Judge: Stephen I. Goorvitch, Case: 24STCP03225, Date: 2025-05-14 Tentative Ruling
Case Number: 24STCP03225 Hearing Date: May 14, 2025 Dept: 82
Vanessa Gamboa, et al. Case No. 24STCP03225
v. Hearing: May 14, 2025
Location: Stanley Mosk Courthous e
Jennifer
Troia, Director of California Department:
82
Department
of Social Services Judge: Stephen I.
Goorvitch
[Tentative] Order Substituting Defendant
[Tentative] Order Granting in Part and
Denying in Part Petition for Writ of Mandate
INTRODUCTION
Petitioner Vanessa Gamboa (“Petitioner” or “Claimant”)
petitions for a writ of administrative mandate directing Respondent Jennifer
Troia, Director of the California Department of Social Services (“Respondent”
or the “Director”) to set aside a final administrative decision denying
protective supervision and additional hours for personal care services under the In-Home Supportive
Services program to Petitioner’s daughter, Mariah
Mesa (“Recipient”). The court
substitutes Jennifer Troia for the former director, Kimberly Johnson, and
orders the clerk to update the docket.
The petition is granted in part and denied in part. The court finds that the weight of the
evidence does not support Respondent’s findings that Recipient is not entitled
to personal care services for laundry, dressing, and bathing, oral hygiene, and
grooming. The court also finds that the
weight of the evidence does not support Respondent’s finding that Recipient is
not entitled to protective supervision. However, the court finds that the weight of
the evidence does, in fact, support Respondent’s finding that Recipient is not
entitled to personal care services for feeding.
The court will issue a writ directing Respondent to set aside those
findings and reconsider the case in light of the court’s opinion and judgment. (Code Civ. Proc. § 1094.5(f).) This order “shall not limit or control in any
way the discretion legally vested in the respondent.” (Ibid.)
BACKGROUND
A. Regulatory Framework
“In 1973 the Legislature enacted the In-Home
Supportive Services (IHSS) program to enable aged, blind or disabled poor to
avoid institutionalization by remaining in their homes with proper supportive
services.” (Miller v. Woods (1983)
148 Cal.App.3d 862, 867.) The IHSS
program is governed by Welfare and Institutions Code sections 12300, et seq.,
and the Department’s Manual of Policies and Procedures (“MPP”), sections
30-700, et seq. The Department
issues additional guidance on IHSS benefits in All-County Letters (“ACL”) to
county departments. Some pertinent
provisions of the MPP and All-County Letters are summarized in the
administrative decision. (AR 14-24.)
1. Personal Care Services
Personal
care services are a type of IHSS benefit. (Welf. & Inst. Code § 12300(b).)
Available services include assistance with bathing, oral hygiene, and grooming;
dressing; laundry; bowel, bladder, and menstrual care; transfers; feeding; and
respiration. (Welf. & Inst. Code § 12300(c).) To qualify for any category of personal care
services, a minor must demonstrate an extraordinary need. All County Letter
(ACL) 17-42 defines extraordinary need as “a need that is based on the
functional impairment due to the minor’s disability and that is beyond what
would normally be expected for a minor of the same age without the functional
impairment.” (ACL 17-42 at 3; see AR 16.)
2. Protective Supervision
Protective
supervision is another IHSS supportive service.
(Welf. & Inst. Code
§ 12300(b).) “Protective supervision” consists of
observing recipient behavior and intervening as appropriate to safeguard the
recipient against injury, hazard, or accident. (MPP § 30- 757.17.)
The Department’s regulations, and case law, define the
purpose and form of protective supervision, which, in essence, determines the
eligible recipients of this benefit . . . .
Some recipients are old, suffering degenerative diseases. Others are young but [developmentally
disabled], epileptic, blind, brain damaged or schizophrenic. The recipients
cannot protect themselves from injury. Some are self-destructive.
(Calderon v.
