Paez, Jr. v. Community Regional Medical Center et al
FINDINGS and RECOMMENDATIONS recommending that this Action be DISMISSED, With Prejudice, for Failure to State a Claim Under Section 1983 re 11 Second Amended Prisoner Civil Rights Complaint signed by Magistrate Judge Stanley A. Boone on 4/10/2017. Referred to Judge O'Neill. Objections to F&R due within thirty (30) days. (Jessen, A)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF CALIFORNIA
GUILLERMO G. PAEZ, JR.,
FINDINGS AND RECOMMENDATIONS
RECOMMENDING DISMISSING ACTION
WITH PREJUDICE FOR FAILURE TO
STATE A CLAIM UNDER SECTION 1983
Case No. 1:17-cv-00215-LJO-SAB (PC)
COMMUNITY REGIONAL MEDICAL
CENTER, et al.,
(ECF No. 11)
OBJECTIONS DUE WITHIN THIRTY
Plaintiff Guillermo G. Paez, Jr. is appearing pro se in this civil rights action pursuant to
18 42 U.S.C. § 1983. Currently before the Court is Plaintiff’s second amended complaint.
The Court is required to screen complaints brought by prisoners seeking relief against a
22 governmental entity or officer or employee of a governmental entity. 28 U.S.C. § 1915A(a).
23 The Court must dismiss a complaint or portion thereof if the prisoner has raised claims that are
24 legally “frivolous or malicious,” that “fail to state a claim on which relief may be granted,” or
25 that “seek monetary relief against a defendant who is immune from such relief.” 28 U.S.C. §
A complaint must contain “a short and plain statement of the claim showing that the
28 pleader is entitled to relief. . . .” Fed. R. Civ. P. 8(a)(2). Detailed factual allegations are not
1 required, but “[t]hreadbare recitals of the elements of a cause of action, supported by mere
2 conclusory statements, do not suffice.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Bell
3 Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007)). Moreover, Plaintiff must demonstrate
4 that each defendant personally participated in the deprivation of Plaintiff’s rights. Jones v.
5 Williams, 297 F.3d 930, 934 (9th Cir. 2002).
Prisoners proceeding pro se in civil rights actions are entitled to have their pleadings
7 liberally construed and to have any doubt resolved in their favor. Wilhelm v. Rotman, 680 F.3d
8 1113, 1121 (9th Cir. 2012) (citations omitted). To survive screening, Plaintiff’s claims must be
9 facially plausible, which requires sufficient factual detail to allow the Court to reasonably infer
10 that each named defendant is liable for the misconduct alleged. Iqbal, 556 U.S. at 678-79; Moss
11 v. U.S. Secret Service, 572 F.3d 962, 969 (9th Cir. 2009). The “sheer possibility that a defendant
12 has acted unlawfully” is not sufficient, and “facts that are ‘merely consistent with’ a defendant’s
13 liability” falls short of satisfying the plausibility standard. Iqbal, 556 U.S. at 678; Moss, 572
14 F.3d at 969.
On November 12, 2016, Plaintiff admitted himself to the emergency room at Community
18 Regional Medical Center (“CRMC”) for a spider bite on his right forearm. (Third Am. Compl.
19 3,1 ECF No. 11.) At the time, Plaintiff was on parole and receiving medical coverage under the
20 local government assistance program. (Id.) After being diagnosed by medical staff, Plaintiff’s
21 arm was treated by Drs. Manesh and Manternach who incised and drained the infection to reduce
22 the swelling. (Id. at 4.) Plaintiff was left with an open wound that was not closed with stitches
23 or staples. (Id.) An unknown doctor monitored Plaintiff’s condition. (Id.) Plaintiff developed
24 methicillin resistant staph aureus (“MRSA”) on his right forearm which he alleges was due to the
25 use of a dirty or infected medical instrument. (Id.) Plaintiff was required to go for a second
26 surgery which was approved by the Chief Medical Officer. (Id.)
