party asserting affirmative defense has burden of proof
How later courts described this case
- party asserting affirmative defense has burden of proof
- state 25 7 The parties dispute whether Defendant is a state actor and whether she acted under color of state law. (See ECF No. 43-1 at 7–12; ECF No. 52 at 7–9.) While related, these two concepts 26 are distinct. See Lugar v. Edmondson Oil Co., 457 U.S. 922, 935 n.18 (1982
- “Rule 56(c) mandates the entry of summary 19 judgment . . . against a party who fails to make a showing sufficient to establish the existence of 20 an element essential to that party’s case, and on which that party will bear the burden of proof at 21 trial.”
- subsequent statements explaining ostensible judicial admission must be given due weight
Written by the judges who cited it.
The opinion
1
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8 UNITED STATES DISTRICT COURT
9 EASTERN DISTRICT OF CALIFORNIA
10
11 CLIFFORD SMITH et al., No. 2:19-cv-01426-TLN-CKD
12 Plaintiffs,
13 v. ORDER
14 COUNTY OF SACRAMENTO et al.,
15 Defendants.
16
17 This matter is before the Court on Defendant Angela Vickers, M.D.’s (“Defendant”)
18 Motion for Summary Judgment. (ECF No. 43.) Plaintiffs Clifford Smith (“Smith”) and Kristina
19 Fleshman (“Fleshman”) (collectively, “Plaintiffs”) filed an opposition. (ECF No. 52.) Defendant
20 filed a reply. (ECF No. 53.) For the reasons set forth below, Defendant’s motion is DENIED.
21 ///
22 ///
23 ///
24 ///
25 ///
26 ///
27 ///
28 ///
1 I. FACTUAL AND PROCEDURAL BACKGROUND1
2 On June 25, 2017, Plaintiffs brought their two-month-old son, J.S., to a Sutter Health
3 hospital for treatment of “a number of medical issues including . . . vomiting and gasping for air
4 after feeding.” (ECF No. 1, Ex. B ¶ 33; ECF No. 43-3, Ex. A.) A physician evaluated J.S.,
5 prescribed medication for acid reflux, and discharged him into the care of Plaintiffs. (ECF No. 1,
6 Ex. B ¶ 33.)
7 Later that day, another child allegedly bumped into Fleshman while she was feeding J.S.
8 with a bottle, causing injury to J.S.’s mouth. (ECF No. 1, Ex. B ¶ 34; ECF No. 43-1 at 2.)
9 Plaintiffs took J.S. to the medical center at the University of California, Davis (“UC Davis”) for
10 treatment and consented in writing to the performance of medical services.2 (ECF No. 52-3 at 2.)
11 The attending physician diagnosed J.S. with a torn frenulum in his mouth and documented
12 bruising on his head. (Id.) Based on the location and type of injury J.S. sustained, UC Davis
13 medical staff suspected J.S. suffered from non-accidental trauma and contacted Defendant,
14 Director of the Bridging Evidence Assessment and Resources program at Sutter Health, for her
15 advice and input. (Id. at 2–3; ECF No. 43-3, Ex. F ¶¶ 3, 6.) Defendant reviewed the information
16 related to J.S.’s injuries and agreed with UC Davis medical staff that non-accidental trauma might
17 be the cause of J.S.’s injuries and recommended medical staff perform a bone survey.3 (ECF No.
18 52-3 at 3.) Meanwhile, UC Davis medical staff contacted local authorities regarding Plaintiffs’
19 purported child abuse, and J.S. was thereafter placed into protective custody. (ECF No. 1, Ex. B
20 ¶ 36; ECF No. 43-1 at 3.) J.S.’s bone survey results came back normal. (ECF No. 43-3 at 9; ECF
21 No. 52-3 at 3; ECF No. 52-1 at 6.)
22 The next day, a county social worker called Defendant regarding Plaintiffs’ alleged child
23
1 The facts herein are undisputed unless otherwise indicated.
24
2 Defendant contends Fleshman’s consent encompasses the bone survey that was
25
subsequently performed, but Plaintiffs contend consent was only given to treat J.S.’s injured
26 mouth. (See ECF No. 43-1 at 5–6; ECF No. 52-3 at 2.)
