(PS) Schmitz v. Asman

Opinion

Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 1 of 47

8 UNITED STATES DISTRICT COURT

9 FOR THE EASTERN DISTRICT OF CALIFORNIA

11 THOMAS SCHMITZ, et al., No. 2:20-cv-00195-JAM-CKD PS 12 Plaintiffs, 13 v. ORDER AND FINDINGS AND RECOMMENDATIONS 14 A. ASMAN, et al., (ECF Nos. 63, 64) 15 Defendants. 16

17 Presently before the court are defendants’ motions to partially dismiss the Second

18 Amended Complaint (ECF No. 44), to which plaintiffs have responded and defendants have

19 replied.1 (ECF Nos. 63, 64, 65, 68, 70, 75, 76-79.) These motions were taken under submission

20 pursuant to Local Rule 230(g). (ECF No. 82.) As set forth below, the court DENIES IN PART

21 and recommends GRANTING IN PART defendants’ motions to dismiss.

22 ////

23 ////

24 ////

25 ////

26 1 27 Plaintiffs are proceeding pro se, and this action is before the undersigned pursuant to Eastern District of California Local Rule 302(c)(21). 28 1 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 2 of 47

1 BACKGROUND2

2 This matter concerns the death of William Schmitz (“Decedent”) while incarcerated at

3 Mule Creek State Prison (“MCSP”), under the authority of the California Department of

4 Corrections and Rehabilitation (“CDCR”). Plaintiffs Thomas Schmitz and Dianne Mallia—

5 Decedent’s father and mother—bring this action individually on their own behalves and also as

6 successors in interest to Decedent’s estate. The Second Amended Complaint (“SAC”) asserts 16

7 causes of action and names 32 defendants, including the CDCR and 28 CDCR employees and

8 officials (“the CDCR defendants”)3; two former CDCR officials, Dr. Kevin Kuich and former

9 MCSP warden Joe Lizarraga; and Dr. Stephen DeNigris, a private doctor who contracts with the

10 CDCR. (ECF No. 44 at 3-9.) The court describes in detail only the SAC allegations pertinent to

11 resolving the present motions.

12 A. Factual Background

13 Generally, plaintiffs allege that Decedent was removed from critical antipsychotic

14 medications and the prison’s Enhanced Outpatient Program (EOP)—a high-level outpatient

15 psychiatric care program—and that these two decisions resulted in Decedent’s death via

16 methamphetamine overdose on January 21, 2019.4 (ECF No. 44 at 3.) Plaintiffs allege that these

17 decisions took place against the backdrop of systemic problems with mental health care in CDCR

18 prisons, as highlighted in the Coleman v. Brown lawsuit5 which resulted in court-supervised

19 2 Unless otherwise indicated, the factual background is taken from plaintiffs’ Second Amended 20 Complaint. (ECF No. 44.) 21 3 On August 31, 2020, after filing the SAC, plaintiffs voluntarily dismissed without prejudice all 22 claims against one of the named CDCR defendants, Dr. Michael Golding, pursuant to Federal Rule of Civil Procedure 41(a)(1)(A)(i). (ECF No. 61.) 23 4 It remains unclear whether plaintiffs assert Decedent’s death was an accidental overdose or a 24 suicide. (See ECF No. 44 at 3 (“A psychotic [Decedent] was forcibly given or ingested two bindles of methamphetamine.”).) 25 5 26 That ongoing litigation has carried the names of various California governors over the years and stems from a 1995 decision finding Eighth Amendment deliberate indifference violations due to 27 the CDCR being “significantly and chronically understaffed in the area of mental health care services.” Coleman v. Wilson, 912 F. Supp. 1282, 1307 (E.D. Cal. 1995). Decades of ongoing 28 remedial efforts have followed. 2 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 3 of 47

1 monitoring of CDCR mental health care that continues today. (Id. at 10-18.) Plaintiffs also

2 emphasize a December 2019 order in that case finding that CDCR knowingly presented

3 misleading information to the court in 2017 and 2018 so as to be relieved of further court

4 monitoring. (Id. at 15-16, 47-48.) See Coleman v. Newsom, 424 F. Supp. 3d 925, 939-56 (E.D.

5 Cal. 2019). Plaintiffs allege that, as part of this scheme to feign compliance, inmates who should

6 have been in EOP—like Decedent—were excluded from the program in order to show improved

7 metrics. (Id. at 16.) In addition, they say that between December 2016 to April 2017, the CDCR

8 changed the requirement that EOP patients be seen by a psychiatrist every 30 days, instead

9 allowing up to 60 days to “count as compliant on the metrics” reported to the court. (Id.

10 at 16-17.) This change was approved by defendant Dr. Laura Ceballos, the Mental Health

11 Administrator of Quality Management for CDCR’s Statewide Mental Health Program (“SMHP”),

12 a program developed to comply with the Coleman monitoring. (Id. at 7-8, 12, 16-17.) Dr. David

13 Leidner, a Senior Psychologist Specialist on the Quality Management team, was also involved in

14 implementing the change. (Id. at 8, 16-17, 21.) And plaintiffs allege that, in March 2017, CDCR

15 Deputy Director of SMHP Katherine Tebrock—who was responsible for overseeing all CDCR

16 mental health care—“knowingly presented fraudulent data to the Court to alter the number of

17 psychiatrists required to provide [c]onstitutional medical care.” (Id. at 7, 17-18.)

18 Decedent had a long history of mental illness and schizophrenia, conditions which caused

19 him to experience auditory hallucinations and to self-medicate with illicit drugs. (Id. at 2-3, 19.)

20 Decedent was incarcerated for shooting and killing a man while in a psychotic state; he was in 21 CDCR custody at MCSP from February 2009 until his death. (Id. at 19.) From the start of his

22 incarceration until May 2018, Decedent was in EOP—the “highest level of outpatient psychiatric

23 care for mentally disordered inmate-patients.” (Id. at 19.) Even so, plaintiffs allege that

24 Decedent received unconstitutionally poor mental health care from as early as November 2015

25 through the time of his death in 2019. The SAC describes a series of sporadic appointments with

26 various medical provider defendants who did not appropriately review Decedent’s medical record 27 or heed his history of symptoms and responses to various psychotropic medications. (Id.

28 at 20-31.) Accordingly, Decedent’s hallucinations, insomnia, and manic episodes continued with 3 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 4 of 47

1 only occasional periods of improvement.6 (Id.)

2 On February 9, 2018, defendant MCSP physician Dr. Robert Rudas filled out a “physician

3 request for services” for Decedent stating, “Patient with cirrhosis/[end stage liver cancer]. Per

4 registry protocol patient is due for esophageal varices follow-up/surveillance.” (Id. at 8, 34

5 (capitalization altered to sentence case).) Dr. Rudas requested that an “On-site” contracting

6 medical provider complete the procedure by May 9, 2018, but Dr. Rudas left blank the section of

7 the form for “Summary of preliminary or diagnostic work up.” (Id. at 35.) The prison’s Chief

8 Medical Officer Executive, defendant Dr. Christopher Smith then “inappropriately” approved the

9 form twice, once on February 12 and again on March 16. (Id. at 6, 35.) At a March 8, 2018 visit,

10 Decedent’s “primary medical doctor,” defendant Dr. Marianna Ashe, noted that Decedent “[d]oes

11 not have a known history of cirrhosis”; and Decedent’s blood work indicated a low “FIB4 score”

12 which (plaintiffs say) indicated “no need to evaluate for cirrhosis.”7 (Id.) Dr. Ashe noted that

13 Decedent had an upcoming abdominal ultrasound, but did not mention the endoscopy in her

14 notes, nor did she counsel Decedent regarding the accuracy of his liver disease diagnosis. (Id.

15 at 35.)

16 On March 14, 2018, at Dr. Rudas’ instruction, Decedent was educated about his upcoming

17 endoscopy. Dr. Rudas’ order was to “Explain to [Decedent] that an EGD has been scheduled for

18 him. Records show he has advanced liver disease/cirrhosis that puts him at risk for bleeding from

19 the veins in his esophagus (esophageal varices). With an EGD the veins can be treated.” (Id.

20 at 36.) Decedent’s paranoia was “greatly magnified” by his “false diagnosis” of cirrhosis/end 21 stage liver disease, and the risk of “bleeding to death from veins in his esophagus.” (Id. at 33,

22 35.) His family did not believe him when he shared the diagnosis, thinking he must be delusional

23 or misunderstanding his doctors, since he had only recently developed Hepatitis C. (Id. at 33.)

24 //// 25 6 26 Because the defendants implicated in this portion of the SAC have not moved to dismiss the claims against them, the court does not describe these appointments in detail. 27 7 “Cirrhosis is a late stage of scarring (fibrosis) of the liver caused by many forms of liver diseases and conditions, such as hepatitis and chronic alcoholism.” 28 https://www.mayoclinic.org/diseases-conditions/cirrhosis/symptoms-causes/syc-20351487. 4 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 5 of 47

1 Around the same time, in the spring of 2018, medical staff decided to transfer Decedent to

2 a lower level of psychiatric care, known as the Correctional Clinical Case Management System

3 (“CCCMS”), citing Decedent’s poor attendance in EOP group meetings. (Id. at 36-38.) CCCMS

4 is for “inmate patients that can function in the general population and do not require a clinically

5 structured, therapeutic environment.” (Id. at 38.) Decedent asked to remain in EOP, as he “did

6 not want to be on his meds and ‘stuck’ in his cell.” (Id. at 37.) But on April 30, 2018, after nine

7 years in EOP, Decedent was officially transferred to the CCCMS level of care. (Id.) According

8 to plaintiffs, he was transferred because it would “help CDCR look better on their healthcare

9 monitoring metrics and give the appearance of better care than actually provided.” (Id. at 38.)

10 Following this transfer, doctors “completely stopped [Decedent’s] antipsychotic

11 medications,” despite noting that Decedent reported “chronic [auditory hallucinations] of low

12 level voices,” because stopping the antipsychotic medications would prevent him from being

13 “‘stuck’ in his cell because of the ‘heat meds.’” (Id. at 39.)

14 On May 4, 2018, Decedent underwent the “fraudulent endoscopy,” from which he awoke

15 in “physical pain.” (Id.) An on-site contracting physician, defendant Dr. DeNigris, performed the

16 procedure and found “no evidence of Portal Hypertension specifically; No esophago-gastric

17 varices . . .” but recommended another endoscopy in three years. (Id. at 40.) However, the

18 procedure was incorrectly coded as an “Esophagogastroduodenoscopy, flexible, transoral; with

19 band ligation of esophageal/gastric varices,” making it look like Decedent had esophageal varices

20 that were treated. (Id.) 21 Notations from Decedent’s health care visits over the rest of 2018 showed that, without

22 any antipsychotic medication, Decedent experienced a resurgence in his auditory hallucinations,

23 paranoia, and insomnia—which providers still took no action to address. (Id. at 40-44.)

24 On January 17, 2019, four days before his death, Decedent met with his new MCSP

25 social worker, defendant Violka Wanie. (Id. at 44.) Wanie noted that Decedent denied that his

26 psychosis was substance induced, but Decedent told her that he “self-medicated when [he] started 27 hearing voices to help [him] deal with them.” (Id.) Upon hearing these reports from Decedent,

28 Wanie took no action other than to recommend dormitory exclusion. (Id.) 5 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 6 of 47

1 The SAC describes a coroner’s report that places Decedent’s “last known interaction” at

2 6:35 AM on January 21, 2019 with defendant Officer Adam Asman. (Id.) Officer Asman

3 reportedly “saw water was flowing out from [Decedent’s] cell,” but he did not inspect the cell,

4 contrary to CDCR policy. (Id.) Plaintiffs further state that the report noted that fellow defendant

5 Officer Erik Bradley “did not see [Decedent] during his routine check” that day at 2:15 PM. (Id.

6 at 45.) Bradley stated there was “an obstruction on the bottom half of the cell window,” which he

7 did not remove to positively identify Decedent, also contrary to CDCR policy. (Id.) Decedent’s

8 body was discovered at approximately 2:30 PM by another inmate. (Id.) Bradley and another

9 officer responded to the discovery and “found [Decedent] stiff and cold, slumped over on the

10 toilet.” (Id.)

11 On January 22, 2019, Dr. C. Smith authored the MCSP Death Report in which he failed to

12 accurately report the events and circumstances leading up to the death. (Id.) For instance,

13 Dr. Smith omitted Decedent’s recent complaints of auditory hallucinations, did not list any

14 psychiatric illness, and mentioned no diagnosis of cirrhosis—despite having approved the

15 unnecessary endoscopy less than a year prior. (Id.)

16 Defendant Sergeant David Brunkhorst told the Coroner that Decedent “had a history of

17 smuggling drugs and likely got them from a visitor,” although Decedent had no such history. (Id.

18 at 5, 46.) The coroner’s report attached to the SAC reflects an accidental “massive overdose of

19 methamphetamine” due to “leakage or rupture of bindle(s) of methamphetamine ingested for

20 purposes of drug smuggling.” (Id. at 69.) It makes no mention of Decedent’s mental illness. 21 Plaintiffs assert that this “convenient scenario” was adopted to ensure minimal investigation, as

22 Decedent’s “death occurred at a particularly inconvenient time for MCSP and CDCR” as they

23 were “desperately trying to get out from under the court injunction as a result of [the] Coleman v.

