People v. Skiff ( 2021 )


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  • Filed 1/4/21
    CERTIFIED FOR PUBLICATION
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    SECOND APPELLATE DISTRICT
    DIVISION SIX
    THE PEOPLE,                          2d Crim. No. B296037
    (Super. Ct. No. 17F-06360-A)
    Plaintiff and Respondent,     (San Luis Obispo County)
    v.
    CHRISTOPHER EDWARD
    SKIFF,
    Defendant and Appellant.
    A Residential Care Facility for the Elderly (RCFE)
    admitted to the facility a resident diagnosed with dementia in
    violation of the conditions of the facility’s license. Despite
    growing evidence of his confusion, the resident was allowed to
    wander through the community unsupervised. When the
    resident ran in front of a car on a busy highway, the CEO of the
    RCFE was found criminally responsible for his death.
    Christopher Edward Skiff appeals from the judgment
    after the jury convicted him of elder abuse (Pen. Code, § 368,
    subd. (b)(1)) and involuntary manslaughter (Pen. Code, § 192,
    subd. (b)) and found true allegations that the victim suffered
    great bodily injury (Pen. Code, § 368, subd. (b)(2)(A)) and that
    elder abuse proximately caused the victim’s death (Pen. Code,
    § 368, subd. (b)(3)(A)). The trial court placed him on probation
    for five years with various terms and conditions, including 180
    days in the county jail.
    Skiff contends there is no substantial evidence he
    committed either offense because: (1) he did not proximately
    cause the victim’s death, (2) he lacked the intent required for
    involuntary manslaughter and elder abuse, and (3) statutes and
    regulations applicable to RCFEs prohibited him from imposing
    restrictions sufficient to prevent the fatal accident. We affirm.
    FACTUAL AND PROCEDURAL BACKGROUND
    Regulatory history
    The Manse on Marsh (The Manse) was an RCFE.
    Skiff was the CEO of Horizon Senior Living, Inc., which owned
    the facility. He was the licensee representative with ultimate
    regulatory responsibility over facility operations.
    When an RCFE admits a resident with dementia, it
    must file a dementia care plan with state regulators addressing,
    among other things, physical plant requirements (including door
    alarms) and staff training. The Manse was not authorized to
    house residents with dementia because it did not have an
    operable dementia care plan. 1
    In 2007, the state cited The Manse for admitting nine
    residents with dementia without having a dementia care plan on
    file. A state licensing representative met with Skiff, who agreed
    to reevaluate those residents, and evict them if they were
    diagnosed with dementia. He stated that a dementia care plan
    would not be submitted because the facility would not retain
    1 The  Manse had filed a plan but withdrew it by advising
    the state it would not accept dementia patients.
    2
    residents with dementia.
    The state cited The Manse again in 2008 for
    retaining residents with dementia without having a dementia
    care plan. In 2009, The Manse was cited for failing to reevaluate
    a resident’s change of condition from mild cognitive impairment
    (MCI) to possible dementia after she wandered away from the
    facility.
    A manager from the Community Care Licensing
    Division testified at trial that when a resident is admitted with a
    doctor’s authorization to leave the facility unassisted, the licensee
    must continue to observe the resident’s condition and reevaluate
    the patient if their condition changes.
    Cardenas’s admission to The Manse
    In 2012, Mauricio Cardenas was 63 years old. A
    neurologist, Dr. Paul Gertler, diagnosed him that year with
    dementia, most likely Alzheimer’s disease. Dr. Gertler testified
    that dementia is not a specific diagnosis but an impairment of
    intellectual function with many causes, the most common of
    which is Alzheimer’s disease. Alzheimer’s gets worse over time
    and is irreversible.
    A geriatric care consultant specializing in dementia
    assisted Cardenas commencing in May 2013. Cardenas had
    trouble using the phone, was unable to take medication on his
    own, and was not making good decisions. His short-term memory
    was “terrible.” By the end of a conversation, he could not
    remember what was said.