27 3 The parties dispute whether Defendant ordered J.S.’s bone survey. (See ECF No. 52-3 at
3.)
28
1 abuse. (ECF No. 52-3 at 3.) During that conversation, Defendant expressed her concern that
2 J.S.’s sister, V.S., was at risk of physical abuse in light of J.S.’s injuries and recommended
3 medical staff perform a physical examination of V.S. (ECF No. 52-3 at 3.) Shortly thereafter, the
4 social worker arrived with police at Plaintiffs’ home and placed V.S. into protective custody. (Id.
5 at 4.) Fleshman provided oral consent4 for medical care for V.S. and one of the nurse
6 practitioners that Defendant supervises subsequently performed a bone survey on V.S. at
7 Defendant’s request.5 (Id. at 4–5.)
8 In November 2018, Plaintiffs filed a complaint in state court against Defendant and
9 several co-defendants alleging, among other things, Defendant performed or caused to be
10 performed an unwarranted and nonconsensual forensic medical examination on J.S. and V.S. in
11 violation of 42 U.S.C. § 1983 and Monell v. Dep’t of Soc. Servs., 436 U.S. 658 (1978). (ECF No.
12 1, Ex. B.) Defendant removed the action to this Court (ECF No. 1 at 1–5) and subsequently
13 moved to dismiss both claims (ECF No. 6). The Court granted in part Defendant’s motion and
14 dismissed Plaintiffs’ Monell claim but denied Defendant’s motion as to Plaintiffs’ § 1983 claim.
15 (ECF No. 14.) On October 7, 2022, Defendant filed the instant motion for summary judgment.6
16 (ECF No. 43.)
17 ///
18 ///
19
4 Defendant contends Fleshman’s consent to medical care encompassed the bone survey
20 medical staff performed. (See ECF No. 43-1 at 6; ECF No. 52-3 at 4.) Plaintiffs maintain that
consent was only given for medical care in the event V.S. became injured or ill. (See ECF No.
21 52-2.)
22
5 Plaintiffs contend a genuine issue of material fact exists as to whether Defendant ordered
23 the bone survey for V.S. (See ECF No. 52 at 3–4.) However, Plaintiffs also did not dispute that
“[a]lthough Defendant’s name is listed as the ordering provider on the radiology report, she did
24 not order that study . . . .” (ECF No. 52–3 at 5.) The Court declines to treat this latter stipulation
as a binding judicial admission because it was likely made in advertence, evidenced by Plaintiffs’
25
subsequent opposition motion that is dated one day after the purported admission. See Am. Title
Ins. Co. v. Lacelaw Corp., 861 F.2d 224, 226 (9th Cir. 1988) (district courts have discretion to
26
determine whether statements are binding judicial admission); Sicor Ltd. v. Cetus Corp., 51 F.3d
27 848, 860 (9th Cir. 1995) (subsequent statements explaining ostensible judicial admission must be
given due weight).
28 6 The other codefendants settled out of court. (See ECF No. 67.)
1 II. STANDARD OF LAW
2 Summary judgment is appropriate when the moving party demonstrates no genuine issue
3 of any material fact exists and the moving party is entitled to judgment as a matter of law. Fed.
4 R. Civ. P. 56(a); Adickes v. S.H. Kress & Co., 398 U.S. 144, 157 (1970). Under summary
5 judgment practice, the moving party always bears the initial responsibility of informing the
6 district court of the basis of its motion, and identifying those portions of “the pleadings,
7 depositions, answers to interrogatories, and admissions on file together with affidavits, if any,”
8 which it believes demonstrate the absence of a genuine issue of material fact. Celotex Corp. v.
9 Catrett, 477 U.S. 317, 323 (1986). “[W]here the nonmoving party will bear the burden of proof
10 at trial on a dispositive issue, a summary judgment motion may properly be made in reliance
11 solely on the pleadings, depositions, answers to interrogatories, and admissions on file.” Id. at
12 324 (internal quotation marks omitted). Indeed, summary judgment should be entered against a
13 party who does not make a showing sufficient to establish the existence of an element essential to
14 that party’s case, and on which that party will bear the burden of proof at trial.
