Gutteridge v. State of Oklahoma , 878 F.3d 1233 ( 2018 )


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  •                                                                                 FILED
    United States Court of Appeals
    PUBLISH                              Tenth Circuit
    UNITED STATES COURT OF APPEALS                      January 3, 2018
    Elisabeth A. Shumaker
    FOR THE TENTH CIRCUIT                          Clerk of Court
    _________________________________
    DONALD JOE GUTTERIDGE, JR., as
    limited guardian of D.C., a minor child,
    Plaintiff - Appellant,
    v.                                                        No. 16-6321
    STATE OF OKLAHOMA; OKLAHOMA
    DEPARTMENT OF HUMAN SERVICES;
    BETHANIE KUZMA, an individual;
    SHANNON MCELROY, an individual;
    SCOTT BATISTE, an individual; MISTY
    JENNINGS-NELSON, an individual;
    BETTY JOHNSON, an individual; RENEE
    FIELDS, an individual; REGINA
    BENSON, an individual,
    Defendants - Appellees,
    _________________________________
    Appeal from the United States District Court
    for the Western District of Oklahoma
    (D.C. No. 5:13-CV-00816-C)
    _________________________________
    Michael L. Brooks, The Brooks Law Firm, Oklahoma City, Oklahoma (David W. Van
    Meter, Van Meter Law Firm, Oklahoma City, Oklahoma, Charles J. Watts, and Ellen M.
    Watts, Oklahoma City, Oklahoma, with him on the briefs), for Plaintiff-Appellant.
    John K.F. Langford (Emily B. Fagan, with him on the brief), Oklahoma Department of
    Human Services, Oklahoma City, Oklahoma, for Defendants-Appellees.
    _________________________________
    Before KELLY, MURPHY, and MORITZ, Circuit Judges.
    _________________________________
    MORITZ, Circuit Judge.
    _________________________________
    Plaintiff Donald Gutteridge, Jr. appeals the district court’s order granting
    summary judgment to the defendants on two claims arising from injuries suffered by
    D.C., a child who was then in Oklahoma’s foster-care system.
    We agree with the district court that the individual defendants are entitled to
    qualified immunity on Gutteridge’s 42 U.S.C. § 1983 claim. Likewise, we agree that
    Gutteridge’s state-law tort claim is barred to the extent it arises from D.C.’s
    placement in two different foster homes. Accordingly, we affirm in part. But to the
    extent Gutteridge’s state-law law claim instead arises from the alleged failure to
    timely remove D.C. from one of those homes and the alleged failure to provide D.C.
    with timely medical care for injuries she suffered there, the placement exemption
    doesn’t apply. Thus, we reverse in part and remand for further proceedings.
    I
    D.C. is a minor child who was born in April 2008. Soon thereafter, she was
    diagnosed with cerebral palsy. Gutteridge is her limited guardian.
    In 2010, the Oklahoma Department of Human Services (OKDHS) removed
    D.C. from the home of her biological parents and placed her in the foster-care home
    of Carolyn Funk. While there, D.C. suffered an unexplained shoulder fracture.
    OKDHS removed D.C. from Funk’s home pending an investigation. But it returned
    D.C. to the Funk home after concluding that any allegations of abuse were
    unsubstantiated.
    2
    A few months later, D.C.’s biological father reported to OKDHS that Funk had
    allowed D.C. to fall backward and hit her head in the bathtub in order to teach D.C.
    not to lean back in the tub. And approximately seven months after that, OKDHS
    learned of severe bruising and a raised knot on D.C.’s forehead. OKDHS again
    investigated and again found no evidence of neglect or abuse. Nevertheless, OKDHS
    immediately removed D.C. from Funk’s home at Funk’s request.
    OKDHS then placed D.C. in the foster-care home of Pat LeBarre.
    Approximately two weeks later, LeBarre noticed D.C. having what appeared to be a
    seizure. After LeBarre reported D.C.’s condition to OKDHS, LeBarre and an
    OKDHS employee took D.C. to a local doctor’s office. D.C. was then transported to
    a hospital, where testing revealed injuries consistent with abusive head trauma.
    OKDHS later concluded that this head trauma—which ultimately resulted in
    permanent brain damage—was the result of abuse or neglect that D.C. suffered while
    in LeBarre’s care.
    D.C.’s biological father brought suit in state court against OKDHS and several
    of its employees. After the defendants removed the action to federal court, Gutteridge
    substituted himself as the plaintiff and filed an amended complaint. As relevant here,
    Gutteridge asserted two claims: (1) a state-law tort claim against OKDHS; and (2) a
    § 1983 claim against OKDHS employees Bethanie Kuzma, Shannon McElroy, Scott
    Batiste, Misty Jennings-Nelson, Betty Johnson, Renee Fields, and Regina Benson
    (the individual defendants), alleging they violated D.C.’s substantive due process
    rights.
