noting that a plaintiff asserting deliberate indifference must generally show that an alleged failure to train “has caused a pattern of violations”
How later courts described this case
- noting that a plaintiff asserting deliberate indifference must generally show that an alleged failure to train “has caused a pattern of violations”
- noting that a failure to intervene claim “requires the existence of a constitutional violation”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
SHERELLE THOMAS, :
ADMINISTRATOR OF THE ESTATE : No. 1:20-cv-01178
OF TERELLE THOMAS and :
T.T., a minor, individually, as child of : (Judge Kane)
decedent Terelle Thomas and as his :
sole survivor, :
Plaintiffs :
:
v. :
:
HARRISBURG CITY POLICE :
DEPARTMENT, et al., :
Defendants :
MEMORANDUM
Presently before the Court are five (5) motions to dismiss for failure to state a claim
pursuant to Federal Rule of Civil Procedure 12(b)(6) brought by: (1) Defendant City of Harrisburg1
(“Defendant City”) (Doc. No. 12); (2) Defendant Officers Daril Foose (“Foose”) and Brian
Carriere (“Carriere”) (Doc. No. 19); (3) Defendant Officers Scott Johnsen (“Johnsen”), Adrienne
Salazar (“Salazar”), and Travis Banning (“Banning”) (Doc. No. 20); (4) Defendant Dauphin
County (“Defendant County”) (Doc. No. 37); and (5) Defendants Dauphin County Adult Probation
(“DCAP”)2 and Probation Officer Dan Kinsinger (“Kinsinger”) (Doc. No. 39). For the reasons
that follow, the Court will grant the motions.
1The complaint in this action does not name the City of Harrisburg as a defendant; rather,
“Harrisburg City Police Department” is the named institutional defendant for Harrisburg. (Doc.
No. 1.) The correct defendant is the City of Harrisburg itself rather than the police department, as
acknowledged by the City in its motion to dismiss (Doc. No. 12) and by Plaintiffs in their brief in
opposition (Doc. No. 22 at 1). Accordingly, the Court will review the allegations of the complaint
(Doc. No. 1) and the City of Harrisburg’s response to those allegations in its motion to dismiss
(Doc. No. 12) as if they were asserted against the proper defendant.
2 Similarly, the DCAP is also not a proper party in this action. DCAP is part of the Commonwealth
of Pennsylvania’s judicial branch, and it is well-established that “Pennsylvania’s judicial districts,
I. BACKGROUND
A. Procedural Background
Plaintiffs Sherelle Thomas, administrator of the estate of Terelle Thomas, and T.T., a
minor, as child and sole survivor of decedent Terelle Thomas, initiated the above-captioned action
by filing a complaint in this Court on July 10, 2020. (Doc. No. 1.) Plaintiffs’ complaint asserts
various state law claims as well as federal claims against Defendants pursuant to 42 U.S.C. § 1983
arising from the circumstances surrounding the death of Terelle Thomas (“Thomas” or
“Decedent”). (Id.) Specifically, Plaintiffs’ complaint asserts: (1) a federal conspiracy claim
against Defendant Officers Foose, Kinsinger, Johnsen, Salazar, Banning, Carriere, and various
John Doe Officers (collectively the “Individual Defendants”) (Count I); (2) a claim for failure to
intervene against the Individual Defendants (Count II); (3) claims for failure to train, supervise,
control, or discipline against Defendant County and Defendant City (collectively the “Government
Defendants”) as well as “John Doe Supervisory Officers” (Counts III and IV); (4) a claim for
failure to render medical care against all Defendants (Count V); (5) state law claims for negligence,
wrongful death, and “survival action” against all Defendants (Counts VI, VII, and VIII). (Id.)
Defendant City filed the first motion to dismiss in this action on August 10, 2020. (Doc.
No. 12.) Defendant Officers Foose, Carriere, Johnsen, Salazar, and Banning filed two additional
motions to dismiss on August 17, 2020. (Doc. Nos. 19, 20.) After being granted extensions of
time to respond to the complaint (Doc. Nos. 18, 29), Defendants DCAP and Kinsinger and
including their probation and parole departments, are entitled to Eleventh Amendment immunity.”
See Haybarger v. Lawrence Cty. Adult Prob. & Parole, 551 F.3d 193, 197 (3d Cir. 2008) (citing
Benn v. First Judicial Dist. of Pa., 426 F.3d 233, 241 (3d Cir. 2005)). Accordingly, the Court will
dismiss DCAP as a defendant in this action and only consider the allegations of Plaintiffs’
complaint as properly asserted against Defendant County.
Defendant County filed the remaining motions to dismiss (Doc. Nos. 37, 39) on September 17,
2020 and September 18, 2020. Having been fully briefed, all five motions are ripe for disposition.
B. Factual Background3
On December 14, 2019, Defendant Officer Foose observed Decedent Thomas and another
man enter a vehicle after walking away from a bar. (Doc. No. 1 ¶ 32.) Shortly thereafter, Foose
began to follow the vehicle, and, after observing the vehicle fail to come to a complete stop at a
stop sign, initiated a traffic stop. (Id. ¶¶ 34-35, Exh. A at 6.) Foose identified the driver of the
vehicle as Theresea Henderson (“Henderson”), the other passenger as Jay Wilkerson
“Wilkerson”), and Thomas. (Id., Exh. A at 6.) Foose observed that Thomas appeared to have
something in his mouth, notified her partner, Kinsinger, that she suspected Thomas was attempting
to conceal something, and asked Kinsinger to detain Thomas. (Id. ¶¶ 36-38, Exh. A at 6.)