15 If the moving party meets its initial responsibility, the burden then shifts to the opposing
16 party to establish that a genuine issue as to any material fact does exist. Matsushita Elec. Indus.
17 Co. v. Zenith Radio Corp., 475 U.S. 574, 585–87 (1986); First Nat’l Bank of Ariz. v. Cities Serv.
18 Co., 391 U.S. 253, 288–89 (1968). In attempting to establish the existence of this factual dispute,
19 the opposing party may not rely upon the denials of its pleadings, but is required to tender
20 evidence of specific facts in the form of affidavits, and/or admissible discovery material, in
21 support of its contention that the dispute exists. Fed. R. Civ. P. 56(c). The opposing party must
22 demonstrate that the fact in contention is material, i.e., a fact that might affect the outcome of the
23 suit under the governing law, Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986), and that
24 the dispute is genuine, i.e., the evidence is such that a reasonable jury could return a verdict for
25 the nonmoving party. Id. at 251–52.
26 In the endeavor to establish the existence of a factual dispute, the opposing party need not
27 establish a material issue of fact conclusively in its favor. It is sufficient that “the claimed factual
28 dispute be shown to require a jury or judge to resolve the parties’ differing versions of the truth at
1 trial.” First Nat’l Bank of Ariz., 391 U.S. at 288–89. Thus, the “purpose of summary judgment is
2 to ‘pierce the pleadings and to assess the proof in order to see whether there is a genuine need for
3 trial.’” Matsushita Elec. Indus. Co., 475 U.S. at 587 (quoting Rule 56(e) advisory committee’s
4 note on 1963 amendments).
5 In resolving the summary judgment motion, the court examines the pleadings, depositions,
6 answers to interrogatories, and admissions on file, together with any applicable affidavits. Fed.
7 R. Civ. P. 56(c); SEC v. Seaboard Corp., 677 F.2d 1301, 1305–06 (9th Cir. 1982). The evidence
8 of the opposing party is to be believed and all reasonable inferences that may be drawn from the
9 facts pleaded before the court must be drawn in favor of the opposing party. Anderson, 477 U.S.
10 at 255. Nevertheless, inferences are not drawn out of the air, and it is the opposing party’s
11 obligation to produce a factual predicate from which the inference may be drawn. Richards v.
12 Nielsen Freight Lines, 602 F. Supp. 1224, 1244–45 (E.D. Cal. 1985), aff’d, 810 F.2d 898 (9th Cir.
13 1987). Finally, to demonstrate a genuine issue that necessitates a jury trial, the opposing party
14 “must do more than simply show that there is some metaphysical doubt as to the material facts.”
15 Matsushita Elec. Indus. Co., 475 U.S. at 586. “Where the record taken as a whole could not lead
16 a rational trier of fact to find for the nonmoving party, there is no ‘genuine issue for trial.’” Id. at
17 587.
18 III. ANALYSIS
19 Defendant contends there is no genuine dispute as to any material fact and that she is
20 entitled to judgment as a matter of law as to Plaintiffs’ § 1983 claim because: (1) she did not
21 perform or order any physical examination of J.S. or V.S.; (2) Fleshman consented to the physical
22 examinations of J.S. and V.S.; (3) Defendant is not a state actor; (4) she did not act under color of
23 state law; and (5) even if she acted under color of state law, she is entitled to qualified immunity.
24 (See ECF No. 43–1 at 5–13.) Plaintiffs oppose summary judgment on the bases that a genuine
25 dispute of material fact exists, and qualified immunity does not apply to forensic examinations.
26 (See ECF No. 52 at 3–12.) The Court addresses each argument in turn.
27 ///
28 ///
1 A. Physical Examination of J.S. and V.S.
2 It is undisputed Defendant did not perform any physical examination of J.S. or V.S. (ECF
3 No. 52-3 at 6.) Defendant contends she also did not order any physical examination of J.S. or
4 V.S. and therefore cannot be liable for allegedly violating Plaintiffs’ right to make important
5 medical decisions for their children as a matter of law. (See ECF No. 43 at 5.) In support of her
6 contention, Defendant cites to her own declaration which states that she did not make any
7 treatment orders for J.S. or V.S. (Id.; ECF No. 43-3, Ex. F.)