24 Brown lawsuit.” (Id. at 46.)

25 B. Procedural History 26 Plaintiffs filed the present suit on January 27, 2020 and filed their First Amended 27 Complaint (“FAC”) on February 26, 2020. (ECF Nos. 1, 6.) The defendants named in the FAC

28 filed motions to dismiss the case in its entirety (ECF Nos. 22, 23), which the court denied in part 6 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 7 of 47

1 and granted in part, permitting plaintiffs to file another amended complaint (ECF No. 41). On

2 July 16, 2020, plaintiffs filed their SAC, amending certain claims and adding 11 new causes of

3 action and 14 more defendants. (ECF No. 44.) On August 31, 2020, the CDCR defendants and

4 Dr. DeNigris, represented by independent counsel, filed motions to partially dismiss the SAC

5 (ECF Nos. 63, 64), which are presently before the court.8 Dr. Kuich and former Warden

6 Lizarraga, also represented by independent counsel, have joined the CDCR defendants’ motion to

7 dismiss—as has Dr. DeNigris. (ECF Nos. 65, 70.)

8 LEGAL STANDARDS 9 In considering a motion to dismiss for failure to state a claim upon which relief can be

10 granted, the court must accept as true the allegations of the complaint in question, Erickson v.

11 Pardus, 127 S. Ct. 2197, 2200 (2007), and construe the pleading in the light most favorable to the

12 plaintiff, see Scheuer v. Rhodes, 416 U.S. 232, 236 (1974).

13 In order to avoid dismissal for failure to state a claim a complaint must contain more than

14 “naked assertions,” “labels and conclusions” or “a formulaic recitation of the elements of a cause

15 of action.” Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555-557 (2007). In other words,

16 “[t]hreadbare recitals of the elements of a cause of action, supported by mere conclusory

17 statements do not suffice.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). Furthermore, a claim

18 upon which the court can grant relief has facial plausibility. Twombly, 550 U.S. at 570. “A

19 claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw

20 the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. 21 at 678.

22 In ruling on a motion to dismiss pursuant to Rule 12(b), the court “may generally consider

23 only allegations contained in the pleadings, exhibits attached to the complaint, and matters

24 properly subject to judicial notice.” Outdoor Media Group, Inc. v. City of Beaumont, 506 F.3d

25 895, 899 (9th Cir. 2007). Defendants have requested this court take judicial notice of certain

26 documents. (ECF No. 63.2.) That request will be granted. 27 8 On September 9, 2020, through state counsel, defendant Adams also joined the CDCR 28 defendants’ motion to partially dismiss. (ECF No. 68.) 7 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 8 of 47

1 DISCUSSION

2 Defendants move to dismiss the claims against some or all defendants in each of the

3 SAC’s sixteen counts. (ECF Nos. 63, 64.) Because the court recommends granting dismissal as

4 to some defendants and denying dismissal as to others, the court will address defendants’

5 arguments in the order presented.

6 A. Deliberate Indifference

7 The SAC’s First Cause of Action is for deliberate indifference in violation of the Eighth

8 Amendment. (ECF No. 44 at 49-50.) Defendants argue that the SAC fails to state a claim for

9 deliberate indifference against (1) defendants Asman and Bradley, the officers on duty the day of

10 Decedent’s death; (2) defendant Drs. Ashe, DeNigris, Rudas, and C. Smith (the “endoscopy

11 defendants”), the healthcare providers involved with Decedent’s endoscopy; and (3) defendant

12 Wanie, Decedent’s social worker who met with him days before his death.

13 “[T]o maintain an Eighth Amendment claim based on prison medical treatment, an inmate

14 must show ‘deliberate indifference to serious medical needs.’” Jett v. Penner, 439 F.3d 1091,

15 1096 (9th Cir. 2006) (quoting Estelle v. Gamble, 429 U.S. 97, 104 (1976)). The two-part test for

16 deliberate indifference requires the plaintiff to show (1) “a ‘serious medical need’ by

17 demonstrating that failure to treat a prisoner’s condition could result in further significant injury

18 or the ‘unnecessary and wanton infliction of pain,’” and (2) “the defendant’s response to the need

19 was deliberately indifferent.” Jett, 439 F.3d at 1096; Wilhelm v. Rotman, 680 F.3d 1113, 1122

20 (9th Cir. 2012).

21 Deliberate indifference is shown where the official is aware of a serious medical need and

22 fails to adequately respond. Simmons v. Navajo Cty., 609 F.3d 1011, 1018 (9th Cir. 2010).

23 “Deliberate indifference is a high legal standard,” Simmons, 609 F.3d at 1019; Toguchi v. Chung,

24 391 F.3d 1051, 1060 (9th Cir. 2004), and is shown where there was a “purposeful act or failure to

25 respond to a prisoner’s pain or possible medical need” and the indifference caused harm, Jett, 439

26 F.3d at 1096. The prison official must be aware of facts from which he could make an inference

27 that “a substantial risk of serious harm exists” and he must make the inference. Farmer v.

28 Brennan, 511 U.S. 825, 837 (1994). Finally, plaintiffs alleging deliberate indifference must also 8 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 9 of 47

1 demonstrate that the defendants’ actions were both an actual and proximate cause of their injuries.

2 Lemire v. California Dep’t of Corr. & Rehab., 726 F.3d 1062, 1074 (9th Cir. 2013).

3 1. Defendants Asman & Bradley 4 Plaintiffs allege that at 6:35 AM on the morning of his death, Decedent had an unspecified

5 “interaction” with Officer Asman, who saw water flowing out of Decedent’s cell but did not

6 inspect the cell. (ECF No. 44 at 44.) Plaintiffs assert that Asman had an obligation to

7 “investigate and report on cell flooding” under section 91090.6 of the CDCR Department

8 Operations Manual (“DOM”). (Id. at 44-45.) Then, fifteen minutes before Decedent’s body was

9 found at 2:30 PM, Officer Bradley failed to positively identify Decedent during his routine check

10 because there was “an obstruction on the bottom half of the cell window,” which Bradley did not

11 remove, although window coverings were against DOM policy. (Id. at 45.) Plaintiffs further

12 allege that Asman and Bradley “were responsible for conducting counts to observe and document

13 the safety of [Decedent],” and that by violating DOM policy and not confirming Decedent’s

14 safety, they “failed to timely summon or provide emergency medical care.” (Id. at 50.)

15 The court previously dismissed similar allegations in the FAC as insufficient to

16 demonstrate Asman and Bradley’s deliberate indifference to Decedent’s need for medical

17 treatment. (ECF No. 41 at 9.) And the SAC does not cure the deficiencies that led to that

18 dismissal. Although plaintiffs have added the allegation that Officer Asman’s failure to

19 investigate the cell flooding was a DOM violation, identifying this policy violation does not

20 bolster plaintiffs’ claim. See Cousins v. Lockyer, 568 F.3d 1063, 1070 (9th Cir. 2009) (failure to 21 follow internal prison policies does not rise to the level of a constitutional violation). Aside from

22 this addition, plaintiffs’ allegations against Asman have, if anything, become vaguer than they

23 were in the FAC. As best the court can discern, Decedent and Asman had some sort of

24 “interaction” early on the morning of Decedent’s death, and although Asman at that time

25 observed water “flowing out” of the cell, he did not investigate further. (ECF No. 44 at 44.)

26 These facts do not add up to Asman’s deliberate indifference to Decedent’s serious medical need. 27 As to Officer Bradley, even assuming his failure to affirmatively confirm that Decedent

28 was in his cell later that afternoon would satisfy the subjective indifference prong, plaintiffs have 9 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 10 of 47

1 not alleged how that failure caused Decedent harm. See Lemire, 726 F.3d at 1074. According to

2 the SAC, Bradley did not conduct his routine check until 2:15 PM, only fifteen minutes before

3 Decedent’s body was discovered by another inmate; and when discovered, Decedent’s body was

4 already “stiff and cold.” (ECF No. 44 at 45.) It is virtually impossible, therefore, that Bradley’s

5 failure to remove the window obstruction and fully check on Decedent in any way contributed to

6 Decedent’s suffering or death.

7 Accordingly, plaintiffs’ deliberate indifference claims against Officers Asman and

8 Bradley should be dismissed. As this is the second time plaintiffs have tried and failed to state

9 such a claim against these defendants, the claims should be dismissed with prejudice. See

10 Telesaurus VPC, LLC v. Power, 623 F.3d 998, 1003 (9th Cir. 2010) (permitting dismissal without

11 leave to amend if plaintiff has had several opportunities to amend and repeatedly failed to cure

12 deficiencies).

13 2. Defendant Wanie 14 Plaintiffs allege that at a meeting four days before Decedent’s death, Decedent told

15 defendant Wanie, his new social worker, that he was experiencing “distress from [Auditory

16 Hallucinations” at a level of 5/10. (ECF No. 44 at 44.) Decedent denied that his psychosis was

17 substance induced, stating that he “self-medicated when [he] started hearing voices to help [him]

18 deal with them.” (Id.) Plaintiffs allege that despite “observ[ing] the voices bothering

19 [Decedent],” Wanie merely filled out paperwork and recommended dormitory exclusion. (Id.)

20 The court previously dismissed the FAC’s deliberate indifference claim against Wanie 21 based on allegations substantially identical to those repeated here in the SAC. (ECF No. 41 at 9;

22 compare ECF No. 6 at 29, with ECF No. 44 at 44.) Once again, the court concludes that these

23 allegations fail to demonstrate that defendant Wanie willfully ignored Decedent’s medical needs,

24 or that Decedent was harmed by her indifference. This claim against defendant Wanie is

25 therefore subject to dismissal without leave to amend. (ECF No. 41 at 14 (cautioning that

26 “renewed claims against the dismissed defendants that are identical or substantially similar to 27 those contained in their FAC will likely be subject to dismissal without leave to amend”).)

28 //// 10 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 11 of 47

1 3. The Endoscopy Defendants (Drs. Ashe, DeNigris, Rudas, and C. Smith)

2 Plaintiffs’ deliberate indifference claims against Drs. Ashe, DeNigris, Rudas, and

3 C. Smith arise from their alleged involvement in Decedent’s purportedly unnecessary endoscopy

4 the year before his death. (ECF No. 44 at 49.) These claims did not appear in plaintiffs’ FAC.

5 Plaintiffs report that after filing the FAC, they obtained medical records alerting them to the new

6 facts alleged regarding this procedure. (ECF Nos. 44 at 33, 75 at 35.) Plaintiffs assert that these

7 defendants were “deliberately indifferent by fabricating and propagating a serious diagnosis of

8 End Stage Liver Disease.” (ECF No. 44 at 49.) Plaintiffs allege that the false diagnosis and

9 unnecessary procedure caused Decedent physical pain and “directly increased [his] suffering and

10 worsened his mental state.” (Id. at 43.)

11 To state a claim for this sort of deliberate indifference, based on a doctor’s choice of

12 treatment, plaintiffs must plead facts showing that “the course of treatment the doctors chose was

13 medically unacceptable under the circumstances” and that the doctors “chose this course in

14 conscious disregard of an excessive risk to plaintiff’s health.” Jackson v. McIntosh, 90 F.3d 330,

15 332 (9th Cir. 1996). To satisfy the subjective prong of the deliberate indifference analysis, the

16 prison official must act with a “sufficiently culpable state of mind,” which entails more than mere

17 negligence, but less than conduct undertaken for the very purpose of causing harm. Farmer v.

18 Brennan, 511 U.S. at 837. A prison official does not act in a deliberately indifferent manner

19 unless the official “knows of and disregards an excessive risk to inmate health or safety.” Id.

20 Plaintiffs assert several pieces of circumstantial evidence which they say shows that the

21 four doctors knew Decedent did not have liver disease and pushed him into an unnecessary

22 procedure purely for financial gain: Decedent’s medical records contained no indication that he

23 had liver disease; Dr. Rudas specified a quick deadline for completing the procedure so that it

24 would be done while the “on-site” provider was present; Dr. C. Smith twice approved the

25 procedure and omitted the diagnosis from his death report; Dr. Ashe did not mention the

26 upcoming endoscopy in her visit notes; Dr. DeNigris performed the endoscopy when Decedent’s

27 records contained no suggestion that the procedure was needed; and the procedure was

28 //// 11 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 12 of 47

1 inaccurately coded. (ECF No. 75 at 9-12 (citing ECF No. 44).) From these allegations, plaintiffs

2 argue that “fraud is the most likely conclusion.” (ECF No. 75 at 12.)

3 Although plaintiffs’ narrative might be correct, the court concludes that these assertions

4 are not enough to push the pleadings “across the line from conceivable to plausible.” Ashcroft v.

5 Iqbal, 556 U.S. 662, 680 (2009). Even taking these allegations as true, at most they might support

6 a claim for negligence—that each doctor should have, but failed to, consult Decedent’s medical

7 history more thoroughly to confirm the necessity of an endoscopy. They do not plausibly allege

8 that any of the four doctors knew that liver disease was not medically indicated, notwithstanding

9 plaintiffs’ contrary conclusory opinion. Moreover, they do not show how the decision to order,

10 approve, or ultimately conduct the endoscopy presented “an excessive risk to [Decedent’s] health

11 or safety” that the doctors consciously disregarded. Farmer, 511 U.S. at 837. Based on the

12 present pleadings, it is equally likely that the doctors took these actions believing that they were

13 helping Decedent—who is alleged to have had Hepatitis C—based on a good faith (albeit,

14 allegedly incorrect) understanding of Decedent’s medical file.9

15 Accordingly, the deliberate indifference claims against Drs. Ashe, DeNigris, Rudas, and

16 C. Smith, are subject to dismissal. Because the SAC represents plaintiffs’ first attempt to state a

17 deliberate indifference claim against these defendants based on their involvement in the newly

18 discovered endoscopy, however, they may amend these claims against these defendants.

19 Conclusion 20 Because plaintiffs have twice failed to sufficiently plead a deliberate indifference claim 21 against defendants Asman, Bradley, and Wanie, those claims should be dismissed with prejudice

22 as to those defendants. Plaintiffs have also failed to sufficiently plead deliberate indifference

23 claims against Drs. Ashe, DeNigris, Rudas, and C. Smith, but those claims are dismissed with

24 leave to amend.