Kinsinger detained Thomas and directed him to spit out the items in his mouth. (Id.) Foose
observed that “[w]here Thomas did spit was a white liquid that resembled crack cocaine attempted
to be swallowed.” (Id., Exh. A at 6.) Additional police units then arrived on the scene, including
Defendant Officers Johnsen, Salazar, Banning, and Carriere. (Doc. No. 1 ¶¶ 39, 41, 44.)
Foose then went to speak to Thomas, noting in her report that she suspected he had ingested
cocaine because “[h]is lips were completely pasted white. His tongue and spit were white and
forming a large amount of paste inside of his mouth. Thomas’s face appeared to be covered in a
white powdery substance.” (Id., Exh. A at 6.) Foose mirandized Thomas at which time Thomas
allegedly denied having any drugs on him but marijuana and stated that “he just ate a candy
cigarette and that is why his lips were so white.” (Id.) Nonetheless, Kinsinger and Foose advised
3 The following factual background is taken from the allegations of Plaintiffs’ complaint (Doc. No.
1) and the exhibits attached to the complaint, which include the police reports related to the
incident in question (Doc. No. 1, Exhs. A-C).
Johnsen, Salazar, and Banning that it was possible Thomas had ingested cocaine. (Id., Exh. A at
8-10.) According to the police reports, Thomas repeatedly denied having ingested cocaine and
insisted that the white on his mouth was from a candy cigarette, even after officers advised him
that it was important for them to know if he had ingested something to “inform medical staff” and
“for his safety in the event that it would have any ill affect [sic] on his health.” (Id. at 6-11.)
Wilkerson and Henderson also allegedly stated that “they did not see Thomas ingest anything and
did not know that he had crack.” (Id. at 8.)
At approximately 6:47 P.M., Defendant Officer Carriere transported Thomas to the
Dauphin County Booking Center. (Doc. No. 1 ¶ 47.) Carriere alleges that he “continued to check
on Thomas throughout the transport” and that Thomas “told me that he was okay.” (Id., Exh. A at
11.) Carriere and Thomas arrived at the booking center at approximately 6:53 P.M, at which time
Carriere alleges that he “advised that [Thomas] may have swallowed crack-cocaine” and that
Thomas “was seen by medical staff at the booking center and was cleared to stay.” (Id.) Carriere
further alleges that “booking staff asked [Thomas] several times if he ingested crack-cocaine.
Again, he denied doing so.” (Id.) Thomas was not transferred from the booking center to a hospital
and was placed in a cell at approximately 7:13 P.M. (Doc. No. 1 ¶¶ 52, 57.) Nearly an hour later,
around 8:04 P.M., Thomas fell to the floor in his cell, hit his head, and suffered cardiac arrest. (Id.
¶ 58.) Thomas was then transferred to UPMC Pinnacle Harrisburg Hospital where he remained
until his death on December 17, 2019. (Id. ¶¶ 61-63.) An autopsy determined that the cause of
death was “cocaine and fentanyl toxicity.” (Id. ¶ 63.) In an article published by Penn Live on
January 17, 2020, Eric Papenfuse, mayor of the City of Harrisburg, indicated that it is the policy
of the Harrisburg Police Department to divert individuals to the hospital if they have consumed
narcotics “in a way that could jeopardize their health and welfare” and stated that in light of
Decedent’s denials regarding consumption of cocaine “the officer exercised her best judgment as
to how to proceed.” (Doc. No. 1 ¶ 66, Exh. C at 3.)
II. LEGAL STANDARD
Rule 12(b)(6) of the Federal Rules of Civil Procedure permits a defendant to move to
dismiss a complaint for “failure to state a claim upon which relief can be granted.” Fed. R. Civ.
P. 12(b)(6). When reviewing the sufficiency of a complaint pursuant to a motion to dismiss under
Rule 12(b)(6), the Court must accept as true all material allegations in the complaint and all
reasonable inferences that can be drawn from them, viewed in the light most favorable to the
plaintiff. See In re Ins. Brokerage Antitrust Litig., 618 F.3d 300, 314 (3d Cir. 2010). However,
the Court need not accept legal conclusions set forth as factual allegations. See Bell Atlantic Corp.
v. Twombly, 550 U.S. 544, 555 (2007). Rather, a civil complaint must “set out ‘sufficient factual
matter’ to show that the claim is facially plausible.” See Fowler v. UPMC Shadyside, 578 F.3d
203, 210 (3d Cir. 2009) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). “[W]here the well-
pleaded facts do not permit the court to infer more than the mere possibility of misconduct, the
complaint has alleged – but it has not ‘show[n]’ – ‘that the pleader is entitled to relief.’” See Iqbal,
556 U.S. at 679 (citing Fed. R. Civ. P. 8(a)(2)).
Consistent with the Supreme Court’s ruling in Twombly and Ibqal, the United States Court
of Appeals for the Third Circuit has identified three steps a district court must take when
determining the sufficiency of a complaint under Rule 12(b)(6): (1) identify the elements a
plaintiff must plead to state a claim; (2) identify any conclusory allegations contained in the
complaint “not entitled” to the assumption of truth; and (3) determine whether any “well-pleaded
factual allegations” contained in the complaint “plausibly give rise to an entitlement to relief.” See
Santiago v. Warminster Twp., 629 F. 3d 121, 130 (3d Cir. 2010) (citation and quotation marks
omitted). A complaint is properly dismissed where the factual content in the complaint does not
allow a court “to draw the reasonable inference that the defendant is liable for the misconduct
alleged.” See Iqbal, 556 U.S. at 678. The Third Circuit has specified that in ruling on a Rule
12(b)(6) motion to dismiss for failure to state a claim, “a court must consider only the complaint,
exhibits attached to the complaint, matters of public record, as well as undisputedly authentic
documents if the complainant’s claims are based upon these documents.” See Mayer v. Belichick,
605 F.3d 223, 230 (3d Cir. 2010) (citing Pension Benefit Guar. Corp. v. White Consol. Indus.,
Inc., 998 F.2d 1192, 1196 (3d Cir. 1993)). Additionally, a court may not assume that a plaintiff
can prove facts that the plaintiff has not alleged. See Associated Gen. Contractors of Cal. v. Cal.
