Vargas et al v. Binnewies et al, No. 1:2016cv01240 - Document 64 (E.D. Cal. 2018)

Court Description: ORDER Granting in Part and Denying in Part Defendants' Motions to Dismiss (Docs. 47 49 ), signed by District Judge Dale A. Drozd on 3/28/2018. (Gaumnitz, R)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 12 THE ESTATE OF ARMANDO VARGAS and GLORIA REDONDO, Plaintiffs, 13 16 17 ORDER GRANTING IN PART AND DENYING IN PART DEFENDANTS’ MOTION TO DISMISS v. 14 15 No. 1:16-cv-01240-DAD-EPG DOUG BINNEWIES, CODIE HART, DEPUTY COOPER, DEPUTY SMALLS, DEPUTY REEDER, DEPUTY DAY, DEPUTY DETRICH, DEPUTY JAY, PAMELA AHLIN, and DOLLY MATTEUCCI, 18 (Doc. Nos. 47, 49) Defendants. 19 20 This matter is before the court on defendants’ motions to dismiss plaintiffs’ second 21 amended complaint. A hearing on these motions was held on October 3, 2017. Attorneys Jeffrey 22 Eisinger and William Schmidt appeared on behalf of plaintiffs Estate of Armando Vargas and 23 Gloria Redondo. Attorney Steven M. Crass appeared on behalf of defendants Mariposa County 24 Sheriff Doug Binnewies, Lieutenant Codie Hart, and Deputies Cooper, Smalls, Reeder, Day, 25 Detrich, and Jay. Deputy Attorney General Wilfred Fong appeared on behalf of defendants 26 Pamela Ahlin and Dolly Matteucci. For the reasons set forth below, the court will grant in part 27 and deny in part defendants’ motions to dismiss. 28 ///// 1 1 BACKGROUND 2 This case concerns the suicide of Armando Vargas on or about September 15, 2015, while 3 he was a pretrial detainee at the Mariposa County Jail. In their second amended complaint (Doc. 4 No. 46, hereinafter “SAC”) plaintiffs allege as follows. Prior to his death, Mr. Vargas had a long 5 history of suffering from mental health disorders, including schizophrenia, delusions, and 6 psychosis. (SAC at ¶ 18.) He also had a history of attempted suicide and was previously 7 designated as a suicide risk by both prison officials and mental health professionals. (Id.) Mr. 8 Vargas was arrested on February 1, 2015 after exhibiting “bizarre” and “irrational” behavior and 9 then detained at the Mariposa County Jail, a relatively small jail facility with a maximum capacity 10 of approximately sixty inmates. (Id. at ¶ 15.) In the jail intake forms, jail employees noted that 11 Mr. Vargas had previously exhibited mental health and medical problems while confined in other 12 facilities. (Id. at ¶ 16.) 13 On February 9, 2015, based on concerns expressed by his counsel in his pending criminal, 14 the Mariposa County Superior Court ordered a mental evaluation of Mr. Vargas. (Id.) Based on 15 that evaluation, the state court judge presiding over his case deemed Mr. Vargas incompetent to 16 stand trial or assist in his own defense. (Id.) The evaluation, which was provided to the Mariposa 17 County Jail, also opined that Mr. Vargas would need ongoing anti-psychotic medication to restore 18 his mental competency. (Id.) Therefore, on March 24, 2015, the state court ordered that Mr. 19 Vargas be transferred to the Napa State Hospital, one of five state hospitals overseen by the 20 California Department of State Hospitals. (Id. at ¶ 17.)1 Staff members of the Mariposa County 21 Jail are responsible for transporting pretrial detainees to state hospitals. (Id.) After a short stay, 22 Mr. Vargas was declared by Napa State Hospital medical staff to be competent to stand trial and 23 was returned to the Mariposa County Jail. (Id.) 24 Upon his return to the Mariposa County Jail, Mr. Vargas again displayed signs of mental 25 instability. (Id. at ¶ 19.) Staff members of the Mariposa County Jail had access to Mr. Vargas’s 26 criminal history, which reflected that he had previously been found incompetent to stand trial. 27 28 1 See also California Dep’t of State Hospitals – Hospitals, http://www.dsh.ca.gov/hospitals/ (last visited Mar. 20, 2018). 2 1 (Id. at ¶ 18.) On July 9, 2015, the state trial court once again sought a mental evaluation of Mr. 2 Vargas. (Id. at ¶ 20.) On July 30, 2015, the Mariposa County Superior Court again found that 3 Mr. Vargas was incompetent and issued an order to that effect that was copied to the Mariposa 4 County Jail. (Id. at ¶ 19.) On August 20, 2015, after further evaluations, the court again found 5 Mr. Vargas incompetent to stand trial and ordered his transfer back to the Napa State Hospital. 6 (Id. at ¶ 20.) However, there was a delay in transporting Mr. Vargas to the Napa State Hospital, 7 during which time he did not receive medication for treatment of his mental health conditions. 8 (Id. at ¶ 21.) 9 In a letter he wrote to the Harper Medical Group, dated August 26, 2015, Mr. Vargas 10 stated he believed he would be killed if returned to the state hospital and that he would not let that 11 happen. (Id. at ¶ 22.) On September 15, 2015, Mr. Vargas said goodbye to jail staff and other 12 inmates. (Id. at ¶ 23.) He was found hanging from a bunk in his cell at the jail shortly thereafter. 13 (Id.)2 On September 20, 2015, Mr. Vargas was declared brain dead and his heart stopped beating. 