25 //// 26 //// 27 9 Having reached this conclusion, the court need not address Dr. DeNigris’ additional argument 28 that he was not acting under color of state law. (ECF No. 64.1 at 5.) 12 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 13 of 47

1 B. Supervisory Liability & Failure to Train

2 Plaintiffs’ Second and Third Causes of Action allege Eighth Amendment deliberate

3 indifference by supervisory defendants including former MCSP Warden Lizarraga and former

4 CDCR Chief Psychiatrist of Telepsychiatry Dr. Kuich. (ECF No. 44 at 50-52.)

5 Under § 1983, a supervisor may be liable if there exists either “(1) his or her personal

6 involvement in the constitutional deprivation or (2) a sufficient causal connection between the

7 supervisor’s wrongful conduct and the constitutional violation.” Mackinney v. Nielsen, 69 F.3d

8 1002, 1008 (9th Cir. 1995) (internal citations and quotations omitted). Supervisory liability can

9 exist in the present case if defendants implemented “a policy so deficient that the policy itself is a

10 repudiation of constitutional rights and is the moving force of the constitutional violation.” Id.

11 Failure to train or to supervise may amount to “deliberate indifference” if the need for training or

12 supervision was obvious and the failure to do so made a constitutional violation likely.

13 Dougherty v. City of Covina, 654 F.3d 892, 900 (9th Cir. 2011). Mere negligence in training or

14 supervision, however, does not rise to the level of deliberate indifference. Id.

15 The court previously denied the CDCR defendants’ motion to dismiss substantially

16 similar causes of action recited in the FAC (ECF No. 41 at 10-11), and the CDCR defendants

17 named in the SAC do not now seek dismissal of these two causes of action. Only defendants

18 Kuich and Lizarraga apparently dispute the sufficiency of these two renewed causes of action.

19 But because defendants Kuich and Lizarraga have not properly moved to dismiss these claims,

20 those causes of action survive.

21 Kuich and Lizarraga did not file their own motion to dismiss any claims in the SAC;

22 instead, they filed a notice of joining the CDCR defendants’ motion to dismiss. (ECF No. 65).

23 The CDCR defendants’ motion to dismiss notably does not challenge the sufficiency of the

24 SAC’s second and third causes of action for supervisory liability and failure to train, nor does the

25 CDCR defendants’ supporting brief include any argument on these topics. (ECF Nos. 63, 63.1.)

26 Kuich and Lizarraga did not file an opening brief in support of the motion to dismiss, but they did

27 file a reply to plaintiffs’ opposition arguing that the SAC’s allegations fail to state a claim against

28 them for supervisory liability. (ECF No. 79.) Raising these arguments for the first time in a reply 13 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 14 of 47

1 brief is procedurally improper, as it denies plaintiffs the opportunity to respond. The court

2 therefore declines to consider these arguments. See Zamani v. Carnes, 491 F.3d 990, 997 (9th

3 Cir. 2007) (“The district court need not consider arguments raised for the first time in a reply

4 brief.”). The court also notes that it has already denied dismissal of these causes of action against

5 defendant Lizarraga in reviewing the substantially similar allegations against him in the FAC.

6 (ECF No. 41 at 10-11 (“Plaintiffs have adequately alleged system-wide constitutional

7 deprivations and failure to adequately train and supervise those tasked with safeguarding

8 Decedent’s constitutional rights.”).) To the extent defendants Lizarraga and Kuich move for

9 dismissal of the Second and Third Causes of Action against them, their motion is denied.

10 C. Fourteenth Amendment Familial Relations 11 Plaintiffs’ Fourth Cause of Action asserts a deprivation of their Fourteenth Amendment

12 substantive due process right to familial relations against every named defendant except Sergeant

13 Brunkhorst and the CDCR itself.

14 Under the Fourteenth Amendment, “official conduct that ‘shocks the conscience’ in

15 depriving [family members] of [a liberty interest in the companionship and society of a family

16 member] is cognizable as a violation of due process.” Wilkinson v. Torres, 610 F.3d 546, 554

17 (9th Cir. 2010). “Just as the deliberate indifference of prison officials to the medical needs of

18 prisoners may support Eighth Amendment liability, such indifference may also ‘rise to the

19 conscience-shocking level’ required for a substantive due process violation.” Lemire, 726 F.3d at

20 1075 (quoting Cty. of Sacramento v. Lewis, 523 U.S. 833, 849-50 (1998)). “A prison official’s 21 deliberately indifferent conduct will generally ‘shock the conscience’” if “the prison official had

22 time to deliberate before acting or failing to act in a deliberately indifferent manner.” Lemire,

23 726 F.3d at 1075.

24 The same nine defendants who seek dismissal of the Eighth Amendment claims against

25 them, in either their individual or supervisory capacities—that is, Officers Asman and Bradley;

26 social worker Wanie; the endoscopy defendants Drs. Ashe, DeNigris, Rudas, and C. Smith; and 27 ////

28 //// 14 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 15 of 47

1 former CDCR officials Lizarraga and Kuich10—also move to dismiss plaintiffs’ Fourteenth

2 Amendment claims on the grounds that plaintiffs failed to state even a deliberate indifference

3 claim, for the reasons discussed above. (ECF Nos. 63.1 at 23; 64.1 at 7.)

4 As discussed in the previous two sections, plaintiffs have failed to plead that defendants

5 Ashe, Asman, Bradley, DeNigris, Rudas, C. Smith, or Wanie were deliberately indifferent to

6 Decedent’s medical needs and therefore have insufficiently pleaded that their actions “shocked

7 the conscience.” Further, as to the endoscopy defendants, plaintiffs have not alleged how their

8 conduct deprived them of Decedent’s companionship at all. Plaintiffs only directly allege that the

9 false diagnosis of end stage liver disease and the performance of the endoscopy increased

10 Decedent’s suffering and worsened his mental state, not that they caused his death some six

11 months later. Lastly, because the court reaches no conclusion on the sufficiency of the deliberate

12 indifference claims against defendants Kuich and Lizarraga in their supervisory capacities (for the

13 reasons above), the court also denies their motion to dismiss the Fourteenth Amendment cause of

14 action against them, which also relies on inapplicable arguments asserted in the CDCR

15 defendants’ motion.

16 In sum, the court should grant the motion to dismiss the Fourth Cause of Action against

17 defendants Asman, Bradley, and Wanie, and dismiss the claims against those defendants with

18 prejudice. Conversely, the court denies the motion to dismiss the Fourth Cause of Action against

19 defendants Kuich, and Lizarraga; and the court grants the motion to dismiss the Fourth Cause of

20 Action against defendants Ashe, DeNigris, Rudas, and C. Smith with leave to amend as to those 21 defendants only.

22 D. 42 U.S.C. § 1985(3) Conspiracy to Interfere with Civil Rights 23 Plaintiffs’ Fifth Cause of Action asserts a conspiracy to interfere with Decedent’s civil

24 rights, in violation of 42 U.S.C. § 1985(3), by the following defendant health care providers and

26 10 The same procedural problems discussed above also apply to defendants Lizarraga’s and Kuich’s challenge to plaintiffs’ Fourteenth Amendment claims against them. And, as with the 27 Eighth Amendment supervisory claims, the court has already held similar pleadings in the FAC sufficiently stated a claim for deprivation of familial relations against defendant Lizarraga. (ECF 28 No. 41 at 11-12.) 15 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 16 of 47

1 supervisors: Leidner, Ceballos, Tebrock, Robinson, Heatley, C. Smith, Kernan, Diaz, Toche,

2 Gipson,11 Brizendine, Ponciano, Rekart, Kuich, Brockenborough, Lizarraga, and Adams. (ECF

3 No. 44 at 53.) Plaintiffs allege that these individuals engaged in a “conspiracy within CDCR to

4 base decisions for care of mentally ill inmates on ways to best make it appear they are complying

5 with the Court orders to provide a minimal constitutional level of care.” (ECF No. 44 at 53.)

6 Defendants allegedly carried out this conspiracy by reporting fraudulent metrics inflating their

7 appearance of compliance with mandated EOP psychiatric visits by extending the time between

8 psychiatric evaluations by 50%. (Id. at 38-39, 53.) All defendants named in this count move to

9 dismiss this cause of action for failure to allege that Decedent was a member of a protected class,

10 for lack of specific factual allegations of conspiracy, and because defendants are entitled to

11 qualified immunity. (ECF Nos. 63.1 at 13; 65; 68.)

12 “Section 1985 proscribes conspiracies to interfere with certain civil rights.” Karim-Panahi

13 v. Los Angeles Police Dep’t, 839 F.2d 621, 626 (9th Cir. 1988). To state a claim under

14 § 1985(3), plaintiffs must allege four elements: “(1) a conspiracy; (2) for the purpose of

15 depriving, either directly or indirectly, any person or class of persons of the equal protection of

16 the laws, or of equal privileges and immunities under the laws; and (3) an act in furtherance of

17 this conspiracy; (4) whereby a person is either injured in his person or property or deprived of any

18 right or privilege of a citizen of the United States.” Sever v. Alaska Pulp Corp., 978 F.2d 1529,

19 1536 (9th Cir. 1992) (citation omitted).

20 For the first element, a § 1985 claim “must allege facts to support the allegation that 21 defendants conspired together. A mere allegation of conspiracy without factual specificity is

22 insufficient.” Karim-Panahi, 839 F.2d at 626. Under the second element, in addition to

23 identifying a legally protected right, a plaintiff must demonstrate a deprivation of that right

24 motivated by “some racial, or perhaps otherwise class-based, invidiously discriminatory animus

25 behind the conspirators’ action.” Griffith v. Breckenridge, 403 U.S. 88, 102 (1971). In the Ninth

26 Circuit, § 1985(3) is extended beyond race “only when the class in question can show that there 27

28 11 The SAC misspells defendant Connie Gipson’s last name as “Gibson,” throughout. 16 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 17 of 47

1 has been a governmental determination that its members ‘require and warrant special federal

2 assistance in protecting their civil rights.’” Schultz v. Sundberg, 759 F.2d 714, 718 (9th Cir.

3 1985) (citation omitted); see also McCalden v. California Library Ass’n, 955 F.2d 1214, 1223

4 (9th Cir. 1990) (plaintiff must be a member of a class that requires special federal assistance in

5 protecting its civil rights). “More specifically, we require ‘either that the courts have designated

6 the class in question a suspect or quasi-suspect classification requiring more exacting scrutiny or

7 that Congress has indicated through legislation that the class required special protection.’” Sever,

8 978 F.2d at 1536 (quoting Schultz, 759 F.2d at 718). Importantly, the defendants’ actions must

9 have been “motivated by invidiously discriminatory animus” against that protected class. Orin v.

10 Barclay, 272 F.3d 1207, 1217 (9th Cir. 2001) (internal quotation omitted). These limitations exist

11 to support the background rule that § 1985 “is not to be construed as a general federal tort law.”

12 Gerritsen v. de la Madrid Hurtado, 819 F.2d 1511, 1518-19 (9th Cir. 1987).

13 Plaintiffs’ § 1985(3) cause of action, as currently pled, is subject to dismissal for at least

14 two reasons. First, plaintiffs have not alleged that the deprivation Decedent suffered was

15 motivated by discriminatory animus against the allegedly protected class to which Decedent

16 belonged. Section 1985(3) was enacted as the Ku Klux Klan Act of 1871, and its original

17 purpose “was to enforce the rights of African Americans and their supporters.” Holgate v.

18 Baldwin, 425 F.3d 671, 676 (9th Cir. 2005). Plaintiffs may be correct that § 1985(3) protection

19 nevertheless extends to Decedent because Congress “has indicated through legislation,” Sever,

20 978 F.2d at 1536, that people with mental illnesses, like Decedent, require special protections. 21 (See ECF No. 75 at 24-25 (discussing the Protection and Advocacy for Individuals with Mental

22 Illness Act, 42 U.S.C. § 10801).) But the court need not resolve at this juncture whether

23 Decedent was a member of a class protected by § 1985(3) because nothing in the SAC remotely

24 implies—much less alleges—that defendants’ actions were “motivated by invidiously

25 discriminatory animus” against people with mental illnesses. See Orin, 272 F.3d at 1217. The

26 only motivation plaintiffs identify for extending the time between Decedent’s psychiatric visits, 27 which allegedly contributed to his declining mental health, is so that defendants might be

28 “relieved of Court monitoring.” (ECF No. 44 at 53; see id. at 38-39.) The SAC nowhere 17 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 18 of 47

1 suggests that the named defendants harbored any ill will toward their inmate patients because

2 they suffered mental illnesses, or that visit frequencies were lowered in order to harm these

3 patients. See Manistee Town Ctr. v. City of Glendale, 227 F.3d 1090, 1095 (9th Cir. 2000) (“A

4 cause of action under the first clause of § 1985(3) cannot survive a motion to dismiss absent an

5 allegation of class-based animus.”).

6 Second, plaintiffs’ § 1985(3) claim must be dismissed because it contains insufficient

7 specific factual allegations supporting the existence of the claimed conspiracy. See Karim-

8 Panahi, 839 F.2d at 626. Plaintiffs do allege certain actions by a handful of defendants, alleging,

9 for instance, that Dr. Ceballos made the decision to extend the time between visits, and that

10 Tebrock submitted fraudulent data to the court. (ECF No. 44 at 17-18.) But the SAC contains no

11 factual allegations suggesting that there was an agreement or other “meeting of the minds”

12 between or among the named defendants to violate Decedent’s rights. See Olsen v. Idaho State

13 Bd. of Med., 363 F.3d 916, 929-30 (9th Cir. 2004) (dismissing § 1985(3) claim when plaintiff’s

14 complaint was “devoid of any discussion of an agreement . . . to violate her constitutional

15 rights”).12 And plaintiffs fail to allege facts showing how most of the defendants named in this

16 cause of action participated in the alleged conspiracy at all.

