Jesus Jehovah v. Harold Clark ( 2015 )


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  •                                   PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 13-7529
    JESUS EMMANUEL JEHOVAH, a/k/a Robert Gabriel Love, a/k/a
    Gabriel Alexander Antonio,
    Plaintiff - Appellant,
    v.
    HAROLD W.        CLARKE,   Director;   A.   DAVID   ROBINSON,   Deputy
    Director,
    Defendants – Appellees,
    and
    COMMONWEALTH OF VIRGINIA; LORETTA K. KELLY, Warden, Sussex I
    State Prison; ALL EMPLOYEES OF THE VIRGINIA DEPARTMENT OF
    CORRECTIONS, in their official, individual, and private
    capacities, jointly and severally; EDDIE L. PEARSON, Warden;
    KEISHA FOWLKES, Unit Manager; MS. EVANS, Records Officer; MS.
    ANSAH, Corporal; ARMOR CORRECTIONAL HEALTH SERVICES, INC.;
    ANTHONY KING, Dr.; MESELE GEBREYES, Dr.; BENJAMIN ULEP, Dr.,
    Defendants.
    Appeal from the United States District Court for the Eastern
    district of Virginia, at Alexandria. James C. Cacheris, Senior
    District Judge. (1:12-cv-00087-JCC-IDD)
    Argued:    May 12, 2015                             Decided: July 9, 2015
    Amended:    July 22, 2015
    Before TRAXLER, Chief Circuit Judge, GREGORY, and FLOYD, Circuit
    Judges.
    Reversed and remanded by published opinion. Judge Gregory wrote
    the opinion, in which Chief Judge Traxler and Judge Floyd joined.
    ARGUED:    Lola Abbas Kingo, GEORGETOWN UNIVERSITY LAW CENTER,
    Washington, D.C., for Appellant. Trevor Stephen Cox, OFFICE OF
    THE ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for
    Appellees.     ON   BRIEF:     Steven   H.  Goldblatt,   Director,
    Clay Greenberg, Student Counsel, Elizabeth Purcell, Student
    Counsel, Appellate Litigation Program, GEORGETOWN UNIVERSITY LAW
    CENTER, Washington, D.C., for Appellant. Mark R. Herring, Attorney
    General of Virginia, Cynthia E. Hudson, Chief Deputy Attorney
    General, Linda L. Bryant, Deputy Attorney General, Public Safety
    & Enforcement, Richard C. Vorhis, Senior Assistant Attorney
    General, Kate E. Dwyre, Assistant Attorney General, Stuart A.
    Raphael, Solicitor General of Virginia, OFFICE OF THE ATTORNEY
    GENERAL OF VIRGINIA, Richmond, Virginia, for Appellees.
    2
    GREGORY, Circuit Judge:
    Inmate   Jesus     Emmanuel    Jehovah      appeals   from    the    district
    court’s dismissal of his pro se claims against the Commonwealth of
    Virginia and various employees and contractors of the Virginia
    Department of Corrections (“VDOC”).             Jehovah claims that Appellees
    violated his free exercise rights under the First Amendment and
    the   Religious      Land   Use     and       Institutionalized     Persons    Act
    (“RLUIPA”)     by   a)   prohibiting      him    from   consuming   wine    during
    communion, b) requiring him to work on Sabbath days, and c)
    assigning him non-Christian cellmates.              Jehovah also alleges that
    Appellees    demonstrated     deliberate        indifference   to    his   medical
    needs in violation of the Eighth Amendment.                 The district court
    dismissed sua sponte Jehovah’s Sabbath claims, cell assignment
    claims, and deliberate indifference claim, and granted Appellees
    summary judgment on the communion wine claim.                  We reverse the
    district court’s judgment in its entirety and remand for further
    proceedings.
    I.
    Jehovah is a VDOC inmate who was incarcerated at Sussex I
    Prison (“SIP”) in Waverly, Virginia when he filed this lawsuit.
    In his pro se complaint, he alleges four courses of action taken
    by VDOC employees that he claims violated his rights under RLUIPA
    and the First and Eighth Amendments.
    3
    First, Jehovah claims that various policies have prevented
    him from taking communion in the manner required by his religious
    beliefs.   Jehovah’s religion 1 mandates that he take communion by
    drinking red wine and consuming bread dipped in honey, olive oil,
    sugar, cinnamon, and water.   While he was incarcerated at Nottoway
    Correctional Center (“NCC”) from September 2009 to March 2010,
    Jehovah was not permitted to take communion at all pursuant to a
    memorandum prohibiting the practice for inmates in segregation.
