King et al v. Garfield County Public Hospital District No 1 et al, No. 2:2012cv00622 - Document 136 (E.D. Wash. 2016)

Court Description: ORDER granting 127 Garfield County Public Hospital District No. 1's Motion for Summary Judgment re: Municipal Liability Claim. GCPH is terminated from this case. Signed by Chief Judge Thomas O. Rice. (BF, Paralegal)

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1 2 3 4 5 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WASHINGTON 6 7 DENNIS KING and TRICIA KING, husband and wife, NO: 2:12-CV-0622-TOR 8 Plaintiffs, 9 v. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT 10 11 GARFIELD COUNTY PUBLIC HOSPITAL DISTRICT NO. 1, a municipal corporation, et al., 12 Defendants. 13 BEFORE THE COURT is Garfield County Public Hospital District No. 1’s 14 15 Motion for Summary Judgment Re: Municipal Liability Claim (ECF No. 127). 16 This matter was heard on June 15, 2016, in Spokane, Washington. Ronald A. Van 17 Wert and Jeffrey R. Galloway appeared on behalf of Plaintiffs Dennis and Tricia 18 // 19 // 20 // ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 1 1 King. Susan W. Troppmann appeared on behalf of Defendant Garfield Hospital.1 2 The Court—having reviewed the briefing, files, and record therein and heard from 3 counsel—is fully informed. 4 BACKGROUND 5 This case concerns Plaintiff Dennis King’s termination for alleged drug 6 diversion and use after he tested positive in a drug test. King brought suit against 7 his former employee, Garfield County Public Hospital District No. 1 (“GCHD”); 8 several of its employees; the physician and company involved in the drug test; and 9 OHS Health & Safety Services Inc. Specifically, King—along with his wife, Tricia 10 King—alleged that the drug test constituted an unreasonable search and that he 11 was deprived of his due process rights because he was not provided a name- 12 clearing hearing in connection with his termination. Plaintiffs also asserted several 13 state law violations. ECF No. 33. On May 1, 2014, this Court dismissed Plaintiffs’ unreasonable search claim, 14 15 as well as their state law claims against GCHD. ECF No. 101. This Court, 16 however, denied the individual Defendants’ requests for qualified immunity on 17 Plaintiffs’ remaining due process claim. Id. 18 19 1 20 Stephen M. Lewis was present (telephonically) on behalf of Defendant OHS. Mark Louvier was present on behalf of Defendants Terrence and Kim McGee. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 2 1 Defendants appealed this Court’s qualified immunity finding, and the Ninth 2 Circuit reversed and remanded, holding that the individual Defendants are entitled 3 to qualified immunity on King’s due process claim. ECF No. 119. As a result, this 4 Court dismissed Defendants Craigie, Morrow, and Beehler from this suit. ECF No. 5 123. Plaintiffs’ surviving claims allege (1) that GCHD violated King’s due process 6 rights, and (2) that Terrence Sean McGee, M.D., and OHS Health & Safety 7 Services were negligent. 8 In the instant motion, GCHD moves for summary judgment on the 9 remaining due process claim. ECF No. 127. GCHD asserts that liability is 10 precluded under the law of the case doctrine and that Plaintiffs’ theories of 11 municipal liability do not otherwise create a genuine issue for trial. Id. For the foregoing reasons, this Court finds liability on Plaintiffs’ due process 12 13 claim is precluded by the law of the case. Alternatively, this Court finds no 14 reasonable jury could find in Plaintiffs’ favor on the various theories of municipal 15 liability. Accordingly, GCHD is entitled to summary judgment and is dismissed 16 from this suit. 17 // 18 // 19 // 20 // ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 3 1 FACTS 2 The following are the undisputed material facts unless otherwise noted.2 3 A. Termination of King 4 Dennis King was hired by GCHD as a registered nurse on March 2, 2007, 5 and served in an at-will position until his termination on March 29, 2011. ECF 6 Nos. 130 ¶ 10; 132 ¶ 2. 7 On February 1, 2011, King had a tooth extracted, which extraction resulted 8 in a painful bone spur. ECF No. 132 ¶ 9. King’s dentist prescribed him Tylenol #3, 9 which contains codeine, to relieve the pain. Id. ¶ 10. 