Opinion

Clawson v. Board of Registered Nursing

Court
California Court of Appeal
Filed
Dec 17, 2021
Status
Published
Cited by
0 cases
Authority
More cited than 22.2%

The opinion

Filed 12/17/21

CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

FIRST APPELLATE DISTRICT

DIVISION FIVE

WILLIAM MICHAEL CLAWSON,

Plaintiff and Appellant, A159990

v.

BOARD OF REGISTERED NURSING, (City & County of San Francisco

Defendant and Respondent. Super. Ct. No. CPF19516578)

Plaintiff appeals from the denial of his petition for writ of

administrative mandate following the revocation of his nursing license by the

Board of Registered Nursing (Board) for gross negligence and unprofessional

conduct in carrying out licensed nursing functions and unprofessional

conduct–deceit. We affirm.

FACTUAL AND PROCEDURAL BACKGROUND

I. Board Hearing

Nina’s Care Home (Nina’s) was a residential care facility for the elderly

(RCFE) licensed by the Community Care Licensing Division (CCL) of the

State Department of Social Services. Following the unexpected death of the

Nina’s administrator, an attorney for the administrator’s estate, Lisa Russ,

hired plaintiff to assist with the closure of Nina’s. Plaintiff, who was a

registered nurse and a certified legal nurse consultant, agreed to assess each

of the residents and recommend a new facility for them, as required by the

1

RCFE closing procedures. The purpose of the assessments was to help the

residents choose an appropriate facility based upon their needs.1

On May 11, 2013, plaintiff and Mia B.2 performed the assessment for

J.N., an 83-year-old resident of Nina’s. Mia B. lifted up J.N.’s clothing so that

the plaintiff could see her skin condition. Plaintiff testified the assessment

was “very quick. We were in there for maybe two minutes.” Plaintiff found

that J.N.’s skin on her coccyx and on each of her heels was red and

nonblanching to the touch, which he believed was significant.3 He did not

touch the bandages covering J.N.’s feet. Nor did he notice that one of J.N.’s

knees was significantly contracted.

Plaintiff signed the resident appraisal form using his “RN” initials and

described J.N.’s overall health condition as: “Frail and cachextic [sic] female

1 Health and Safety Code section 1569.682, subdivision (a)(1)(A)

requires that prior to transferring a resident to another facility an RCFE

must “[p]repare . . . a relocation evaluation of the needs of that resident,

which shall include: [¶] . . . [r]ecommendations on the type of facility that

would meet the needs of the resident based on the current service plan.”

Health and Safety Code section 1569.70 provides guidelines for the varying

levels of care provided by an RCFE, and section 1569.72, subdivision (a)

states, with a limited exception for some temporary illnesses, “no resident

shall be admitted or retained in a residential care facility for the elderly

if . . . : [¶] . . . [t]he resident requires 24-hour, skilled nursing or intermediate

care [or] [¶] . . . is bedridden . . . .”

2Mia B. had worked at Nina’s as a care worker for 24 years. She did

not have any nursing credentials. When the administrator of Nina’s died,

Mia B. became the interim administrator. She did not wish to be the interim

administrator and did not understand why she became the interim

administrator. Mia B.’s English was limited, such that she was not

comfortable completing paperwork.

3 An expert witness for the Board testified, “By definition, a non-

blanchable area . . . already demonstrates a skin compromise . . . and that is

a stage one [pressure ulcer].”

2

with severe cognitive impairment, poor appetite, chronic nausea and

diarrhea, and weight loss. Soft diet tolerated fair. Skin is friable with

redness to bony prominences. Scratches self severely with fingernails.”

Plaintiff also signed a “Needs and Services Plan” in which he described J.N.

as: “Frail, pleasant elderly female with severe cognitive impairment,

cachexia, and fragile skin. Disoriented, alert, unable to respond

appropriately. Unable to walk, but can stand briefly with assistance. Unable

to self-transfer from bed to chair or wheel chair. Minimally able to reposition

self in chair or bed. Longstanding history of alcohol abuse per medical

record. Easily agitated and becomes very anxious, requiring medication.

