Hunt v. Montano ( 2022 )


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  • Appellate Case: 20-2042     Document: 010110706189       Date Filed: 07/06/2022      Page: 1
    FILED
    United States Court of Appeals
    PUBLISH                                Tenth Circuit
    UNITED STATES COURT OF APPEALS                          July 6, 2022
    Christopher M. Wolpert
    FOR THE TENTH CIRCUIT                           Clerk of Court
    _________________________________
    LEE HUNT, as personal representative of
    the wrongful death Estate of Ariza
    Barreras; GABRIELLE VALDEZ, as the
    Guardian Ad Litem for T.B. and F.B.,
    minor children,
    Plaintiffs - Appellees.
    v.                                                          No. 20-2042
    LEAH MONTANO; GWENDOLYN
    GRIFFIN; KIM CHAVEZ-BUIE;
    MICHELLE HILL; LORA VALDEZ, all
    in their personal capacities acting under
    color of state law,
    Defendants - Appellants,
    and
    STEPHANIE CROWNOVER; THE NEW
    MEXICO CHILDREN, YOUTH AND
    FAMILIES DEPARTMENT,
    Defendants.
    _________________________________
    Appeal from the United States District Court
    for the District of New Mexico
    (D.C. No. 1:19-CV-00700-KWR-KRS)
    _________________________________
    Jerry A. Walz (Alisha L. Walz with him on the briefs), Walz and Associates, P.C.,
    Albuquerque, New Mexico, for Defendants-Appellants.
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    Andrew G. Schultz, Rodey Dickason Sloan Akin & Robb, P.A. (F. Michael Hart and
    Kelly Stout Sanchez, Martinez, Hart, Thompson & Sanchez, P.C., and Bryan L.
    Williams, Williams Injury Law, P.C., with him on the brief), Albuquerque, New Mexico,
    for Plaintiffs-Appellees.
    _________________________________
    Before MATHESON, KELLY, and EID, Circuit Judges.
    _________________________________
    EID, Circuit Judge.
    _________________________________
    This is an interlocutory appeal from the denial of a motion for judgment on the
    pleadings asserting qualified immunity. At issue is whether the special relationship
    doctrine exposes five employees of the New Mexico Children, Youth and Families
    Department (“CYFD”) to liability arising from the abuse of two foster children, T.B.
    and F.B., and the death of a third foster child, Ariza Barreras. We agree with the
    district court that the children’s representatives’ allegations state a plausible claim
    that two of the CYFD employees—Leah Montano and Gwendolyn Griffin—violated
    the children’s substantive due process rights. However, the district court erred by
    concluding that the other three employees—Kim Chavez-Buie, Michelle Hill, and
    Lora Valdez—committed a constitutional violation. The district court also erred by
    finding that the clearly established prong of qualified immunity had been waived for
    purposes of this motion. We reverse as to Chavez-Buie, Hill, and Valdez on the
    constitutional violation prong of qualified immunity because the complaint failed to
    allege liability under the special relationship doctrine. Chavez-Buie, Hill, and
    Valdez are therefore entitled to qualified immunity. We reverse as to Montano and
    Griffin on the clearly established prong of qualified immunity because, even though
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    we agree with the district court that the allegations state a claim under the special
    relationship doctrine, the district court incorrectly deemed the clearly established
    prong waived. We remand for a determination whether Montano and Griffin violated
    clearly established law.
    I.
    a.
    The following facts are based on the allegations in the amended complaint.
    Ariza Barreras, T.B., and F.B. (“the children”) were siblings. In May 2017, the
    children were transferred to CYFD’s custody. At the time, Barreras was four months
    old, T.B. was two years old, and F.B. was one year old. CYFD employees Michelle
    Hill and Lora Valdez placed the children with foster parents Vanessa Dominguez and
    Justin Romero. They did so without evaluating whether Barreras and T.B., who were
    exposed to drugs in utero, “should have been treated and cared for as ‘special needs’
    children and placed with foster parents who had received . . . additional training.”
    App’x at 21. Dominguez and Romero had no experience as full-time foster parents
    for multiple children under the age of three with special needs. Hill and Valdez
    allegedly made this full-time placement even though Dominguez and Romero were
    licensed only as respite care providers.1
    1
    Unlike full-time foster parents, respite care providers “care for foster children
    for short periods of time when the child’s original foster parents are unable to
    provide care.” App’x at 13.
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    Dominguez and Romero applied to be foster parents in 2016. At the time, they
    only sought to provide respite care. As part of the application process, La Familia,
    Inc.—an independent agency operating on CYFD’s behalf—prepared an 18-page
    home study report. The report recommended that CYFD deny Dominguez and
    Romero a foster-parent license. La Familia’s investigator found that Romero had a
    family history of schizophrenia, was neglected by his mother as a child, and had a
    history of deprivation and trauma. Romero also struggled to cope with the death of
    his wife; he removed all reminders of her from his home and refused to speak with
    his six-year-old daughter about her mother. The investigator concluded that Romero
    would not be able to focus on a foster child’s emotional needs because he had not
    addressed his grief and had not helped his daughter cope with hers. The investigator
    submitted allegations of emotional abuse by Romero against his daughter to Child
    Protective Services.
