Flores v. United States of America et al

Filing 23

ORDER Granting 17 Motion for Partial Summary Judgment. Defendant's motion for partial summary judgment as to Plaintiff's claim for relief under California's Elder Abuse and Dependent Adult Civil Protection Act, Cal. Welf. & Inst. Code §§ 15600-15675, and for tortious intentional infliction of emotional distress be GRANTED. Signed by Judge Gonzalo P. Curiel on 10/20/16. (dlg)

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1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 12 MARIA FLORES, by and through her guardian, Josie Clark, 15 16 ORDER: Plaintiff, 13 14 Case No.: 3:15-cv-00836-GPC-DHB v. GRANTING MOTION FOR PARTIAL SUMMARY JUDGMENT THE UNITED STATES OF AMERICA ET AL, [ECF No. 17] Defendants. 17 18 19 Before the Court is a case arising from the alleged failure of staff at the federally- 20 funded San Ysidro Health Center (SYHC) to properly administer medication to Maria 21 Flores, an elderly patient. Plaintiff Maria Flores, by and through her guardian Josie 22 Clark, has brought claims against Defendant United States of America (the “United 23 States” or the “Government”) under the Federal Tort Claims Act (FTCA), 28 U.S.C. 24 § 2671 et seq., for 1) negligence; 2) intentional infliction of emotional distress (IIED); 25 and 3) violations of California’s Elder Abuse and Dependent Adult Civil Protection Act 26 (the “Elder Abuse Act” or “the Act”), Cal. Welf. & Inst. Code §§ 15600-15675. 27 Defendant filed a motion for partial summary judgment on July 19, 2016 as to Plaintiff’s 28 second and third claims. ECF No. 17. The motion has been fully briefed. Plaintiff filed 1 3:15-cv-00836-GPC-DHB 1 an opposition on August 26, 2016, ECF No. 19, and the United States filed a reply on 2 September 9, 2016, ECF No. 20. 3 BACKGROUND 4 The following is a summary of the undisputed facts. Maria Flores was 80 years 5 old when she enrolled at the San Ysidro Health Center (SYHC). Pl.’s Resp. to Def.’s 6 Undisputed Material Facts (“Pl.’s Resp. DUMF”) ¶ 3, ECF No. 19-4 at 3. SYHC is an 7 adult daycare center for patients who require assistance with basic activities of daily 8 living. Id. at 2. Margarita Espinoza Depo. at 62:4 – 63:25, ECF No. 17-2 at 50-51.1 9 Flores’ two daughters, Leticia Reynoso and Josie Clark, chose to enroll her at SYHC 10 because it had Spanish-speaking staff and because nurses were available to administer 11 medication. Pl.’s Resp. DUMF ¶ 1, ECF No. 19-4 at 2. 12 While enrolled at SYHC, Plaintiff had a prescription for the Exelon patch, a 13 medicinal intradermal patch that is applied once per day. Id. ¶ 5, ECF No. 19-4 at 3. 14 Placing more than one intradermal patch on a patient at any given time may lead to 15 overdose. Shirley Roman Depo. at 11:12-19, ECF No. 17-2 at 37. Accordingly, proper 16 practice is to remove the old patch before applying another one, and to alternate where 17 the patch is positioned. Id. at 11:20 – 12:6, ECF No. 17-2 at 37-38. Plaintiff’s daughters 18 noted that the Exelon patch helped their mother to be more focused and calm. Id. 19 From the time Flores enrolled at SYHC, she suffered from advanced dementia. 20 Claudia Gonzalez Depo. at 37:16-22, ECF No. 17-2 at 28. SYHC staff members 21 described Flores as a challenging patient. See id. at 39:4-10, ECF No. 17-2 at 39. She 22 constantly looked for her deceased husband, wanted to leave the center every single day, 23 and needed to be redirected. Id. Flores was a self-transfer patient, meaning she could 24 transition from sitting to standing or from one chair to another without help from staff. 25 Alejandro Florez Depo. at 93:11-16, ECF No. 17-2 at 24. 26 27 1 28 Page numbers for depositions follow the numbers designated within the document. The page number in parentheses is the pagination within CM/ECF. 2 3:15-cv-00836-GPC-DHB 1 On January 7, 2014, Shirley Roman, a licensed vocational nurse (“LVN”), placed 2 an Exelon patch on Plaintiff. Roman Depo. at 12:19-23 & 21:9-17, ECF No. 17-2 at 38 3 & 39. Roman had approached Plaintiff from the back to deliver the medication because 4 Plaintiff had been swinging her arms at the nurse. Id. at 21:9-17, ECF No. 17-2 at 39. 