14 (Id.) 15 Plaintiff Gloria Redondo, Mr. Vargas’s mother, commenced this action as the successor in 16 interest of, and with, Mr. Vargas’s estate, on August 23, 2016. Plaintiffs bring this action against 17 two groups of defendants: (1) defendants Mariposa County Sheriff Doug Binnewies, Lieutenant 18 Codie Hart, and Deputies Cooper, Smalls, Reeder, Day, Detrich, and Jay, who are all members of 19 the Mariposa County Sheriff’s Department (collectively, the “county defendants”); and (2) 20 defendants Pamela Ahlin, the director of the California Department of State Hospitals, and Dolly 21 Matteucci, the director of the Napa State Hospital (collectively, the “state defendants”). On May 25, 2017, the court issued an order granting defendants’ motions to dismiss 22 23 plaintiffs’ first amended complaint (“FAC”) with leave to amend. (Doc. No. 45.) Plaintiffs filed 24 a second amended complaint on June 15, 2017. (Doc. No. 46.) On June 26, 2017, the state 25 defendants filed once again moved to dismiss. (Doc. No. 47.) On July 7, 2017, the county 26 defendants filed a motion to dismiss the second amended complaint. (Doc. No. 49.) Plaintiffs 27 28 2 Plaintiffs’ second amended complaint does not specify when Mr. Vargas’s suicide was discovered, whether that same day, or in the days between the 15th and the 20th of September. 3 1 filed oppositions to both motions on July 21, 2017. (Doc. Nos. 50, 51.) The state defendants 2 filed a reply on July 31, 2017. (Doc. No. 54.) The county defendants filed a reply on August 8, 3 2017. (Doc. No. 55.) 4 LEGAL STANDARD 5 The purpose of a motion to dismiss pursuant to Rule 12(b)(6) is to test the legal 6 sufficiency of the complaint. N. Star Int’l v. Ariz. Corp. Comm’n, 720 F.2d 578, 581 (9th Cir. 7 1983). “Dismissal can be based on the lack of a cognizable legal theory or the absence of 8 sufficient facts alleged under a cognizable legal theory.” Balistreri v. Pacifica Police Dep’t, 901 9 F.2d 696, 699 (9th Cir. 1990). A claim for relief must contain “a short and plain statement of the 10 claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). Though Rule 8(a) 11 does not require detailed factual allegations, a plaintiff is required to allege “enough facts to state 12 a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 13 (2007); see also Ashcroft v. Iqbal, 556 U.S. 662, 677–78 (2009). “A claim has facial plausibility 14 when the plaintiff pleads factual content that allows the court to draw the reasonable inference 15 that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678. 16 In determining whether a complaint states a claim on which relief may be granted, the 17 court accepts as true the allegations in the complaint and construes the allegations in the light 18 most favorable to the plaintiff. Hishon v. King & Spalding, 467 U.S. 69, 73 (1984); Love v. 19 United States, 915 F.2d 1242, 1245 (9th Cir. 1989). However, the court need not assume the truth 20 of legal conclusions cast in the form of factual allegations. United States ex rel. Chunie v. 21 Ringrose, 788 F.2d 638, 643 n.2 (9th Cir. 1986). It is inappropriate to assume that the plaintiff 22 “can prove facts which it has not alleged or that the defendants have violated the . . . laws in ways 23 that have not been alleged.” Associated Gen. Contractors of Cal., Inc. v. Cal. State Council of 24 Carpenters, 459 U.S. 519, 526 (1983). 25 26 27 28 DISCUSSION A. Federal Civil Rights Claims The Civil Rights Act, pursuant to which plaintiffs allege their constitutional claims here, provides as follows: 4 1 3 Every person who, under color of [state law] . . . subjects, or causes to be subjected, any citizen of the United States . . . to the deprivation of any rights, privileges, or immunities secured by the Constitution . . . shall be liable to the party injured in an action at law, suit in equity, or other proper proceeding for redress . . . . 4 42 U.S.C. § 1983. Thus, to make out a valid claim under § 1983, a plaintiff must allege and 5 eventually prove that: (1) the conduct complained of was committed by a person acting under 6 color of state law; (2) this conduct deprived a person of constitutional rights; and (3) there is an 7 actual connection or link between the actions of the defendants and the deprivation allegedly 8 suffered by decedent. See Parratt v. Taylor, 451 U.S. 527, 535 (1981); Monell v. Dep’t of Soc. 9 Servs., 436 U.S. 658, 690–695 (1978); Rizzo v. Goode, 423 U.S. 362, 370–371 (1976). “A person 10 ‘subjects’ another to the deprivation of a constitutional right, within the meaning of § 1983, if he 11 does an affirmative act, participates in another’s affirmative acts, or omits to perform an act 12 which he is legally required to do that causes the deprivation of which complaint is made.” 13 Johnson v. Duffy, 588 F.2d 740, 743 (9th Cir. 1978). 2 14 Supervisory personnel are generally not liable under § 1983 for the actions of their 15 employees under a theory of respondeat superior and, therefore, when a named defendant holds a 16 supervisorial position, the causal link between her and the claimed constitutional violation must 17 be specifically alleged. See Fayle v. Stapley, 607 F.2d 858, 862 (9th Cir. 1979); Mosher v. 18 Saalfeld, 589 F.2d 438, 441 (9th Cir. 1978). Vague and conclusory allegations concerning the 19 involvement of official personnel in civil rights violations are not sufficient. See Ivey v. Board of 20 Regents, 673 F.2d 266, 268 (9th Cir. 1982). 21 1. Deliberate Indifference 22 The Fourteenth Amendment provides that “[n]o State shall . . . deprive any person of life, 23 liberty, or property, without due process of law.” U.S. Const. Amend. 