    CYFD employees Leah Montano and Gwendolyn Griffin looked into the
    emotional abuse accusations but could not substantiate them. Montano, Griffin, and
    fellow CYFD employee Kim Chavez-Buie prepared a one-page addendum to the La
    Familia home study, disagreeing with the investigator and finding that Dominguez
    and Romero could be appropriate caregivers. It was a “team decision that
    support[ed] overturning . . . the home study.” Id. at 16. On July 11, 2016, CYFD
    issued Dominguez and Romero a license that was only for respite foster care.
    However, by May 2017, Dominguez and Romero began serving as full-time foster
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    parents. There is no record that CYFD ever relicensed them to provide full-time
    care.
    As full-time foster parents to Barreras, T.B., and F.B., Dominguez and Romero
    regularly relied on respite care for the children, using such care approximately eleven
    times in eight months. Initially, Dominguez and Romero contacted Montano, who
    would arrange these placements—including several with Stephanie Crownover, who
    lived nearby. The children were in Crownover’s respite care when Barreras died.
    CYFD had licensed Crownover in 2016. Montano completed Crownover’s
    home study, which Griffin approved. The study showed Crownover’s spare
    bedrooms lacked necessary furniture for foster children, although she communicated
    her intention to buy beds. The study noted that her monthly income was $1,200
    while her monthly expenses were roughly $1,060, which the evaluator called “barely
    enough to meet the family’s needs.” Id. at 17. According to the study, Crownover
    had a history of drug and alcohol abuse, associated with dangerous criminals, and
    maintained relationships with abusive men. Crownover had numerous traffic
    citations and had been arrested for conspiracy, aggravated battery, and battery against
    a family member. Crownover committed the latter against her six-year-old
    granddaughter with a broomstick because she did not wake up on time. CYFD
    investigated and substantiated that physical abuse allegation. CYFD also
    substantiated allegations in 2012 that Crownover failed to provide her granddaughter
    with adequate food and shelter, and emotionally abused her, as well as 2013
    allegations that Crownover excessively and inappropriately disciplined her. The
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    home study findings were inconsistent with a questionnaire completed by Crownover
    a few months earlier, in which she denied that she had been the subject of an abuse
    investigation or had ever been arrested. These discrepancies were not identified or
    addressed by Montano or Griffin. Despite all this, CYFD licensed Crownover.
    Crownover told CYFD that she was only interested in providing respite care
    for sibling groups of no more than two. Although Barreras, T.B., and F.B. were a
    group of three, Crownover regularly provided them respite care. After Montano
    coordinated the first few visits, Dominguez and Romero started contacting
    Crownover directly to arrange respite care “without CYFD’s prior knowledge or
    approval.” Id. at 23. Montano knew about and permitted this deviation from normal
    CYFD procedure, never telling Dominguez and Romero that it was improper.
    After a two-night respite stay with Crownover in August 2017, CYFD received
    a report of physical abuse against T.B. and F.B. F.B. had bite marks on his arm and a
    black eye, while T.B.’s eye and arm were bruised. Hill and Valdez investigated.
    They could not substantiate the physical abuse allegations against Crownover
    because the children were too young to explain how they were hurt. Their
    investigative report indicated that a home visit was conducted and no safety threats
    were found. The home was “in good condition.” Id. at 24.
    Other foster families had problems with Crownover’s respite care during this
    period. Foster children in her care were unkempt, lacking showers and presenting
    with matted hair. In one case, Crownover observed spots on a foster child’s hands—
    which turned out to be hand, foot, and mouth disease—but failed to take the child to
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    the doctor and encouraged him to play, telling him he was not sick. Various foster
    parents reported these incidents to Montano, but they are not recorded in CYFD files.
    Montano’s notes do indicate that in November 2017, she had a conversation with
    Crownover to discuss an “incident” that was “unacceptable,” “against policy,” and
    warranted “some type of corrective action plan.” Id. at 27. Griffin’s notes reference
    the incident too. Their notes do not specify whether any plan was implemented.
    Griffin’s notes—entered, like Montano’s, en masse shortly after Barreras’s death—
    report her satisfaction with Crownover’s home throughout 2017, but fail to reflect
    whether she actually visited the home.
    In October 2017, Crownover reported violence between T.B. and F.B. and told
    CYFD that she would no longer care for them together. She cared for the siblings
    separately in November 2017. But on December 28, 2017, Crownover once again
    accepted all three children for several days of respite care. She told CYFD
    investigators in the aftermath of Barreras’s death that, although she “knew she could
    not handle all three children at once, she hates telling people no.” Id. at 29. The next
    day, the children had a two-hour supervised visitation with their biological parents.