    In April 2010, Jehovah was transferred to SIP and placed in the
    general population.   Jehovah requested permission from the warden
    to take communion but did not receive a response, so he filed a
    grievance. In January 2011, while Jehovah’s grievance was pending,
    VDOC issued a new policy prohibiting all inmates from consuming
    wine during communion.    Jehovah filed another grievance, which
    VDOC denied.   VDOC revised its policy in January 2012 to allow
    inmates to consume bread dipped in wine but not to drink wine.
    Jehovah filed a third grievance, which was also denied.         In
    1 Jehovah appears to adhere to his own particular brand of
    Christianity, citing to a version of the Bible written by himself.
    See J.A. 23 (Compl. n.1). Appellees do not challenge the sincerity
    of his beliefs, and it is not within the courts’ purview to
    “question the centrality of particular beliefs or practices to a
    faith, or the validity of particular litigants’ interpretations of
    those creeds.” Hernandez v. Comm’r of Internal Revenue, 
    490 U.S. 680
    , 699 (1989).
    4
    December 2012, VDOC changed its policy yet again to ban inmates
    from consuming communion wine by any method. 2
    Second, Jehovah asserts that he has been unable to secure a
    job that will allow him to observe his Sabbaths.            Jehovah’s faith
    prohibits him from working during the “Old Jewish Sabbath” (Friday
    sundown to Saturday sundown) or the “New Christic Sabbath” (Saturday
    at sunset to Monday at sunrise). 3            VDOC requires inmates to
    participate     in   programming   –-   including    work   and    educational
    activities -- for a certain number of hours per week in order to
    be   eligible   for   good   conduct    allowances   and    earned    sentence
    credits.   See Va. Code § 53.1-32.1.        In February 2011 Jehovah was
    assigned to a cleaning position, and his supervisor required him
    to work seven days a week. Jehovah requested that VDOC accommodate
    his observance of the Sabbaths, but VDOC refused, informing him
    that his failure to work could lead to sanctions.                  He filed a
    grievance, which VDOC denied.       VDOC staff has not approved him for
    any job for which he has applied since December 2011, including
    jobs for which they had previously approved him. 4                According to
    2This policy, like the January 2011 policy, allows clergy to
    consume wine during services but permits inmates to drink only
    wine substitutes such as grape juice.
    3Jehovah is required to devote these days to religious
    observance and instruction.
    4Jehovah lost his cleaning job on May 17, 2011 after being
    placed in segregation.
    5
    Jehovah, “there are few prison jobs available to him at SIP and
    other prisons which he can work and keep observing the Sabbaths.”
    J.A. 27 (Compl. ¶ 32).
    Third, Jehovah states that VDOC has housed him with “people
    who are anti-Christian and unbelievers,” contrary to his religious
    beliefs.     J.A. 28 (Compl. ¶ 34).            Jehovah “is directed by God not
    to be yoked to unbelievers.”             J.A. 28 (Compl. ¶ 34).        At one point
    Jehovah was housed with a “self-proclaimed Satanist and anti-
    Christian,” even though VDOC knew of Jehovah’s religious views.
    J.A. 28 (Compl. ¶ 35).          This inmate harassed Jehovah and subjected
    him to “anti-Christian, anti-Jewish, anti-God . . . rhetoric.”
    J.A. 28 (Compl. ¶ 35).           After several requests to be reassigned,
    Jehovah filed a grievance to which VDOC never responded.                      Since
    July 2011, Jehovah has been assigned to live with “an atheist, an
    agnostic,    a       worldly   Muslim,    a    false/non-practicing      insincere
    Christian,       a    racist    black    anti-Christian       atheist,    a   self-
    proclaimed ‘Hell’s Angel’ biker, and a black anti-Christian from
    an anti-white gang.”           J.A. 29 (Compl. n.18).         Other VDOC prisons
    had been able to accommodate Jehovah’s requests to be housed only
    with Christians.
    Finally, Jehovah alleges that he has suffered various medical
    ailments that VDOC medical staff have deliberately ignored.                      In
    2009 while incarcerated at NCC, Jehovah experienced, among other
    things,     tongue      lesions,    chest      and   throat    pain,     difficulty
    6
    swallowing, coughing, nausea, lethargy, and unexplained weight
    loss.     After medical staff at NCC “detected and acknowledged”
    Jehovah’s symptoms but before they could diagnose them, Jehovah
    was transferred to SIP on March 26, 2010.      J.A. 30 (Compl. ¶ 43).
