Tatyana Litvinova v. Kaiser Foundation Hospitals

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

Opinion

TATYANA LITVINOVA, Case No. 25-cv-06253-SI

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

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

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

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