Conservator is Public Guardian, Kelly Schwartz. Significant medical history

includes rheumatoid arthritis, depression, low thyroid, urinary incontinence

with chronic and severe urinary tract infections (requiring hospitalization),

anorexia with significant weight loss, Alzheimer’s dementia, diarrhea, and

poor nutrition and fluid intake with hospitalization for dehydration. Long

standing history of self-injury from fingernail scratching to face and body per

care providers. Overall skin condition is fragile with compromised skin

integrity to groin, significant redness to bony prominences including coccyx,

heels, toes. Foot dressings cover toes.” (All caps omitted.) On both forms,

plaintiff’s signature certified that “to the best of [his] knowledge [J.N.] does

not need skilled nursing care.” (All caps omitted.)

On May 23, 2013, the caregivers from the new RCFE, Frye’s Care

Home, came to transfer J.N. They immediately noticed that J.N. was in

significant pain. Every time they moved J.N. she cried out in pain. When

they arrived at Frye’s, the caregivers tried to give J.N. a shower and body

check. They discovered multiple bandages on her arm, knee and toes. The

bandages “were stuck to [J.N.’s] skin and her wounds,” and they were not

3

freshly placed. The wounds “all smelled really bad.” The sore on the back of

J.N.’s knee was very large, and her tendons were visible. J.N.’s toes were

black, and she had “a very strong infection odor.” One witness described

J.N.’s condition as “very horrifying.” The Frye’s caregivers called 911 and

went to the hospital with J.N. J.N. died several weeks later.

On May 31, 2013, a CCL investigator contacted plaintiff. Plaintiff

identified himself to the CCL investigator as a registered nurse specializing

in elder care in CCL-licensed facilities and explained that he had been hired

by the estate and the estate’s attorney. A few months later, the CCL

investigator conducted a recorded interview with plaintiff. Plaintiff stated he

had performed J.N.’s assessment and described how he had directed Mia B.

to perform tasks at his direction. He stated he performed a “head-to-toe”

assessment by having Mia B. lift J.N.’s clothing so that plaintiff could see

areas of “bony prominences . . . .” He asked Mia B. to touch J.N.’s skin where

it was very red so he could see how quickly the “capillary refill” occurred. He

recalled looking at J.N.’s coccyx and stated there was no wound there.

Plaintiff told the investigator that J.N.’s feet were covered in dressings,

which he did not remove to look at her skin. He understood from Mia B. that

the dressings had been placed there by J.N.’s podiatrist. He did not know

what the wound care plan was and did not see any documentation in J.N.’s

records regarding the treatment plan for J.N.’s feet. Plaintiff stated that

there was no malodor of J.N. during the assessment or when he was at the

facility on May 23 when J.N. was transferred to Frye’s. He stated that he

“would have been assessing if there were any odors of feces or urine or

bacterial infection as a registered nurse, that’s what we do, and [his]

assessment skills are fine.” In the May 2013 time frame, plaintiff further

4

confirmed to others orally and in writing that he had performed J.N.’s

assessment.

About 14 months after the incident, the Board interviewed plaintiff as

part of its investigation. At that time, plaintiff denied performing J.N.’s

physical assessment, stating that Mia B. “was the one in charge.” He told the

investigator that Mia B. “decided what body part would be looked at and

whether or not the clothing was moved, and if any of the gauze or bandages

on the residents would be moved to expose anything.” He further denied even

guiding or instructing Mia B. during the assessment. Plaintiff told the

investigator that he was not acting as a registered nurse at the time of J.N.’s

assessment. At the administrative hearing, plaintiff testified that he acted

as a “scribe” by filling out the resident appraisal form based on the

information Mia B. provided as she performed the assessment.