State Council of Carpenters, 459 U.S. 519, 526 (1983)
III. DISCUSSION
A. Plaintiffs’ Claims Against the Individual Defendants (Counts I, II, V, VI, VII,
and VIII)4
1. Plaintiffs’ Conspiracy Claim Under 42 U.S.C. § 1983 (Count I)
a. Applicable Legal Standard
Section 1983 is the vehicle by which private citizens can seek redress for violations of
federal constitutional rights committed by state officials. See 42 U.S.C. § 1983. The statute states,
in pertinent part:
4 As an initial matter, Plaintiffs’ federal claims are asserted under both the Fourth and Fourteenth
Amendments to the Constitution of the United States. However, it is well established that claims
under Section 1983 asserting a denial of medical care to arrestees are Fourteenth Amendment due
process claims, see Hubbard v. Taylor, 399 F.3d 150, 158 (3d. Cir. 2005), that should be analyzed
under the Eighth Amendment denial of medical care standard, see Natale v. Camden Cty. Corr.
Facility, 318 F.3d 575, 581 (3d Cir. 2003). Plaintiffs’ complaint does not contain any claims for
or allegations supporting a finding of unconstitutional seizure pursuant to the Fourth Amendment.
Accordingly, the Court will dismiss Plaintiffs’ federal claims insofar as they are asserted under the
Fourth Amendment and will analyze Plaintiffs’ federal claims as asserting only violations of
Decedent’s Fourteenth Amendment rights.
Every person who, under color of any statute, ordinance, regulation, custom, or
usage, of any State or Territory or the District of Colombia, subject, or causes to be
subjected, any citizen of the United States or other person within the jurisdiction
thereof to the deprivation of any rights, privileges, or immunities secured by the
Constitution and laws, shall be liable to the party injured in an action at law, suit in
equity, or other proper proceeding for redress . . . .
See id. “Section 1983 is not a source of substantive rights,” but is merely a means through which
“to vindicate violations of federal law committed by state actors.” See Pappas v. City of Lebanon,
331 F. Supp. 2d 311, 315 (M.D. Pa. 2004) (quoting Gonzaga Univ. v. Doe, 536 U.S. 273, 284-85
(2002)). To maintain a cause of action under Section 1983, a plaintiff must demonstrate that: (1)
the conduct complained of was committed by persons acting under color of state law; and (2) the
conduct violated a right, privilege, or immunity secured by the Constitution or laws of the United
States. See Harvey v. Plains Twp. Police Dep’t, 421 F.3d 185, 189 (3d Cir. 2005) (quoting West
v. Atkins, 487 U.S. 42, 48 (1988)).
In order to state a claim for conspiracy under Section 1983, a plaintiff must show that “two
or more conspirators reached an agreement to deprive him or her of a constitutional right ‘under
color of law.’” See Seldomridge v. Penn State Hershey Med. Ctr., 24 F. Supp. 3d 425, 431 (M.D.
Pa. 2014) (citing Luck v. Mount Airy No. 1, LLC, 901 F. Supp. 2d 547, 559 (M.D.Pa.2012)).
“Bare conclusory allegations of ‘conspiracy’ or ‘concerted action’ will not suffice to allege a
conspiracy. The plaintiff must expressly allege an agreement or make averments of
communication, consultation, cooperation, or command from which such an agreement can be
inferred.” See Flanagan v. Shively, 783 F. Supp. 922, 928 (M.D. Pa. 1992), aff’d, 980 F.2d 722
(3d Cir. 1992). Such allegations must be supported by specific facts regarding the agreement “as
well as the basis for alleging participation with respect to each defendant.” See id. at 933.
b. Arguments of the Parties
The Individual Defendants argue that Plaintiffs have failed to state a claim for conspiracy
because Plaintiffs’ complaint includes no specific factual allegations regarding the scope and
purpose of any alleged agreement or each Individual Defendants’ role in any such agreement.
(Doc. No. 28 at 9-11.)5 In response, Plaintiffs argue that, during the approximately twenty-five
(25) minutes between the time when additional units arrived at the traffic stop and the time when
Defendant Carriere transported Decedent to the booking center, “a trier of fact could conclude”
that “the officers discussed among themselves what to do, and that they agreed to take [Decedent]
to jail rather than a hospital.” (Doc. No. 36 at 7.)6 Plaintiffs do not assert that any such allegation
was actually made in the complaint. (Id.)
c. Whether the Court Should Dismiss Plaintiffs’ Conspiracy Claim
Upon review of Plaintiffs’ complaint, the parties’ arguments, and the applicable law, the
Court will dismiss Plaintiffs’ conspiracy claim. In support of this claim, Plaintiffs alleges only
that the Individual Defendants “agreed and conspired among themselves to deny [Decedent]
adequate [medical] care, and then to cover and conceal their efforts” and that “in furtherance of
their agreement and conspiracy, [the Individual Defendants] failed to obtain for [Decedent]
adequate medical care.” (Doc. No. 1 ¶¶ 69-70.) These are precisely the type of conclusory
allegations that cannot sustain a conspiracy claim. See Flanagan, 783 F. Supp. at 928, 933 (stating
that a plaintiff asserting a conspiracy claim must “expressly allege an agreement or make
5 Although laid out in three separate sets of briefs, the Individual Defendants’ arguments are
virtually identical in support of dismissal of all of Plaintiffs’ claims. See also (Doc. No. 23 at 8-
9; Doc. No. 43 at 7-10.)