14 § 1. Fourteenth 24 Amendment protections cover a procedural as well as a substantive sphere, such that they bar 25 certain government actions regardless of the fairness of the procedures used to implement them. 26 County of Sacramento v. Lewis, 523 U.S. 833, 840 (1998). Here, because Mr. Vargas was a 27 pretrial detainee at the time of the alleged incidents, his right to be free from cruel and unusual 28 punishment is derived from the due process clause of the Fourteenth Amendment rather than the 5 1 Eighth Amendment. Castro v. County of Los Angeles, 833 F.3d 1060, 1067–68 (9th Cir. 2016) 2 (en banc) (“Inmates who sue prison officials for injuries suffered while in custody may do so 3 under the Eighth Amendment’s Cruel and Unusual Punishment Clause or, if not yet convicted, 4 under the Fourteenth Amendment’s Due Process Clause.”). 5 The duty to protect detainees from suicide is grounded in the substantive liberty interest to 6 adequate medical care. See Johnson v. Meltzer, 134 F.3d 1393, 1397 (9th Cir. 1998); see also 7 Schwartz v. Lassen County ex rel. Lassen Cty. Jail (Detention Facility), 838 F. Supp. 2d 1045, 8 1052 (E.D. Cal. 2012). Under the due process clause, “persons in custody have the established 9 right to not have officials remain deliberately indifferent to their serious medical needs.” Gibson 10 v. County of Washoe, 290 F.3d 1175, 1187 (9th Cir. 2002) (quoting Carnell v. Grim, 74 F.3d 977, 11 979 (9th Cir. 1996)), overruled on other grounds, Castro, 833 F.3d at 1076. 12 The Ninth Circuit has clarified that, in the context of pretrial detainees protected by the 13 Fourteenth Amendment, deliberate indifference is interpreted solely from an objective perspective 14 and has no subjective component. Castro, 833 F.3d at 1069–70. Rather, “a pretrial detainee who 15 asserts a due process claim for failure to protect [must] prove more than negligence but less than 16 subjective intent—something akin to reckless disregard.” Id. at 1070–71. Thus, plaintiffs here 17 must plead four elements in stating their deliberate indifference claim: (1) “[t]he defendant made 18 an intentional decision with respect to the conditions under which the [decedent] was confined”; 19 (2) “[t]hose conditions put the [decedent] at substantial risk of suffering serious harm”; (3) “[t]he 20 defendant did not take reasonable available measures to abate that risk, even though a reasonable 21 officer in the circumstances would have appreciated the high degree of risk involved—making the 22 consequences of the defendant’s conduct obvious”; and (4) “[b]y not taking such measures, the 23 defendant caused the [decedent’s] injuries.” Id. at 1071. Regarding the third element, the 24 defendant's conduct must be objectively unreasonable, which is determined based on the “facts 25 and circumstances of each particular case.’ Id. (quoting Kingsley v. Hendrickson, 135 S. Ct. 26 2466, 2473 (2015)). 27 ///// 28 ///// 6 1 2 a. County Defendants In their first cause of action for deliberate indifference, plaintiffs allege that the county 3 defendants failed to prevent Mr. Vargas’s suicide while he was incarcerated at the Mariposa 4 County Jail. Specifically, plaintiffs allege that county defendants were on notice of Mr. Vargas’s 5 mental health condition and past history of suicide attempts, yet still denied him access to 6 medication for his mental illnesses, failed to place him in a suicide prevention cell where he could 7 not hang himself, and failed to otherwise properly monitor him. (SAC at 13–15.) The county 8 defendants argue that the SAC fails to allege sufficient facts indicating that they were aware of 9 Mr. Vargas’s risk of suicide and is also deficient in addressing the county defendants as a group, 10 rather than as individuals. (Doc. No. 49 at 8–11.) 11 The court concludes that, in alleging additional facts that were not stated in their FAC, 12 plaintiffs have adequately stated a deliberate indifference claim and that the allegations of the 13 SAC adequately alleges that each of the county defendants was aware of Mr. Vargas’s serious 14 medical need. In the order granting defendants’ previous motion to dismiss, the court stated that 15 plaintiffs “have not alleged that any of Mr. Vargas’s previously documented troubling behaviors 16 occurred at the county jail, or that the jail officials had access to the documentation detailing Mr. 17 Vargas’s mental health condition.” (Doc. No. 45 at 8.) In their SAC, however, plaintiffs allege 18 that while Mr. Vargas was incarcerated at the county jail, he wrote letters that revealed his 19 deteriorating mental health condition, which the county defendants would have been made aware 20 of through their practice of reviewing all outgoing inmate mail. (SAC at 13.) Additionally, 21 plaintiffs have now alleged that while Mr. Vargas was incarcerated at the county jail, he 22 continually and loudly demanded anti-psychotic drugs from the deputies, which put them on 23 notice of his serious medical need. (Id.) Plaintiffs also now allege that the state court issued an 24 order on July 30, 2015 finding Mr. Vargas incompetent to stand trial, which was served on 25 defendants Binnewies and Hart and distributed to the remaining county defendants. (Id.) 26 Plaintiffs have now described interactions between plaintiff Redondo