1 2 3 4 5 6 7 8 9 UNITED STATES DISTRICT COURT 10 FOR THE EASTERN DISTRICT OF CALIFORNIA 11 12 ERNEST LEE COX, JR., No. 2:22-cv-00804-WBS-EFB (PC) 13 Plaintiff, 14 v. FINDINGS AND RECOMMENDATIONS 15 I. BAL., et al., 16 Defendants. 17 18 Plaintiff is a state prisoner proceeding without counsel in an action brought under 42 19 U.S.C. § 1983. Plaintiff initiated this action on May 4, 2022 (ECF No. 1) and filed his First 20 Amended Complaint (FAC) on October 11, 2022. ECF No. 19. After screening the FAC, this 21 court found that plaintiff’s allegations stated a potentially cognizable Eighth Amendment claim of 22 deliberate indifference to plaintiff’s serious medical needs by defendants Bal, Williams, and 23 Patterson, three Mule Creek State Prison (MCSP) officials who, in late 2020, allegedly permitted 24 COVID-19 infected inmates to mingle with vulnerable inmates such as plaintiff, a 60-year-old 25 cancer patient. ECF No. 27. All other claims in the FAC were dismissed with prejudice. Id. 26 Defendants have now filed a motion to dismiss on various grounds, including that plaintiff has 27 failed to state a claim. ECF No. 43. For the following reasons, it is recommended that 28 defendants’ motion be granted in part and denied in part. 1 I. Plaintiff’s Allegations 2 The allegations in the FAC (ECF No. 19) are as follows. In or around December 2020 3 and January 2021, plaintiff was housed at MCSP. Id. at ¶ 7. Defendant Bal was the Chief 4 Medical Officer at MCSP; defendant Williams was the Associate Warden of Health Care; and 5 defendant Patterson was the Chief Executive Officer overseeing healthcare. Id. at ¶¶ 3-5. 6 Plaintiff was approximately 60 years old and undergoing treatment for prostate cancer and 7 hypertension. He was also prescribed a CPAP machine. For these reasons, plaintiff was 8 particularly susceptible to contracting COVID-19. Id. at ¶¶ 7-11. 9 Plaintiff alleges that he should have been housed in a single-occupancy cell to minimize 10 his risk. While certain inmates with high medical risk were offered single cell housing, plaintiff 11 was not offered a single cell, allegedly due to lack of enough individual cells to house all high- 12 risk medical inmates. Id. at ¶¶ 11, 26. 13 As of October 2020, MCSP had many inmates with active COVID infections. Id. at 14. 14 Inmates with COVID were originally housed in gyms, and when they became full, Facility E 15 building 220, where plaintiff was housed, was designated as quarantine housing. Id. at 14-15. To 16 make room for the COVID-positive inmates, plaintiff was moved to Facility D, building 16. 17 After inspecting Facility D and E gyms on December 24 and December 30, 2020, the Fire 18 Marshal ordered all inmates housed therein to be relocated within MCSP. Id. at ¶ 17. The 19 inmates housed in the Facility D gym were then moved to Facility D, buildings 16, 17, and 18. 20 Id. at ¶19. Thirteen COVID-positive inmates were moved to building 16, where plaintiff was 21 housed. The COVID-positive inmates shared the restrooms, showers, and phones with inmates 22 such as plaintiff who did not have COVID; the inmates also ate together at the same time. Id. at ¶ 23 23. MCSP staff administered COVID tests twice weekly to the inmates without COVID. 24 Plaintiff tested positive for COVID on January 8, 2021, and he was subsequently moved 25 to Facility E, building 20. Id. at ¶ 27. Plaintiff suffered from COVID for about a month, 26 including “difficulty breathing, pain from headaches, a runny nose, loss of strength, powerful 27 sneezing, coughing, memory and concentration loss.” Id. at ¶ 28. Plaintiff seeks monetary 28 damages, punitive damages, and costs. 1 II. Legal Standards 2 A. Motion to Dismiss 3 A complaint may be dismissed for “failure to state a claim upon which relief may be 4 granted.” Fed. R. Civ. P. 12(b)(6). To survive a motion to dismiss for failure to state a claim, a 5 plaintiff must allege “enough facts to state a claim to relief that is plausible on its face.” Bell 6 Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim has “facial plausibility when the 7 plaintiff pleads factual content that allows the court to draw the reasonable inference that the 8 defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) 9 (citing Twombly, 550 U.S. at 556). The plausibility standard is not akin to a “probability 10 requirement,” but it requires more than a sheer possibility that a defendant has acted unlawfully. 