6 Similarly, Plaintiffs’ responses to these arguments are consistent throughout Plaintiffs’ three
briefs in opposition. See also (Doc. No. 35 at 7-8; Doc. No. 47 at 11.)
averments of communication, consultation, cooperation, or command from which such an
agreement can be inferred” and must also allege facts indicating “the basis for alleging
participation with respect to each defendant”). Even viewing the facts in the light most favorable
to Plaintiffs, at most the complaint and attached exhibits indicate that: (1) the Individual
Defendants were present at the traffic stop and were individually aware that Decedent may have
ingested an unknown quantity of cocaine (id. ¶¶ 38, 40, 42, 46, 48); (2) the Individual Defendants
repeatedly asked Decedent if he had ingested cocaine and informed him that they needed to know
for his health (id., Exh. A at 6-11); (3) Decedent denied ingesting cocaine and showed no
symptoms of medical distress on the scene (id.); and (4) upon arrival at the booking center,
Defendant Carriere informed staff that Decedent may have ingested cocaine and Decedent was
seen by medical staff and cleared to stay (id. at 11). The Court cannot find that such allegations
support the existence of a conspiracy among the Individual Defendants to deny Decedent medical
care, especially when, as Plaintiffs acknowledge, there were medical staff present at the booking
center where Decedent was taken. Accordingly, the Court will dismiss this claim.
2. Plaintiffs’ Claim for Failure to Intervene (Count II)
a. Applicable Legal Standard
The Third Circuit laid out the elements of a constitutional claim for failure to intervene in
Smith v. Mensinger, 293 F.3d 641 (3d Cir. 2002). Specifically, the court stated that “[i]f a police
officer, whether supervisory or not, fails or refuses to intervene when a constitutional violation
such as an unprovoked beating takes place in his presence, the officer is directly liable under
Section 1983.” See Smith, 293 F.3d at 650 (quoting Byrd v. Clark, 783 F.2d 1002, 1007 (11th Cir.
1986)). However, the Third Circuit clarified that such liability requires proof that the officer has
a “reasonable and realistic opportunity to intervene.” See id. at 651.
b. Arguments of the Parties
Defendants argue that Plaintiffs’ claims for failure to intervene are insufficiently pleaded
as Plaintiffs’ complaint fails to allege facts specifying the actions or inactions of the Individual
Defendants or supporting any allegation that the Individual Defendants had a reasonable
opportunity to intervene. (Doc. No. 28 at 11-12.)7 In the alternative, the Individual Defendants
note that a failure to intervene claim cannot be sustained in the absence of an underlying
constitutional violation and, because Plaintiffs have insufficiently alleged a denial of medical care,
the failure to intervene claim necessarily fails. (Doc. No. 23 at 11.) In response, Plaintiffs argue
that “a trier of fact could conclude from the facts alleged” that each of the Individual Defendants
had an opportunity to intervene and transport Decedent to a hospital but failed to do so. (Doc. No.
36 at 10.)8
c. Whether the Court Should Dismiss Plaintiffs’ Claim for Failure
to Intervene
Upon review of Plaintiffs’ complaint, the parties’ arguments, and the applicable law, the
Court will dismiss Plaintiffs’ claim for failure to intervene. As with Plaintiffs’ conspiracy claims,
the claim for failure to intervene relies on the conclusory allegations that “[the Individual
Defendants] individually and/or jointly, denied the decedent emergency medical care” and “[a]s
the denial of medical treatment continued, none of the individuals present intervened to stop the
denial of medical care.” (Doc. No. 1 ¶¶ 75-76.) It is not clear from the allegations of the complaint
or exhibits what opportunity each Individual Defendant did or did not have to intervene in any
alleged denial of medical care. Nor, as discussed in more detail infra, is it clear that Decedent was
7 See also (Doc. No. 43 at 10-11.)
8 See also (Doc. No. 35 at 10; Doc. No. 47 at 12-14.)
denied medical care, which alone requires dismissal. See Bryant v. City of Phila., 890 F. Supp.
2d 591, 601 (E.D. Pa. 2012) (noting that a failure to intervene claim “requires the existence of a
constitutional violation”), aff’d (3d Cir. Mar. 15, 2013). Absent additional facts, the Court cannot
find that the Individual Defendants failed to intervene in a constitutional violation where, by all
accounts, an arrestee who was exhibiting no signs of medical distress was transported to a facility
with medical staff, the Individual Defendants’ suspicions regarding the potential ingestion of
cocaine was communicated to medical staff, and medical staff cleared the arrestee for booking.
Accordingly, the Court will dismiss this claim.
3. Plaintiffs’ Claim for Failure to Render Medical Care (Count V)
a. Applicable Legal Standard
Claims for denial of medical care to arrestees are analyzed under the same standards as
Eighth Amendment claims for denial of medical care to prisoners. See Natale v. Camden Cty.