    Jehovah developed further symptoms after arriving at SIP, and after
    testing negative for strep throat he was referred to Dr. King.          On
    April 15, 2010, Dr. King examined Jehovah for the first time.           He
    found holes in Jehovah’s tonsils but “did not acknowledge” any of
    Jehovah’s other symptoms; he ordered a test for HIV, which was
    negative, and then did not provide any further care.               J.A. 30
    (Compl.   ¶   45).   Jehovah’s   symptoms   worsened,   and   he    sought
    additional treatment from Dr. King on June 17, 2010.           Dr. King
    ignored all of Jehovah’s symptoms except his coughing, neck lesion,
    and nasal drip. 5    Dr. King ordered a chest x-ray and urine and
    blood tests:    the x-ray appeared normal but the urine and blood
    tests revealed abnormalities consistent with infection.            Jehovah
    maintains Dr. King ignored these results and provided no further
    treatment.     Jehovah saw Dr. King again on July 30, 2010, and
    5 At this point in time, Jehovah’s alleged symptoms included:
    “coughing with unusual whitish phlegm, [a] patch of hair loss and
    neck lesion on His neck, fatigue, dizziness, night sweats, nasal
    drip, weight loss, a lump under [h]is left ear, chest pains, chest
    burning sensations, involuntary muscle spasms throughout [h]is
    body, headaches, difficulty sleeping, swollen lymph nodes, and
    other symptoms.” J.A. 30 (Compl. ¶ 46).
    7
    Dr. King referred him to mental health staff, who ultimately
    determined that he had no psychological problems.              Jehovah’s
    condition   continued   to   deteriorate. 6   When   Jehovah   next   saw
    Dr. King on August 30, 2010, Dr. King “disregarded most” of his
    symptoms and treated him for gastroesophageal reflux disease with
    Prilosec, which made many of Jehovah’s symptoms worse.          J.A. 31
    (Compl. ¶ 48).   Dr. King also referred Jehovah to mental health
    staff again to be evaluated for bipolar disorder, of which staff
    found no symptoms.      This pattern continued into 2012, with Dr.
    King and other VDOC doctors allegedly acknowledging only some of
    Jehovah’s symptoms, ignoring test results indicating infection,
    and failing to improve Jehovah’s condition. 7
    6 Additional symptoms included “tinnitus/ringing sensations
    in [h]is hearing/ears, popping and bubbling sounds and sensations
    and pains in [h]is ears and ear canals; episodic problems
    concentrating,   slowed  cognitive   functioning,  malaise,   and
    dizziness; abdominal pains, abnormal stools, and rapidly passing
    consumed meals; more difficulty swallowing and persistent
    sensations of something being caught in [h]is throat, neck pain,
    and sore and tender swollen nodes and tissues in his neck; more
    chest pains and of greater intensity, and bones in [h]is sternum
    area slightly, audibly, and painfully popping and moving out of
    place; worsening muscle spasms, and spontaneous irregular and
    painful heartbeats.” J.A. 31 (Compl. ¶ 47).
    7 In 2013, Jehovah filed a notice with the district court
    stating that an ultrasound electrocardiogram had revealed that for
    two years he had been suffering from pulmonary hypertension with
    right ventricle hypertrophy, an irreversible and often fatal
    condition.
    8
    Jehovah      filed    this     lawsuit    on     July   11,    2012,    seeking
    compensatory and injunctive relief for these alleged violations of
    RLUIPA,     the   First    Amendment,     and    the    Eighth      Amendment.     On
    September 27, 2012, the district court sua sponte dismissed all of
    Jehovah’s claims except his communion claim pursuant to the Prison
    Litigation Reform Act (“PLRA”), 28 U.S.C. § 1915A. Appellees moved
    to dismiss the remaining claim on December 21, 2012.                       In support
    of their motion they submitted a declaration from VDOC Chief of
    Corrections Operations A. David Robinson discussing the purposes
    of   the   wine    ban.      Jehovah    responded      with   numerous       discovery
    requests     to   which    Appellees     responded      in    part   and    otherwise
    objected.     He then filed a motion to compel discovery and to hold
    an evidentiary hearing, which the district court denied on May 17,
    2013.      On August 20, 2013, the court granted Appellees’ summary
    judgment motion and dismissed Jehovah’s RLUIPA and First Amendment
    claims regarding the communion wine ban.                 Jehovah timely appealed
    the dismissal of all his claims.
    II.
