State Health, V Daybreak Youth Services

CourtCourt of Appeals of Washington
DecidedApril 1, 2025
Docket58552-9
StatusUnpublished

This text of State Health, V Daybreak Youth Services (State Health, V Daybreak Youth Services) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Health, V Daybreak Youth Services, (Wash. Ct. App. 2025).

Opinion

Filed Washington State Court of Appeals Division Two

April 1, 2025

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

WASHINGTON STATE DEPARTMENT OF No. 58552-9-II HEALTH; UMAIR A. SHAH, M.D., M.P.H., in his official capacity as WASHINGTON STATE SECRETARY OF HEALTH,

Respondent,

v.

DAYBREAK YOUTH SERVICES, a UNPUBLISHED OPINION Washington non-profit corporation,

Appellant.

VELJACIC, A.C.J. — Daybreak Youth Services (Daybreak) seeks review of the trial court’s

temporary restraining order, contempt order, denial of reconsideration, and preliminary injunction.

Daybreak argues the temporary restraining order (TRO) was void, and that the contempt order

based on noncompliance with the TRO was erroneous. Daybreak also argues the TRO was

impossible to comply with. Daybreak contends that the court’s denial of reconsideration of the

TRO and contempt order as well as its issuance of a preliminary injunction were also erroneous.

Even if we assume without deciding that the TRO was valid, we reverse the contempt order

because it was impossible to comply with the TRO. Since we reverse the contempt order, we do

not address the denial of reconsideration. We also do not address the preliminary injunction as it

is not a final order, and is, therefore, not appealable. 58552-9-II

FACTS

I. BACKGROUND

In 2022, Daybreak was a non-profit organization that provided inpatient and outpatient

behavioral care services to youths with substance abuse and mental health issues. It operated two

treatment facilities in Washington, one in Spokane and one in Brush Prairie.

A. Notice of Intent to Suspend Daybreak’s Licenses and Summary Suspension Orders

On August 1, 2022, the Washington State Department of Health (DOH) filed a notice of

intent to suspend Daybreak’s facilities’ licenses to operate. In response, Daybreak appealed and

requested an adjudicative proceeding before a health law judge.

In January 2023, a hearing date was scheduled for July 25-27, and a prehearing conference

was set for May 19. On April 28, Daybreak filed a motion for summary judgment.

On May 9, before the scheduled preconference and hearing dates, DOH filed a prehearing

memorandum stating that it intended to file amended notices of intent, and attaching 94 pages of

additional exhibits that had not been previously disclosed in discovery. Daybreak then requested

the discovery period be reopened and the hearing be continued to sometime in November.

But on May 19, DOH filed the amended notices of intent to suspend Daybreak’s facilities’

licenses.

Also, on May 19, DOH filed an ex parte motion for summary suspension of both of

Daybreak’s facilities’ licenses before health law judges. In its motion, DOH alleged that Daybreak

“failed to adequately address staff-to-patient boundary issues and other staff misconduct,” failed

to supervise and train staff, failed to cooperate, and “suppressed external reporting.” Clerk’s

Papers (CP) at 288.

2 58552-9-II

B. Summary Suspension Orders, Requirements, and Events of May 25 through June 1

1. Spokane Licenses Suspended

On May 25, a health law judge summarily suspended Daybreak’s Spokane facility

licenses.1 Based on the allegations in the amended notice of intent to suspend and the motion for

summary action, the health law judge found a “pattern of [Daybreak] failing to comply with its

obligations to protect the rights, health, and safety of its vulnerable minor patient population,”

including failing to cooperate with investigations, failing to hire qualified staff, failing to provide

adequate training and supervision, and failing to thoroughly investigate complaints regarding

sexual misconduct and abuse. CP at 10. The health law judge found that these allegations were

supported by the declarations of Emely Lee, Deborah Duke, Jessica Reiner, Jon Kuykendall, and Ian Corbridge, together with the attached exhibits, are of a nature that if proven at [a] hearing, would pose an imminent threat to the health, safety, and welfare of patients.

CP at 11.

The health law judge concluded that

[t]he Findings of Fact establish a rebuttable presumption that there is the existence of an immediate danger to the public health, safety, or welfare if [Daybreak] continues to operate . . . during the pendency of the resolution of the Amended Notice. This summary action is necessary to protect the public health, safety, and welfare.

CP at 12.

2. Brush Prairie Licenses Suspended

Several significant events occurred on May 26.2 On delegation from the Secretary of

Health, another health law judge summarily suspended Daybreak’s Brush Prairie facility licenses.

1 For clarity, each facility had two licenses (four licenses total). 2 This was the Friday of Memorial Day weekend.

3 58552-9-II

That health law judge similarly found that Daybreak failed to protect patients’ rights and

obstructed regulatory oversight, which presented an immediate danger to the public, health, safety,

or welfare. The health law judge’s findings stated that

[t]he evidence presented as part of the Notice, Motion, and Declarations with attached exhibits are of the nature that if proven at [a] hearing would pose a risk of imminent harm to the patients’ health, safety, and welfare.

CP at 18. The health law judge concluded that

[t]he Findings of Fact establish the existence of an immediate danger to the public health, safety, or welfare if [Daybreak] continues to operate a behavioral health agency during the pendency of the resolution of the Notice. This summary action is necessary to protect the public’s health safety, and welfare.

CP at 18.

3. Requirements

Upon their issuance, both summary suspension orders were immediately stayed for four

calendar days. During these four days, over Memorial Day weekend, the order required Daybreak

to stop admission of new patients and “[s]afely and appropriately discharge or transfer all current

patients.” CP at 12, 19. Further, within the first 24 hours of the stay period, Daybreak had to

develop and e-mail the director of the Office of Community Health Systems, Corbridge, a closure

plan that contained the following:

i. Information pertaining to the patient census, acuity (deidentified information on primary diagnosis) and payor mix in table format on the calendar day in which the Notice becomes a Final Order. For private pay patients (non- Medicaid or patients on Department of Children, Youth and Families contract), [Daybreak-Spokane and Brush Prairie] must provide a list of patient names, name and contact information of legal guardian(s), and insurance companies responsible for care, if applicable. ii. A plan for relocating patients (“Closure Transfer Plan”) to appropriate care settings that offer similar services or services mandated based on court documents. The “Closure Transfer Plan” must take into consideration the most appropriate setting possible in terms of quality, services, and location, as available and determined appropriate by the patient care team after taking into consideration the patient’s individual needs, choices, and interests. The plan must outline

4 58552-9-II

transportation resources [Daybreak-Spokane and Brush Prairie] will use to support patient movement and identify facilities who have agreed to receive patients. iii.

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