    Dr. James Sands evaluated Cardenas in January
    2014. He completed a Physician’s Report for Residential Care
    Facilities for the Elderly (Form 602) with a primary diagnosis of
    Alzheimer’s disease. He checked the box for “Dementia: The loss
    3
    of intellectual function (such as thinking, remembering,
    reasoning, exercising judgement, and making decisions) and
    other cognitive functions, sufficient to interfere with an
    individual’s ability to perform activities of daily living or to carry
    out social or occupational activities.” He checked “Yes” for
    “Confused/Disoriented” and “No” for “Wandering Behavior.” He
    checked a box for “Able to Leave Facility Unassisted.” The form
    was submitted to The Manse.
    Based on this diagnosis, The Manse rejected
    Cardenas for admission in January 2014. Skiff knew Cardenas
    was rejected based on the dementia diagnosis.
    After living in another retirement community, Las
    Brisas, for about two months, Cardenas again requested
    admission to The Manse. The directors and managers of The
    Manse, including Skiff, discussed admitting Cardenas as a high
    priority potential resident in their daily meetings. These
    meetings were called “stand-up” meetings because participants
    were required to stand throughout the meeting.
    At a stand-up meeting with Skiff present, the director
    of sales and marketing for The Manse shared concerns from her
    counterpart at Las Brisas about Cardenas moving to The Manse
    because Cardenas would leave Las Brisas, could not be found or
    would return drunk, and there was a bar across a busy street
    from The Manse. Skiff did not respond to these concerns, ask her
    any questions, or ask her to get more information. “It was as if
    [she] hadn’t said anything.”
    At one meeting, three staff members said Cardenas
    should not be admitted because of his dementia. Skiff took off his
    glasses, looked straight at them, and said to admit Cardenas.
    Skiff told a nurse to get the doctor to change the diagnosis, and
    4
    was emphatic that they “get the forms done” so he could move in.
    Skiff’s executive assistant was “stunned” with his expression and
    emphatic tone.
    A nurse at The Manse asked Dr. Ward to complete a
    602 “to get [the Alzheimer’s diagnosis] changed.” The evidence
    does not establish that he submitted a form that changed the
    diagnosis.
    In March 2014, Cardenas was examined by Dr. Eric
    Dunlop. He completed a Form 602 listing a diagnosis of
    dementia. He checked the box for “Confused/Disoriented.” He
    checked “No” for “Wandering Behavior” and wrote, “Runs two
    miles daily, but can find his way home and able to leave facility
    unassisted.” Cardenas’s application at The Manse was then
    accepted. He was admitted in April 2014.
    Problems at The Manse
    K.J. worked at The Manse as a registered nurse with
    43 years’ experience. She testified that Cardenas could not
    remember to sign in and out. He left the building to go jogging
    three to five times a day and would return “eventually.” He was
    agitated, missed meals or arrived late, lost his keys, and tried to
    leave the building with inappropriate clothing for the climate.
    Incidents occurred daily and kept escalating.
    At stand-up meetings, K.J. often raised concerns
    about Cardenas, more so than any other resident. She reported
    that he got lost at an outing downtown. Skiff was “not
    particularly” concerned about the issues she raised and did not
    direct her to take any steps in response.
    K.J. testified that staffing was not adequate to
    supervise Cardenas, or to look for him when he could not be
    found. She made multiple requests for more staff, but was told
    5
    The Manse was staffed adequately for the number of residents.
    She was told, “Fill up the rooms, and we’ll talk about more staff.”
    The goal was “to keep all the rooms rented at all costs.” Skiff was
    present and participated in most of these discussions.
    At one point, Cardenas went to the emergency room
    with abdominal pain. The doctor called The Manse and asked
    how bad his dementia was, because Cardenas was unable to
    provide any information. K.J. brought this up at a stand-up
    meeting. In response, Skiff sent her an email telling her that if
    she believed a resident had a condition that might prohibit them
    from residing at The Manse, she should speak to the executive
    director before sharing her belief with anyone else.
