People v. Lewelling

CourtCalifornia Court of Appeal
DecidedOctober 17, 2017
DocketA147248
StatusPublished

This text of People v. Lewelling (People v. Lewelling) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
People v. Lewelling, (Cal. Ct. App. 2017).

Opinion

Filed 10/17/17 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION TWO

THE PEOPLE, Plaintiff and Respondent, A147248 v. MICHAEL R. LEWELLING, (San Francisco County Super. Ct. No. 14032274) Defendant and Appellant.

We began a recent opinion with the observation that “[o]ne of the more disconcerting things that can occur at a criminal trial is the discovery that there is no CALCRIM instruction for the offense charged, thus requiring the judge—hopefully with the assistance of counsel—to formulate appropriate instructions from scratch.” (People v. Starski (2017) 7 Cal.App.5th 215, 218.) That observation is apt here, as there is no CALCRIM instruction for Penal Code section 149,1 which criminalizes a “public officer who, under color of authority, without lawful necessity, assaults or beats any person . . . .” We went on in People v. Starski to hold that the trial court had crafted a jury instruction that properly told the jury the elements of the crime, and we affirmed Starski’s conviction. We reach the opposite result here, concluding that the instruction—more accurately, instructions—prepared by the trial court were inaccurate and misleading, allowing the district attorney to present and argue a case on a basis that allowed defendant to be wrongfully convicted. We conclude the error in instructions was prejudicial, and reverse on that ground, without the need to address defendant’s other arguments.

1 All undesignated statutory references are to the Penal Code.

1 BACKGROUND The Setting San Francisco General Hospital is a renowned safety net hospital, particularly well known for its emergency department. That department has a diverse and unpredictable patient population, much of it consisting of the homeless, the mentally ill, and those suffering from substance abuse problems. The chaotic population can make the emergency department a dangerous place: staff have been strangled, sexually assaulted, punched, kicked, and spit upon. Abuse by patients, both physical and verbal, is a daily, sometimes hourly, occurrence. As a result, patient behavior is tracked in a database provided by the Department of Public Health, so staff can communicate with others to alert them of potentially violent or abusive patients. This has also resulted in the development of protocols and procedures to protect staff and patients. For example, patients without pending business in the emergency department are not permitted to loiter. People who are sleeping or lingering in the waiting area in the early morning hours without medical necessity are asked to leave. And once they are screened and cleared for discharge, verbally abusive or physically threatening patients are removed. The emergency department is overseen by armed deputies from the San Francisco Sheriff’s Department, who are on the premises 24 hours a day to provide security. During the midnight shift, three officers are on duty, one at a podium just outside the department waiting area, another at a post behind the security doors to the department, and a third on foot patrol around the campus. There is also a dispatcher who monitors security cameras throughout the facility, one of which is pointed at the emergency department waiting room. According to hospital training and protocols, emergency room nurses are required to rely on the deputies when a disruptive or potentially violent patient is observed. And if requested, the deputies assist the staff with handling potentially violent patients, escorting them out of the emergency department once they are medically cleared. In short, the deputies rely on the staff to decide who should be removed, and the staff rely on the

2 deputies to step in when alerted to a potentially dangerous patient. Generally speaking, on a nightly basis several people are escorted off campus for verbally or physically abusing the staff or other patients. On November 3, 2014, the sheriff’s deputy on duty at the podium was defendant Michael Lewelling. Fernando Guanill Arrives at the Emergency Department At 3:27 a.m. on that date, Fernando Guanill walked in through the main emergency department entrance. Guanill was 60 years old, about five feet, seven inches tall, and weighed approximately 140 pounds. He was on disability and received social security income due to a disability with his left leg. He was homeless, and had been for approximately three and a half years. Guanill had a 9:00 a.m. appointment at an orthopedic trauma unit, but decided to go to the hospital early in the hope he could get some pain medication before the appointment. He was in extreme pain—10 out of 10. Guanill had been seeing Dr. Yee-Bun Benjamin Lui at the Chinatown Public Health Center as his primary care physician for some two and a half years. During that time, Guanill had various encounters with the staff at the health center, and Dr. Lui had Guanill sign a behavior contact under which Guanill agreed not to use demeaning language, insulting terms, or foul language when speaking to staff. Guanill also agreed to a pain contract, under which only Dr. Lui could prescribe narcotics to him, and using opiates outside of what Dr. Lui prescribed would be a violation of the contract. Guanill took pain medication such as Percocet, Naproxen, and Nortriptyline, for which he got prescriptions once a month. He also tried to manage his pain with alcohol, often with bad results. As Guanill himself put it, this affected the way he interacted with other people: usually when under the influence he became louder; and when the pain got really bad he automatically raised his voice.2

2 San Francisco Police Officer Jesse Heredia described Guanill as a habitual drunk, constantly belligerent, and very combative. Guanill had thrown an alcoholic beverage container at him, had attacked Heredia’s partner, and had resisted arrest and verbally abused officers while they tried to restrain him. San Francisco Police Officer

3 Tim Coyle was working the examination room as a triage nurse. Coyle asked Guanill if he needed to see a doctor. Guanill responded, in a verbally abusive manner, that he was checking in for his appointment, though reluctant to give Coyle any information about it. Coyle checked Guanill’s chart and noted that his appointment was later that morning. He also noted that Guanill’s chart contained numerous behavioral alerts, including aggressiveness, assaultive behavior, and narcotic-seeking behavior, and that he had a pain contract. Coyle tried to encourage Guanill to attend his appointment instead of being admitted to the emergency department, explaining that Guanill did not need to check in. Guanill responded he wanted a prescription for Oxycodone. Coyle told Guanill emergency doctors did not treat chronic pain by writing prescriptions, and advised Guanill to see his doctor at his appointment later in the day, additionally reminding Guanill that he had a pain contract. While it appeared to Coyle that Guanill was at the emergency department to acquire opiates, Coyle nevertheless medically screened Guanill, and asked if there were any changes in the condition of his wound. This question made Guanill even more agitated and angry, to the point Coyle felt threatened by Guanill’s behavior, as he became tense and started cursing and calling Coyle profane names. Coyle asked Guanill to take a seat in the waiting room. There, Guanill continued being abusive and uncooperative and cursing under his breath. Coyle told nurse Laura Bandura that he had examined Guanill, informing her about Guanill’s aggressive and hostile behavior, and advising that she should not triage Guanill by herself and not bring him behind the closed doors of the triage.

Christopher Ritter arrested Guanill for drinking in a public place and threatening police officers with a knife.

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Cite This Page — Counsel Stack

Bluebook (online)
People v. Lewelling, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-lewelling-calctapp-2017.