    On appeal, Jehovah argues that the district court erred in 1)
    dismissing        his     Sabbath,     cell     assignment,         and    deliberate
    indifference claims under § 1915A, and 2) granting Appellees
    summary judgment on his communion wine claim.
    9
    We review de novo a § 1915A dismissal for failure to state a
    claim.   Slade v. Hampton Roads Reg’l Jail, 
    407 F.3d 243
    , 248 (4th
    Cir. 2005).    Dismissal is proper only if the plaintiff has failed
    to “present factual allegations that ‘state a claim to relief that
    is plausible on its face.’”     Jackson v. Lightsey, 
    775 F.3d 170
    ,
    178 (4th Cir. 2014).      Similarly, we review de novo a grant of
    summary judgment.    Seabulk Offshore, Ltd. v. Am. Home Assur. Co.,
    
    377 F.3d 408
    , 418 (4th Cir. 2004).     We must “view[] the facts and
    inferences drawn therefrom in the light most favorable to the non-
    moving party.”     
    Id. Summary judgment
    is inappropriate if “the
    evidence is such that a reasonable jury could return a verdict for
    the nonmoving party.”    Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 248 (1986).
    We must construe pro se complaints liberally, 
    Jackson, 775 F.3d at 178
    , and “[l]iberal construction of the pleadings is
    particularly   appropriate   where,   as   here,   there   is   a   pro   se
    complaint raising civil rights issues,” Smith v. Smith, 
    589 F.3d 736
    , 738 (4th Cir. 2009) (alteration in original).
    III.
    The First Amendment’s protection of the right to exercise
    religious beliefs extends to all citizens, including inmates.
    O’Lone v. Estate of Shabazz, 
    482 U.S. 342
    , 348 (1987).          In Turner
    v. Safley, the Supreme Court held that “when a prison regulation
    10
    impinges on inmates’ constitutional rights, the regulation is
    valid   if   it    is   reasonably   related   to   legitimate   penological
    interests.”       
    482 U.S. 78
    , 89 (1987).      The Turner Court laid out a
    four-factor test for determining whether a prison regulation that
    infringes on an inmate’s First Amendment rights is nonetheless
    reasonable and therefore constitutionally valid.             First, is there
    “a ‘valid, rational connection’ between the prison regulation and
    the legitimate governmental interest put forward to justify it[?]”
    
    Id. Second, are
    there “alternative means of exercising the right
    that remain open to prison inmates[?]”          
    Id. at 90.
       Third, what is
    “the impact accommodation of the asserted constitutional right
    will have on guards and other inmates, and on the allocation of
    prison resources generally[?]”         
    Id. And finally,
    do there exist
    “obvious, easy alternatives” suggesting that the regulation is “an
    ‘exaggerated response’ to prison concerns[?]”             
    Id. Under this
    framework, “[t]he burden . . . is not on the State to prove the
    validity of prison regulations but on the prisoner to disprove
    it.”    Overton v. Bazzetta, 
    539 U.S. 126
    , 132 (2003).
    RLUIPA provides more stringent protection of prisoners’ free
    exercise rights than does the First Amendment, applying “strict
    scrutiny instead of reasonableness.”            Lovelace v. Lee, 
    472 F.3d 174
    , 186 (4th Cir. 2006).       It prohibits any government entity from
    imposing a “substantial burden” on an inmate’s religious exercise
    unless the burden “is in furtherance of a compelling governmental
    11
    interest”     and    “is      the   least    restrictive      means      of    furthering
    that . . . interest.”            42 U.S.C. § 2000cc-1(a).            The inmate bears
    the initial burden of showing a substantial burden on her religious
    exercise, but the government must establish that the burden is the
    least    restrictive          way   to    further    a     compelling      governmental
    interest.          
    Id. § 2000cc-2(b).
            “The    least-restrictive-means
    standard      is    exceptionally          demanding,       and     it   requires     the
    government to show that it lacks other means of achieving its
    desired goal without imposing a substantial burden on the exercise
    of religion by the objecting party.”                     Holt v. Hobbs, 
    135 S. Ct. 853
    ,    864   (2015)          (internal     quotation       marks    and      alterations
    omitted).
    A.
    Jehovah      and       Appellees     agree    that     summary      judgment    of
    Jehovah’s RLUIPA claim regarding VDOC’s wine ban was improper for
    two reasons.        First, Jehovah did not have the opportunity to brief
    the issue of whether the wine ban substantially burdened his
    religious exercise.            The district court held that Jehovah had not
    demonstrated a substantial burden.                  But the court had previously
    found, during the motion-to-dismiss stage, that “[p]rohibiting
    plaintiff from taking wine with communion burdens the exercise of
    his religion.”           J.A. 55.        Because of this, the parties did not
    address the substantial burden prong of RLUIPA in their summary
    judgment briefing.             A district court may resolve a motion for
    12
    summary judgment on grounds not raised by a party, but it must
    first provide notice and a reasonable time to respond.     Fed. R.
