Spencer v. McDonough

CourtDistrict Court, District of Columbia
DecidedJanuary 23, 2025
DocketCivil Action No. 2023-1998
StatusPublished

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

Bluebook
Spencer v. McDonough, (D.D.C. 2025).

Opinion

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

KAREN SPENCER,

Plaintiff, Civil Action No. 23 - 1998 (LLA) v.

DENIS MCDONOUGH,

Defendant.

MEMORANDUM OPINION

Karen Spencer brings this action against Denis McDonough in his official capacity as Secretary

of Veterans Affairs. Ms. Spencer alleges that the Department of Veterans Affairs discriminated and

retaliated against her based on her race and her sex in violation of Title VII of the Civil Rights Act

of 1964, 42 U.S.C. § 2000e et seq. ECF No. 16. The Department has moved to dismiss or, in the

alternative, for summary judgment. ECF No. 17. For the reasons explained below, the court will

grant the Department’s motion and dismiss the case.

I. FACTUAL BACKGROUND

The following factual allegations drawn from Ms. Spencer’s amended complaint, ECF

No. 16, are accepted as true for the purpose of evaluating the motion before the court, Am. Nat’l

Ins. Co. v. FDIC, 642 F.3d 1137, 1139 (D.C. Cir. 2011). The court may also take judicial notice of

documents from Ms. Spencer’s administrative proceedings with the Department’s Equal Employment

Opportunity (“EEO”) office. Golden v. Mgmt. & Training Corp., 319 F. Supp. 3d 358, 366 n.2

(D.D.C. 2018) (explaining that “[i]n employment discrimination cases, courts often take judicial notice of [Equal Employment Opportunity Commission (“EEOC”)] charges and EEOC decisions”

in evaluating a motion to dismiss).

Beginning in August 2006, Ms. Spencer—an African-American woman—worked as a

pain nurse practitioner at the Veterans Affairs (“VA”) Medical Center in Washington, D.C. ECF

No. 16 ¶ 6. She worked in the Department of Neurology before moving to the Department of

Mental Health in 2012. Id. The VA Medical Center uses a “scope of practice” (“SOP”) to set the

“boundaries under which a medical clinician practices,” which “is signed by the facility director

and renewed” at periodic intervals. Id. ¶ 8. “The purpose of an SOP is to ensure safety for the

provider and patient.” Id.

In 2007, Dr. Friedhelm Sandbrink, the Chief of the Pain Clinic, trained Ms. Spencer to

perform “trigger point injections,” which are “injections done with an anesthetic or dry needle,

palpating scar tissue in hopes of relieving pain.” Id. ¶ 7. That year, Ms. Spencer renewed her SOP

to confirm that she was authorized to conduct trigger point injections. Id. ¶ 8. When she transferred

to the Mental Health Department in 2012, she was assigned a new supervisor—Dr. Maria Llorente—

but her SOP remained unchanged. Id.

In August 2017, Drs. Dominique Neptune and Charles Faselis became Ms. Spencer’s

primary and secondary supervisors, respectively. Id. ¶ 10. Dr. Neptune is an African-American

woman, ECF No. 17-3, at 2, and Dr. Faselis is a white man. ECF No. 16 ¶ 10. In June 2018, staff

discovered a capped syringe on Ms. Spencer’s office desk during a routine safety inspection.

Id. ¶ 11; ECF No. 17-3, at 64. Ms. Spencer had left the capped syringe on her desk after conducting

a one-off trigger point injection for a patient. ECF No. 16 ¶ 11. The discovery prompted an

investigation, resulting in Dr. Neptune’s placing Ms. Spencer on a Focused Professional

Performance Evaluation (“FPPE”) plan, which is “similar to a performance improvement plan.” Id.

2 ¶ 12. Dr. Neptune prohibited Ms. Spencer from practicing through August 2018.1 Id. Even though

Ms. Spencer “demonstrated improvement,” she was not removed from the FPPE. Id.

In December, Ms. Spencer—still on the FPPE—asked Dr. Faselis when she would be

removed from the performance plan. Id. ¶ 14. Dr. Faselis replied that she “would be on the FPPE

for a long time because she [was] ‘a problem child’ and nobody wanted her there.” Id. Ms. Spencer

responded by telling Dr. Faselis that the Department “was discriminating against her because of

her race.” Id. ¶ 15. According to the amended complaint, Dr. Faselis “believed that Ms. Spencer

was accusing him of being a racist.” Id.

Dr. Faselis subsequently initiated a second investigation into Ms. Spencer’s conduct, but

Ms. Spencer was not informed of this new investigation until January 2019 and she did not

participate in it. Id. Dr. Faselis did not acquire permission from the facility director—Dr. Michael

Heimall—to initiate the second investigation. Id.

At some point in January 2019, Ms. Spencer “filed a complaint” with the Department’s

EEO office, but she does not specify the nature of that complaint. Id. Following the results of the

second investigation, Dr. Faselis recommended to Dr. Heimall that Ms. Spencer’s privileges be

suspended. Id. On January 30, 2019, Dr. Faselis met with Ms. Spencer and gave her an official

suspension letter and notified her that she had several days to respond to the findings. Id. ¶ 16;

ECF No. 17-3, at 65. He explained that she “was being suspended because she was practicing

outside of her SOP.” ECF No. 16 ¶ 16. As a result of the suspension, Ms. Spencer lost access to her

office and was prohibited from being in contact with patients. Id. ¶ 17. Even though Ms. Spencer

wrote a rebuttal letter in mid-February, the suspension remained in place. Id.

1 In her amended complaint, Ms. Spencer implies that she was placed on the FPPE beginning in August 2018, but the EEOC determined that she was placed on the FPPE in October 2018. See ECF No. 17-3, at 9.

3 In March 2019, Ms. Spencer asked Dr. Heimall for an update on when her suspension

would end, but he suspended her privileges a second time, explaining that there were “significant

concerns regarding [her] clinical practice and clinical judgment” and he “needed to follow the

Bylaws.” Id. ¶ 18. Ms. Spencer alleges that these “concerns” were unsubstantiated and that

Drs. Heimall, Faselis, and Neptune never adequately explained what she needed to do to improve

or pass her FPPE. See id.

In May 2019, Dr. Heimall suspended Ms. Spencer’s privileges suspended for a third time.

Id. ¶ 18. Two months later, in July 2019, the Department terminated Ms. Spencer “based on

[Dr.] Heimall’s conclusion that Ms. Spencer was practicing outside of her SOP.” Id.

At some point during Ms. Spencer’s tenure at the Medical Center, a white female resident

misdiagnosed a patient, eventually resulting in the amputation of the patient’s leg. Id. ¶ 19.

Ms. Spencer alleges that the resident had misread a patient’s chart, failed to properly examine his

leg, and treated him with a drug that he was allergic to. Id. Even so, the “doctors who treated this

patient were not written up, investigated[,] or terminated and are still practicing.” Id. Dr. Heimall

later testified that the resident in question had “failed to provide or meet the standard of care for

[the patient],” but he “did not recommend that the resident be banned.” Id. Separately, one of

Ms. Spencer’s colleagues testified under oath that, on multiple occasions, nurses in a separate

medical department “did not properly dispose of syringes . . . [but] were not disciplined” or

terminated. Id.

II. PROCEDURAL HISTORY

On May 6, 2019, Ms. Spencer contacted an EEO counselor for informal counseling and

raised a single claim of racial discrimination based only on her May suspension. ECF No. 17-3,

at 53-55, 57-58.

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