Corr. Facility, 318 F.3d 575, 581 (3d Cir. 2003). In order to state a claim for denial of medical
care, a plaintiff must allege sufficient facts to show the defendant acted with deliberate indifference
to his or her medical needs. See id. at 582. The Third Circuit has noted that deliberate indifference
requires evidence of “(i) a serious medical need, and (ii) acts or omissions by [] officials that
indicate deliberate indifference to that need.” See id. Further, deliberate indifference may exist
in circumstances where there was “‘objective evidence that [a] plaintiff had a serious need for
medical care,’ and [] officials ignored that evidence” or “where ‘necessary medical treatment is
delayed for non-medical reasons.’” See id. at 582 (citing Nicini v. Morra, 212 F.3d 798, 815 n.14
(3d Cir. 2000); Monmouth Cty. Corr. Inst. Inmates v. Lanzaro, 834 F.2d 326, 347 (3d Cir. 1987)).
A serious medical need is “one that has been diagnosed by a physician as requiring
treatment or one that is so obvious that a lay person would easily recognize the necessity for a
doctor’s attention.” See Monmouth Cty., 834 F.2d at 347 (citing Pace v. Fauver, 479 F. Supp.
456, 458 (D.N.J. 1979), aff’d, 649 F.2d 860 (3d Cir. 1981)). Deliberate indifference is a subjective
standard analogous to criminal law’s “recklessness” standard, meaning a plaintiff must
demonstrate a reckless disregard of a known “substantial risk of serious harm.” See Peters v.
Brown, 793 F. App’x 118, 123 (3d Cir. 2019). Further, an official must “be aware of the facts
from which the inference could be drawn that a substantial risk of serious harm exists” and must
“also draw the inference.” See Farmer v. Brennan, 511 U.S. 825, 837 (1994).
b. Arguments of the Parties
The Individual Defendants argue that Plaintiffs have failed to demonstrate that Decedent
had a serious medical need while in their custody and have further failed to allege facts indicating
deliberate indifference. (Doc. No. 23 at 9-11)9 In support of this argument, the Individual
Defendants rely on the averments in Plaintiffs’ Exhibit A that Decedent was coherent and not
demonstrating any medical symptoms while in their presence, that Decedent regularly denied
consuming cocaine, and that Decedent was cleared by medical staff at the booking center. (Id.)
In response, Plaintiffs argue that the Individual Defendants should have been aware that Thomas
“was in serious medical danger and needed immediate emergency medical care [at a hospital]”
because the Individual Defendants suspected that he may have consumed some unknown quantity
of cocaine and because he “had powdery residue on [his] face.” (Doc. No. 35 at 9.)10 Plaintiffs
make no argument regarding Decedent’s medical clearance at the booking center.
9 See also (Doc. No. 28 at 16-20; Doc. No. 43 at 11-13.)
10 See also (Doc. No. 36 at 10-11; Doc. No. 47 at 15-17.)
c. Whether the Court Should Dismiss Plaintiffs’ Claim for Failure
to Render Medical Care
Upon review of Plaintiffs’ complaint, the parties’ arguments, and the applicable law, the
Court will dismiss Plaintiffs’ claim for failure to render medical care. Plaintiffs’ argument appears
to be that the Individual Defendants denied Decedent medical care because they transported him
to the booking center rather than to a hospital. However, Plaintiffs concede that there were medical
staff at the booking center and the exhibits attached to the complaint indicate that Decedent was
assessed by medical staff and cleared to stay. (Doc. No. 1 ¶¶ 50-51, Exh. A at 11.) Although the
Individual Defendants suspected that Decedent may have ingested an unknown quantity of
cocaine, he repeatedly denied having done so as did other witnesses in the vehicle, provided a
plausible explanation for the powder on his mouth—that he had eaten a candy cigarette—and
demonstrated no symptoms of illness or other medical distress. (Id., Exh. A at 6-11.) Further,
while Defendant Carriere did not take Decedent to a hospital, Decedent was taken to a facility that
had medical staff on hand, medical staff were informed that Decedent may have ingested cocaine,
and he was assessed medically. (Id. at 11.)
It is not apparent to the Court from the allegations of the complaint that Decedent’s medical
need was “so obvious that a lay person would easily recognize the necessity” for hospitalization
rather than assessment by medical staff at the booking facility. See Monmouth Cty., 834 F.2d at
347. In addition, the Court has identified several persuasive cases that present analogous
circumstances to those present here in which no deliberate indifference was found. See, e.g.,
Peters, 793 F. App’x at 122 (affirming finding of no deliberate indifference where medical staff
assessed plaintiff and medically cleared him for jail); Nykiel v. Borough of Sharpsburg, 778 F.
Supp. 2d 573, 584 (W.D. Pa. 2011) (finding no deliberate indifference where decedent detainee
suffered a cocaine overdose in a holding room after officers failed to transport decedent detainee
to the hospital despite noticing a “white, crusty substance” on decedent’s lips and detainee having
admitted to ingesting drugs earlier that evening); Kachmar v. City of Pottsville, No. 4:05-cv-413,
2005 WL 2591871, at *8 (M.D. Pa. Oct. 13, 2005) (dismissing claim for failure to provide medical
care where the defendant officer had no reason to believe that the plaintiff needed to remain in the
hospital and allowed him to leave). Absent additional facts suggesting that Decedent was not
provided with adequate medical care by the medical staff at the booking center, or clarifying how
the Individual Defendants were deliberately indifferent to Decedent’s medical needs when he
exhibited no symptoms until an hour after leaving the custody of the Individual Defendants, the
Court cannot find that Plaintiffs have stated a claim against the Individual Defendants for failure
to render medical care. Accordingly, the Court will dismiss this claim.11
4. Plaintiffs’ State Law Claims (Counts VI, VII, and VIII)
Plaintiffs’ complaint includes state law claims for negligence (Count VI), wrongful death
(Count VII), and a survival action (Count VIII). As a threshold inquiry, the Court must determine
whether Defendants have immunity from state tort claims.
