patient’s body, and it does not envision that a patient will be totally naked during either a contraband search or a skin assessment). Indeed, Putative Class Representative Jane Doe’s own Patient Complaint and Grievance Report Form (“Grievance”) supports Fairfax’s position that the way Jane Doe was allegedly treated was unusual. See Ex. J to Neiman Decl. (docket no. 45-10). In her Grievance, Jane Doe indicated that she was told

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