    3
    The individual defendants and OKDHS moved for summary judgment. In
    relevant part, the individual defendants asserted that they are entitled to qualified
    immunity. And OKDHS argued that it’s exempt from liability under Oklahoma’s
    Governmental Tort Claims Act (GTCA). See Okla. Stat. Ann. tit. 51, § 155(29) (“The
    state or a political subdivision shall not be liable if a loss or claim results from
    . . . [a]ny claim based upon an act or omission of an employee in the placement of
    children.”).
    The district court agreed on both counts. First, in concluding that the
    individual defendants are entitled to qualified immunity, it ruled that Gutteridge
    failed to establish a Fourteenth Amendment violation because the individual
    defendants’ actions don’t “shock the conscience.” App. vol. 22, 1767. Second, it
    ruled that Gutteridge’s state-law claim against OKDHS is indeed barred because it
    arises from D.C.’s “placement” with Funk and LeBarre. Okla. Stat. Ann. tit. 51,
    § 155(29). Accordingly, the district court granted summary judgment to the
    individual defendants and to OKDHS. Gutteridge appeals.
    II
    A
    Gutteridge first argues that the district court erred in ruling that the individual
    defendants are entitled to qualified immunity on his § 1983 claim. We review de
    novo the district court’s order granting summary judgment to the individual
    defendants on qualified-immunity grounds. Felders ex rel. Smedley v. Malcom, 
    755 F.3d 870
    , 877 (10th Cir. 2014).
    4
    “The doctrine of qualified immunity shields officials from civil liability so
    long as their conduct ‘does not violate clearly established statutory or constitutional
    rights of which a reasonable person would have known.’” Mullenix v. Luna, 136 S.
    Ct. 305, 308 (2015) (quoting Pearson v. Callahan, 
    555 U.S. 223
    , 231 (2009)). “When
    a defendant asserts qualified immunity at summary judgment, the burden shifts to the
    plaintiff, who must clear two hurdles in order to defeat the defendant’s motion.”
    Riggins v. Goodman, 
    572 F.3d 1101
    , 1107 (10th Cir. 2009). First, “[t]he plaintiff
    must demonstrate on the facts alleged . . . that the defendant violated his [or her]
    constitutional or statutory rights.” 
    Id. Second, the
    plaintiff must demonstrate “that the
    right was clearly established at the time of the alleged unlawful activity.” 
    Id. “If, and
    only if, the plaintiff meets this two-part test does a defendant then bear the traditional
    burden of the movant for summary judgment—showing ‘that there are no genuine
    issues of material fact and that he or she is entitled to judgment as a matter of law.’”
    Nelson v. McMullen, 
    207 F.3d 1202
    , 1206 (10th Cir. 2000) (quoting Albright v.
    Rodriguez, 
    51 F.3d 1531
    , 1535 (10th Cir. 1995)).
    Here, the district court concluded that Gutteridge’s § 1983 claim faltered at the
    first of these two hurdles: it ruled that Gutteridge failed to demonstrate the individual
    defendants violated D.C.’s substantive due process rights under the Fourteenth
    Amendment. For the reasons discussed below, we agree.
    “[S]tate actors are generally only liable under the Due Process Clause for their
    own acts and not for private violence . . . .” Uhlrig v. Harder, 
    64 F.3d 567
    , 572 (10th
    Cir. 1995). Thus, the individual defendants typically wouldn’t be liable for any acts
    5
    of “private violence” that Funk or LeBarre may have perpetrated against D.C. while
    she was in their care. 
    Id. But “there
    are two recognized . . . exceptions” to this
    general rule: “(1) the special relationship doctrine; and (2) the ‘danger creation’
    theory.” 
    Id. Gutteridge relies
    on the first of these two exceptions here.
    The special-relationship doctrine “protects individuals”—including foster
    children—“who involuntarily enter state custody and subsequently become reliant on
    the State, through its agencies and officials, to provide their basic human needs,
    paramount among those safety.” Schwartz v. Booker, 
    702 F.3d 573
    , 585 (10th Cir.
    2012); see also 
    id. at 580
    (“[F]oster care is recognized as one of the custodial
    relationships that creates a special relationship.”). This “special relationship triggers
    a continuing duty” that “is subsequently violated if a state official ‘knew of the
    asserted danger to [a foster child] or failed to exercise professional judgment with
    respect thereto, . . . and if an affirmative link to the injuries [the child] suffered can
    be shown.’” 
    Id. at 580
    (alterations in original) (quoting Yvonne L. ex rel. Lewis v.
    N.M. Dep’t of Human Servs., 
    959 F.2d 883
    , 890 (10th Cir. 1992)).