10 11 2 12 assertion of fact or fails to properly address another party’s assertion of fact as 13 required by Rule 56(c), the court may . . . consider the fact undisputed.” Fed. R. 14 Civ. P. 56(e)(2); see also L.R. 56.1(d) (“[T]he Court may assume that the facts as 15 claimed by the moving party are admitted to exist without controversy except as 16 and to the extent that such facts are controverted by the record set forth [in the non- 17 moving party’s opposing statement of facts]”). Here, Plaintiffs filed a statement of 18 facts in support of their opposition to GCHD’s summary judgment motion but 19 failed to directly address or rebut Defendant’s statement of facts. See ECF No. 132. For purposes of summary judgment, “[i]f a party fails to properly support an 20 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 4 1 On February 10, 2011, King received a call to report to GCHD for a 2 mandatory meeting the following morning, which meeting was actually an 3 unscheduled drug test due to suspected drug diversion by a hospital employee. Id. 4 ¶¶ 12, 14. On February 11, 2011, King participated in the drug test, and the King’s 5 urine sample subsequently tested positive for codeine and morphine. ECF Nos. 130 6 ¶ 15-16; 132 ¶ 17, 19. King was subsequently informed that the results of his drug 7 test revealed elevated levels of opiates and that his employment could be 8 terminated “pending further testing results.”3 ECF No. 130 ¶ 17 On March 29, 2011, GCHD terminated King’s employment based on the 9 10 positive drug test result. Id. ¶ 18. Andrew Craigie, GCHD’s Superintendent, was 11 aware of and approved King’s termination. ECF Nos. 130 ¶ 19; 132 ¶ 25. 12 B. GCHD Governing Structure 13 GCHD is a public hospital and municipal corporation, ECF Nos. 130 ¶ 1; 14 132 ¶ 3, and is governed by an elected Board of Commissioners, ECF No. 130 ¶ 2; 15 RCW ch. 70.44. Pursuant to its bylaws, the Board is responsible for establishing 16 17 3 18 to appropriate disciplinary action up to and including termination from 19 employment if . . . [t]he employee tests positive for drug or drugs.” ECF No. 130 ¶ 20 14 (citing ECF No. 128-2 at 22). GCHD’s drug policy states, in relevant part, that “[a]n employee will be subject ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 5 1 policies for the hospital, including policies regarding the hiring and termination of 2 its employees. ECF Nos. 130 ¶ 3; 132-1 at 3; see ECF No. 128-2 at 3 (“The Board 3 shall establish policies relating to the affairs of the District . . . .”). 4 At all relevant times, Andrew Craigie was GCHD’s superintendent and 5 Chief Executive Officer. ECF Nos. 130 ¶ 4; 132 ¶ 4. Plaintiffs contend Craigie had 6 policymaking authority with respect to hiring and terminating GCHD employee. 7 ECF No. 132 ¶ 23 (citing Craigie Deposition, ECF No. 132-1). While the Board 8 delegated certain powers to Craigie and Craigie indisputably “had a hand in” 9 formulating some of the hospital’s policies and creating the employee handbook, 10 GCHD asserts that Craigie did not have the authority to establish or revise 11 employment policies absent Board approval. ECF No. 130 ¶¶ 8-9; see ECF No. 12 132-1 at 5 (Craigie Deposition) (testifying that he “had a hand in formulating some 13 of the policies of the hospital . . . [and] creating the employee handbook,” and 14 would “help establish” GCHD’s policies in his role as CEO). 15 Importantly, the employment policies in effect during King’s employ and at 16 the time of his termination, were approved and adopted by formal motion of the 17 Board on October 7, 2009. ECF No. 130 ¶ 11. While GCHD’s employment policy 18 makes no express mention of the opportunity for a name-clearing hearing for its 19 employees who suffer termination, it does provide employees the opportunity to 20 “[a]ppeal an unsatisfactory CEO decision to the Board.” ECF No. 128-2 at 24. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 6 1 2 3 DISCUSSION A. Standard of Review Summary judgment may be granted to a moving party who demonstrates 4 “that there is no genuine dispute as to any material fact and the movant is entitled 5 to judgment as a matter of law.” Fed. R. Civ. P. 56(a). The moving party bears the 6 initial burden of demonstrating the absence of any genuine issues of material fact. 7 Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). The burden then shifts to the 8 non-moving party to identify specific facts showing there is a genuine issue of 9 material fact. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 256 (1986). “The 10 mere existence of a scintilla of evidence in support of the plaintiff’s position will 11 be insufficient; there must be evidence on which the jury could reasonably find for 12 the plaintiff.” Id. at 252. 