11 Iqbal, 556 U.S. at 678. 12 Dismissal under Rule 12(b)(6) may be based on either: (1) lack of a cognizable legal 13 theory, or (2) insufficient facts under a cognizable legal theory. Chubb Custom Ins. Co., 710 F.3d 14 at 956. Dismissal also is appropriate if the complaint alleges a fact that necessarily defeats the 15 claim. Franklin v. Murphy, 745 F.2d 1221, 1228-1229 (9th Cir. 1984). In resolving a Rule 16 12(b)(6) motion to dismiss, the court must construe the complaint in the light most favorable to 17 the plaintiff and accept all well-pleaded factual allegations as true (and any reasonable inference 18 supported by the facts). Broam v. Bogan, 320 F.3d 1023, 1028 (9th Cir. 2003). 19 For purposes of dismissal under Rule 12(b)(6), the court generally considers only 20 allegations contained in the pleadings, exhibits attached to the complaint, and matters properly 21 subject to judicial notice, and construes all well-pleaded material factual allegations in the light 22 most favorable to the nonmoving party. Chubb Custom Ins. Co. v. Space Sys./Loral, Inc., 710 23 F.3d 946, 956 (9th Cir. 2013); Akhtar v. Mesa, 698 F.3d 1202, 1212 (9th Cir. 2012). 24 B. Eighth Amendment 25 To succeed on an Eighth Amendment claim predicated on deliberate indifference to 26 medical need, a plaintiff must establish that: (1) she had a serious medical need; and (2) the 27 defendant’s response to that need was deliberately indifferent. Jett v. Penner, 439 F.3d 1091, 28 1096 (9th Cir. 2006); see also Estelle v. Gamble, 429 U.S. 97, 106 (1976). A serious medical 1 need exists if the failure to treat the condition could result in further significant injury or the 2 unnecessary and wanton infliction of pain. Jett, 439 F.3d at 1096. Deliberate indifference may 3 be shown by the denial, delay, or intentional interference with medical treatment, or by the way in 4 which medical care is provided. Hutchinson v. United States, 838 F.2d 390, 394 (9th Cir. 1988). 5 To act with deliberate indifference, a prison official must both be aware of facts from 6 which the inference could be drawn that a substantial risk of serious harm exists, and he must also 7 draw the inference. Farmer v. Brennan, 511 U.S. 825, 837 (1994). Thus, a defendant will be 8 liable for violating the Eighth Amendment if he knows that plaintiff faces “a substantial risk of 9 serious harm and disregards that risk by failing to take reasonable measures to abate it.” Id. at 10 847. A physician need not fail to treat an inmate altogether in order to violate that inmate’s 11 Eighth Amendment rights. Ortiz v.
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1 2 3 4 5 6 7 8 9 UNITED STATES DISTRICT COURT 10 FOR THE EASTERN DISTRICT OF CALIFORNIA 11 12 ERNEST LEE COX, JR., No. 2:22-cv-00804-WBS-EFB (PC) 13 Plaintiff, 14 v. FINDINGS AND RECOMMENDATIONS 15 I. BAL., et al., 16 Defendants. 17 18 Plaintiff is a state prisoner proceeding without counsel in an action brought under 42 19 U.S.C. § 1983. Plaintiff initiated this action on May 4, 2022 (ECF No. 1) and filed his First 20 Amended Complaint (FAC) on October 11, 2022. ECF No. 19. After screening the FAC, this 21 court found that plaintiff’s allegations stated a potentially cognizable Eighth Amendment claim of 22 deliberate indifference to plaintiff’s serious medical needs by defendants Bal, Williams, and 23 Patterson, three Mule Creek State Prison (MCSP) officials who, in late 2020, allegedly permitted 24 COVID-19 infected inmates to mingle with vulnerable inmates such as plaintiff, a 60-year-old 25 cancer patient. ECF No. 27. All other claims in the FAC were dismissed with prejudice. Id. 26 Defendants have now filed a motion to dismiss on various grounds, including that plaintiff has 27 failed to state a claim. ECF No. 43. For the following reasons, it is recommended that 28 defendants’ motion be granted in part and denied in part. 1 I. Plaintiff’s Allegations 2 The allegations in the FAC (ECF No. 19) are as follows. In or around December 2020 3 and January 2021, plaintiff was housed at MCSP. Id. at ¶ 7. Defendant Bal was the Chief 4 Medical Officer at MCSP; defendant Williams was the Associate Warden of Health Care; and 5 defendant Patterson was the Chief Executive Officer overseeing healthcare. Id. at ¶¶ 3-5. 