behavioral-health-and-human-services-licensing-board-kimble-l-richardson ( 2014 )

FOR PUBLICATION
ATTORNEYS FOR APPELLANTS: ATTORNEY FOR APPELLEE:
GREGORY F. ZOELLER DAVID F. MCNAMAR
Attorney General of Indiana McNamar & Associates, P.C.
Indianapolis, Indiana
KYLE HUNTER
Deputy Attorney General
Indianapolis, Indiana
Mar 18 2014, 9:42 am
IN THE
COURT OF APPEALS OF INDIANA
BEHAVIORAL HEALTH AND HUMAN )
SERVICES LICENSING BOARD, KIMBLE L. )
RICHARDSON, GEORGE BRENNER, )
ANDREW HARNER, GENEVA OSAWE, )
REX STOCKTON, CARLA GAFF-CLARK, and )
THE STATE OF INDIANA, )
)
Appellants-Respondents, )
)
vs. ) No. 48A05-1304-PL-185
)
ELAINE WILLIAMS, )
)
Appellee-Petitioner. )
APPEAL FROM THE MADISON CIRCUIT COURT
The Honorable Dennis D. Carroll, Judge
Cause No. 48C06-1203-PL-36
March 18, 2014
OPINION - FOR PUBLICATION
SHARPNACK, Senior Judge
STATEMENT OF THE CASE
The Behavioral Health and Human Services Licensing Board (“Board”) revoked a
mental health counselor’s license when she developed a personal attachment to a patient,
continued to see the patient after their professional relationship had ended, and ignored
the patient’s requests to leave her alone. Upon judicial review, the trial court found
substantial evidence supporting the Board’s findings and affirmed the revocation. On the
licensee’s motion to correct error, however, the court changed course. This time, it
faulted the manner in which the Board conducted its proceedings, disapproved of the lack
of a standard for disciplining licensees, and thus reversed and remanded with instructions
to either impose a lesser sanction or hold a new hearing.
We conclude the Board afforded the licensee fair proceedings and acted within its
authority in imposing the sanction of revocation. Further concluding the trial court
impermissibly reweighed the credibility of the witnesses and substituted its judgment for
that of the Board, we affirm the revocation.
FACTS AND PROCEDURAL HISTORY 1
Elaine Williams was licensed in Indiana as a mental health counselor in 1999. In
2009, her former employer filed a consumer complaint with the Office of the Attorney
General (“OAG”) regarding Williams’s relationship with Patient A, and in 2011, the
OAG filed a petition for emergency suspension. The Board held a hearing on the
petition, and even though it lacked a quorum, it suspended Williams’s license for ninety
1
Williams has filed a Request for Oral Argument. We deny this motion by separate order issued
contemporaneously with this opinion.
2
days. The Board later rescinded the suspension order due to the lack of a quorum, and
the OAG filed its administrative complaint against Williams.
At a January 2012 hearing before the Board, the State presented testimony from an
OAG investigator and Patient A. After the State’s case-in-chief, Board member Rex
Stockton, a non-lawyer, indicated he was ready to vote. When he was reminded that the
Board still had to hear Williams’s case, he readily agreed to do so. Stockton also
objected to “publishing” Patient A’s deposition because he wanted to protect Patient A’s
confidentiality, but he again readily agreed to do so when he was told that “publishing”
only meant entering the deposition into evidence. Finally, Stockton initially did not want
to consider an article introduced by Williams because it was not peer-reviewed. Still,
upon its admission, Stockton read the article. Based on evidence of Williams’s improper
conduct toward Patient A, the Board ultimately determined she had violated several
statutes and regulations governing mental health counseling and revoked her license.
In March 2012, Williams filed a petition for judicial review in the Madison Circuit
Court. She later filed a summary judgment motion, and the trial court held a hearing. In
December 2012, the court issued an order stating its “disappointment” with the testimony
of the OAG’s investigator, whose unpreparedness for the administrative hearing led the
court to question the quality of the investigation. Appellants’ App. pp. 104-05. The
court further stated that the credibility of Patient A, who it noted was mentally ill, “would
have been highly suspect in a court of law.” Id. at 105.