II. Board Decision

Following the eight-day administrative hearing, and submission of

briefs by the parties, the administrative law judge (ALJ) issued a proposed

decision. The ALJ found clear and convincing evidence that plaintiff

committed gross negligence in connection with the appraisal of J.N.,

unprofessional conduct in carrying out nursing functions in connection with

the appraisal of J.N., and unprofessional conduct by not being truthful with

the Board investigator regarding the care provided to J.N. The ALJ

summarized his conclusions as follows: “[Plaintiff] had the express

responsibility to perform resident appraisals and to make recommendations

regarding the level of care each resident required, and by directly observing

and assessing J.N., [plaintiff] was in the best position to identify and

thoroughly document her serious condition.

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“Even as [plaintiff] described J.N. as ‘emaciated,’ he neglected or

overlooked the most important point in the Resident Appraisal and Needs

and Services Plan: J.N. was far too sick to reside in an RCFE without the

addition of . . . skilled nursing services, and he neither documented the

specifics of her skin condition, nor her inability to reposition herself in bed, or

her inability to independently take medication. Any of these issues required

an enhanced level of care that is not provided by an RCFE, without special

home health or other specialized services. [Plaintiff] did not identify the need

for these services to be available following J.N.’s transfer, nor did he contact

her physician to request that they be ordered. As a nurse he was require [sic]

to do so. (Health & Saf. Code, § 1569.72, subd. (b)(1); Cal. Code Regs., tit. 16,

§ 1443.5.)

“In the subsequent investigation of J.N.’s care, [plaintiff] first described

one set of facts, but a year later when speaking to a different investigator, he

characterized the critical few minutes he spent doing the assessment in much

different terms. In the second retelling, he placed [Mia B.] in charge, while in

the former, he acknowledged conducting the appraisal. The Resident

Appraisal he prepared clearly reflected his thoughts and conclusions, not

those of someone speaking limited English and without medical training.

This second characterization was untruthful.”

The Board adopted the ALJ’s proposed decision and revoked plaintiff’s

nursing license.

III. Petition for Writ of Administrative Mandate

Plaintiff challenged the Board’s decision in a petition for writ of

administrative mandate. He argued that the Board’s decision should be

reversed because: (1) the performance of the RCFE appraisal was not a

“nursing function”; (2) the Board failed to plead that plaintiff violated any

6

RCFE statutes or regulations, and the Board has no power to discipline

plaintiff for any such violations; (3) plaintiff had no obligation to render

nursing services to J.N. because no nurse–patient relationship existed

between them; and (4) Business and Professions Code section 27614 does not

authorize disciplining plaintiff for dishonesty during the investigation. On

October 16, 2019, the trial court issued an order rejecting each of plaintiff’s

arguments and denying the petition. Judgment was entered on January 8,

2020.

DISCUSSION

On appeal, plaintiff raises the same issues he argued in the trial court.

We review questions of law de novo, and we review the trial court’s factual

findings under the substantial evidence standard, resolving all conflicts in

evidence and indulging all reasonable inferences in favor of the trial court’s

judgment. (Rand v. Board of Psychology (2012) 206 Cal.App.4th 565, 574–

575 (Rand).) We find no errors of law and that substantial evidence supports

the judgment. Accordingly, we affirm.

I. Substantial evidence supports the finding that plaintiff engaged

in a “usual nursing function” when he performed J.N.’s resident

appraisal.

Plaintiff argues that he cannot be disciplined for negligently

performing J.N.’s appraisal because doing so was not a “nursing function.”

He contends that because the RCFE statutes and regulations do not require

facility licensees to hold nursing licenses (Health & Saf. Code, § 1569.15), and

because they state that either the “facility” or the “licensee” must prepare

resident appraisals (Cal. Code Regs., tit. 22, §§ 87456, subd. (a), 87457, subd.