5 Soon after receiving the medication, Flores began to vomit and eventually became 6 unresponsive. Id. at 31:1-10, ECF No. 17-2 at 43; Gonzalez Depo. at 55:8, ECF No.17-2 7 at 30. At some point, Flores ended up on the floor. Yolanda Clark Depo. at 46:25 – 47:1, 8 ECF No. 17-2 at 55-56. 9 Thereafter, at or around 1:00 pm, SYHC notified Flores’ daughters of an issue with 10 their mother. Exhibit 6, SYHC Incident Report, ECF No. 19-6 at 38. Paramedics 11 received a call at 1:20 pm, and they arrived at 1:23 pm. Exhibit 7, Comprehensive 12 Dispatch Report, ECF No. 19-6 at 40. Flores’ daughters were present while the 13 paramedics were on scene. Gonzalez Depo. at 115:11-16, ECF No. 17-2 at 33. Yolanda 14 Clark, Flores’ granddaughter, was also present. Clark Depo. 46:19 – 47:3, ECF No. 17-2 15 at 55-56. A dispute over whether or not Flores was a “do not resuscitate” patient ensued 16 after Plaintiff’s daughters arrived. Gonzalez Depo. at 115:11-16, ECF No. 17-2 at 33. 17 Eventually, Flores was taken to Sharp Chula Vista Hospital for treatment. See Exhibit 18 10, Sharp Chula Vista Medical Center Form, ECF No. 19-6 at 51. 19 Upon arriving at the hospital, a nurse gave Flores intravenous fluids and removed 20 the endotracheal tube that the paramedics had inserted, as Plaintiff’s daughters did not 21 want their mother to be further resuscitated. Exhibit 9, Sharp Chula Vista Document, 22 ECF No. 19-6 at 49. Despite being taken off assisted breathing, Flores’ mental state 23 improved and she became more responsive. See id. Sometime thereafter, staff at the 24 hospital noticed that Flores had an extra Exelon patch adhered to her body. Id. A staff 25 member proceeded to remove the two patches. Id. The hospital discharged Flores two 26 days later, on January 9, 2014. Exhibit 10, Sharp Chula Vista Medical Center Form, ECF 27 No. 19-6 at 51. At the time of discharge, hospital staff told Reynoso that her mother had 28 congestive heart failure. Leticia Reynoso Depo. at 160:7-18, ECF No. 17-2 at 15. 3 3:15-cv-00836-GPC-DHB 1 After the January 7, 2014 incident, Flores did not return to SYHC. Id. at 168:10- 2 12, ECF No. 17-2 at 16. According to Flores’ daughter Reynoso, Plaintiff was no longer 3 the same person after the incident. Id. at 168:16-17, ECF No. 17-2 at 16. Flores could no 4 longer walk or talk after the episode, and she could no longer perform tasks 5 independently, as she could before the incident. Id.; Josie Clark Depo. at 35:2-7, ECF 6 No. 19-6 at 6. Plaintiff now argues that SYHC was responsible for the second Exelon 7 patch found on Flores’ body and that the second dosage caused the “pulmonary edema 8 and nausea and vomiting” that brought Flores to the hospital. ECF No. 19 at 11. This 9 suit followed. 10 11 12 LEGAL STANDARD Federal Rule of Civil Procedure (“Rule”) 56 empowers courts to enter summary 13 judgment on factually unsupported claims or defenses, and thereby “secure the just, 14 speedy and inexpensive determination of every action.” Celotex Corp. v. Catrett, 477 15 U.S. 317, 325, 327 (1986). Summary judgment is appropriate if the “pleadings, 16 depositions, answers to interrogatories, and admissions on file, together with the 17 affidavits, if any, show that there is no genuine issue as to any material fact and that the 18 moving party is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(c). A fact is 19 material when it affects the outcome of the case. Anderson v. Liberty Lobby, Inc., 477 20 U.S. 242, 248 (1986). 