    The wellness director searched for Cardenas every
    day to give him medication because staff could not find him.
    Cardenas frequently left the facility and staff could not locate
    him for hours. He would “never remember” to sign out despite
    multiple explanations of the procedure. He was very confused
    and forgetful and did not know where he was going. He had to be
    directed to his room every day.
    At several stand-up meetings in May, it was proposed
    that Cardenas be fitted with an ankle GPS monitor because he
    was “a high risk resident” and a “wander risk.” Skiff was present
    but said nothing. When staff attempted to put the ankle monitor
    on Cardenas, he refused.
    In September 2014, Cardenas told staff that he
    wanted to kill himself. The next day, a police officer responded to
    a call that Cardenas had walked away from The Manse and was
    possibly suicidal. The officer located him and observed he was
    upset and looked like he had been crying. Cardenas told the
    officer he was going to walk to Ventura on a “pilgrimage” to see
    6
    his ex-wife.
    Cardenas’s death
    On December 21, 2014, Cardenas ran in front of a car
    and was killed. The collision occurred about 10 miles from The
    Manse.
    Throughout that afternoon, motorists saw an elderly
    man running, walking, or standing on Los Osos Valley Road or
    adjacent Clark Valley Road. Four of these motorists testified
    about their observations. The man was not wearing exercise
    clothes. He ran back and forth across all four lanes of the
    highway without looking or turning his head. Drivers had to
    slam on their brakes or swerve to avoid hitting him. More than
    three hours after he was first observed, the man stood in traffic
    on Clark Valley Road waving, forcing a driver to swerve out of
    the way. A few minutes later, he ran into the middle of the road
    towards a car, forcing the driver to drive around him.
    At about 6:00 p.m., it was “quite dark.” A witness
    saw Cardenas standing in the center divider of Los Osos Valley
    Road. He ran into the path of a car and was struck. Cardenas
    died as a result of blunt force trauma.
    Expert testimony
    Dr. Manuel Saint Martin, a board-certified forensic
    psychiatrist and licensed attorney, testified that a dementia care
    plan is necessary to keep track of residents so they do not
    wander, and because individuals with dementia require
    additional care and supervision. Risks include getting lost,
    getting into accidents, being victimized by others, and exposure
    to the elements.
    Because an RCFE is not a locked facility, available
    options include tracking monitors, adequate staff to ensure
    7
    patients do not leave the facility unassisted, and door protocols to
    observe who is leaving. Failure to have and comply with a
    dementia care plan would pose a danger to an individual who
    exhibited Cardenas’s behaviors.
    DISCUSSION
    Skiff contends his convictions of involuntary
    manslaughter and elder abuse are not supported by substantial
    evidence that he was the proximate cause of Cardenas’s death or
    that he had the intent required to commit either offense. He
    further contends regulations governing the operation of RCFEs
    prevented him from restricting Cardenas’s movements.
    In evaluating whether the judgment is supported by
    substantial evidence, we review the entire record in the light
    most favorable to the judgment, presume in support of the
    judgment every fact that can reasonably be deduced from the
    evidence in the record and determine whether any reasonable
    finder of fact could have found that the prosecution sustained its
    burden of proof beyond a reasonable doubt. (People v. Mincey
    (1992) 
    2 Cal.4th 408
    , 432.) We do not reweigh conflicting
    evidence or reevaluate the credibility of witnesses. (People v.
    Whisenhunt (2008) 
    44 Cal.4th 174
    , 200.)
    Involuntary Manslaughter
    Involuntary manslaughter ‘“requires proof that a
    human being was killed and that the killing was unlawful.
    [Citation.] A killing is ‘unlawful’ if it occurs (1) during the
    commission of a misdemeanor inherently dangerous to human
    life, or (2) in the commission of an act ordinarily lawful but which
    involves a high risk of death or bodily harm, and which is done
    ‘without due caution or circumspection.’” [Citation.]’” (People v.
