MacMillan v. City and County of San Francisco

CourtDistrict Court, N.D. California
DecidedMay 8, 2022
Docket3:21-cv-09159
StatusUnknown

This text of MacMillan v. City and County of San Francisco (MacMillan v. City and County of San Francisco) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MacMillan v. City and County of San Francisco, (N.D. Cal. 2022).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 NORTHERN DISTRICT OF CALIFORNIA 10 San Francisco Division 11 BRENDAN MACMILLAN, et al., Case No. 21-cv-09159-LB

12 Plaintiffs, ORDER GRANTING IN PART AND 13 v. DENYING IN PART MOTIONS TO DISMISS 14 CITY AND COUNTY OF SAN FRANCISCO, et al., Re: ECF No. 19 15 Defendants. 16 17 INTRODUCTION 18 The plaintiffs — Brendan and Melanie MacMillan and their children — allege that the City 19 and County of San Francisco (the CCSF) and several of its employees (Nicole Stein and Molly 20 Braun) violated their rights under the U.S. Constitution.1 The claims arise from a November 2019 21 medical appointment after which a physician at the University of California, San Francisco 22 (UCSF) recommended that the MacMillans’ sixteen-year-old daughter (plaintiff Margaret 23 MacMillan) be hospitalized due to weight loss, low heart rate, and missed periods.2 Margaret and 24 25 26 27 1 First Am. Compl. (FAC) – ECF No. 16 at ¶¶ 89–110. Citations refer to material in the Electronic Case File (ECF); pinpoint citations are to the ECF-generated page numbers at the top of documents. 1 her parents, believing that the physician’s recommendations were wrong and based on incorrect 2 information, declined hospitalization.3 3 The USCF physician contacted the CCSF to report possible child abuse.4 The CCSF obtained a 4 warrant to take custody of Margaret and question her younger sister.5 The plaintiffs successfully 5 moved to quash this warrant after having Margaret examined by non-UCSF physicians, who 6 believed Margaret was in good health.6 The CCSF, however, obtained a second warrant and court 7 order authorizing officials to (1) photograph the purported injuries, (2) interview the MacMillans’ 8 children outside the presence of their parents, and (3) arrange for the children to be medically 9 assessed by a child-abuse medical specialist.7 Nicole Stein, an employee with the CCSF’s 10 Department of Family and Children’s Services, omitted the following from the warrant 11 applications: (1) the conflicting opinions of other physicians retained or consulted by the family 12 (the opinions of physicians who subsequently examined Margaret were omitted only from the 13 second warrant application); and (2) the explanations provided by Margaret and her parents for her 14 symptoms.8 15 Lt. Molly Braun, an investigator with the District Attorney’s Office, also purportedly added 16 the plaintiffs to a missing-persons database.9 This led to plaintiff Brendan MacMillan’s brief 17 detention at Miami International Airport and a welfare check on the other members of the family 18 while on vacation in Massachusetts.10 19 The plaintiffs contend that the CCSF and its employees violated their rights under the Fourth 20 and Fourteenth Amendments to the U.S. Constitution.11 The defendants moved to dismiss all 21

22 3 Id. at ¶¶ 26–29, 35–36. 23 4 Id. at ¶ 37. 5 Id. at ¶¶ 44–46. 24 6 Id. at ¶¶ 50–53, 66–67. 25 7 Id. at ¶¶ 77–78. 26 8 Id. at ¶¶ 44–46, 68–76. 9 Id. at ¶¶ 2, 56. 27 10 Id. at ¶¶ 80, 82. 1 claims.12 The court dismisses the Fourth Amendment claims brought by the plaintiffs Melanie, 2 Margaret, and L.M. with prejudice and dismisses the Monell claim (except on the failure-to-train 3 theory) without prejudice. There are no facts supporting independent Fourth Amendment claims by 4 any of these plaintiffs and they cannot assert derivative claims based on plaintiff Brendan 5 MacMillan’s Fourth Amendment claim. Brendan’s claim based on his detention on false 6 information at Miami International Airport is viable. The remaining claims survive primarily based 7 on Ms. Stein’s material omissions in the warrant applications and Ms. Braun’s — allegedly 8 unjustified — addition of the plaintiffs to a missing-persons database. 9 10 STATEMENT 11 On November 25, 2019, then-sixteen-year-old plaintiff Margaret MacMillan visited her 12 pediatrician, Sabrina Fernandez, M.D., at UCSF Benioff Children’s Hospital with her mother 13 (plaintiff Melanie MacMillan) after experiencing irregular periods.13 Because Margaret attended 14 boarding school in New Hampshire, Margaret’s mother had scheduled the appointment during the 15 Thanksgiving holiday while Margaret was home in San Francisco.14 During the appointment, Dr. 16 Fernandez noted that Margaret weighed 125 pounds but that, according to her UCSF records, she 17 weighed 142.9 pounds approximately five months earlier on June 12, 2019.15 The plaintiffs assert 18 that the 142.9-pound weight recorded on June 12, 2019 was erroneous because, on July 13, 2019, 19 a chiropractor documented Margaret’s weight at 132 pounds and because Margaret generally 20 weighed around 134 pounds.16 Dr. Fernandez also noted a low resting heartrate of forty-eight beats 21 per minute during the November 25, 2019 appointment.17 22 23