Anderson (1996) 45 Cal.App.4th 607, 614-615, internal citations
omitted.) During the time relevant to
this petition, protective supervision was defined as a benefit available for monitoring
the behavior of “non-self-directing, confused, mentally impaired, or mentally
ill persons only.” (MPP § 30-757.171; see AR 19.) Protective supervision is only authorized if
“[a]t the time of the initial assessment or reassessment, a need exists for
twenty-four-hours-a-day of supervision in order for the recipient to remain at
home safely.” (MPP § 30-757.173(a).) Protective
supervision is provided because of functional limitations of the recipient and
cannot be authorized for routine childcare or supervision. (MPP § 30-763.456(d).) Furthermore, “[p]rotective Supervision
requires a 24/7 need, so if the behavior in question is considered predictable,
and the need for supervision is at certain times of the day, there is no
Protective Supervision eligibility because there is not a 24 hour-a-day need.” (ACL 15-25 at 5.)
California law
requires social services staff to request “that a person requesting protective
supervision submit [medical] certification to the county.” (Welf. & Inst. Code § 12301.21(b).) That
certification is made on a standard form (the “SOC 821”), which must be
completed by a physician or other qualified medical professional. (MPP § 30-757.173(a)(1); see AR 19.) “The completed form SOC 821 (3/06) shall not
be determinative, but considered as one indicator of the need for Protective
Supervision.” (MPP § 30-757.173(a)(3).) Other pertinent information in assessing the
need for protective supervision includes the social worker’s interview with the
recipient. (MPP § 30-757.173(a)(5).)
MPP section
30-757.172 specifies five circumstances in which protective supervision is not
authorized:
(a)
For
friendly visiting or other social activities.
(b)
When
the need is caused by a medical condition and the form of the supervision
required is medical.
(c)
In
anticipation of a medical emergency.
(d)
To
prevent or control anti-social or aggressive recipient behavior.
(e)
To
guard against deliberate self-destructive behavior, such as suicide, or when an
individual knowingly intends to harm himself/herself.
(See AR
22.)
B. Petitioner’s Application for Personal
Care Services and Protective Supervision
Recipient
is a four-year-old girl who lives with Petitioner, her mother, and her two
teenage sisters in a second-floor apartment.
(AR 3.) Recipient is diagnosed
with autism and intellectual disability and is nonverbal. (Ibid.) Recipient attends a special education
preschool for three hours per day. (Ibid.)
On
March 22, 2023, Petitioner applied to Los Angeles County (the “County”) for
IHSS benefits on behalf of Recipient.
(AR 3.) On May 12, 2023, a social
worker for the County (the “social worker”) conducted a home visit that lasted
for about 90 minutes. (Ibid.) The social worker observed Recipient’s
behaviors and assessed her needs for multiple personal services and protective
supervision. (AR 181-186.) Based on Recipient wearing diapers at age
four, the County approved Recipient to receive 24 hours and 11 minutes of bowel
and bladder care services per month. (AR
30, 103.) For all other personal care
services categories, the County determined that Recipient did not demonstrate
extraordinary need. (AR 30, 119,
175–177, 181-186.) The County also
determined Recipient to be ineligible for protective supervision. (AR 103-106, 181-186.)
On
June 19, 2023, the County mailed a Notice of Action (“NOA”), authorizing 24
hours and 11 minutes of bowel and bladder care per month and denying
Petitioner’s application for protective supervision and other personal care services.
(AR 113.) Petitioner filed a request for an
administrative appeal on July 13, 2023. (AR
3.)
C. Administrative Hearing and Decision
An administrative law judge (the
“ALJ”) conducted an administrative hearing on September 20, 2023, to consider
Petitioner’s appeal of the County’s denial of personal care services hours for laundry,
feeding, dressing, bathing, oral hygiene, and grooming, as well as the denial
of protective supervision. (AR 3,
197.) At the hearing, Petitioner and her
authorized representative, David Khoury, appeared on behalf of Petitioner. (AR 195-196.) Janel Carrera and the social worker appeared
on behalf of the County. (AR 195.) Both
parties submitted documentary evidence, including the form SOC 821 prepared by
Recipient’s pediatrician, Petitioner’s handwritten description of Recipient’s
behaviors, Recipient’s Individualized Education Plan (“IEP”) and Individual
Program Plan (“IPP”), a Protective Supervision 24-Hour Coverage Plan (form SOC
825), and the social worker’s case assessment narrative. (AR 3-6, 32-191.)
