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SANGRAAL v. CITY AND COUNTY OF SAN FRANCISCO, C 11-04884 LB. (2013)

Court: District Court, N.D. California Number: infdco20130624942 Visitors: 5
Filed: Jun. 21, 2013
Latest Update: Jun. 21, 2013
Summary: ORDER GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT LAUREL BEELER, Magistrate Judge. INTRODUCTION Plaintiff Catherine Jones sued county social workers and the City and County of San Francisco ("CCSF"), alleging that they violated her constitutional rights when they took her new-born baby Cora into protective custody based on circumstances about the baby's father (and former plaintiff) Benjamin Sangraal that they thought risked imminent harm to the baby. See Complaint, ECF No. 1. 1 The r
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ORDER GRANTING DEFENDANTS' MOTION FOR SUMMARY JUDGMENT

LAUREL BEELER, Magistrate Judge.

INTRODUCTION

Plaintiff Catherine Jones sued county social workers and the City and County of San Francisco ("CCSF"), alleging that they violated her constitutional rights when they took her new-born baby Cora into protective custody based on circumstances about the baby's father (and former plaintiff) Benjamin Sangraal that they thought risked imminent harm to the baby. See Complaint, ECF No. 1.1 The remaining Defendants in this case — the CCSF and social workers Maria Elena Martinez, Susan Tait, Barbara Higgins, and Dan Phillips — move for summary judgment. See Defs.' Mot. for Summ. Judgment, ECF No. 37. The court held a hearing on June 6, 2013, and GRANTS Defendants' motion for summary judgment.

STATEMENT

I. BACKGROUND FACTS2

Jones's claims arise out of three incidents: (1) the two-day stay in the hospital after the baby's birth pursuant to a "Safety Plan," which she and Sangraal signed after Martinez told them that she would remove the baby from their custody unless they signed the plan and agreed not to take the baby home from the hospital until after a Team Decision-Making meeting that took place two days later; (2) the ultimate temporary removal of the baby from Jones's custody; and (3) the provision of medical care to the baby without parental consent while the baby was in foster care.

A. Jones and Sangraal's Relationship and Jones's Pregnancy

Plaintiff Catherine Jones and former Plaintiff Benjamin Sangraal met while they were in college. Jones Decl., ECF No. 55, ¶ 2. After Jones became pregnant in February 2010, Jones and Sangraal read about pregnancy and childbirth and discussed various delivery and medical treatment options. Joint Statement of Undisputed Fact ("JSUF") 72; Jones Decl. ¶¶ 3-7.

Jones sought prenatal care from Judith Tinkelenberg,3 a midwife affiliated with Sage Femme in San Francisco. Jones Decl. ¶¶ 6-7; Jones Dep. ¶ 6. As part of Jones's prenatal care, she watched a birthing video in which it appeared that "more persons than necessary had their hands in the crotch of pregnant mothers." Jones Decl. ¶ 7. Jones "made known" that she did not want numerous people in the delivery room when she was giving birth and that she wanted the minimum number of people necessary "sticking their hands in [her] vagina during labor and delivery . . . and preferably only one single doctor or nurse." Jones Decl. ¶ 6.

Jones planned to have a "natural home-birth type experience at Sage Femme."4 Jones Decl. ¶ 9. Jones's pregnancy ran longer than usual, however, and Tinkelenberg informed her that it was necessary for her to have her baby in a regular hospital. JSUF 74; Jones Decl. ¶ 9.

Upon admission to the hospital, Jones asked if Sangraal could perform the vaginal examinations, in keeping with her desire for fewer unfamiliar persons touching her privates, because she "wanted him intimately involved in the birth of our daughter." JSUF 75. Jones also advised hospital staff that she wanted a minimal number of vaginal examinations and only when necessary. JSUF 76.

Jones's and Sangraal's child, Cora Sangraal, was born on November 10, 2010 at San Francisco General Hospital. JSUF 1.

A. Social Worker Carthagena Calls Family and Children Services Emergency Hotline

Hours after the birth, SFGH medical social worker Elizabeth Carthagena called the Children's Emergency Services ("CES") hotline of the Family and Children Services Division, San Francisco Human Services Agency ("FCS"). JSUF 2. Carthagena reported the following (and attributed it to SFGH personnel):

(1) Sangraal and Jones refused to allow medical personnel to perform routine newborn care and examination of Cora, or even to touch her, JSUF 3; (2) Sangraal behaved in a controlling manner toward Jones and claimed to own her, JSUF 4; (3) Sangraal would not let hospital staff touch Jones or Cora, JSUF 5; (4) Hospital personnel suspected Jones was a victim of domestic violence, JSUF 6; (5) Sangraal was adamant that no one could talk to Jones about domestic violence, JSUF 7; and (6) Sangraal insisted he was the only person who could perform pelvic exams on Jones during the labor process, JSUF 8.

Carthagena also told FCS that Jones's midwife had relayed to her in a telephone call that an alleged religious director of Sangraal and Jones's church (described as part of the Feri religion) alleged the following:

(7) Sangraal was "sexually grooming" a 13-year-old girl at a June 2010 summer camp, JSUF 9; (8) Sangraal planned to have sexual contact with his children, JSUF 10; and (9) Sangraal potentially had an open child protective services investigation ongoing in another state, JSUF 11.

B. Martinez's Investigation

Maria Elena Martinez, an FCS social worker on the emergency response team, received the

Emergency Response Referral Information ("Emergency Referral") form generated from information provided by Carthagena during her call to FCS, and she came to the hospital to investigate on November 10, 2010. JSUF 12-13. Carthagena orally confirmed to Martinez what she had reported to the CES hotline and told Martinez that Jones and Cora could be discharged as early as later that evening but that the parents refused to discuss discharge plans with hospital staff. Carthagena Dep. 66:16-19, ECF No. 45-2 at 4; JSUF 14; Martinez Decl. ¶¶ 6-7, ECF No. 41. Martinez also spoke with SFGH nurse Angel Dewitt-Hernandez, who stated that she called security during the night of November 9, 2010 after Sangraal pushed a cart against the door in Jones's hospital room while she was in labor, which caused something on the cart to fall to the ground and break.5 JSUF 15. Dewitt-Hernandez also told Martinez "that Sangraal sucked Jones's breasts and performed oral genital stimulation on her while she was in labor in the presence of at least one other person, whom Ms. Dewitt-Hernandez believed to be Sangraal's mother."6 Martinez Decl. ¶ 8.