24 12 Mot. – ECF No. 19. 25 13 FAC – ECF No. 16 at ¶ 12. 26 14 Id. at ¶ 13. 15 Id. at ¶¶ 16, 20. 27 16 Id. at ¶¶ 17, 19. 1 Despite the apparent weight loss and low heart rate, Dr. Fernandez recorded that Margaret was 2 an “alert, healthy-appearing patient in no acute distress.”18 While discussing the weight loss, 3 Margaret told Dr. Fernandez that she had been endurance training six days a week and had just 4 finished the cross-country (presumably running) season.19 Nonetheless, Dr. Fernandez told 5 Margaret’s mother that she believed Margaret had an eating disorder and threatened to call Child 6 Protective Services unless they agreed to see an eating-disorder specialist at UCSF.20 The 7 plaintiffs agreed and took Margaret to see Veronika Mesheriakova, M.D. the next day.21 8 On November 26, 2019, Dr. Mesheriakova recommended that Margaret’s parents (plaintiffs 9 Melanie and Brendan MacMillan) hospitalize her because her weight loss, low heart rate, and 10 amenorrhea (missed periods) put her at risk for “sudden cardiac death.”22 Melanie and Brendan 11 explained that the low heart rate was a product of endurance training and in line with their family 12 history and that the purported weight loss was likely due to an error in Margaret’s medical 13 records.23 The parents requested a referral to a cardiologist.24 Dr. Mesheriakova refused and 14 Melanie, Brendan, and Margaret declined hospitalization.25 15 Dr. Mesheriakova called the CCSF’s Department of Family and Children’s Services (the 16 Department) and claimed that Margaret’s parents were endangering her by refusing to hospitalize 17 her.26 Social worker Nicole Stein and her program manager Ronda Johnson contacted Margaret’s 18 parents.27 Melanie and Brendan told Ms. Stein that (1) their daughter was healthy, (2) the reported 19 weight loss was mostly due to errors in Margaret’s medical record, (3) low heart rates are normal 20

21 18 Id. at ¶ 20. 22 19 Id. 23 20 Id. at ¶¶ 21, 23. 21 Id. at ¶ 24. 24 22 Id. at ¶¶ 30, 37. 25 23 Id. at ¶¶ 26–28. 26 24 Id. at ¶ 33. 25 Id. at ¶¶ 34, 36. 27 26 Id. at ¶ 37. 1 for endurance athletes (and their family), and (4) they had discussed Margaret’s health by phone 2 with a cardiologist, who disagreed with Dr. Mesheriakova.28 Margaret’s parents also told Ms. 3 Stein they were seeking a second opinion from a Stanford cardiologist and were monitoring their 4 daughter closely.29 5 On November 27, 2019, Ms. Stein prepared a warrant seeking Margaret’s removal from her 6 parents’ custody and her hospitalization.30 The warrant application also requested a court order 7 giving Ms. Stein permission to speak to Margaret’s eleven-year-old sister, L.M., alone because 8 Ms. Stein was “concerned about” her too.31 Judge Monica Wiley on the San Francisco Superior 9 Court approved the warrant application.32 But Ms.

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Bluebook (online)
MacMillan v. City and County of San Francisco, Counsel Stack Legal Research, https://law.counselstack.com/opinion/macmillan-v-city-and-county-of-san-francisco-cand-2022.