    But as the district court pointed out, it appears this court requires more than a
    state official’s mere failure to exercise professional judgment; instead, to sustain a
    claim under the special-relationship doctrine, a plaintiff must demonstrate that the
    defendant “abdicated her professional duty sufficient to shock the conscience.”
    
    Schwartz, 702 F.3d at 585
    –86 (emphasis added); see also Cty. of Sacramento v.
    Lewis, 
    523 U.S. 833
    , 847 (1998) (“[T]he substantive component of the Due Process
    Clause is violated by executive action only when it ‘can properly be characterized as
    6
    arbitrary, or conscience shocking, in a constitutional sense.’” (quoting Collins v. City
    of Harker Heights, 
    503 U.S. 115
    , 128 (1992))).
    Here, the district court concluded that the individual defendants were “[no]
    more than negligent” in placing D.C. with LeBarre. App. vol. 22, 1767. And it
    reasoned that they were “at most reckless or negligent” in their dealings with Funk.
    
    Id. Thus, the
    district court ruled, the individual defendants’ conduct doesn’t “shock
    the conscience” and therefore can’t form the basis of a special-relationship claim. 
    Id. On appeal,
    Gutteridge raises four challenges to this ruling. First, Gutteridge
    asserts that the district court erred in requiring him to demonstrate both that the
    individual defendants (1) failed to exercise professional judgment and (2) did so in a
    manner that shocks the conscience. Instead, Gutteridge asserts, a state employee’s
    failure to exercise professional judgment vis-à-vis a foster child necessarily shocks
    the conscience. More specifically, Gutteridge argues, “abdication of professional
    judgment represents the degree of culpability that satisfies the conscience-shocking
    standard in the specific context of foster-care cases.” Aplt. Br. 27; cf. 
    Lewis, 523 U.S. at 850
    (“[D]eliberately indifferent conduct” is “enough to satisfy the fault
    requirement for due process claims based on the medical needs of someone jailed
    while awaiting trial.” (internal citations omitted)); Bolmer v. Oliveira, 
    594 F.3d 134
    ,
    143–45 (2d Cir. 2010) (indicating that substantial departure from medical standards
    in making involuntary-commitment decision is per se conscience-shocking for
    purposes of due process claim; reasoning that “medical-standards analysis . . . itself
    measures what is conscience shocking in this context”).
    7
    At the outset, we question whether Gutteridge has preserved this argument for
    appeal. His opening brief fails to “cite the precise reference in the record where the
    issue was raised and ruled on.” 10th Cir. R. 28.2(C)(2); see also Harolds Stores, Inc.
    v. Dillard Dep’t Stores, Inc., 
    82 F.3d 1533
    , 1540 n.3 (10th Cir. 1996) (declining to
    consider argument where appellant failed to provide record citation in opening brief
    establishing it raised argument below). Moreover, our review of the record suggests
    that Gutteridge may have actually invited the district court to apply the same
    approach he now seeks to challenge on appeal.
    For instance, in his response to the individual defendants’ motion for summary
    judgment, Gutteridge argued separately—and, in fact, in separate subsections—that
    (1) the individual defendants “failed to exercise professional judgment,” App. vol. 8,
    1035, and (2) their conduct shocks the conscience, 
    id. at 1037.
    Likewise, he later
    acknowledged that to succeed on his § 1983 claim, he had to demonstrate that the
    individual defendants “abdicated [their] professional duty sufficient to shock the
    conscience.” App. vol. 18, 1703 (emphasis added) (citing J.W. v. Utah, 
    647 F.3d 1006
    , 1011 (10th Cir. 2011)). And on appeal, Gutteridge recognizes that this very
    same “sufficient to shock the conscience” language, 
    id., could be
    read to suggest
    “that some failures to exercise professional judgment will not rise to the level of
    conscience shocking and that a plaintiff must make some showing in addition to a
    social worker’s abdication of duty to satisfy the shocks-the-conscience standard.”
    Aplt. Br. 28–29, 29 n.10.
    8
    In other words, Gutteridge relied on language below that he recognizes directly
    contradicts the position he now advances on appeal. Thus, we could treat his
    argument as waived and decline to consider it, either because Gutteridge fails to
    demonstrate he raised the argument below and fails to argue for plain error on appeal,
    see Richison v. Ernest Grp., Inc., 
    634 F.3d 1123
    , 1131 (10th Cir. 2011), or because
    Gutteridge affirmatively invited any error that may have occurred, see United States
    v. LaHue, 
    261 F.3d 993
    , 1013 (10th Cir. 2001) (applying invited-error doctrine where
    “defendants’ argument on appeal [wa]s a complete reversal from the position they”
    advanced below).
    Alternatively, even if we assume this argument is properly before us, it fails on
    the merits. In Johnson ex rel. Estate of Cano v. Holmes, 
    455 F.3d 1133
    (10th Cir.