17 Accordingly, the § 1985(3) cause of action is subject to dismissal. Plaintiffs are, however,

18 granted leave to amend this claim.

19 E. Failure to Prevent a Conspiracy under 42 U.S.C. § 1986 20 Plaintiffs’ Sixth and Seventh Causes of Action (which appear to be duplicates of each 21 other) assert a failure to prevent the above-described conspiracy, in violation of 42 U.S.C. § 1986,

22 by all defendants except the CDCR, Dr. DeNigris, Sergeant Brunkhorst, and Officers Asman and

23 Bradley. (ECF No. 44 at 54-55.)

26 12 “Since it is often difficult to show direct evidence of a combination or conspiracy, concerted action may be inferred from circumstantial evidence of the defendant’s conduct and course of 27 dealings.” Dimidowich v. Bell & Howell, 803 F.2d 1473, 1479 (9th Cir. 1986), reh’g denied and modified on other grounds, 810 F.2d 1517 (9th Cir. 1987). Plaintiffs also have not provided 28 sufficient specific circumstantial evidence to supply an inference of a conspiracy. 18 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 19 of 47

1 “Section 1986 imposes liability on every person who knows of an impending violation of

2 section 1985 but neglects or refuses to prevent the violation.” Karim-Panahi, 839 F.2d at 626

3 (citation omitted). A plaintiff can only state a claim under § 1986 if the plaintiff alleges a valid

4 claim under § 1985. Id. Because plaintiffs fail to allege a valid § 1985 claim, their § 1986 claim

5 also fails. Trerice v. Pedersen, 769 F.2d 1398, 1403 (9th Cir. 1985) (“[The Ninth Circuit has]

6 adopted the broadly accepted principle that a cause of action is not provided under 42 U.S.C.

7 § 1986 absent a valid claim for relief under section 1985.”).

8 Accordingly, plaintiffs’ Sixth and Seventh Causes of Action for violation of § 1986 are

9 dismissed. Plaintiffs are, however, granted leave to amend these claims as well.

10 F. Disability Discrimination under the ADA & RA 11 Plaintiffs’ Thirteenth Cause of Action is against only the CDCR for violating Title II of

12 the Americans with Disabilities Act (“ADA”) and Section 504 of the Rehabilitation Act (“RA”).

13 Plaintiffs allege that CDCR violated the ADA and RA by failing to provide services or reasonably

14 accommodate Decedent with access to CDCR programs and services; failing to properly train and

15 supervise its staff and officers on how to “appropriately treat, monitor, and interact with” people

16 with disabilities; and discriminating against Decedent by “limiting his benefits and privileges

17 based solely on his need for antipsychotic medications.” (ECF No. 44 at 61.) Plaintiffs assert

18 that Decedent was “‘stuck’ in his cell because of the ‘heat meds’” and that Decedent “was

19 discriminated against because of his mental illness and his use of antipsychotic medications, in

20 that he suffered from conditions in which a person, as a result of a mental disorder, is unable to 21 provide for his basic personal needs and to protect himself from self-harm.” (Id. at 39, 62.)

22 Title II of the ADA provides that “no qualified individual with a disability shall, by reason

23 of such disability, be excluded from participation in or be denied the benefits of the services,

24 programs, or activities of a public entity, or be subjected to discrimination by any such entity.”

25 42 U.S.C. § 12132. To state a claim under Title II of the ADA, the plaintiff must allege: “(1) he

26 is an individual with a disability; (2) he is otherwise qualified to participate in or receive the 27 benefit of some public entity’s services, programs, or activities; (3) he was either excluded from

28 participation in or denied the benefits of the public entity’s services, programs, or activities, or 19 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 20 of 47

1 was otherwise discriminated against by the public entity; and (4) such exclusion, denial of

2 benefits, or discrimination was by reason of [his] disability.” Simmons v. Navajo Cty., 609 F.3d

3 1011, 1021 (9th Cir. 2010). The RA provides “identical remedies, procedures and rights.” Vos v.

4 City of Newport Beach, 892 F.3d 1024, 1036 (9th Cir. 2018). Both the ADA and RA apply to

5 state prisons like MCSP. Pa. Dep’t of Corr. v. Yeskey, 524 U.S. 206, 210 (1998); Pierce v. Cty.

6 of Orange, 526 F.3d 1190, 1214 (9th Cir. 2008).

7 Defendants acknowledge that Decedent satisfies the first two elements as a qualified

8 individual with a disability, but they dispute the sufficiency of plaintiffs’ allegations as to the

9 third and fourth elements. (ECF No. 63.1 at 28.) The court agrees with defendants that the SAC

10 fails to allege what specific benefits Decedent was being denied, or that such denial was because

11 of his disability. Although plaintiffs sometimes plead in a conclusory fashion that Decedent was

12 deprived of the unspecified benefits at MCSP “because of his mental illness,” they

13 simultaneously emphasize that the alleged discrimination was “based solely on his need for

14 antipsychotic medications.” (ECF No. 44 at 61-62.) To the extent plaintiffs assert that Decedent

15 received substandard medical care which failed to lessen his psychoses or protect him from self-

16 harm, their allegations cannot support an ADA or RA claim. “The ADA prohibits discrimination

17 because of a disability, not inadequate treatment for a disability.” Simmons, 609 F.3d at 1022

18 (rejecting plaintiffs’ argument that defendant violated the ADA by “depriving [the deceased

19 prisoner] of ‘programs or activit[ies] to lessen his depression’”).

20 Accordingly, plaintiffs’ Thirteenth Cause of Action is dismissed. Plaintiffs are, however, 21 granted leave to amend this claim. Because this count is being dismissed, the court has no

22 occasion to rule on defendants’ request to strike plaintiffs’ demand for punitive damages as to this

23 cause of action.13 (ECF No. 63.1 at 38.)

26 13 27 The court cautions plaintiffs, however, that punitive damages are not available for violations of the ADA or RA. Barnes v. Gorman, 536 U.S. 181, 189 (2002); Mark H. v. Lemahieu, 513 F.3d 28 922, 930 (9th Cir. 2008). 20 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 21 of 47

1 G. State Law Claims Against Public Officials & Employees

2 The SAC’s remaining causes of action all arise under California state law. Plaintiffs

3 assert survivorship claims on behalf of Decedent’s estate for negligent supervision and training,

4 common law negligence, failure to summon medical care, violations of California Civil Code

5 § 52.1 (the “Bane Act”), medical battery, and assault; and they assert claims on their own

6 behalves for wrongful death and negligent infliction of emotional distress.14 (ECF No. 44

7 at 56-64.)

8 1. The Survivorship Causes of Action Against Government Defendants

9 The CDCR defendants move to dismiss each of plaintiffs’ survivorship causes of action

10 on the grounds that plaintiffs have not complied with the California Government Claims Act

11 (“GCA”). (ECF No. 63.1 at 29.)

12 Under the GCA, set forth in California Government Code sections 810 et seq.,15 a plaintiff

13 may not (subject to certain inapplicable exceptions) bring a suit for monetary damages against a

14 public employee or entity unless the plaintiff first timely presented the claim to the California

15 Victim Compensation and Government Claims Board (“Government Claims Board” or “Board”),

16 and the Board acted on the claim, or the time for doing so expired. See Munoz v. California,

17 33 Cal. App. 4th 1767, 1776 (1995) (“The Tort Claims Act requires that any civil complaint for

18 money or damages first be presented to and rejected by the pertinent public entity.”). The

19 purpose of this requirement is “to provide the public entity sufficient information to enable it to

20 adequately investigate claims and to settle them, if appropriate, without the expense of litigation.”

21 City of San Jose v. Superior Court, 12 Cal. 3d 447, 455 (1974) (citations omitted). Compliance

22 14 23 The SAC is somewhat ambiguous as to whether plaintiffs intend to assert their negligent infliction of emotional distress claim (the Sixteenth Cause of Action) on their own behalf or on 24 behalf of Decedent’s estate. The cause of action heading cites the California statute authorizing survival actions, but the substantive allegations only refer to the “severe emotional distress” of the 25 plaintiffs themselves. (ECF No. 44 at 63-64.) Going with substance over form, the court thus 26 construes this claim as belonging to plaintiffs themselves, not to their son’s estate.

27 15 Traditionally known as the California “Tort Claims Act,” California courts now refer to these sections more broadly as the Government Claims Act. See City of Stockton v. Superior Court, 42 28 Cal. 4th 730, 741-42 & n.7 (Cal. 2007). 21 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 22 of 47

1 with this “claim presentation requirement” constitutes an element of a cause of action for

2 damages against a public entity or official. State v. Superior Court (Bodde), 32 Cal. 4th 1234,

3 1244 (2004).

4 Thus, consistent with state court practice, id. at 1239, federal courts require compliance

5 with the GCA for pendent state law claims that seek damages against California state public

6 employees or entities. Willis v. Reddin, 418 F.2d 702, 704 (9th Cir. 1969); Mangold v.

7 California Public Utilities Commission, 67 F.3d 1470, 1477 (9th Cir. 1995). Such state claims

8 included in a federal action may proceed only if the claims were first presented to the state in

9 compliance with the GCA’s claim presentation requirement. United States v. California, 655

10 F.2d 914, 918 (9th Cir. 1980); Karim-Panahi v. Los Angeles Police Dep’t, 839 F.2d 621, 627 (9th

11 Cir. 1988); Butler v. Los Angeles Cty., 617 F. Supp. 2d 994, 1001 (C.D. Cal. 2008).

12 Broadly speaking, to comply with the claim presentation requirement, claimants must file

13 with the Board a written claim containing specific required information, see Cal. Gov’t Code

14 § 910; they must file the claim within 6 months of the “accrual of the cause of action,” Cal. Gov’t

15 Code § 911.2 (although there are mechanisms for permitting late claim filing); and they must then

16 file suit within 6 months of receiving notice of the Board’s rejection of their claim, Cal. Gov’t

17 Code § 945.6(a)(1). See Cal. Gov’t Code § 950.2 (cause of action against public employee or

18 former public employee is barred if action against employing public entity is barred). The CDCR

19 defendants, joined by defendants Kuich and Lizarraga as to the claims against them, contest

20 plaintiffs’ compliance with the GCA. They primarily argue that, because plaintiffs failed to file a 21 separate government claim identifying Decedent or Decedent’s estate as the claimant, all the

22 survivorship claims brought on behalf of his estate are barred by the GCA. (ECF No. 63.1 at 30.)

23 The court agrees.

24 As alleged in the SAC, “Plaintiffs Thomas Schmitz, Dianne Mallia and Estate of William

25 Schmitz filed governmental claims” with the Board in July 2019. (ECF No. 44 at 9.) Plaintiffs

26 did not attach a copy of their government claim to the SAC, but the CDCR defendants have 27 ////

28 //// 22 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 23 of 47

1 provided a copy of both the claim and the Board’s rejection notice.16 On July 16, 2019, the

2 Government Claims Program received plaintiffs’ government claim, completed on the state’s

3 standard claim form. (ECF No. 63.2 at 10.) The first line of the “Claimant Information” section

4 lists plaintiff Thomas J. Schmitz (Decedent’s father) as the claimant, along with a reference to

5 Attachment A, which lists six people as “Intestate Heirs”: plaintiff Dianne Mallia (Decedent’s

6 mother) as well as Decedent’s two brothers, two sisters, and his grandmother. (Id. at 10, 12.)

7 Decedent’s name does not appear. The fifth line of the Claimant Information section requests an

8 “Inmate or patient number, if applicable,” next to which plaintiffs provided Decedent’s inmate

9 number G35384. (Id. at 10.)

10 In the section for Claim Information, plaintiffs requested $10,015,000, comprising

11 “1.5 million lost future wages, 15,000 funeral expenses, 8.5 million loss of companionship.” (Id.)

12 They indicated that the claim was being filed against numerous state employees, many of whom

13 are named as defendants in the SAC. (Id. at 13-14.) Plaintiffs described the injury as Decedent’s

14 death while in CDCR custody. (Id. at 11.) Plaintiffs asserted that the state was responsible

15 because “William’s death was caused by the state’s gross negligence. This negligence includes,

16 but is not limited to, medical malpractice, transferring [Decedent] to CCCMS from EOP, stopping

17 needed medications and failing to reasonably monitor and care for [Decedent’s] health and well

18 being on January 21, 2019.” (Id.) On July 31, 2019, the Government Claims Program notified

19 plaintiffs by letter that the claim was rejected. (Id. at 15.)

20 California courts have interpreted the GCA to require that “a plaintiff must ordinarily file 21 his or her own claim, and may not sue to recover for his or her own injury in reliance on a claim

22 filed by another injured party, even if the plaintiff’s injury was caused by the same transaction

23 that injured the other party.” California Rest. Mgmt. Sys. v. City of San Diego, 195 Cal. App. 4th

24 1581, 1597 (Ct. App. 2011); see Nelson v. Cty. of Los Angeles, 113 Cal. App. 4th 783, 796 (Ct.

25 App. 2003) (“Where two or more persons suffer separate and distinct injuries from the same act

26 16 The court grants defendants’ request to take judicial notice of these documents. (ECF 27 No. 63.2.) See Lawrence v. City of San Bernardino, No. CV04-00336 FMC SGLX, 2005 WL 5950105, at *3 (C.D. Cal. July 27, 2005) (noting that a government claim is a public record that 28 does not convert a motion to dismiss into a motion for summary judgment). 23 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 24 of 47

1 or omission, each person must submit a claim, and one cannot rely on a claim presented by

2 another.”). “Unlike a cause of action for wrongful death, a survivor cause of action is not a new

3 cause of action that vests in the heirs on the death of the decedent. It is instead a separate and

4 distinct cause of action which belonged to the decedent before death but, by statute, survives that

5 event.” Quiroz v. Seventh Ave. Ctr., 140 Cal. App. 4th 1256, 1264 (Ct. App. 2006); see Cal.