    The visitation monitor reported to CYFD that Crownover arrived late, Barreras’s
    diaper had been soiled for over an hour, F.B. and Barreras had diaper rashes, and
    Barreras had dried feces on her buttocks and lower back. There is no record that
    CYFD contacted Crownover about these observations or tried to investigate them.
    Around this time, Barreras would usually sleep in a playpen or bed.
    Crownover told Dominguez that she had a bed for Barreras, so Dominguez would not
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    need to bring any bedding when she dropped off the children. But Crownover did not
    have a bed. On December 28, 29, and 30, Crownover strapped Barreras into a car
    seat on the floor to put her to sleep. On the morning of December 31, 2017,
    Crownover discovered Barreras slumped forward in the car seat with her left arm
    caught in the shoulder strap. She was not breathing. The Office of the Medical
    Investigator pronounced her dead.
    A law enforcement investigation showed that the outside temperature had
    fallen below freezing overnight, there were holes in the walls and ceiling, and the
    heater was not operational. The investigation also found that Crownover’s house did
    not have a crib or bed for Barreras, the floors were filthy, rotten food remained in the
    refrigerator and around the house, trash was stuffed under the beds, soiled clothing
    and diapers were stacked in the corners, dog feces and urine covered the floor, and
    human feces floated in the toilet. Officers described the odor in the house as
    “intolerable.” Id. at 32. They described T.B. and F.B. as sick, soiled, and unbathed,
    with severe diaper rashes.
    CYFD removed T.B. and F.B. from Crownover’s home and opened an
    investigation. It found they were in danger of serious harm from abuse or neglect. It
    also found that Crownover did not have a strong emotional bond or positive
    attachment with them. CYFD substantiated Crownover’s physical neglect of
    Barreras, her inadequate shelter of all three children, and her physical abuse and
    neglect of F.B. related to a burn F.B. suffered in her care. T.B. and F.B. “suffered
    physical injury, pain, emotional distress and severe mental anguish.” Id. at 46.
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    b.
    Lee Hunt, the personal representative of Barreras’s estate, and Gabrielle
    Valdez, the guardian ad litem for T.B. and F.B. (“the children’s representatives”),
    sued Crownover, CYFD, Montano, Griffin, Chavez-Buie, Hill, and Valdez in New
    Mexico state court under 
    42 U.S.C. § 1983
     and the New Mexico Tort Claims Act for
    violating the children’s substantive due process rights. Crownover removed the case
    to the District of New Mexico.
    The CYFD employees moved for judgment on the pleadings, asserting
    qualified immunity. The district court denied the motion. It determined the
    children’s representatives plausibly alleged that each CYFD employee violated the
    children’s substantive due process rights under the special relationship doctrine.
    However, the court did not determine whether the rights at issue were clearly
    established. The court opined that the CYFD employees “did not raise the clearly
    established prong of qualified immunity” in their motion, which had “solely argued
    that there was no constitutional violation.” 
    Id. at 199
    . The children’s representatives
    “noted this in their response” and the employees “did not dispute this characterization
    of their argument in their reply brief.” 
    Id.
     The court concluded that the employees
    “waived, for this motion only, review under the clearly established prong.” 
    Id.
    The CYFD employees appealed. They assert that the district court erred both
    by finding that the children’s representatives adequately pled a Fourteenth
    Amendment substantive due process violation and by denying them qualified
    immunity without a showing that they violated clearly established law.
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    II.
    “Qualified immunity protects governmental officials ‘from liability for civil
    damages insofar as their conduct does not violate clearly established statutory or
    constitutional rights of which a reasonable person would have known.’” Schwartz v.
    Booker, 
    702 F.3d 573
    , 579 (10th Cir. 2012) (quoting Harlow v. Fitzgerald, 
    457 U.S. 800
    , 818 (1982)). We review de novo the district court’s denial of the CYFD
    employees’ motion for judgment on the pleadings asserting a qualified-immunity
    defense. Cummings v. Dean, 
    913 F.3d 1227
    , 1238 (10th Cir. 2019).
    To survive a motion for judgment on the pleadings based on qualified
    immunity, plaintiffs “must allege sufficient facts that show—when taken as true—the
    defendant plausibly violated [their] constitutional rights, which were clearly
    established at the time of violation.” Schwartz, 702 F.3d at 579. To determine
    whether a claim is plausible, we “accept as true ‘all well-pleaded factual allegations
    in a complaint and view these allegations in the light most favorable to the
    plaintiff.’” Schrock v. Wyeth, Inc., 
    727 F.3d 1273
    , 1280 (10th Cir. 2013) (quoting
    Kerber v. Qwest Grp. Life Ins. Plan, 
    647 F.3d 950
    , 959 (10th Cir. 2011)).
    III.