13 For purposes of summary judgment, a fact is “material” if it might affect the 14 outcome of the suit under the governing law. Id. at 248. A dispute concerning any 15 such fact is “genuine” only where the evidence is such that the trier-of-fact could 16 find in favor of the non-moving party. Id. “[A] party opposing a properly supported 17 motion for summary judgment may not rest upon the mere allegations or denials of 18 his pleading, but must set forth specific facts showing that there is a genuine issue 19 for trial.” Id. (internal quotation marks and alterations omitted); see also First Nat’l 20 Bank of Ariz. v. Cities Serv. Co., 391 U.S. 253, 288-89 (1968) (holding that a party ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 7 1 is only entitled to proceed to trial if it presents sufficient, probative evidence 2 supporting the claimed factual dispute, rather than resting on mere allegations). 3 Moreover, “[c]onclusory, speculative testimony in affidavits and moving papers is 4 insufficient to raise genuine issues of fact and defeat summary judgment.” 5 Soremekun v. Thrifty Payless, Inc., 509 F.3d 978, 984 (9th Cir. 2007); see also 6 Nelson v. Pima Cmty. Coll., 83 F.3d 1075, 1081-82 (9th Cir. 1996) (“[M]ere 7 allegation and speculation do not create a factual dispute for purposes of summary 8 judgment.”). 9 In ruling upon a summary judgment motion, a court must construe the facts, 10 as well as all rational inferences therefrom, in the light most favorable to the non- 11 moving party. Scott v. Harris, 550 U.S. 372, 378 (2007); see also Tolan v. Cotton, 12 134 S. Ct. 1861, 1863 (2014) (“[I]n ruling on a motion for summary judgment, the 13 evidence of the nonmovant is to be believed, and all justifiable inferences are to be 14 drawn in his favor.” (internal quotation marks and brackets omitted)). Further, only 15 evidence which would be admissible at trial may be considered. Orr v. Bank of 16 Am., NT & SA, 285 F.3d 764, 773 (9th Cir. 2002). 17 B. Law of the Case 18 GCHD first asserts that liability on Plaintiffs’ sole remaining section 1983 19 claim is precluded by the law of the case doctrine. ECF No. 127 at 3-5. In short, 20 GCHD argues that because the Ninth Circuit found that King had been provided ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 8 1 sufficient due process, it decided explicitly or by necessary implication that there 2 was no constitutional injury and thus no underlying basis for municipal liability. 3 Id. In response, Plaintiffs disagree that the Ninth Circuit ever ruled on whether 4 there was a constitutional injury and instead assert that the appellate court’s 5 holding rested on the lack of clearly established law putting Defendants on notice 6 that King was entitled to greater process than actually afforded. ECF No. 131 at 4- 7 6. Plaintiffs agree that the Ninth Circuit was asked to address both prongs of the 8 qualified immunity analysis—(1) whether the Defendants’ conduct violated a 9 constitutional right and (2) whether the right was clearly established—but that it 10 merely addressed the second prong of the analysis. Id. 11 When addressing the defense of qualified immunity, a court asks two 12 questions: (1) “whether the officer in fact violated a constitutional right,” and (2) 13 “whether the contours of the right were sufficiently clear that a reasonable official 14 would have understood that what he is doing violates that right.” Mullenix v. Luna, 15 136 S. Ct. 305, 313-14 (2015) (internal quotation marks, brackets, and citations 16 omitted). The distinction argued by the parties—that is, whether the Ninth Circuit 17 addressed both prongs or just the latter—is important because while “[q]ualified 18 immunity [of the individual officials] does not shield municipalities from liability,” 19 Dougherty v. City of Covina, 654 F.3d 892, 900 (9th Cir. 2011), a municipality 20 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 9 1 cannot be liable where there has been no constitutional injury in the first instance, 2 Yousefian v. City of Glendale, 779 F.3d 1010, 1016 (9th Cir. 2015). 3 Under the law of the case doctrine, “a court is generally precluded from 4 reconsidering an issue previously decided by the same court, or a higher court in 5 the identical case.” United States v. Lummi Nation, 763 F.3d 1180, 1185 (9th Cir. 6 2014) (quoting United States v. Lummi Indian Tribe, 235 F.3d 443, 452 (9th Cir. 7 2000)). “For the doctrine to apply, the issue in question must have been decided 8 explicitly or by necessary implication in the previous disposition.” Id. (quoting 9 Lummi Indian Tribe, 235 F.3d at 452) (emphasis omitted). The doctrine “expresses 10 the practice of courts generally to refuse to reopen what has been decided.” United 11 States v. Lewis, 611 F.3d 1172, 1179 (9th Cir. 2010) (citation omitted). 