    2006), we first articulated the relevant test as a bifurcated one: we indicated that to
    make out a claim under the special-relationship doctrine, (1) a plaintiff must
    demonstrate “an abdication of professional responsibility,” and (2) “[s]uch abdication
    must be sufficient to shock the conscience.” 
    Id. at 1143.
    But we then reversed the
    district court’s order granting summary judgment to one of the defendants based
    solely on our conclusion that a reasonable jury could determine she failed to exercise
    her professional judgment; we didn’t then separately address whether her failure to
    exercise professional judgment also shocked the conscience. 
    Id. at 1145.
    And as
    Gutteridge points out, “[i]f the plaintiff had to make some showing beyond failure to
    exercise professional judgment to demonstrate that the defendant’s conduct shocked
    9
    the conscience, one would have expected the [c]ourt to address this additional
    requirement before reversing summary judgment for the defendant.” Aplt. Br. 29.
    Nevertheless, another aspect of our opinion in Johnson suggests that the
    district court correctly required Gutteridge to show not only that the individual
    defendants failed to exercise professional judgment, but that their failure to do so
    shocks the conscience.
    In Johnson, the district court instructed the jury that before it could find for the
    plaintiffs under the special-relationship doctrine, it had to conclude both that (1) the
    defendants “failed to exercise professional judgment”; and (2) the defendants’ “acts
    and omissions were conscience shocking.” Brief for Appellant, Johnson, 
    455 F.3d 1133
    (No. 04-2286), 
    2005 WL 6090396
    , at *51. On appeal, the plaintiffs challenged
    this instruction, arguing that it “misstated the applicable law by requiring the jury to
    find that [the defendants’] actions ‘shocked the conscience.’” 
    Johnson, 455 F.3d at 1141
    . And in doing so, the plaintiffs raised an argument similar to the one Gutteridge
    advances here: they asserted “that ‘[the failure to exercise] professional judgment’
    and not conduct that ‘shocks the conscience’ is the appropriate standard [of
    culpability] to have applied” to their special-relationship claim. Brief for Appellant,
    Johnson, 
    455 F.3d 1133
    (No. 04-2286), 
    2005 WL 6090396
    , at *56.
    We rejected this argument, concluding that the jury instruction—which treated
    the conscience-shocking nature of the defendants’ conduct as a separate, additional
    element of the plaintiffs’ due process claim under the special-relationship doctrine—
    “correctly stated the law.” 
    Johnson, 455 F.3d at 1142
    . And this conclusion squares
    10
    with the language of our more recent cases. For instance, in J.W., we again
    articulated the relevant test as having two parts. “The applicable standard,” we said,
    “‘requires an abdication of such professional responsibility,’ and ‘[s]uch abdication
    must be sufficient to shock the 
    conscience.’” 647 F.3d at 1011
    (emphasis added)
    (alteration in original) (quoting 
    Johnson, 455 F.3d at 1143
    ).
    As Gutteridge acknowledges, we had no occasion to apply the second part of
    this test in J.W.1 But we subsequently articulated and applied both parts of that two-
    part test in Schwartz. There, we explained that to “be held liable” under the special-
    relationship doctrine, the defendant must have “failed to exercise professional
    judgment . . . ; moreover, her conduct must shock the conscience.” 
    Schwartz, 702 F.3d at 583
    (emphasis added). We then affirmed the district court’s order refusing to
    dismiss the plaintiffs’ special relationship claim. But we did so only after concluding
    that “the facts alleged could be a conscience-shocking abdication of duty.” 
    Id. at 576,
    587–88. Finally, while certainly not dispositive, dicta in our recent decision in Dahn
    v. Amedei confirms that the conscience-shocking nature of defendant’s conduct is a
    separate and distinct element of a special-relationship claim. See 
    867 F.3d 1178
    ,
    1185–86 (10th Cir. 2017) (listing failure to exercise professional judgment and
    conscience-shocking nature of conduct as second and fourth elements of special-
    relationship claim, respectively).
    1
    Instead, we affirmed the district court’s order granting summary judgment to
    the defendant because the plaintiffs failed to demonstrate she abdicated her
    professional responsibilities. 
    J.W., 647 F.3d at 1011
    .
    11
    Taken together, Johnson, J.W., and Schwartz indicate that a plaintiff must
    separately demonstrate the conscience-shocking nature of a defendant’s conduct in
    order to mount a successful special-relationship claim. We remain bound by these
    decisions. See United States v. Little, 
    829 F.3d 1177
    , 1181 (10th Cir. 2016).
    Accordingly, we hold that the district court didn’t err in requiring Gutteridge to show
    both that (1) the individual defendants failed to exercise professional judgment; and
    (2) their actions shock the conscience.