When Martinez arrived at Jones's room, Sangraal had gone home to take care of the couple's dog. Jones Decl. ¶ 11, ECF No. 55. Jones told Martinez that she did not want to speak with her unless Sangraal was present or at least in the hospital. Id. Martinez took it as an "alarming sign" that "Jones did not feel she was able to discuss Cora's best interests" with her. Martinez Decl. ¶ 9, ECF No. 41. "This mentality made [Martinez] question [Jones's] ability to make independent decisions in her child's best interests." Id.

At Martinez's request, Jones called Sangraal to ask him to return to the hospital. JSUF 16. Martinez again attempted to engage Jones in conversation, but Jones stated Martinez would have to wait until Sangraal arrived. JSUF 17.

While waiting for Sangraal to return to the hospital, Martinez spoke with Dr. Claire Herrick about Sangraal and Jones. JSUF 18; Martinez Decl. ¶ 11. Dr. Herrick was the chief resident obstetrician/gynecologist on duty at the time Jones gave birth and provided care to Jones during her labor and delivery. JSUF 19. Dr. Herrick confirmed that Sangraal and Jones wanted minimal medical personnel contact with Jones while she was in labor. Martinez Decl. ¶ 11. Dr. Herrick also confirmed that Sangraal had displayed controlling behaviors and that the couple had refused to discuss domestic violence with her.7 Id.

Sangraal returned to the hospital approximately forty-five minutes after Martinez initially met with Jones. JSUF 20. When Sangraal arrived, Martinez spoke with him outside the presence of Jones. JSUF 21. Sangraal acknowledged to Martinez that he pushed the cart in Jones's room the previous night and that a medical device on it fell off due to his action. JSUF 22. Sangraal told Martinez that he pushed the cart because hospital staff did not comply with his and Jones's request to keep the number of people walking in and out of Jones's room to a minimum. JSUF 23. At the conclusion of their conversation, Martinez told Sangraal that Jones refused to speak with her without Sangraal's approval. JSUF 24. Sangraal asked Martinez to wait outside while he went into Jones's hospital room to speak with her privately. JSUF 25.

While waiting, Martinez called the couple's former midwife, Judith Tinkelenberg, who had transferred the care of Jones to SFGH when Jones became overdue. JSUF 26. According to Martinez, Tinkelenberg said that she feared Sangraal and Jones would flee with Cora if faced with a court custody issue. Martinez Decl. ¶ 14. Martinez called her supervisor, Carmen Villegas-Grant, to convey what she had learned. JSUF 27.

After Sangraal emerged from Jones's room, he gave Martinez permission to speak with Jones privately. JSUF 28. Martinez spoke with Jones for approximately twenty minutes. JSUF 29. During that conversation, Jones denied any domestic violence and stated that the allegations about Sangraal's behavior with the 13-year-old girl were all lies. JSUF 30-31.

C. The Safety Plan

After her private meeting with Jones, Martinez discussed a Structured Decision-Making Safety Plan with Jones and Sangraal. JSUF 32; see Martinez Decl. Ex. B, ECF No. 41-3 at 2 (copy of signed Safety Plan). The Safety Plan was an agreement that Jones and Sangraal signed that provided that "Baby girl & mother will remain admitted at SFGH until 11/12/10 (after 48 hours of baby delivery)." ECF No. 41-3 at 2. Under the Safety Plan, there would be a TDM meeting on November 12, 2010 but "Parents cannot take baby girl out of the hospital before 11/12/10. Hospital staff will immediately call police & put a hold on the baby." Id. Jones and Sangraal signed the Safety Plan in Martinez's presence after a discussion of its contents.

D. The Team Decision-Making Meeting & the Decision to Place Cora in Foster Care

A team decision-making meeting ("TDM") was held on November 12, 2010. JSUF 34. FCS staff participants included Dan Phillips, Barbara Higgins, and Lesha Taylor. Id. Other participants included Sangraal, Jones, Judith Tinkelenberg, and five friends or contacts invited by Sangraal and Jones. JSUF 35. Social worker Susan Tait, who had received training in the exigent circumstances standard, supervised the entire TDM unit. JSUF 36.

Sangraal (age 25 at the time) spoke at the TDM and admitted he kissed a 13-year-old girl on the mouth during a camp the previous summer when she was a camper and Sangraal was an adult mentor. JSUF 37. Sangraal described the kiss as "a peck on the lips" as camp was ending and campers were saying their goodbyes. Id. Sangraal acknowledged at the TDM that he spoke at the camp with the 13-year-old girl about her "first blood," which he explained meant her first menstruation. JSUF 38. Sangraal further acknowledged at the TDM that after the conclusion of the camp, he engaged in text or other communications with the girl. JSUF 39. They communicated about the girl's period and about possibly traveling together to, or meeting at, a summer solstice event at Ocean Beach to be held in the summer of 2010 shortly after the end of the camp session. JSUF 40. Sangraal also mentioned that participants at this event run naked on the beach. JSUF 41. Finally, Sangraal suggested that his religion encouraged, even celebrated, an open attitude toward sex. JSUF 51. Jones did not contradict any of Sangraal's statements or decisions recounted during the TDM. JSUF 44.

Three of Jones's and Sangraal's co-religionists who attended the TDM all claimed that nothing in their tradition prevented a woman from receiving medical care from a doctor and that nothing in their tradition prevented a newborn from receiving immunizations or any other kind of exam by a medical professional. JSUF 49-50. Sangraal's co-religionist Aline O'Brien thinks she stated at the TDM that no pagan tradition condoned sex between minors and adults. JSUF 52.