6 Plaintiff was approximately 60 years old and undergoing treatment for prostate cancer and 7 hypertension. He was also prescribed a CPAP machine. For these reasons, plaintiff was 8 particularly susceptible to contracting COVID-19. Id. at ¶¶ 7-11. 9 Plaintiff alleges that he should have been housed in a single-occupancy cell to minimize 10 his risk. While certain inmates with high medical risk were offered single cell housing, plaintiff 11 was not offered a single cell, allegedly due to lack of enough individual cells to house all high- 12 risk medical inmates. Id. at ¶¶ 11, 26. 13 As of October 2020, MCSP had many inmates with active COVID infections. Id. at 14. 14 Inmates with COVID were originally housed in gyms, and when they became full, Facility E 15 building 220, where plaintiff was housed, was designated as quarantine housing. Id. at 14-15. To 16 make room for the COVID-positive inmates, plaintiff was moved to Facility D, building 16. 17 After inspecting Facility D and E gyms on December 24 and December 30, 2020, the Fire 18 Marshal ordered all inmates housed therein to be relocated within MCSP. Id. at ¶ 17. The 19 inmates housed in the Facility D gym were then moved to Facility D, buildings 16, 17, and 18. 20 Id. at ¶19. Thirteen COVID-positive inmates were moved to building 16, where plaintiff was 21 housed. The COVID-positive inmates shared the restrooms, showers, and phones with inmates 22 such as plaintiff who did not have COVID; the inmates also ate together at the same time. Id. at ¶ 23 23. MCSP staff administered COVID tests twice weekly to the inmates without COVID. 24 Plaintiff tested positive for COVID on January 8, 2021, and he was subsequently moved 25 to Facility E, building 20. Id. at ¶ 27. Plaintiff suffered from COVID for about a month, 26 including “difficulty breathing, pain from headaches, a runny nose, loss of strength, powerful 27 sneezing, coughing, memory and concentration loss.” Id. at ¶ 28. Plaintiff seeks monetary 28 damages, punitive damages, and costs. 1 II. Legal Standards 2 A. Motion to Dismiss 3 A complaint may be dismissed for “failure to state a claim upon which relief may be 4 granted.” Fed. R. Civ. P. 12(b)(6). To survive a motion to dismiss for failure to state a claim, a 5 plaintiff must allege “enough facts to state a claim to relief that is plausible on its face.” Bell 6 Atlantic Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim has “facial plausibility when the 7 plaintiff pleads factual content that allows the court to draw the reasonable inference that the 8 defendant is liable for the misconduct alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) 9 (citing Twombly, 550 U.S. at 556). The plausibility standard is not akin to a “probability 10 requirement,” but it requires more than a sheer possibility that a defendant has acted unlawfully. 11 Iqbal, 556 U.S. at 678. 12 Dismissal under Rule 12(b)(6) may be based on either: (1) lack of a cognizable legal 13 theory, or (2) insufficient facts under a cognizable legal theory. Chubb Custom Ins. Co., 710 F.3d 14 at 956. Dismissal also is appropriate if the complaint alleges a fact that necessarily defeats the 15 claim. Franklin v. Murphy, 745 F.2d 1221, 1228-1229 (9th Cir. 1984). In resolving a Rule 16 12(b)(6) motion to dismiss, the court must construe the complaint in the light most favorable to 17 the plaintiff and accept all well-pleaded factual allegations as true (and any reasonable inference 18 supported by the facts). Broam v. Bogan, 320 F.3d 1023, 1028 (9th Cir. 2003). 19 For purposes of dismissal under Rule 12(b)(6), the court generally considers only 20 allegations contained in the pleadings, exhibits attached to the complaint, and matters properly 21 subject to judicial notice, and construes all well-pleaded material factual allegations in the light 22 most favorable to the nonmoving party. Chubb Custom Ins. Co. v. Space Sys./Loral, Inc., 710 23 F.3d 946, 956 (9th Cir. 2013); Akhtar v. Mesa, 698 F.3d 1202, 1212 (9th Cir. 2012). 