Feigman v. Klepak

62 A.D.2d 816, 406 N.Y.S.2d 304, 1978 N.Y. App. Div. LEXIS 10912
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 27, 1978
StatusPublished
Cited by12 cases

This text of 62 A.D.2d 816 (Feigman v. Klepak) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Feigman v. Klepak, 62 A.D.2d 816, 406 N.Y.S.2d 304, 1978 N.Y. App. Div. LEXIS 10912 (N.Y. Ct. App. 1978).

Opinion

OPINION OF THE COURT

Fein, J.

This CPLR article 78 proceeding to review and annul the determination of respondent which revoked approval for petitioner’s operation of a methadone maintenance treatment program and directed that it cease operations within 30 days was transferred to this court pursuant to CPLR 7803 (subd 4) and 7804 (subd [g]) by order of Justice Sutton, entered November 3, 1977, since the application in part raises issues as to whether the determination by respondent was supported by substantial evidence. The dissenters would hold the proceeding in abeyance pending a hearing on the issue as to "whether there has been invidious discrimination by the respondent” in enforcing the subject statute and regulations "in favor of nonproprietary and against proprietary programs.” However, we conclude the present record is insufficient to warrant a hearing. Petitioner’s hearsay allegations and conclusory assertions do not raise an issue of fact.

Petitioner, a licensed psychiatrist, has for the last five years operated a methadone maintenance treatment program known as Meth-Aide Methadone Maintenance Treatment Program, Inc. (Meth-Aide). Meth-Aide is a proprietary center. On December 1, 1976, petitioner received notice from the Office of Drug Abuse Services that approval to operate Meth-Aide had been revoked as a result of 13 violations of respondent’s regulations. Following a statutory hearing, the hearing officer confirmed the violations, but recommended that a stipulation be entered into which had been agreed to by petitioner, whereby petitioner would voluntarily close the program if future inspection or audit revealed substantial violations. In such event, petitioner agreed to waive any right to administrative or judicial review. On August 16, 1977, the commissioner rejected the hearing officer’s recommendation and issued an order which revoked approval to petitioner to continue operation of his methadone maintenance treatment center. By separate order of the Commissioner of Health, petitioner’s license to operate a private methadone treatment facility was [818]*818revoked pursuant to sections 3352, 3353, 3390 and 3391 of the Public Health Law.

The record amply supports the findings by respondent that petitioner had violated applicable regulations which limited treatment to no more than 225 patients (14 NYCRR 2021.21 [a]). Petitioner continuously violated the regulations by repeatedly increasing without authority the number of patients over a one-year and three-month period to a total of 346 at the time of the inspection held on October 25, 1976. Over that period of time, petitioner persistently increased the number of patients although each of his requests for increased authorization was denied. The latest request to increase the 225 patient limitation to 300 was denied by letter dated October 6, 1976, less than three weeks prior to the October 25, 1976 audit, which disclosed that despite the prior denials of permission, patient census had improperly risen to 346.

Petitioner was also found to have violated the following regulations: (1) 14 NYCRR 2021.15 (c), by failing to provide sufficient nursing staff, in that the failure to increase the number of full-time nurses in accordance with the increase in the number of patients seriously affected the quality of care; (2) 14 NYCRR 2021.15 (d), by failing to provide sufficient counselors, in that petitioner employed only four counselors, two of whom were merely high school graduates; (3) 14 NYCRR 2021.13 (c) (1), by failing to adhere to the prescribed procedure for dispensing take-home supplies of methadone; (4) 14 NYCRR 2021.13 (f), by failing to provide for random scheduling of the collection of urine samples; and (5) 14 NYCRR 2021.13 (g), by failing to schedule weekly disciplinary staff conferences to discuss treatment of individual patients and to consider recommendations of staff members. Such violations patently defeated the purpose of the methadone maintenance program.

The record clearly and fully supports respondent’s determination as to petitioner’s utter disregard of applicable rules and regulations. Moreover, petitioner plainly failed or refused to correct deficiencies found to exist, despite appropriate notices following prior audits. Petitioner’s violations of the regulations were flagrant and willful. Although advised as early as July, 1975, to comply with the applicable rules, and despite denial of two applications in 1976 to increase the number of patients above the 225 patient limitation, petitioner deliber[819]*819ately disregarded the regulations and increased the number of patients to 346.

By reason of petitioner’s repeated violations over an extensive period of time respondent was fully justified and warranted in exercising his power to revoke approval of petitioner’s continued operation of Meth-Aide.

There is no apparent merit to petitioner’s unsubstantiated assertion that there has been an invidious discrimination in the enforcement of the statute (Mental Hygiene Law, art 81) and the regulations, that respondent has allegedly routinely enforced the statute and regulations in favor of nonproprietary and against proprietary programs. The nonproprietary centers are publicly operated or operated by nonprofit hospitals and organziations. The dissenters would direct a hearing on this issue, despite petitioner’s complete failure to offer affirmative proof to substantiate his naked claim that respondent has selectively enforced the statute and regulations. The mere conclusory assertion of selective, discriminatory enforcement of the statute is insufficient to require that a hearing be held on that issue, particularly in so sensitive a field as this. As the dissenters concede, the hearing officer properly refused to consider the defense of discriminatory, selective enforcement of the statute. There is no reason why we should do so in the face of petitioner’s failure to make even a prima facie showing of discrimination in enforcement of the rules.

Insufficient has been shown to warrant a hearing. Petitioner has not met the heavy burden of proof required to sustain his assertion of unfair discrimination. A discriminatory purpose may not be presumed. There must be a showing by extrinsic evidence of "clear and intentional discrimination” (Matter of Di Maggio v Brown, 19 NY2d 283, 290-291). One must prove more than mere nonenforcement against other violators. Three examples are insufficient, particularly where it appears that in none were the alleged violations as flagrant and repeated as those of petitioner. To support an order directing a hearing in an article 78 proceeding, the party must demonstrate the existence of a triable issue of fact (Matter of Bell v New York State Liq. Auth., 48 AD2d 83). Here, there was no such proof. There was no prima facie showing of selective enforcement to substantiate petitioner’s charge so as to warrant that a hearing be held (Zaks v Klepak, 59 AD2d 993).

The dissent places primary reliance upon three letters from [820]*820respondent relating to deficiencies in the nonproprietary programs of Cumberland Hospital, Bronx State Hospital and the Quincy Village Program. However, the letters do not support petitioner’s conclusory assertion of invidious discrimination. They demonstrate affirmative action by respondent against nonproprietary programs in the form of notices or warnings to correct deficiencies in the programs within a prescribed period of time.

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Bluebook (online)
62 A.D.2d 816, 406 N.Y.S.2d 304, 1978 N.Y. App. Div. LEXIS 10912, Counsel Stack Legal Research, https://law.counselstack.com/opinion/feigman-v-klepak-nyappdiv-1978.