21 The moving party bears the initial burden of demonstrating the absence of any 22 genuine issues of material fact. Celotex, 477 U.S. at 323. The moving party can satisfy 23 this burden by demonstrating that the nonmoving party failed to make a showing 24 sufficient to establish an element of his or her claim on which that party will bear the 25 burden of proof at trial. Id. at 322-23. If the moving party fails to bear the initial burden, 26 summary judgment must be denied and the court need not consider the nonmoving 27 party’s evidence. Adickes v. S.H. Kress & Co., 398 U.S. 144, 159-60 (1970). 28 Once the moving party has satisfied this burden, the nonmoving party cannot rest 4 3:15-cv-00836-GPC-DHB 1 on the mere allegations or denials of his pleading, but must “go beyond the pleadings and 2 by her own affidavits, or by the ‘depositions, answers to interrogatories, and admissions 3 on file’ designate ‘specific facts showing that there is a genuine issue for trial.’” Celotex, 4 477 U.S. at 324. If the non-moving party fails to make a sufficient showing of an 5 element of its case, the moving party is entitled to judgment as a matter of law. Id. at 6 325. “Where the record taken as a whole could not lead a rational trier of fact to find for 7 the nonmoving party, there is no ‘genuine issue for trial.’” Matsushita Elec. Indus. Co. v. 8 Zenith Radio Corp., 475 U.S. 574, 587 (1986) (quoting First Nat’l Bank of Arizona v. 9 Cities Serv. Co., 391 U.S. 253, 289 (1968)). In making this determination, the court must 10 “view[ ] the evidence in the light most favorable to the nonmoving party.” Fontana v. 11 Haskin, 262 F.3d 871, 876 (9th Cir. 2001). The court does not engage in credibility 12 determinations, weighing of evidence, or drawing of legitimate inferences from the facts; 13 these functions are for the trier of fact. Anderson, 477 U.S. at 255. 14 15 16 DISCUSSION 1. Elder Abuse Act Violation 17 The Elder Abuse Act was meant to protect elders by providing enhanced remedies 18 to encourage private, civil enforcement of laws combatting elder abuse and neglect. See 19 Delaney v. Baker, 971 P.2d 986, 992 (Cal. 1999); see also Zimmer v. Nawabi, 566 20 F. Supp. 2d 1025, 1033 (E.D. Cal. 2008) (citing Intrieri v. Superior Court, 12 Cal. Rptr. 21 3d 97, 105 (Cal. Ct. App. 2004)). To state a claim under the Elder Abuse Act, a plaintiff 22 must prove by clear and convincing evidence: 1) that the defendant is liable for physical 23 abuse or neglect and 2) that the defendant acted with recklessness, oppression, fraud, or 24 malice in the commission of that abuse or neglect. Cal. Welf. & Inst. Code § 15657; see 25 also Carter v. Prime Healthcare Paradise Valley LLC, 129 Cal. Rptr. 3d 895, 901 (Cal. 26 Ct. App. 2011). The “enhanced remedies” available under the Act include the award of 27 reasonable attorney’s fees and costs and, in a wrongful death action, damages for pain 28 and suffering. Cal. Welf. & Inst. Code § 15657; see also Intrieri, 12 Cal. Rptr. 3d at 106. 5 3:15-cv-00836-GPC-DHB 1 Plaintiff asserts two theories of liability under the Elder Abuse Act: namely, that 2 SYHC “physically abused” Flores within the meaning of the Act and that SYHC 3 “neglected” Flores within the meaning of the Act. See ECF No. 19 at 22. The Act 4 defines physical abuse as assault, battery, unreasonable physical constraint, use of a 5 physical or chemical restraint or psychotropic medication under certain conditions, 6 among other definitions. Cal. Welf. & Inst. Code § 15610.63. The Act defines neglect as 7 “[t]he negligent failure of any person having the care or custody of an elder or a 8 dependent adult to exercise that degree of care that a reasonable person in a like position 9 would exercise.”2 Id. § 15610.57(a)(1). Section 15610.57 goes on to state that neglect 10 includes, but is not limited to, the failure to assist in personal hygiene; provide food, 11 clothing, shelter; provide medical care for physical and mental health needs; protect from 12 health and safety hazards; and prevent malnutrition or dehydration. Cal. Welf. & Inst. 13 Code § 15610.57(b). 