    We first address our jurisdiction to consider the CYFD employees’
    interlocutory appeal. Under the collateral-order doctrine, a district court’s denial of
    qualified immunity is immediately appealable to the extent the court’s decision turns
    on an abstract question of law. Mitchell v. Forsyth, 
    472 U.S. 511
    , 530 (1985). “At
    this stage, however, we are not at liberty to review a district court’s factual
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    conclusions, such as the existence of a genuine issue of material fact for a jury to
    decide, or that a plaintiff’s evidence is sufficient to support a particular factual
    inference.” Fogarty v. Gallegos, 
    523 F.3d 1147
    , 1154 (10th Cir. 2008).
    The CYFD employees present two questions on appeal. The first is whether
    the children’s representatives’ allegations plausibly show the violation of a
    substantive due process right. The second is whether the district court erred by
    denying qualified immunity where, in its view, the representatives “made no effort
    before the district court to meet their burden of demonstrating that the constitutional
    right at issue was clearly established.” Aplt. Br. at 47. We have jurisdiction to
    consider these purely legal issues.
    IV.
    Federal law authorizes a private cause of action for “the deprivation of any
    rights, privileges, or immunities secured by the Constitution” under color of state
    law. 
    42 U.S.C. § 1983
    . The children’s representatives’ claims are rooted in the
    substantive component of the Fourteenth Amendment’s Due Process Clause, which
    provides that “[n]o State shall . . . deprive any person of life, liberty, or property,
    without due process of law.” U.S. Const. amend. XIV, § 1. State actors like the
    CYFD employees, however, are generally not liable for “failure to protect an
    individual against private violence.” DeShaney v. Winnebago Cty. Dep’t of Soc.
    Servs., 
    489 U.S. 189
    , 197 (1989). One exception to this principle is the special
    relationship doctrine at issue here.
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    “A special relationship exists when the state assumes control over an
    individual sufficient to trigger an affirmative duty to provide protection to that
    individual.” Uhlrig v. Harder, 
    64 F.3d 567
    , 572 (10th Cir. 1995). We have
    recognized that foster care creates a special relationship. See Schwartz, 702 F.3d at
    580; see also Yvonne L. ex rel. Lewis v. N.M. Dep’t of Human Servs., 
    959 F.2d 883
    ,
    892–93 (10th Cir. 1992). “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.” Gutteridge v. Oklahoma, 
    878 F.3d 1233
    , 1238–39 (10th Cir. 2018) (cleaned up). A state official’s failure to
    exercise professional judgment requires something beyond mere negligence. It
    requires an “abdication of professional responsibility . . . sufficient to shock the
    conscience.” Johnson ex rel. Estate of Cano v. Holmes, 
    455 F.3d 1133
    , 1143 (10th
    Cir. 2006).
    We proceed to assess whether each individual CYFD employee violated the
    children’s substantive due process rights under the special relationship doctrine. See
    Matthews v. Bergdorf, 
    889 F.3d 1136
    , 1144 (10th Cir. 2018). De novo review
    suggests the district court correctly found that Montano and Griffin could be liable if
    their alleged conduct violated clearly established law, but the district court erred with
    respect to Chavez-Buie, Hill, and Valdez.
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    a.
    We start with the allegations against Montano and Griffin.2 We focus on the
    allegations related to licensing and monitoring Crownover, which we conclude
    amount to a conscience-shocking abdication of professional judgment by both
    Montano and Griffin.3
    We have previously held employees in similar roles could be liable for failing
    to investigate foster homes. In Schwartz, we found two county employees violated a
    foster child’s substantive due process rights when they “ignored known or likely
    injuries and abuse to [the foster child], chose not to further investigate such possible
    2
    The CYFD employees argue on appeal that the special relationship doctrine
    cannot apply to the decisions to license either Dominguez and Romero or Crownover
    because the children were not yet in state custody when those decision were made.
    The employees concede that they did not identify this issue before the district court.
    Even assuming they forfeited rather than waived this theory below, we decline to
    consider it now because they fail to argue plain error. See Richison v. Ernest Grp.,
    Inc., 
    634 F.3d 1123
    , 1130 (10th Cir. 2011) (“If a newly raised legal theory is entitled
    to appellate review at all—if it wasn’t waived before the district court—it may form a
    basis for reversal only if the appellant can satisfy the elements of the plain error
    standard of review.”). “The burden of establishing plain error lies with the appellant.
    In civil cases, this burden is ‘extraordinary . . . [and] nearly insurmountable.’”
    Somerlott v. Cherokee Nation Distribs., Inc., 
    686 F.3d 1144
    , 1151 (10th Cir. 2012)
    (alterations in original) (quoting Phillips v. Hillcrest Med. Ctr., 
    244 F.3d 790
    , 802
    (10th Cir. 2001)). Thus, “the failure to argue for plain error and its application on
    appeal . . . surely marks the end of the road for an argument for reversal not first
    presented to the district court.” Richison, 
    634 F.3d at 1131
    .
