Tatyana Litvinova v. Kaiser Foundation Hospitals

District Court, N.D. California·Decided February 17, 2026·No. 3:25-cv-06253·Unknown

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 TATYANA LITVINOVA, Case No. 25-cv-06253-SI

8 Plaintiff, ORDER DENYING DEFENDANT’S 9 v. MOTION TO DISMISS FIRST AMENDED COMPLAINT AND 10 KAISER FOUNDATION HOSPITALS, REMANDING ACTION TO SUPERIOR COURT 11 Defendant. Re: Dkt. No. 33 12

13 Before the Court is a motion by defendant Kaiser Foundation Hospitals (“Kaiser”) to dismiss 14 plaintiff Tatyana Litvinova’s first amended complaint (“FAC”) pursuant to Federal Rules of Civil 15 Procedure 12(b)(1) and 12(b)(6). Dkt. No. 33 (“Mot.”); see Dkt. No. 29 (FAC). The Court heard 16 oral argument on Kaiser’s motion on February 13, 2026. Dkt. No. 45. For the reasons set forth 17 below, the Court DENIES Kaiser’s motion and REMANDS the action to the Superior Court of 18 California, County of San Francisco. 19

20 BACKGROUND 21 I. Allegations of the FAC 22 Plaintiff Tatyana Litvinova is a licensed registered nurse who has been employed by 23 defendant Kaiser Foundation Hospitals since March 30, 1992. Dkt. No. 29 (“FAC”) ¶¶ 8, 10(a). 24 Since the beginning of her employment at Kaiser, Litvinova has worked in the post anesthesia care 25 unit (“PACU”) at Kaiser’s Oakland Medical Center, where she “car[es] for critically ill patients 26 recovering from anesthesia and surgery.” Id. ¶ 10(a). Litvinova has advanced to “Staff Nurse IV, 27 the highest clinical level for nurses at Kaiser, requiring at least eight years of clinical experience and 1 demonstrated excellence in patient care and professional leadership.” Id. ¶ 10(c). Litvinova also 2 “served as Resource Healthcare Coordinator, a charge nurse leadership position responsible for 3 patient flow coordination, staff assignments, communication with physicians and hospital 4 operations, and ensuring safe patient care delivery after regular management hours.” Id. Between 5 1992 through 2022, Litvinova had no disciplinary history and had “consistently excellent” 6 performance evaluations. Id. ¶ 10(d). 7 8 A. Litvinova’s Complaints 9 Litvinova’s concerns began “[a]lmost immediately” after Kaiser assigned Ana House as the 10 new PACU Nurse Manager in September 2022. Id. ¶ 10(f). Litvinova “observed serious violations 11 of state and federal healthcare regulations that endangered critically ill post-operative patients.” Id. 12 On October 25, 2022, Litvinova filed a standard of care violation report against House stating that 13 “House was assigning nurses without proper PACU qualifications, training, or critical care 14 experience to provide coverage for critically ill patients recovering from anesthesia.” Id. ¶ 10(g). 15 The complaint alleged that House’s staffing practices were in violation of state and federal laws 16 requiring, for example, nurses with certain education and training, and “adequate staffing to ensure 17 patient safety.” Id. Litvinova sent the report to House and Director Sumi Yi. Id. 18 On October 31, 2022, Litvinova submitted a second complaint “regarding ongoing unsafe 19 and understaffed conditions in the PACU.” Id. ¶ 10(i). Litvinova sent this complaint to Yi and 20 Chief Nurse Executive Pavna Sloan. Id. Litvinova made the October 25 and 31 “complaints in her 21 individual capacity as a licensed healthcare professional with mandatory reporting duties under 22 California law, not in any representational capacity.” Id. ¶ 10(k). 23 “On November 10, 2022, management held a meeting with” Litvinova, Yi, and Sloan 24 regarding Litvinova’s concerns about patient safety.1 Id. ¶ 10(j). “During the meeting, management 25 26