Petitioner
and the social worker provided contrasting accounts of the existence and
frequency of Recipient’s needs for personal care services and protective
supervision. Petitioner testified that
Recipient picks her nose to the point of causing nosebleeds every day, has toileting
accidents multiple times a day, and plays with her feces, causing Petitioner to
change Recipient five to six times a day and do extra laundry. (AR 202-203.)
Petitioner testified that Recipient does not feed herself or drink at all
without assistance (AR 213-219); Recipient is uncooperative when getting
dressed (AR 224-225); Petitioner bathes Recipient four times a day due to
Recipient’s accidents; and Recipient fights the bathing (AR 227-231). The social worker testified that Petitioner
did not report all these concerns during the intake assessment, including the nosebleeds,
toileting accidents, and playing with feces. (AR 208–209, 221, 226.)
With
respect to protective supervision, the social worker testified that she
determined that Recipient has mental impairment, is non-self-directing, and
engages in potentially dangerous behavior, namely head banging. (AR 232-234.)
However, the social worker determined that Recipient is not entitled to
protective supervision because she “doesn’t engage in dangerous behaviors
besides the head banging.” (AR
234.) The social worker testified that
no events of Recipient eloping, wandering, or playing with dangerous or sharp
items were reported during the intake assessment. (AR 233-234.)
In contrast, Petitioner testified at the hearing that Recipient engages
in many types of dangerous behavior, including attempting to elope, climbing on
furniture, running into things, placing non-edible items in her mouth, grabbing
sharp objects, having meltdowns causing self-injury, not having stranger
danger, not sleeping through the night, and playing with stove knobs. (AR 235-270.) Petitioner testified that she did not report
all these behaviors during the intake assessment because she “was just barely
getting to know [her] daughter,” and she “didn’t know exactly what [she] had to
report at the moment.” (AR 235.)
After
considering the evidence, the ALJ affirmed the County’s determinations
regarding personal care services and protective supervision. (AR 3-29.)
For the most part, the ALJ did not find Petitioner’s testimony to be
credible because, the ALJ reasoned, there was a lack of corroboration in the
documentary evidence. (Ibid.) On October 6, 2023, Respondent adopted the
ALJ’s proposed decision as the final decision of the Department. (AR 2.)
Petitioner requested a rehearing on November 3, 2023. (AR 190.) The CDSS State Hearings Division denied the
rehearing request on January 16, 2024, explaining that the ALJ “provided a
detailed summary of the evidence and made findings consistent with that
evidence.” (AR 191.) This petition for
writ of mandate followed.
STANDARD OF REVIEW
Under Code of
Civil Procedure section 1094.5(b), the pertinent issues are whether the
respondent has proceeded without jurisdiction, whether there was a fair trial,
and whether there was a prejudicial abuse of discretion. An abuse of discretion is established if the
agency has not proceeded in the manner required by law, the decision is not
supported by the findings, or the findings are not supported by the
evidence. (Code Civ. Proc. § 1094.5(b).)
“In reviewing decisions denying
applications for public assistance . . . , the superior court exercises its
independent judgment” on the record. (Norasingh v. Lightbourne (2014) 229
Cal.App.4th 740, 752.) Under the
independent judgment test, “the trial court not only examines the
administrative record for errors of law, but also exercises its independent
judgment upon the evidence disclosed in a limited trial de novo.” (Bixby v. Pierno (1971) 4 Cal. 3d 130,
143.) The court must draw its own
reasonable inferences from the evidence and make its own credibility
determinations. (Morrison v. Housing Authority of the City of Los Angeles Board of
Commissioners (2003) 107 Cal. App. 4th 860, 868.)
An agency is
presumed to have regularly performed its official duties. (Evid. Code
§ 664.) “In exercising its independent judgment, a
trial court must afford a strong presumption of correctness concerning the
administrative findings, and the party challenging the administrative decision
bears the burden of convincing the court that the administrative findings are
contrary to the weight of the evidence.”