(c), 87463, subd. (a); Health & Saf. Code, § 1569.682, subd. (a)(1)), it

All statutory references are to the Business and Professions Code

4

unless otherwise stated.

7

necessarily follows that performing resident appraisals is not a nursing

function. According to plaintiff, if resident appraisals constitute a nursing

function, then the RCFE regulations permit non-nurse licensees to practice

nursing without a license.

We disagree. First, simply because a resident appraisal may be

performed by a person who is not a licensed nurse does not mean that when a

nurse undertakes the task, using his or her scientific knowledge and

technical skills, he or she must not be performing a nursing function. Under

section 2761, subdivision (a)(1), a nurse may be disciplined for unprofessional

conduct constituting “gross negligence in carrying out usual certified or

licensed nursing functions.” Further, as the trial court explained, section

2725, subdivision (a)(4) specifies that nursing functions include

“ ‘[o]bservation of signs and symptoms of illness, reactions to treatment,

general behavior, or general physical condition, and . . . determination of

whether the signs, symptoms, reactions, behavior, or general appearance

exhibit abnormal characteristics,’ as well as ‘implementation, based on

observed abnormalities, of appropriate reporting, or referral . . . .’ ”

Substantial evidence supports the finding of the ALJ and the trial court

that when plaintiff conducted his appraisal of J.N. he was performing a

nursing function. Plaintiff signed both the appraisal and the needs and

services plan using his “RN” designation. He described J.N. using scientific

or technical terms such as “cachectic,” which the Board’s decision explains

refers to “general physical wasting and malnutrition usually associated with

chronic disease.” He told the CCL investigator that part of his assessment of

J.N. included “assessing if there were any odors of feces or urine or bacterial

infection as a registered nurse, that’s what we do, and my assessment skills

are fine.” He also testified that he agreed with his own expert “that

8

performing a resident appraisal, the function is clinical nursing.” Plaintiff’s

expert, who was a registered nurse and worked as a legal nurse consultant,

testified that she does not perform resident appraisals when she acts as a

legal nurse consultant because doing so constitutes patient care. 5

Additionally, two registered nursing experts with experience as RCFE

administrators testified on behalf of the Board that RCFE resident appraisals

involve usual nursing functions.

Rand, supra, 206 Cal.App.4th 565, addressed an analogous situation in

which a licensed psychologist was disciplined for conduct while acting as a

court-appointed special master in a divorce proceeding and while acting as an

expert witness in another family law matter. (Id. at pp. 569–572.) The court

rejected Rand’s argument that he could not be disciplined by the Board of

Psychology for conduct he believed he performed in his judicial capacity. (Id.

at pp. 579–580.) It found that the evidence, including the parties’ agreement,

supported the finding that the tasks Rand was asked to perform, including

managing interpersonal conflict and minimizing the impact of such conflict

on the children, involved the application of psychological principles. (Ibid.)

Further, the Board’s experts opined that Rand engaged in the practice of

psychology while acting as a special master. (Id. at p. 580.) The court

rejected Rand’s argument that because nonpsychologists may be appointed

special masters, the activities of special masters do not involve the practice of

psychology. (Id. at p. 581.)

Here, too, the evidence supports the trial court’s finding that in

performing the appraisal, plaintiff observed J.N. for symptoms of illness and

5Plaintiff’s expert opined that in this case Mia B. performed the

appraisal and that plaintiff only transcribed what she told him. But she

acknowledged that if, in fact, plaintiff had performed the appraisal it would

have constituted patient care.

9

evaluated her general physical condition to determine her suitability for

transfer to another facility, and that these tasks were “textbook nursing

functions.” Plaintiff argues Rand is distinguishable because the attorney for

the estate who hired plaintiff testified that she did not hire him “ ‘as a

nurse’ ” and plaintiff expressly told her that he was not providing nursing

care. We are not persuaded that this testimony meaningfully distinguishes

Rand, particularly because other documentary evidence indicates that

plaintiff was hired because of his nursing background. The contract between

plaintiff and the attorney for the estate requires that plaintiff have and

maintain his license to practice nursing. Further, the administrators of the

estate wrote to CCL, stating that plaintiff had been hired “to evaluate each of

the residents for relocation and recommend the best type of facility for each

resident . . . .” Plaintiff then did so and signed the required documentation as

a registered nurse using his “RN” designation. Plaintiff’s efforts to

distinguish Rand are unpersuasive.