12 This Court finds the law of the case doctrine precludes finding GCHD liable. 13 In reversing this Court’s qualified immunity ruling as to the individual hospital 14 employees, the Ninth Circuit primarily focused on the lack of clearly established 15 law putting Defendants on notice that King was entitled to more process than he 16 received, which “clearly established law” is one prong of the qualified immunity 17 analysis. ECF No. 119 at 2. However, the Ninth Circuit also appears to have 18 addressed the absence of a constitutional violation, the other prong of the qualified 19 immunity analysis. The Ninth Circuit expressly found King’s “arguments that [he] 20 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 10 1 was not provided sufficient process . . . not persuasive.” Id. at 4. Specifically, the 2 Ninth Circuit highlighted the following: 3 Before the termination, Defendants provided Plaintiff with notice that the presence of drugs in his sample could result in termination under hospital policy. Plaintiff had an opportunity to explain the drug test result at a lengthy meeting with three hospital administrators and the medical review officer who interpreted the drug test results. He also had ample opportunity (a period of several weeks) to submit additional documentation explaining the presence of drugs in his sample, following the meeting and before his eventual termination. Indeed, he took advantage of that opportunity. 4 5 6 7 8 Id. at 3. While Plaintiffs are justified in asserting that the Ninth Circuit’s ruling 9 primarily focused on the clearly-established prong of the analysis, it is difficult to 10 find the Court did not, at least by implication, hold that the process afforded by the 11 individual Defendants was constitutionally sufficient and thus that there was no 12 underlying constitutional violation. See id. at 4 (“The fundamental requirement of 13 due process is the opportunity for and individual to be heard at a meaningful time 14 and in a meaningful manner.” (internal quotation marks and citation omitted)). The 15 Court cannot read the above-cited paragraph and find otherwise. Accordingly, 16 because there can be no municipal liability without an underlying constitutional 17 violation, Yousefian, 779 F.3d at 1016, Defendants are entitled to summary 18 judgment on this basis. 19 // 20 // ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 11 1 2 C. Section 1983 Claim Even assuming the law of the case doctrine is inapplicable and the adequacy 3 of process remains an open question, King’s due process claim against GCHD 4 cannot survive summary judgment on any theory of municipal liability asserted. 5 6 1. Due Process The Fourteenth Amendment prohibits states from “depriv[ing] any person of 7 life, liberty, or property, without due process of law.” U.S. Const. Amend. XIV. 8 “Due process ‘is a flexible concept that varies with the particular situation.’” 9 Shinault v. Hawks, 782 F.3d 1053, 1057 (9th Cir. 2015) (quoting Zinermon v. 10 Burch, 494 U.S. 113, 127 (1990)). “The fundamental requirement of due process is 11 the opportunity to be heard at a meaningful time and in a meaningful manner.” 12 Mathews v. Eldridge, 424 U.S. 319, 333 (1976) (internal quotation marks and 13 citation omitted)). 14 “[W]here a person’s good name, reputation, honor, or integrity is at stake 15 because of what the government is doing to him, notice and an opportunity to be 16 heard are essential.” Bd. of Regents of State Colls. v. Roth, 408 U.S. 564, 573 17 (1971). In the case of a terminated employee whose liberty interest has been 18 implicated, such an employee has a right to a “name-clearing” hearing or similar 19 process to refute any stigmatizing charge and clear his name. Cox v. Roskelley, 359 20 F.3d 1105, 1110 (9th Cir. 2004); see Codd v. Velger, 429 U.S. 624, 627 (1977) ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 12 1 (noting that the purpose of a name-clearing hearing in the case of a non-tenured 2 government employee “is solely to provide the person the opportunity to clear his 3 name”). 4 This Court previously found that King was entitled to a name-clearing 5 hearing in connection with his termination but was not provided one, either pre- or 6 post-termination. ECF No. 101 at 33. The question then becomes whether GCHD, 7 as a municipal corporation, can be held liable for this constitutional violation. 