    Civ. P. 56(f); see also Coward v. Jabe, 532 F. App’x 328, 329 (4th
    Cir. 2013) (unpublished) (“After giving notice and a reasonable
    time to respond, the district court may grant a motion for summary
    judgment on grounds not raised by a party.”).      Jehovah was not
    afforded the requisite opportunity to demonstrate an issue of
    material fact regarding the burden imposed by the wine ban.
    Second, the parties agree that the record is insufficient to
    support the conclusion that the wine ban is the least restrictive
    means to address the government’s purported security interest. 8
    The Robinson Affidavit, which Appellees proffered in support of
    their summary judgment motion, does not even attempt to explain
    why an absolute ban is the least restrictive measure available.
    At the very least, the government must “acknowledge and give some
    consideration to less restrictive alternatives.”    Couch v. Jabe,
    
    679 F.3d 197
    , 203 (4th Cir. 2012). 9   Both Jehovah and Appellees
    8 Jehovah also argues that a genuine issue of material fact
    exists as to whether the government’s security interest is
    compelling. Appellant’s Br. 38-40.
    9  Jehovah has put forth a number of less restrictive
    alternatives, including: 1) to apply the same security measures
    used for medication to wine, 2) to allow Jehovah an accommodation
    to drink wine, and 3) to exclude inmates who have been convicted
    of infractions involving stealing or alcohol and inmates with a
    history of alcoholism.
    13
    agree that this burden has not yet been satisfied, and we agree.
    Therefore, we reverse the district court’s summary dismissal of
    Jehovah’s RLUIPA wine ban claim and remand for further proceedings.
    Although we must subject Jehovah’s First Amendment claim to
    a standard more deferential to VDOC, we find that a reasonable
    jury could rule in Jehovah’s favor.                Under Turner, Jehovah bears
    the burden of showing not only that his religious exercise was
    substantially     burdened,         but   also    that   the   wine      ban    is   not
    “reasonably related to legitimate penological 
    interests.” 482 U.S. at 89
    ; see also 
    Overton, 539 U.S. at 132
    .                 The district court
    based its First Amendment holding on its finding that Jehovah
    failed    to   demonstrate      a     substantial    burden    on    his     religious
    exercise.      As with the RLUIPA claim, the court failed to provide
    notice that it would be considering this alternative ground for
    summary judgment.         However, we may affirm the district court’s
    grant of summary judgment on any ground in the record.                       Bryant v.
    Bell Atlantic Md., Inc., 
    288 F.3d 124
    , 132 (4th Cir. 2002).
    Therefore, we must determine whether a genuine issue of material
    fact exists regarding whether the wine ban is unreasonable under
    Turner.
    Turner’s     first       prong    asks    whether   there      is   a     rational
    connection     between    a    legitimate        penological   interest        and   the
    policy infringing on an inmate’s free 
    exercise. 482 U.S. at 89
    .
    The Robinson Affidavit attests that the communion wine policy is
    14
    motivated by “safety and security concerns,” specifically intended
    to avoid the mishandling of alcohol and to prevent inmates who
    have     struggled       with        alcoholism      from    engaging       in   unhealthy
    behavior.         J.A. 81-82.         Promoting the inmates’ safety and health
    is a legitimate concern.               See McRae v. Johnson, 261 F. App’x 554,
    558 (4th Cir. 2008) (unpublished) (finding that “in the prison
    setting, suppression of contraband . . . [and] maintaining the
    health and safety of inmates and staff . . . constitute compelling
    governmental        interests.”          (emphasis      added)       (citing     Cutter   v.
    Wilkinson, 
    544 U.S. 709
    , 722 (2005)).                       It also seems clear that
    the communion wine ban is, in the most general sense, logically
    connected      to    its     asserted        goal:          restricting      inmate     wine
    consumption is a rational approach to preventing alcohol misuse
    and abuse.        What is unclear, however, is whether the other Turner
    prongs – the availability of alternative means of exercising the
    right,      the     impact      of     accommodation,        and     the    existence     of
    alternatives        --   support       the   conclusion       that    the   wine    ban   is
    reasonable.