II. The Board applied the correct standard of care.

Plaintiff argues the Board should not have applied a nursing standard

of care to the resident appraisal and that the ALJ erred by relying on expert

testimony to make this legal determination. Plaintiff’s argument is entirely

dependent upon his position that he did not perform the duties of a registered

nurse. As discussed ante, substantial evidence supports the factual finding

that plaintiff engaged in a “nursing function” when he conducted J.N.’s

resident appraisal. Thus, applying a nursing standard of care to evaluate

plaintiff’s conduct was proper.

The Board’s regulations establish that the standard of care in

disciplinary proceedings involving licensed nursing functions is to exercise

the degree of “care which, under similar circumstances, would have

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ordinarily been exercised by a competent registered nurse.” (Cal. Code Regs.,

tit. 16, § 1442.) The Board’s findings of gross negligence and unprofessional

conduct were based on the ALJ’s findings that plaintiff’s conduct was an

“extreme departure from the standard of care in carrying out nursing

functions in connection with the appraisal of J.N. . . . .”6 These findings were

supported by the record, including expert testimony. (See Lattimore v. Dickey

(2015) 239 Cal.App.4th 959, 969 [expert testimony is necessary to establish

nursing standard of care and to evaluate alleged breaches, except where

negligence is obvious to laypersons].)

Plaintiff further argues that implying a different standard of care for

resident appraisals performed by licensed nurses renders the California

Residential Care Facilities for the Elderly Act (Health & Saf. Code, § 1569

et seq.) impermissibly vague and uncertain. We agree with the Board that its

decision does not imply a standard of care into the act. Rather, the Board’s

decision is based upon its finding that plaintiff performed a nursing function

and breached the standard of care for nurses set forth in the regulations

applicable to nurses. (Cal. Code Regs., tit. 16, § 1442.)7

6 Specifically, the expert witnesses testified that a nurse performing a

resident appraisal should perform a functional, head-to-toe assessment,

looking at all of the skin. The evidence supports the ALJ’s finding that

plaintiff’s assessment of J.N. was inadequate because he failed to identify

and fully describe her multiple wounds.

7 Plaintiff also argues he had no duty to provide nursing services to

J.N. because there was no nurse–patient relationship between him and J.N.

Again, this argument is premised upon plaintiff’s position that his resident

appraisal of J.N. was not a nursing function. Under the facts of this case,

plaintiff’s premise is faulty and his related argument based on a purported

lack of a nurse–patient relationship also fails.

The ALJ decision, adopted by the Board, found that plaintiff had a duty

to J.N. as a registered nurse and he was subject to the standard of care

applicable to registered nurses. This finding implies the existence of a

11

To summarize, a licensed nurse may be subject to discipline by the

Board when he or she agrees to assess a resident’s physical and mental

condition; holds him- or herself out as a licensed professional while doing so;

and knows that his or her assessment will be, and in fact is, relied upon to

determine the level of care the resident needs in a new facility. Applying

some undefined, lesser standard of care to plaintiff’s misconduct under these

nurse–patient relationship, which is supported by substantial evidence. The

Board’s registered nursing expert testified that the performance of an RCFE

assessment by a nurse creates a nurse–patient relationship. Plaintiff’s own

expert similarly acknowledged that performing resident assessments

constitutes patient care.