8 9 2. Municipal Liability To establish a section 1983 claim, a claimant must prove “(1) that a person 10 acting under color of state law committed the conduct at issue, and (2) that the 11 conduct deprived the claimant of some right, privilege, or immunity protected by 12 the Constitution or laws of the United States.” Leer v. Murphy, 844 F.2d 628, 632– 13 33 (9th Cir. 1988). The Supreme Court has held that local governments are 14 “persons” who may be subject to suit under § 1983. Monell v. Dep’t of Social 15 Servs., 436 U.S. 658, 690 (1978). However, [p]laintiffs who seek to impose 16 liability on local governments under § 1983 must prove that ‘action pursuant to 17 official municipal policy’ caused their injury.” Connick v. Thompson, 563 U.S. 51, 18 60-61 (2011) (quoting Monell, 436 U.S. at 691). “Official municipal policy 19 includes the decisions of a government’s lawmakers, the acts of its policymaking 20 officials, and practices so persistent and widespread as to practically have the force ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 13 1 of law.” Id. “In limited circumstances, a local government’s decision not to train 2 certain employees about their legal duty to avoid violating citizens’ rights may rise 3 to the level of an official government policy for purposes of § 1983.” Id. 4 As the Supreme Court articulated in Monell, the purpose of the “official 5 municipal policy” requirement is to prevent municipalities from being held 6 vicariously liable for unconstitutional acts of their employees under the doctrine of 7 respondeat superior. Monell, 436 U.S. at 690-93; see also Pembaur v. City of 8 Cincinnati, 475 U.S. 469, 478-79 (1986). Thus, the “official municipal policy” 9 requirement “distinguish[es] acts of the municipality from acts of employees of the 10 municipality, and thereby make[s] clear that municipal liability is limited to action 11 for which the municipality is actually responsible.” Pembaur, 475 U.S. at 479-80 12 (footnote omitted). 13 Plaintiffs contend that GCHD should be liable under section 1983 because 14 (1) Craigie, as final policymaker for GCHD, made the decision or otherwise 15 ratified the decision of Morrow and Beehler to terminate King without providing 16 him a name-clearing hearing; and (2) GCHD’s lack of any employment policy 17 regarding the need for a pre-termination, name-clearing hearing and its employees’ 18 lack of training regarding the same constitutes deliberate indifference to King’s 19 constitutional rights. ECF No. 131. 20 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 14 1 The success of Plaintiffs’ Monell claims depends on the answer to two 2 dispositive issues: (1) whether Craigie had the authority to establish final policy 3 concerning GCHD employee terminations, and (2) whether Plaintiffs have 4 presented evidence that GCHD was on actual or constructive notice that its lack of 5 a policy would likely result in a constitutional violation. Because this Court finds 6 no reasonable jury could find in the affirmative for either issue, GCHD is entitled 7 to summary judgment. 8 9 a. Final Policymaker The first issue is whether Craigie is a final policymaker for purposes of 10 imposing Monell liability based on the theories of action or ratification by a final 11 policymaker. GCHD contends that Craigie does not have final policymaking 12 authority regarding employee termination policies. ECF No. 127 at 9-13. Rather, 13 the Board of Commissioners retains that authority. Id. In response, Plaintiffs cite to 14 Craigie’s deposition for the evidentiary support that Craigie was delegated final 15 policymaking authority by the Board and exercised the same. ECF No. 131 at 9-12. 16 “[O]nly those municipal officials who have ‘final policymaking authority’ 17 may by their actions subject the government to § 1983 liability.” City of St. Louis 18 v. Praprotnik, 485 U.S. 112, 123 (1988). “The fact that a particular official—even 19 a policymaking official—has discretion in the exercise of particular functions does 20 not, without more, give rise to municipal liability based on an exercise of that ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 15 1 discretion.” Ulrich v. City & County of San Francisco, 308 F.3d 968, 985 (9th Cir. 2 2002) (quoting Pembaur, 475 U.S. at 482-83). “The official must also be 3 responsible for establishing final government policy respecting such activity before 4 the municipality can be held liable.” Id. (quoting Pembaur, 475 U.S. at 482-83). To 5 illustrate the difference between someone with final policymaking authority and 6 someone with final decisionmaking authority, the Supreme Court provided the 7 following example: 