    In    the     First      Amendment      context,       “the     availability       of
    alternative         means    of        practicing      religion        is    a     relevant
    consideration.”          
    Holt, 135 S. Ct. at 862
    ; see also 
    O’Lone, 482 U.S. at 351-52
    (analyzing an absolute ban on attending Jumu’ah and
    addressing whether inmates “retain the ability to participate in
    other Muslim ceremonies” (emphasis added)).                        Although the ban at
    15
    issue prohibits drinking wine at communion, it does not prevent
    inmates from engaging in other aspects of communion, nor does it
    affect other religious practices.          It is noteworthy, however, that
    a previous version of the ban permitted inmates to consume wafers
    dipped in wine. That version, like the current one, allowed clergy
    to bring one fluid ounce of wine into the prison.              Neither version
    categorically    prohibits    alcohol      on    the   premises.        The   only
    difference between the two policies is that inmates used to have
    an alternative means of consuming communion wine in a controlled
    environment,    whereas     now   they     are    completely         barred   from
    participating in that practice.
    Regarding the impact of an accommodation on other inmates,
    guards,   and   prison   resources,      the    record   is    largely    silent.
    Drawing   reasonable     inferences   in    Jehovah’s     favor,      however,   a
    reasonable jury could find that exempting Jehovah from the ban
    would have a minimal impact on prison resources.               Wine is already
    permitted on the premises, and religious services take place in a
    controlled   environment     in   which    Jehovah     would    be    supervised.
    Furthermore, a jury could find that the prison population would
    not be endangered by a single inmate with no history of alcohol
    abuse consuming a small amount of wine in this setting.
    Finally, Jehovah has proposed several alternatives to the
    ban, including:    1) to apply the same security measures used for
    medication to wine, 2) to allow Jehovah an accommodation to drink
    16
    wine, and 3) to apply the ban only to inmates who have been
    convicted of infractions involving stealing or alcohol and inmates
    with a history of alcoholism.          A reasonable jury could find that
    at least one of these alternatives is so “obvious” and “easy” as
    to suggest that the ban is “an exaggerated response.”               
    Turner, 482 U.S. at 90
    .      Therefore, we reverse the district court’s summary
    dismissal of Jehovah’s First Amendment wine communion claim.
    B.
    The district court dismissed Jehovah’s Sabbath work claims
    because    “prisoners     have    no    constitutional          right    to     job
    opportunities while incarcerated.”            J.A. 56.       As Jehovah rightly
    points out, however, this is not the correct focus of the RLUIPA
    and   First   Amendment   inquiries.         The     constitutional     right    in
    jeopardy is Jehovah’s right to free exercise of his religious
    beliefs;   the   unavailability    of       prison    jobs   accommodating      his
    Sabbath schedule is the alleged burden on that right.
    To state a RLUIPA claim, Jehovah need only plead facts tending
    to show a substantial burden on his exercise of sincerely held
    religious beliefs.      42 U.S.C. § 2000cc-2(b); see also Hartmann v.
    Cal. Dep’t of Corr. & Rehab., 
    707 F.3d 1114
    , 1125 (9th Cir. 2013)
    (“To survive a motion to dismiss on their RLUIPA claim, plaintiffs
    must allege facts plausibly showing that the challenged policy and
    the practices it engenders impose a substantial burden on the
    exercise of their religious beliefs.”).               “[A] substantial burden
    17
    on religious exercise occurs when a state or local government,
    through act or omission, puts substantial pressure on an adherent
    to modify his behavior and to violate his beliefs.”   
    Lovelace, 472 F.3d at 187
    (internal quotation marks and alterations omitted).
    Here, Jehovah has alleged that his religion requires him to
    abstain from working during the “Old Jewish” and “New Christic”
    Sabbaths.   He has pled that his cleaning job would not accommodate
    his Sabbath observances, that his requests for job transfers were
    denied, and that VDOC staff has not approved him for any job for
    which he has applied since December 2011.   He has further alleged
    that he will face sanctions and lose the opportunity to accrue
    good conduct allowances and earned sentence credits if he fails to
    work for 30-40 hours per week.
    Appellees argue that Jehovah simply wishes more jobs would
    accommodate his Sabbath schedule, and that therefore he is not
    substantially burdened.    They rely on Jehovah’s assertion that
    “there are few prison jobs available to him at SIP and other
    prisons which he can work and keep observing the Sabbaths.”    See
    J.A. 27 (Compl. ¶ 32) (emphasis added). However, viewing the facts
    in the light most favorable to Jehovah, and applying the requisite
    liberal construction to his pro se pleadings, Jehovah’s assertion
    that there are few jobs available to him is not inconsistent with
    his having applied for and been rejected from all of those jobs.