6 Code Civ. Proc. § 377.30 (survivorship statute). Thus, a successor in interest pleading a

7 survivorship cause of action in addition to her own personal tort claims acts in two separate

8 capacities. Quiroz, 140 Cal. App. 4th at 1278 (because the “survivor claim, which plaintiff

9 pursued as the decedent’s successor in interest, pleaded injury to the decedent,” and plaintiff’s

10 “wrongful death claim pleaded only injury to plaintiff, acting for herself, as the decedent’s heir,”

11 “these distinct claims are technically asserted by different plaintiffs and they seek compensation

12 for different injuries”).

13 Defendants argue that because the July 2019 government claim does not list “William

14 Thomas Schmitz” or the “Estate of William Thomas Schmitz” as a claimant—and no separate

15 claim was filed by any so-named claimant—all the survivorship causes of action are barred under

16 the GCA. (ECF No. 63.1 at 30-31.) Although defendants cite no California case prohibiting a

17 single government claim from encompassing both a survivor’s and a decedent’s claims arising

18 from the same course of events,17 the court agrees that in this case the July 2019 government

19 claim was inadequate to notify the state that survivorship causes of action would be filed, in

20 addition to wrongful death claims. 21 California courts have proved open to the idea that a single form can sufficiently present

22 both survivorship and individual claims in the right set of circumstances. See Nelson, 113 Cal.

23 App. 4th at 796-98 & n.10 (considering, but ultimately rejecting, the argument that decedent’s

24 mother’s government claim, alone, presented both sets of claims); White v. Moreno Valley

25 Unified Sch. Dist., 181 Cal. App. 3d 1024, 1031-32 (Ct. App. 1986) (concluding that claim form

26 17 Defendants cite only Quiroz, 140 Cal. App. 4th 1256, a California Court of Appeal case which 27 establishes that a plaintiff acts in two separate capacities when pursuing a survivor claim in addition to her own personal claims, while saying nothing about how that principle translates onto 28 the GCA claim presentation requirement—which was not raised in that case. Id. at 1278. 24 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 25 of 47

1 submitted by parents on behalf of their minor child adequately presented both the parents’ claim

2 for medical expenses and the child’s other damages). In Nelson, the court of appeal held that the

3 survivorship causes of action had not been properly presented under the GCA because the

4 decedent’s estate did not file a claim, and “since there is nothing in [decedent’s representative’s]

5 claim to suggest it was filed in anything other than her individual capacity, and since the damages

6 described in the claim were for ‘the loss of a son’ (with no mention of any damage incurred by

7 [decedent] before his death).” 113 Cal. App. 4th at 797. The court further noted that the “claim

8 form did not identify the estate and did not identify [plaintiff] as [decedent’s] personal

9 representative,” nor did it “identify any damages recoverable by the estate (e.g., predeath medical

10 expenses or other expenses suffered by [the decedent] before his death).” Id. at 797 n.10.

11 These same problems doom plaintiffs’ government claim here, too. Although the

12 numerous relatives listed as claimants on the claim form suggest that Thomas J. Schmitz

13 (Decedent’s father) was filing in a representative capacity, there is no suggestion that he was

14 filing as a representative of his son or his son’s estate, as opposed to some quasi-class of

15 “intestate heirs.” (ECF No. 63.2 at 10, 12.) The appearance of Decedent’s inmate number on the

16 form’s Claimant Information section makes it a closer question, but the court is not persuaded

17 that this identifier alone would be sufficient to put the state on notice that it should investigate

18 survivorship causes of action. The strongest evidence that plaintiffs’ claim did not present the

19 instant survivorship causes of action is that the claim does not obviously “identify any damages

20 recoverable by the estate.” Nelson, 113 Cal. App. 4th at 797 n.10. The claim simply lists three 21 general categories of damages: “1.5 million lost future wages, 15,000 funeral expenses,

22 8.5 million loss of companionship.” (ECF No. 63.2 at 10.) Each of these types of damages are

23 recoverable in wrongful death actions in California. None describe damages that would only be

24 recoverable by Decedent’s estate, i.e., through a survivorship action.

25 This is because “[s]ection 377.34 [of the California Code of Civil Procedure] limits

26 damages in survival actions to the victim’s pre-death economic losses.” Chaudhry v. City of Los 27 Angeles, 751 F.3d 1096, 1104 (9th Cir. 2014) (citing People v. Runyan, 54 Cal. 4th 849, 862

28 (2012)). Damages recoverable in survival actions in California include the decedent’s “lost 25 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 26 of 47

1 wages, medical expenses, and any other pecuniary losses incurred before death,” as well as

2 punitive or exemplary damages. Cty. of Los Angeles v. Superior Court (Schonert), 21 Cal. 4th

3 292, 304 (1999) (emphasis added). Accordingly, “[i]n cases where the victim dies quickly there

4 will often be no damage remedy at all under § 377.34.” Chaudhry, 751 F.3d at 1104.

5 The state would have no reason to interpret the $1.5 million requested for “lost future

6 wages” as referring to the amount Decedent might have earned during the day of his death;

7 instead, that amount could most reasonably be viewed as referring to the damages Decedent’s

8 designated survivors might recover in a wrongful death action. See Garcia v. Superior Court, 42

9 Cal. App. 4th 177, 186-87 (Ct. App. 1996) (under California’s wrongful death statutes,

10 “designated surviving relatives or the decedent’s heirs at law can recover pecuniary losses caused

11 by the death, including pecuniary support the decedent would have provided them”). And the

12 other two categories of damages—for “funeral expenses” and “loss of companionship”—certainly

13 would not arise in a survival action, since they are not injuries or expenses Decedent himself

14 suffered before his death. See Quiroz, 140 Cal. App. 4th at 1263-65 (distinguishing wrongful

15 death actions from survivor actions, and noting that the purpose of the California wrongful death

16 statute is “to compensate specified persons—heirs—for the loss of companionship and for other

17 losses suffered as a result of a decedent’s death”). Thus, like the claim in Nelson, plaintiffs’

18 government claim here cannot be construed as presenting both their individual claims and the

19 survivorship claims of Decedent’s estate.

20 Far from strictly applying the GCA to “snare the unwary,” Stockett v. Ass’n of Cal. Water 21 Agencies Joint Powers Ins. Auth., 34 Cal. 4th 441, 446 (2004) (claims statute “should not be

22 applied to snare the unwary where its purpose has been satisfied”), the court reaches this

23 conclusion because the July 2019 government claim did not satisfy the GCA’s purpose: “to

24 provide the public entity sufficient information to enable it to adequately investigate claims and to

25 settle them, if appropriate, without the expense of litigation.” Connelly v. Cty. of Fresno, 146

26 Cal. App. 4th 29, 37-38 (Ct. App. 2006). Plaintiffs’ government claim did not adequately inform 27 the state that plaintiffs contemplated bringing not only a wrongful death action but also a

28 26 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 27 of 47

1 survivorship action on behalf of Decedent’s estate, preventing the state from adequately assessing

2 its settlement options before plaintiffs filed this suit.

3 Plaintiffs argue that they substantially complied with the GCA, and that defendants cannot

4 now challenge the sufficiency of their claim on a ground which the Government Claims Board

5 did not raise itself. (ECF No. 75 at 33.) But neither argument is availing because, as just

6 discussed, no government claim has been filed for Decedent or Decedent’s estate. See Abrego v.

7 City of Los Angeles, No. CV 15-00039-BRO-JEMx, 2016 WL 9450679, at *10 (C.D. Cal.

8 Sept. 23, 2016) (concluding that GCA substantial compliance doctrine could not save

9 survivorship claims where the problem was “not that Plaintiffs’ government forms were

10 defective, but rather that no government claim at all was filed by or on behalf of Decedent’s

11 estate”); Garber v. City of Clovis, 698 F. Supp. 2d 1204, 1217 (E.D. Cal. 2010) (“Only a ‘claim

12 presented’ triggers the [Cal. Gov’t Code § 911] duty to notify the claimant of defects or

13 omissions.” (quoting Page v. MiraCosta Cmty. Coll. Dist., 180 Cal. App. 4th 471, 493 (Ct. App.

14 2009))).

15 Plaintiffs’ failure to demonstrate compliance with the GCA’s claim presentation

16 requirement with respect to their survivorship claims subjects these causes of action to dismissal

17 for failure to state a claim. State v. Superior Court (Bodde), 32 Cal. 4th 1234, 1243 (2004).

18 a. Leave to Amend Certain Claims

19 The survivorship claims against most of the public employee defendants named in the

20 Eighth, Tenth, Eleventh, and Twelfth Causes of Action should be dismissed with prejudice 21 because the time for filing a claim on behalf of Decedent or Decedent’s estate with respect to the

22 conduct underlying those claims has lapsed—except, as will be discussed, conduct related to the

23 newly discovered endoscopy.

24 As mentioned at the outset, the GCA requires personal injury claims to be filed with the

25 Board “not later than six months after the accrual of the cause of action.” Cal. Gov’t Code

26 § 911.2. The general rule is that a cause of action accrues when it is “complete with all of its 27 elements.” Norgart v. Upjohn Co., 21 Cal. 4th 383, 397 (1999). January 21, 2019, the date of

28 Decedent’s death, is the latest potential accrual date for the state law survivorship claims for 27 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 28 of 47

1 negligent supervision and training (Eighth Cause of Action), negligence (Tenth Cause of Action),

2 failure to summon medical care (Eleventh Cause of Action), and Bane Act violations (Twelfth

3 Cause of Action)—again, except as to those claims against the endoscopy defendants for reasons

4 yet to be discussed. Because no claim on behalf of Decedent or Decedent’s estate was presented

5 to the Board within 6 months of that date, plaintiffs would have to resort to the GCA’s various

6 provisions for filing a late claim or being excused from claim filing.

7 Review of these provisions, however, reveals that none would apply to plaintiffs’ present

8 circumstance. Claim amendment would be of no use because amendment must occur before the

9 expiration of § 911.2’s six-month deadline. See Cal. Gov’t Code § 910.6 (governing claim

10 amendment). The time to apply for leave to present a late claim has long passed. See Cal. Gov’t

11 Code § 911.4(b) (requiring late-claim application to be filed “within a reasonable time not to

12 exceed one year after the accrual of the cause of action,” subject to inapplicable provisions for not

13 counting certain periods). And, for the same reason, the time for seeking judicial relief from the

14 claim presentation requirement has run, too. See Cal. Gov’t Code § 946.6 (permitting courts to

15 relieve a petitioner from claim presentation in certain specific situations, if a late-claim

16 application was made within a reasonable time not to exceed that specified in § 911.4(b), i.e.,

17 within one year of accrual); Munoz v. State of California, 33 Cal. App. 4th 1767, 1779 (1995)

18 (“Filing a late-claim application within one year after the accrual of a cause of action is a

19 jurisdictional prerequisite to a claim-relief petition. When the underlying application to file a late

20 claim is filed more than one year after the accrual of the cause of action, the court is without 21 jurisdiction to grant relief under Government Code section 946.6.”). Thus, the court can see no

22 way for plaintiffs to overcome the GCA bar with respect to these claims.

23 Accordingly, the claims against all defendants—except the four endoscopy defendants

24 discussed next—set forth in the Eighth, Tenth, Eleventh, and Twelfth Causes of Action should be

25 dismissed without leave to amend. Telesaurus VPC, LLC v. Power, 623 F.3d 998, 1003 (9th Cir.

26 2010) (“A district court may deny a plaintiff leave to amend if it determines that allegation of 27 other facts consistent with the challenged pleading could not possibly cure the deficiency . . . .”).

28 //// 28 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 29 of 47

1 With respect to the claims against the defendants involved in the endoscopy—asserted as

2 part of the Eighth, Tenth, Twelfth, Fourteenth, and Fifteenth Causes of Action—plaintiffs argue

3 in their opposition that on September 4, 2020, they submitted a new government claim describing

4 the endoscopy after discovering evidence of that procedure on or around May 26, 2020. (ECF

5 No. 75 at 35-36.) Initially, asserting this argument in opposition briefing cannot cure the SAC’s

6 failure to allege an essential element of their survivorship causes of action against the public

7 employees, i.e., adequate presentation of the estate’s claims. But, even assuming the truth of this

8 argument, filing a new government claim after filing the SAC on July 16, 2020 still would not

9 serve the purpose of claim presentation, as the state still had no pre-suit opportunity to consider

10 the claims related to the endoscopy. See Bodde, 32 Cal. 4th at 1239 (“[F]ailure to timely present

11 a claim for money or damages to a public entity bars a plaintiff from filing a lawsuit against that

12 entity.”). Nevertheless, it appears that plaintiffs could in a subsequent amended complaint allege

13 timely presentation of a government claim by Decedent’s estate as to the conduct surrounding the

14 endoscopy because of their delayed discovery of those related causes of action.18 Therefore, the

15 causes of action arising from the endoscopy are dismissed with leave to amend.