24 B. Eighth Amendment 25 To succeed on an Eighth Amendment claim predicated on deliberate indifference to 26 medical need, a plaintiff must establish that: (1) she had a serious medical need; and (2) the 27 defendant’s response to that need was deliberately indifferent. Jett v. Penner, 439 F.3d 1091, 28 1096 (9th Cir. 2006); see also Estelle v. Gamble, 429 U.S. 97, 106 (1976). A serious medical 1 need exists if the failure to treat the condition could result in further significant injury or the 2 unnecessary and wanton infliction of pain. Jett, 439 F.3d at 1096. Deliberate indifference may 3 be shown by the denial, delay, or intentional interference with medical treatment, or by the way in 4 which medical care is provided. Hutchinson v. United States, 838 F.2d 390, 394 (9th Cir. 1988). 5 To act with deliberate indifference, a prison official must both be aware of facts from 6 which the inference could be drawn that a substantial risk of serious harm exists, and he must also 7 draw the inference. Farmer v. Brennan, 511 U.S. 825, 837 (1994). Thus, a defendant will be 8 liable for violating the Eighth Amendment if he knows that plaintiff faces “a substantial risk of 9 serious harm and disregards that risk by failing to take reasonable measures to abate it.” Id. at 10 847. A physician need not fail to treat an inmate altogether in order to violate that inmate’s 11 Eighth Amendment rights. Ortiz v. City of Imperial, 884 F.2d 1312, 1314 (9th Cir. 1989). A 12 failure to competently treat a serious medical condition, even if some treatment is prescribed, may 13 constitute deliberate indifference in a particular case. Id. 14 However, it is important to differentiate common law negligence claims of malpractice 15 from claims predicated on violations of the Eighth Amendment’s prohibition of cruel and unusual 16 punishment. In asserting the latter, “[m]ere ‘indifference,’ ‘negligence,’ or ‘medical malpractice’ 17 will not support this cause of action.” Broughton v. Cutter Laboratories, 622 F.2d 458, 460 (9th 18 Cir. 1980) (citing Estelle, 429 U.S. at 105-06); see also Toguchi v. Chung, 391 F.3d 1051, 1058 19 (9th Cir. 2004). Rather, plaintiff must show a deliberate disregard for a known medical need. 20 The Ninth Circuit has made clear that a difference of medical opinion is, as a matter of law, 21 insufficient to establish deliberate indifference. Toguchi, 391 F.3d at 1058. “Rather, to prevail 22 on a claim involving choices between alternative courses of treatment, a prisoner must show that 23 the chosen course of treatment ‘was medically unacceptable under the circumstances,’ and was 24 chosen ‘in conscious disregard of an excessive risk to [the prisoner’s] health.’” Id. (quoting 25 Jackson v. McIntosh, 90 F.3d 330, 332 (9th Cir. 1996)). 26 //// 27 //// 28 //// 1 III. Analysis 2 A. Eighth Amendment 3 Plaintiff maintains that defendants violated his Eighth Amendment rights when they failed 4 to re-house him in an individual cell and when they moved COVID-positive inmates into his 5 housing unit. ECF No. 19 at 1. Plaintiff alleges that at all relevant tines, he suffered from 6 prostate cancer and “was treated with chemotherapy affecting his immune system.” Id. 7 According to plaintiff, his medical conditions categorized him “as Medical High Risk score 3, 8 mandating single cell; he has since been transferred and is now housed single cell.”1 Id. 9 Defendants counter that plaintiff’s FAC fails to state cognizable Eighth Amendment claims 10 against them. 11 Because plaintiff’s allegations concern custody and housing decisions, the court also 12 reviews his allegations under the general Eighth Amendment standard applicable to non-medical 13 claims. A prison official violates the Eighth Amendment prohibition against cruel and unusual 14 punishment “only when two requirements” – one objective, one subjective – “are met.” Farmer, 15 511 U.S. at 834. Under the objective prong, the inmate must show that he is incarcerated under 16 conditions posing a substantial risk of serious harm. Id. at 833, 837. “[T]here is no questions that 17 an inmate can face a substantial risk of serious harm in prison from COVID-19 if a prison does 18 not take adequate measures to counter the spread of the virus. Courts have long recognized that 19 conditions posing an elevated chance of exposure to an infectious disease can pose a substantial 20 risk of serious harm.” Chunn v. Edge, 465 F. Supp. 3d 168, 200 (E.D.N.Y. 2020); see also Plata 21 v. Newsom, 445 F. Supp. 3d 557, 559 (N.D. Cal. 2020) (“[n]o one questions that [COVID-19] 22 poses a substantial risk of serious harm” to prisoners). 