    3
    In finding a substantive due process violation by Montano and Griffin, we do
    not rely on the allegations about (1) their licensure of Dominguez and Romero and
    (2) their investigation into the reported emotional abuse of Romero’s daughter. Not
    only do the children’s representatives state a claim against Montano and Griffin
    under the special relationship doctrine without regard to those allegations, but, as we
    discuss below in relation to Chavez-Buie, allegations about Dominguez and Romero
    have dispositive causation defects because they lack an “affirmative link” to the harm
    suffered by the children in Crownover’s care. See Yvonne L., 
    959 F.2d at 890
    .
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    abuse, and ignored the danger posed by his continued residence” in the home in
    which he was placed. 702 F.3d at 587. In Johnson, we determined that a CYFD
    employee may have abdicated her professional judgment when she allegedly failed to
    investigate circumstances surrounding a foster parent’s removing the child from day
    care, firing the child’s home health nurses, and inviting the parent’s father to live in
    the foster home without informing CYFD. 
    455 F.3d at 1145
    . In Matthews, we
    deemed sufficient a plaintiff’s allegations that a caseworker “‘screened out’ a referral
    that alleged the . . . foster home was dangerous and filthy, [a foster child] did not
    bathe frequently, his or her clothes were dirty, and preteen children of different sexes
    were sleeping in the same room.” 889 F.3d at 1149. Comparing our precedents with
    the allegations against Montano and Griffin, we think that the children’s
    representatives have alleged “enough facts to raise a reasonable expectation that
    discovery will reveal evidence that a constitutional violation has in fact occurred.”
    Id.
    Regarding the Crownover licensure, Montano and Griffin allegedly knew
    about Crownover’s precarious financial situation, her alcohol and drug problems, her
    criminal history, her previous relationships with abusers, and her record of
    committing physical abuse herself—including a battery against her six-year-old
    granddaughter. Montano and Griffin had personal knowledge that Crownover’s
    home lacked necessary beds and bedding. Nothing in the CYFD records showed that
    Montano or Griffin followed up on these red flags, or that they reconciled conflicting
    information Crownover provided to CYFD in a questionnaire. Once licensed,
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    Montano allegedly allowed Dominguez and Romero to independently arrange respite
    care with Crownover “without CYFD’s prior knowledge, approval, or authorization.”
    App’x at 23. That was inconsistent with CYFD policy. Montano was also allegedly
    aware that Crownover no longer wanted to care for T.B. and F.B. at the same time
    but did not intervene when the children continued to receive care from her.
    The children’s representatives alleged that, during this period, Montano had
    personal knowledge of complaints related to Crownover’s ability to care for foster
    children but declined to investigate them or monitor her. Other foster parents
    reported to Montano that Crownover failed to provide adequate hygienic care and in
    one instance ignored a child’s hand, foot, and mouth disease. Notes allegedly taken
    by Montano and Griffin mention an “incident” with Crownover that “was against
    policy” and “unacceptable,” but did not lead to any response. Id. at 27.
    Nevertheless, the children’s representatives alleged that Griffin repeatedly wrote in
    her notes throughout 2017 that there were “[n]o concerns noted with the Crownover
    home.” Id. at 28.
    Considering the allegations against Montano and Griffin, we think they
    abdicated their professional judgment with respect to the placement and monitoring
    of the children with Crownover. Not only did they allegedly approve a foster parent
    with a violent and dangerous history, but they failed to adequately monitor her home.
    Eschewing even the barest safeguards, Montano allegedly allowed the children’s
    respite placement with her to be privately arranged in violation of CYFD policy.
    Montano and Griffin knew that Crownover did not want to take care of the children
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    together and had reason to think that she would not be capable of doing so. They
    even allegedly knew that she lacked essential items like beds and did not follow up to
    ensure that she obtained them. Barreras died when Crownover put her to sleep in a
    car seat in a filthy home without functional heating. The juxtaposition of Griffin’s
    glowing notes about the state of the home and the appalling scene observed by first
    responders speaks volumes. Although Crownover is directly responsible for what
    happened to the children, it was allegedly only through Montano and Griffin that she
    was licensed to provide foster care and connected with the children in the first place.
    Neither Montano nor Griffin addressed any of the problems with Crownover to
    ensure her home was a safe and appropriate place to care for foster children. More
    than acting with “mere negligence,” see J.W. v. Utah, 
    647 F.3d 1006
    , 1011 (10th Cir.
    2011), Montano and Griffin allegedly abdicated their professional responsibility in
    nearly every aspect of the children’s placement with Crownover. Under the special
    relationship doctrine, that leaves only two questions: whether their alleged conduct
    caused the children’s injuries and whether it shocks the conscience. We answer both
    questions in the affirmative.