8 Plaintiffs argue that a genuine dispute exists regarding whether Defendant’s
9 “recommendation” to medical staff, including a subordinate employee, that certain medical
10 treatment be performed on J.S. and V.S. is akin to an order that brought about the alleged
11 unconstitutional examinations. (See ECF No. 52 at 3–4.) In other words, Plaintiffs maintain
12 Defendant proximately caused the purported unlawful examinations of J.S. and V.S.
13 notwithstanding the fact that she did not perform the exams herself. (See id.) To bolster their
14 claims, Plaintiffs submitted excerpts from the Sacramento County Child Protective Services daily
15 service logs. (ECF No. 52–1, Ex. A.) One of the logs states Defendant “requested” exams of J.S.
16 and V.S. and another states that Defendant ordered an exam of V.S. (Id. at 6, 12.)
17 “The right to family association includes the right of parents to make important medical
18 decisions for their children, and of children to have those decisions made by their parents rather
19 than the state.” Wallis v. Spencer, 202 F.3d 1126, 1141 (9th Cir. 2000). Absent parental consent
20 or “a reasonable concern that material physical evidence might dissipate or that some urgent
21 medical problem exists requiring immediate attention, the state is required to notify parents and to
22 obtain judicial approval before children are subjected to investigatory physical examinations.” Id.
23 (citation omitted). The state’s failure to do so violates parents’ Fourteenth Amendment
24 substantive due process rights. Mann v. Cnty. of San Diego, 907 F.3d 1154, 1160–61 (9th Cir.
25 2018).
26 The Ninth Circuit has also held that a supervisor may be liable under § 1983 “if there
27 exists either (1) his or her personal involvement in the constitutional deprivation, or (2) a
28 sufficient causal connection between the supervisor’s wrongful conduct and the constitutional
1 violation.” Starr v. Baca, 652 F.3d 1202, 1207 (9th Cir. 2011) (quoting Hansen v. Black, 885
2 F.2d 642, 646 (9th Cir. 1989)). “[A] plaintiff must show the supervisor breached a duty to
3 plaintiff which was the proximate cause of the injury.” Id. (quoting Redman v. Cnty. of San
4 Diego, 942 F.2d 1435, 1447 (9th Cir. 1991).
5 The Court finds that a genuine dispute of material fact exists as to whether Defendant
6 ordered the physical examinations of J.S. and V.S. As the moving party, Defendant carries the
7 initial burden of “identifying those portions of ‘the pleadings, depositions, answers to
8 interrogatories, and admissions on file, together with the affidavits, if any,’ which it believes
9 demonstrate the absence of a genuine issue of material fact.” Celotex Corp., 477 U.S. at 323.
10 The only evidence Defendant presents in support of her contention that she did not order any
11 examination of J.S. or V.S. is a self-serving declaration, which the Court finds insufficient to
12 demonstrate the absence of a genuine issue of material fact. Cf. F.T.C. v. Publ’g Clearing House,
13 Inc., 104 F.3d 1168, 1171 (9th Cir. 1997), as amended (Apr. 11, 1997) (“A conclusory, self–
14 serving affidavit, lacking detailed facts and any supporting evidence, is insufficient to create a
15 genuine issue of material fact.”). In any event, Plaintiffs dispute Defendant’s allegation that she
16 did not order the exams of J.S. and V.S. (ECF No. 52-3 at 3, 6) and maintain that she is liable for
17 the conduct of her subordinate employee (ECF No. 52 at 3-4.) The Sacramento County Child
18 Protective Services daily service logs (ECF No. 52-1, Ex. A) and Defendant’s own admission that
19 she recommended a bone survey and her supervisee performed the procedure on V.S.,
20 demonstrate that a genuine dispute of material fact exists as to whether Defendant ordered the
21 physical examinations of J.S. and V.S., which may result in supervisory liability under § 1983.
22 See Starr, 652 F.3d at 1207; infra Section III.B. Thus, the Court finds that Plaintiffs have put
23 forth sufficient evidence to preclude summary judgment on this basis.
