(PC) Neill v. Clendenin

District Court, E.D. California·Decided August 4, 2023·No. 1:23-cv-00901·Unknown

Opinion

PATRICK NEILL, No. 1:23-cv-00901-SAB (PC) Plaintiff, ORDER DIRECTING CLERK OF COURT TO RANDOMLY ASSIGN A DISTRICT JUDGE v. TO THIS ACTION STEPHANIE CLENDENIN, et al., FINDINGS AND RECOMMENDATION RECOMMENDING DISMISSAL OF ACTION Defendants. FOR FAILURE TO STATE A COGNIZABLE CLAIM FOR RELIEF (ECF No. 1)

Plaintiff is a civil detainee proceeding pro se and in forma pauperis in this civil rights action filed pursuant to 42 U.S.C. § 1983. Currently before the Court is Plaintiff’s complaint, filed June 15, 2023. I. SCREENING REQUIREMENT As Plaintiff is proceeding in forma pauperis (ECF No. 4), the Court screens the complaint under 28 U.S.C. § 1915. “Notwithstanding any filing fee, or any portion thereof, that may have been paid, the court shall dismiss the case at any time if the court determines that the action or appeal fails to state a claim upon which relief may be granted.” 28 U.S.C. § 1915(e)(2)(B)(ii). A complaint is required to contain “a short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). Detailed factual allegations are not required, but “[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements, do not suffice.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007)). A plaintiff must set forth “sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’ ” Id. (quoting Twombly, 550 U.S. at 570). The mere possibility of misconduct falls short of meeting this plausibility standard. Id. at 679. While a plaintiff's allegations are taken as true, courts “are not required to indulge unwarranted inferences.” Doe I v. Wal-Mart Stores, Inc., 572 F.3d 677, 681 (9th Cir. 2009) (citation and internal quotation marks omitted). Additionally, a plaintiff's legal conclusions are not accepted as true. Iqbal, 556 U.S. at 678. Pleadings of pro se plaintiffs “must be held to less stringent standards than formal pleadings drafted by lawyers.” Hebbe v. Pliler, 627 F.3d 338, 342 (9th Cir. 2010) (holding that pro se complaints should continue to be liberally construed after Iqbal). II. Upon admission to the Department of State Hospitals-Coalinga (DSH-C), Plaintiff was given a copy in his admission pack of a document entitled “Patients’ Rights and Related Procedures,” which outline the patient’s advocacy services and include the procedures for patients like Plaintiff to file appeals if they are unsatisfied with the advocates findings. The Patients Right Advocate (PRA) is onsite but the office is not physically located within the secured treatment area of the facility and is not directly assessable by the patients. Patients are informed that in order to file a complaint, they may use the “patients’ rights phone” (which is a phone on individual treatment units). A patient may also write a grievance on a complaint form and mail it via interdepartmental mail, or place a complaint in a drop box in the patient “mall area” of the facility. When a patient believes a right was violated or there are concerns related to other issues regarding treatment, abuse, or neglect, the process for investigating the issues start with the written or telephone complaint. If a patient writes a complaint, the PRA who receives it will respond in writing with the findings. If the patient disagrees with the complaint findings and feels, the next step is an appeal to the Executive Director (ED) of the facility. The ED then makes a determination as to the findings, and if dissatisfied the patient may appeal the complaint to the next level-the Office of Patients’ Rights-Sacrament (OPR). If after the OPR reviews the complaint and the patient is still dissatisfied, the last level is the designee appointed by the DSH- Defendant Clendenin. This process is in accordance with the patient rights and related procedures as held in DSH-C policy known as administrative directed (AD 606). AD 606 also states that any person can file a complaint such as a relative or another patient on behalf of a peer. Defendant Clendenin has appointed the Office of Human Rights (OHR) to respond to last level patient rights appeals and appoints a “patient rights analyst” to review the complaint. OHR also provides human resources services to the employees of the DSH, and has a separate unit that investigates patient rights complaints. Disability Rights California (DRC) is California’s Protection and Advocacy agency. DRC is an independent nonprofit agency established in 1978 pursuant to the Developmental Disabilities Assistance and Bill of Rights Act. 42 U.S.C. § 15001 (DD Act). Like the DSH, DRC receives federal funding for advocacy services and contracts out one advocacy unit, OPR (which assigns PRA’s to individual state hospitals). OHR is separate from DRC/OPR and is a division of DSH designated by Defendant Clendenin to handle/investigate last level patient rights grievances. After the last level grievance is exhausted, patients are informed they may file a lawsuit to remedy patient rights concerns with the court if they choose to. Plaintiff asserts that the patients’ rights process and its services are inadequate, and Defendants have failed to advocate patient rights issue exacerbating the risk of harm, abuse and neglect. Plaintiff also asserts that Defendants have directly employed and erected barriers to preclude constitutionally adequate advocacy and investigations into abuse, neglect and harm. Defendants fail to thoroughly investigate and resolve complaints, and instead collude together to stall, frustrate, impede and harm Plaintiff’s attempt to seek out assistance in the form of an actual mental health advocacy and investigations services. Plaintiff asserts Defendants are not actually providing patient rights advocacy but rather employ a system for way patients can exhaust administrative remedies, essentially subverting Congressional intent of the PAIMI Act and PAIR Act. Defendants removed the onsite patients’ rights office that was easily assessable for Plaintiff to walk into a PRA office and voice his concerns. Defendants moved the office away from patient’s access, and the office is now located in the administration building where patients do not have direct advocate access. Plaintiff was informed and made aware after reviewing evidence in his possession that the reason from a form PRA was purportedly due to the “numerous amounts of patient complaints” and the “lack of funds for more advocates.” A former PRA supervisor claimed that the Patients Right Advocates would relocate back to a more patient accessible area once they were “caught up” on resolving these complaints, but have failed to do so. From 2021 to 2023, Plaintiff used the patients’ rights phone to file complaints related to various patient rights issues. No advocate picked up the phone. Plaintiff left messages that were oftentimes never returned or the message line was full and it took weeks to get a response. When Plaintiff does speak to an advocate on the phone, they simply tell him he will receive a complaint form back with their findings, and they redirect him

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