A number of additional concerns were discussed at the TDM. First, there was discussion about the allegations that Sangraal had confessed to a third party a desire to have sexual relations with his children. JSUF 42. This claim was reported by the third party to Tinkelenberg, who reported it to Carthagena, who called it into CPS. Id. Second was DeWitt-Hernandez's report to Martinez that another employee of SFGH had reported witnessing Sangraal orally stimulating Jones's vagina during the labor process. JSUF 43. Third, on at least one occasion, fetal stress test monitors were removed from Jones's belly before the hospital nurse had completed her evaluation of whether the fetus was thriving. JSUF 45. Tait also was aware that Carthagena had informed FCS that Sangraal might have an open child protective services case pending in another state, but the actual existence, nature and circumstances were unknown. JSUF 48.

Tait later observed that Cora had urine on her body because she wet herself during the four-hour meeting, and neither parent cleaned or changed her. JSUF 46. Tait did not know at what point Cora had wet herself. Id. Tait concluded that given the serious nature of the allegations about Sangraal's sexual proclivities, Cora was not safe in his custody without further investigation, which would be impossible were the couple to flee with the newborn. JSUF 47.

When asked whether Jones had any family members, such as Jones's mother, who could take Cora, Sangraal opposed custody with Jones's parents, because he said the parents had done "horrific" things to Jones. JSUF 53. Jones did not deny Tinkelenberg's assertion that she had been sexually abused. JSUF 54. Sangraal stated his family could not care for Cora. JSUF 55. After determining that no grandparents were appropriate caretakers, the couple's friends at the TDM were asked whether they would be willing to assume the care of Cora, and no one volunteered. JSUF 56. Jones and Sangraal "did not suggest any other placement with someone other than them." JSUF 57. After the TDM, the social workers took Cora into state custody. Those participating in the decision on 11/12/10 to remove Cora at the TDM were Phillips, Higgins, Tait, and Taylor. JSUF 84. Cora was given a vitamin K injection, infant formula, and a hearing test shortly after CPS took custody of her away from her parents. JSUF 86.

E. Juvenile Court Proceedings

On November 16, 2010, Martinez submitted a detention report summarizing her investigation to the San Francisco County Superior Court, Juvenile Division. JSUF 58. On November 17, 2010, the Juvenile Court conducted an initial detention hearing under California Welfare & Institutions Code section 319 and issued an order that Cora remain in foster care pending an evidentiary detention hearing that began on November 22, 2010. JSUF 59. At the end of the November 17, 2010 hearing, the Juvenile Court found that, based solely on the report submitted by Martinez, "[a] prima face case has been made that [Cora] comes within section 300 [of] W&I [Cal. Welfare & Institutions] Code. . . . There is a substantial danger to the physical health of the child or the child is suffering severe emotional damage, and there are no other reasonable means by which the child's physical or emotional health may be protected without removing the child from the parents' . . . custody and continuance in the home is contrary to the child's welfare." JSUF 60-61. In addition, the Juvenile Court noted that "[r]easonable efforts have been made to prevent the need for removal from the home, based upon the detention/social report dated/filed 11/16/10 [prepared by Maria-Elena Martinez]." JSUF 62. The Juvenile Court ordered Cora detained, and vested temporary placement and care with the San Francisco Department of Human Services pending further court order, and approved placement in foster as "necessary and appropriate." JSUF 63.

On November 22, 23, and 30 of 2010, a judge in the San Francisco Superior Court, Juvenile Division, conducted an evidentiary hearing. JSUF 64. Martinez and Tait testified in this hearing. JSUF 65. Martinez did not have any new information that conflicted with what she had previously learned about Jones and Sangraal at the time she testified. JSUF 66. Tait did not have any new information that conflicted with what she had previously learned about Jones and Sangraal at the time she testified. JSUF 67. At the end of the hearing, the Juvenile Court returned custody of Cora to Jones under the condition that Sangraal be restricted from access to the infant through a restraining order. JSUF 68. The Juvenile Court imposed a six-month restraining order that prohibited Sangraal from all contact with Cora except for up to six hours of visitations per week supervised by FCS. JSUF 69. Cora remained in the care of a foster mother from November 16, 2010, when she was discharged from SFGH, until December 1, 2010, when she was returned to the care of her mother after the restraining order took effect. JSUF 71.8

II. PROCEDURAL HISTORY

Jones and Sangraal filed this suit on October 3, 2011, alleging claims against the CCSF, social workers Maria Elena Martinez, Brandi Woolery, Susan Tait, Barbara Higgins, Dan Phillips, Rudy Pena, Carmen Villegas-Grant, and Myrna Gomez and Jones's former midwife Judith Tinklenburg.9 Compl., ECF No. 1, ¶¶ 8-22. On March 28, 2013, Defendants filed the pending motion for summary judgment. ECF No. 37.

The parties stipulated to dismissal of some defendants and claims. First, Benjamin Sangraal dismissed all claims against all Defendants with prejudice. See ECF No. 28. Second, Jones dismissed all claims against Defendants Pena, Grant, Woolery, and Gomez with prejudice. See ECF No. 28 (Pena); ECF No. 35 (Grant and Woolery); ECF No. 65 (Gomez). In addition, the parties stipulated to dismiss with prejudice Plaintiff's tenth claim for intentional infliction of emotional distress. ECF No. 36. Jones also stipulated that she would waive any claim "that she suffers ongoing emotional distress associated with the temporary removal of her child from her care and custody by defendants, and shall limit her claim for emotional distress to that suffered during the period from the inception of involvement with plaintiff by defendant [CCSF] and its employee defendant social workers through the point at which the plaintiff's child was returned to her." Id. at 2. In Jones's opposition to the summary judgment motion, she waived her eighth (First Amendment) and ninth claims (Cal. Civ. Code § 52.1). See Opp'n, ECF No. 53 at 6 n.1. In their summary judgment reply brief, ECF No. 58, Defendants argued that Jones had failed to oppose their motion to summary judgment on the fourth, fifth, and sixth claims, all of which allege 4th Amendment violations. See Reply, ECF No. 58 at 5 n.2. Subsequently, the parties stipulated to dismissal of the fifth and sixth claims. See ECF No. 65. This chart shows the claims that remain:

# Claim Defendants 1 14th Amendment — Martinez, Tait, Higgins, Interference with Familial Relations Phillips, Woolery. Pena 2 14th Amendment — Martinez, Tait, Higgins, Removal (In Alternative) Phillips, Woolery, Pena 3 14th Amendment — Martinez, Tait, Higgins, Continued Detention Phillips, Woolery, Pena, Grant 4 4th Amendment — Martinez, Tait, Phillips, Pena Unlawful Seizure 5 4th Amendment — Martinez, Tait, Phillips, Pena, Unlawful Entry to Home Gomez 6 4th Amendment — Martinez, Tait, Phillips, Pena, Unlawful Search Gomez 7 14th Amendment — Martinez, Tait, Higgins, "Inoculations and Medical Treatment w/o Parents" Phillips, Woolery, Pena 8 1st Amendment — Rights of Association Martinez 9 State Constitutional Rights — Martinez, Tait, Higgins, Cal. Civil Code § 52.1 Phillips, Pena 10 Intentional Infliction of Emotional Distress Martinez, Woolery, Tait, Higgins, Phillips, Pena, Grant 11 1st Amendment — Tinkelenburg (severed) State & Federal Rights of Medical Privacy 12 Monell Liability City and County of San Francisco Misc. Sangraal's Dismissed Claims All Claims Against All Defendants

ANALYSIS

I. SUMMARY JUDGMENT STANDARD

A motion for summary judgment should be granted if there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48 (1986). Material facts are those that may affect the outcome of the case. Anderson, 477 U.S. at 248. A dispute about a material fact is genuine if there is sufficient evidence for a reasonable jury to return a verdict for the non-moving party. Id. at 248-49.

The party moving for summary judgment has the initial burden of informing the court of the basis for the motion and identifying those portions of the pleadings depositions, answers to interrogatories, admissions, or affidavits that demonstrate the absence of a triable issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). To meet its burden, "the moving party must either produce evidence negating an essential element of the nonmoving party's claim or defense or show that the nonmoving party does not have enough evidence of an essential element to carry its ultimate burden of persuasion at trial." Nissan Fire & Marine Ins. Co., Ltd. v. Fritz Companies, Inc., 210 F.3d 1099, 1102 (9th Cir. 2000); see Devereaux v. Abbey, 263 F.3d 1070, 1076 (9th Cir. 2001) ("When the nonmoving party has the burden of proof at trial, the moving party need only point out `that there is an absence of evidence to support the nonmoving party's case.'") (quoting Celotex Corp., 477 U.S. at 325).

If the moving party meets its initial burden, the burden shifts to the non-moving party, which must go beyond the pleadings and submit admissible evidence supporting its claims or defenses and showing a genuine issue for trial. See Fed. R. Civ. P. 56(e); Celotex, 477 U.S. at 324; Nissan Fire, 210 F.3d at 1103; Devereaux, 263 F.3d at 1076. If the non-moving party does not produce evidence to show a genuine issue of material fact, the moving party is entitled to summary judgment. See Celotex, 477 U.S. at 323.

In ruling on a motion for summary judgment, inferences drawn from the underlying facts are viewed in the light most favorable to the non-moving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986).

II. SECTION 1983 CLAIMS BASED ON DETENTION AND REMOVAL

Jones's claims against the individual defendants arise under 42 U.S.C. § 1983. To prevail on a Section 1983 claim, a plaintiff must demonstrate that state action deprived her of federally-secured constitutional rights. See Leer v. Murphy, 844 F.2d 628, 632-33 (9th Cir. 1988) (citations omitted). The parties do not dispute that the defendants acted under color of state law. The issue is whether their actions violated either Jones's due process rights to familial association or the Fourth Amendment.

A. Interference with Familial Relations (Claims 1 through 3 and 7)

"Parents and children have a well-elaborated constitutional right to live together without governmental interference." Wallis v. Spencer, 202 F.3d 1126, 1137 (9th Cir. 1999) (collecting cases). That right is a liberty interest protected by the Fourteenth Amendment. Id.; see Troxel v. Granville, 530 U.S. 57, 65 (2000). Thus, parents have the right not to "be separated from their children without due process of law, except in emergencies." Mabe v. San Bernardino County, 237 F.3d 1101, 1107 (9th Cir. 2001). "Under certain circumstances, these rights must bow to other countervailing interests and rights, such as the basic independent life and liberty rights of the child and of the State acting as parens patriae; and on occasion, this accommodation may occur without a pre-deprivation hearing." Mueller v. Auker, 700 F.3d 1180, 1186 (9th Cir. 2012) (citing Thomason v. SCAN Volunteer Servs., Inc., 85 F.3d 1365, 1371 (8th Cir. 1996) ("[T]he liberty interest in familial relations is limited by the compelling government interest in the protection of minor children, particularly in circumstances where the protection is considered necessary as against the parents themselves.")).

A government official may intrude on a parent's custody of her child without obtaining a warrant if the official has information "at the time of the seizure that establishes `reasonable cause to believe that the child is in imminent danger of serious bodily injury and that the scope of the intrusion is reasonably necessary to avert that specific injury.'" Mabe, 237 F.3d at 1106 (quoting Wallis, 202 F.3d at 1138). The court uses an objective standard to determine whether information provided an official with reasonable cause to believe exigent circumstances exist. See Wallis, 202 F.3d at 1139 n.9.

No fixed formula determines exigency, and courts consider the totality of the circumstances. See Doe v. Kearny, 329 F.3d 1286, 1295 (11th Cir. 2003). Relevant factors that can weigh in favor of exigency include the following: (1) the parents' credibility (see Ram v. Rubin, 118 F.3d 1306, 1309 (9th Cir. 1997) and Gomes v. Wood, 451 F.3d 1122, 1125 (10th Cir. 2006)); and (2) the age of the child (see Dietz v. Damas, 932 F.Supp. 431, 447 (E.D.N.Y. 1996) (noting that while a child's report of abuse or neglect can serve as compelling evidence in the exigency analysis, "babies [are] incapable of testifying")).

1. The Safety Plan Due Process Claim (Claim 1)

Jones alleges that Martinez, Tait, Higgins, and Phillips violated her constitutional right to familial association when they required Jones and Sangraal to sign the Safety Plan and comply with its terms, which barred them from leaving the hospital with Cora for two days. Compl. ¶¶ 200-03. Defendants argue that Tait, Higgins, and Phillips had nothing to do with the safety plan and that the claim against Martinez fails because of the following: (1) Jones and Cora were not separated so there was no disruption of the mother-child relationship, (2) Jones consented to the Safety Plan, and (3) any initial detention was warranted by exigent circumstances. Id. at 20-21.