    As Jehovah puts it, these other jobs are available to him “in
    18
    theory,” but he has “plainly alleged that these jobs were made
    unavailable       to    him.”      Appellant’s     Reply      Br.    14   (emphasis   in
    original).        Jehovah has alleged facts that support a plausible
    claim   to    relief.         We   therefore    reverse       the    district    court’s
    dismissal     of       Jehovah’s    RLUIPA     claim    and    remand      for   further
    proceedings.
    The standard for stating a free exercise claim under the First
    Amendment is more stringent.             Jehovah bears the burden not only of
    demonstrating an infringement of his religious beliefs, but also
    of showing that VDOC’s refusal to accommodate his Sabbath work
    schedule is not rationally related to a legitimate penological
    interest.     
    Turner, 482 U.S. at 89
    .            Still, Jehovah’s pro se civil
    rights complaint meets the low bar of the motion-to-dismiss stage.
    It is difficult to see what interest is served by making it
    impossible for Jehovah to perform his required work hours entirely
    during the week.           One reasonably could determine that granting
    Jehovah      an    individual       accommodation        is    an     “obvious,    easy
    alternative[]”         that   suggests    VDOC’s       actions      are   unreasonable.
    Drawing all reasonable inferences in Jehovah’s favor, he has set
    forth a plausible claim for relief.              See 
    Jackson, 775 F.3d at 178
    .
    Therefore, the district court erred in dismissing Jehovah’s First
    Amendment claim.
    19
    C.
    The district court dismissed Jehovah’s housing claims because
    it found that Jehovah “has no right to choose a cellmate based on
    that person’s religious preferences or background.”              J.A. 57.    As
    discussed above, however, the proper inquiry is whether and to
    what extent VDOC burdened Jehovah’s right to exercise his sincerely
    held religious beliefs by assigning him cellmates who did not share
    his religious views.
    Jehovah’s RLUIPA claim must survive the motion-to-dismiss
    stage if he has pled facts tending to show that VDOC’s refusal to
    accommodate his housing requests “put[] substantial pressure on
    [him]   to   modify     his   behavior   and   to    violate   his   beliefs.”
    
    Lovelace, 472 F.3d at 187
    (internal quotation marks and alterations
    omitted).    Jehovah has alleged that VDOC required him to “share a
    cell    or   anything    with   persons     who     are   anti-Christian    and
    unbelievers” in contravention of his religious beliefs.               J.A. 28
    (Compl. ¶ 34).        This allegation alone does not demonstrate that
    being housed with non-Christians has pressured him to change his
    religious conduct.       Jehovah takes issue with the exposure to non-
    Christians, not with any effect it has on his religious activities.
    As Appellees note, the few jurisdictions to address this question
    have found that being housed with an inmate who does not share the
    plaintiff’s religious beliefs “does not inhibit or constrain [the
    p]laintiff’s religious conduct.”          Steele v. Guilfoyle, 
    76 P.3d 99
    ,
    20
    102 (Okla. Civ. App. 2003); see also Rogers v. Hellenbrand, No.
    03-C-230-C, 
    2004 WL 433976
    , at *6 (W.D. Wis. Mar. 4, 2004) (“There
    is no indication in his briefs, evidence or proposed facts that
    simply being exposed to the religious views of others hinders [the
    plaintiff’s]      ability   to     exercise     his   own   religion   in   any
    way . . . .”), aff’d, 118 F. App’x 80 (7th Cir. 2004).
    In addition to his general complaints of being assigned non-
    Christian cellmates, however, Jehovah asserts that he was housed
    with a particular inmate who subjected Jehovah to “anti-Christian”
    rhetoric.    J.A. 28 (Compl. ¶ 35).             Jehovah states that he was
    “burdened, mocked, and harassed on account of [h]is religious views
    by being housed in a cell with” this inmate.                 J.A. 28 (Compl.
    ¶ 37).    Construing Jehovah’s pro se complaint liberally, it is
    reasonable   to    infer    that    Jehovah’s    religious    practices     were
    chilled by his cellmate’s religiously motivated harassment.                  At
    the motion-to-dismiss stage, this qualifies as a sufficient prima
    facie showing under RLUIPA. 10        We therefore reverse the district
    court’s dismissal of Jehovah’s RLUIPA cell assignment claim.