Under Pennsylvania law, the Pennsylvania Political Subdivision Tort Claims Act
(“PSTCA”), 42 Pa. C.S.A. § 8541, et seq., grants municipalities, municipal agencies, and
municipal officers acting in an official capacity immunity from liability for all state law tort claims,
unless the suit falls within one of nine enumerated exceptions. Specifically, the relevant provision
states that “no local agency shall be liable for any damages on account of any injury to a person or
property caused by any act of the local agency or an employee thereof or any other person.” See
42 Pa. C.S.A. § 8541. The enumerated exceptions to the PSTCA are: (1) vehicle liability; (2)
11 Because the Court finds that Plaintiffs have failed to adequately state a claim for failure to
render medical care, it does not reach the Individual Defendants’ arguments that, in the
alternative, they are protected by qualified immunity.
care, custody, control of personal property; (3) real property; (4) trees, traffic controls and street
lighting; (5) utility service facilities; (6) streets; (7) sidewalks; (8) care, custody or control of
animals; and (9) sexual abuse. See 42 Pa. C.S.A. § 8542. These exceptions are strictly construed
and narrowly interpreted. See Granchi v. Borough of N. Braddock, 810 A.2d 747, 749 (Pa.
Commw. Ct. 2002) (citing Jones v. Southeastern Pa. Transp. Auth., 772 A.2d 435, 440 (Pa. 2001)).
It is clear from the allegations in the complaint that none of the enumerated exceptions apply in
this case.
Plaintiffs argue that their state law claims can be sustained because employee immunity
does not extend to acts that are judicially determined to be crimes, actual fraud, actual malice, or
willful misconduct. (Doc. No. 35 at 13)12 (citing 42 Pa. C.S.A. § 8550). However, once again,
the Court notes that Plaintiffs have not pled facts to support an inference of actual malice or willful
misconduct. Plaintiffs have merely averred in a conclusory manner that Defendants’ acts were
“malicious and sadistic” and that Defendants acted “unlawfully, wantonly, unreasonably,
maliciously, unnecessarily and/or with deliberate and reckless indifference to the health and
welfare of the Decedent.” (Doc No. 1 ¶¶ 20, 100, 105.) Such statements are not entitled to the
assumption of truth when unsupported by factual allegations. See Santiago, 629 F.3d at 130.
Accordingly, the Court finds that Plaintiffs’ complaint contains insufficient factual matter for the
Court to determine that an exception to the employee immunity provision of the PSTCA applies
to Plaintiffs’ state law claims against the Individual Defendants and will dismiss these claims.13
12 See also (Doc. No. 36 at 14; Doc. No. 47 at 21.)
13 However, in light of the fact that the employee immunity exception exists, and acknowledging
that the Court cannot determine at this time that Plaintiffs could not plead facts to support a finding
of actual malice or willful misconduct, the dismissal of Plaintiffs’ state law claims as to the
Individual Defendants will be without prejudice to Plaintiffs’ right to file an amended complaint
addressing the deficiencies identified herein.
B. Plaintiffs’ Claims Against the Government Defendants (Counts III, IV, V, VI-
VIII)
1. Plaintiffs’ Monell Claims Against Defendant City for Failure to Train,
Supervise, Control or Discipline and Failure to Render Medical Care
(Counts IV and V)14
a. Applicable Legal Standard
Count IV of Plaintiffs’ complaint asserts a claim against Defendant City for failure to
properly train, supervise, control or discipline the Individual Defendants. (Doc. No. 1.) Count V
of Plaintiffs’ complaint asserts a claim for failure to render medical care against all Defendants.
(Id.) In Monell v. N.Y.C. Dep’t of Soc. Servs., 436 U.S. 658 (1978), the Supreme Court
established that municipalities can be held liable for constitutional violations under 42 U.S.C. §
1983. See id. at 690. However, municipal liability is limited to those actions for which the
municipality itself is actually responsible. See Pembaur v. Cincinnati, 475 U.S. 469, 479 (1986).
Specifically, liability attaches when “execution of a government’s policy or custom, whether made
by its lawmakers or by those whose edicts or acts may fairly be said to represent official policy,
inflicts the injury.” See Monell, 436 U.S. at 694. That is, a municipality is subject to Section 1983
liability to the extent it maintained an unconstitutional custom or policy that caused the
constitutional violations alleged by the claimant, but is not liable for injuries on the sole basis that
they were inflicted by its employees. See id.
A municipal policy is a “statement, ordinance, regulation, or decision officially adopted
and promulgated by [a local governing] body’s officers.” See City of Canton v. Harris, 489 U.S.
14 Plaintiffs similarly assert Monell claims against Defendant County for failure to train and failure
to render medical care (Counts III and V). However, Defendant County’s motion to dismiss is
styled as a partial motion to dismiss and only affirmatively seeks dismissal of Plaintiffs’ state law
claims. (Doc. No. 37.) Accordingly, the Court will address the sufficiency of Plaintiffs’ Monell
claims exclusively as to Defendant City.
