Lorina Mirafuentes f/k/a Lorina Bourne and Jason Troy, as the parents and next friends of their children JT (a minor) and KT (a minor) v. Kelly Liker, Ascension Health d/b/a Dell Children’s Medical Center, Bridgette K. Losey f/k/a Bridgette K. Hughes in her individual capacity, and Jennifer Evans in her individual capacity

District Court, W.D. Texas·Decided July 13, 2026·No. 1:24-cv-00465·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS AUSTIN DIVISION

Lorina Mirafuentes f/k/a Lorina § Bourne and Jason Troy, as the § parents and next friends of their § children JT (a minor) and KT (a § minor), § § Plaintiffs, § § v. § No. 1:24-CV-00465-DAE § Kelly Liker, Ascension Health § d/b/a Dell Children’s Medical § Center, Bridgette K. Losey f/k/a § Bridgette K. Hughes in her § individual capacity, and Jennifer § Evans in her individual § capacity, § § Defendants. §

ORDER GRANTING MOTIONS TO DISMISS Before the Court are three Motions to Dismiss filed by Defendants Kelly Liker (Dkt. # 72), Ascension Health d/b/a Dell Children’s Medical Center (“Dell Children’s”) (Dkt. # 73), and Texas Department of Family and Protective Services (“TDFPS”) Employees Bridgette K. Losey f/k/a Bridgette K. Hughes and Jennifer Evans (“TDFPS Employees”) (Dkt. # 75). The motions are ripe for resolution. The Court finds this matter suitable for disposition without a hearing. BACKGROUND Plaintiffs Lorina Mirafuentes f/k/a Lorina Bourne (“Bourne”) and

Jason Troy (“Troy”), as parents and next friends of their children JT (a minor) and KT (a minor) (“Plaintiffs”), have asserted two categories of claims against various Defendants. The first category of claims arises out of JT’s

hospitalization at Dell Children’s in May 2015. (See Dkt. # 69 at ¶¶ 90–99.) Plaintiffs bring claims of medical negligence under Texas state law against Dr. Liker, a child abuse pediatrician, and against Dell Children’s for Dr. Liker’s conduct as her alleged employer and/or actual or apparent principal. (Id. at

¶¶ 9, 70, 90–99.) The second category of claims arises out of an allegedly arbitrary child welfare investigation into JT’s medical condition which was initiated while he was a patient Dell Children’s. (See id. at ¶¶ 4, 6-7, 21–41.)

Plaintiffs assert Section 1983 claims for damages against Bridgette Losey and Jennifer Evans, two employees of the Texas Department of Family and Protective Services, for violations of JT and KT’s constitutional rights under the Fourth and Fourteenth Amendments to the United States Constitution. (See id.

at ¶¶ 11–12, 76, 80–89.) As alleged by Plaintiffs, JT (born December 31, 2014) was a patient at Dell Children’s when TDFPS personnel presented to the hospital to

investigate the cause of JT’s head injury. (See Dkt. # 69 at ¶¶ 13, 21–22.) Dr. “consulting” and acting as an investigator for TDFPS, diagnosed JT with non- accidental trauma (“NAT”), a diagnosis of abuse. (See id. at ¶¶ 4, 9, 69, 70, 91.)

Plaintiffs contend that this diagnosis was erroneous. (Id. at ¶ 4.) JT, Plaintiffs explain, was born with swelling between his skull and scalp as a result of birth-related complications. (Id. at ¶¶ 4, 20.) Plaintiffs assert that

Defendants ignored these documented medical conditions and instead concluded the swelling was indicative of shaken baby syndrome. (See id. at ¶ 4) According to Plaintiffs, “[a] cursory review of JT’s birth records would have contradicted” this conclusion. (Id.) But, Plaintiffs allege, ultimately,

“Defendants erroneously concluded that JT was the victim of NAT and that Lorina and Jason had abused their son.” (Id.) Plaintiffs allege that in making this diagnosis, Dr. Liker failed to

comply with the applicable professional standards published by the American Academy of Pediatrics (“AAP”). (Dkt. # 69 at ¶ 69.) Namely, Plaintiffs allege Dr. Liker failed to physically examine JT or interview his parents prior to making her diagnosis and failed to rule out other probable causes of JT’s

physical symptoms and perform a competent differential diagnosis of NAT. (Id. at ¶¶ 69, 94–95.) Plaintiffs also assert that Dr. Liker was not qualified as a pediatrician to review the films and other birth records demonstrating that JT

purportedly had preexisting symptoms from complications at birth. (Id. at medical practice,” “to act with the same level of skill and competence that a reasonably skilled pediatrician would exercise under like circumstances,” and

“to avoid causing JT harm and to not abuse the trust between patients and physicians.” (Id. at ¶¶ 69, 90–97.) Plaintiffs assert that, in breach of these duties, Dr. Liker made a diagnosis of abuse and that this diagnosis “was a

proximate cause of JT’s injuries and damages.” (Id. at ¶ 97.) As such, Dr. Liker is liable to Plaintiffs for negligence, and as her alleged employer, Dell Children’s is also liable based on “traditional agency principles.” (Id. at ¶¶ 90– 99.)