    Guillen (2014) 
    227 Cal.App.4th 934
    , 1026, quoting People v.
    8
    Murray (2008) 
    167 Cal.App.4th 1133
    , 1140.) “The failure to use
    due care in the treatment of another where a duty to furnish such
    care exists is sufficient to constitute that form of manslaughter
    which results from an act of omission.” (People v. Villalobos
    (1962) 
    208 Cal.App.2d 321
    , 328.)
    1. Criminal Negligence. The mental state required
    for the commission of involuntary manslaughter is criminal
    negligence. Skiff contends the evidence is insufficient to prove
    that he acted or failed to act in a criminally negligent manner. He
    is wrong.
    Here, the jury was correctly instructed that Skiff was
    guilty of involuntary manslaughter if his criminally negligent
    failure to perform a legal duty caused Cardenas’s death.
    (CALCRIM No. 582, modified.) The jury was further instructed:
    “Criminal negligence involves more than ordinary carelessness,
    inattention, or mistake in judgment. A person acts with criminal
    negligence when: [¶] 1. He or she acts in a reckless way that
    creates a high risk of death or great bodily injury; [¶] AND [¶] 2.
    A reasonable person would have known that acting in that way
    would create such a risk.” (CALCRIM No. 582, modified, italics
    original.)
    This instruction properly defined criminal negligence.
    (People v. Butler (2010) 
    187 Cal.App.4th 998
    , 1007-1009 (Butler).)
    “The question is whether ‘a reasonable person in defendant’s
    position would have been aware of the risk involved.’” (Walker v.
    Superior Court (1988) 
    47 Cal.3d 112
    , 136-137 [mother who treated
    daughter’s meningitis with prayer properly prosecuted for
    involuntary manslaughter].) Substantial evidence supports the
    conclusion that it was objectively unreasonable to allow Cardenas
    to leave the facility and roam unsupervised without staff’s
    9
    knowledge of his whereabouts.
    A corporate officer may be guilty of involuntary
    manslaughter if he or she was aware of the omissions and failed
    to control them. (Sea Horse Ranch, Inc. v. Superior Court (1994)
    
    24 Cal.App.4th 446
    , 457.) In Sea Horse Ranch, the corporate
    president knew of the poor condition of a corral fence and the
    history of horses escaping. When horses broke through the fence
    and ran onto an adjacent busy highway, the president was liable
    for the death of a motorist who struck one of the horses. (Id. at
    pp. 458-459.) Here, Skiff was aware of Cardenas’s dementia,
    encouraged his admission, and condoned his unsupervised
    wandering. The jury properly found he was criminally negligent
    in his death.
    A managing officer of a corporation with control over
    the operation of the business is personally responsible for acts of
    subordinates where the evidence “indicates inferentially
    appellant’s toleration, ratification, or authorization of their illegal
    actions.” (People v. Conway (1974) 
    42 Cal.App.3d 875
    , 886.) In
    Conway, the president of a car dealership was criminally liable
    for his staff’s false sales representations “because as president of
    the dealership, he had the requisite control over the activities of
    the dealership and permitted the unlawful practices to continue
    after being informed of them on numerous occasions.” (Ibid.)
    Similarly here, there was substantial evidence that
    Skiff knew admitting Cardenas to the facility was unlawful and
    knew it was unsafe to allow him to wander in the community
    unsupervised, yet did nothing to protect him. Substantial
    evidence established that Skiff acted with criminal negligence
    when he disregarded the Alzheimer’s diagnosis and the concerns
    of his staff, and when he allowed Cardenas to continue as a
    10
    resident of a facility that did not monitor or safeguard his
    activities but allowed him to wander without supervision.
    2. Proximate Cause. Involuntary manslaughter also
    requires substantial evidence that the defendant’s conduct is a
    proximate cause of the victim’s death. (Butler, supra, 187
    Cal.App.4th at p. 1009.) Skiff insists he did not proximately cause
    Cardenas’s death because “nothing that the staff at The Manse—
    much less Mr. Skiff—did or did not do caused Mr. Cardenas to be
    hit by a car.” Again, he is wrong.