    We start with causation. Our cases require an “affirmative link” between the
    state actor’s conduct and “the injuries . . . suffered” to impose special relationship
    liability. Yvonne L., 
    959 F.2d at 890
    . That calls for something more than mere but-
    for causation or coincidence, especially where it is so important to evaluate the
    conduct of each employee claiming qualified immunity individually. See Matthews,
    889 F.3d at 1144. We reject the children’s representatives’ position that but-for
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    causation is sufficient because it fails to engage with our precedents. The issue with
    respect to causation is whether the special relationship doctrine’s causation standard
    is met, so that the CYFD employees are responsible for the children’s treatment by
    Crownover. The children’s representatives’ arguments about whether the general
    causation standard for § 1983 liability is satisfied, while important to the merits, are
    irrelevant to whether qualified immunity was properly denied based on a
    constitutional violation under the special relationship doctrine.
    There is an obvious “affirmative link” between the licensing and monitoring of
    Crownover and the injuries suffered by the children in her care. See Yvonne L., 
    959 F.2d at 890
    . The children’s representatives allege a host of risk factors ignored by
    Montano and Griffin in licensing Crownover, all of which were exacerbated by their
    failure to adequately monitor her. When the children were placed in her care, these
    risks became real. Barreras died while sleeping in a car seat; Montano and Griffin
    allegedly knew Crownover did not have a bed and never followed up. T.B. and F.B.
    suffered physical harm in Crownover’s home; Montano and Griffin allegedly knew
    that Crownover was an abuser who fraternized with abusers. The children were
    harmed in Crownover’s care, tragically but foreseeably, because of Crownover’s
    conduct as a respite care provider. That is an affirmative link under the special
    relationship doctrine, which leaves us to decide only whether her conduct shocks our
    conscience.
    “Conscience-shocking behavior evades precise definition and evolves over
    time.” Schwartz, 702 F.3d at 586 (alteration and internal quotation marks omitted).
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    The test is not an exact science; it depends greatly on the circumstances. To satisfy
    this standard, the children’s representatives must “do more than show that the
    government actor intentionally or recklessly caused injury . . . by abusing or misusing
    government power.” Uhlrig, 
    64 F.3d at 574
    . They must show “a degree of
    outrageousness and a magnitude of potential or actual harm that is truly conscience
    shocking.” 
    Id.
     Behavior under this standard is “viewed in total”—“the cumulative
    impression of [the] conduct should be considered.” Currier v. Doran, 
    242 F.3d 905
    ,
    920 (10th Cir. 2001).
    In Currier, we held that a caseworker’s behavior could be conscience shocking
    where he allegedly failed to investigate bruises and abuse allegations and was in part
    responsible for a court’s order granting legal custody to the father of two minor
    children despite knowing about the father’s financial instability and the allegation of
    abuse against him. 
    Id.
     In Schwartz, we held that two social workers behaved in a
    conscience-shocking manner by allegedly ignoring a foster child’s known or likely
    injuries, choosing not to investigate possible abuse, and ignoring the danger posed by
    the child remaining with his foster parents. 702 F.3d at 587. In Armijo v. Wagon
    Mound Public Schools, we held that returning a suicidal special-education student to
    his home, where he had access to firearms and took his own life, was conscience-
    shocking behavior. 
    159 F.3d 1253
    , 1264 (10th Cir. 1998).
    We agree with the district court that Montano and Griffin behaved in a manner
    that shocks the judicial conscience consistent with our earlier cases. Accepting the
    allegations in the complaint as true, Montano and Griffin licensed Crownover—and
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    Montano circumvented CYFD protocols to permit Barreras, T.B., and F.B. to be
    repeatedly placed in her care—despite her history of crime, past dangerous
    relationships, financial situation, alcohol and drug problems, and record of physical
    abuse against a child in her care. They knew Crownover’s home lacked necessary
    beds and bedding but never followed up to make sure she purchased some before
    providing care. They allowed Crownover to care for the children even as CYFD
    investigated reports of abuse by Crownover against T.B. and F.B. The notes hastily
    entered after Barreras’s death suggest a shocking degree of malfeasance when
    compared with the condition of the home in December 2017. Montano and Griffin
    consciously placed the children in a perilous environment and ignored signs of
    continued danger and abuse as time went on. Because of their conduct, toddlers T.B.
    and F.B. suffered physical abuse and lost their infant sister. Barreras lost her life.
    The “cumulative impression” of the conduct in this case is dismal and damning. See
    Currier, 
    242 F.3d at 920
    . The effects were devastating. The children’s
    representatives have plausibly alleged that Montano and Griffin are responsible. If
    the allegations in the complaint are substantiated, their actions shock our conscience
    enough to impose liability under the special relationship doctrine.4
    b.
    4
    At this stage, we make all inferences in the children’s representatives’ favor.
