Ripple v. Delaware Board of Nursing

Superior Court of Delaware·Decided July 27, 2022·No. N21A-05-002 PRW·Published

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

JOHN H. RIPPLE, )

)

Appellant, )

)

v. ) C.A. No. N21A-05-002 PRW )

DELAWARE BOARD OF ) NURSING, )

Appellee. )

Submitted: June 9, 2022

Decided: July 27, 2022

ORDER

Upon Appeal from the Delaware Board of Nursing, AFFIRMED.

This 27th day of July, 2022, upon the parties’ briefs and submissions and the record below, it appears to the Court that:

(1) John H. Ripple appeals the Delaware Board of Nursing’s (the Board)

April 14, 2021 Final Board Order.1 The Board’s Order is a public disciplinary action reprimanding Mr. Ripple for failing to timely report his criminal arrests as required by 24 Del. C. §§ 1922(a)(11) and 1930A.2 Among other things, Mr. Ripple argues

1 Not. of Appeal, Ripple v. Delaware Bd. of Nursing, N21A-05-002 PRW, May 11, 2021 (D.I.

1). 2 Record and Transcript, Tab 1 (“Final Board Order”), Ripple v. Delaware Bd. of Nursing, N21A-05-002 PRW, Sept. 17, 2021 (D.I. 9); see also DEL. CODE ANN. tit. 24, § 1922(a)(11) (2019) (providing that the Board of Nursing may impose disciplinary sanctions for certain offenses by

that the Board abused its discretion in concluding that he failed to timely comply with certain reporting requirements imposed on him as a nursing license holder.3 (2) The Court’s review of the Board’s decision here is governed by statute.

Under Delaware’s Administrative Procedure Act, in Nursing Board action, “[a]ny party against whom a case decision has been decided may appeal such decision to th[is] Court.”4 Upon a timely appeal and a record sufficient for review:

The Court, when factual determinations are at issue, shall take due account of the experience and specialized competence of the agency and of the purposes of the basic law under which the agency has acted.

The Court’s review, in the absence of actual fraud, shall be limited to a determination of whether the agency’s decision was supported by substantial evidence on the record before the agency.5

The Court does not “‘weigh evidence, determine credibility, or make its own factual findings,’ it merely determines if the evidence is legally sufficient to support the agency’s factual findings.”6 And if there is no mistake of law and there is substantial evidence to support the decision, the Board’s decision will be affirmed.7

licensees); DEL. CODE ANN. tit. 24, § 1930A (2019) (prescribing a nursing licensee’s duty to self- report). 3 Not. of Appeal at 2-3.

4 DEL. CODE ANN. tit. 29, § 10142(a) (2022).

5 Id. § 10142(b)-(d).

6 Kearney v. New Roads, 2003 WL 1563722, at *1 (Del. Super. Ct. Mar. 25, 2003) (quoting Johnson v. Chrysler Corp., 213 A.2d 64, 66 (Del. 1965)). 7 Longobardi v. Unemployment Ins. Appeal Bd., 287 A.2d 690, 693 (Del. Super. Ct. 1971), aff’d, 293 A.2d 295 (Del. 1972); Boughton v. Div. of Unemployment Ins. of Dep’t of Labor, 300 A.2d 25, 26-27 (Del. Super. Ct. 1972).

(3) Under 24 Del. C. § 1901, the Delaware Board of Nursing has broad statutory powers over the “the general administration and supervision of the education, examination, licensing and regulation of professional and practical nursing.”8 The Board is also responsible for imposing disciplinary action upon a determination that a licensee has violated one or more of the enumerated statutory or regulatory offenses.9 Relatedly, a licensee has a statutory duty to self-report to the Board any criminal indictment, arrest, conviction, and/or guilty plea within thirty (30) days of such event.10 Failure to do so constitutes grounds for discipline.11 (4) Mr. Ripple has been a Delaware Board-licensed registered nurse since 2016.12 As a result of his 2019 criminal arrest and failure to timely report the same under 24 Del. C. § 1922(a)(11), the Board imposed the sanctions he now appeals here.