and defendant Hart 27 regarding Mr. Vargas’s medical condition, in which defendant Hart provided assurances that Mr. 28 Vargas was receiving adequate care at the jail. (Id.) 7 1 These allegations are sufficient to link the county defendants to the alleged constitutional 2 violations. As pled, the SAC alleges defendants were aware that Mr. Vargas had a prior history 3 of mental health conditions that required medical treatment and intentionally ignored those 4 indications, which allowed Mr. Vargas the foreseeable opportunity to commit suicide. Though 5 plaintiffs do not distinguish between the individual defendant deputies, instead referencing them 6 collectively, these defendants are all alleged to have had “involvement in the care and supervision 7 of Vargas during his detention, . . . notice of his mental condition, . . . and [to have failed] to take 8 any steps that would have protected him from harm. . . .” (SAC at 4.) Plaintiffs also allege that 9 all of these events occurred in the confines of a small county jail where the staff is familiar with 10 personal details pertaining to repeat detainees, such as Mr. Vargas. (Id. at 8.) In this context, and 11 because plaintiffs have now alleged that Mr. Vargas’s medical condition and his propensity for 12 suicide was well known by the county defendants, the court concludes that the allegations of the 13 SAC are sufficient to survive a motion to dismiss as to those defendants. See Palakovic v. Wetzel, 14 854 F.3d 209, 226 (3d Cir. 2017) (reversing district court’s dismissal of a deliberate indifference 15 claim following a prison suicide in which a group of prison officials were alleged to have 16 knowledge of decedent’s mental health issues and of the severe psychological harm of solitary 17 confinement); Viero v. Bufano, 901 F. Supp. 1387, 1393 (N.D. Ill. 1995) (denying motion to 18 dismiss deliberate indifference claim against prison officials following the prison suicide of an 19 individual with history of mental health conditions). 20 Similarly, the court concludes plaintiffs have alleged facts sufficient to support a punitive 21 damages claim under § 1983. In addition to alleging an objectively unreasonable disregard to the 22 fact that decedent posed a high risk of suicide, plaintiffs have alleged facts supporting the 23 plausible inference that the county defendants had actual knowledge of Mr. Vargas’s serious 24 medical need, and acted with recklessness or callous indifference to his rights. See Smith v. 25 Wade, 461 U.S. 30, 56 (1983); Dang v. Cross, 422 F.3d 800, 807 (9th Cir. 2005) (“[W]e have 26 recognized that [i]t is well-established that a jury may award punitive damages under section 27 1983 either when a defendant’s conduct was driven by evil motive or intent, or when it involved a 28 ///// 8 1 reckless or callous indifference to the constitutional rights of others.” (citations and internal 2 quotations omitted)). 3 4 b. State Defendants Plaintiffs assert a second cause of action for deliberate indifference against the state 5 defendants, based on their alleged failure to provide restorative treatment to or timely accept 6 transfer of Mr. Vargas from the county jail. (SAC at 15–18.) In this regard, plaintiffs allege that 7 the state had a policy of delaying admission of detainees to mental health facilities. (Id.) 8 Plaintiffs allege that defendants Ahlin and Matteucci “operated the Napa State Hospital in a 9 manner which left it chronically unable to promptly accept inmates per order of the superior 10 courts of the state,” which resulted in Mr. Vargas’s suicide. (Doc. No. 45 at 10.) In moving to 11 dismiss, the state defendants argue that allegations in the SAC with respect to the claims against 12 them are conclusory, vague, and speculative, with no factual allegations that the state defendants 13 knew of Mr. Vargas’s need for expedited medical attention. (Doc. No. 47-1 at 8–11.) 14 In addition to the allegations in the SAC, plaintiffs reference newspaper articles and an 15 Americans Civil Liberties Union press release, each describing the lengthy delays that California 16 pretrial detainees who have been declared incompetent face in being transferred from county jails 17 to treatment facilities. (Id.) Though these additional allegations bolster plaintiffs’ contention that 18 the delay Mr. Vargas experienced was part of a larger statewide phenomenon, they do not rectify 19 the deficiencies of the SAC. Specifically, plaintiffs have still failed to alleged facts from which it 20 could be plausibly inferred that either of the named state defendants would have been made aware 21 of Mr. Vargas’s serious medical needs. (SAC at ¶ 33.) As discussed in the court’s prior order 22 granting defendants’ motion to dismiss, to the extent plaintiffs bring their claims against 23 defendants Ahlin and Matteucci in their supervisorial capacities, they must specifically allege 24 facts to support a causal link between the acts or inaction of each defendant and the claimed 25 constitutional violation—such as, for example, each defendant’s personal involvement in 26 decisions to transfer, admit, or provide care to patients. See Starr v. Baca, 652 F.3d 1202, 1207 27 (9th Cir. 2011) (noting that supervisory liability under § 1983 is appropriate if there exists 28 “personal involvement in the constitutional deprivation”). As the court stated in that order, if 9 1 “plaintiffs allege facts supporting a plausible inference that the state defendants would have been 2 aware of the state court’s commitment order, it is certainly conceivable that each of the state 3 defendants could be found to have owed a duty to provide constitutionally adequate medical care 4 to Mr. Vargas under the Fourteenth Amendment.” (Doc. No. 45 at 13.) 