As to the involvement of Tait, Higgins, and Phillips, no evidence suggests any involvement by them until the TDM meeting on November 12, 2010. See Motion at 21. Jones did not suggest otherwise in her opposition, and she agreed this was true at the June 20, 2013 hearing. See Opp'n at 15. The court grants summary judgment as to Defendants Tait, Higgins, and Phillips.

As to Martinez, Defendants have three arguments: there was no disruption of familial relations, the parents consented, and exigent circumstances justified what happened.

As to the disruption of familial relations, Defendants' argument is that the Safety Plan did not deny Jones access to Cora, Jones's "family unity was not disrupted . . . [and] no substantive due process interest was implicated," and at best the claim is a Fourth Amendment claim for wrongful detention. Mot. at 21-22.

The undersigned is not persuaded that separation of parent and child is a necessary element of an interference with familial relations claim. No case cited by the Defendants says that. Defendants rely on Mabe, 237 F.3d at 1107. See Reply at 7. The Mabe court said only that "[t]he Fourteenth Amendment guarantees that parents will not be separated from their children without due process of law except in emergencies." This was an articulation of the legal standard in a case that challenged separation of parent and child (as opposed to a holding that separation is a prerequisite to a claim). See 237 F.3d at 1107. The Defendants also cite Doe v. Heck, 327 F.3d 492, 519 (7th Cir. 2003), see Mot. at 21-22, but that case said only that "if a plaintiff's sole purpose in bringing a familial relations claim is to recover damages for a physical seizure, then that claim is more appropriately analyzed under the Fourth Amendment." Id. The court also explained that,

[o]n the other hand, if . . . a familial relations claim specifically alleges that the government's physical seizure coincided with other conduct amounting to an interference with the parent-child relationship (e.g., custodial interview of child by government officials without the consent of his parents and without reasonable suspicion that parents were abusing the child or that the child was in imminent danger of abuse), that allegation of harm constitutes a separate and distinct violation of a separate fundamental constitutional right and both claims may therefore be maintained.

Id. (internal citation omitted) (Fourth and Fourteenth Amendment claims cognizable for child who was seized).

The next issue is whether the parents' voluntary consent to the conditions in the safety plan eliminates any claim. Defendants say it does, but Jones alleges that her consent was involuntary in that Martinez coerced her into signing the Safety Plan by threatening to take away her child.

No Ninth Circuit case addresses whether safety plans such as this one are inherently coercive. In Dupuy v. Samuels, the Seventh Circuit rejected the parents' argument that "safety plans are inherently coercive when agencies force parents to sign the plan or face the threat of formal removal proceedings" because the safety plan is still voluntary. 465 F.3d 757, 759-63 (7th Cir. 2006); see also Teets v. Cuyahoga County, Ohio, 460 Fed. App'x 498, 503 (6th Cir. 2012) (granting summary judgment against parents' procedural due process claim because feeling coerced is insufficient to establish that a safety plan is involuntary). Judge Posner analyzed the constitutionality of an Illinois child-welfare agency's practice of offering "safety plans" to parents in lieu of removing the child. Dupuy, 465 F.3d at 760. Though the restrictions imposed under a safety plan may be less onerous than removal, "they may be invasive enough to count as deprivations of liberty. . . ." Id. "Critically, however, the decision to agree to a safety plan is optional with the parents." Id. at 761. "The state does not force a safety plan on the parents; it merely offers it." Id. "Because the safety plan is voluntary, no hearing of any kind is necessary; hearings are required for deprivations ordered over objection, not for steps authorized by consent." Id. at 761-62; see also Hernandez ex rel. Hernandez v. Foster, 657 F.3d 463, 482 (7th Cir. 2011) (quoting the same passage for the proposition cited). Analogizing safety plans to settlement agreements, the court held that "[i]t is not a forbidden means of `coercing' a settlement to threaten merely to enforce one's legal rights. . . . Coercion is objectionable — and when objectionable is more aptly described as duress or extortion — when illegal means are used to obtain a benefit." Dupuy, 465 F.3d at 762 (finding no evidence of coercion). Id.

The court finds this analysis persuasive. The issue then is whether the uncontroverted evidence here shows voluntary consent.

One example of coercion is when a state agency lacks legal authority to remove the child but coerces parents into agreeing to a safety plan by threatening to remove the child anyway. See id. at 763. For example, in Croft v. Westmoreland County Children and Youth Services, the Third Circuit reversed the district court's summary judgment for the defendant because the social worker lacked objectively reasonable grounds to believe the child had been sexually abused or was in imminent danger of sexual abuse. See 103 F.3d 1123, 1127 (3rd Cir. 1997). There, acting on an anonymous abuse allegation, the social worker told the parents that she would remove the child from the home unless the father consented to leave the home and have no contact with his daughter while a full investigation was pending. Id. at 1125-25. The only evidence supporting the social worker's ultimatum was the "six-fold hearsay report by an anonymous informant"10 and inconsequential inconsistencies in the parents' statements. Id. at 1125-27. The social worker conceded that after interviewing the parents, she "had no opinion one way or the other whether sexual abuse had occurred," and lacked information to make an abuse determination. Id. Accordingly, the court of appeals reversed the district court and suggested that two members of the panel would have entered summary judgment for the parents had they filed a cross-motion. Id. at 1127.

Similarly, in Hernandez, the parents put in evidence that the social worker threatened the parents "that they could not even see [their child] if they did not sign the safety plan after suspicions of abuse had dissipated" and after the child had been taken from their custody. 657 F.3d at 483-84. It was this threat "without even a reasonable suspicion of abuse to get them to agree to the safety plan" that violated the parents' constitutional rights. Id. at 484.