14 A. Physical Abuse 15 The Government argues that Plaintiff’s “physical abuse” theory of liability is 16 deficient on jurisdictional grounds and on the merits. It argues that this Court does not 17 have jurisdiction to hear Plaintiff’s physical abuse claim because 1) any claim for 18 physical abuse is barred under the intentional tort exception of the FTCA, 28 U.S.C. 19 § 2860(h), and because 2) Plaintiff did not exhaust its physical abuse theory of relief in 20 its administrative claim. See ECF No. 17-1 at 14-15. The Government further argues 21 that Plaintiff’s physical abuse claim must fail, irrespective of jurisdiction, because the 22 fact that Flores was “sitting in a wheelchair with a seat belt on” (“the wheelchair 23 //// 24 25 26 27 28 The Elder Abuse Act also defines neglect as the “negligent failure of an elder or dependent adult to exercise that degree of self-care that a reasonable person in a like position would exercise.” Cal. Welf. & Inst. Code § 15610.57(a)(2). This definition, however, takes hold in the context of self-care and not medical care, as is the case here. See Winn v. Pioneer Medical Group, Inc., 370 P.3d 1011, 1016 (Cal. 2016). 2 6 3:15-cv-00836-GPC-DHB 1 incident”) is insufficient as a matter of law to constitute physical abuse within the 2 meaning of the Elder Abuse Act. 3 The Court need not discuss the merits of Plaintiff’s “physical abuse” theory of 4 liability nor whether it is barred by the intentional tort exception of the FTCA, because 5 the Court agrees with the Government that 28 U.S.C. § 2675(a), the FTCA’s exhaustion 6 requirement, bars Plaintiff’s claim. 7 i. 8 The exhaustion provision of the FTCA states that: 9 “any action shall not be instituted upon a claim against the United States for money damages for injury or loss of property or personal injury or death caused by the negligent or wrongful act or omission of any employee of the Government . . . , unless the claimant shall have first presented the claim to the appropriate Federal agency and his claim shall have been finally denied by the agency in writing . . . . The failure of an agency to make a final disposition of a claim within six months after it is filed shall . . . be deemed a final denial of the claim for purposes of this section. 10 11 12 13 14 Failure to Exhaust Administrative Remedies 15 28 U.S.C. § 2675(a) (emphasis added). The Government argues that Plaintiff’s “physical 16 abuse” theory must fail because it did not mention the wheelchair incident in its 17 administrative tort claim. ECF No. 17-1 at 15 (citing Exhibit G, ECF No. 17-2). Stated 18 differently, the United States is arguing that Plaintiff did not adequately present its 19 “claim” to the administrative agency because it never raised the “physical abuse” theory 20 of liability in its administrative complaint. ECF No. 17-1 at 16-17. As such, the 21 Government avers that it was not provided with the requisite “minimal notice” required 22 under the FTCA. Id. at 17; see also ECF No. 20 at 9 (“In response, Plaintiff now argues 23 that she did provide notice of a claim for Elder Abuse. While this may be correct, it 24 missed the point of the Government’s argument. Nowhere in her administrative claim 25 did Plaintiff inform the Government that she was pursuing a liability claim premised 26 upon her being placed under physical restraint at the facility.”). 27 28 As an initial matter, § 2675(a) does not require a claimant to raise all theories of liability in the administrative complaint. See Shipek v. U.S., 752 F.2d 1352, 1355-56 (9th 7 3:15-cv-00836-GPC-DHB 1 Cir. 1985) (citing Rooney v. United States, 634 F.2d 1238 (9th Cir. 1980) for the 2 proposition that a claimant need not state his legal theory for recovery in the 3 administrative complaint). A claimant is, however, required to “give[ ] notice of the 4 manner and general circumstances of injury and the harm suffered, and a sum certain 5 representing damages.” See Avery v. U.S., 680 F.2d 608, 611 (9th Cir. 1982) (emphasis 6 added); see also 28 U.S.C. § 2675(a). A proper administrative claim will provide an 7 agency with the “minimal notice” required for it to begin to investigate a claim. See 8 Avery, 680 F.2d at 610-11. 