Plaintiff relies upon Keene v. Wiggins (1977) 69 Cal.App.3d 308, 313–

314 (physician retained by workers’ compensation carrier to examine injured

employee for purpose of rating injury “has no reason to believe the person

examined will rely upon this report,” and is not liable to the person examined

for negligence in making the report) and Felton v. Schaeffer (1991) 229

Cal.App.3d 229, 236–237 (no physician–patient relationship between

physician hired to perform preemployment physical examination and

prospective employee because the “physician’s sole function was to provide

information to aid the employer’s decisionmaking process, not to serve the

[prospective employee]”). Both cases are distinguishable because they

address whether the physicians have civil liability for negligence as opposed

to whether they are subject to discipline by a licensing board. (Keene, at p.

310; Felton, at p. 234.) Further, in neither case was it foreseeable that the

patient would rely upon the physician’s report. (Keene, at pp. 313–314;

Felton, at pp. 236–237.) In contrast, here, J.N.’s assessment was performed

to determine the level of care she needed when she was transferred from

Nina’s. This was most certainly for J.N.’s benefit. Plaintiff even

acknowledged as much when he testified that the reason for completing the

assessment was to assist the residents in choosing their next home. It was

foreseeable that J.N., through her conservator, would rely upon the

assessment, and, in fact, she did so. Under these circumstances, plaintiff is

subject to discipline by the Board. The issue whether plaintiff could be held

liable in a civil action for his misconduct is not before us, and we express no

opinion on this question.

12

circumstances is counter to the Board’s “highest priority” of public protection.

(§ 2708.1.)

III. The Board was not required to plead a violation of the RCFE

statutes.

Plaintiff complains that he cannot be disciplined for failing to properly

perform J.N.’s resident appraisal as required by RCFE statutes and

regulations because (1) the Board did not plead violations of any specific

RCFE regulations and (2) the Board does not have the power to discipline

plaintiff for violations of the RCFE regulations. We address plaintiff’s latter

argument first. The Board disciplined plaintiff for gross negligence and

unprofessional conduct while engaged in nursing functions. This is well

within the Board’s jurisdiction. (See Rand, supra, 206 Cal.App.4th at pp.

581–582 [rejecting argument that Board of Psychology lacked jurisdiction to

discipline licensed psychologist for unprofessional conduct while acting as

court appointed special master].)

Nor do we agree the Board was required to plead specific violations of

RCFE regulations to discipline plaintiff for gross negligence under Business

and Professions Code section 2761, subdivision (a)(1). The Board’s accusation

alleged plaintiff was hired to assist with the closure of Nina’s and that he was

grossly negligent in, among other things, failing to perform a complete

assessment of J.N., failing to ensure that her service plan accurately reflected

her needs and status, and failing to recommend a higher level of care. The

Board further alleged incompetence and unprofessional conduct based upon

the same alleged omissions. Although the Board did not specifically reference

RCFE regulations, it did allege that the assessment was required by the CCL

as part of the closing process. Finally, the Board alleged unprofessional

conduct based upon plaintiff’s dishonesty during the Board’s investigation.

The accusation detailed plaintiff’s alleged errors and omissions in conducting

13

J.N.’s assessment and asserted that each cause for discipline was based upon

violations of Business and Professions Code section 2761, subdivision (a)(1).

No more was required. (Gov. Code, § 11503, subd. (a) [requiring that

agencies set forth in the accusation acts and omissions with which the

licensee is charged and specify “statutes and rules that the [licensee] is

alleged to have violated”].)8

IV. Plaintiff’s dishonesty during the investigation constitutes

unprofessional conduct under section 2761.

Plaintiff’s final contention is that he cannot be disciplined for

dishonesty because section 2761 does not expressly list dishonesty as a type

of unprofessional conduct.9 Plaintiff’s argument ignores that the plain

8 Plaintiff’s reliance upon Linda Jones General Builder v. Contractors’

State License Board (1987) 194 Cal.App.3d 1320 is misplaced. In Linda

Jones General Builder, the Contractors’ State License Board alleged a

contractor was subject to discipline for a willful departure from “ ‘accepted

trade standards in the absence of specific requirements in the plans or

specifications,’ ” and then, at the hearing, the board argued the contractor

should be disciplined for a willful departure from plans or specifications. (Id.

at p. 1323, italics added.) The court found that because the board had not

charged the contractor with a willful departure from plans or specifications,

the contractor could not be disciplined on this ground. (Id. at pp. 1326–1327.)

