Smith v. Santa Cruz County

District Court, N.D. California·Decided December 1, 2023·No. 5:21-cv-00421·Unknown

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 SAN JOSE DIVISION 7 8 TAMARIO SMITH, et al., Case No. 5:21-cv-00421-EJD

9 Plaintiffs, ORDER GRANTING IN PART AND DENYING IN PART MOTION TO 10 v. DISMISS AND STRIKE

11 SANTA CRUZ COUNTY, et al., Re: Dkt. No. 133 Defendants. 12

13 Plaintiff, Tamario Smith (“Smith”), through his Co-Successors-in-Interest Felicia Smith 14 and Michael Warren-Smith (collectively “Plaintiffs”), brought this action against Defendants 15 County of Santa Cruz, James Hart, Wellpath, LLC, Gerald Lazar (“Lazar”), and Does 4–50 16 (collectively “Defendants”) alleging various Section 1983 claims and related state law claims 17 arising from Smith’s death while in pre-trial custody at the Santa Cruz County jail. Fourth Am. 18 Comp. (“FAC”), ECF No. 130. Defendant Lazar individually filed the present motion to dismiss 19 and strike on June 30, 2023. Def. Lazar’s Mot. to Dismiss and Strike (“Mot. Dismiss and Strike”), 20 ECF No. 133. Plaintiffs filed an opposition, and Lazar filed a reply. Pls.’ Opp’n to Mot. Dismiss 21 and Strike (“Opp’n”), ECF No. 137; Def.’s Reply in Support of Mot. Dismiss and Strike 22 (“Reply”), ECF No. 138. 23 Having carefully reviewed the relevant documents, the Court finds this matter suitable for 24 decision without oral argument pursuant to Civil Local Rule 7-1(b). For the reasons stated below, 25 the Court DENIES IN PART and GRANTS IN PART Lazar’s motion to dismiss and strike. 26 27 I. BACKGROUND 1 A. Factual Background 2 This case arises from the death of pre-trial detainee Tamario Smith (“Smith”) at the Santa 3 Cruz County jail. 4 While Plaintiffs brought this action against numerous defendants, the Court will only 5 address facts related to Defendant Lazar’s individual liability for the purposes of this Order. Lazar 6 was the Santa Cruz County jail’s only psychiatrist during Smith’s period in custody until his death 7 and a member of the Santa Cruz County jail Behavioral Health team. FAC ¶ 34. 8 Smith arrived in custody on January 30, 2020. Id. ¶ 31. On March 26, 2020, Smith was 9 found incompetent to stand trial due to his extreme psychosis. Id. ¶¶ 34–38, 40. The medical 10 reports related to his incompetency revealed that Smith suffered a severe level of psychosis due to 11 schizophrenia, heard voices in his head, could not participate in his own criminal defense, lacked 12 insight into his own condition, lacked the capacity to make well-reasoned medical decisions, and 13 needed to be closely monitored in an inpatient psychiatric facility. Id.; see also id. at 2–3. 14 However, Smith could not be transferred to an appropriate psychiatric facility due to the COVID- 15 19 pandemic. Id. ¶ 40. Prior to his period in custody, Smith had a documented history of mental 16 health issues, including being schizophrenic and psychotic, suffering from hallucinations, and 17 experiencing several recent W&I code 5150 commitments for being a danger to himself and 18 others. Id. ¶ 34. Smith also had a history of low blood sodium levels. Id. 19 On March 4, 2020, Lazar conducted his initial intake with Smith. Id. Based on this 20 meeting, Lazar determined that Smith was a regularly hallucinating schizophrenic who suffered 21 from bad auditory hallucinations. Id. Lazar prescribed Smith various psychotropic drugs. Id. 22 Prior to prescribing these medications, Lazar did not order a routine blood panel or review Smith’s 23 prior medical history or court records determining his incompetency. Id. Plaintiffs allege that 24 Lazar failed to conduct these actions in violation of industry standards and jail policies. Id. ¶ 195. 25 On March 11, 2020, Lazar conducted a second interview with Smith. Id. ¶ 36. Lazar 26 determined that Smith’s condition was not improving, so he prescribed an additional medication, 27 1 Olanzapine. Id. Plaintiffs allege that Olanzapine is well documented to be associated with 2 hyponatremia, which can result in death due to low blood sodium levels. Id. ¶ 32. Again, Lazar 3 did not order a routine blood panel or review Smith’s prior medical history or court records 4 determining his incompetency prior to prescribing additional medication. Id. ¶ 36. Lazar 5 scheduled a follow up in one week to determine the impact of the new medication. Id. However, 6 Lazar never returned. Id. 7 Smith spent his last month alive in a non-discipline related isolation cell for 20–23 hours per 8 day while receiving no mental health treatment. Id. at 6. Lazar did not provide the jail with input 9 on Smith’s cell placement in the jail. Id. ¶ 39. Plaintiffs allege that Lazar was required to provide 10 input under the jail’s policy. Id. ¶ 191. While in solitary, on April 21 and April 28, 2020, Smith 11 suffered two neurologically related medical episodes showing signs of low blood sodium and over- 12 hydration, which Plaintiffs allege are both symptoms of Olanzapine. Id. ¶ 39. Smith was also 13 observed on camera drinking dirty mop bucket water containing toxic cleaning fluid and displaying 14 signs of severe mental decompensation. Id. at 4. Lazar was not aware of these events. Id. ¶ 39. 15 Without conducting a follow up interview or inquiring on Smith’s status, Lazar reissued the same 16 medications to Smith on April 29, 2020. Id. ¶ 39. Lazar’s medical note contained no other 17 treatment plan besides medication. Id. 18 On May 10, 2020, Smith died of hyponatremia and choking on his own vomit while 19 unmonitored in solitary confinement. Id. at 4. 20 On January 15, 2021, Smith’s parents filed this action on Smith’s behalf as his co-successors 21 in interest. The operative FAC alleges multiple violations of the Civil Rights Act, 42 U.S.C. § 1983; 22 wrongful death under California Code of Civil Procedure § 377.60; violations of the Americans with 23 Disabilities Act of 1990 (“ADA”), 42 U.S.C. § 12132; violations of the Rehabilitation Act (“RA”), 24 29 U.S.C. § 794(a); and common law negligence. Plaintiffs allege that Lazar, along with other 25 defendants, intentionally failed to provide adequate mental health services to Smith. 26 B. Procedural Background 27 The Clerk of the Court entered default as to Lazar on March 16, 2022, based on his failure 1 to appear or otherwise respond within the time prescribed by Federal Rule of Civil Procedure 12. 2 Entry of Default, ECF No. 87. On December 30, 2022, Lazar filed a Motion to Set Aside Default, 3 which the Court granted on May 23, 2023. Order Setting Aside Default, ECF No. 120. Shortly 4 after, Plaintiffs filed their FAC on June 14, 2023, and Lazar filed the present motion to dismiss on 5 June 30, 2023. 6 II. LEGAL STANDARD 7 A complaint must contain “a short and plain statement of the claim showing that the 8 pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). A defendant may move to dismiss a 9 complaint for failing to state a claim upon which relief can be granted under Rule 12(b)(6). When 10 deciding whether to grant a motion to dismiss under Rule 12(b)(6), the court must generally accept 11 as true all “well-pleaded factual allegations.” Ashcroft v. Iqbal, 556 U.S. 662, 664 (2009). While 12 a plaintiff need not offer detailed factual allegations to meet this standard, she is required to offer 13 “sufficient factual matter . . . ‘to state a claim to relief that is plausible on its face.’” Id. at 678 14 (quoting Bell Atl. Corp. v.

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