27 1 The FAC does not allege facts identifying who is “management.” There are also no facts 1 praised Plaintiff’s advocacy work and expressed appreciation for her raising these important safety 2 concerns.” Id. 3 Litvinova continued to report patient safety violations between 2023 and 2025. Id. ¶ 10(l). 4 On July 24, 2023, Litvinova sent a letter to Kaiser Chief Executive Officer Gregory Adams 5 regarding “ongoing patient safety violations, management incompetence, and retaliation in the 6 PACU.” Id. ¶ 10(m). In this letter, Litvinova reported that House lacked experience and was thus 7 unqualified to manage the PACU, committed scheduling and payroll errors, and was unable to assess 8 job performances of nurses. Id. Litvinova also reported that another nurse, Hanna,2 had informed 9 Litvinova that House had asked Hanna to help get rid of Litvinova and, when Hanna refused to do 10 so, “Hanna became a target herself.” Id. ¶ 10(n); id. ¶ 10(cc). In addition, Hanna had witnessed 11 House using her private phone to orchestrate the campaign against Litvinova, “suggesting Ana 12 House knew her conduct was improper and was hiding it from her employer.” Id. ¶¶ 10(n), (cc). 13 Kaiser assigned Senior Employee Relations Investigator Amy Berbower to investigate Litvinova’s 14 complaints. Id. ¶ 10(dd). Berbower issued a report on January 5, 2024, “finding all of Plaintiff’s 15 complaints unsubstantiated.” Id. ¶ 10(ff). Litvinova disagreed with Berbower’s conclusions and 16 alleges that Kaiser “deliberately conducted a sham investigation.” Id. ¶ 10(gg); 10(hh). 17 In 2024, Litvinova sent two letters to regional office representative Jacqueline Baratian. Id. 18 ¶ 10(o). Litvinova’s June 2024 letter reported “ongoing patient safety violations, management’s 19 failure to maintain competent staff, and abuse of power.” Id. In a July 31, 2024 letter, Litvinova 20 raised concerns about the assignment of “unqualified nurses to care for critically ill PACU patients” 21 in violation of state and federal laws. Id. 22 On January 17, 2025, Litvinova observed and reported “critically dangerous 23 understaffing . . . creating dangerous conditions for patients.” Id. ¶ 10(p); id. ¶ 10(kk). Litvinova 24 believed this understaffing violated state and federal laws regarding staffing requirements, nurse- 25 to-patient ratios, and patient safety. Id. ¶ 10(p). Litvinova sent multiple emails to management, 26 including House, Assistant Nurse Manager Suzette Smith, and Clinical Nursing Director Lionel 27 1 Hoyte, about her concerns. Id. On January 22, 2025, Litvinova escalated her concerns about 2 understaffing to Sloan, as her prior emails to management had been ignored. Id. ¶¶ 10(p), (mm). 3 On May 27, 2025, Litvinova “submitted an Employee Risk and Responsibility Form 4 reporting continuing patient safety violations.”3 Id. ¶ 10(q). 5 The FAC alleges that, “[t]hroughout this period, Plaintiff made these disclosures in her 6 individual capacity as a licensed Registered Nurse with mandatory professional duties under 7 California law to report unsafe patient care conditions and violations of healthcare regulations[.]” 8 Id. ¶ 9(a); see id. ¶ 10(r). The FAC further alleges that Litvinova made her complaints “to persons 9 with authority over her and to persons with authority to investigate, discover, or correct 10 violations[.]” Id. 11 12 B. Alleged Retaliation 13 In response to Litvinova’s complaints, Kaiser’s “attitude shifted dramatically, and a pattern 14 of escalating retaliation began.” Id. ¶ 10(s). In 2023, House conducted three investigatory meetings 15 into alleged complaints about Litvinova. Id. ¶ 10(t) (February 28, 2023 meeting); id. ¶ 10(v) 16 (June 23, 2023 meeting); id. ¶ 10(y) (August 10, 2023 meeting). The June 23, 2023 meeting took 17 place one day after Litvinova submitted written concerns to management. Id. ¶ 10(v). 18 Due to the stress of the February 28 investigatory meeting, Litvinova took a leave of absence 19 from March 1 to April 11. Id. ¶ 10(t). When Litvinova returned on April 11, 2023, “House 20 arbitrarily delayed Plaintiff’s reinstatement” and “demand[ed] a one-week waiting period” even 21 though Litvinova had a doctor’s clearance note and House had texted Litvinova one week prior to 22 confirm shift coverage. Id. ¶ 10(u). Despite having returned to work, Litvinova received a zero- 23 dollar paycheck for the month of April 2023. Id.

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