9 Here, Plaintiff has not provided the United States with the minimal notice 10 required under the FTCA because Plaintiff’s “physical abuse” theory of liability arose out 11 of a separate injury. The wheelchair incident came to light during the deposition of 12 Reynoso, Flores’ daughter. In her testimony, Reynoso stated that she saw her mother 13 sitting in a wheelchair with some type of restraint over her on the morning of January 7, 14 2014. Reynoso Depo. at 138:25 – 139:8, ECF No. 19-6 at 56. Reynoso stated that the 15 restraint was the same one they used on the bus that brought her mother to work, and that 16 it was the type of restraint that Flores could not release on her own. Id. at 137:15 – 17 138:24. Plaintiff, in turn, takes up this incident as evidence of “physical abuse” and 18 “physical restraint” in its response to Defendant’s motion for partial summary judgment. 19 See, e.g., ECF No. 19 at 7, 13, 23. Plaintiff, however, never mentioned the wheelchair 20 incident in its administrative complaint. See Exhibit G, Administrative Complaint, ECF 21 No. 17-2 at 59. According to the administrative complaint, the facts that gave rise to 22 Plaintiff’s Elder Abuse claim were only those surrounding the alleged application of a 23 second Exelon patch on Flores. Id. Thus, insofar as Plaintiff now alleges an Elder Abuse 24 claim arising out of the wheelchair incident, which is distinct from the overmedication 25 incident, that injury should have been raised in the administrative complaint. See S.H. v. 26 U.S., 32 F. Supp. 3d 1111, 1121 (noting that the FTCA’s administrative claim form 27 requires the claimant to “state the nature and extent of each injury . . . which forms the 28 basis of the claim.”) (emphasis added); see also Exhibit G, Administrative Complaint, 8 3:15-cv-00836-GPC-DHB 1 ECF No. 17-2 at 59 (directing the claimant to state the “nature and extent of each injury 2 or cause of death, which forms the basis of the claim.”). That the wheelchair incident 3 came out only during discovery lends further support to the Government’s argument that 4 it was not given the minimal notice required to investigate the claim. Accordingly, 5 Plaintiff has failed to exhaust its administrative remedy as to any claim arising out of the 6 wheelchair incident. Thus, because Plaintiff grounds her “physical abuse” theory of 7 liability on an injury not raised in the administrative complaint, the claim is 8 jurisdictionally barred by the FTCA for want of exhaustion. 9 10 B. Neglect Plaintiff’s second theory of elder abuse is that SYHC committed “neglect” within 11 the meaning of the Act. The Government contends, however, that there is no genuine 12 dispute that the United States recklessly neglected Flores because the statutory meaning 13 of “neglect” precludes Plaintiff’s argument. In Covenant Care, Inc. v. Superior Court, 14 the California Supreme Court concluded that the “statutory definition of neglect speaks 15 not of the undertaking of medical services, but of the failure to provide medical care.” 86 16 P.3d 290, 296 (Cal. 2004) (citing Delaney v. Baker, 971 P.2d 986, 993 (Cal. 1999)); see 17 also Winn v. Pioneer Medical Group, Inc., 370 P.3d 1011, 1019 (Cal. 2016) (positively 18 acknowledging Covenant Care and Delaney as defining “neglect” as the failure to attend 19 to the basic needs of elders under a defendant’s care). The court arrived at this 20 conclusion after explaining that neglect, within the meaning of § 15610.57, “covers an 21 area of misconduct distinct from ‘professional negligence’” and, therefore, does not refer 22 to “substandard performance of medical services,” but to the “failure of those responsible 23 for attending to the basic needs and comforts of elderly or dependent adults, regardless of 24 //// 25 //// 26 //// 27 //// 28 //// 9 3:15-cv-00836-GPC-DHB 1 their professional standing, to carry out their custodial