(Fukuda v. City of Angels
(1999) 20 Cal. 4th 805, 817.) When an appellant
challenges “the sufficiency of the evidence, all material evidence on the point
must be set forth and not merely [her] own evidence.” (Toigo
v. Town of Ross (1998) 70 Cal.App.4th 309, 317.) A reviewing court “will not act as counsel
for either party to an appeal and will not assume the task of initiating and
prosecuting a search of the record for any purpose of discovering errors not
pointed out in the briefs.” (Fox v. Erickson (1950) 99 Cal.App.2d
740, 742.)
The court
exercises its independent judgment on questions of law arising in mandate
proceedings. (See Christensen v. Lightbourne (2017) 15 Cal.App.5th 1239, 1251.) The interpretation of statute or regulation
is a question of law. (See State Farm
Mut. Auto. Ins. Co. v. Quackenbush (1999) 77 Cal.App.4th 65, 77.)
DISCUSSION
Petitioner
contends that the weight of the evidence does not support Respondent’s decision
to deny IHSS hours for laundry, feeding, dressing, bathing, oral hygiene,
grooming, and protective supervision. (Opening
Brief (“OB”) 8-10; Reply 2-4.)
Petitioner contends that Respondent prejudicially abused her discretion
by minimizing the SOC 821 prepared by Recipient’s pediatrician, among other documentary
evidence, and by “dismiss[ing] the Petitioner’s testimony simply because
certain points were not conveyed to everyone with whom the Petitioner came in
contact concerning the Recipient.”
(Reply 3-4.)
Before
reaching these arguments, the court observes that Recipient has been diagnosed
with autism and intellectual disability, and she is nonverbal. (AR 3.)
Recipient’s pediatrician concluded that Recipient “has severe memory
deficits, severe disorientation, and severely impaired judgment.” (AR 4.) Similarly, after observing Recipient for 90
minutes, the social worker determined that Recipient has mental impairment, is
non-self-directing due to mental impairment, and engages in potentially
dangerous behavior, namely head banging.
(AR 182-183, 232-234.) These
facts are not disputed.
A. Personal Care Services
1. Laundry – GRANTED
Respondent
found that Recipient does not have an extraordinary need for laundry
services. (AR 6-8.) Among other reasons, Respondent found that
Petitioner did not report toileting accidents, frequent nose bleeds, or
Recipient playing with feces to the social worker and such behaviors were not
observed during the social worker’s home visit.
(Ibid.) The court finds
that the weight of the evidence does not support this finding.
At
the hearing, Petitioner testified that Recipient picks her nose to the point of
causing nosebleeds every day, has toileting accidents multiple times a day, and
plays with her feces four or five times a week, all of which causes Petitioner
to change Recipient five to six times a day and do extra laundry. (AR 202-206.) Petitioner testified in detail about the
reasons she believes Recipient has an extraordinary need for laundry
services. To illustrate, Petitioner
testified as follows with respect to Recipient playing with feces:
ALJ WORTHINGTON:
Okay. So how is she leaking through her diaper multiple times a day? Can you
explain that?
V. GAMBOA: She --
when she does have accidents, she does play with her poop, so she cleans
herself with her -- her clothes.
ALJ WORTHINGTON:
All right.
V. GAMBOA: So I
have to be consistent washing after.
ALJ WORTHINGTON:
Okay. So she -- is she sticking her hand into her diaper?
V. GAMBOA: Yes.
ALJ WORTHINGTON:
Okay. And it –
V. GAMBOA: Or she
pulls her diaper off, and stuff like that.
ALJ WORTHINGTON:
Okay. And what does she do with it? Is she treating it like playdough? Is she,
like, just treating it like mud? Is she, like, rubbing it on herself? What is
she doing with the (crosstalk)?
V. GAMBOA: She
plays with it. She puts it in her mouth. She rubs her eyes with it.
ALJ WORTHINGTON:
Did you report this to the social worker?