With respect to the TDFPS Employees, Plaintiffs assert that on May 13, 2015, while JT was at Dell Children’s, a TDFPS employee, James Guyton (“Guyton”), confronted Bourne and told her that she and Troy must

cooperate in an investigation into the cause of JT’s head injury. (Dkt. # 69 at ¶ 22.) According to Plaintiffs, Guyton told Bourne and Troy that they had to sign a safety plan, or else their children would be removed. (Id. at ¶ 23.) Bourne and Troy signed the safety plan, which required Plaintiff Jason Troy, the

father of JT and his brother KT, to move out of the home from May 13 to June 13, 2015, while other family members moved into the home to supervise the children’s mother, Plaintiff Lorina Bourne, in her care of the minor children.

(Id. at ¶¶ 23–25.) Plaintiffs state that they complied with the safety plan, and However, after the safety plan expired and while Plaintiffs were in Oklahoma visiting family, TDFPS Employees Losey and Evans allegedly

obtained an ex parte court order resulting in the removal of both JT and KT from Plaintiffs’ custody from July 20 through December 21, 2015. (Id. at ¶¶ 26, 34, 38–39.) Plaintiffs contend that Losey and Evans obtained the ex parte order

“based on misrepresentations made to the court and omissions of material fact.” (Id. at ¶ 35.)1 Plaintiffs also assert that although the order authorized removal from the home, it did not authorize Losey and Evans to cross state lines and remove the children from their parents in Oklahoma. (Id. at ¶¶ 6, 36–37, 40, 71,

87–88.) These actions, Plaintiffs contend, thus constitute violations of the

1 The Court takes judicial notice of the relevant state court filings, not for their factual findings or for purposes of their truth, but only for the fact that the filings were made. See Taylor v. Charter Medical Corp., 162 F. 3d 827, 830–31 (5th Cir. 1998) (a court may take judicial notice of a document filed in another court to establish the fact of such litigation and related filings); Cinel v. Connick, 15 F.3d 1338, 1343 n.6 (5th Cir. 1994) (courts may permissibly refer to matters of public record in deciding a 12(b)(6) motion without converting into one for summary judgment). The Court will also consider both the ex parte order and the affidavit upon which it was based in its analysis of the motions to dismiss. See In re Katrina Canal Breaches Litig., 495 F.3d 191, 205 (5th Cir. 2007) (a court may consider documents outside the pleadings without converting the motion into one for summary judgment when the documents are (1) attached to the motion to dismiss; (2) referred to in the complaints; and (3) central to the plaintiffs’ claims); Hammer v. Nodolf, 810 F. Supp. 3d 798, 802 (W.D. Tex. 2025) (“A document is central to a claim when it is necessary to establish an element of the claim.”); cf. Oakley v. Dyer, No. 2:21-CV-169-Z- BQ, 2022 WL 10676593, at *6 n.8 (N.D. Tex. Sept. 12, 2022), report and Fourth and Fourteenth Amendments to the United States Constitution. (Id. at ¶¶ 80–88.)

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Lorina Mirafuentes f/k/a Lorina Bourne and Jason Troy, as the parents and next friends of their children JT (a minor) and KT (a minor) v. Kelly Liker, Ascension Health d/b/a Dell Children’s Medical Center, Bridgette K. Losey f/k/a Bridgette K. Hughes in her individual capacity, and Jennifer Evans in her individual capacity, (W.D. Tex. 2026).

Lorina Mirafuentes f/k/a Lorina Bourne and Jason Troy, as the parents and next friends of their children JT (a minor) and KT (a minor) v. Kelly Liker, Ascension Health d/b/a Dell Children’s Medical Center, Bridgette K. Losey f/k/a Bridgette K. Hughes in her individual capacity, and Jennifer Evans in her individual capacity (Lorina Mirafuentes f/k/a Lorina Bourne and Jason Troy, as the parents and next friends of their children JT (a minor) and KT (a minor) v. Kelly Liker, Ascension Health d/b/a Dell Children’s Medical Center, Bridgette K. Losey f/k/a Bridgette K. Hughes in her individual capacity, and Jennifer Evans in her individual capacity) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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