23 Plaintiff has adequately pled an objective risk of serious harm. He has specifically alleged 24 that his age and medical history made him particularly susceptible to contracting COVID. ECF 25 No. 19 at ¶¶ 9-11. He alleges that he was not offered a single-occupancy cell like other high-risk 26 individuals, and he alleges that, at a time he was negative for COVID-19, multiple COVID-
27 1 In their reply, defendants maintain that plaintiff’s allegations that he met the criteria for single cell housing were not raised in his complaint, but rather solely in plaintiff’s opposition to 28 defendants’ motion to dismiss. ECF No. 47. Defendants are clearly mistaken. 1 positive inmates were moved to the building in which he was housed. Id. at ¶¶ 17-23. The 2 COVID-positive inmates shared the restrooms, showers, and phones with inmates such as 3 plaintiff who did not have COVID; the inmates also ate together at the same time. Id. at ¶ 23. 4 Plaintiff alleges that he subsequently tested positive for COVID. Id. at ¶ 27. These allegations 5 are sufficient to plead an objective risk of serious harm. See, e.g., Fields v. Sec’y of CDCR, 2022 6 WL 2181997, at *6 (E.D. Cal. June 16, 2022) (holding that plaintiff who alleged he was housed 7 with COVID-19 positive inmates and subsequently tested positive for COVID-19 had sufficiently 8 pled an objective risk of substantial harm); Jones v. Sherman, 2022 WL 783452, *at 7 (E.D. Cal. 9 Mar. 11, 2022), report and recommendation adopted, 2022 WL 4238875 (E.D. Cal. Sept. 13, 10 2022) (finding that “many courts have found that COVID-19 poses a substantial risk of serious 11 harm, satisfying the objective prong”). 12 To satisfy the subjective prong of the deliberate indifference standard, a plaintiff must 13 show that a prison official “knows that inmates face a substantial risk of serious harm and 14 disregard[s] that risk by failing to take reasonable measures to abate it.” Farmer, 511 U.S. at 825. 15 Deliberate indifference “is shown adequately when a prison official is aware of the facts from 16 which an inference could be drawn about the outstanding risk, and the facts permit us to infer that 17 the prison official in fact drew that inference, but then consciously avoided taking appropriate 18 action.” Disability Rts. Mont., Inc. v. Batista, 930 F.3d 1090, 1101 (9th Cir. 2019). Defendants 19 can be found to be subjectively aware of a risk by the fact that the risk was obvious. Farmer, 511 20 U.S. at 842. 21 Defendants argue that plaintiff has failed to meet the subjective prong as to any defendant. 22 Specifically, defendants maintain that the FAC does not allege facts showing that defendants 23 were aware that placing COVID-19 positive inmates in the common spaces would cause an 24 excessive risk of harm to plaintiff. Defendants also argue that plaintiff’s allegations against 25 defendants are too generalized to state a claim. According to defendants, “[p]laintiff’s 26 expectation that CDCR perform perfectly when faced with a pandemic is not the appropriate 27 standard when determining if a defendant acted with deliberate indifference.” ECF No. 43-1 at 9. 28 //// 1 Plaintiff does not, however, allege that CDCR was expected to “perform perfectly.” 2 Indeed, plaintiff does not allege that defendants “simply failed to prevent the spread of the virus 3 or achieve measures not possible in a correctional setting; [he alleges] that they actively and 4 knowingly made specific affirmative decisions that created greater risk that plaintiff[] would 5 contract COVID.” In re CIM-SQ Transfer Cases, 2022 WL 2789808, at *10, n. 14 (N.D. Cal. 6 July 15, 2022) (denying defendants’ motions to dismiss for failure to state a claim). Here, 7 plaintiff has “plausibly alleged that each of the defendants . . . participated, as supervisor or 8 otherwise, in one or more of the decisions to transfer prisoners, regarding the process for 9 transferring prisoners, and regarding the housing of prisoners after the transfer, in a manner that 10 exposed plaintiff[] to heightened risk of contracting COVID-19. These alleged actions are 11 sufficient to constitute unconstitutional conduct.” Id. at * 7; see also Hernandez v. Covello, 2024 12 WL 643874, at *4 (E.D. Cal. Feb 15, 2024) (denying defendant’s motion to dismiss where 13 plaintiff adequately alleged that he was at high risk for contracting COVID-19 due to his medical 14 history, and he was not moved to single-cell housing). 