V. GAMBOA: Yes.
(AR
205-206.)
As the social worker acknowledged,
Petitioner’s testimony was concerning and suggests an extraordinary need for
laundry services (and also protective supervision). (AR 208-209.)
Nonetheless, Respondent did not believe Petitioner’s testimony because the
social worker testified that the nosebleeds, playing with feces, and having to
change Recipient multiple times throughout the day were not reported at the
time of the assessment on May 12, 2023.
(AR 208-209.)
Respondent
prejudicially abused her discretion.
Weighing the evidence, the court finds that Petitioner’s testimony about
the need for laundry services was credible and sufficiently corroborated by the
documentary evidence. In the case
assessment narrative, the social worker ranked Recipient as a “4” in
bowel/bladder care and noted that Recipient is not potty trained and needs
substantial human assistance in that area.
(AR 182.) This documentary
evidence is consistent with Petitioner’s testimony that Recipient has frequent
toileting accidents and must regularly change her clothes.
Moreover,
as noted in the social worker’s narrative, Petitioner did report that Recipient
plays with feces in the form SOC 825, Protective Supervision 24-Hours-a-Day
Coverage Plan, which Petitioner prepared on May 18, 2023, just six days after
meeting with the social worker. (AR 185,
121.) Specifically, in the form SOC 825,
Petitioner wrote that Recipient “has a habit of playing with her
poop she sometimes puts it in her mouth. . . .” (AR 122 [emphasis added].) Although Respondent highlights the word
“sometimes” in her decision (AR 7-8), the word “habit” indicates that Recipient
regularly plays with her feces, which is consistent with Petitioner’s testimony
at the hearing.
Although
the nosebleeds do not appear in the documentary record, Petitioner’s testimony
adequately supports that Recipient sometimes picks her nose and has nosebleeds
that soil her clothing. Regardless of
whether the nosebleeds occur every day, as Petitioner testified, the evidence
shows that Recipient has an extraordinary need for laundry services for
multiple reasons. Accordingly, the court
finds that the weight of the evidence does not support Respondent’s findings to
deny IHSS hours for laundry services.
(AR 6-8.)
2. Feeding – DENIED
Respondent
found that Recipient does not have an extraordinary need for feeding
services. (AR 8-9.) Respondent reasoned that there was “a lack of
evidence in the documentation” corroborating Petitioner’s testimony that
Recipient has severe feeding limitations.
(Ibid.) The court finds
that the weight of the evidence supports this finding.
Petitioner
testified that the child “does not eat at all,” requiring Petitioner to
spoon-feed her and make sure she swallows. (AR 213–215.)
Petitioner testified that Recipient cannot hold a bottle or cup and needs
constant assistance. (Ibid.) Notably, Petitioner acknowledged that Recipient
is about 80 pounds and eats breakfast, lunch, dinner, and three snacks a day,
albeit with assistance. (AR
219-221.) In contrast, the social worker
testified that, at the intake assessment, Petitioner reported that Recipient is
able to feed herself with either a spoon or biting with her hands, and that
Recipient is able to hold a sippy cup or water bottle and drink out of it
herself. (AR 221.) The Individualized Education Program (“IEP”),
prepared for Recipient in February 2023, states that “there is no report of difficulty
with chewing or swallowing” and “oral motor skills were deemed to be within
functional limits.” (AR 148.) The social worker’s case assessment narrative
does not identify any feeding limitations and states that Recipient “feed[s]
self while using hands or spoon utensil, hold[s] sippy cup or water bottle and
drink[s] by herself.” (AR 182.) Exercising its independent judgment, the
court finds insufficient corroboration for Petitioner’s testimony that
Recipient has an extraordinary need for feeding services. Further, Petitioner’s testimony conflicts
with the social worker’s testimony, the IEP, and the case assessment
narrative. Accordingly, the court finds
that the weight of the evidence supports Respondent’s findings to deny IHSS
hours for feeding services. (AR 8-9.)