obligations.”3 See Covenant Care, 2 86 P.3d at 296. Thus, the Government argues, applying this precedent to the facts here, 3 Plaintiff’s claim is insufficient as a matter of law because SYHC did not abandon Flores 4 or deny her medical care. ECF No. 17-1 at 20. “On the contrary,” the United States 5 contends, “the staff actively undertook to provide treatment.” Id. 6 Plaintiff does not address this argument in its brief. In fact, Plaintiff does not even 7 cite to any authority on the meaning of neglect under the Elder Abuse Act. Instead, 8 Plaintiff argues, citing Intrieri v. Superior Court, 12 Cal. Rptr. 3d 97 (Cal. Ct. App. 9 2004), that the Court can infer a genuine dispute of reckless neglect from the “chain of 10 events” that occurred on January 7, 2014. ECF No. 19 at 24. More specifically, Plaintiff 11 asks the Court to infer reckless neglect from the fact that: 1) SYHC was understaffed on 12 January 6 and 7, 2014, creating an unsafe environment; 2) Roman should have visualized 13 the patches before removing or placing them instead of performing a “sweep” under 14 Flores’ shirt; 3) Roman did not recall when the patch was supposedly removed; 4) Roman 15 delivered Flores’ medication late; 5) SYHC staff failed to immediately recognize the 16 signs of an adverse reaction to Flores’ medication; and 6) Plaintiff was “restrained with 17 the kind of restraint that she could not free herself from on her own” in violation of 18 SYHC’s Participants’ Rights.” Id. at 23-24. 19 Even viewing these facts in the light most favorable to Plaintiff, there is not 20 enough evidence to support Plaintiff’s contention that there is a genuine issue of reckless 21 neglect. None of the aforementioned facts, even when viewed as a whole, give rise to a 22 genuine issue for trial because they do not demonstrate that SYHC failed to provide 23 Flores with medical care, that it withheld services from her, or that it denied her basic 24 25 26 27 28 3 Accordingly, many California appellate courts now require plaintiffs to demonstrate that the defendant “denied or withheld goods or services necessary to meet the elder[’s] . . . basic needs, either with knowledge . . . or with conscious disregard of the high probability of such injury” in order to state a claim for reckless abuse under the Act. See, e.g., Carter v. Prime Healthcare Paradise Valley LLC, 129 Cal. Rptr. 3d 895, 903 (Cal. Ct. App. 2011); Nickerson v. Scripps Health, 2013 WL 6841967 (Cal. Ct. App. Dec. 30, 2013); Good v. Schuh Enter., Inc., 2013 WL 5872279 (Cal. Ct. App. Oct. 31, 2013). 10 3:15-cv-00836-GPC-DHB 1 needs. Plaintiff has pointed to no case law supporting her argument that a gross deviation 2 from a standard of care can constitute reckless neglect within the meaning of the Elder 3 Abuse Act. What’s more, such a conclusion is entirely inconsistent with the California 4 Supreme Court’s decision in Covenant Care, which made clear that that the statutory 5 definition of “neglect” speaks of the failure to provide medical care rather than the 6 substandard performance of medical care. 7 In sum, the California Supreme Court spoke plainly when it concluded in Covenant 8 Care, Delaney, and most recently in Winn that the statutory definition of “neglect” speaks 9 of the failure to provide medical care rather than the substandard performance of medical 10 care. Here, SYHC was engaged in the provision of medical care when it administered 11 Flores her Exelon patch sometime in the morning on January 7, 2014. In so doing, 12 SYHC was undertaking to fulfill its custodial obligation to dispense Flores’ medication 13 and to care for her medicinal needs. That Roman allegedly failed to remove a prior 14 dosage or failed to visualize Flores’ back prior to administering a new patch, may create a 15 genuine issue of fact as to whether SYHC’s conduct fell below the standard of care, but 16 not as to whether SYHC neglected Flores within the meaning of the Elder Abuse Act. To 17 the