The court nonetheless concluded that “the Board’s Findings of Fact are supported
by substantial evidence, and it is for the Board and not the Court to weigh and evaluate
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that evidence.” Id. Specifically, the court noted facts drawn from the evidence showing
that Williams’s relationship with Patient A became personal and that she ignored Patient
A’s requests to leave her alone:
a. Petitioner first began treating Patient A in 2005 while she was employed
at Crestview Center in Anderson, Indiana. (Jan. 2012 Hearing, Testimony
of Petitioner, page 143, lines 3-12).
b. Patient A suffered from dissociative identity disorder, post traumatic
stress disorder, and major depression. (Jan. 2012 Hearing, Testimony of
Petitioner, page 146, lines 14-18; Petitioner’s Exhibit 1, letter from
Attorney Barkley Wong, p. 2)
c. There is evidence that Patient A’s multiple personalities integrated long
before she gave testimony in this case. (see State’s Exhibit B - email from
Petitioner referencing Patient A’s integration in Feb. 2010).
d. Patient A testified that over the next five years, Petitioner followed
Patient A as a client as Petitioner operated her own small practice, worked
for Trinity Counseling, and worked for Meridian Services (Jan. 2012
Hearing, Testimony of Patient A, page 28, lines 22-23), that Patient A
remained Petitioner’s client throughout her job changes (id. at page 48,
lines 20-24), and “[Petitioner] was always my therapist”) id.
e. Petitioner continued to act as Patient A’s therapist until Patient A
terminated the relationship in March of 2010. (Jan. 2012 Hearing, pages
28, 38-39, 48); see also State’s Exhibit D (Petitioner references her
“therapeutic relationship” with Patient A in March of 2010).
f. Petitioner testified that she “worked at the various places and continued
seeing Pt. A as a friend” (Testimony of Petitioner, pages 149-153).
g. Petitioner testified that while acting as Patient A’s counselor, Petitioner
also acted as Patient A’s advocate and friend and described her friendship
and advocacy for A (Jan. 2012 Hearing, Testimony of Petitioner, 149-151,
215-220). see also State’s Exhibit D (Petitioner discusses her “therapeutic
relationship” with Patient A in March of 2010); Jan. 2012 Hearing
Transcript, page 157 (“I would advocate for her”); and State’s Exhibit F
(“somewhere along the way I became [Patient A’s] friend”).
h. Petitioner visited Patient A’s home several times a week, including
weekends to check on her, called her several times a week, and on at least
one occasion, entered Patient A’s home through an unlocked back door to
return something to her. (State’s Exhibit A, p. 2, letter attached to
complaint from Petitioner’s supervisor at Meridian to the Attorney
General’s Office)
i. In July 2009, Patient A was hospitalized at Ball Hospital and Petitioner
presented Patient A’s history to the treatment team who expressed concern
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about Petitioner’s extensive involvement and knowledge in Patient A’s
treatment to Petitioner’s supervisor at Meridian Services. (Id.)
j. On July 20, 2009, Petitioner’s supervisor at Meridian Services told
Petitioner that she believed [Petitioner’s] boundaries with Patient A were
becoming blurred and that she felt [Petitioner] was functioning as Patient
A’s friend rather than a therapist. (Id.)
k. When Petitioner’s supervisor at Meridian Services told Petitioner that
she was recommending that Patient A’s treatment be transferred to another
therapist within Meridian Services or another treatment facility in
Anderson, Petitioner began crying and asked for a “middle ground” where
she could still treat Patient A. (Id.)
l. On July 20, 2009, Petitioner resigned from Meridian Services after [her]
supervisor prohibited her from continuing to see Patient A. Prior to
leaving, [Petitioner] informed Patient A that she would be transferred to
another therapist, but after her resignation, Petitioner continued seeing
Patient A. (Id.)
m. In February of 2010, Patient A experienced an “integration” of her
multiple personalities, and told Petitioner that she wanted a break from their
therapeutic relationship and wanted some time away from Petitioner. (Jan.
2012 Hearing, Testimony of Patient A, pages 33-34 and 38-39). See also
State’s Exhibit C (email from Patient A to Petitioner asking Petitioner to
leave her alone).
n. However, Petitioner refused to respect Patient A’s clear requests to be
left alone. Instead, Petitioner continued to attempt to contact Patient A by
phone, in person, and by email and letters. (Jan. 2012 Hearing, Testimony
of A, p. 35-36; See State’s Exhibits C-N (various emails from Petitioner
sent to Patient A).
o. The emails and letters contained in State’s Exhibits A−N reveal the
inappropriate depth of the involvement of Petitioner in Patient A’s personal
life.
p. March 10, 2010 email from Patient A to Petitioner: “Why I have turned
on you? I have 18 messages on my machine that are clear boundary
violations and have nothing to do with any kind of process… You were
thoroughly unprofessional in your reaction to my making a decision
without you. I know you will not accept the words I speak… I am only
responding because I want you to leave what few people I have left in my
life alone… No more phone calls, please.” (State’s Exhibit C).