3. Dressing – GRANTED
Respondent
found that Recipient does not have an extraordinary need for dressing services
“based on the documentary evidence that is inconsistent with the claimant’s
testimony.” (AR 9.) The court finds that the weight of the
evidence does not support this finding.
Petitioner
testified that Recipient needs to change her clothes multiples times a day
because of the toileting accidents, nose bleeds, and playing with feces. (AR 204-205, 224.) Petitioner also testified that Recipient is
uncooperative when getting dressed: “I have to pick up her legs and put her,
you know, her pants on. She just stands, she does not help. She does not
understand the problem. . . . [S]he
fights me consistently.” (AR
224-225.) Petitioner testified it takes
about 15 minutes every time she changes Recipient. (AR 225.)
The social worker testified that “during the assessment, it was reported
to me that the Recipient is able to take off her pants independently, and she
is able to put on slide-on shoes.
However, sometimes she puts them on the wrong feet.” (AR 226.)
However, the social worker’s testimony and case assessment narrative do
not elaborate or summarize the questions that were asked about dressing at the
home visit, which was only 90 minutes.
(AR 226, 181-184.) As discussed
above, there is corroboration in the documentary evidence for Petitioner’s
testimony about toileting accidents and playing with feces. (See AR 185 [habit of playing with
feces].) Further, the Multi-Disciplinary
Psycho-Education Evaluation for Recipient, dated February 6, 2023, states in
pertinent part:
Observation/School
Psychologist – . . . During the assessment, the recipient presented with poor
eye contact, did not respond to her name being called, attempted to elope, was
easily frustrated, and easily upset.
Recipient presented aggressive behaviors where she hit her parents when
she was frustrated ….
Adaptive/Daily
Living Development – Recipient’s
conceptual skills which include communication, functional academics, and
self-direction are extremely low and below expectancy when compared to same age
peers. Her practical adaptive
behaviors including community use, school living, health
and safety, and self-care are in the extremely low range and
below expectancy when compared to same age peers.
(AR
184.) This description of Recipient in
the documentary record is consistent with Petitioner’s testimony that Recipient
does not cooperate and “fights me consistently” when dressing. Weighing the evidence, the court finds that
Petitioner’s testimony about the dressing needs of Recipient is credible and
sufficiently corroborated by the documentary records. Accordingly, the court finds that the weight
of the evidence does not support Respondent’s findings to deny IHSS hours for
dressing services. (AR 9.)
4. Bathing, Oral Hygiene, and Grooming[1] – GRANTED
Respondent
found that Recipient does not have an extraordinary need for bathing, oral
hygiene, and grooming services. The
weight of the evidence does not support that finding. The Respondent found “that the child does not
engage in feces play or have frequent enough accidents to merit” bathing
services and there is a “lack of documentary evidence consistent with the
claimant’s testimony.” (AR 9-10.) For the reasons discussed above with respect
to laundry and dressing services, the court concludes that these findings are
not supported by the weight of the evidence.
Exercising its independent judgment, the court concludes that
Petitioner’s testimony and the documentary evidence show an extraordinary need
for bathing, oral hygiene, and grooming services, including because of
Recipient’s frequent toileting accidents, her habit of playing with feces, her
bloody noses, and her lack of cooperation when bathing. (See e.g. AR 202-203, 224-234, 182-185,
53.) Accordingly, the court finds that
the weight of the evidence does not support Respondent’s findings to deny IHSS
hours for bathing, oral hygiene, and grooming services. (AR 9-10.)
B. Protective Supervision – GRANTED
To obtain protective supervision, Petitioner must show that: (1)
Recipient has a mental impairment; (2) Recipient is non-self-directing; (3) Recipient
is likely to engage in potentially dangerous activities; and (4) There is a
need for 24-hour supervision. (MPP § 30-757.171,
§ 30-757.173(a), § 30-763.456(d); Calderon,
supra, 45 Cal.App.4th at
616; see AR 19.)
1. Mental Impairment
There is no dispute that Recipient “has a mental impairment because she
is diagnosed with autism and intellectual disability.” (AR 10.)
This element is satisfied.
