Judge: John J. Kralik, Case: 22AHCV00829, Date: 2023-02-17 Tentative Ruling

Case Number: 22AHCV00829    Hearing Date: February 17, 2023    Dept: NCB

 

Superior Court of California

County of Los Angeles

North Central District

Department B

 

 

Jane doe,

 

                        Plaintiff,

            v.

 

JAMES J. JABER, M.D., et al,

 

                        Defendants.

 

  Case No.:  22AHCV00829

 

Hearing Date:  February 17, 2023

 

 [TENTATIVE] order RE:

demurrer; motion to strike

 

 

BACKGROUND

A.    Allegations

Plaintiff Jane Doe (“Plaintiff”) is a 39-year-old woman who has had the Human Papillomavirus (HPV) in her throat since birth.  Plaintiff alleges that she sought medical treatment through L.A. Care in September 2021 and contacted Defendant Preferred IPA of California (“Preferred IPA”) for a referral to a physician who could treat and manage her condition.  She alleges she was referred to Dr. Pierce, who then referred her to Defendant James J. Jaber, M.D. (“Dr. Jaber”). 

Plaintiff alleges that when she presented to Dr. Jaber, he did not use his skill, prudence, and diligence in treating her.  She alleges that on September 25, 2021, Dr. Jaber represented that he had medication and treatment that could cure her condition.  She alleges that Dr. Jaber began “grooming her” to enter into a sexual relationship by asking for text updates regarding medication, in order to lay the groundwork for him to later send her sexually explicit text messages.  Plaintiff alleges that she tried to pick up her medication from Dr. Jaber’s office, but he informed her that he forgot the medicine at home and that she could pick it up from his home.  Plaintiff alleges while at his home, Dr. Jaber tried to offer her alcohol, began rubbing her back, and then proceeded to kiss her neck.  Plaintiff alleges she grabbed the medicine and left.  Thereafter, she alleges that Dr. Jaber began “sexting” and sending sexually explicit photographs.  Plaintiff alleges that in another incident of picking up medication at his home, Dr. Jaber appeared to be unconscious on his bed and she went to check in on him, but he proceeded to grab her, pull her onto his bed, and raped Plaintiff.  Plaintiff alleges that she informed Dr. Jaber on November 9, 2021 that she would not engage in sexual activity for medical treatment.  On November 14, 2021, she alleges that Dr. Jaber abandoned her as a patient and banned her from Defendant Southern California Head and Neck Surgery (“SCHNS”).

The complaint, filed October 13, 2022, alleges causes of action for: (1) medical negligence; (2) medical negligence – patient abandonment; (3) NIED; (4) negligent referral; (5) negligent misrepresentation; (6) NIED; (7) sexual harassment – Civil Code, §§ 51.9 and 52; (8) gender violence – Civil Code § 52.4; (9) violation of the “Bane Act” Civil Code, § 52.1; (10) sexual battery – Civil Code, § 1708.5; (11) assault; (12) battery; (13) false imprisonment; (14) IIED; (15) negligence; (16) fraud; (17) constructive fraud; and (18) violation of Business & Professions Code, § 17200. 

On December 29, 2022, Plaintiff dismissed without prejudice Defendant Los Angeles Center for Ear, Nose, Throat, & Allergy from the complaint.

B.     Motions on Calendar

On December 20, 2022, Dr. Jaber and SCHNS demur to the 16th and 17th causes of action alleged against Dr. Jaber.  They also demur to the complaint in its entirety as alleged against SCHN.  Concurrently, Dr. Jaber and SCHNS filed a motion to strike portions of the complaint.

On February 3, 2023, Plaintiff filed opposition briefs.

On February 7, 2023, Dr. Jaber and SCHNS filed a single reply brief to the demurrer and motion to strike.