The disagreement here boils down to whether Martinez really had "reasonable cause to believe that the child is in imminent danger of serious bodily injury and that the scope of the intrusion is reasonably necessary to avert that specific injury." See Wallis v. Spencer, 202 F.3d at 1138. If she did, then it was not a "fake threat," but if she did not, then she did not have the legal right to mandate removal if Jones refused. The parties also disagree about the import of some of the evidence. For example, Jones disputes the accuracy of parts of Carthagena's report. See Opp'n at 9-11. She argues that Sangraal was not behaving in a controlling manner toward her, she allowed at least Dr. Herrick to perform a pelvic examination on her, the "cart incident" was overblown, and they denied any domestic violence. Opp'n at 9-14. Jones also challenges the motives of the alleged religious director of Sangraal and Jones's church for telling Tinkelenberg that Sangraal was "sexually grooming" a 13-year-old girl, planned on having sexual contact with his children, and may have an open child protective services investigation ongoing in another state. Id.

Regardless of the weight or significance one gives the facts, it is undisputed that Carthagena, a professional social worker, reported this information to Martinez through the Children's Emergency Services hotline and confirmed the information in person. It also is undisputed that Tinkelenberg told Martinez she was concerned that Jones and Sangraal might flee with Cora if faced with a court proceeding concerning custody of the baby. This is strong evidence of reasonable cause of imminent harm, and the Safety Plan was narrowly tailored to prevent that harm.

It also is true that Carthagena reported second-hand information reported to her by Tinkelenberg and hospital personnel. But even if there were some factual debate about whether Martinez had reasonable cause of exigent circumstances at the time of the safety plan, the court would grant Martinez summary judgment based on qualified immunity.

"The doctrine of qualified immunity protects government officials `from liability for civil damages insofar as their conduct does not violate clearly established statutory or constitutional rights of which a reasonable person would have known.'" Pearson v. Callahan, 555 U.S. 223, 231 (2009) (quoting Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982)). "The protection of qualified immunity applies regardless of whether the government official's error is `a mistake of law, a mistake of fact, or a mistake based on mixed questions of law and fact.'" Id. (quoting Groh v. Ramirez, 540 U.S. 551, 567 (2004) (Kennedy, J., dissenting)). The qualified immunity inquiry has two steps. See Saucier v. Katz, 533 U.S. 194, 232 (2001). The first step is whether the plaintiffs' facts make out violation of a constitutional right. Id. If so, the second step is "whether the right at issue was `clearly established' at the time of defendant's alleged misconduct." Pearson, 555 U.S. at 232. While the order in Saucier "is often beneficial," the court has discretion about the order in which it addresses the two steps. Id. at 236.

A right is clearly established if "it would be clear to a reasonable officer that his conduct was unlawful in the situation he confronted." Saucier, 533 U.S. at 202. This inquiry "must be undertaken in light of the specific context of the case, not as a broad general proposition." Id. at 201. "This is not to say that an official action is protected by qualified immunity unless the very action in question has previously been held unlawful, but it is to say that in the light of pre-existing law the unlawfulness must be apparent." Anderson v. Creighton, 483 U.S. 635, 640 (1987). "The plaintiff bears the burden of showing that the right at issue was clearly established under this second prong." Sorrels v. McKee, 290 F.3d 965, 969 (9th Cir. 2002).

The issue here is whether it was clearly established that the 48-hour "hold" on Cora's discharge interfered with Jones's familial relations, given the abuse allegations and the behavior Martinez observed. Jones fails to identify any authority showing that it was clearly established that Martinez violated her constitutional rights. Jones cites Hernandez and DuPuy for the proposition that coercing parental consent to removal is unconstitutional absent legal authority to remove the child. See Opp'n at 19. But these out-of-circuit cases discuss removal — a greater intrusion — and they involved less serious allegations. Given the seriousness of the allegations presented and the limited intrusion, Jones has not met her burden of showing that it would have been clear to a reasonable social worker that Martinez's conduct was unlawful in the situation presented. The court GRANTS Defendants' motion for summary judgment.

2. The Removal Due Process Claim (Claim 2)

Jones alleges that Martinez, Tait, Higgins, and Phillips violated her due process right to familial association by removing Cora after the TDM. Compl. ¶¶ 204-07. Defendants argue that exigent circumstances justified removal and that in any event, they have qualified immunity. Mot. at 22-24.

Jones disputes Defendants' version regarding many of the facts presented at the TDM and characterizes it as a "railroad job." See Opp'n at 14-15. What is undisputed is that at the TDM, Defendants were privy to allegations that (if taken as true) raised concerns about sexual abuse and domestic violence by Sangraal and neglect by both parents. Regarding the risk of sexual abuse by Sangraal, the following was presented at the TDM:11

(1) Sangraal, age 25, admitted (a) kissing a 13-year-old camper on the lips at the end of summer camp (characterizing it as a peck on the lips), (b) discussing menstruation with her, and (c) subsequently communicating with her about possibly traveling to, or meeting at, the summer solstice event where participants run naked on the beach; (2) Carthagena's report that Tinkelenberg told her that she was told by a third party that Sangraal confessed a desire to have sexual relations with his children; and (3) an SFGH employee told DeWitt Hernandez, who told Martinez, that Sangraal was orally stimulating Jones's vagina during the labor process.

JSUF 37-43. The social workers also had evidence that Jones and Sangraal refused to authorize routine testing and screening procedures on Cora, terminated the antenatal fetal stress testing, and limited medical access to Jones's body during labor. See JSUF 45, 3-5. In addition, Jones would not speak with Martinez without discussing it first with Sangraal, and Sangraal had been angry and reacted physically in the hospital with the cart incident. JSUF 15, 22.

Jones disputes the weight that this evidence should be given.

For example, at the TDM, Sangraal explained that he only gave the 13-year-old girl a "peck" on the lips as the campers were all saying goodbye, he did not know the girl was 13, and the girl texted him. Opp'n at 16-17. With regard to the allegations about wanting to have sex with his own children, Sangraal explained at the TDM that he had a falling out with the man making the allegations. Id. at 18. Similarly, Jones explains her refusal to authorize medical procedures on Cora because those tests were not medically necessary. Id. at 12. Jones also points to purported inconsistencies in the evidence from the social workers. See, e.g., id. at 18.