24 B. Consent to Physical Examinations of J.S. and V.S.
25 As discussed above, parental consent or judicial approval is generally required before
26 children may be subjected to investigatory physical examinations. Wallis, 202 F.3d at 1141.
27 Judicial approval was not obtained here, and it is undisputed that Plaintiffs consented in writing
28 for J.S. and orally for V.S. to the performance of certain medical services. (ECF No. 52-3 at 2.)
1 The question then turns to whether Plaintiffs’ consent encompasses the examinations complained
2 of.
3 Prior to admission to the UC Davis Medical Center, Fleshman signed a medical consent
4 form for J.S. which read:
5 I consent to any medical treatments or procedures, X-ray
examinations, drawing blood for tests, medications, injections,
6 taking of medical photographs, videotaping, laboratory procedures,
and hospital services (except for those which require special consent)
7 rendered to me under the general and special instructions of the
attending physicians, or other physicians of UCDHS assisting in my
8 care.
9 (ECF No. 43-3, Ex. A.) Plaintiffs also orally consented to medical care for V.S. after
10 local authorities placed her into protective custody. (ECF No. 52-3 at 4.) Defendant
11 argues that by virtue of Plaintiffs providing consent, both written and oral, for J.S. and
12 V.S., their claim of “unwarranted, non-consensual physical examination is nonviable.”
13 (ECF No. 43-1 at 6.)
14 Plaintiffs, on the other hand, contend Defendant exceeded the scope of the consent that
15 was given to her by ordering the physical examinations of J.S. and V.S. (ECF No. 52 at 5–6;
16 ECF No. 52-2 at 2–3.) Specifically, Plaintiffs maintain consent for J.S. was given for the sole
17 purpose of treating his injured mouth, and consent for V.S. was given only if a medical need
18 presented itself, which they contend had not. (ECF No. 52 at 5–6; ECF No. 52-2 at 2–3.)
19 Plaintiffs support their position with a declaration from Fleshman that outlines the circumstances
20 surrounding the consent she gave for the treatment of J.S. and V.S. and the purported limits
21 thereto. (See ECF No. 52–2.)
22 The Court finds that a genuine dispute exists as to whether Plaintiffs consented to the
23 physical examinations of J.S. and V.S. The question of whether the scope of consent was
24 exceeded is a factual one. See, e.g., United States v. Rubio, 727 F.2d 786, 797 (9th Cir. 1983);
25 Lucero v. Donovan, 354 F.2d 16, 20 (9th Cir. 1965). Plaintiffs submitted a declaration from
26 Fleshman that reads, in pertinent part:
27 2. On or about June 25, 2017, my husband and I brought our son
to UC Davis medical center for care and treatment of bleeding in his
28 mouth. As part of our admission to the hospital I was asked to sign
1 a document to allow the medical doctors to provide needed medical
care and treatment for the injury which my son had sustained.
2
3. At no time did anyone advise or indicate to me that this
3 document would authorize anything other than for the necessary
medical care and treatment for my sons injury.
4
5. Had anyone indicted that this document would authorize
5 anything other than for the care and treatment of the bleeding from
the mouth that my son was experiencing, I would not have signed the
6 document.
7 6. [R]epresentatives of CPS removed my child [V.S.] from my
custody. I was asked if in the event of injury or medical need I would
8 allow doctors to treat the medical needs of my child. As a concerned
mother I certainly wanted my new born daughter to receive medical
9 care in the event of injury or disease and I consented to such care.
10 7. What I did not consent to was for CPS and medical doctors
to have conspired to remove my child from my custody in order to
11 conduct investigative and forensic examinations to assist in their
investigation of alleged child abuse.