DISCUSSION RE DEMURRER

A.    16th cause of action for Fraud

To allege a cause of action for fraud, the requisite elements are: (1) a representation, usually of fact, which is false; (2) knowledge of its falsity; (3) intent to defraud; (4) justifiable reliance upon the misrepresentation; and (5) damage resulting from that justifiable reliance.  (Stansfield v. Starkey (1990) 220 Cal. App. 3d 59, 72-73.)  This cause of action is a tort of deceit and the facts constituting each element must be alleged with particularity; the claim cannot be saved by referring to the policy favoring liberal construction of pleadings.  (Committee on Children's Television, Inc. v. General Foods Corp. (1983) 35 Cal.3d 197, 216.)  Since the claim must be pleaded with particularity, the cause of action based on misrepresentations must allege facts showing how, when, where, to whom, and by what means the misrepresentations were tendered.  (Stansfield v. Starkey (1990) 220 Cal.App.3d 59, 73.)

In the 16th cause of action, Plaintiff alleges that on September 25, 2021, she had a consultation with Dr. Jaber at his office.  (Compl., ¶157.)  She alleges that at the consultation, he verbally represented to Plaintiff that he would provide her medical care and, as an agent of Defendant Penrose Therapeutx, Inc. (“Penrose”), would provide her with life changing medication and treatment that would cure her throat condition.  (Id., ¶158.)  Plaintiff alleges that Dr. Jaber verbally represented that he created the medication (manufactured by Penrose), was the only person with access to the medication, and he would be doing her a favor by providing her the treatment.  (Id., ¶¶159-160.)  Plaintiff alleges that Dr. Jaber’s representations were false and that when he made the representations, Dr. Jaber and Penrose had knowledge of the falsity.  (Id., ¶¶161-162.)  Plaintiff alleges that Dr. Jaber and Penrose intended to defraud Plaintiff with the purpose of testing their medication on Plaintiff without her consent, as well as for Dr. Jaber to lure Plaintiff into a sexual relationship.  (Id., ¶163.)  Plaintiff alleges that she justifiably relied on Dr. Jaber’s statements because he is a physician that was referred to her through her Medi-Cal HMO.  (Id., ¶164.)  In the general allegations, Plaintiff alleges that the medication Dr. Jaber provided was not FDA-approved, the medication was unmarked and unlabeled, and the capsules did not treat her condition and instead resulted in harmful side effects.  (Id., ¶22.) 

Dr. Jaber demurs to this cause of action arguing that Plaintiff has not alleged facts showing that the representations that he made the medication and that it would be treat her condition were false and how the falsity of these representations are connected with her injury of being an alleged test subject or being in a sexual relationship with Dr. Jaber.  While the allegations of the complaint allege that Dr. Jaber’s representations were false in a general sense, Plaintiff has not alleged specific facts showing that Dr. Jaber knew the falsity of his representations.  For example, Plaintiff has not alleged facts that Dr. Jaber did not create the medication, that he was not the only one with access to the medication, and/or that he did not know the medication would not work on Plaintiff.  

Plaintiff argues that these facts are more readily in Dr. Jaber’s possession such that the pleading standard may be relaxed.  (Tarmann v. State Farm Mut. Auto. Ins. Co. (1991) 2 Cal.App.4th 153, 158.)  However, in order to allege a causal connection, Plaintiff should allege further facts showing whether Dr. Jaber knew about the falsity of his statements about the medication’s efficacy and whether he intended to make false representations with the purpose of harming Plaintiff.  Thus, additional facts should be provided to support the elements of knowledge of falsity and resulting damages.

The demurrer to the 16th cause of action is sustained with leave to amend.  

B.     17th cause of action for Constructive Fraud

The elements of a constructive fraud cause of action are: (1) fiduciary relationship; (2) nondisclosure (breach of fiduciary duty); (3) intent to deceive, and (4) reliance and resulting injury (causation).  (Younan v. Equifax Inc. (1980) 111 Cal.App.3d 498, 516, fn. 14.)  This too is a tort of deceit and must be pled with the requisite particularity.