8 9 10 11 12 13 14 15 Thus, for example, the County Sheriff may have discretion to hire and fire employees without also being the county official responsible for establishing county employment policy. If this were the case, the Sheriff's decisions respecting employment would not give rise to municipal liability, although similar decisions with respect to law enforcement practices, over which the Sheriff is the official policymaker, would give rise to municipal liability. Instead, if county employment policy was set by the Board of County Commissioners, only that body’s decisions would provide a basis for county liability. This would be true even if the Board left the Sheriff discretion to hire and fire employees and the Sheriff exercised that discretion in an unconstitutional manner; the decision to act unlawfully would not be a decision of the Board. However, if the Board delegated its power to establish final employment policy to the Sheriff, the Sheriff's decisions would represent county policy and could give rise to municipal liability. 16 17 Pembaur, 475 U.S. at 483 n.12. “An official may be found to have been delegated 18 final policymaking authority where the official’s discretionary decision is [not] 19 constrained by policies not of that official’s making and . . . [not] subject to review 20 by the municipality’s authorized policymakers.” Ulrich, 308 F.3d at 986 (internal ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 16 1 quotation marks omitted). “[W]hether a particular official has ‘final policymaking 2 authority’ is a question of state law.” Prapotnik, 485 U.S. at 123 (emphasis 3 omitted) (citing Pembaur, 475 U.S. at 483). 4 Pursuant to Washington State law, public district hospitals, once established, 5 are governed by a board of elected commissioners. See RCW ch. 70.44. The 6 administrative control of the hospital is then vested with the hospital’s 7 superintendent. RCW 70.44.080. In this position, the superintendent “shall be 8 responsible to the commission for the efficient administration of all affairs of the 9 district,” id., and shall “carry out the orders of the commission, and . . . see that all 10 the laws of the state pertaining to matters within the function of the district are duly 11 enforced,” RCW 70.44.090(1). While the superintendent may attend all board 12 meetings and take part in meeting discussions, the superintendent does not have a 13 vote in board decisions. RCW 70.44.080(1). 14 Here, the Board’s governing bylaws, in effect at all relevant times, expressly 15 provide that the Board is responsible for “establish[ing] policies relating to the 16 affairs of the District.” ECF No. 128-1. The employment policies in effect during 17 King’s tenure were approved and adopted by formal motion of the Board on 18 October 9, 2009. ECF No. 128-2. And while Craigie, superintendent and CEO of 19 GCHD, testified that he “had a hand in formulating some of the policies of the 20 hospital . . . [and] creating the employee handbook,” and would “help establish” ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 17 1 GCHD’s policies in his role as CEO, by law he does not vote at the Board’s 2 meetings, RCW 70.44.080(1), nor can he establish policies for the hospital without 3 Board approval, ECF No. 132-1 at 5. Rather, Craigie is “subject to” the policies 4 established by the Board and is tasked with carrying out these policies in his 5 administrative capacity. ECF No. 128-2 at 8. In support of this theory of 6 delegation, Plaintiffs can point to nothing in the Board’s Bylaws that suggests the 7 Board delegated its policymaking authority to Craigie. At most, Craigie’s role in 8 approving King’s termination, and by necessity the sufficiency of the due process 9 that accompanied it, was as final decisionmaker, not final policymaker. See Delia 10 v. City of Rialto, 621 F.3d 1069, 1083-84 (9th Cir. 2010) (holding that plaintiff’s 11 argument “confuse[d] final decisionmaking authority with final policymaking 12 authority” and that “only the latter is sufficient to hold the City liability under 13 § 1983”), rev’d on other grounds, Filarsky v. Delia, 132 S. Ct. 1657 (2012). 14 Craigie’s deposition testimony—which demonstrates that Craigie approves some 15 termination decisions in his role as CEO of hospital and as “one of the people who 16 enforces the policies of the hospital,” ECF No. 132-1 at 3-5—does not lead to a 17 different conclusion. 