12
(ECF No. 52-2.) While a self-serving declaration ordinarily is insufficient to create a genuine
13
issue of material fact, see F.T.C., 104 F.3d at 1171, Fleshman’s declaration is not conclusory, and
14
it provides a detailed recitation of her version of events. Moreover, consent is an affirmative
15
defense that Defendant will have to prove at trial, not Plaintiffs. See Houghton v. South, 965 F.2d
16
1532, 1536 (9th Cir. 1992) (party asserting affirmative defense has burden of proof). Had the
17
burden of proving a lack of consent rested with Plaintiffs, summary judgment may have been
18
appropriate. See Celotex Corp., 477 U.S. at 322 (“Rule 56(c) mandates the entry of summary
19
judgment . . . against a party who fails to make a showing sufficient to establish the existence of
20
an element essential to that party’s case, and on which that party will bear the burden of proof at
21
trial.”) But this is not the case. Thus, the Court finds that a genuine dispute exists as to whether
22
Plaintiffs consented to the physical examinations of J.S. and V.S.
23
///
24
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25
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26
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27
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28
1 C. State Action7
2 To prevail in an action brought under § 1983, a plaintiff “must establish that they were
3 deprived of a right secured by the Constitution or laws of the United States, and that the alleged
4 deprivation was committed under color of state law.” Am. Mfrs. Mut. Ins. Co. v. Sullivan, 526
5 U.S. 40, 49–50 (1999). Defendant contends she is not a state actor, and therefore cannot be
6 liable, because she is a private physician not employed by any governmental entity. (ECF No.
7 43-1 at 7.) Defendant further contends that she did not act under color of state law because any
8 action she took did not significantly involve the state. (ECF No. 43-1 at 7–12.) Plaintiffs
9 disagree and argue that Defendant acted under color of state law because she cooperated
10 extensively with the government (i.e., law enforcement, UC Davis medical staff, and county
11 social workers) on forensic matters, including ordering the physical examinations of J.S. and V.S.
12 (ECF No. 52 at 7–10.) In support of their argument, Plaintiffs again rely on the Sacramento
13 County Child Protective Services daily service logs which document the numerous interactions
14 Defendant had with government officials. (See ECF No. 52-1, Ex. A.)
15 “Like the state-action requirement of the Fourteenth Amendment, the under-color-of-
16 state-law element of § 1983 excludes from its reach ‘merely private conduct, no matter how
17 discriminatory or wrongful[.]’” Sullivan, 526 U.S. at 50 (quoting Blum v. Yaretsky, 457 U.S. 991,
18 1002 (1982)). “Action taken by private individuals may be ‘under color of state law’ where there
19 is ‘significant’ state involvement in the action.” Howerton v. Gabica, 708 F.2d 380, 382 (9th Cir.
20 1983). The Supreme Court has articulated a number of tests to determine when action taken by
21 private individuals significantly involves the state. See, e.g., Brentwood Acad. v. Tennessee
22 Secondary Sch. Athletic Ass'n, 531 U.S. 288 (2001) (governmental nexus test); Burton v.
23 Wilmington Parking Authority, 365 U.S. 715 (1961) (joint action test); Marsh v. Alabama, 326
24 U.S. 501 (1946) (public function test); Adickes v. S.H. Kress & Co., 398 U.S. 144 (1970) (state
25 7 The parties dispute whether Defendant is a state actor and whether she acted under color
of state law. (See ECF No. 43-1 at 7–12; ECF No. 52 at 7–9.) While related, these two concepts
26
are distinct. See Lugar v. Edmondson Oil Co., 457 U.S. 922, 935 n.18 (1982). Nevertheless,
27 “[w]here, as here, deprivations of rights under the Fourteenth Amendment are alleged, these two
requirements converge.” Sullivan, 526 U.S. at 50 n.8. The Court therefore addresses these two
28 concepts together.
1 compulsion test). Of these tests, two merit closer consideration: the joint action and
2 governmental nexus tests.
3 Under the joint action test, a private party acts under color of state law if “he is a willful
4 participant in joint action with the State or its agents.” Dennis v. Sparks, 449 U.S. 24, 27 (1980).