15 Here, plaintiff alleges that all defendants knew the risk of COVID-19, knew that MCSP 16 had many medically high-risk inmates, had the authority to initiate inmate transfers, and instituted 17 policies that increased plaintiff’s risk of contracting COVID-19 by transferring COVID-19 18 positive inmates into the building in which he was housed. ECF No. 19. For example, plaintiff 19 specifically alleges that all defendants were notified:
20 by the Fire Marshal and his report that all of the COVID-19 infected inmates housed in D and E facility gyms were being ordered moved from the gyms. The 21 defendants had the responsibility to house the 200 COVID-19 infected inmates adequately by keeping them separate from inmates who had tested negative for 22 COVID-19; however, the video footage of December 24, 2020 and December 30, 2020 will show that defendants ordered and allowed the 200 COVID-19 infected 23 inmates to be housed in the same Pod with plaintiff and 60 other inmates who had tested negative for COVID-19. 24 25 Id. at ¶ 29. Plaintiff also alleges that defendants identified multiple inmates who were at high risk 26 if they contracted COVID-19. Id. at ¶ 11. As such, and contrary to defendants’ arguments, 27 “Plaintiff provided more than generalized factual allegations in his complaint, Plaintiff linked 28 Defendants’ actions (or inactions) to the alleged deprivation, Plaintiff alleged that Defendants did 1 not respond reasonably, [and] Plaintiff alleged that he caught COVID-19.” Jones, 2022 WL 2 783452 at *8. 3 Defendants appear to argue that if prison officials have taken any steps to mitigate the 4 spread of COVID-19, they cannot be found to have been deliberately indifferent. ECF No. 47 at 5 pp. 3-4. Defendants are incorrect for multiple reasons. To begin with, if defendants were correct, 6 no plaintiff could ever adequately plead an Eighth Amendment violation based on prison 7 officials’ actions regarding COVID-19, so long as there was some mitigation policy in place at 8 the institution. This would be an absurd result, and as the discussion supra demonstrates, more 9 than one district court in this Circuit has already found that it is possible for plaintiffs to 10 adequately plead an Eighth Amendment violation based on COVID-19 mitigation efforts or lack 11 thereof. 12 Moreover, the cases cited by defendants in support of their argument involve significantly 13 different factual situations than the one at bar. For example, defendants cite Barnett v. Gastelo, 14 2022 WL 4292344, at *5 (C.D. Cal. Aug 22, 2022) as support for their proposition that any 15 efforts on behalf of prison officials to respond to COVID-19 prevents a finding of deliberate 16 indifference. ECF No. 47. In Barnett, however, the plaintiff generally alleged that “the only 17 reasonable step[] to abate the spread [of COVID-19] was to depopulate the inmate population” 18 and that his eight person dorm cohort was not adequate. Barnett, 2022 WL 4292344, at *1. 19 Plaintiff here, on the other hand, has specifically pled that, regardless of MCSP’s policies to abate 20 COVID-19, it was deliberate indifference for prison officials to move COVID-19 positive 21 inmates into plaintiff’s housing, given his documented health conditions. ECF No. 19. Notably, 22 the Barnett court, although it found that the plaintiff had not properly pled an Eighth Amendment 23 violation, confirmed that when examining whether a prison official subjectively acted with 24 deliberate indifference to the risk of COVID-19, courts should consider whether the official 25 “‘responded reasonably to the risk.’” Id. at *4 (citing Benitez, 2021 WL 407960, at *5). Plaintiff 26 here has adequately pled that defendants acted unreasonably by “disregard[ing] a known risk” i.e. 27 the risk of moving COVID-19 positive inmates into plaintiff’s housing, when plaintiff was 28 COVID-19 negative and suffered from health issues. Therefore, plaintiff has sufficiently alleged 1 facts to satisfy the subjective requirement. 