    Next, Gutteridge argues that even assuming he must make this two-part
    showing, “the [individual defendants’] conduct here would surely cross the necessary
    culpability threshold.” Aplt. Br. 41. But we aren’t convinced that the individual
    defendants failed to exercise their professional judgment, let alone that they did so in
    a manner that shocks the conscience.
    The individual defendants in this case didn’t fail to investigate radical changes
    to D.C.’s home life. Cf. 
    Johnson, 455 F.3d at 1145
    –46 (reversing order granting
    summary judgment to defendant who “did not investigate” various changes to child’s
    home life and who, “over a two-month span, did not make a single visit to” child’s
    home). Nor did they fail to investigate allegations that LeBarre or Funk were abusing
    D.C. Cf. 
    Schwartz, 702 F.3d at 588
    (“[F]ailing to investigate the child abuse referrals
    and dismissing [foster child’s] case without investigation was an abdication of duty
    that would violate [foster child’s] substantive due process right to be reasonably safe
    from harm . . . .”).
    12
    On the contrary, Gutteridge concedes that OKDHS investigated both D.C.’s
    shoulder fracture and the facial bruising that she suffered immediately before her
    removal from Funk’s home. And he doesn’t suggest that the individual defendants
    ever received any reports that LeBarre was abusing D.C. Under these circumstances,
    the individual defendants’ conduct doesn’t shock the conscience, even assuming they
    abdicated their professional duties by placing D.C. in, or failing to timely remove her
    from, the Funk or LeBarre homes. See 
    Schwartz, 702 F.3d at 583
    (“[A] social worker
    who simply makes a mistake of judgment under what are admittedly complex and
    difficult conditions will not find herself liable in damages under § 1983.” (quoting
    DeShaney v. Winnebago Cty. Dep’t of Soc. Servs., 
    489 U.S. 189
    , 211 (1989)
    (Brennan, J., dissenting))); 
    Johnson, 455 F.3d at 1142
    (“[Defendant] exercised her
    professional judgment in her investigation of abuse allegations and, thus, did not
    violate [child’s] substantive due process rights.”).
    It does appear that the individual defendants never investigated the allegation
    that Funk allowed D.C. to fall backward in the tub and hit her head. But even
    assuming this failure to investigate amounted to an abdication of the individual
    defendants’ official duties, it doesn’t shock our conscience. See 
    Schwartz, 702 F.3d at 586
    (“Conduct is shocking to the conscience when the ‘degree of outrageousness and
    . . . magnitude of potential or actual harm . . . is truly conscience shocking.’”
    (quoting Armijo ex rel. Chavez v. Wagon Mound Pub. Sch., 
    159 F.3d 1253
    , 1262
    (10th Cir. 1998))).
    13
    Nor do any of Gutteridge’s remaining allegations shock our judicial
    conscience, e.g., that the individual defendants were aware LeBarre “had been
    illegally spanking foster children,” App. vol. 22, 1767, or that they failed to seek
    medical treatment for D.C.’s facial bruising when they removed her from Funk’s
    home. As the individual defendants point out, Gutteridge doesn’t dispute that D.C.’s
    father and stepmother first noticed the bruising on September 15, 2011. D.C. was
    then seen at a medical facility the very next day for what was apparently a physical-
    therapy appointment. The notes from that appointment make no mention of D.C.’s
    bruising; on the contrary, they indicate that D.C. seemed very happy. Thus, any
    failure to seek medical treatment for D.C. nearly two weeks later doesn’t shock the
    conscience, at least in the absence of some indication that D.C.’s condition had
    visibly deteriorated by then.
    Finally, our conclusion that the individual defendants’ conduct doesn’t shock
    the conscience necessarily disposes of Gutteridge’s two remaining challenges to the
    district court’s order granting summary judgment to the individual defendants.
    Gutteridge argues that the district court erred in (1) failing to consider “testimony by
    other professionals” indicating that the individual defendants “abdicated their
    professional judgment,” Aplt. Br. 36, 38; and (2) suggesting that reckless behavior
    can never shock the conscience in this context.
    Even assuming the district court erred in failing to consider certain evidence
    and but for that error the district court would have concluded that the individual
    defendants abdicated their professional duties, the individual defendants would
    14
    nevertheless be entitled to qualified immunity based on Gutteridge’s failure to
    demonstrate their conduct shocks the conscience. Thus, any error in failing to
    consider that evidence was harmless. For similar reasons, so too was any error the
    district court may have committed by suggesting that reckless behavior can never
    shock the conscience. Even assuming that some reckless conduct can shock the
    conscience, the individual defendants’ conduct here does not. Accordingly, we affirm
    the district court’s order granting summary judgment to the individual defendants on
    Gutteridge’s § 1983 claim.
    B
    Gutteridge next challenges the district court’s order granting summary
    judgment to OKDHS on his state-law tort claim. According to Gutteridge, his claim
    is premised on allegations that OKDHS (1) negligently placed D.C. in both the Funk
    home and the LeBarre home; (2) negligently failed to timely remove D.C. from the
    Funk home; and (3) negligently failed to provide D.C. with medical care for her
    facial bruising.