In the 17th cause of action, Plaintiff alleges that a doctor-patient relationship existed between Plaintiff and Dr. Jaber, in which she reposed trust and confidence in Dr. Jaber.  (Compl., ¶167.)  She alleges that Dr. Jaber deceived her by holding himself out as someone she could trust.  (Id., ¶168.)  She alleges that Dr. Jaber provided her with medication that was not FDA approved and which caused side effects and that he had no intention of performing throat surgery.  (Id.)  Plaintiff alleges that his intention was to force her to engage in sexual relations.  (Id.) Plaintiff alleges that his acts, omissions, and concealments breached his legal or equitable duty, trust, or confidence to Plaintiff.  (Id., ¶169.) 

Dr. Jaber demurs to the 17th cause of action on the same grounds as the 16th cause of action.  However, the 17th cause of action has different elements.  Here, Plaintiff has sufficiently alleged a fiduciary relationship and Dr. Jaber’s intent to deceive her into a forced sexual relationship in exchange for medication and surgery.  At the demurrer stage, these allegations are sufficient to allege constructive fraud. 

 The demurrer to the 17th cause of action is overruled.

C.     SCHNS

Defendants argue that SCHNS is not named in any cause of action as a defendant.  Thus, they demur to the entirety of the complaint as alleged against it.  In opposition, Plaintiff requests leave to amend the complaint so that more facts may be alleged against SCHNS. 

            The demurrer to the complaint as alleged against SCHNS is sustained with leave to amend.

DISCUSSION RE MOTION TO STRIKE

            Dr. Jaber and SCHNS move to strike allegations for punitive/exemplary damages (¶¶50, 120, and 126; Prayer at Item 9), the request for temporary restraining order/preliminary and permanent injunction (¶120, Prayer at Item 8), and claim for attorney’s fees in the 18th cause of action (¶178). 

A.    Punitive Damages

Dr. Jaber argues that the allegations for punitive damages are improper because this action arises out of professional negligence.  CCP § 425.13(a) states:

(a) In any action for damages arising out of the professional negligence of a health care provider, no claim for punitive damages shall be included in a complaint or other pleading unless the court enters an order allowing an amended pleading that includes a claim for punitive damages to be filed. The court may allow the filing of an amended pleading claiming punitive damages on a motion by the party seeking the amended pleading and on the basis of the supporting and opposing affidavits presented that the plaintiff has established that there is a substantial probability that the plaintiff will prevail on the claim pursuant to Section 3294 of the Civil Code. The court shall not grant a motion allowing the filing of an amended pleading that includes a claim for punitive damages if the motion for such an order is not filed within two years after the complaint or initial pleading is filed or not less than nine months before the date the matter is first set for trial, whichever is earlier.

(CCP § 425.13(a).)

The clear intent of the Legislature is that any claim for punitive damages in an action against a health care provider be subject to the statute if the injury that is the basis for the claim was caused by conduct that was directly related to the rendition of professional services.”  (Central Pathology Service Medical Clinic, Inc. v. Superior Court (1992) 3 Cal.4th 181, 192.)  By contrast, a cause of action against a health care provider for sexual battery would not, in most instances, fall within the statute because the defendant's conduct would not be directly related to the manner in which professional services were rendered.”  (Id.) 

Here, the allegations of the complaint allege sufficient facts that the alleged sexual assault that Plaintiff experienced did not arise from the rendering of professional medical services.  Plaintiff has alleged facts that when she went to Dr. Jaber’s home to pick up medication, Dr. Jaber would rubbed her back and tried to kiss her throat and that he pulled her down onto his bed and raped her.  However, neither of these instances involved Dr. Jaber rendering medical services to Plaintiff for her HPV and throat issues.  This is not like a case where a gynecologist was alleged to have committed sexual battery in the course of performing a gynecological examination as argued by Dr. Jaber.  (Cooper v. Superior Court (1997) 56 Cal.App.4th 744.)  It may be that Defendants have evidence that Dr. Jaber was rendering medical services at the time of Plaintiff’s visits to his home, but such arguments and evidence should be presented beyond the pleading stage.