q. March 11, 2010 email from Petitioner to Patient A: “You wanted to
think of me as therapist and friend. You acknowledged then that my
feelings about you were real, but that I am human and have feelings of my
own too.” “It was your heart that attracted meyour gentleness, wisdom,
humor, etc.” “I didn’t know what your needs were right after you
integrated…but when your anger started at me, I focused on my needs. At
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that time my needs were to understand what had made you so angry, and I
was feeling the hurt of lossnot loss of the alters, but of you…Because
selfishly or not, I legitimately like, respect, admire, and enjoy you. I didn’t
want to lose youa person I had grown to love.” (State’s Exhibit D).
r. March 14, 2010 email from Petitioner to Patient A: “Maybe I don’t even
know what all my hurt and grief is aboutbut I know I probably loved you
better than anyone I ever have outside my immediate family… Although I
cannot know what the future holds, I cannot see myself being your therapist
again even if you wanted thatbecause somewhere along the way I
bec[a]me your friend and that is why I have the right to grieve the loss.”
(State’s Exhibit E).
s. Patient A’s relationship with Petitioner was “not helpful” and was
“traumatic” for her. (Jan. 2012 Hearing, page 63).
t. Petitioner’s conduct harmed Patient A. Petitioner’s unwanted attempts
to contact Patient A became so extreme that Patient A had to contact the
police twice regarding [Petitioner’s] behavior (Jan. 2012 Hearing,
Testimony of Patient A, pages 36-38).
u. Patient A has since moved away, changed her phone number, changed
her email account, all in an attempt to distance herself from Petitioner (Jan.
2012 Hearing, Testimony of Patient A, p. 35, line 8-12 - email address
changed); See also the testimony of Patient A’s daughter that Patient A
moved and changed her phone number because of Petitioner’s unwanted
involvement (July 2011 Hearing, page 23, lines 8-11).
v. This unwanted communication caused Patient A to feel afraid of
Petitioner. (Jan. 2012 Hearing page 32, line 81).
Id. at 105-09. Based on this evidence, the trial court determined the Board properly
found that Williams had violated: (1) Indiana Code section 25-1-9-4(a)(4)(B) (2007)
(continuing to practice although unfit to practice due to “failure to keep abreast of current
professional theory or practice”) by violating 839 Indiana Administrative Code 1-5-5(1)
(2007) (“A mental health counselor’s primary professional responsibility is to the client.
The mental health counselor shall make every reasonable effort to advance the welfare
and best interests of the client, including respecting the rights of those persons seeking
assistance and making reasonable efforts to ensure that the mental health counselor’s
services are used appropriately.”); (2) Indiana Code section 25-1-9-4(a)(4)(B) by
6
violating 839 Indiana Administrative Code 1-5-5(9) (“The mental health counselor is
aware of anything that might interfere with the counselor’s effectiveness and shall refrain
from any activity that might lead to inadequate performance or harm to anyone, including
himself or herself and the client.”); (3) Indiana Code section 25-1-9-6.7(2) (1998) (“failed
to meet the minimum standards of performance in professional activities when measured
against generally prevailing peer performance in professional activities, including the
undertaking of activities that the practitioner is not qualified by training or experience to
undertake”); and (4) Indiana Code section 25-1-9-6.7(3) (“performed services, including
any duties required of the individual under IC 31, in reckless disregard of the best
interests of a patient, a client, or the public”). The court further noted that any one of the
four violations would have been sufficient to justify revoking Williams’s license.
Appellants’ App. p. 111.
The court addressed Williams’s concern about the emergency suspension but
concluded it did not affect the validity of the Board’s final order revoking her license. It
also addressed her concern about Stockton: “The record is clear that in each instance
here, other Board members explained and corrected Stockton, and that Stockton[ ]
reversed his original position, did consider all the evid[e]nce, and his preliminary remarks
had no lasting effect on his deliberations or the deliberations of any other Board member
that would justify overturning the Board’s decision.” Id. at 118.
Concluding that Williams had failed to sustain her burden of proving that the
revocation should be overturned, the court denied her summary judgment motion,
confirmed and ratified the Board’s decision, and lifted the stay previously issued.