    See Schwartz, 702 F.3d at 587. It is, of course, possible that “discovery may inform
    the context” of the CYFD employees’ behavior such that the allegations in the
    complaint are undermined or unsubstantiated. Id. That does not render a denial of
    qualified immunity improper at this stage in the proceedings, just as it does not
    prejudice the renewal of a qualified-immunity claim at a later stage. See id.
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    Next, we discuss Chavez-Buie. The only allegation against Chavez-Buie is
    that, along with Montano and Griffin, she summarily dismissed the La Familia home
    study recommending that CYFD deny Dominguez and Romero a foster care license.
    Chavez-Buie allegedly ignored the home study investigator’s findings about
    Romero’s history of trauma and neglect, and his inability to emotionally support his
    daughter in the wake of her mother’s death.
    Even if we agreed that the mere licensure of Dominguez and Romero
    demonstrated a conscience-shocking lack of professional judgment, we think that the
    children’s representatives failed to plausibly allege the special relationship doctrine’s
    causation element. Sifting through the allegations against Chavez-Buie illustrates
    this theory’s causal shortcomings. At the outset, we disregard the children’s
    representatives’ conclusory allegations that the children’s injuries were “direct[ly]
    and proximate[ly],” App’x at 43, caused by Chavez-Buie’s conduct. See Crane v.
    Utah Dep’t of Corr., 
    15 F.4th 1296
    , 1303 (10th Cir. 2021) (“Courts do not assume as
    true allegations that are legal conclusions, formulaic recitations of elements, or naked
    assertions devoid of further factual enhancement.”). Turning to the complaint’s
    substance, we think that however questionable the certification of Dominguez and
    Romero could have been, there is no allegation that the children were harmed by
    them. The complaint alleges that Barreras died, and T.B. and F.B. were harmed, in
    Crownover’s respite care. The children’s representatives may note red flags related
    to Dominguez and Romero, but they do not allege—nor does it follow by any
    reasonable inference—that the CYFD employees were wrong to license Dominguez
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    and Romero because the couple would go on to seek respite care from another
    improperly licensed foster parent who would, in turn, harm the children. That makes
    little sense. Even inferring that Dominguez and Romero may have been more likely
    to seek respite care than other foster parents because that was all they originally
    sought to provide, and all they were licensed for, it remains unreasonable to assume
    from the complaint that respite foster care with licensed providers is inherently
    dangerous to foster children.
    It is true that the children were allegedly placed with Crownover while they
    were in the full-time custody of Dominguez and Romero. But without any plausible
    allegations from which we can infer causation, that does not mean Dominguez and
    Romero are automatically to blame. Chavez-Buie’s relevant conduct was limited to
    licensing Dominguez and Romero despite La Familia’s concerns. For purposes of
    applying the special relationship doctrine, her actions have nothing to do with what
    happened to the children in any legally relevant sense. Even assuming the other
    elements of the special relationship doctrine are satisfied, there is no affirmative link
    between the children’s harms and their placement with Dominguez and Romero.
    Chavez-Buie is entitled to qualified immunity.
    c.
    Finally, we consider the allegations against Hill and Valdez, which fall into
    two categories: (1) placing the children with Dominguez and Romero, and (2) failing
    to substantiate abuse allegations against Crownover in August 2017.
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    First, our discussion of the licensure of Dominguez and Romero applies
    directly to the children’s placement in their home by Hill and Valdez. Even
    assuming that the placement was a conscience-shocking abdication of professional
    judgment, it did not cause the children’s injuries at Crownover’s hand in any
    meaningful sense. The allegations about the failure by Hill and Valdez to consider
    the children’s special needs, while concerning, are likewise inapposite. Without an
    affirmative link between the alleged misconduct and the harm suffered, the special
    relationship doctrine does not apply. See Yvonne L., 
    959 F.2d at 890
    .
    Second, regarding the Crownover abuse investigation, subsequent
    dissatisfaction with the result of a formal inquiry does not mean, without more, that
    Hill and Valdez failed to exercise their professional judgment in conducting that
    inquiry. Our cases support liability under the special relationship doctrine where
    social workers fail to investigate reported abuse entirely. See Schwartz, 702 F.3d at
    587. They do not support liability where social workers’ professional judgment leads
    them to a finding that, in retrospect, may strike us as suspect. See Johnson, 
    455 F.3d at 1144
     (“That two professionals both conducted an investigation and simply
    disagreed about a diagnosis is not proof, in and of itself, that either professional has
    abandoned her professional judgment.”). The children’s representatives’ allegations
    reference an “investigation report” that in turn referenced a favorable “home visit”
    conducted by Hill and approved by Valdez. App’x at 24. Without any allegation that
    the August 2017 investigation by Hill and Valdez was a sham or otherwise
    unprofessional, it is unreasonable to conclude or infer as much, especially when the
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    allegations about the home’s sordid condition are set several months later. That
    leaves no basis for finding that Hill or Valdez abandoned their professional
    judgment. See Johnson, 
    455 F.3d at
    1143–44. The allegations suggest that Hill and
    Valdez investigated, but failed to substantiate concerns of, reported abuse. Hill and
    Valdez are entitled to qualified immunity.