378, 385 (1989). A custom is “an act ‘that has not been formally approved by an appropriate
decision maker,’ but is ‘so widespread as to have the force of law.’” See Natale, 318 F.3d at 584
(quoting Bd. of the Cty. Comm’rs of Bryan Cty. v. Brown, 520 U.S. 397, 404 (1997)). “[A] policy
or custom may also exist where ‘the policymaker has failed to act affirmatively at all, [though] the
need to take some action to control the agents of the government is so obvious, and the inadequacy
of existing practice so likely to result in the violation of constitutional rights, that the policymaker
can reasonably be said to have been deliberately indifferent to the need.’” Id. In order to recover
from a municipality under this theory of liability, a Plaintiff must show “a direct causal link
between the municipal policy or custom and the alleged constitutional deprivation.” See City of
Canton, 489 U.S. at 385.
In the alternative, a municipality may be liable under Section 1983 for a failure to train,
monitor, or supervise; however, the failure alleged in such a circumstance must amount to
“deliberate indifference to the constitutional rights of persons with whom the police come in
contact.” See City of Canton, 489 U.S. at 388. In order to establish deliberate indifference, a
plaintiff must generally show the failure alleged “has caused a pattern of violations.” See Berg v.
Cty. of Allegheny, 219 F.3d 261, 276 (3d Cir. 2000). Where a failure to train claim is alleged
based on a single incident, the complaint must contain allegations that policymakers “kn[e]w to a
moral certainty” that the alleged constitutional deprivation would occur and the need for further
training “must have been plainly obvious.” See City of Canton, 489 U.S. at 390 n.10. Further,
“[l]iability cannot rest only on a showing that the employees ‘could have been better trained or
that additional training was available that would have reduced the overall risk of constitutional
injury.’” See Thomas v. Cumberland Cty., 749 F.3d 217, 226 (3d Cir. 2014) (citing Colburn v.
Upper Darby Twp., 946 F.2d 1017, 1030 (3d Cir. 1991)).
b. Arguments of the Parties
Defendant City argues that Plaintiffs have not stated a Monell claim against it because
Plaintiffs’ complaint “contains no factual averments of a pattern of similar constitutional violations
by untrained police officers upon which a finding of deliberate indifference can be predicated.”
(Doc. No. 22 at 7.) Defendant City notes that the complaint “does not allege that [Defendant City]
had a custom or policy of not training its officers in addressing medical emergencies” and that
“there is no factual predicate for a plausible claim that the conduct alleged in the complaint is
likely to recur.” (Id. at 8-9.) In response, Plaintiffs argue that they have “alleged facts from which
it may be inferred that Defendant [City] allowed to exist an unwritten policy of not adequately
training its officers in the importance of diverting persons with serious medical needs to hospitals.”
(Doc. No. 34 at 6.) Plaintiffs further assert that “[t]he fact that, after deliberation, [the Individual
Defendants] did not know that they were to divert [Decedent] to the hospital . . . would allow a
trier of fact to conclude that, while a diversion policy existed on paper . . . Defendant [City] made
no effort to train and instruct its officers in how to implement its policy.” (Id. at 8.)
c. Whether the Court Should Dismiss Plaintiffs’ Monell Claims
Upon review of Plaintiffs’ complaint, the parties’ arguments, and the applicable law, the
Court will dismiss Plaintiffs’ Monell claims against the Defendant City. As an initial matter, the
Court’s review of Plaintiffs’ complaint indicates that although Count V regarding the failure to
render medical care is asserted against “all Defendants,” this claim includes allegations against the
Individual Defendants only. (Doc. No. 1 ¶¶ 96-97.) Further, the fact that Plaintiffs’ arguments in
opposition to dismissal of this claim focuses on a potential failure to train belies the fact that
Plaintiffs have not asserted any basis for liability on this claim separate from the failure to train
claims at Count IV.15 Accordingly, the Court will dismiss Count V as to Defendant City.
Turning to Count IV, the Court’s review of Plaintiffs’ complaint indicates that the
allegations specific to Plaintiffs’ failure to train claims are that Defendant City as well as various
John Does have “exclusive management and control of the policies and practices” regarding “the
method and manner of recognizing individuals in custody whom require emergency medical care”
and that Defendant City has a “custom and practice of failing to train, instruct, supervise, control
and discipline” officers “in recognizing individuals in custody whom require emergency medical
care.” (Doc. No. 1 ¶¶ 90, 91.) Plaintiffs further allege broadly that the Defendant City has
“policies or customs, practices and usages that are so pervasive that they constitute the policies of
[Defendant City] such that they are and were the moving force behind and thereby caused the
constitutional deprivations of Decedent.” (Id. ¶¶ 86, 92.) Plaintiffs allege that these “pervasive”
policies or practices include:
The officers of [Defendant City] conduct traffic stops without regard for the lack
of reasonable suspicion or probable cause, or without regard for the legality of the
stop; The officers of [Defendant City] fail to render emergency medical care to
persons in custody without regard for whether the individual faces imminent death;
The officers of [Defendant City] engage in conduct that violates the constitutional
rights of citizens with whom they come in contact, including, but not limited to
arresting, and detaining people in violation of the constitution and laws, both by the
acts and means by which they are accomplished; The officers of [Defendant City]
conspire [among themselves] to “cover” for and protect one another from criminal
and/or civil sanctions that might arise from the violation of the constitutional rights
of a citizen.