2. Non-Self-Directing
“[P]rotective
supervision is available for those IHSS beneficiaries who are
non-self-directing, in that they are unaware of their physical or mental
condition and, therefore, cannot protect themselves from injury, and who would most likely engage
in potentially dangerous activities.” (Calderon,
supra, 45 Cal.App.4th at 616; accord Marshall v. McMahon (1993) 17
Cal.App.4th 1481, 1486-87.) The social
worker found that Recipient satisfied this requirement. (AR 10, 182-183.) Respondent rejected this determination,
finding that Recipient is self-directing because Recipient “has a good memory
and enjoys matching games;” she “can navigate around her home and pull the
claimant towards food or the door to communicate her needs;” and because her
tantrums and head-banging are “intentional… behavior to achieve a desired
result.” (AR 27-28.)
Exercising its independent
judgment on the record, the court concludes that the weight of the evidence
does not support the Respondent’s finding that Recipient is
self-directing. In the SOC 821,
Recipient’s pediatrician concluded that Recipient “has severe memory deficits,
severe disorientation, and severely impaired judgment.” (AR 4.)
Further, the pediatrician found that Recipient has “permanent” and
“severe autism;” she “does not communicate;” she has the physical capacity to
place herself in a situation which would result in injury, hazard or accident;
and she “throws temper tantrums [and] bangs her head.” (AR 53.)
Similarly, after observing Recipient for 90 minutes, the social worker
determined that Recipient has mental impairment and is non-self-directing due
to mental impairment. (AR 182-183,
232-234.) The Multi-Disciplinary
Psycho-Education Evaluation for Recipient, dated February 6, 2023, also reports
that Recipient’s self-direction is “extremely low.” (AR 184.)
The County did not present any medical or expert opinion that conflicts
with these findings. Further, at the
hearing, Petitioner testified at length about Recipient’s mental impairment,
her unawareness of the condition, and her inability to protect herself from injury.
(AR 201-270.) The court has
considered the evidence cited in the decision and in Respondent’s opposition
brief. Respondent has not identified
sufficient reasons to disbelieve Petitioner’s testimony, which is corroborated
by the opinions of the pediatrician, the social worker, and the Multi-Disciplinary
Psycho-Education Evaluation. Accordingly, the court finds that the
weight of the evidence does not support Respondent’s findings that Recipient is
self-directing. (AR 27-28.)
3. Potentially Dangerous Activities and
Need for 24-Hour Supervision
Respondent found that Recipient is not likely to engage in potentially
dangerous activities and does not need 24-hour supervision because her head
banging is “mild.”[2] Respondent also found that “attempted eloping
from the house, climbing furniture and jumping off, running into walls,
mouthing nonfood objects, rummaging through kitchen cabinets and touching sharp
objects, or biting herself and hitting herself during meltdowns [were] not
occurring with sufficient frequency to merit reporting to evaluators and are
therefore not likely to occur.” (AR
29.) Respondent found that Petitioner’s
testimony about these “concerning behaviors” was not credible because she
failed to report them “to the social worker, the pediatrician, the Regional
Center, the psychoeducational evaluator, or the school district.” (AR 14.)
The weight of the evidence does not support Respondent’s finding. As discussed above, Petitioner
testified that Recipient picks her nose to the point of causing nosebleeds
every day and plays with her feces four or five times a week. (AR 202-206.)
As discussed above, there is corroboration in the documentary evidence
for Petitioner’s testimony about Recipient playing with feces. (AR 185 [habit of playing with feces].) There is testimony that Recipient attempts to
put her own feces in her mouth and eyes.
(AR 205-206.) Further,
Petitioner’s testimony adequately supports that Recipient sometimes picks her
nose and has nosebleeds that soil her clothing.
These behaviors, in themselves, show a need for protective
supervision.