contrary, the fact that SYHC administered Flores’ medication, notified Flores’ 18 daughters of an issue with their mother, and then called 911 on Flores’ behalf reinforces 19 the very fact that SYHC was actively providing for Flores’ care and needs. Thus, 20 because there is no genuine dispute as to whether SYHC failed to provide medical care to 21 Flores, Plaintiff has failed to demonstrate that SYHC recklessly neglected Flores within 22 the meaning of the Elder Abuse Act. For this reason, the Court finds, as a matter of law, 23 that Defendant is entitled to summary judgment and that there is no genuine dispute of 24 material fact as to Plaintiff’s Elder Abuse claim.4 25 26 4 27 28 Because the Court finds it appropriate to grant summary judgment for Defendant, the Court need not address the Government’s argument that Plaintiff’s Elder Abuse claim should, nonetheless, be “dismissed” because it is not a “separate cause of action” in light of the fact that sovereign immunity bars Plaintiff from collecting attorney’s fees again the government. ECF No. 17-1 at 12-14. 11 3:15-cv-00836-GPC-DHB 1 2 2. Intentional Infliction of Emotional Distress When alleging the tort of intentional infliction of emotional distress (“IIED”), a 3 claimant must show that: 1) the defendant’s conduct was extreme and outrageous; 2) the 4 defendant acted with the intention of causing, or recklessly disregarding the probability 5 of causing, emotional distress; 3) the plaintiff suffered severe or extreme emotional 6 distress; and 4) that distress was actually and proximately caused by the defendant’s 7 extreme and outrageous conduct. Davidson v. City of Westminster, 32 Cal. 3d 197, 209 8 (Cal. 1982). Conduct is “extreme and outrageous” when it is “so extreme as to exceed all 9 bounds of that usually tolerated in a civilized community.” Id. 10 The Government argues that there is no evidence in the record to demonstrate that 11 SYHC acted intentionally or that it engaged in any extreme and outrageous conduct. 12 ECF No. 17-1 at 21. “At best,” the Government argues, “Plaintiff may be able to 13 demonstrate that the nurses accidentally placed an extra medicine patch on her [Flores].” 14 Id. “However, there is no evidence whatsoever that this conduct, if it occurred, was in 15 any way intentional, or extreme and outrageous.” Id. In its response, Plaintiff fails to 16 contend with this argument whatsoever. See ECF No. 19 at 25-26. Instead, Plaintiff 17 merely asserts that the IIED claim is not barred by the FTCA, a position the Government 18 does not assert, and that the Government “contractually agreed it would not commit an 19 intentional tort such as battery.” Id. Since Plaintiff has failed to identify any “specific 20 facts showing that there is a genuine issue for trial,” Celotex, 477 U.S. at 324, Plaintiff’s 21 IIED claim should be dismissed. It is insufficient for Plaintiff to rely on the pleadings to 22 survive summary judgment. At this stage, it bore the burden of pointing to genuine 23 issues of fact as to whether SYHC’s conduct was recklessly extreme and outrageous. 24 Because Plaintiff has pointed to no case law and no facts to support its contention that 25 SYHC engaged in recklessly extreme and outrageous conduct, the Court finds, as a 26 matter of law, that Defendant is entitled to summary judgment and that there is no 27 genuine dispute of material fact as to Plaintiff’s IIED claim. 28 //// 12 3:15-cv-00836-GPC-DHB 1 2 CONCLUSION For the foregoing reasons, IT IS HEREBY ORDERED that Defendant’s motion 3 for partial summary judgment as to Plaintiff’s claim for relief under California’s Elder 4 Abuse and Dependent Adult Civil Protection Act, Cal. Welf. & Inst. Code §§ 15600- 5 15675, and for tortious intentional infliction of emotional distress be GRANTED. 6 IT IS SO ORDERED. 7 8 Dated: October 20, 2016 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 13 3:15-cv-00836-GPC-DHB

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