Jones also argues that Defendants imposed an excessive restriction. Id. at 26. "[T]he degree of the state interference [must be] justified by the alleged exigency." Wallis, 202 F.3d at 1140. Defendants explain that they "explored whether Cora could be placed with family or friends" but the grandparents and friends were either unsuitable or unwilling. Reply at 12; see Tait Decl., ECF No. 16. They also point out that "Jones's behavior was itself a relevant factor in the removal determination." Reply at 13.

As in the previous section, even assuming some factual debate about reasonable cause of exigent circumstances, the court would grant Martinez summary judgment based on qualified immunity.

Jones nonetheless argues that Wallis compels a different outcome. See Opp'n at 21-22, 24, 26-27. Wallis is distinguishable.

In Wallis, also a removal case, the Ninth Circuit reversed a district court decision granting summary judgment to the defendant police officers and social workers. See 202 F.3d at 1140. The plaintiff/father's estranged sister, "a mental patient who had a long history of delusional disorders. . . told her therapist a fantastic tale of Satanic witchcraft within her family and an impending child sacrifice." 202 F.3d at 1131-34. Her report — that the plaintiff was going to sacrifice his son to Satan — was relayed through a series of social workers and police officers. Id. Acting on the mistaken belief that there was a court order to take the children into custody, the police seized the children in the middle of the night without conducting a significant investigation, subjected them to anal and vaginal examinations at a hospital, and kept them from both parents for several months. Id. at 1140. No allegations implicated the mother. Id. Under those circumstances, the Ninth Circuit held that a reasonable jury could find that the officers lacked reasonable cause to remove the children without a court order and also could find that the degree of the interference (in the form of two-and-one-half months of detention and invasive medical exams) was not justified by the exigency. Id.

In contrast to Wallis, Defendants did not rely just on the fantastic allegations of a mental patient. They had unverified allegations of sexual abuse that are more obviously plausible than wild claims of ritual sacrifice. There was corroboration. Sangraal admitted kissing a 13-year-old girl on the lips at her summer camp and texting with her about traveling together to a religious event where participants run naked on the beach. He reacted angrily with the cart when things did not go as he wanted them to at the hospital, and witnesses described him as exhibiting controlling behavior. Wallis does not establish that the facts here render the decision to remove Cora clearly unreasonable.

Nor does Wallis clearly establish that a lesser restriction was required in this case. Unlike Wallis, Defendants did not remove a child from an established home based solely on allegations regarding one parent. Instead, the evidence suggests that they thought Jones's behavior was a basis for removal, and they were concerned that Jones would not protect Cora from Sangraal. See JSUF 44-46. The Ninth Circuit has found that removing a child from a non-abusing mother was reasonably necessary "where the official reasonably believed that the mother was not protecting the child." Burke v. Cnty. of Alameda, 586 F.3d 725 (9th Cir. 2009) (discussing Mabe, 237 F.3d at 1110). Accordingly, on these facts, Jones has not shown that a reasonable social worker would have placed Cora with her subject to unspecified additional protections. Because Defendants' actions were not clearly unlawful, the court GRANTS their motion for summary judgment on Jones's second claim.

3. Continued Detention Due Process Claim (Claim 3)

Jones alleges that Martinez, Tait, Higgins, and Phillips violated her due process rights to familial association by continuing to detain Cora by imposing the Safety Plan, removing her after the November 12 TDM and by continuing to keep her apart from Jones after the November 15, 2010 hearing. Compl. ¶¶ 208-11; Opp'n at 27.12 The continued detention was based on the Safety Plan and the subsequent removal determination at the TDM. Again, even if there are fact issues about reasonable cause of imminent danger, qualified immunity shields Defendants. It would not be apparent in 2010 to reasonable social workers that Cora's removal from Jones's custody was clearly unlawful in light of the facts known to Defendants.

Then, on November 17, 2013, the Juvenile Court ordered Cora detained after determining that there was a substantial danger to her physical health, and that there were "no other reasonable means by which [her] physical . . . health may be protected without removing [her] from her parents' . . . physical custody[;] and continuance in the home is contrary to the child's welfare. Order, ECF No. 46-1 at 2. The court ordered Cora "detained. . . . Court approves the necessary and appropriate placement in foster care." Id. The social workers' following a court order entitles them to absolute immunity (an argument that Jones did not address in her opposition). See Tamas v. Dept. of Social and Health Servs., 630 F.3d 833, 842 (9th Cir. 2010). And again, nothing changes the court's conclusion that the social workers in any event are entitled to qualified immunity because reasonable social workers would not have known that they were violating a clearly-established constitutional right.

4. Medical Treatment of Cora While In Foster Care (Claim 7)

Cora was in foster care until December 1, when she was returned to her mother's care. She received "a vitamin K injection, infant formula, and a hearing test." JSUF 86; Powell Decl. Ex. Q, ECF No. 54-3 at 97 (medical records confirm HIV test, vitamin K injection, and hearing screen).

Defendants argue that the state has the right to provide routine, non-investigatory medical care to children in its care. Mot. at 25. Jones responds that by the "the medical care was unlawful without parental consent unless exigent circumstances were present." Opp'n at 28.

When the state removes a child from parental custody, "as parens patriae, [it] may order medical care for a child absent parental consent." Johnson v. Yolo Cnty. Dep't of Human Servs., No. CIVS041523MCEGGHP, 2005 WL 3020056 (E.D. Cal. Nov. 10, 2005) report and recommendation adopted, No. 204CV1523MCEGGHP, 2006 WL 572914 (E.D. Cal. Mar. 8, 2006) (citing Prince v. Massachusetts, 321 U.S. 158, 166-67 (1944)); cf. West v. Atkins, 487 U.S. 42, 56 (1988) (stating, in the context of prison medical care, that the State has a "constitutional duty to provide adequate medical treatment to those in its custody"); cf. Wallis, 202 F.3d at 1141 (children were taken into state custody and subjected to invasive medical exams in order to investigate the abuse allegations; holding that absent parental consent or notice and the opportunity to be heard, "physical examinations of their child may not be undertaken for investigative purposes at the behest of state officials").

If exigent circumstances justified removal, then there is no constitutional violation for the CCSF's provision of medical care to an infant in its care. Similarly, after the juvenile court's order of removal, no constitutional violation is demonstrated. Regardless, qualified immunity applies for the reasons discussed previously.