    A defendant’s conduct is the proximate cause of a
    victim’s death where “the death was a reasonably foreseeable,
    natural and probable consequence of the defendant’s act, rather
    than a remote consequence that is so insignificant or theoretical
    that it cannot properly be regarded as a substantial factor in
    bringing about the death.” (Butler, supra, 187 Cal.App.4th at pp.
    1009-1010.)
    Proximate cause does not require that an act be the
    principal cause of death so long as it was “‘a substantial factor
    contributing to the result.’” (People v. Jennings (2010) 
    50 Cal.4th 616
    , 643.) Where, as here, there is “an independent supervening
    act,” “a cause of death is an act that sets in motion a chain of
    events that produces death as a natural and probable
    consequence of the act, and without which death would not
    occur.” (Id. at p. 672.) To absolve a defendant of criminal
    liability, “‘“the intervening cause must be ‘unforeseeable . . . an
    extraordinary and abnormal occurrence.”’” (People v. Brady
    (2005) 
    129 Cal.App.4th 1314
    , 1325 (Brady).) “‘Ordinarily the
    question will be for the jury’” unless the cause is “‘so remote . . .
    that no rational trier of fact could find the needed nexus.’” (Id. at
    p. 1326.)
    11
    In Brady, the fatal collision of two firefighting
    airplanes was determined to be a foreseeable consequence of
    recklessly setting a fire. (Brady, supra, 129 Cal.App.4th at p.
    1331.) Here, the fatal traffic collision was a foreseeable
    consequence of allowing a resident with dementia to run on
    public streets and highways without supervision. The failure to
    supervise Cardenas “set[] in motion a chain of events” that
    culminated in his running in front of a moving car. This outcome
    was tragic but neither “extraordinary” nor “abnormal.”
    Here, the jury was properly instructed that “[a]n act
    or omission caused the death of Mauricio Cardenas if his death
    was the direct, natural, and probable consequence of the act or
    omission and his death would not have happened without the act
    or omission. A natural and probable consequence is one that a
    reasonable person would know is likely to happen if nothing
    unusual intervenes. . . . [¶] There may be more than one cause of
    the death of Mauricio Cardenas. An act or omission caused his
    death, only if it was a substantial factor in causing his death. A
    substantial factor is more than a trivial or remote factor.
    However, it does not have to be the only factor that caused the
    death of Mauricio Cardenas.” (CALCRIM No. 240, modified,
    italics original.)
    Applying this instruction, the jury found that
    appellant’s conduct was a substantial factor in causing Cardenas’s
    death. That finding is supported by substantial evidence.
    Cardenas had a history of leaving the building unattended,
    getting lost, and being confused and disoriented. He was struck
    by a car and killed while wandering along a busy highway, miles
    away from home, after having been absent from the facility for
    hours. This occurrence was readily foreseeable in light of
    12
    Cardenas’s dementia diagnosis and history of wandering. The
    jury reasonably concluded that this failure to protect and care for
    Cardenas was a proximate cause of his death.
    Elder Abuse
    Skiff contends his conviction of felony elder abuse
    must be reversed because it is not supported by substantial
    evidence. He is incorrect.
    Elder abuse liability applies to a person “having the
    care or custody of any elder or dependent adult” who “willfully
    causes or permits the elder or dependent adult to be placed in a
    situation in which his or her person or health is endangered.”
    (Pen. Code, § 368, subd. (b)(1).) Here, the jury was correctly
    instructed that, to prove Skiff had engaged in elder abuse, the
    prosecution had to prove: (1) Skiff, having care or custody of the
    victim, willfully caused or permitted him to be placed in a
    situation where his person or health was endangered; (2) Skiff
    caused or permitted the victim to be endangered under
    circumstances or conditions likely to produce great bodily harm or
    death; (3) the victim was an elder; (4) when Skiff acted, he knew
    or reasonably should have known that the victim was an elder;
    and (5) appellant was criminally negligent when he caused or
    permitted the victim to be endangered. (CALCRIM No. 830,
    modified.)