The motion to strike the allegations for punitive damages against Dr. Jaber is denied.

SCHNS argues that it is a medical facility such that section 425.13 also applies against it.  The allegations against SCHNS regarding punitive damages is not adequately pled.  To the extent that Plaintiff alleges that SCHNS authorized Dr. Jaber’s conduct by banning her from SCHNS even though she had a pending appointment, this is more akin to a claim for medical negligence as opposed to sexual battery. As such, section 425.13 would apply and Plaintiff would need to seek leave to add a claim for punitive damages against SCHNS.  Thus, the motion to strike is granted as to SCHNS. 

B.     TRO/Injunctive Relief

In connection with the 9th cause of action for violation of the Bane Act, Plaintiff seeks a temporary restraining order or preliminary or permanent injunction order Defendant to refrain from conduct or activities alleged herein, stating “VIOLATION OF THIS ORDER IS A CRIME PUNISHABLE UNDER SECTION 422.77 OF THE PENAL CODE.”  (Compl., ¶120.)  The prayer for relief alleges injunctive relief, including but not limited to the supervision of Defendant.  (Id., Prayer for Relief at Item 8.) 

Civil Code, § 52.1(c) permits injunctive relief.  However, Dr. Jaber argues that Plaintiff’s request for a TRO/injunctive relief fails to state the purpose of Plaintiff’s injunction. 

The Court will grant the motion to strike with leave to amend so that Plaintiff can state the nature of the injunctive relief sought.

C.     Attorney’s Fees

In the 18th cause of action for violation of Business & Professions Code, § 17200, Plaintiff seeks attorney’s fees pursuant to CCP § 1021.5.  (Compl., ¶178.) 

CCP § 1021.5 permits the recovery of attorney’s fees by a successful party in an action which results in the enforcement of an important right affecting the public interest. 

Dr. Jaber argues that Business & Professions Code, § 17200 does not permit the recovery of attorney’s fees and that this action is a purely private, personal action by Plaintiff that would serve no public benefit.  Thus, Dr. Jaber argues that attorney’s fees under CCP § 1021.5 are not permissible.

In opposition, Plaintiff argues that striking the claim for attorney’s fees is premature.  Plaintiff argues that private enforcement is necessary because no one else has stepped forward to stop Dr. Jaber from sexually preying on others and Dr. Jaber’s receptionist assured Plaintiff that sending patients to Dr. Jaber’s house was a common practice.  (Compl., ¶30.) 

At this time, the Court will allow the request for attorney’s fees.  However, this does not mean that the claim for attorney’s fees is necessarily viable.  This will have to be determined at a later stage upon Plaintiff’s proof that this action resulted in the enforcement of an important right affecting the public interest that conferred a significant benefit to the general public or a large class of persons.  

            The motion to strike the allegations for attorney’s fees is denied.

CONCLUSION AND ORDER

            Defendants James J. Jaber, M.D. and Southern California Head and Neck Surgery’s demurrer is sustained with 20 days leave to amend as to the 16th cause of action.  The demurrer is overruled as to the 17th cause of action.

            Defendants’ motion to strike is denied as to the allegations for punitive damages against Dr. Jaber, but granted as to Southern California Head and Neck Surgery.  If Plaintiff intends to seek punitive damages against Southern California Head and Neck Surgery, she should file a separate motion for leave to amend pursuant to CCP § 425.13 showing that a claim for punitive damages against this defendant is proper.  The motion to strike is granted with 20 days leave to amend as to the allegations for injunctive relief.  The motion to strike the allegations for attorney’s fees is denied.

Defendant shall give notice of this order.