5 Here, despite the amendment of their complaint, plaintiffs have not alleged facts that, if 6 proven, would establish that state defendants Ahlin and/or Matteucci were responsible for 7 decisions made that either specifically impacted Mr. Vargas directly or indirectly. Taylor v. List, 8 880 F.2d 1040, 1045 (9th Cir. 1989) (“A supervisor is only liable for constitutional violations of 9 his subordinates if the supervisor participated in or directed the violations, or knew of the 10 violations and failed to act to prevent them.”). Instead, plaintiffs merely allege that because 11 defendant Ahlin served as the head of the California Department of State Hospitals and defendant 12 Matteucci served as the head of Napa State Hospital, they were responsible for the manner in 13 which both of those entities operated. (SAC at 16.)3 Notably, plaintiffs do not allege in the SAC 14 that the state defendants knew or should have known of the state court’s commitment order. As a 15 result, the SAC does not allege sufficient facts to establish a plausible claim that the state 16 defendants failed to satisfy their duty to provide Mr. Vargas medical care. 17 Similarly, plaintiffs fail to plead sufficient facts to state a claim based on the state 18 defendants’ alleged failure to ensure Mr. Vargas’s timely transfer and admission to Napa State 19 Hospital. Plaintiffs have failed to allege any facts plausibly suggesting that a reasonable state 20 officer in the shoes of the state defendants would have been aware of Mr. Vargas’s medical 21 needs. (See Doc. No. 45 at 14.) Accordingly, plaintiffs have failed to state a cognizable 22 deliberate indifference claim against the state defendants. 23 2. Equal Protection Claim 24 Plaintiffs’ third cause of action alleges that the state defendants did not timely transfer Mr. 25 Vargas to Napa State Hospital due to the county of his confinement, in violation of the Equal 26 3 27 28 To the extent that plaintiffs intend to bring this claim against defendants Ahlin and Matteucci in their official capacities for damages, such a claim is not permitted under § 1983. See Kentucky v. Graham, 473 U.S. 159, 170 (1985) (holding that a § 1983 damages action cannot be brought against a state official in their official capacity). 10 1 Protection Clause of the Fourteenth Amendment. (SAC at 18–19.) According to plaintiffs, 2 county jails throughout California hold detainees like Mr. Vargas, who have been deemed 3 incompetent to stand trial, yet those detainees receive differing treatment depending on whether 4 they are held in counties that have issued standing orders mandating their expedited transfer to 5 treatment facilities. (Id. at 18.) Plaintiffs allege generally that “[p]atients from counties with 6 standing orders, who were otherwise indistinguishable from Vargas, were moved to the top of the 7 DSH admission list, while others like him languished interminably.” (Id.) In moving to dismiss 8 this claim the state defendants argue that plaintiffs have not alleged sufficient facts to show 9 unequal treatment or the lack of any rational basis for the challenged government action. (Doc. 10 No. 47-1 at 11.) 11 The Equal Protection Clause of the Fourteenth Amendment provides “that no State shall 12 deny to any person within its jurisdiction the equal protection of the laws, which is essentially a 13 direction that all persons similarly situated should be treated alike.” City of Cleburne, Tex. v. 14 Cleburne Living Ctr., 473 U.S. 432, 439 (1985) (internal citation and quotations omitted); see 15 also Lee v. City of Los Angeles, 250 F.3d 668, 686 (9th Cir. 2001). “[A] classification neither 16 involving fundamental rights nor proceeding along suspect lines is accorded a strong presumption 17 of validity” and is subject to rational basis review. Heller v. Doe, 509 U.S. 312, 319 (1993); see 18 also F.C.C. v. Beach Commc’ns, Inc., 508 U.S. 307, 313 (1993); Romero-Ochoa v. Holder, 712 19 F.3d 1328, 1331 (9th Cir. 2013). Under rational basis scrutiny, a challenged classification must 20 be upheld so long as “there is any reasonably conceivable state of facts that could provide a 21 rational basis for the classification.” Beach, 508 U.S. at 313. “The burden is on the one 22 attacking the legislative arrangement to negative every conceivable basis which might support it, 23 whether or not the basis has a foundation in the record.” Heller, 509 U.S. at 320–21 (citation and 24 internal punctuation omitted). 25 Courts have noted that “rational basis review at the motion to dismiss stage poses unique 26 challenges.” HSH, Inc. v. City of El Cajon, 44 F. Supp. 3d 996, 1008 (S.D. Cal. 2014) (citing 27 Immaculate Heart Cent. Sch. v. New York State Pub. High Sch. Athletic Ass’n, 797 F. Supp. 2d 28 204, 211 (N.D.N.Y. 2011)). As one circuit court has explained: 11 1 2 3 “The rational basis standard, of course, cannot defeat the plaintiff's benefit of the broad Rule 12(b)(6) standard. The latter standard is procedural, and simply allows the plaintiff to progress beyond the pleadings and obtain discovery, while the rational basis standard is the substantive burden that the plaintiff will ultimately have to meet to prevail on an equal protection claim.” 