2 Defendants also argue that plaintiff has not adequately pled supervisory liability. ECF 3 No. 43-1. To properly plead supervisory liability, a plaintiff must allege facts indicating that 4 supervisory defendants either: personally participated in the alleged deprivation of constitutional 5 rights; knew of the violations and failed to act to prevent them; or promulgated or implemented “a 6 policy so deficient that the policy itself is a repudiation of constitutional rights and is the moving 7 force of the constitutional violation.” Hansen v. Black, 885 F.2d 642, 646 (9th Cir. 1989) 8 (internal quotations and citations omitted). According to defendants, plaintiff’s allegations 9 against defendants are vague and conclusory, and too speculative to properly allege that 10 defendants were involved with the decision to house COVID-19 positive inmates in plaintiff’s 11 housing unit, and have them share facilities such as bathrooms and dining halls. Defendants are 12 incorrect. 13 Supervisory liability may be established by allegations that defendants either “set[] in 14 motion a series of acts by others,” or “knowingly refus[ed] to terminate a series of acts by others, 15 which [the supervisor] knew or reasonably should have known would cause others to inflict a 16 constitutional injury.” Starr v. Baca, 652 F.3d 1202, 1207-08 (9th Cir. 2011) (internal citations 17 and quotation marks omitted). Plaintiff has specifically alleged that “defendants were warned 18 that plaintiff is a high risk medical patient” (ECF No. 19 at p. 11); that Bal, Williams, and 19 Patterson were notified that the COVID-19 positive inmates were ordered moved by the Fire 20 Marshal; and that they subsequently ordered the COVID-19 positive inmates moved into housing 21 with non-positive inmates. Id. at ¶¶ 19, 29. Assuming plaintiff’s factual allegations are true, and 22 taking them in the light most favorable to plaintiff, these allegations adequately plead the 23 requisite causal connection under Starr. Therefore, plaintiff has alleged facts sufficient to support 24 a supervisory liability claim against defendants. 25 B. Eleventh Amendment 26 Plaintiff has sued defendants in both their individual and official capacities. ECF No. 19 27 at ¶ 6. Defendants maintain that plaintiff’s claims against defendants in their official capacities 28 must be dismissed because plaintiff is seeking solely monetary damages, and such claims are 1 barred by the Eleventh Amendment. 2 Claims for damages against the state, its agencies, or its officers for actions performed in 3 their official capacities are barred under the Eleventh Amendment, unless the state waives its 4 immunity. Kentucky v. Graham, 473 U.S. 159, 169 (1985). Section 1983 does not abrogate the 5 states’ Eleventh Amendment immunity from suit. See Quern v. Jordan, 440 U.S. 332, 344-45 6 (1979); see also Hafer v. Melo, 502 U.S. 21, 30 (1991) (clarifying that the Eleventh Amendment 7 does not bar suits against state officials sued in their individual capacities, nor does it bar suits for 8 prospective injunctive relief against state officials sued in their official capacities). Accordingly, 9 plaintiff’s claims for monetary damages against defendants in their official capacities are barred 10 by the Eleventh Amendment and must be dismissed. 11 C. Qualified Immunity 12 Finally, defendants argue that they are entitled to qualified immunity. Qualified immunity 13 protects government officials from civil liability where “their conduct does not violate clearly 14 established statutory or constitutional rights of which a reasonable person would have known.” 15 Pearson v. Callahan, 555 U.S. 223, 231 (2009) (quotations omitted). A defendant is entitled to 16 qualified immunity “unless a plaintiff pleads facts showing (1) that the official violated a 17 statutory or constitutional right, and (2) that the right was “clearly established” at the time of the 18 challenged conduct.” Ashcroft v. al-Kidd, 563 U.S. 731, 735 (2011). “Qualified immunity gives 19 government officials breathing room to make reasonable but mistaken judgments about open 20 legal questions.” Id. at 743. 