Florinda Izazaga Cardenas v. California Forensic Medical Group, Inc., et al.

• Court: District Court, N.D. California
• Decided: May 12, 2026
• Docket: 4:24-cv-04248
• Status: Unknown

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 FLORINDA IZAZAGA CARDENAS, Case No. 24-cv-04248-ASK

8 Plaintiff, ORDER GRANTING DEFENDANT’S 9 v. MOTION TO DISMISS PLAINTIFF’S FOURTH AMENDED COMPLAINT 10 CALIFORNIA FORENSIC MEDICAL GROUP, INC., et al., Re: Dkt. No. 87 11 Defendants.

12 13 Defendant California Forensic Medical Group, Inc. (“Defendant” or “CFMG”) has moved 14 the Court to dismiss with prejudice the Fourth Amended Complaint of Plaintiff Florinda Izazaga 15 Cardenas, Dkt. No. 83 (“FAC”), under the doctrine of res judicata and for failure to state a claim 16 under Federal Rule of Civil Procedure 12(b)(6). Dkt. No. 87 (“Mot.”). Cardenas has opposed. Dkt. 17 No. 90 (“Opp’n.”). CFMG has replied. Dkt. No. 92 (“Reply”). 18 The Court decides this matter without oral argument pursuant to Civil L.R. 7-1(b). For the 19 reasons set forth below, the Court GRANTS the Motion with prejudice. 20 I. BACKGROUND 21 This case arises out of the death by suicide of Cardenas’s son, Daniel Rivera Izazaga 22 (“Decedent”), at the Napa County Jail, where CFMG provides psychiatric care to prisoners. See 23 FAC at 2–3. The instant FAC, like the four complaints before it, see Dkt. Nos. 1, 12, 31, 61, 24 alleges that Defendant violated Decedent’s federal civil rights through its actions and omissions 25 with respect to his medical care. See, e.g., FAC at 7. The FAC appears to repeat nearly verbatim 26 the entire Third Amended Complaint, Dkt. No. 61 (“TAC”). The only alteration appears to be the 27 addition of Paragraph 13 in the FAC. Compare FAC at 4 with TAC at 4. II. LEGAL STANDARD 1 The Court applies the familiar standard under which a plaintiff must state a facially 2 plausible claim to relief to survive a 12(b)(6) motion to dismiss. Ashcroft v. Iqbal, 556 U.S. 662, 3 678 (2009). “A claim has facial plausibility when the plaintiff pleads factual content that allows 4 the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” 5 Id. 6 III. DISCUSSION 7 Plaintiff pleads two causes of action in the FAC: deliberate indifference under 42 U.S.C. 8 Section 1983 and negligence. FAC at 7–8. The Court has already dismissed the negligence claim 9 with prejudice because it is time-barred. Dkt. No. 82 at 12. Plaintiff asserts that she included the 10 negligence claim in the FAC erroneously and that she does not oppose its dismissal. Opp’n at 7. 11 The Court again dismisses the negligence claim with prejudice. 12 The only remaining claim is for deliberate indifference under Section 1983. Such claims 13 have two elements. “First, the plaintiff must show a serious medical need by demonstrating that 14 failure to treat a prisoner’s condition could result in further significant injury or the unnecessary 15 and wanton infliction of pain. Second, the plaintiff must show the defendants’ response to the need 16 was deliberately indifferent.” Egberto v. Nevada Dep’t of Corr., 678 F. App’x 500, 502–03 (9th 17 Cir. 2017) (quoting Wilhelm v. Rotman, 680 F.3d 1113, 1122 (9th Cir. 2012) (citation omitted)). In 18 the Ninth Circuit, pretrial detainees bringing medical care claims against an individual defendant 19 prove deliberate indifference by establishing that “(i) the defendant made an intentional decision 20 with respect to the conditions under which the plaintiff was confined; (ii) those conditions put the 21 plaintiff at substantial risk of suffering serious harm; (iii) the defendant did not take reasonable 22 available measures to abate that risk, even though a reasonable official in the circumstances would 23 have appreciated the high degree of risk involved—making the consequences of the defendant’s 24 conduct obvious; and (iv) by not taking such measures, the defendant caused the plaintiff’s 25 injuries.” Gordon v. Cnty. of Orange, 888 F.3d 1118, 1125 (9th Cir. 2018). 26 The undersigned’s predecessor in this matter, Judge Ryu, found Plaintiff’s allegations in 27 the TAC insufficient because of how they “impermissibly lump Defendants together, making it 1 impossible to distinguish each Defendant’s role. . . .” Dkt. No. 82 at 13. The FAC does not correct 2 this fatal deficiency. Plaintiff still does not indicate which Defendants are responsible for certain 3 crucial alleged acts. For example, Plaintiff alleges that “Decedent continued to express to jail staff 4 his frustration, increasing depression and lack of will . . . to live” and that “Does 1-25 did nothing 5 to intervene, did not report his suicidal ideations or take precautions to prevent Decedent from 6 acting on his suicidal ideations.” FAC at 5. These descriptions of undifferentiated groups of “jail 7 staff” and Doe defendants do not allow the Court to attribute the alleged actions to CFMG 8 employees.1 Such “[u]ndifferentiated group pleading . . . is impermissible. . . .” Russo v. Fed. Med. 9 Servs., Inc., 744 F. Supp. 3d 914, 922 (N.D. Cal. 2024) (citing In re Sagent Tech., Inc., 278 F. 10 Supp. 2d 1079, 1094 (N.D. Cal. 2003)). 11 Plaintiff’s amendments do not cure this issue. Plaintiff has added a single paragraph to her 12 pleading, as follows: During a prior detention at the Napa County Jail in September 2022, 13 Defendant CFMG Jail Staff placed Decedent into a safety cell after Decedent reported suicidal ideations. The records of this prior 14 incident in which Decedent reported suicidal ideations were in Defendant CFMG’s possession at the time of Decedent’s intake in 15 2023. Thus, Defendant DOES 1-50, who were involved in Decedent’s housing placement and mental health supervision (or lack thereof) 16 during his subsequent detention, were aware or should have been aware that Decedent had previously reported suicidal ideations while 17 in jail for the entirety of his 2023 detention. 18 FAC ¶ 13. Though the first two sentences of course refer to CFMG staff, the third sentence speaks 19 only of a conglomeration of Doe defendants, which does not allow the Court to infer anything 20 about CFMG employees’ involvement in the “housing placement and mental health supervision” 21 decisions discussed there. Id. This added paragraph cannot support the reasonable inference that 22 CFMG employees’ conduct led to Izazaga’s death. 23 The Court appreciates that Izazaga’s death is extremely upsetting and that Ms. Cardenas’s 24 grief must be profound. But the allegations that she makes in the FAC do not support an inference 25 that CFMG is liable in relation to her son’s death. The Court accordingly grants the Motion with 26 respect to the deliberate indifference claim. 27 ] The fact that Plaintiff filed a nearly unchanged pleading that attempts to address the group- 2 || allegations issue by merely repackaging these allegations in another form leads the Court to 3 conclude that the FAC cannot be saved by further amendment. The Court accordingly grants the 4 || Motion with prejudice. See Thinket Ink Info. Res., Inc. v. Sun Microsystems, Inc., 368 F.3d 1053, 5 1061 (9th Cir. 2004) (“[A] district court does not err in denying leave to amend where the 6 || amendment would be futile.” (citation omitted)). 7 IT IS SO ORDERED. 8 || Dated: May 12, 2026 9 . 10 AJAY KRISHNAN United States Magistrate Judge a 12

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