(Id. ¶ 93.)
15 Indeed, Plaintiffs assert that there was an official policy indicating that individuals who had
consumed narcotics “in a way that would jeopardize their health and welfare” should be diverted
to a hospital (Doc. No. 1 ¶ 66), and that officers not taking Decedent to a hospital is allegedly
indicative of a failure on the part of Defendant City to adequately train officers on the
implementation of this policy (Doc. No. 34 at 8).
These allegations are insufficient to support a Monell claim for failure to train against
Defendant City. First, the allegations are largely conclusory. Second, Plaintiffs have not alleged
any facts from which the Court could find a pattern of constitutional violations existed that would
have put Defendant City on notice of a need for additional training or supervision. See Berg, 219
F.3d at 276 (noting that a plaintiff asserting deliberate indifference must generally show that an
alleged failure to train “has caused a pattern of violations”). Nor have Plaintiffs alleged facts,
based on this single incident, from which the Court can infer that Defendant City’s policymakers
“kn[e]w to a moral certainty” that there were any problems with the implementation of policies
relating to the provision of medical care to arrestees or that a need for further training was “plainly
obvious.” See City of Canton, 489 U.S. at 390 n.10. Additionally, Plaintiffs do not identify any
particular deficiency in any relevant training program that caused the alleged constitutional
deprivation. See id. at 390-91 (stating “[t]hat a particular officer may be unsatisfactorily trained
will not alone suffice to fasten liability on the city, for the officer’s shortcomings may have resulted
from factors other than a faulty training program”). As noted, “[l]iability cannot rest only on a
showing that the employees ‘could have been better trained or that additional training was
available that would have reduced the overall risk of constitutional injury.’” See Thomas, 749
F.3d at 226. Absent additional facts supporting an inference that Defendant City was on notice of
a need for additional training regarding the provision of emergency medical care and was
deliberately indifferent to that need, the Court cannot find that Plaintiffs have sufficiently stated a
claim for failure to train. Accordingly, the Court will dismiss Count IV of Plaintiffs’ complaint.
2. Plaintiffs’ State Law Claims (Counts VI, VII, and VIII)
As discussed supra, the PSTCA grants municipalities, municipal agencies, and municipal
officers acting in an official capacity immunity from liability for all state law tort claims, unless
the suit falls within one of nine enumerated exceptions. See 42 Pa. C.S.A. §§ 8541-42. Regarding
the applicability of PSTCA immunity to the Government Defendants, Plaintiffs argue that the
motor vehicle exception applies because “Defendant Carriere, a government employee, used a
vehicle owned by Defendant [City] to divert [Decedent] from the hospital to arrive at the wrong
location, the Booking Center.” (Doc. No. 34 at 10.) The Court rejects this assertion. The vehicle
liability exception provides that liability may be imposed on a local agency where injury is caused
by the “operation of any motor vehicle in the possession or control of the local agency.” See 42
Pa. C.S.A. § 8542. Even in the sole case relied upon by Plaintiffs, the issue was whether an
employee’s decision to illegally park a government vehicle, a vehicle that was subsequently hit by
another vehicle and caused injuries, constituted “operation” for purposes of the exception. See
Balentine v. Chester Water Auth., 191 A.3d 799, 809 (Pa. 2018). However, this Court has found
no case, nor have Plaintiffs cited any, suggesting that the vehicle exception applies to
circumstances like those present here, in which an individual was safely transported in a vehicle
only to later suffer a medical emergency. As acknowledged previously, the PSTCA exceptions
are strictly construed and narrowly interpreted. See Granchi, 810 A.2d at 749. Accordingly, the
Court finds that no exception to the PSTCA applies with regard to Plaintiffs’ state law claims.
Further, the Court finds that—unlike the Individual Defendants—there are no additional facts that
Plaintiffs could plead to support liability against the Government Defendants in light of the
PSTCA’s immunity provision. Accordingly, the Court’s dismissal of these claims against the
Government Defendants will be with prejudice.
C. Leave to Amend
The Third Circuit has “instructed that if a complaint is vulnerable to 12(b)(6) dismissal, a
district court must permit a curative amendment, unless an amendment would be inequitable or
futile.” See Phillips v. Cty. of Allegheny, 515 F.3d 224, 236 (3d Cir. 2008) (citing Grayson v.
Mayview State Hosp., 293 F.3d 103, 108 (3d Cir. 2002)). “An amendment is futile if the amended
complaint would not survive a motion to dismiss for failure to state a claim upon which relief could
be granted.” Alvin v. Suzuki, 227 F.3d 107, 121 (3d Cir. 2000) (citing Smith v. NCAA, 139 F.3d
180, 190 (3d Cir. 1998), rev’d on other grounds, 525 U.S. 459 (1999)). With the exception of
Plaintiffs’ state law claims as asserted against the Government Defendants, the Court cannot
conclude at this time that Plaintiffs could not plead facts in an amended complaint that would allow
their claims to survive a renewed motion to dismiss. Accordingly, the Court’s dismissal of
Plaintiffs’ claims is without prejudice to Plaintiffs’ right to file an amended complaint addressing
the deficiencies identified herein.
IV. CONCLUSION
For the foregoing reasons, the Court will grant Defendants’ motions to dismiss (Doc. Nos.
12, 19, 20, 37, 39) and dismiss Counts I, II, IV, VI, VII, and VIII of Plaintiffs’ complaint (Doc.
No. 1) in their entirety and will dismiss Count V as to all Defendants except Defendant County.
An appropriate Order follows.