4 5 Wroblewski v. City of Washburn, 965 F.2d 452, 459 (7th Cir. 1992) (citation omitted). However, 6 a plaintiff alleging an equal protection violation must still plead facts in their complaint 7 establishing that there is not “any reasonable conceivable state of facts that could provide a 8 rational basis for the classification.” Hettinga v. United States, 677 F.3d 471, 479 (D.C. Cir. 9 2012) (citing Dumaguin v. Sec’y of Health and Human Servs., 28 F.3d 1218, 1222 (D.C. Cir. 10 1994)). Accordingly, “[t]o survive a motion to dismiss for failure to state a claim, a plaintiff must 11 allege facts sufficient to overcome the presumption of rationality that applies to government 12 classification.” Wroblewski, 965 F.2d at 460; see also A.J. California Mini Bus, Inc. v. Airport 13 Comm’n of the City & Cty. of San Francisco, 148 F. Supp. 3d 904, 918 (N.D. Cal. 2015). 14 Plaintiffs first briefly argue that their equal protection claim should be subject to strict 15 scrutiny because his claim of deliberate indifference asserts a fundamental right. (Doc. No. 50 at 16 8.) This argument is not persuasive. Plaintiffs’ claim is that Mr. Vargas was prioritized based on 17 the county of his detention, which involves neither a fundamental right nor a suspect 18 classification. See Heller, 509 U.S. at 319. Therefore, rational basis review applies. 19 Here, plaintiffs have alleged additional facts in their SAC to support a plausible inference 20 that other pretrial detainees similarly situated to Mr. Vargas were granted priority admission to 21 Napa State Hospital for reasons that were not rationally related to a legitimate state interest. 22 Nonetheless, plaintiffs have failed to allege sufficient facts to overcome the presumption of 23 rationality that applies to government classification. See Wroblewski, 965 F.2d at 460. In this 24 regard, plaintiffs allege only that due to the longstanding backlog in admissions to Napa State 25 Hospital, access to timely treatment is contingent on whether a detainee is held in a county jail 26 with a standing order mandating transfer in an expedited fashion. (SAC at 18–19.) Plaintiffs 27 allege that other detainees, who had also been determined incompetent to stand trial, were 28 similarly situated to Mr. Vargas. (Id.) But plaintiffs merely allege in conclusory fashion that 12 1 there is no rational basis for treating similarly situated detainees differently simply based on their 2 county of confinement without addressing whether the government classification at issue is 3 rational. Defendants suggest potential reasons for the classification, such as priority given based 4 on the detainees’ needs for mental health treatment or the proximity of alternative treatment 5 facilities in other counties. (Doc. No. 47-1 at 11.) Plaintiffs have failed to allege facts negating t 6 for the classification based on the county of domicile and their equal protection claim is therefore 7 subject to dismissal. See Fields v. Palmdale Sch. Dist., 427 F.3d 1197, 1208-11 (9th Cir. 2005) 8 (affirming dismissal in which plaintiffs failed to plead facts to support their allegation that the 9 government action at issue had no legitimate purpose, despite inclusion of detailed information in 10 the complaint that explained such purpose); Hettinga, 677 F.3d at 479 (dismissing an equal 11 protection claim where the government had provided an explanation for classification that was 12 rational on its face and recognized by other courts as legitimate); Wroblewski, 965 F.2d at 460 13 (dismissing an equal protection claim upon finding the facts alleged were insufficient to defeat 14 the City policy’s presumed rationality).4 15 B. 16 State Law Negligence Claim Plaintiffs have also brought negligence claims under state law against both the county and 17 state defendants. To state such a negligence cause of action, plaintiff must allege and eventually 18 show “that defendant had a duty to use due care, that he breached that duty, and that the breach 19 was the proximate or legal cause of the resulting injury.” Hayes v. County of San Diego, 57 Cal. 20 4th 622, 629 (2013). 21 1. County Defendants 22 The county defendants argue that no cognizable negligence claims are stated against them 23 because plaintiffs have failed to plead causation and do not allege that Mr. Vargas’s suicide 24 would not have occurred “but for” their alleged negligence. (Doc. No. 49 at 11.) Under 25 California tort law, “[t]he general rule is that a jailer is not liable to a prisoner in his keeping for 26 27 28 4 Because the court has concluded that plaintiffs have failed to allege any cognizable constitutional claims against the state defendants, it need not address the state defendants’ argument for dismissal on qualified immunity grounds. 13 1 injuries resulting from the prisoner’s own intentional conduct.” Lucas v. City of Long Beach, 60 2 Cal. App. 3d 341, 349 (1976). However, a jailer is not relieved of liability if the inmate’s suicide 3 “was reasonably foreseeable or the failure to foresee such act was a factor in the original 4 negligence.” Id. at 351. 