James v. Smith

CourtDistrict Court, S.D. Texas
DecidedJune 17, 2020
Docket4:19-cv-03485
StatusUnknown

This text of James v. Smith (James v. Smith) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
James v. Smith, (S.D. Tex. 2020).

Opinion

UNITED STATES DISTRICT COURT June 17, 2020 SOUTHERN DISTRICT OF TEXAS David J. Bradley, Clerk HOUSTON DIVISION

AJSHAY JAMES, § § Plaintiff, § VS. § CIVIL ACTION NO. 4:19-CV-03485 § AZELIA WALKER-SMITH, et al, § § Defendants. §

MEMORANDUM & ORDER This § 1983 action arises out of the alleged acts and omissions of three social workers with the Texas Department of Family & Protective Services (TDFPS), three social workers at Texas Children’s Hospital (TCH), and five doctors affiliated with the Baylor College of Medicine (BCM) who work at TCH (collectively, “Defendants”).1 Plaintiff Ajshay James alleges that Defendants deprived her of her parental rights as guaranteed by the Fourteenth Amendment when they conspired in September 2017 to temporarily separate her from her child without a lawful court order, and then permanently removed her child through the use of false and misleading statements. Defendants filed a series of six, interrelated motions to dismiss. The Court held a hearing on the motions to dismiss on May 27, 2020. After hearing argument on the motions, the Court granted them in part and denied them in part. The Court’s rulings and rationales are set forth herein. I. Plaintiff’s Allegations For purposes of reviewing Defendants’ motions to dismiss, the Court accepts all well- pleaded facts as true and views them in the light most favorable to James. The central allegations in James’s amended complaint (Doc. No. 39) are as follows:

1 Plaintiff also brings claims against TCH and the Commission of TDFPS in her official capacity. James gave birth to her child on September 9, 2015 at Texas Woman’s Hospital. (Id. at 4.) At the time of birth, the child was a “micro-preemie”—weighing only 13 ounces—and had to spend its first sixteen weeks in an incubator with oxygen support. (Id.) It took the child approximately five months to be discharged from the hospital. (Id.) In August 2016, the child was placed under the care of Dr. Penelope Louis at TCH: Main

Campus. (Id. at 5.) Dr. Louis became the child’s primary pediatrician and continued in that position for a year until August 2017, when the circumstances underlying this action began. (Id. at 5–6.) During that year, Dr. Louis never raised any concerns about James’s ability to care for her child. (Id.) The Child Abuse Pediatrics team at TCH referred concerns about potential medical child abuse to Dr. Louis on August 2016. (Id. at 6.) But Dr. Louis, rather than reporting James, determined that she “is over reporting secondary to her own anxiety and lack of knowledge regarding normal ranges for patient outside of neonatal range.” (Id.) James acknowledges that she was extremely anxious and hyper-vigilant about her child’s health at the time. (Id.) Dr. Louis approved or ratified all diagnoses, medicines, and treatments for the child, including the use of

oxygen for respiratory support. (Id. at 6–8.) When Hurricane Harvey hit, James’s home flooded and she and her child had to be rescued on August 27, 2017. (Id. at 8.) After the rescue, James requested that her child be taken to TCH: Main Campus. (Id.) Instead, she and the child were eventually taken to TCH: West Campus. (Id. at 8–9.) There a sleep study was conducted at the instruction of Dr. John Robertson, the child’s pulmonologist, and it was determined the child no longer needed to use oxygen. (Id. at 9.) The medical records reflect that James was delighted by this news and followed the doctor’s recommendation to take the child off of oxygen support. (Id.) The child was discharged from TCH: West Campus on September 5, 2017. (Id. at 10.) That same day, Dr. Jeanine Graf, who was then the Chief Medical Director for TCH: West Campus, spoke with Dr. Robertson and Dr. Louis. (Id. at 13.) According to Dr. Graf, both doctors told her that their “care decisions” for the child “have been initiated based on parental history and not witnessed events or workup.” (Id.) Based on those conversations and hospital observations, Dr. Graf formed concerns about “pediatric fabrication.” (Id. at 14.) Plaintiff alleges those concerns

are readily refuted by the significant medical examinations, observations, and testing in the child’s medical records, to which Dr. Graf had access. (Id. at 13.) Nonetheless, Dr. Graf wrote a letter on September 5, 2017, stating: “In my opinion [the child] is the victim of medical abuse. I recommend a therapeutic separation from the mother. The separation will be both diagnostic and therapeutic in making the diagnosis of medical abuse.” (Doc. No. 39-1, at 20.) The same day that Dr. Graf wrote her letter, Jennifer Stansbury, a social worker at TCH, made a referral to TDFPS regarding “increased concerns for medical child abuse.” (Doc. No. 39, at 10.) Plaintiff alleges that the referral contained significantly misleading statements and omissions, such as that “James previously had [the child] in a helmet for 23 hours a day although

she did not require it,” and that “James arrived to the hospital completely dry and dressed in designer wear.” (Id. at 10–12.) A specialist at TCH had previously directed James to have the child wear a custom-made helmet 23 hours a day to allow the child’s cranium to form properly, as is common for micro-preemies; James stopped use of the helmet in February 2017 when so directed by the specialist. (Id. at 11.) As for her clothes, James claims she showed up at the hospital in used clothes pulled from a lost-and-found bin after her rescue. (Id. at 12.) On September 6, 2017, Dr. Graf called a conference. In attendance were, at a minimum, Dr. Graf, Dr. Marcella Donaruma-Kwoh, a Child Abuse Pediatrician at TCH, and two TDFPS social workers, Ericka Davis and Shelly Martin. (Id. at 13.) James alleges that “it was at that conference that the Defendants formed a meeting of the minds and formulated a plan to remove the child from James.” (Id.) Specifically, James alleges that the conference resulted in a three-step plan to separate James from her child. (Doc. 39, at 18.) The first step was for “caseworkers Ericka Davis and Shelly Martin, to coerce James to return the child back to TCH: West Campus.” (Id.) The second step was for TCH social workers to “separate James from the child without legal

justification. Stall James and forbid her from seeing the child so that [TDFPS] could have enough time to obtain a removal after receiving approval from [TDFPS] supervisors.” (Id.) The third step was for TCH doctors to “document in the medical records, as ordered by Dr. Graf, that a separation test needed to be performed on the child to determine whether she was a victim of child abuse.” (Id.) Plaintiff alleges that, “[i]n reality, this separation test was a fraud to show TCH personnel why they were keeping the child away from her mother.” (Id.) That same day, TDFPS social workers Davis and Martin went to James’s home without prior warning. (Id.) They told James that she needed to take the child back to TCH: West Campus, or otherwise TDFPS would come back with an order removing the child and “things were going

to be worse.” (Id. at 19.) James complied and returned the child to TCH: West Campus that very day. James was then separated from her child so that the “therapeutic separation” could began. (Id. at 20.) James did not understand the reason for the separation, and the TCH doctors and social workers purposefully did not explain it to her. (Id. at 12.) On this first day of the separation, Dr. Graf went into the child’s medical records and marked ten of her medical conditions as “resolved.” (Id. at 21–22.) Dr. Graf then weaned the child off of several prescribed medications. (Id. at 22.) On September 7, 2017, Arzalia Smith, a TDFPS supervisor, informed TCH social worker Amy Small that there was no legal basis for the separation because TDFPS did not have a signed safety plan from James. (Id.

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James v. Smith, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-v-smith-txsd-2020.