All references to pagination of specific documents pertain to those as indicated on the upper right corners via the
28 CM/ECF electronic court docketing system.
Plaintiff was taken into custody by the Fresno County Sheriff Department on November
2 16, 2016. (Id. at 5.) Plaintiff was transported to CRMC prior to booking at the jail to get
3 medical clearance. (Id.) Plaintiff was admitted back into the care of CRMC. (Id.) Plaintiff was
4 informed that he was going to be seen by an orthopedics surgical team. (Id.) The following day,
5 pictures were taken of Plaintiff’s arm and a pick-line was installed in his left bicep to administer
6 medication to fight the MRSA infection and keep it from spreading. (Id.) Drs. Brambila and
7 Macias performed surgery to prevent the MRSA infection from spreading which caused muscle
8 and skin tissue to be removed from the infected area, creating an open wound. (Id. at 6.)
9 Plaintiff received a permanent scar as a result of the surgery. (Id. at 7.)
Plaintiff alleges that although he is in the custody of the Fresno County Jail he is not
11 receiving proper treatment. (Id.)
On February 15, 2017, Plaintiff filed a complaint which was screened and dismissed with
13 leave to amend for failure to state a claim. (ECF Nos. 1, 4.) On March 6, 2017, Plaintiff filed a
14 first amended complaint that was screened and dismissed with leave to amend for failure to state
15 a claim. (ECF Nos. 5, 6.) On April 4, 2014, Plaintiff filed a second amended complaint. (ECF
16 No. 11.)
Plaintiff brings this action against CRMC and the following employees of the hospital:
18 Chief Medical Officer, Dr. Supreet Manesh, Dr. Manteranch, Dr. Maximino Brambila, and Dr. F.
(Sec. Am. Compl. 3.)
Plaintiff contends that Dr. Manesh, Dr. Manteranch, Dr.
20 Brambila, and Dr. Macias violated his rights under the Eighth Amendment to be free from cruel
21 and unusual punishment by their unlawful actions and willful disregard for the health and safety
22 of patient care; and the Chief Medical Officer violated his rights under the Eighth Amendment
23 by failing to adequately supervise his subordinates. (Id. at 8.)
Section 1983 provides a cause of action for the violation of a plaintiff’s constitutional or
27 other federal rights by persons acting under color of state law. Nurre v. Whitehead, 580 F.3d
28 1087, 1092 (9th Cir 2009); Long v. County of Los Angeles, 442 F.3d 1178, 1185 (9th Cir. 2006);
1 Jones, 297 F.3d at 934. Liability under section 1983 does not arise for violations of duties
2 imposed by state tort law. DeShaney v. Winnebago Cty. Dep’t of Soc. Servs., 489 U.S. 189, 202
3 (1989). To state a claim under section 1983, Plaintiff is required to show that (1) each defendant
4 acted under color of state law and (2) each defendant deprived him of rights secured by the
5 Constitution or federal law. Long, 442 F.3d at 1185. Government officials may not be held
6 liable under section 1983 for the actions of their subordinates under a theory of respondeat
7 superior. Iqbal, 556 U.S. at 673.
The Eighth Amendment protects prisoners from cruel and unusual punishment which
9 includes not only from inhumane methods of punishment but also inhumane conditions of
10 confinement. Morgan v. Morgensen, 465 F.3d 1041, 1045 (9th Cir. 2006) (citing Farmer v.
11 Brennan, 511 U.S. 825, 847 (1994) and Rhodes v. Chapman, 452 U.S. 337, 347 (1981))
12 (quotation marks omitted). The Eighth Amendment is violated where prison officials deprived
13 an inmate of something ‘sufficiently serious,’ and the deprivation occurred with deliberate
14 indifference to the inmate’s health or safety.” Thomas v. Ponder, 611 F.3d 1144, 1150 (9th Cir.
15 2010) (citations omitted). Deliberate indifference requires a showing that “prison officials were
16 aware of a “substantial risk of serious harm” to an inmate’s health or safety and that there was no
17 “reasonable justification for the deprivation, in spite of that risk.” Thomas, 611 F.3d at 1150
18 (quoting Farmer, 511 U.S. at 844).