Here, plaintiff was charged with violating section 2761, subdivision (a)(1),

and the disciplinary action was based upon this accusation.

9 In making the legal argument that he cannot be disciplined for

dishonesty under section 2761, plaintiff does not appear to dispute that

substantial evidence supports the finding that he was dishonest. However,

his brief also includes a section titled “Conclusion” which disputes that he

was dishonest during his interviews with the Board investigator. We

disregard this argument for three reasons. First, plaintiff’s argument is not

under an appropriate heading. (See Cox v. Griffin (2019) 34 Cal.App.5th 440,

453–454 [argument contained in section headed “ ‘Introduction’ ” violates Cal.

Rules of Court, rule 8.204(a)(1)(B) requiring separate headings summarizing

argument and is forfeited].) Second, plaintiff fails to cite to the appellate

record. (Sky River LLC v. County of Kern (2013) 214 Cal.App.4th 720, 741

[Cal. Rules of Court, rule 8.204(a)(1)(C), requiring appellate briefs to cite to

14

language of section 2761, subdivision (a) provides a non-exhaustive list of

what constitutes “unprofessional conduct.” It expressly states that

unprofessional conduct “includes, but is not limited to,” the examples listed.

(§ 2761, subd. (a); Moustafa v. Board of Registered Nursing (2018) 29

Cal.App.5th 1119, 1136 [recognizing that additional forms of conduct may be

deemed unprofessional conduct because § 2761, subd. (a) provides that

unprofessional conduct “ ‘is not limited to’ ” the examples given].) Courts

have held that unspecified “ ‘unprofessional conduct’ ” must involve “conduct

which indicates an unfitness to practice [the profession].” (E.g., Shea v.

Board of Medical Examiners (1978) 81 Cal.App.3d 564, 575; Rand, supra, 206

Cal.App.4th at p. 590 [“A professional who has shown dishonesty has

demonstrated professional unfitness meriting license discipline”].)

Plaintiff was found to have been dishonest with the Board investigator

when he characterized his role in J.N.’s assessment as significantly more

limited than what he explained in his earlier statement to the CCL

investigator. We find that such dishonesty to the Board investigating

plaintiff’s alleged malfeasance constitutes unprofessional conduct and

demonstrates an unfitness to practice nursing.

DISPOSITION

The judgment is affirmed. Respondent is entitled to its costs on appeal.

appellate record, applies to matter references at any point in the brief and

not just to the statement of facts].) Third, he makes no reasoned argument

that the Board’s finding is not supported by substantial evidence. (Okorie v.

Los Angeles Unified School Dist. (2017) 14 Cal.App.5th 574, 600 [appellant is

required to present cognizable legal argument in support of reversal of

judgment], disapproved on other grounds in Bonni v. St. Joseph Health

System (2021) 11 Cal.5th 995, 1012, fn. 2.)

15

_________________________

Jackson, P. J.

WE CONCUR:

_________________________

Needham, J.

_________________________

Burns, J.

A159990/Clawson v. Bd. of Registered Nursing

16

A159990/Clawson v. Bd. of Registered Nursing

Trial Court: Superior Court of the City and County of San Francisco

Trial Judge: Ethan P. Schulman

Counsel: William Michael Clawson, in pro. per., for Plaintiff and

Appellant.

Rob Bonta, Attorney General, Carl W. Sonne, Assistant

Attorney General, Joshua A. Room and Brett A.

Kingsbury, Deputy Attorneys General, for

Defendant and Respondent.

17

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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