    Skiff does not challenge the jury instruction. Instead,
    he contends there is no substantial evidence that he acted in a
    criminally negligent manner that caused Cardenas to be placed in
    a dangerous situation. However, viewed in the light most
    favorable to the judgment, substantial evidence demonstrates
    that Skiff willfully permitted Cardenas to remain in a residential
    placement that was dangerous to him and that ultimately caused
    13
    his death.
    Having accepted Cardenas as a resident with a
    diagnosis of Alzheimer’s disease, The Manse was required to file
    a plan including “[s]afety measures to address behaviors such as
    wandering.” (Cal. Code Regs., tit. 22, § 87705, subd. (b)(2).) But
    Skiff did not file a plan and did not institute measures adequate
    to address Cardenas’s behaviors. Instead, Skiff allowed
    Cardenas to leave the facility at will, without signing out, and to
    roam the streets unsupervised without staff knowing his
    whereabouts.
    Skiff knew The Manse was prohibited from accepting
    or retaining persons with dementia and that the facility had been
    repeatedly disciplined for violating those restrictions. Skiff knew
    Cardenas had been diagnosed with dementia and that he
    engaged in dangerous behaviors including wandering away from
    the facility, abusing alcohol, failing to take his medication, and
    behaving erratically. Instead of evicting Cardenas or assisting
    him in finding more suitable care, Skiff permitted him to remain
    at The Manse, over the objection of professional staff. This is
    substantial evidence of Skiff’s criminal negligence.
    Similarly, as we have discussed, there is substantial
    evidence that Skiff’s criminal negligence was a proximate cause
    of Cardenas’s death. On the day he died, Cardenas wandered
    away from the facility as he had done so many times before. He
    was unaccompanied and wandered for hours before he was struck
    by a car on a busy highway. The jury reasonably found these
    circumstances were foreseeable to Skiff. “Foreseeability does not
    require a high probability that the harm will occur, but merely
    that the harm be ‘“‘a possible consequence which might
    reasonably have been contemplated.’”’” (Butler, supra, 187
    14
    Cal.App.4th at p. 1011.) A reasonable person would contemplate
    that a person with dementia allowed to run along busy streets
    and highways at night unsupervised may be hit by a car and
    killed. The jury properly found that Skiff “proximately cause[d]
    the death of the victim,” constituting elder abuse. (Pen. Code,
    § 368, subd. (b)(3).)
    Regulatory requirements
    Skiff contends that the law prohibited him from
    protecting Cardenas during his excursions. Amici curiae
    California Assisted Living Association and Argentum similarly
    contend that the conviction “whipsaw[s]” RCFE owners and
    operators between their obligations to foster independent living
    and to protect their residents. We are not persuaded.
    Skiff relies upon Olmstead v. L.C. ex rel. Zimring
    (1999) 
    527 U.S. 581
    , 600 (Olmstead), which prohibits “unjustified
    institutional isolation of persons with disabilities.” It is also true
    that RCFE residents have a right to be free from “involuntary
    seclusion.” (Health & Saf. Code, § 1569.269, subd. (a)(10); Cal.
    Code Regs., tit. 22, § 87468.2, subd. (a)(8).) But these rights do
    not absolve an RCFE from its responsibility to provide
    supervision necessary for the safety of its residents.
    The holding in Olmstead is “designed to ensure that
    disabled persons are . . . placed for treatment with the most
    possible community access, taking into account their treatment
    needs.” (Black v. Department of Mental Health (2000) 
    83 Cal.App.4th 739
    , 752, italics added; Capitol People First v. State
    Dept. of Developmental Services (2007) 
    155 Cal.App.4th 676
    , 700.)
