Karanjah v. Department of Social & Health Services

199 Wash. App. 903
CourtCourt of Appeals of Washington
DecidedJuly 25, 2017
Docket48666-1-II
StatusPublished
Cited by11 cases

This text of 199 Wash. App. 903 (Karanjah v. Department of Social & Health Services) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Karanjah v. Department of Social & Health Services, 199 Wash. App. 903 (Wash. Ct. App. 2017).

Opinion

Melnick, J.

¶1 A superior court reversed a Department of Social and Health Services (DSHS) Board of Appeals (BOA) decision that Alice Karanjah, a state licensed nursing assistant, abused a vulnerable adult. DSHS appeals. We conclude that even though substantial evidence supported the challenged findings of fact, the BOA erroneously interpreted and applied the law. Therefore, the BOA’s order was arbitrary and capricious. Accordingly, we reverse the BOA’s order and affirm the superior court’s order. We also affirm the superior court’s award of Karanjah’s attorney fees and award her attorney fees on appeal.

FACTS

I. The Incident 1

¶2 Karanjah worked with vulnerable adults at Pioneer Place Alzheimer Residence, an assisted living facility in Tacoma. She received training on dementia and mental health, dealing with difficult behavior, and abuse.

¶3 Ivan, 2 a 69-year-old resident of Pioneer Place, received diagnoses of vascular and Alzheimer related dementia. He “could not be re-directed, he was inappropriate in his actions, and could be very aggressive and combative.” *908 Clerk’s Papers (CP) at 4. Ivan had a history of entering other residents’ rooms and trying to get into their beds. These actions sometimes interfered with residents’ oxygen equipment.

¶4 At approximately midnight on January 3, 2011, Ivan entered a female resident’s room, attempted to get into her bed, and tried to sleep in her bed with her. The partially paralyzed female resident could not speak; however, she made a sound that alerted Karanjah for assistance. Karan-jah and Angela Varney, another caregiver, removed Ivan from the room.

¶5 At approximately 1 am, Karanjah heard a trainee caregiver, Jalisa Harris, call for help. Ivan and Harris were in the utility room used for soiled items. Ivan wore only a T-shirt and a diaper. Ivan held onto Harris’s wrist and tried to hit her. Soiled diapers were all over the floor because Ivan had pulled them out of the garbage can. He had fecal matter on his hands. Karanjah managed to convince Ivan to let go of Harris.

¶6 Witnesses observed Karanjah interlock Ivan’s hands behind his back and push or shove him down a 200-foot-long hallway to his room. Varney observed Ivan flailing his arms as Karanjah pushed him. He hit his left wrist on the doorjamb of his room. Varney saw Karanjah close the door and walk away. Varney also saw that Ivan had a red wrist that started to swell.

¶7 Karanjah claimed she did not witness Ivan hit his wrist, and she denied holding his wrists or walking behind him. She said that she held him with her right hand on his right wrist and her left hand below his left shoulder. She also denied pushing Ivan.

II. Procedural History

¶8 DSHS investigated the incident and issued a report in April 2011. In the report, Corey Ellis, the director of nursing services for Pioneer Place, told investigators that *909 Ivan was not redirectable or appropriate in his actions, and could “be very aggressive and/or combative.” CP at 327.

¶9 The parties entered into a stipulation to an informal disposition, accepted by the secretary of health. In the stipulation, Karanjah did not admit to any of the allegations, but she acknowledged “that a finding of unprofessional conduct or inability to practice based on the above allegations, if proven, would constitute grounds for discipline under RCW 18.130.180(4), (7) and WAC 246-841--400(4)(a), (c), (d) and (6)(g).” CP at 312. The parties did not intend the stipulation to be construed as a finding of unprofessional conduct or an inability to practice. The parties agreed that Karanjah’s credentials to practice as a registered nursing assistant would be placed on probation for 12 months. Numerous conditions attached to the probation.

¶10 On April 17, 2012, DSHS issued a notice of preliminary finding that Karanjah physically abused a vulnerable adult, Ivan. Karanjah requested a hearing to contest the matter.

¶11 On May 31, a health law judge terminated the probation and issued a credential without conditions or limitations. Karanjah had substantially complied with the terms and conditions of the informal disposition stipulation.

A. Initial Decisions

¶12 An administrative law judge (ALJ) held a hearing on the contested preliminary finding. The ALJ issued findings of fact and conclusions of law and an initial order affirming DSHS’s preliminary finding of physical abuse.

¶13 Karanjah filed a petition for review with the BOA. She argued that the BOA should modify the findings of fact not supported by the evidence, conclude that no substantial evidence existed to conclude Karanjah was abusive, and correct the erroneous application of the law governing abuse.

*910 ¶14 The BOA affirmed the ALJ’s initial order. Karanjah filed a petition for judicial review of the BOA order with the superior court.

¶15 The superior court reversed the BOA decision and remanded the case for further fact-finding and legal analysis. The superior court concluded that the agency erroneously interpreted or applied the law because it failed to properly apply the holding of Brown v. Department of Social & Health Services, 145 Wn. App. 177, 185 P.3d 1210 (2008). It also concluded that substantial evidence did not support the BOA decision, including that Ivan sustained an injury. Finally, the superior court ruled that the BOA decision was arbitrary and capricious because the ALJ “expressly declined to consider all of the surrounding facts and circumstances, based on the existing record.” CP at 547.

¶16 The superior court ordered on remand that DSHS should determine whether Karanjah’s contact or restraint of Ivan was reasonable in light of all of the surrounding circumstances, including Karanjah’s obligations as a state nursing assistant; Ivan’s patient history, which included a history of elopement; and Ivan’s risk of harm to himself and others. It also ordered the BOA to determine whether Karanjah’s actions caused Ivan’s injury.

B. Remand Decisions

¶17 By stipulation, the parties requested that the BOA remand the case to the Office of Administrative Hearings (OAH) for another evidentiary hearing. Per the stipulation, the scope of the hearing was limited to consideration of the issues specifically identified in the superior court remand order.

¶18 The BOA remanded the matter to the OAH for a hearing. The BOA instructed the parties to provide analysis for the ALJ consistent with an unpublished decision, 3 to *911 provide other relevant authority, and to specify which finding of fact in the final order it alleged the superior court reversed.

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199 Wash. App. 903, Counsel Stack Legal Research, https://law.counselstack.com/opinion/karanjah-v-department-of-social-health-services-washctapp-2017.