Saint Francis Memorial Hospital v. State Dept. of Public Health

CourtCalifornia Supreme Court
DecidedJune 29, 2020
DocketS249132
StatusPublished

This text of Saint Francis Memorial Hospital v. State Dept. of Public Health (Saint Francis Memorial Hospital v. State Dept. of Public Health) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Saint Francis Memorial Hospital v. State Dept. of Public Health, (Cal. 2020).

Opinion

IN THE SUPREME COURT OF CALIFORNIA

SAINT FRANCIS MEMORIAL HOSPITAL, Plaintiff and Appellant, v. STATE DEPARTMENT OF PUBLIC HEALTH, Defendant and Respondent.

S249132

First Appellate District, Division One A150545

San Mateo County Superior Court CIV537118

June 29, 2020

Justice Cuéllar authored the opinion of the Court, in which Chief Justice Cantil-Sakauye and Justices Chin, Corrigan, Liu, Kruger, and Groban concurred. SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF PUBLIC HEALTH S249132

Opinion of the Court by Cuéllar, J.

California law permits — but also sets certain limits on — judicial review of adjudicatory decisions made by agencies responsible for implementing public policies on health, natural resources, employment, and other issues. One example is Government Code section 11523,1 which lets parties seek judicial review of an agency’s adjudicatory decision by filing a petition for a writ of administrative mandate “within 30 days after the last day on which reconsideration can be ordered.” Yet lurking in the backdrop for most limitations periods is equitable tolling: a judicially created doctrine allowing courts to toll the statute of limitations when justice so requires. What we must resolve in this case is whether equitable tolling can ever lessen the otherwise strict time limit on the availability of writs of administrative mandate under section 11523, and if so, whether the doctrine applies in this case. The answer to the first question is yes. Section 11523 allows for equitable tolling because nothing in the statute’s language, structure, or legislative history demonstrates a legislatively enacted expectation to prohibit equitable tolling — which

1 All statutory references are to the Government Code unless otherwise noted. SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF PUBLIC HEALTH Opinion of the Court by Cuéllar, J.

otherwise tends to function as a crucial backdrop to statutes of limitations. Close scrutiny of that backdrop also reveals that the first two elements of tolling are satisfied in this case: timely notice and lack of prejudice. Equitable tolling nonetheless also depends on a third element — the reasonable and good faith conduct of the party invoking it — and we cannot from this record glean, nor has the Court of Appeal thoroughly addressed, whether Saint Francis satisfies that element. So we vacate the judgment and remand for the Court of Appeal to determine whether the third element of equitable tolling is satisfied. I. When the State Department of Public Health (the Department) learned that doctors at Saint Francis Memorial Hospital left a surgical sponge in a patient during a 2010 surgery, it imposed a $50,000 fine on the hospital. The Department alleged that Saint Francis had “failed to develop and implement a [sponge] count procedure” and lacked a policy to properly train its staff, as required by California Code of Regulations, title 22, section 70223, subdivision (b)(2). Saint Francis appealed. After a hearing, an administrative law judge (ALJ) issued a proposed decision in Saint Francis’s favor. The ALJ reasoned that the regulations were not “intended to impose a penalty for any adverse occurrence during the provision of surgical services” — they only required Saint Francis to “develop[] and implement[] surgical safety [policies].” Because those policies existed at the time of the incident, Saint Francis wasn’t liable for violating the regulations.

2 SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF PUBLIC HEALTH Opinion of the Court by Cuéllar, J.

On administrative review, however, the Department reversed the ALJ’s proposed decision and upheld the penalty against Saint Francis.2 It reasoned that “the term ‘implement’ informs licensees that they must not only develop and maintain a policy, [but] must actually use the policy.” Saint Francis had failed to put its sponge-count policy into practice — “[h]ad [it] done so, the sponge count would have revealed that a four-inch by eight-inch surgical sponge was still inside the patient” — so the hospital had violated the regulations. The Department served Saint Francis with its decision — which was “effective immediately” — on December 16, 2015.3 Two weeks later, on December 30, 2015, Saint Francis filed a request for reconsideration under section 11521. This section typically allows an agency to order reconsideration of its

2 After an ALJ issues a proposed decision, there is “a second level of decisionmaking in which the [Department] decides whether to adopt the ALJ’s proposed decision.” (Department of Alcoholic Beverage Control v. Alcoholic Beverage Control Appeals Bd. (2006) 40 Cal.4th 1, 5.) If it chooses not to adopt the proposed decision in its entirety, the Department may: reduce or mitigate the penalty but otherwise adopt the decision (§ 11517, subd. (c)(2)(B)), make technical or minor changes to the decision (§ 11517, subd. (c)(2)(C)), reject the proposed decision and refer the matter back to the ALJ (§ 11517, subd. (c)(2)(D)), or reject the proposed decision “and decide the case upon the record, including the transcript, or upon an agreed statement of the parties, with or without taking additional evidence” (§ 11517, subd. (c)(2)(E)). 3 Although the Department issued its final decision on December 15, 2015, the Department conceded in its briefs and at oral argument that the relevant date for the purposes of the statute of limitations is December 16, 2015 — the date the Department served Saint Francis with its final decision.

3 SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF PUBLIC HEALTH Opinion of the Court by Cuéllar, J.

decision within “30 days after the delivery or mailing of a decision to a respondent.” (§ 11521, subd. (a).) According to Saint Francis, the Department had mistakenly placed the burden of proof on the hospital, and by failing to consider evidence introduced by Saint Francis at the administrative hearing. The Department sought to rebut these arguments on the merits in its response, which it filed on January 8, 2016. On January 14, 2016, Saint Francis’s legal counsel wrote to counsel for the Department. Counsel for Saint Francis sought to confirm his understanding that the Department had until “next Tuesday [January 19] to decide the request [for reconsideration].” Saint Francis explained that, if the request for reconsideration was denied, it “intend[ed] to petition for a writ of mandate with the Superior Court.” On January 19, 2016 — which, as the parties later learned, was after the deadline by which Saint Francis should have filed its petition for a writ of administrative mandate — counsel for the Department responded: “I believe you are correct.” The Department’s counsel didn’t mention that section 11523’s 30-day statute of limitations for filing a petition for a writ of administrative mandate had begun running on the effective date of the Department’s decision, December 16, 2015, and expired on January 15, 2016. Instead, counsel for the Department offered to put Saint Francis in touch with the lawyer who would be representing the Department in the superior court proceedings. The Department also denied Saint Francis’s request for reconsideration on January 14, 2016. It explained that because the Department’s decision was “effective immediately,” Saint Francis couldn’t seek reconsideration of the Department’s decision. The Department was thus “unable to consider [Saint

4 SAINT FRANCIS MEMORIAL HOSPITAL v. STATE DEPARTMENT OF PUBLIC HEALTH Opinion of the Court by Cuéllar, J.

Francis’s] Request for Reconsideration[,] which is deemed denied.” On January 26, 2016 — just 11 days after the Department denied Saint Francis’s request for reconsideration, but 41 days after being served with the Department’s final decision — Saint Francis filed a petition for a writ of administrative mandate in superior court.

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Saint Francis Memorial Hospital v. State Dept. of Public Health, Counsel Stack Legal Research, https://law.counselstack.com/opinion/saint-francis-memorial-hospital-v-state-dept-of-public-health-cal-2020.