    For his First Amendment cell assignment claim to survive,
    Jehovah must allege sufficient facts showing that VDOC’s refusal
    10 Since Jehovah has sufficiently pled that his housing
    assignments substantially burdened his religious exercise, the
    parties agree that remand is appropriate because the record does
    not establish whether VDOC’s housing assignment policy is the least
    restrictive means of achieving a compelling government interest.
    21
    to assign him a different cellmate was not reasonably related to
    a legitimate penological interest. 
    Turner, 482 U.S. at 89
    . Giving
    his complaint its due liberal construction, we find that he has
    done     so.     Jehovah     states   that   his    cell   assignments     were
    “deliberately done . . . to harass and cause conflict and problems
    for [him].”      J.A. 29 (Compl. ¶¶ 38, 41 & n.18).          Furthermore, he
    asserts that his cell assignments have contravened a SIP housing
    policy      requiring   an   equivalence     in    cellmates’   criminal   and
    disciplinary records.        J.A. 29 (Compl. ¶ 41 n. 18).        He filed two
    grievances regarding his issues with the inmate who allegedly
    harassed him but never received a response. 11              J.A. 28 (Compl.
    ¶ 37).      Given these allegations suggesting that VDOC was motivated
    not by a legitimate penological concern but by animus, Jehovah has
    successfully alleged facts supporting a plausible claim to relief.
    Therefore, we reverse the district court’s dismissal of Jehovah’s
    First Amendment cell assignment claim.
    IV.
    A claim of deliberate indifference in violation of the Eighth
    Amendment requires two showings, one objective and one subjective.
    First, the inmate must prove that “the deprivation of a basic human
    Jehovah’s residence with this inmate came to an end when
    11
    Jehovah was placed in disciplinary segregation.
    22
    need was objectively sufficiently serious.”                 De’Lonta v. Angelone,
    
    330 F.3d 630
    , 634 (4th Cir. 2003) (internal quotation marks and
    alterations omitted, emphasis in original). Second, she must prove
    that    “subjectively       the     officials    acted      with    a     sufficiently
    culpable    state     of   mind.”      
    Id. (internal quotation
         marks   and
    alterations omitted, emphasis in original).
    “Only   extreme     deprivations        are    adequate      to    satisfy   the
    objective      component    of    an    Eighth       Amendment     claim     regarding
    conditions of confinement.”            
    Id. Therefore, Jehovah
    must allege
    a serious injury or a substantial risk of such.                     
    Id. Taking the
    facts in the light most favorable to Jehovah, they are sufficient
    to support such a finding.             Jehovah’s alleged ailments fill two
    pages of his complaint and include constant chest pain, chronic
    headaches, and diminished hearing and eyesight. J.A. 37-38 (Compl.
    ¶ 69).      Furthermore, Jehovah asserts that he has since been
    diagnosed      with    pulmonary       hypertension        with    right     ventricle
    hypertrophy, a serious and sometimes fatal condition.
    Appellees do not appear to dispute that Jehovah’s innumerable
    alleged symptoms constitute serious health issues.                        Rather, they
    focus on the subjective component of Jehovah’s claim.                          Jehovah
    must show that his doctors were deliberately indifferent, or
    rather,    that     they   “actually     kn[e]w       of   and     disregard[ed]     an
    objectively serious condition, medical need, or risk of harm.”
    
    De’Lonta, 330 F.3d at 634
    .
    23
    Appellees argue that Jehovah cannot meet this bar because he
    received extensive treatment from Dr. King and his other doctors.
    But the fact that Jehovah received some treatment is consistent
    with the allegation that his doctors ignored and failed to treat
    many of his symptoms.    See 
    id. at 635
    (finding that the fact that
    the plaintiff received some treatment did not mean she received
    treatment for a particular ailment or that the treatment was
    reasonable).     Jehovah has alleged that his doctors acknowledged
    some symptoms but ignored most, disregarded abnormal test results,
    and failed to treat any of his symptoms effectively.              In other
    words, he has pled facts that, if true, would establish that his
    doctors   “actually   kn[e]w   of   and    disregard[ed]   an   objectively
    serious condition, medical need, or risk of harm.”              
    Id. at 634.
    Dismissal of Jehovah’s claim is not appropriate unless he has
    failed to present factual allegations supporting a plausible claim
    to relief.     See 
    Jackson, 775 F.3d at 178
    .       That is not the case
    here.   Therefore, the district court erred in dismissing Jehovah’s
    Eighth Amendment claim.
    V.
    For the foregoing reasons, the judgment of the district court
    is
    REVERSED AND REMANDED.
    24