5 Here, plaintiffs have sufficiently alleged that negligent supervision by the county 6 defendants was the actual cause of the suicide. According to the allegations of plaintiffs’ SAC, 7 Mr. Vargas made public statements that he intended to commit suicide, which made his 8 subsequent suicide reasonably foreseeable. (SAC at 20.) Plaintiffs allege that county defendants 9 were negligent in monitoring and controlling Mr. Vargas and thus failed to use reasonable care to 10 prevent him from killing himself. (Id. at 19–20.) Despite indications that he was prone to 11 suicide, plaintiffs further allege that the county defendants failed to house Mr. Vargas in a 12 suicide-proof cell, which would have prevented his death. (Id. at 20.) Taken as true, plaintiffs’ 13 allegations that the county defendants failed to foresee the suicide risk under the circumstances 14 alleged are adequate to state a claim of negligence against the county defendants. 15 2. State Defendants 16 Plaintiffs have also asserted a negligence claim against state defendants Ahlin and 17 Matteucci, whom plaintiffs allege had a duty to Mr. Vargas that began once when he was 18 determined by the state court to be incompetent to stand trial. (SAC at 20–21.) According to 19 plaintiffs, the state defendants’ failure to admit Mr. Vargas for restorative treatment prior to his 20 suicide constituted a breach of this duty. (Id.) Plaintiffs also allege that the backlogs across the 21 state mental hospital system that prevented Mr. Vargas from being admitted to Napa State 22 Hospital in a timely fashion also constitute a breach of duty. (Id.) 23 In moving to dismiss, the state defendants argue that plaintiffs’ cause of action for 24 negligence against them is barred because the factual basis of recovery was not fairly reflected in 25 plaintiffs’ claim submitted to the California Victim Compensation and Government Claims Board 26 on February 22, 2016, as required under California Government Code §§ 900, et seq. 27 (“Government Claims Act”). (Doc. No. 47-1 at 13.) According to the state defendants, plaintiffs’ 28 state law negligence cause of action is based on a theory of unreasonable delay in transferring Mr. 14 1 Vargas to Napa State Hospital, which was not addressed in plaintiffs’ administrative claim 2 submitted to the California Victim Compensation and Government Claims Board. (Id. at 14.) 3 California Government Code § 945.4 provides that “no suit for money or damages may be 4 brought against a public entity on a cause of action for which a claim is required to be presented . 5 . . until a written claim . . . has been presented to the public entity . . . .” The administrative claim 6 is required to include: 1) the date, place and other circumstances surrounding the asserted claim; 7 2) a general description of the injury known at the time the claim was made; 3) the names of 8 public employees causing the injury, if known. See Cal. Gov’t Code § 910. “The purpose of 9 these statutes is ‘to provide the public entity sufficient information to enable it to adequately 10 investigate claims and to settle them, if appropriate, without the expense of litigation.’” Stockett 11 v. Ass’n of California Water Agencies Joint Powers Ins. Auth., 34 Cal. 4th 441, 446 (2004) 12 (quoting City of San Jose v. Superior Court, 12 Cal. 3d 447, 454 (1974)). Courts use a test of 13 substantial compliance in evaluating whether a plaintiff has met the demands of the claims act 14 because “[t]he act should not be applied to snare the unwary where its purpose has been 15 satisfied.” Elias v. San Bernardino Cty. Flood Control Dist., 68 Cal. App. 3d, 73 (1977). 16 Here, the court concludes that plaintiffs set forth facts in their government claim that were 17 sufficient to provide the state defendants with the opportunity to investigate plaintiffs’ claims. In 18 their government claim plaintiffs stated: 19 20 21 22 23 24 25 26 Mr. Vargas had an established history of mental difficulties including delusions and psychosis which had manifested themselves in violence and other negative behaviors. He was transferred to the Napa State Hospital from the Mariposa County Jail pursuant to court order for evaluation. The Napa State Hospital . . . removed Mr. Vargas from the medications which had been beneficial to him in the past . . . . He was then transferred back to the Mariposa County Jail. . . . Based on the care and treatment provided by the Napa State Hospital and its employees and/or contractors, Mr. Vargas’ mental health deteriorated and continued on a downward trajectory while he was housed in the Mariposa County Jail. The court ordered his return back to the Napa State Hospital. Mr. Vargas killed himself before the transfer [back to the Napa State Hospital] could take place.” 27 (Doc. No. 47-1 at 14.) This claim described the manner in which Mr. Vargas remained at 28 Mariposa County Jail despite a court order requiring his return to Napa State Hospital. (Id.) 15 1 Plaintiffs’ government claim also stated that Mr. Vargas committed suicide during the period 2 when he was awaiting transfer back to Napa State Hospital. (Id.) These allegations sufficiently 3 described the time, date, and circumstances underlying plaintiffs’ claim of unreasonable delay in 4 transferring Mr. Vargas to Napa State Hospital, despite not explicitly phrasing the claim in such 5 exacting terms. 