    ***
    We hold that the children’s representatives plausibly alleged that Montano and
    Griffin violated the children’s substantive due process rights under the special
    relationship doctrine. But the complaint falls short for Chavez-Buie, Hill, and
    Valdez.
    V.
    Proving that the CYFD employees violated a constitutional right is not enough
    to defeat their assertion of qualified immunity. The children’s representatives must
    also demonstrate “that the right was clearly established at the time of the challenged
    conduct.” Quinn v. Young, 
    780 F.3d 998
    , 1004 (10th Cir. 2015) (internal quotation
    marks omitted). To do so, plaintiffs do “not have to show that the specific action at
    issue had been held unlawful, but the alleged unlawfulness of the defendant[s’]
    conduct must be apparent in light of preexisting law.” Armijo, 
    159 F.3d at 1260
    .
    This inquiry typically requires plaintiffs either to identify an on-point Supreme Court
    or Tenth Circuit decision establishing the unlawfulness of the alleged conduct, or to
    prove that the clearly established weight of authority from other courts supports the
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    plaintiffs’ assertions about the state of the law. Cummings v. Dean, 
    913 F.3d 1227
    ,
    1239 (10th Cir. 2019).
    The court below declined to consider whether the children’s representatives
    met their burden of proving the law was clearly established. The court found the
    prong was not material to its decision because the CYFD employees “waived, for this
    motion only, review under the clearly established prong.” App’x at 199. According
    to the district court, the employees had temporarily waived review because they “did
    not raise the clearly established prong” when they asserted qualified immunity. 
    Id.
    But that is not how qualified immunity works.
    The district court was wrong to find the clearly established prong waived
    because doing so erroneously shifted the children’s representatives’ burden to the
    CYFD employees. See Estate of Vallina v. Petrescu, 757 F. App’x 648, 651 n.1
    (10th Cir. 2018) (unpublished).5 When a § 1983 defendant raises qualified immunity,
    as the employees did in their motion for judgment on the pleadings, the burden shifts
    to the plaintiff to establish both prongs of the defense. See Cox v. Glanz, 
    800 F.3d 1231
    , 1245 (10th Cir. 2015). Even if the CYFD employees failed to argue the clearly
    established prong in detail, as here, the children’s representatives still bore the
    burden to demonstrate that it was met. The district court’s provisional denial of
    qualified immunity, which sought to reserve the clearly established prong for later
    decision, was therefore improper. The CYFD employees could not waive,
    5
    Unpublished cases are not binding precedent, but we consider them for their
    persuasive value. See Fed. R. App. P. 32.1; 10th Cir. R. 32.1.
    24
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    temporarily or not, the very defense that they asserted as grounds for judgment on the
    pleadings.
    We remand for the district court to conduct the clearly established inquiry in
    the first instance. See Rife v. Okla. Dep’t of Pub. Safety, 
    854 F.3d 637
    , 649 (10th
    Cir. 2017); see also Kerns v. Bader, 
    663 F.3d 1173
    , 1182 (10th Cir. 2011) (Gorsuch,
    J.) (“[R]emanding the matter back to the district court to finish the work of answering
    the . . . qualified immunity question . . . bears the advantage of allowing the
    adversarial process to work through the problem and culminate in a considered
    district court decision, a decision that will minimize the risk of an improvident
    governing appellate decision from this court.”). The issue of whether the law is
    clearly established with respect to the conduct of Montano and Griffin, although a
    legal determination based on existing precedent, was only minimally briefed by the
    parties on appeal and was barely briefed below. It was also unaddressed by the
    district court. Now that we have clarified the specific constitutional violation by
    Montano and Griffin that the children’s representatives have plausibly alleged under
    the special relationship doctrine, we think the clearly established prong is best
    addressed at the district court level as an initial matter. See Workman v. Jordan, 
    958 F.2d 332
    , 337 (10th Cir. 1992) (“[A]s a general rule, a federal appellate court does
    not consider an issue not passed upon below.”).
    VI.
    We REVERSE the district court’s order denying qualified immunity to
    Montano, Griffin, Chavez-Buie, Hill, and Valdez. The complaint failed to plead a
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    constitutional violation by Chavez-Buie, Hill, or Valdez, so they are entitled to
    qualified immunity. Although the complaint plausibly pleaded a constitutional
    violation by Montano and Griffin under the special relationship doctrine, the district
    court erred by denying them qualified immunity on the basis that they waived the
    clearly established prong. Whether Montano and Griffin are entitled to qualified
    immunity depends on whether their conduct violated clearly established law, which
    the district court must determine in the first instance. We REMAND for further
    proceedings consistent with this opinion.
    26