Plaintiff brings this action against CRMC and its employees alleging deliberate
20 indifference in violation of the Eighth Amendment, however, Plaintiff was not a prisoner when
21 he admitted himself to the hospital on November 12, 2016. Although Plaintiff was on parole, he
22 was not suffering from a deprivation of liberty that precluded him from obtaining medical care
23 and “had no constitutional guarantee of State-provided medical care under the Eighth
24 Amendment.” Cook v. California, No. 116CV00674LJOSAB, 2016 WL 4161114, at *5 (E.D.
25 Cal. Aug. 5, 2016); Sisco v. California, No. CIVS050867GEBJFMP, 2007 WL 1470145, at *20
26 (E.D. Cal. May 18, 2007), report and recommendation adopted, No. 205-CV-0867-GEB-JFMP,
27 2007 WL 1771380 (E.D. Cal. June 18, 2007); Wakefield v. Thompson, No. C 95-0137 FMS,
28 1996 WL 241783, at *5 (N.D. Cal. Apr. 30, 1996), aff’d, 185 F.3d 872 (9th Cir. 1999). The
1 Ninth Circuit has recognized that the prison may have a duty to provide medication for a
2 reasonable time for a parolee until the released prisoner is able to consult with a physician to
3 obtain a new prescription, Wakefield v. Thompson, 177 F.3d 1160, 1164 (9th Cir. 1999), but that
4 is not the situation alleged here. Since Plaintiff was not in custody of the State when he went to
5 the emergency room, Plaintiff’s claims regarding his medical treatment prior to November 16,
6 2014, are not cognizable under the Eighth Amendment.
After Plaintiff was taken into custody, he was taken to CRMC where he was seen by an
8 orthopedic surgical team who administered medication to keep the infection from spreading and
9 performed surgery. While Plaintiff alleges that he is not receiving proper treatment while in
10 custody, the second amended complaint is devoid of any factual allegations from which the
11 Court can infer that Plaintiff is not receiving proper treatment. Iqbal, 556 U.S. at 678-79.
The Court finds that Plaintiff has not stated a cognizable claim under the Eighth
13 Amendment against any named defendant.
CONCLUSION AND RECOMMENDATION
Plaintiff has failed to state a cognizable claim for relief against any named defendant for
17 violation of his constitutional rights. Plaintiff has been provided with the opportunity to file
18 three complaints to correct the deficiencies in his pleadings with guidance from the Court. The
19 Court is persuaded that further amendment would be futile. See Hartmann v. CDCR, 707 F.3d
20 1114, 1130 (9th Cir. 2013) (“A district court may deny leave to amend when amendment would
21 be futile.”) Based on the nature of the deficiencies at issue, the Court finds that further leave to
22 amend is not warranted. Lopez v. Smith, 203 F.3d 1122, 1130 (9th. Cir. 2000); Noll v. Carlson,
23 809 F.2d 1446-1449 (9th Cir. 1987).
Accordingly, it is HEREBY RECOMMENDED that:
section 1983; and
This action be DISMISSED, with prejudice, for failure to state a claim under
The Clerk’s Office be directed to enter judgment in favor of Defendants Fresno
Community Medical Center, the Chief Medical Officer, Dr. Supreet Manesh, Dr.
Manteranch, Dr. Maximino Brambila, and Dr. F. Macias.
These findings and recommendations will be submitted to the United States District
3 Judge assigned to the case, pursuant to the provisions of 28 U.S.C. § 636(b)(l). Within thirty
4 (30) days after being served with these findings and recommendations, Plaintiff may file written
5 objections with the Court. The document should be captioned “Objections to Magistrate Judge’s
6 Findings and Recommendations.” Plaintiff is advised that failure to file objections within the
7 specified time may result in the waiver of rights on appeal. Wilkerson v. Wheeler, 772 F.3d 834,
8 838-39 (9th Cir. 2014) (citing Baxter v. Sullivan, 923 F.2d 1391, 1394 (9th Cir. 1991)).
IT IS SO ORDERED.
April 10, 2017
UNITED STATES MAGISTRATE JUDGE
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