6 Under California law, new allegations in a complaint that were not presented in a 7 government claim are not fatal to the complaint unless they are based on an entirely different set 8 of the facts than those presented in the administrative claim. White v. Superior Court, 225 Cal. 9 App. 3d 1505, 1512 (1990) (reversing trial court’s summary adjudication against plaintiff because 10 the complaint and her claim were based on the same fundamental facts involving the police 11 officer’s mistreatment of plaintiff); see also Blair v. Superior Court, 218 Cal. App. 3d 221, 226 12 (1990) (holding that a government tort claim alleging “negligent maintenance and construction of 13 highway surface” was sufficient to provide notice of claims regarding defects in placement of 14 highway guardrails, slope of road, presence of hazards near the roadway, and inadequate warning 15 signs). Here, applying a more exacting standard to plaintiffs’ presentation of their government 16 claim would “eliminate meritorious actions” rather than “give the government entity notice 17 sufficient for it to investigate and evaluate the claim. . .” Stockett, 34 Cal. 4th at 446. 18 Accordingly, the court concludes that plaintiffs’ negligence claim brought against the state 19 defendants is not subject to dismissal on the grounds asserted. 20 C. State Law Claim for Failure to Obtain Medical Care 21 Plaintiffs’ sixth cause of action alleges violations of California Government Code 22 §§ 844.6 and 845.6 by the county defendants. In their motion to dismiss, the county defendants 23 primarily challenge the sufficiency of plaintiffs’ claim with respect to § 845.6, which provides:5 24 Neither a public entity nor a public employee is liable for injury proximately caused by the failure of the employee to furnish or 25 5 26 27 28 To the extent the county defendants also challenge plaintiffs’ claim with respect to § 844.6, they indicated at the hearing on the pending motion that they are doing so based on the same alleged failure to obtain medical care. See Cal. Gov’t Code § 844.6(d) (“Nothing in this section exonerates a public employee from liability for injury proximately caused by his negligent or wrongful act or omission.”). 16 1 2 obtain medical care for a prisoner in his custody; but . . . a public employee . . . is liable if the employee knows or has reason to know that the prisoner is in need of immediate medical care and he fails to take reasonable action to summon such medical care. 3 4 Cal. Gov’t Code § 845.6. California courts have narrowly interpreted § 845.6 to create limited 5 liability only when (1) the public employee knows or has reason to know of the need of (2) 6 “immediate medical care,” and (3) “fails to take reasonable action to summon such medical care.” 7 Castaneda v. Dep’t of Corrs. & Rehab., 212 Cal. App. 4th 1051, 1070 (2013). Section 845.6 8 “neither encompasses a duty to provide reasonable medical care, nor includes a concomitant duty 9 to assure that prison medical staff properly diagnose and treat the medical condition, nor imposes 10 11 a duty to monitor the quality of care provided.” Id. at 1072. In their SAC, plaintiffs amended their allegations to include facts with respect to whether 12 and how the county defendants had reason to know of Mr. Vargas’s risk of suicide and 13 subsequent need for immediate medical care. According to those amended allegations, the county 14 defendants received notice that healthcare professionals had deemed Mr. Vargas to be a danger to 15 himself and that he required anti-psychotic medications. (SAC at 21.) Plaintiffs allege that Mr. 16 Vargas “had spoken to the [county] Defendants a short time before killing himself of his intention 17 to do so.” (Id.) Plaintiffs also now allege that, after learning this information, “[county 18 defendants] chose not to house Vargas in a suicide proof room.” (Id.) Taken as true, these 19 allegations are sufficient to allow a reasonable inference that the county defendants were aware of 20 Mr. Vargas’s need for immediate medical care and risk of suicide, yet failed to summon medical 21 care. Therefore, the court concludes that plaintiffs’ sixth cause of action as states in the SAC 22 adequately alleges violations of California Government Code §§ 844.6 and 845.6 on the part of 23 the county defendants. CONCLUSION 24 25 For the reasons set forth above, 26 1. The state defendants’ motion to dismiss (Doc. No. 47) is granted in part and denied in 27 28 part; 2. The county defendants’ motion to dismiss (Doc. No. 49) is denied; 17 1 3. The action now proceeds on plaintiffs’ deliberate indifference claim against the county 2 defendants, plaintiffs’ negligence claims against both county and state defendants, and 3 plaintiffs’ claim for failure to obtain medical care against county defendants; 4 4. The moving defendants shall respond to the complaint within twenty-one days of the 5 6 service of this order; and 5. The action is referred to the assigned magistrate judge for an initial scheduling 7 8 9 10 conference. IT IS SO ORDERED. Dated: March 28, 2018 UNITED STATES DISTRICT JUDGE 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 18

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