MR. RIPPLE’S CRIMINAL ARREST AND CHARGES (5) On April 24, 2019, Mr. Ripple was arrested in connection with discharging a firearm in a residential area.13 Upset over domestic-related stresses

8 DEL. CODE ANN. tit. 24, § 1901 (2022) (Declaration of legislative intent).

9 Id. § 1922(a).

10 Id. § 1930A.

11 Id. § 1930A(c).

12 Record and Transcript, Tab 4, Licensure Hearing Tr. at 44 (hereafter “Hr’g Tr.”).

13 Id., Tab 5, State’s Exs. 1-2 (Arrest Record and Police Reports).

and child visitation efforts, Mr. Ripple sought comfort from a co-worker and friend.14 It was during this exchange that Mr. Ripple communicated suicidal ideations, aimed a rifle at his mouth, and ultimately fired the weapon at the ground.15 Police arrived soon thereafter but Mr. Ripple had already taken off with the weapon and spent the rest of the night “crawling though creeks” to avoid police detection.16 He was taken into police custody the following morning and transported to the Veterans Affairs (VA) Hospital for treatment.17 (6) Mr. Ripple was charged with one count each of “Breach of Release”

and “Discharging a Firearm in the Area of an Occupied Dwelling.”18 After being charged, Mr. Ripple submitted to extensive voluntary therapy and psychological treatment for his post-traumatic stress disorder (PTSD) diagnosis.19 In July of 2019, Mr. Ripple entered into a diversion program via this Court’s Veterans Treatment

14 Id. at 169-71.

15 Id. at 176-79, 181-88.

16 Id. at 238.

17 Id. at 303-07.

18 Record and Transcript, Tab 5, State’s Ex. 4.

19 Id., Tab 3, Chief Hearing Officer Recommendation at 28 (hereafter “Hr’g Officer Rec.”); see also id., Tab 4, Hr’g Tr. at 20-21, 307-10.

Court.20 Mr. Ripple successfully completed the program and ultimately the two criminal charges against him were dismissed.21

DISCIPLINARY ACTION FOR

FAILING TO REPORT CRIMINAL CHARGES

(7) In August of 2019, Mr. Ripple sought direct assistance from the Board with his nursing license renewal because his independent, online attempts resulted in an “automatic hold” on his application.22 He was informed that because he affirmatively answered that he had picked up criminal charges since his last renewal, the online renewal platform placed his application on hold until he submitted copies of his criminal history record.23 Mr. Ripple thereafter submitted a copy of a state- conducted criminal background check and the hold on his license renewal was released.24 (8) In both April and August of 2019, an investigator with the Delaware Division of Professional Regulation (DPR) received notice of Mr. Ripple’s arrest

20 See id., Tab 5, State’s Ex. 3 (Veteran’s Treatment Court Agreement); see also State v. John H. Ripple, Crim. ID. Nos. 1904014759, 1904014583 (Del. Super. Ct.). 21 Dismissal Order, State v. John H. Ripple, Crim. ID. Nos. 1904014759, 1904014583 (Del. Super. Ct. Mar. 6, 2020) (D.I. 6); see also Record & Transcript, Tab 5, State’s Ex. 6. 22 Hr’g Tr. at 73-82.

23 Id. at 85-86. The license renewal form requires a licensee to confirm: (i) his understanding of the mandatory duty to self-report any criminal arrests or charges within 30-days; (ii) that he has read the Delaware Nurse Practice Act, including § 1930A’s duty-to-report section; and, (iii) that he has read and understood the Board’s Rules and Regulations and his duty to self-report. Id. at 76. Mr. Ripple indicated “yes” in response to all these attestations in his license renewal form. Id. 24 Id. at 98-100.

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