    Gutteridge concedes that state law bars his tort claim to the extent it arises
    from D.C.’s placement with Funk and LeBarre; under the GTCA, “[t]he state or a
    political subdivision shall not be liable if a loss or claim results from . . . [a]ny claim
    based upon an act or omission of an employee in the placement of children.” Okla.
    Stat. Ann. tit. 51, § 155(29). But Gutteridge insists that the GTCA’s placement
    exemption (the Exemption) doesn’t apply to his two remaining theories of liability.
    15
    We exercise de novo review over this argument, see United States v. Johnson,
    
    941 F.2d 1102
    , 1111 (10th Cir. 1991), and construe the Exemption “restrictively,”
    Holt v. State ex rel. Okla. Dep’t of Transp., 
    927 P.2d 57
    , 61 (Okla. Civ. App. 1996)
    (explaining that “object of [GTCA] was to make State and its political subdivisions
    liable in tort, except where the Legislature specifically and explicitly provided
    exemptions from liability”).
    i
    To the extent that Gutteridge’s state-law claim arises from OKDHS’ failure to
    provide D.C. with timely medical care, we agree with him that the Exemption doesn’t
    apply. Viewing the Exemption “restrictively,” as we must under 
    Holt, 927 P.2d at 61
    ,
    we simply can’t see how the failure to seek medical care for D.C. might have
    anything to do with her “placement.”2 Okla. Stat. Ann. tit. 51, § 155(29); see also
    Taylor v. Okla. ex rel. Dep’t of Human Servs., No. 07-CV-380-GKF-PJC, 
    2008 WL 268333
    , at *4 (N.D. Okla. Jan. 29, 2008) (ruling that claim arising from OKDHS’
    “failure . . . to seek medical treatment [for child] following allegations of abuse”
    wasn’t based upon act or omission in child’s placement).
    OKDHS suggests that we can nevertheless affirm the district court’s order
    granting it summary judgment on Gutteridge’s medical-care claim because, even
    2
    Notably, the district court never explicitly concluded otherwise. It initially
    acknowledged that Gutteridge’s state-law claim was premised, in part, on OKDHS’
    alleged failure to provide D.C. with timely medical care. But in analyzing whether
    the Exemption applies, the court addressed only Paragraphs 45(D), 46(A), and 46(D)
    of the operative complaint; it didn’t discuss Paragraph 45(E) or Paragraph 46(E),
    which discuss OKDHS’ alleged failure to provide D.C. with timely medical care.
    16
    assuming the Exemption doesn’t apply, that claim is time-barred. In support, OKDHS
    asserts that the claim arises from injuries that D.C. suffered prior to October 2,
    2011—more than a year before OKDHS received written notice of the claim. See
    Okla. Stat. Ann. tit. 51, § 156(B) (“A claim against the state or a political subdivision
    shall be forever barred unless notice thereof is presented within one (1) year after the
    loss occurs.”).
    But as Gutteridge points out, the loss he seeks to recover for under this claim
    isn’t the injury that allegedly caused D.C. to need medical care in the first place—an
    injury that he concedes occurred sometime before September 15, 2011. Instead,
    Gutteridge seeks to recover for the injury that allegedly resulted in part from
    OKDHS’ failure to provide that medical care: D.C.’s permanent brain damage.3 And
    because it appears that particular loss didn’t occur until sometime after October 2,
    2011, see 
    id. § 152(8),
    (defining “loss,” in relevant part, as “injury to the body”),
    Gutteridge’s medical-care claim isn’t “forever barred,” 
    id. § 156(B);
    see also Bentley
    v. Kirk, 
    348 P.3d 1112
    , 1116 (Okla. Civ. App. 2015) (“The date of an act of
    negligence and the date of an actual resulting loss are not necessarily the same. Had
    the Legislature wished to start the one-year period on the date of the negligence or
    3
    We question whether the record contains any evidence of a causal link
    between (1) the injuries that D.C. suffered while in Funk’s care or OKDHS’
    subsequent failure to seek medical care for those injuries and (2) D.C.’s ultimate
    brain damage. But OKDHS doesn’t cite the absence of such evidence as a basis for
    treating Gutteridge’s state-law claim as untimely. Accordingly, we won’t address
    whether such record evidence exists or whether the absence of such evidence would
    bar Gutteridge’s state-law claim under Okla. Stat. Ann. tit. 51, § 156(B).