16 Accordingly, the SAC’s Eighth Cause of Action should be dismissed with prejudice as to

17 all defendants named therein, except Dr. C. Smith, against whom the claims are dismissed with

19 18 Under California law, the “discovery rule” is the “most important” exception to the general rule that a cause of action accrues when it is complete. Norgart, 21 Cal. 4th at 397. The discovery 20 rule “postpones accrual of a cause of action until the plaintiff discovers, or has reason to discover, the cause of action.” Id. Taking plaintiffs at their word that they only discovered the occurrence 21 of the “fraudulent endoscopy” on or around May 26, 2020 after receiving discovery materials 22 from defendants, it appears that a government claim filed on September 4, 2020 would fall well within the GCA’s 6-month window for claim filing. See Cal. Gov’t Code § 911.2 (requiring 23 claim presentation within 6 months of the “accrual of the cause of action”); Garber v. City of Clovis, 698 F. Supp. 2d 1204, 1212 (E.D. Cal. 2010) (discussing Norgart in determining date of 24 accrual of cause of action under GCA). The undersigned expresses no opinion on the sufficiency of any state law claims plaintiffs 25 may choose to pursue against the endoscopy defendants in a Third Amended Complaint. The 26 court merely observes that amendment of the causes of action against these four defendants would not necessarily be futile under the GCA. See City of Stockton v. Superior Court, 42 Cal. 27 4th 730, 747-48 (2007) (modifying judgment of dismissal to provide opportunity to amend complaint to meet defendants’ GCA defense where complaint did not “on its face foreclose any 28 reasonable possibility of amendment”). 29 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 30 of 47

1 leave to amend. The SAC’s Tenth Cause of Action should be dismissed with prejudice as to all

2 defendants named therein, except Drs. Ashe, Rudas, and C. Smith; the claims against these three

3 defendants are dismissed with leave to amend.19 The SAC’s Eleventh Cause of Action should be

4 dismissed in its entirety with prejudice. The SAC’s Twelfth Cause of Action should be dismissed

5 with prejudice as to all defendants named therein, except Drs. Ashe, Rudas, and C. Smith; the

6 claims against these three defendants are dismissed with leave to amend. And the claims in the

7 SAC’s Fourteenth and Fifteenth Causes of Action against Drs. Ashe, Rudas, and C. Smith are

8 dismissed with leave to amend.

9 Based on this resolution, the court does not address the motion to dismiss plaintiffs’

10 prayers for punitive damages against the state health care provider defendants in these counts.

11 However, should plaintiffs reassert the Eighth, Tenth, Twelfth, Fourteenth, or Fifteenth Causes of

12 Action against the endoscopy defendants in a subsequent amended complaint, any prayer for

13 punitive damages therein will be subject to California Civil Procedure Code § 425.13 (see Section

14 I.2, infra).

15 2. Personal Causes of Action Against Government Officials 16 The SAC’s Ninth and Sixteenth Causes of Action assert plaintiffs’ personal state law

17 claims for wrongful death and negligent infliction of emotional distress. (ECF No. 44 at 56-57,

18 63-64.)

19 a. Negligent Infliction of Emotional Distress (“NIED”)

20 The Sixteenth Cause of Action names only Sergeant Brunkhorst, asserting that he 21 negligently reported to the Coroner “a false history that [Decedent] had [a] history of drug

22 smuggling,” which foreseeably caused plaintiffs severe emotional distress.” (Id. at 63-64.)

23 Defendant Brunkhorst argues this cause of action should be dismissed for failure to state a claim

24 because plaintiffs have not alleged that he owed them a duty of care. (ECF No. 63.1 at 34-36.)

25 See Potter v. Firestone Tire & Rubber Co., 6 Cal. 4th 965, 984 (1993) (in California, there is no

26 19 27 The court will separately address the sufficiency of these claims as to Dr. DeNigris, the only endoscopy defendant who was not a public employee during the relevant period, and thus has not 28 moved to dismiss based on the GCA. 30 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 31 of 47

1 independent tort of NIED, just the general tort of negligence “a cause of action in which a duty to

2 the plaintiff is an essential element”). Plaintiffs have not responded to this argument in their

3 opposition, so the court considers it conceded that Brunkhorst owed plaintiffs no legal duty

4 concerning their emotional condition or otherwise. See Greenawalt v. Ricketts, 943 F.2d 1020,

5 1027 (9th Cir. 1991) (party conceded issue by failing to respond to it in answering brief on

6 appeal). Because the court can envision no circumstance in which Sergeant Brunkhorst might

7 plausibly owe plaintiffs such a duty, the Sixteenth Cause of Action for NIED should be dismissed

8 with prejudice for failure to state a claim.

9 b. Wrongful Death

10 The SAC’s Ninth Cause of Action asserts wrongful-death claims under Cal. Code Civ.

11 Proc. § 377.60 et seq. against all defendants except the CDCR and Sergeant Brunkhorst. (ECF

12 No. 44 at 56.) A subset of the CDCR defendants move to dismiss this cause of action based on

13 various theories which the court will address in turn.

14 First, defendants argue that the SAC fails to plead the elements of a wrongful-death claim

15 against (i) Officer Bradley; (ii) CDCR officials Ceballos and Leidner; and (iii) Drs. Ashe, Rudas,

16 and C. Smith. California Code of Civil Procedure § 377.60 gives plaintiffs like Decedent’s

17 parents standing to bring “[a] cause of action for the death of a person caused by the wrongful act

18 or neglect of another.” Thus, “[t]he elements of the cause of action for wrongful death are the tort

19 (negligence or other wrongful act), the resulting death, and the damages, consisting of the

20 pecuniary loss suffered by the heirs.” Quiroz v. Seventh Ave. Ctr., 140 Cal. App. 4th 1256, 21 1263-64 (Ct. App. 2006). The elements of the tort of negligence are “a legal duty to use due care,

22 a breach of such legal duty, and the breach as the proximate or legal cause of the resulting

23 injury.” Vasilenko v. Grace Family Church, 3 Cal. 5th 1077, 1083 (2017).

24 The same causation element is missing from the SAC’s wrongful-death claims against

25 each of these sets of defendants. As to Officer Bradley, just as with the deliberate indifference

26 claim against him, plaintiffs have failed to plead how his allegedly wrongful act (the failure to 27 remove a cell window obstruction) caused Decedent’s death which seems to have occurred hours

28 earlier. As to defendants Ceballos and Leidner, the SAC’s only allegations directed to them 31 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 32 of 47

1 assert that these two CDCR officials changed the requirement that EOP patients like Decedent

2 receive psychiatric evaluations every 30 days, extending it up to 60 days between visits. (ECF

3 No. 44 at 16-18, 21.) According to plaintiffs, this “change was in effect from December 2016 to

4 April 2017.” (Id. at 16.) Again, plaintiffs fail to show the causal connection between this brief

5 policy change and Decedent’s death almost two years later. Although plaintiffs assert that

6 Decedent continually did not receive frequent enough psychiatric visits, which led to his

7 worsening mental state, there is no allegation that defendants Ceballos and Leidner caused a

8 decrease in the frequency of Decedent’s visits past April 2017. And as to Drs. Ashe, Rudas, and

9 C. Smith, although the Ninth Cause of Action does not specify their particular wrongful conduct,

10 the court infers that plaintiffs include them in this count due to their involvement in Decedent’s

11 May 2018 endoscopy. Plaintiffs only directly allege that the false diagnosis of end stage liver

12 disease and the performance of the endoscopy increased Decedent’s suffering and worsened his

13 mental state, not that they caused his death some six months later. Accordingly, the wrongful-

14 death claims against defendants Ashe, Bradley, Ceballos, Leidner, Rudas, and C. Smith are

15 dismissed with leave to amend.

16 Second, the CDCR defendants urge dismissal of the wrongful-death claims (and the other

17 state law claims) against defendants Diaz, Gipson, Kernan, Tebrock, and Toche—who are all

18 publicly appointed officials—under California Government Code section 951. Section 951

19 provides: “[A]ny complaint for damages in any civil action brought against a publicly elected or

20 appointed state or local officer, in his or her individual capacity . . . shall allege with particularity 21 sufficient material facts to establish the individual liability of the publicly elected or appointed

22 state or local officer.” Cal. Gov’t Code § 951. As defendants point out, the only allegations

23 about CDCR Secretary Scott Kernan, CDCR Acting Secretary Ralph Diaz, CDCR Director of

24 Adult Institutions Connie Gipson, and CDCR Undersecretary of Health Care Services Diana

25 Toche appear in the Parties identification section of the SAC. (ECF No. 44 at 4-5.) Plaintiffs

26 generally recite each of these defendants’ supervisory responsibilities for setting and enforcing 27 CDCR policies and ensuring adequate provision of mental health care to inmates. (Id. at 4-5.)

28 And the only additional allegations against CDCR Deputy Director of SMHP Katherine Tebrock 32 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 33 of 47

1 are that she “knowingly presented fraudulent data” regarding psychiatrist staffing levels to the

2 court in March 2017. (Id. at 7, 17-18, 39.) These allegations do not satisfy § 951’s requirement

3 to plead “with particularity” facts showing that these defendants are liable for Decedent’s January

4 2019 death. Plaintiffs must do more than simply assert that these defendants held leadership roles

5 during the time that Decedent received less than the constitutional standard of medical care.

6 Accordingly, these claims are dismissed with leave to amend.

7 Third, the CDCR defendants argue that California Government Code section 820.8 bars

8 the wrongful-death claims against both the above publicly appointed defendants and the

9 following supervisory defendants: Adams, Brizendine, Brockenborough, Heatley, Ponciano,

10 Rekart. (ECF Nos. 63.1 at 32, 68.) The same argument applies to supervisory defendants Kuich

11 and Lizarraga, who join the motion. (ECF No. 65.)

12 Section 820.8 states in relevant part: “Except as otherwise provided by statute, a public

13 employee is not liable for an injury caused by the act or omission of another person.” Cal. Gov’t

14 Code § 820.8. Section 820.8 essentially immunizes public employees from vicarious liability.

15 Weaver By and Through Weaver v. State of California, 63 Cal. App. 4th 188, 203 (1998). It does

16 not apply where a plaintiff seeks to hold a defendant “personally liable for his conduct as a

17 supervisor.” Johnson v. Baca, No. CV 13-04496 MMM (AJWx), 2014 WL 12588641, at *17

18 (C.D. Cal. Mar. 3, 2014); see also Doe v. Regents of Univ. of Cal., No. CIV. S-06-1043

19 LKK/DAD, 2006 WL 2506670, at *5 (E.D. Cal. Aug. 29, 2006) (denying motion to dismiss

20 based on § 820.8 when liability was premised on defendant supervisor’s direct actions). 21 Taking the SAC as a whole, it does not seem that plaintiffs seek to hold any of these

22 supervisors liable for Decedent’s wrongful death simply because they supervised others whose

23 actions harmed him. But given the dearth of factual allegations explaining each of these

24 individuals’ personal involvement in the circumstances surrounding plaintiff’s care and treatment,

25 that is the distinct impression one gets. Again, in the Parties identification section, plaintiffs

26 allege several of these supervisors’ general oversight responsibilities, but most of these 27 individuals’ names never appear again in the SAC—or, if they do, it is only in passing. (See ECF

28 No. 44 at 6-8.) For instance, the only allegations the court can identify for Dr. Jacob Adams, who 33 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 34 of 47

1 was a Senior Psychiatrist Specialist on the CDCR Mental Health Quality team, is that Adams was

2 responsible for “overseeing the psychiatric care of inmate patients at MCSP” and discussed

3 Decedent’s care with Decedent’s brother once in June 2017. (Id. at 6-7, 24.) Because the SAC

4 describes no other conduct by Dr. Adams, it looks to the court like plaintiffs’ theory of liability

5 must rest on Adams’ mere status as a supervisor of other psychiatrists whose actions are

6 described in the SAC. Section 820.8 forbids this. The same issue plagues the other supervisory

7 defendants as well.

8 Based on the current pleadings, the Ninth Cause of Action are dismissed against

9 defendants Adams, Brizendine, Brockenborough, Heatley, Kuich, Lizarraga, Ponciano, and

10 Rekart. But plaintiffs are granted leave to amend the SAC to address this deficiency.20

11 H. State Law Claims Against Dr. DeNigris 12 The SAC’s Ninth, Tenth, Twelfth, Fourteenth, and Fifteenth Causes of Action assert state

13 law personal and survivorship claims against Dr. DeNigris which are not subject to the

14 Government Claims Act because Dr. DeNigris is a private doctor, not a public employee.

15 Dr. DeNigris moves to dismiss only the Twelfth, Fourteenth, and Fifteenth Causes of Action

16 which assert violations of the Bane Act, medical battery, and assault based on the allegedly

17 unnecessary endoscopy. (ECF Nos. 64, 64.1 at 7-9.)

18 1. Bane Act Violation 19 The SAC’s Twelfth Cause of Action includes a survivorship claim against Dr. DeNigris

20 for violating California Civil Code section 52.1 (“the Bane Act”), which imposes liability on a 21 person who “interferes by threat, intimidation, or coercion, or attempts to interfere by threat,

22 intimidation, or coercion, with the exercise” of an individual’s constitutional rights. Cal. Civ.

23 Code § 52.1(b). Plaintiffs allege that Dr. DeNigris and the three other state doctors “coerced

24 [Decedent] into a fraudulent procedure” by giving Decedent a false diagnosis of liver disease and

26 20 27 The same deficiency also exists with respect to the other state law causes of action, which the court does not discuss substantively because they are currently barred by the Government Claims 28 Act. 34 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 35 of 47

1 claiming he “risked death from bleeding into his throat” if he refused the procedure. (ECF No. 44

2 at 59-60.)

3 The allegations in the SAC do not support the conclusory statement that Dr. DeNigris

4 coerced Decedent into undergoing the endoscopy. A plaintiff bringing a claim under the Bane

5 Act “must show (1) intentional interference or attempted interference with a state or federal

6 constitutional or legal right, and (2) the interference or attempted interference was by threats,

7 intimidation or coercion.” Allen v. City of Sacramento, 234 Cal. App. 4th 41, 67 (Ct. App.