18 At oral argument, Plaintiffs’ counsel cited to McKinley v. City of Eloy, 705 19 F.2d 1110 (9th Cir. 1983), for the proposition that where the final policymaker 20 delegates to an official the ultimate responsibility for personnel decisions, that ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 18 1 official’s decisions represent “official city policy.” This case, however, was 2 decided almost 3 years before the Pembaur Court highlighted the important 3 distinction between final policymaker and final decisionmaker. At any rate, Craigie 4 did not have “ultimate responsibility for personnel decisions.” Rather, GCHD 5 employees, like King, retained the right to “[a]ppeal an unsatisfactory CEO 6 decision to the Board.” ECF No. 128-2 at 24. Thus, the Board retained its ultimate 7 authority. 8 9 10 Accordingly, GCHD is entitled to summary judgment on Plaintiffs’ final policymaker theories of Monell liability. b. Deliberate Indifference 11 The second issue is whether Plaintiffs have presented sufficient evidence 12 demonstrating deliberate indifference on the part of GCHD to survive summary 13 judgment on their policy-of-omission and failure-to-train theories of municipal 14 liability. GCHD asserts that Plaintiffs have presented no evidence regarding the 15 termination of any other employee, much less evidence of a pattern of similar 16 dismissals, for purposes of demonstrating a policy of omission. ECF No. 127 at 13- 17 14. Moreover, GCHD contends that Plaintiffs have not presented evidence 18 showing that the consequences of GCHD’s deficient policy were “so patently 19 obvious” as to amount to deliberate indifference for purposes of municipal 20 liability. Id. In response, Plaintiffs highlight the ignorance of GCHD’s employees ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 19 1 regarding an employee’s right to a name-clearing hearing and the absence of any 2 policy concerning the same within the hospital’s employee manual. ECF No. 131 3 at 13-17. 4 “Under Monell, a local government body can be held liable under § 1983 for 5 policies of inaction as well as policies of action.” Jackson v. Barnes, 749 F.3d 755, 6 763 (9th Cir. 2014). “A policy of action is one in which the government body itself 7 violates someone’s constitutional rights, or instructs its employees to do so; a 8 policy of inaction is based on a government body’s ‘failure to implement 9 procedural safeguards to prevent constitutional violations.’” Id. (quoting Tsao v. 10 11 Desert Palace, Inc., 698 F.3d 1128, 1143 (9th Cir. 2012)). “In inaction cases, the plaintiff must show, first, ‘that [the] policy amounts to 12 deliberate indifference to the plaintiff’s constitutional right.’” Id. (quoting Tsao, 13 698 F.3d at 1143). “This [deliberate indifference] standard is met when ‘the need 14 for more or different training is so obvious, and the inadequacy so likely to result 15 in the violation of constitutional rights, that the policymakers of the city can 16 reasonably be said to have been deliberately indifferent to the need.” Clouthier v. 17 Cty. of Contra Costa, 591 F.3d 1232, 1249 (9th Cir. 2010) (quoting City of Canton 18 v. Harris, 489 U.S. 378, 388-89 (1989)). “Deliberate indifference is a stringent 19 standard of fault, requiring proof that a municipal actor disregarded a known or 20 obvious consequence of his action.” Connick, 563 U.S. at 61-62 (noting that “[a] ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 20 1 municipality’s culpability for a deprivation of rights is at its most tenuous where a 2 claim turns on a failure to train”). In other words, “the plaintiff must show that the 3 municipality was on actual or constructive notice that its omission would likely 4 result in a constitutional violation.” Gibson v. County of Washoe, 290 F.3d 1175, 5 1186 (9th Cir. 2002). “Second, the plaintiff must show ‘that the policy caused the 6 violation in the sense that the municipality could have prevented the violation with 7 an appropriate policy.” Jackson, 749 F.3d at 763 (quoting Tsao, 698 F.3d at 1143). 8 Here, viewing the evidence presented in the light most favorable to 9 Plaintiffs, this Court finds no reasonable jury could find that GCHD acted with 10 deliberate indifference. For one, Plaintiffs have failed to provide any evidence 11 showing that GCHD had actual notice of any deficiencies. For instance, Plaintiffs 12 have not presented any evidence of other similar incidents of constitutional 13 violations such that GCHD was put on notice of the deficiency within its policy or 14 its failure to train its employees on the requirement of name-clearing hearings. At 15 most, Plaintiffs have presented their own speculation that such incidents 16 occurred—“It is believed that other individuals who have been terminated by 17 GCHD have experienced the same violation of their right to such hearing,” ECF 18 No. 129-1 at 4 (Plaintiff’s Answer to Interrogatory No. 7); however, they make no 19 argument supporting actual notice. 