    While residents have a right “[t]o reasonable accommodation of
    individual needs and preferences in all aspects of life in the
    facility,” there is an exception “when the health or safety of the
    15
    individual . . . would be endangered.” (Health & Saf. Code,
    § 1569.269, subd. (a)(16); Cal. Code Regs., tit. 22, § 87468.2, subd.
    (a)(14).)
    The Manse did not have a dementia care plan
    including “[s]afety measures to address behaviors such as
    wandering.” (Cal. Code Regs., tit. 22, § 87705, subd. (b)(2).)
    Notwithstanding the absence of such a plan, The Manse
    knowingly accepted and retained a dementia patient whose
    safety it was not equipped to protect.
    An RCFE must provide the “basic service[]” of
    “[b]eing aware of the resident’s general whereabouts, although
    the resident may travel independently in the community.”
    (Health & Saf. Code, § 1569.312, subd. (d).) An RCFE “shall
    determine the amount of supervision necessary by assessing the
    mental status of the prospective resident to determine if the
    individual: [¶] (1) tends to wander; [¶] (2) is confused or forgetful
    . . .” (Cal. Code Reg., tit. 22, § 87461, subd. (a).) Even though 602
    forms existed allowing Cardenas to leave the facility
    unaccompanied, The Manse had a continuing obligation to
    monitor his conduct and update his pre-admission evaluation “as
    frequently as necessary to note significant changes . . . in the
    resident’s . . . mental . . . condition.” (Cal. Code Regs., tit. 22,
    §§ 87463, subd. (a), 87705, subd. (c)(6).) The Manse did not do so.
    “The obligations imposed on [RCFEs] were obviously
    designed to prevent decedent’s mental and physical problems
    from going unnoticed and untreated, so that harm to decedent
    could be avoided.” (Klein v. Bia Hotel Corp. (1996) 
    41 Cal.App.4th 1133
    , 1140 (Klein).) In Klein, the RCFE argued that
    it was not responsible for a resident’s apparent suicide because
    she had a constitutional right to end her own life. (Id. at p. 1139.)
    16
    The court concluded that if such a right existed, it was irrelevant
    to the facility’s obligation to comply with applicable regulations to
    protect her safety. By analogy here, Cardenas’s right to “travel
    independently in the community” (Health & Saf. Code, § 1569.312,
    subd. (d)) and to “leave or depart the facility” (Cal. Code Regs., tit.
    22, § 87468.1, subd. (a)(6)) did not absolve The Manse of its
    responsibility to monitor his condition and provide appropriate
    measures for his safety.
    Cardenas consistently refused to sign out and refused
    to wear a GPS monitor. But that did not eliminate the licensee’s
    obligation to protect him. If “the facility is not appropriate for
    the resident,” it should have evicted him. (Cal. Code Regs., tit.
    22, § 87224, subd. (a)(4).) There was substantial evidence that
    Skiff failed to take sufficient steps to monitor his safety despite
    knowledge of the dangers presented.
    DISPOSITION
    The judgment is affirmed.
    CERTIFIED FOR PUBLICATION.
    TANGEMAN, J.
    We concur:
    GILBERT, P. J.
    YEGAN, J.
    17
    Craig B. Van Rooyen, Judge
    Superior Court County of San Luis Obispo
    ______________________________
    James & Associates, Becky S. James and Lisa M.
    Burnett for Defendant and Appellant.
    Hanson Bridgett, Adam W. Hofmann and David C.
    Casarrubias for California Assisted Living Association and
    Argentum as Amici Curiae on behalf of Defendant and Appellant.
    Xavier Becerra, Attorney General, Lance E. Winters,
    Chief Assistant Attorney General, Susan Sullivan Pithey,
    Assistant Attorney General, Steven D. Matthews and David F.
    Glassman, Deputy Attorneys General, for Plaintiff and
    Respondent.
    

Document Info

Docket Number: B296037

Filed Date: 1/4/2021

Precedential Status: Precedential

Modified Date: 1/4/2021