8 2015), modified on denial of reh’g (Mar. 6, 2015). Plaintiffs simply have not pleaded facts that

9 make it plausible that Dr. DeNigris coerced Decedent. According to the SAC, Dr. DeNigris saw

10 Decedent on one occasion to perform the endoscopy, after plaintiff had been informed of and

11 agreed to the procedure. (ECF No. 44 at 40.) There is no suggestion that at that appointment

12 Dr. DeNigris threatened, intimidated, or coerced Decedent. Therefore, the Twelfth Cause of

13 Action against Dr. DeNigris should be dismissed. Plaintiffs are granted leave to amend this claim

14 against Dr. DeNigris, however, in case they can supplement the pleadings as to Dr. DeNigris’s

15 coercive actions.

16 2. Medical Battery and Assault 17 The SAC’s Fourteenth and Fifteenth Causes of Action include survivorship claims against

18 Dr. DeNigris for medical battery and assault. (ECF No. 44 at 62-63.) Plaintiffs allege that

19 Decedent’s consent to the May 4, 2018 endoscopy was “based on fraud and invalid,” and that

20 Dr. DeNigris performed the endoscopy despite knowing that Decedent did not need it, in order to 21 generate medical fees. (Id. at 39-40, 62-63.)

22 Under California law, civil assault is a demonstration of intent to inflict immediate injury

23 on the person of another then present and is based on an invasion of a person’s right to live

24 without being put in fear of personal harm. See Lowry v. Standard Oil Co. of Cal., 63 Cal.

25 App. 2d 1, 6-7 (1944); Cal. Civil Code § 43 (general personal rights). A classic example of an

26 assault is the pointing of a gun at another in a threatening manner. See Lowry, 63 Cal. App. 2d 27 at 7. The SAC’s allegations are insufficient to establish the tort of assault because plaintiffs have

28 not alleged any action by Dr. DeNigris that placed Decedent in fear of immediate bodily injury. 35 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 36 of 47

1 Plaintiffs state that Decedent only consented to the procedure because he was told his alternative

2 was “potentially dying from bleeding into his throat.” (ECF No. 44 at 63.) But that is far from

3 alleging that, for instance, Dr. DeNigris put Decedent in fear that Dr. DeNigris was about to cause

4 Decedent’s throat to bleed. The SAC’s Fifteenth Cause of Action against Dr. DeNigris is thus

5 subject to dismissal. Plaintiffs are granted leave to amend this claim, in case they can assert

6 additional facts from the endoscopy appointment that would show some conduct by Dr. DeNigris

7 that made Decedent fear for his personal safety.

8 The court reaches the same conclusion for the Fourteenth Cause of Action for battery. In

9 California, “battery is any intentional, unlawful and harmful contact by one person with the

10 person of another.” Ashcraft v. King, 228 Cal. App. 3d 604, 611 (Ct. App. 1991). In the medical

11 context, battery “occurs when a doctor performs a procedure without obtaining any consent.”

12 Saxena v. Goffney, 159 Cal. App. 4th 316, 324 (Ct. App. 2008). In his motion to dismiss,

13 Dr. DeNigris relies on the California Supreme Court case Cobbs v. Grant, which holds that

14 “[w]here a doctor obtains consent of the patient to perform one type of treatment and

15 subsequently performs a substantially different treatment for which consent was not obtained,

16 there is a clear case of battery.” 8 Cal. 3d 229, 239 (1972). Dr. DeNigris argues that the SAC

17 contains no facts showing that he knew Decedent did not need the endoscopy, nor does it allege

18 that the procedure he performed was substantially different from the one to which Decedent

19 consented. (ECF No. 64.1 at 9.) Plaintiffs counter that because Decedent’s consent was

20 fraudulently induced, there was no valid consent to the endoscopy. (ECF No. 75 at 39-40.) 21 The court is only partially persuaded by Dr. DeNigris’ arguments. Initially, “battery

22 requires no showing of ‘scienter’ or any intent to do wrong—only an intent to cause the harmful

23 unconsented touching,” in this case the endoscopy. Freedman v. Superior Court, 214 Cal. App.

24 3d 734, 739-40, (1989) (citing Rest. 2d Torts (1965) § 13). So Dr. DeNigris’ knowledge of the

25 procedure’s necessity or unnecessity might seem to be irrelevant. But here the question of

26 whether plaintiffs have adequately pleaded lack of consent turns on such knowledge. 27 “The element of lack of consent to the particular contact is an essential element of

28 battery.” Rains v. Superior Court, 150 Cal. App. 3d 933, 938 (1984). Dr. DeNigris argues 36 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 37 of 47

1 essentially that because plaintiff consented to an endoscopy, and an endoscopy is what he got,

2 there can be no battery. This is an overly simplistic view of consent, as shown by the cases

3 plaintiffs cite. California case law is clear that a doctor’s fraudulent misrepresentations about the

4 therapeutic nature of a proposed procedure can vitiate a patient’s consent. Rains, 150 Cal. App.

5 3d at 936-42 (psychiatric patients agreed to beat each other up after defendants fraudulently

6 represented to them this “sluggo therapy” would have a therapeutic benefit). As the court

7 observed in Rains, “[i]f a physician, for the sole secret purpose of generating a fee, intentionally

8 misrepresented to a patient that an unneeded operation was necessary, it is beyond question that

9 the consent so obtained would be legally ineffective.” Id. at 941. That is precisely the scenario

10 presented in the SAC: that, in an attempt to generate medical fees, prison doctors told Decedent

11 he required an endoscopy as part of the treatment for his supposed end stage liver disease, when

12 in fact (according to plaintiffs) he had no signs of liver disease and there was no therapeutic

13 purpose for the endoscopy. (ECF No. 44 at 34-35, 39-40.) These allegations place plaintiffs’

14 battery claim on par with the battery claim accepted as sufficient to defeat a motion to dismiss in

15 Rains because the “therapeutic versus nontherapeutic purpose” of the objectionable procedure

16 “goes to the ‘essential character of the act itself’ and thus vitiates consent obtained by fraud as to

17 that character.” 150 Cal. App. 3d at 941 (quoting Prosser on Torts (4th ed. 1971) § 18).

18 But there remains a critical flaw in the SAC’s pleadings on this point, nonetheless. For

19 the same reason that the court concluded plaintiffs have failed to allege deliberate indifference by

20 Dr. DeNigris and the three prison doctors in recommending and performing the endoscopy, 21 plaintiffs have failed to assert facts supporting their theory that defendants’ actions were based on

22 fraud. As to Dr. DeNigris, specifically—the only doctor not subject to the current Government

23 Claims Act bar—the SAC includes no allegation plausibly suggesting that he knew there was no

24 medical purpose for the endoscopy, or that he performed the procedure purely for financial gain.

25 The only applicable allegations are that a more thorough review of Decedent’s medical file would

26 have shown that Decedent had no history of cirrhosis, making an endoscopy unnecessary, and 27 that Dr. DeNigris later assigned an incorrect billing code for the procedure. (ECF No. 44

28 at 39-40.) This is not enough to support plaintiffs’ position that “fraud is the most likely 37 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 38 of 47

1 conclusion” and that Dr. DeNigris therefore performed the endoscopy without Decedent’s

2 consent.

3 Accordingly, the Fourteenth Cause of Action against Dr. DeNigris is also subject to

4 dismissal. Plaintiffs are granted leave to amend this claim to assert additional facts showing that

5 Decedent’s consent to the endoscopy was based on fraudulent misrepresentations. The court

6 notes that Dr. DeNigris has not challenged plaintiffs’ Tenth Cause of Action against him for

7 negligence, recovery for which does not require showing a lack of consent based on fraud.

8 I. Requests for Punitive Damages 9 Finally, the moving defendants challenge plaintiffs’ requests for punitive damages in

10 certain of their state law causes of action. (ECF Nos. 63, 64.) Based on the court’s current

11 resolution of the above causes of action, only two of the challenged punitive damages requests

12 require addressing: (1) those sought in the Ninth Cause of Action for wrongful death, where

13 undismissed claims remain against ten defendants, and (2) those sought in the Tenth Cause of

14 Action for negligence where only the claims against Dr. DeNigris remain active.

15 1. Punitive Damages for Wrongful Death Claims Are Barred 16 Punitive damages are not recoverable for the Ninth Cause of Action for Decedent’s

17 wrongful death. (See ECF No. 44 at 57.) In California, punitive damages may only be recovered

18 for wrongful death against a person convicted of a felony homicide in the decedent’s death. Cal.

19 Civ. Code § 3294(d). Other than that statutory exception, punitive damages are not recoverable

20 in a wrongful death action. Tarasoff v. Regents of the Univ. of Calif., 17 Cal. 3d 425, 450 (1976). 21 Because no defendant in this case has been convicted of a felony homicide, punitive damages are

22 not recoverable for Decedent’s wrongful death. Plaintiffs do not argue otherwise. Therefore, the

23 motion to dismiss plaintiffs’ wrongful-death punitive damages claims against the moving

24 defendants should be granted and the claims dismissed with prejudice.

25 2. Punitive Damages for Negligence Claim Against Dr. DeNigris 26 Dr. DeNigris seeks to dismiss plaintiffs’ claims for punitive damages arising from the 27 Tenth Cause of Action against him for medical negligence, on the ground that plaintiffs have not

28 complied with California Civil Procedure Code § 425.13, a state court rule requiring plaintiffs to 38 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 39 of 47

1 obtain leave of court to seek punitive damages from a healthcare provider on a claim for

2 professional negligence. (ECF No. 64.1 at 9-10.)

3 Unlike the CDCR defendants who challenge the punitive damages requests under

4 Rule 12(b)(6), (ECF No. 63 at 3), Dr. DeNigris moves to strike plaintiffs’ prayer for punitive

5 damages under Rule 12(f). (ECF No. 64 at 2.) But the Ninth Circuit has held that “Rule 12(f)

6 does not authorize a district court to strike a claim for damages on the ground that such damages

7 are precluded as a matter of law.” Whittlestone, Inc. v. Handi-Craft Co., 618 F.3d 970, 971,

8 974-75 (9th Cir. 2010). This alone is grounds to deny Dr. DeNigris’ motion to strike. See Fed.

9 R. Civ. Pro. 12(f) (permitting the court to strike from a pleading only “an insufficient defense or

10 any redundant, immaterial, impertinent, or scandalous matter”); Estate of Prasad ex rel. Prasad v.

11 Cty. of Sutter, 958 F. Supp. 2d 1101, 1128 (E.D. Cal. 2013) (denying motion to strike prayer for

12 punitive damages where defendant had not shown Rule 12(f) to be an authorized or proper

13 vehicle for such relief). But, given that plaintiffs have briefed the substance of the punitive

14 damages challenge in their opposition, the undersigned will construe Dr. DeNigris’ motion to

15 strike as a motion to dismiss, as other courts have sometimes done in similar situations. See

16 Rhodes v. Placer Cty., No. 2:09-CV-00489-MCE-KJN, 2011 WL 1302240, at *20 & n.18 (E.D.

17 Cal. Mar. 31, 2011) (collecting cases), report and recommendation adopted, 2011 WL 1739914

18 (E.D. Cal. May 4, 2011).

19 Section 425.13 provides, as relevant:

20 In any action for damages arising out of the professional negligence of a health care provider, no claim for punitive damages shall be 21 included in a complaint or other pleading unless the court enters an order allowing an amended pleading that includes a claim for 22 punitive damages to be filed. 23 Cal. Civ. Proc. Code § 425.13(a). And before the court can permit the punitive damages request

24 the plaintiff must establish a “substantial probability that [she] will prevail on the claim pursuant

25 to Section 3294 of the Civil Code.” Id. Section 3294, in turn, permits recovery of punitive

26 damages for negligence only where there is “clear and convincing evidence that the defendant has 27 been guilty of oppression, fraud, or malice.” Cal. Civ. Code § 3294(a).

28 //// 39 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 40 of 47

1 There is a great jurisdictional split on whether this statute applies in federal court, a

2 question which the Ninth Circuit has not addressed. See Scalia v. Cty. of Kern, 308 F. Supp. 3d

3 1064, 1091 (E.D. Cal. 2018); Gomez v. Madden, No. 16-CV-2316-WQH(WVG), 2020 WL

4 4336094, at *11 (S.D. Cal. July 28, 2020), report and recommendation adopted, 2020 WL

5 5363301 (S.D. Cal. Sept. 8, 2020). Even within this district, courts have drawn different

6 conclusions. Compare Shekarlab v. Cty. of Sacramento, No. 2:18-CV-00047-JAM-EFB, 2018

7 WL 1960819, at *2-4 (E.D. Cal. Apr. 26, 2018) (finding § 425.13 applicable in federal court);

8 Elias v. Navasartian, No. 11:5-CV-01567-LJO-GSA PC, 2017 WL 1013122, at *5 (E.D. Cal. Feb.

9 17, 2017) (collecting Eastern district cases applying § 425.13), report and recommendation

10 adopted, 2017 WL 977793 (E.D. Cal. Mar. 13, 2017), with Scalia, 308 F. Supp. 3d at 1090-91

11 (finding § 425.13 procedural and inapplicable in federal court); Estate of Prasad, 958 F. Supp. 2d

12 at 1119-20 (collecting cases across California district courts and finding § 425.13 inapplicable

13 because of conflict with Fed. R. Civ. P. 8(a)(3)).

14 In resolving state law diversity claims, federal courts apply procedural rules as stated in

15 the Federal Rules of Civil Procedure, but under the Erie exception apply the substantive law of

16 the forum state. Erie R.R. Co. v. Tompkins, 304 U.S. 64, 78 (1938). “Courts applying [§ 425.13]

17 either have found it to be ‘intimately bound’ to state substantive law and therefore a substantive,

18 rather than procedural rule, or have found the plaintiff’s punitive damages claims largely arise

19 under state law and the state law should therefore apply.” Elias, 2017 WL 1013122, at *5

20 (collecting cases). Dr. DeNigris urges the application of § 425.13 to strike plaintiffs’ request for 21 punitive damages against him in the negligence count (ECF Nos. 64.1 at 9-10, 78 at 3-4), while

22 plaintiffs rely on the cases finding § 425.13 inapplicable as a procedural rule (ECF No. 75

23 at 40-42). The undersigned agrees with Dr. DeNigris and those courts applying § 425.13 as a

24 substantive rule that should govern state law claims even when brought in federal court.