20 ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 21 Further, Plaintiffs have failed to show that the consequences of GCHD’s 1 2 deficient policy or training regarding name-clearing hearings was “so patently 3 obvious” as to show that GCHD had constructive notice of the deficiency in its 4 policy. Given the flexibility of due process and the limited rights of a non-tenured 5 employee, it is far from obvious that GCHD had to provide King a name-clearing 6 hearing prior to his termination, 4 let alone what precise requirements due process 7 8 4 9 hearing in the case of a non-tenured stigmatized employee is sufficient); Segal v. 10 City of New York, 459 F.3d 207, 214 (2d Cir. 2006) (“We now hold that, in this 11 case involving an at-will government employee, the availability of an adequate, 12 reasonably prompt, post-termination name-clearing hearing is sufficient to defeat a 13 stigma-plus claim . . . .”); Hammer v. City of Osage Beach, 318 F.3d 832, 840 (8th 14 Cir. 2003) (holding that post-deprivation hearing fulfilled purpose of clearing 15 aggrieved party’s name); Campbell v. Pierce County, 741 F.2d 1342, 1345 (11th 16 Cir. 1984) (“Because it is provided simply to cleanse the reputation of the 17 claimant, the hearing need not take place prior to his termination or to the 18 publication of related information adverse to his interests.”); In re Selcraig, 705 19 F.2d 789, 796 (5th Cir. 1983) (“The hearing . . . is not a prerequisite to publication 20 [of adverse material] and the state is not obliged to tender one.”). See Codd, 429 U.S. at 627-28 (implying that a post-termination name-clearing ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 22 1 would require in order for King to have the opportunity to clear his name, Shinault, 2 782 F.3d at 1057. Moreover, the Board, in its employee handbook, provided a 3 process arguably sufficient whereby a GCHD employee, such as King, retained the 4 opportunity to appeal any decision of the CEO to the Board. See ECF No. 128-2 at 5 24. In short, the need to expressly promulgate an official name-clearing hearing 6 policy or train employees on the same is not “so obvious, and the inadequacy of 7 the current procedure so likely to result in the violation of constitutional rights,” 8 that a reasonable jury could find the Board deliberately indifferent on this basis. 9 See Clouthier, 591 F.3d at 1249 10 Plaintiffs highlight only two types of evidence in support of their policy-of- 11 omission theory of liability: (1) deposition testimony of GCHD employees 12 expressing lack of familiarity with a Loudermill hearing, name-clearing hearing, or 13 due process hearing; and (2) the lack of any mention of a pre-termination, name- 14 clearing, Loudermill, or any similar type of hearing within GCHD’s policy 15 manual.5 ECF No. 131 at 14-18. While the question of deliberate indifference is 16 generally one for the jury, Gibson, 290 F.3d at 1194-95, the Court, construing the 17 18 5 19 pretermination hearing because he did not have a property interest in his continued 20 employment. ECF No. 101 at 22 n. 3. As previously noted by this Court, King was not entitled to a Loudermill ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 23 1 evidence in the light most favorable to Plaintiffs, finds no reasonable jury could 2 find in their favor based on the evidence presented.6 Accordingly, GCHD is 3 entitled to summary judgment on Plaintiffs’ policy-of-omission and failure-to-train 4 theories as well. 5 ACCORDINGLY, IT IS ORDERED: 6 1. Garfield County Public Hospital District No. 1’s Motion for Summary 7 Judgment Re: Municipal Liability Claim (ECF No. 127) is GRANTED. 8 9 10 2. The District Court Executive is directed to enter this Order, provide copies to counsel, and TERMINATE Garfield County Public Hospital District No. 1 from this case. 11 DATED June 27, 2016. 12 13 THOMAS O. RICE Chief United States District Judge 14 15 16 17 6 18 of-omission claim; thus, this Court is unable to find that a reasonable jury could 19 find GCHD’s failure to train or failure to promulgate a written policy caused 20 King’s deprivation. Jackson, 749 F.3d at 763. Plaintiffs provide no argument in support of the causation element of their policy- ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT ~ 24

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