21 Plaintiff has adequately pled an Eighth Amendment claim, for the reasons described 22 supra; therefore, the first prong is met. Thus, the question is whether the right in question was 23 clearly established in December 2020, at the time of the key allegations in plaintiff’s complaint. 24 To be clearly established, “[t]he contours of the right must be sufficiently clear that a reasonable 25 official would understand that what [the official] is doing violates that right.” Anderson v. 26 Creighton, 483 U.S. 635, 640 (1987). This does not mean, however, that “official action is 27 protected by qualified immunity unless the very action in question has previously been held 28 unlawful, but it is to say that in light of the pre-existing law the unlawfulness must be apparent.” 1 Id. 2 Defendants argue that it was not clearly established in December 2020 either that high- 3 risk inmates should be housed in individual cells or that inmates with active COVID-19 infections 4 should not be moved into a building (with shared restrooms, showers, phones, and dining 5 facilities) housing COVID-19 negative prisoners. The Supreme Court, however, has long 6 established the right of prisoners to protection from heightened exposure to serious 7 communicable diseases. See, e.g., Helling v. McKinney, 509 U.S. 25, 33 (1993) (holding that the 8 Eighth Amendment prevents prison officials from being “deliberately indifferent to the exposure 9 of inmates to a serious, communicable disease”). “For purposes of qualified immunity, that legal 10 duty need not be litigated and then established disease by disease or injury by injury.” Estate of 11 Clark v. Walker, 865 F.3d 544, 553 (7th Cir. 2017). COVID-19 is such a serious communicable 12 disease. 13 Accordingly, multiple courts in this Circuit have concluded that “the law is clearly 14 established that individuals in government custody have a constitutional right to be protected 15 against a heightened exposure to serious, easily communicable diseases, and . . . this clearly 16 established right extends to protection from COVID-19.” Maney v. Brown, 2020 WL 7364977, at 17 *6 (D. Ore. Dec. 15, 2020) (denying defendants’ request for qualified immunity); Jones, 2022 18 WL 783452 at *12 (finding defendants were not entitled to qualified immunity against plaintiff’s 19 Eighth Amendment claim that prison officials did not adequately protect inmates from COVID- 20 19 infection); Hernandez v. Covello, 2024 WL 643874, at *5 (E.D. Cal. Feb. 15, 2024) (denying 21 defendant’s motion for qualified immunity because inmates’ clearly established right to be 22 protected from serious, communicable diseases extends to protection from COVID-19). Because 23 plaintiff has adequately pled facts showing a clearly established right, defendants’ motion for 24 qualified immunity should be denied. 25 IV. Recommendation 26 For the foregoing reasons, it is RECOMMENDED that: 27 1. Defendants’ motion to dismiss be GRANTED in part and DENIED in part as 28 follows: 1 a. Defendants’ motion to dismiss plaintiffs complaint for failure to state a claim 2 be DENIED; 3 b. Defendants’ motion for qualified immunity be DENIED; 4 c. Defendants’ motion to dismiss plaintiffs claims for monetary damages against 5 defendants in their official capacities be GRANTED; 6 d. Defendants’ request for dismissal of this action to be declared a strike under 28 7 U.S.C. § 1915(G) be denied as moot. 8 These findings and recommendations are submitted to the United States District Judge 9 | assigned to the case, pursuant to the provisions of 28 U.S.C. § 636(b)(1). Within fourteen days 10 | after being served with these findings and recommendations, any party may file written 11 | objections with the court and serve a copy on all parties. Such a document should be captioned 12 | “Objections to Magistrate Judge’s Findings and Recommendations.” Failure to file objections 13 | within the specified time may waive the right to appeal the District Court’s order. Turner v. 14 | Duncan, 158 F.3d 449, 455 (9th Cir. 1998); Martinez v. Yist, 951 F.2d 1153 (9th Cir. 1991). 15 16 | Dated: August 23, 2024 Zot} hig CLHCAMR 17 UNITED STATES MAGISTRATS JUDGE 18 19 20 21 22 23 24 25 26 27 28 12