25 Section 425.13 does not simply govern the timing or order of requesting punitive damages

26 for medical negligence claims. Instead, it requires a plaintiff to show a “substantial probability” 27 of prevailing on a claim for punitive damages under the heightened standard set forth in

28 California Civil Code § 3294(a). See Cal. Civ. Proc. Code § 425.13(a). Assessing whether such 40 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 41 of 47

1 a showing has been made necessarily requires analyzing the strength of the substance of

2 plaintiffs’ claims of professional negligence. Here, plaintiffs claim that the endoscopy performed

3 by Dr. DeNigris was unnecessary and harmful, and that his actions were “malicious, wanton, and

4 oppressive.” (ECF No. 44 at 58.) An inquiry into the strength of such claims—as required by

5 § 425.13 and § 3294—cannot be done without inquiring into the substantive law of the cause of

6 action, the nature and extent of the endoscopy, and its medical indications.

7 Indeed, § 425.13 was enacted to establish precisely this sort of judicial screening of such

8 claims. Cent. Pathology Serv. Med. Clinic, Inc. v. Super. Ct., 3 Cal. 4th 181, 189 (1992)

9 (“[B]ecause it was concerned that unsubstantiated claims for punitive damages were being

10 included in complaints against health care providers, the [California] Legislature sought to

11 provide additional protection by establishing a pretrial hearing mechanism by which the court

12 would determine whether an action for punitive damages could proceed.”). The § 425.13 inquiry

13 “requires courts to examine the substance of a plaintiff’s claims and block unsubstantiated

14 pursuits of punitive damages early in litigation.” Shekarlab, 2018 WL 1960819, at *4. See Allen

15 v. Woodford, No. 1:05-CV-01104-OWW-LJO, 2006 WL 1748587, at *22 (E.D. Cal. June 26,

16 2006) (granting motion to strike punitive damages and holding that, because § 425.13 is so

17 “intimately bound up” with the substantive law of the underlying state law claims arising from the

18 rendering of professional medical services, it must be applied by federal courts when addressing

19 the issue of punitive damages against medical providers for state law claims); Thomas v.

20 Hickman, No. CV F 06-0215 AWI SMS, 2006 WL 2868967, at *38-41 (E.D. Cal. Oct.6, 2006). 21 The undersigned is not persuaded by the reasoning of other sister district courts that have

22 held § 425.13 “is essentially a method of managing or directing a plaintiff’s pleadings, rather than

23 a determination of substantive rights” and have declined to apply it because “federal courts

24 readily accomplish the purposes contemplated by section 425.13 through their case management

25 procedures.” Jackson v. E. Bay Hosp., 980 F. Supp. 1341, 1352-53 (N.D. Cal. 1997); see Scalia,

26 308 F. Supp. 3d at 1091 (adopting Jackson’s logic and holding that § 425.13 “does not affect the 27 substance of the negligence claim or burden of proof for punitive damages but merely manages

28 the pleadings by dictating how and when a plaintiff may plead the request”). The undersigned 41 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 42 of 47

1 fails to see how “the federal courts’ authority to manage their own calendars obviates the

2 propriety of respecting [the] legislative balancing” achieved through § 425.13. Shekarlab, 2018

3 WL 1960819, at *4.

4 Plaintiffs have neither requested nor obtained an order from the court allowing for

5 recovery of punitive damages. Therefore, the court grants the motion to dismiss plaintiffs’

6 request for punitive damages against defendant DeNigris in the Tenth Cause of Action for

7 medical negligence. The punitive damages claim is dismissed without prejudice, however. If

8 plaintiffs wish to pursue punitive damages from Dr. DeNigris on this count, they will have 30

9 days from the date of the district court’s forthcoming resolution of the enclosed findings and

10 recommendations to file documents attempting to make the “substantial probability” showing

11 required under California Civil Procedure Code § 425.13.

12 J. Leave to Amend 13 If the court finds that a complaint or claim should be dismissed for failure to state a claim,

14 the court has discretion to dismiss with or without leave to amend. Leave to amend should be

15 granted if it appears possible that the defects in the complaint could be corrected, especially if a

16 plaintiff is pro se. Lopez v. Smith, 203 F.3d 1122, 1130-31 (9th Cir. 2000) (en banc); Cato v.

17 United States, 70 F.3d 1103, 1106 (9th Cir. 1995) (“A pro se litigant must be given leave to

18 amend his or her complaint, and some notice of its deficiencies, unless it is absolutely clear that

19 the deficiencies of the complaint could not be cured by amendment.” (citing Noll v. Carlson, 809

20 F.2d 1446, 1448 (9th Cir. 1987))). However, if, after careful consideration, it is clear that a claim 21 cannot be cured by amendment, the Court may dismiss without leave to amend. Cato, 70 F.3d

22 at 1105-06. As discussed above and detailed in the below order, the court dismisses some claims

23 with leave to amend, and recommends dismissing others without leave to amend.

24 Any Third Amended Complaint plaintiffs might choose to file shall be limited to the

25 defendants named and causes of action asserted in the SAC, unless plaintiffs first obtain leave

26 of court. Further, plaintiffs are cautioned that renewed claims against the dismissed defendants 27 that are identical or substantially similar to those contained in their SAC will likely be subject to

28 dismissal without leave to amend. If plaintiffs find that they cannot sufficiently plead a certain 42 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 43 of 47

1 claim against certain defendants, they are instructed to follow Federal Rule of Civil Procedure 41

2 concerning voluntary dismissals of actions without prejudice.

3 Plaintiffs are additionally cautioned that the court cannot refer to a prior complaint or

4 other filing in order to make their amended complaint complete. Local Rule 220 requires that an

5 amended complaint be complete in itself without reference to any prior pleading. As a general

6 rule, an amended complaint supersedes the original complaint, and once an amended complaint is

7 filed, the prior complaint no longer serves any function in the case.

8 Alternatively, should plaintiffs wish to simply proceed on the surviving claims in the

9 SAC, this action would go forward with the following claims, subject to the district court’s

10 adoption of these findings and recommendations:

11 1. Eighth Amendment claims of deliberate indifference against defendants Andaluz,

12 Branman, J. Johnson, R. Johnson, Ramkumar, Robinson, and M. Smith;

13 2. Eighth Amendment claims of deliberate indifference against all supervisors named

14 in the Second and Third Causes of Action;

15 3. Fourteenth Amendment claims of deprivation of familial relations against

16 defendants Adams, Andaluz, Branman, Brizendine, Brockenborough, Ceballos,

17 Diaz, Gipson, Heatley, J. Johnson, R. Johnson, Kernan, Kuich, Leidner, Lizarraga,

18 Ponciano, Ramkumar, Rekart, Robinson, M. Smith, Tebrock, and Toche;

19 4. Wrongful death claims against defendants Andaluz, Asman, Branman, DeNigris,

20 J. Johnson, R. Johnson, Ramkumar, Robinson, M. Smith, and Wanie; and 21 5. A negligence claim against Dr. DeNigris, without punitive damages.

22 If plaintiffs prefer to proceed on these claims, rather than file a Third Amended

23 Complaint, they should so notify the court within thirty (30) days of the date of the District

24 Judge’s forthcoming order regarding the enclosed findings and recommendations.

26 //// 27 ////

28 //// 43 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 44 of 47

1 CONCLUSION

2 For the reasons set forth above, it is HEREBY ORDERED that:

3 1. Defendants’ motions to dismiss (ECF Nos. 63, 64) are GRANTED IN PART and

4 DENIED IN PART:

5 a. The motions to dismiss the First Cause of Action for deliberate indifference by

6 Drs. Ashe, DeNigris, Rudas, and C. Smith arising from their actions related to the

7 May 2018 endoscopy are GRANTED, and those claims are dismissed with leave

8 to amend;

9 b. To the extent defendants Lizarraga and Kuich move for dismissal of the Second,

10 Third, and Fourth Causes of Action against them, their motion is DENIED;

11 c. The motions to dismiss the Fourth Cause of Action for deprivation of familial

12 relations by Drs. Ashe, DeNigris, Rudas, and C. Smith arising from their actions

13 related to the May 2018 endoscopy are GRANTED, and those claims are

14 dismissed with leave to amend;

15 d. The motions to dismiss the Fifth, Sixth, and Seventh Causes of Action for

16 violations of 42 U.S.C. §§ 1985(3) and 1986 are GRANTED, and those claims are

17 dismissed in their entirety, with leave to amend;

18 e. The motion to dismiss the Eighth Cause of Action for negligent supervision by

19 Dr. C. Smith arising from his actions related to the May 2018 endoscopy is

20 GRANTED, and those claims against him are dismissed with leave to amend;

21 f. The motions to dismiss the Ninth Cause of Action for wrongful death by all

22 defendants named therein are GRANTED, and those claims are dismissed in their

23 entirety, with leave to amend;

24 g. The motion to dismiss the Tenth Cause of Action for negligence by Drs. Ashe,

25 Rudas, and C. Smith is GRANTED, and the claims against them are dismissed

26 with leave to amend;

27 ////

28 //// 44 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 45 of 47

1 h. The motions to dismiss the Twelfth Cause of Action for violations of California

2 Civil Code § 52.1 by Drs. Ashe, DeNigris, Rudas, and C. Smith are GRANTED,

3 and the claims against them are dismissed with leave to amend;

4 i. The motion to dismiss the Thirteenth Cause of Action for violations of the

5 Americans with Disabilities Act and the Rehabilitation Act is GRANTED, and

6 those claims are dismissed in their entirety, with leave to amend;

7 j. The motions to dismiss the Fourteenth Cause of Action for medical battery are

8 GRANTED, and all claims are dismissed with leave to amend; and

9 k. The motions to dismiss the Fifteenth Cause of Action for assault are GRANTED,

10 and all claims are dismissed with leave to amend.

11 2. Dr. DeNigris’ motion to strike plaintiffs’ punitive damages claims in the Tenth Cause of

12 Action, construed as a motion to dismiss under Rule 12(b)(6), is GRANTED. Plaintiffs’

13 claims and prayer for punitive damages in the Tenth Cause of Action as against Dr.

14 DeNigris are dismissed without prejudice. If plaintiffs wish to pursue punitive damages

15 from Dr. DeNigris on this count, they will have fifteen (15) days from the date of the

16 District Judge’s forthcoming order regarding the enclosed findings and recommendations

17 to file documents attempting to make the “substantial probability” showing required under

18 California Civil Procedure Code § 425.13.

19 3. Within thirty (30) days of the date of the District Judge’s forthcoming order regarding

20 the enclosed findings and recommendations plaintiffs shall file an amended complaint, 21 which shall be captioned “Third Amended Complaint,” or shall notify the court that they

22 wish to proceed on the non-dismissed causes of action asserted in their Second Amended

23 Complaint.

28 //// 45 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 46 of 47

1 Additionally, IT IS HEREBY RECOMMENDED that:

2 1. Defendants’ motions to dismiss (ECF Nos. 63, 64) be GRANTED IN PART:

3 a. The motion to dismiss the First Cause of Action for deliberate indifference be

4 granted as to defendants Asman, Bradley, and Wanie, and those claims be

5 dismissed with prejudice;

6 b. The motion to dismiss the Fourth Cause of Action for deprivation of familial

7 relations be granted as to defendants Asman, Bradley, and Wanie, and those claims

8 be dismissed with prejudice;

9 c. The motion to dismiss the Eighth Cause of Action for negligent supervision and

10 training be granted as to all defendants named therein except Dr. C. Smith, and

11 those claims be dismissed with prejudice;

12 d. The motion to dismiss the Tenth Cause of Action for negligence be granted as to

13 all moving defendants except Drs. Ashe, Rudas, and C. Smith, and those claims be

14 dismissed with prejudice;

15 e. The motion to dismiss the Eleventh Cause of Action be granted, and the claims be

16 dismissed in their entirety with prejudice;

17 f. The motion to dismiss the Twelfth Cause of Action for violations of California

18 Civil Code § 52.1 be granted as to all defendants named therein except Drs. Ashe,

19 DeNigris, Rudas, and C. Smith, and those claims be dismissed with prejudice;

20 g. The motion to dismiss the Sixteenth Cause of Action for negligent infliction of 21 emotional distress be granted, and the claims be dismissed in their entirety with

22 prejudice; and

23 h. The motion to dismiss plaintiffs’ punitive damages claim in the Ninth Cause of

24 Action for wrongful death be granted, and those claims be dismissed with

25 prejudice.

26 These findings and recommendations are submitted to the United States District Judge 27 assigned to the case, pursuant to the provisions of 28 U.S.C. § 636(b)(l). Within fourteen (14)

28 days after being served with these findings and recommendations, any party may file written 46 Case 2:20-cv-00195-JAM-CKD Document 85 Filed 11/16/20 Page 47 of 47

1 objections with the court and serve a copy on all parties. Such a document should be captioned

2 “Objections to Magistrate Judge’s Findings and Recommendations.” Any reply to the objections

3 shall be served on all parties and filed with the court within fourteen (14) days after service of the

4 objections. The parties are advised that failure to file objections within the specified time may

5 waive the right to appeal the District Court’s order. Turner v. Duncan, 158 F.3d 449, 455 (9th

6 Cir. 1998); Martinez v. Ylst, 951 F.2d 1153, 1156-57 (9th Cir. 1991).

7 Dated: November 13, 2020 _____________________________________ 8 CAROLYN K. DELANEY 9 UNITED STATES MAGISTRATE JUDGE

12 19.schm.195

20 21

26 27

28 47