    17
    other tortious act, it could have stated so.”). Accordingly, we reverse the district
    court’s order granting summary judgment to OKDHS on that claim.
    ii
    Gutteridge’s assertion that OKDHS negligently failed to timely remove D.C.
    from the Funk home presents a slightly closer question. In granting OKDHS
    summary judgment on this claim, the district court reasoned that any allegations
    involving (1) OKDHS’ failure to remove D.C. from the Funk home or (2) OKDHS’
    decision to return D.C. to the Funk home after its investigation into D.C.’s shoulder
    fracture arise from OKDHS’ decision to continue D.C.’s placement with Funk. And
    the district court agreed with OKDHS that any “semantic distinctions” between
    failing to remove D.C. from the Funk home and continuing D.C.’s placement there
    are insufficient to place this claim beyond the Exemption’s reach. App. vol. 22, 1769.
    We can see how the district court might reach this conclusion. Alleging that
    OKDHS was negligent in failing to remove D.C. from the Funk home could be
    construed as nothing more than an alternative way of alleging that OKDHS was
    negligent in continuing her placement there. And the Exemption indisputably applies
    to any claims arising from D.C.’s “placement.” Okla. Stat. Ann. tit. 51, § 155(29).
    But as Gutteridge points out, his failure-to-remove claim arises from acts and
    omissions that allegedly occurred after OKDHS both (1) initially placed D.C. in the
    Funk home and (2) had a subsequent opportunity to intervene on D.C.’s behalf.
    Gutteridge argues that under these circumstances, the Oklahoma Court of Civil
    18
    Appeals’ recent decision in Deal v. Brooks, 
    389 P.3d 375
    , 382–83 (Okla. Civ. App.
    2016), places his failure-to-remove claim outside the Exemption.4
    In Deal, OKDHS placed a foster child with her biological father on May 11,
    2011. 
    Id. at 382.
    He murdered her less than a month later. 
    Id. at 380,
    382. The child’s
    grandparents brought suit, and OKDHS asserted it was exempt from tort liability
    under the Exemption. 
    Id. at 380.
    The Oklahoma Court of Civil Appeals agreed. 
    Id. at 381.
    In doing so, it noted that the plaintiffs’ claims arose solely from conduct that
    “occurred prior to the decision to place the child with” her father, as opposed to
    “after the placement decision was made.” 
    Id. at 382.
    Likewise, the court pointed out,
    the child’s death occurred less than a month after her placement and “prior to, for
    example, any scheduled review of the placement or other opportunity to intervene.”
    
    Id. at 383
    (emphasis added). Thus, the court concluded, the Exemption barred the
    plaintiffs’ claims. 
    Id. Here, on
    the other hand, Gutteridge’s failure-to-remove claim arises from acts
    and omissions that allegedly occurred after D.C.’s placement in the Funk home;
    OKDHS concedes that (1) it placed D.C. in the Funk home on August 20, 2010; and
    (2) D.C.’s father noticed her facial bruising and swelling almost a year later, on
    September 15, 2011.5 Moreover, these acts and omissions occurred not only after
    4
    The Oklahoma Supreme Court ultimately released Deal for publication and
    accorded it precedential value. Deal v. Brooks, 
    2016 WL 7212486
    , at *1 (Okla. Aug.
    4, 2016).
    5
    According to Gutteridge, the injuries that led to this facial bruising and
    swelling—injuries that D.C. suffered while she was in Funk’s care—contributed to
    D.C.’s ultimate brain damage.
    19
    OKDHS had an “opportunity to intervene,” 
    id., but after
    OKDHS actually did
    intervene: it temporarily removed D.C. from the Funk home and then returned her
    after an investigation. In light of Deal’s emphasis on post-placement opportunities to
    intervene, see 
    id., and our
    obligation to construe the Exemption “restrictively,” 
    Holt, 927 P.2d at 61
    , we hold that the Exemption doesn’t apply to Gutteridge’s failure-to-
    remove claim, see Brown v. Buhman, 
    822 F.3d 1151
    , 1160 n.6 (10th Cir. 2016), cert.
    denied, 
    137 S. Ct. 828
    (2017) (“[F]ederal courts must defer to states’ interpretations
    of their own statutes.”).6 But we stress that we are not called upon today to define the
    outer contours of the phrase “opportunity to intervene” as used in 
    Deal. 389 P.3d at 383
    . And we do not mean to suggest that the Exemption is inapplicable to all
    allegations of post-placement negligence. Instead, we hold only that, under Deal, the
    Exemption doesn’t apply when the relevant acts or omissions occurred both (1) after
    the initial placement; and (2) after OKDHS actually intervened in that placement by
    removing the child from the home pending an investigation based on possible abuse
    and then returning the child to the home following the investigation.