5 Under the governmental nexus test, a private party acts under color of state law if “there is a
6 sufficiently close nexus between the State and the challenged action . . . so that the action of the
7 latter may be fairly treated as that of the State itself.” Jackson v. Metropolitan Edison Co., 419
8 U.S. 345, 351 (1974).
9 Applying the joint action and governmental nexus tests, the Court finds that Plaintiffs
10 have produced sufficient evidence to create a genuine dispute as to whether Defendant acted
11 under color of state law. While there is no binding precedent directly on point, a few cases from
12 the Second Circuit are instructive. In Kia P. v. McIntyre, 235 F.3d 749 (2d Cir. 2000), the Second
13 Circuit found that a private hospital was not a state actor when it admitted and treated a minor for
14 possible methadone withdrawal but was a state actor when it held the child after he or she was
15 medically cleared while it waited for a response from the child welfare administration regarding
16 the child. Specifically, the court found the hospital was a state actor under § 1983 to the extent it
17 was acting as part of the reporting and enforcement machinery for the child welfare
18 administration — a government agency charged with the detection and prevention of child abuse
19 and neglect. Id. at 756–57.
20 Similarly, in Estiverne v. Esernio-Jenssen, 833 F. Supp. 2d 356 (E.D. N.Y. 2011), the
21 district court found that a private hospital is not subject to liability under § 1983 when it admits a
22 child for medical reasons, even if possible abuse partially informs the decision to admit. When
23 the hospital continues to detain a child for investigatory purposes after medical treatment has
24 concluded, however, the hospital becomes part of the reporting and enforcement machinery of the
25 state, and thus, a state actor under § 1983. Id. at 367–68.
26 In the instant case, it is undisputed that law enforcement placed J.S. into protective
27 custody after Plaintiffs brought him to the UC Davis Medical Center to treat his injured mouth.
28 (ECF No. 52–3 at 2.) While in protective custody, Defendant ostensibly ordered J.S.’s bone
1 survey after UC Davis medical staff treated him for his mouth injury. (See ECF No. 52-1, Ex. A
2 at 6, 12.) The following day, county social workers, with the assistance of law enforcement,
3 placed V.S. into protective custody and Defendant ostensibly ordered a bone survey for her too,
4 despite V.S. not presenting with any medical need. (Id.) Plaintiffs contend that Defendant was a
5 willful participant in joint action with the social workers responsible for investigating possible
6 abuse, and therefore, part of the reporting and enforcement machinery of the state. (ECF No. 52
7 at 7–10.) A reasonable jury could conclude that the evidence Planitiffs produced supports such a
8 finding. (See ECF No. 52-1, Ex. A.) Thus, the Court finds a genuine dispute exists as to whether
9 Defendant acted under color of state law.
10 D. Qualified Immunity.
11 Finally, Defendant contends that even if she acted under color of state law, she is entitled
12 to qualified immunity. (See ECF No. 43-1 at 12–13.) In opposition, Plaintiffs argue Defendant is
13 not entitled to qualified immunity because she violated clearly established federal law. (ECF No.
14 52 at 10–12.)
15 “Qualified immunity strikes a balance between compensating those who have been injured
16 by official conduct and protecting government’s ability to perform its traditional functions.”
17 Wyatt v. Cole, 504 U.S. 158, 167 (1992). The Supreme Court has recognized “qualified
18 immunity for government officials where it was necessary to preserve their ability to serve the
19 public good or to ensure that talented candidates were not deterred by the threat of damages suits
20 from entering public service.” Id. These rationales, however, “are not transferable to private
21 parties.” Id. at 168. Thus, private parties sued under § 1983 may not avail themselves of
22 qualified immunity. Id. at 168–69; Danielson v. Inslee, 945 F.3d 1096, 1099 (9th Cir. 2019)
23 (“The Supreme Court has held that private parties sued under 42 U.S.C. § 1983 cannot claim
24 qualified immunity . . . .”).
25 Accordingly, because it is undisputed Defendant is a private party, the Court finds that
26 Defendant is not entitled to qualified immunity as a matter of law.
27 ///
28 ///
1 IV. CONCLUSION
2 For the foregoing reasons, Defendant’s Motion for Summary Judgment is DENIED.
3 | (ECF No. 43.) The parties are ORDERED to file a Joint Status Report not later than thirty
4 | (30) days of the electronic filing of this Order indicating their readiness to proceed to trial and
5 | proposing trial dates.
ry /
6 IT IS SO ORDERED. | jf /
\ / ) bia
7 | DATED: September 29, 2023 — WW VX
8 Troy L. Nunley }
United States District Judge
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