B. The 4th Amendment Claim (Claim 4)

In her fourth claim, Jones alleges that Martinez, Tait, and Phillips violated her Fourth Amendment right to be free from unreasonable search or seizure. Compl. ¶¶ 212-214. Jones alleges that this claim "relates to the hospital detention under the `Safety Plan,' which did not allow the parents at any time to both leave the hospital with their child until the TDM set for November 15th [sic], 2010." Id. ¶ 213.

Defendants move for summary judgment on the grounds that no evidence suggests that Tait or Phillips were involved with the Safety Plan and the Safety Plan was not a seizure. Mot. at 25-26. There is no evidence establishing that either was involved in the Safety Plan. The Safety Plan did not operate as a seizure. In any event, Martinez is entitled to qualified immunity. The court GRANTS Defendants' motion for summary judgment on Jones's fourth claim.

III. MONELL LIABILITY (CLAIM 12)

Jones's Monell claim is predicated on her contentions that County Emergency Response social workers rarely, if ever, obtain warrants before removing from children from parental custody and were inadequately trained on the warrant requirements. See Opp'n at 29-32. For example, Higgins testified that she had worked in the ER since 2000, had removed upwards of 1000 children from parental custody, never obtained a protective custody warrant to do so, and did not recall ever receiving training on the use of custody warrants. Powell Decl. Ex. H, ECF No. 54-3 at 15-22. Phillips testified that before 2010, he had not received training on the use of warrants to remove children from their parents. Powell Decl. Ex. I, ECF No. 54-3 at 35-36. Similarly, Martinez removed a child from a family unit five to eight times a year but had never sought a warrant first. Powell Decl. Ex. B, ECF No. 54-3 at 21-23; see Martinez Depo., ECF No. 54-1(received training on when warrantless removal is appropriate; testified that risk of non-imminent harm required her to seek protective custody warrant); JSUF 36 (Social worker Susan Tait, who had received training in the exigent circumstances standard, supervised the entire TDM unit).

Jones's Monell claim for an unconstitutional custom fails. While she shows prior removals of children by ER social workers without a warrant, she does not demonstrate that these incidents were unconstitutional. A Monell claim, whether for a municipal policy or for failure to train, generally cannot be premised on a single unconstitutional incident. See Trevino v. Gates, 99 F.3d 911, 918 (9th Cir. 1996) ("liability for improper custom may not be predicated on isolated or sporadic incidents"); City of Canton v. Harris, 489 U.S. 378, 390-391 (1989) ("That 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."); Lee v. City of Los Angeles, 250 F.3d 668, 681 (9th Cir. 2001) (noting that the failure to train must result from a conscious or deliberate choice to follow a course of action made from among various alternatives). As another court in this district recently explained in Mikich, when granting summary judgment on a nearly identical theory, "[t]hat social workers have never applied for warrants does not demonstrate the existence of constitutional violations that would have necessitated disciplinary action." 2012 WL 897207, at *17. Accordingly, the court GRANTS Defendants motion for summary judgment on Jones's Monell claim.

CONCLUSION

The court GRANTS Defendants' Motion for Summary Judgment on the remaining claims. This disposes of ECF No. 37.

IT IS SO ORDERED.

FootNotes


1. Citations generally are to the Electronic Case File ("ECF") with pin cites to the electronically-generated page numbers at the top of the document.
2. The court summarizes only the various facts (both undisputed and disputed) that the court deems necessary for purposes of this order. In addition, Defendants ask the court to take judicial notice of Juvenile Court filings. See ECF No. 46. Jones does not object and the court grants the request.
3. The spelling of "Tinkelenberg" is from the deposition transcript, not the case caption. See Tinkelenberg Dep., ECF No. 54-3; Opp'n at 8.
4. Jones's declaration references their plan to have an unassisted homebirth. When she became overdue Sangraal wanted her "to still have an unassisted homebirth. . . ." Jones Decl. ¶ 5 (emphasis added).
5. Hospital staff interpreted this as showing anger, and Plaintiff describes the incident as frustration without intent to cause damage. For this motion, all that matters is the undisputed fact that the incident occurred. Any assessment about the motive does not change the outcome.
6. Jones disputes that any oral genital stimulation occurred, and the court does not presume that it did. See Jones Decl. ¶ 12.
7. The court considers this hearsay information, not for its truth, but for what Martinez was told.
8. On December 4, 2010, Cora was found dead in her crib and apparently died from sudden infant death syndrome. Martinez Decl. ¶ 27. Her death is not part of this lawsuit.
9. Defendant Judith Tinklenburg was served on October 15, 2011, see Proof of Service, ECF No. 6. She has not appeared in the case, and Plaintiff never filed for entry of default. See generally Docket. The parties stipulated that she should be severed from the case. See ECF No. 68.
10. The anonymous tipster reported that the mother told a friend about the sexual abuse. The tipster told a child abuse hotline representative. The message then was passed through two county children's bureau social worker intermediaries to the investigating social worker.
11. The court does not consider the information from the Joint CMC Statement filed in this matter that on November 9, 2012, Sangraal was due to be sentenced "on a recent judgment of conviction for possession or attempted possession of child pornography in the State of Illinois." Joint CMC Statement, ECF No. 24 at 2.
12. The parties dispute whether the proper legal standard is "unwarranted interference" or "deliberate indifference," and the case law appears divided. See Mot. at 24; Opp'n at 27; compare Kulya v. City and County of San Francisco, No. C 06-06539 JSW, 2008 WL 4415116, at *7 (N.D. Cal. Sept. 26, 2008) (a violation occurs when governmental conduct is "so offensive and intentional as to `shock the conscience'") (citing County of Sacramento v. Lewis, 523 U.S. 833, 846 (1998)), with Crowe v. Cnty of San Diego, 608 F.3d 406, 441 (9th Cir. 2010) (violation may be premised on "[u]nwarranted state interference"). The standard does not alter the outcome. See Mikich v. Cnty of San Francisco, No. C-11-04629 DMR, 2013 WL 897207, at *14 (N.D. Cal. Mar. 8, 2013).
Source:  Leagle

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