    Finally, like Gutteridge’s medical-care claim, Gutteridge’s failure-to-remove
    claim is also timely. True, any negligent failure to remove D.C. from the Funk home
    occurred more than one year before OKDHS received written notice of Gutteridge’s
    6
    Deal doesn’t explicitly hold that when the alleged conduct occurs both after
    the initial placement and after a subsequent post-placement opportunity to intervene,
    the Exemption doesn’t apply. But Deal indisputably indicates the court would have
    reached a different result but for the absence of such allegations. See, 
    e.g., 389 P.3d at 382
    , 383. In light of Deal’s broad language on this point and the deference we owe
    that decision, see 
    Brown, 822 F.3d at 1160
    n.6, we find it controlling.
    20
    claim. But the “loss” Gutteridge seeks to recover for, see Okla. Stat. Ann. tit. 51,
    § 152(8), isn’t the facial bruising and swelling that D.C. suffered while in Funk’s
    care; it’s the permanent brain damage that D.C. suffered sometime after October 2,
    2011—brain damage to which Gutteridge says the injuries that D.C. suffered while in
    Funk’s care contributed. And because OKDHS received written notice of
    Gutteridge’s failure-to-remove claim less than one year after D.C. suffered that brain
    damage, his claim isn’t “forever barred.” 
    Id. § 156(B);
    see also 
    Bentley, 348 P.3d at 1116
    .
    For the reasons discussed above, we affirm the district court’s order dismissing
    Gutteridge’s state-law claim to the extent it arises from OKDHS’ decisions to place
    D.C. with Funk and LeBarre. But we reverse the district court’s order dismissing—
    and remand for further proceedings on—Gutteridge’s state-law claim to the extent it
    instead arises from OKDHS’ alleged failure to (1) obtain timely medical care for
    D.C. and (2) timely remove her from the Funk home.
    C
    As a final matter, we grant Gutteridge’s motion to seal Volumes 2, 5, 7, 13, 15,
    17, 19, and 21 of the appendix; the material contained in these volumes “play[ed] no
    role in our resolution of this appeal.” Lenox MacLaren Surgical Corp. v. Medtronic,
    Inc., 
    847 F.3d 1221
    , 1246 n.14 (10th Cir. 2017).
    But in that same motion Gutteridge also moved to seal Volumes 4, 9, 10, and
    11 of the appendix. We ordered Gutteridge to address whether we should require him
    to (1) file an amended appendix and (2) narrow his sealing request to only those
    21
    documents containing private information that can’t be reasonably redacted. In
    response, Gutteridge asserted that some of the documents in these volumes are
    confidential in their entirety under state law.
    We agree those documents should remain under seal. See Baxter Int’l, Inc. v.
    Abbott Labs., 
    297 F.3d 544
    , 546 (7th Cir. 2002). Yet Gutteridge’s response fails to
    identify those documents with any particularity. Thus, we can’t be sure whether the
    portions of Volumes 4, 9, 10, and 11 that have “play[ed a] role in our resolution of
    this appeal” are confidential under state law and should therefore remain under seal.7
    Lenox MacLaren Surgical 
    Corp., 847 F.3d at 1246
    n.14. Accordingly, the court’s
    April 10, 2017 order provisionally granting Appellant’s Unopposed Motion for Leave
    to File Certain Volumes of Appellant’s Appendix Under Seal is modified as follows.
    Gutteridge shall review the pages of the appendix cited above, see supra note 7, to
    determine whether (1) the entirety of those pages are confidential, or (2) the
    confidential information contained therein can be redacted so as to provide the public
    access to the record materials that informed the court’s decision. Within 10 days of
    the date of this opinion, Gutteridge shall file a response identifying any of these
    pages that are confidential in their entirety, and attaching redacted versions of the
    pages that can reasonably be redacted.
    7
    Those pages are App. vol. 4, 376–78; App. vol. 9, 1078–80, 1195; App. vol.
    10, 1312, 1335, 1371, 1385; and App. vol. 11, 1196.
    22
    *      *     *
    The facts of this case are undeniably tragic. But we cannot say the individual
    defendants’ conduct—even assuming it amounts to an abdication of professional
    duty—is so “outrageous[]” as to be “truly conscience shocking.” 
    Schwartz, 702 F.3d at 586
    (quoting 
    Armijo, 159 F.3d at 1262
    ). Accordingly, we agree with the district
    court that the individual defendants are entitled to qualified immunity. And we
    therefore affirm its order granting summary judgment to them on Gutteridge’s § 1983
    claim. Likewise, to the extent that Gutteridge’s state-law claim arises from D.C.’s
    placement in the Funk or LeBarre homes, we agree the Exemption applies and affirm
    the district court’s order granting summary judgment to OKDHS. But to the extent
    that Gutteridge’s state-law claim instead arises from allegations that OKDHS
    (1) failed to obtain timely medical care for D.C. and (2) failed to timely remove her
    from the Funk home, that claim is neither time-barred nor subject to the Exemption.
    Accordingly, we reverse in part the district court’s order granting summary judgment
    to OKDHS and remand for further proceedings.
    23