Petitioner also
testified at the hearing that Recipient engages in many types of dangerous
behavior, including head banging, attempting to elope, climbing on furniture,
running into things, placing non-edible items in her mouth, grabbing sharp
objects, having meltdowns causing self-injury, not having stranger danger, not
sleeping through the night, and playing with stove knobs. (AR 235-270.) There is sufficient corroboration for
Petitioner’s testimony in the documentary evidence. As an example, Petitioner testified that
Recipient does not sleep well: “she’ll go to sleep at 10:00 [pm]. She’ll wake
up, I could say, like, at 1:00 [am], and then she’ll stay up all day.” (AR 262.)
The social worker’s case assessment narrative corroborates this
testimony and states that Recipient “stays awake during the night.” (AR
184.) The case assessment narrative
states:
Recipient’s mother reported
that she believes Recipient is unaware of her surroundings
. . . . Recipient’s mother
also believes Recipient is unable to comprehend right from wrong/danger. Recipient’s mother expressed that she
believes Recipient will go with anyone who grabs her hand. . . .
(AR 184.) The
Multi-Disciplinary Psycho-Education Evaluation states that Recipient’s
“practical adaptive behaviors including community use, school living, health
and safety, and self-care are in the extremely low range and below expectancy
when compared to same age peers.” (AR
184.) This evaluation states that
Recipient “does elope” and “is able to elope only if given the
opportunity.” (Ibid.) Recipient’s IEP states that Petitioner
reported concerns about Recipient’s “aggressiveness” and that she “is destructive.” (Ibid.) In form SOC 825, prepared shortly after the
home visit with the social worker, Petitioner reported that Recipient “lack[s]
understanding of what is safe to eat as she occasionally plays with and puts
feces in her mouth, she opens sliding doors, climbs chairs and cabinets,
touches the stove not knowing it’s temperature, opens the refrigerator and puts
any item in her mouth.” (AR 185.)
Weighing the
evidence, the court credits Petitioner’s testimony that Recipient is likely to engage in potentially dangerous
activities and that there is a need for 24-hour supervision. The court also finds sufficient corroboration
of this testimony in the documentary evidence, including the SOC 821 prepared
by Recipient’s pediatrician and in the SOC 825 prepared by Petitioner shortly
after the social worker visit. Accordingly,
the court finds that the weight of the evidence does not support
Respondent’s findings that Recipient is not entitled to protective
supervision. (AR 27-28.)
CONCLUSION AND ORDER
Based
upon the foregoing, the court orders as follows:
1. The petition for writ of mandate is
granted in part and denied in part.
2. Exercising its independent judgment on the
record, the court finds:
a. The weight of the evidence does not
support Respondent’s findings that Recipient is not entitled to personal care
services for laundry, dressing, and bathing, oral hygiene, and grooming.
b. The weight of the evidence does not
support Respondent’s finding that Recipient is not entitled to protective
supervision.
c. The weight of the evidence does, in
fact, support Respondent’s finding that Recipient is not entitled to personal
care services for feeding.
3. The
court will issue a writ directing Respondent to set aside those findings and
reconsider the case in light of the court’s opinion and judgment. (Code Civ. Proc. § 1094.5(f).) This order “shall not limit or control in any
way the discretion legally vested in the respondent.” (Ibid.)
4. The court substitutes Jennifer Troia for the former
director, Kimberly Johnson, and orders the clerk to update the docket.
5. The
parties shall meet-and-confer and lodge a proposed judgment forthwith.
6. The
court’s clerk shall provide notice.
IT IS SO ORDERED
Dated: May 14,
2025 ______________________
Stephen
I. Goorvitch
Superior
Court Judge
[1]
Bathing,
oral hygiene, and grooming are treated as a single personal care service in the
Notice of Action (AR 113) and Respondent’s decision (AR 9-10).
[2] Protective
supervision is not authorized: (1) To prevent or control anti-social or
aggressive recipient behavior; and (2) To guard against deliberate
self-destructive behavior, such as suicide, or when an individual knowingly
intends to harm himself/herself. (See
MPP section 30-757.172; AR 22.)
Unlike the social worker, Respondent did not specifically find that the
head banging was excluded for either of these reasons. (See AR 10-14, 29.) Regardless, exercising its independent
judgment, the court finds that Recipient’s potentially dangerous activities are
not excluded under section 30-757.172.