7
Williams then filed a motion to correct error. At the start of the hearing on the
motion, the court explained that it did not believe the Board’s violation findings were in
error. See Tr. p. 59 (“As I read the record and from my finding[s] it’s obvious I mean I, I
thought there was evidence from which boundaries violations could clearly be
established. So I, I don’t see the Court revisiting that.”). Instead, the court was troubled
by the harshness of the sanction. See id. at 58 (“[W]hat authority do you think the Court
has . . . on the one hand affirming . . . the Board[’]s Findings and Conclusions as I
already have but revisiting the sanction?”).
In March 2013, the court issued a second order in which it concluded that the
sanction of license revocation was too severe in light of the record before it. 2 It
determined that several circumstances led to a “well-founded” “concern about the
fairness” of the Board proceedings. Appellants’ App. p. 208. As to the emergency
suspension hearing, it noted that Williams was denied a continuance without an
explanation of the “emergency” and that the suspension was initially granted without a
quorum. As to the hearing on the administrative complaint, it again questioned the
credibility of both the State’s witnesses, particularly Patient A; determined Stockton’s
actions gave a perception of unfairness; and found it unreasonable that for a lengthy
hearing lasting late into the night, Williams was given only ten minutes for closing
argument and denied the opportunity to submit a brief instead.
2
Though immaterial to the issue before us, we note the second order amended the findings quoted above
from the first order to state that Williams ceased being Patient A’s therapist in 2008 or 2009 (not 2010 as
indicated in the first order), and at that point she continued to see Patient A as a friend and advocated for
her with other health care providers.
8
The focus of the trial court’s second order was on its perceived impropriety of the
sanction:
11. The record is totally devoid of any explanation of the evidence or
factors relied on for imposing a sanction, totally devoid of any recitation of
standards for imposing sanctions, totally devoid of any facts and policies
from which the court might conclude that the sanction was objectively
reasonable or proportionate.
....
16. The Court is particularly concerned about the penalty of “revocation”
of Dr. Williams’ license to practice mental health counseling given the facts
of this case, the absence of prior complaints against her, and the Board’s
failure to articulate any identified standards for punishment, or a basis for
the particular punishment selected in this case.
....
18. The Board has not promulgated any specific standards for the
disciplining of licensees. In this regard, licensees are not in a position to
know just what penalty could be imposed for various alleged violations.
While the statute provides that the penalty variation can be from reprimand
to revocation, there is no standard set for what conduct might determine
what penalty.
Id. at 207-08. Noting Williams’s property interest in her license, the court concluded that
“the decision regarding the penalty was arbitrary, capricious, an abuse of discretion, and
not in accordance with the law.” Id. at 210. It therefore reversed the Board’s decision
and remanded with instructions to impose a lesser sanction or to hold a new hearing:
1. This case is reversed and remanded to the Board with instructions to
impose either a reprimand or modest suspension supported by the record
already before it, or
2. Hold a new hearing on the complaint filed against Dr. Williams, and, if
it finds a violation and imposes a sanction, to set out with particularity in its
amended findings and order the penalty criteria employed and the facts and
circumstances supporting the sanction, keeping in mind that meaningful
judicial review requires a record that is defensible based on objective
reasonableness and proportionality . . . .
Id. at 211. The Board now appeals.
9
DISCUSSION AND DECISION 3
The Administrative Orders and Procedures Act limits judicial review of agency
action:
The court shall grant relief . . . only if it determines that a person seeking
judicial relief has been prejudiced by an agency action that is:
(1) arbitrary, capricious, an abuse of discretion, or otherwise not in
accordance with law;
(2) contrary to constitutional right, power, privilege, or immunity;
(3) in excess of statutory jurisdiction, authority, or limitations, or
short of statutory right;
(4) without observance of procedure required by law; or
(5) unsupported by substantial evidence.
Ind. Code § 4-21.5-5-14(d) (1987); Huffman v. Office of Envtl. Adjudication, 811 N.E.2d
806, 809 (Ind. 2004). We stand in the same position as that of the trial court when
reviewing a decision of an administrative agency. Filter Specialists, Inc. v. Brooks, 906
N.E.2d 835, 844 (Ind. 2009). We give deference to the expertise of the agency and will
not reverse simply because we may have reached a different result. Id. We defer to the
agency’s findings of fact, if supported by substantial evidence, but review questions of
law de novo. Huffman, 811 N.E.2d at 809.
Upon finding that Williams had committed two violations under Section 25-1-9-4
and two violations under Section 25-1-9-6.7, the Board revoked her license pursuant to
Indiana Code section 25-1-9-9(a) (2001), which provides:
3
Williams filed a Verified Motion to Dismiss Appeal on June 28, 2013, and a Second Motion to Dismiss
Appeal on September 17, 2013. Both motions were denied by our motions panel. In the Appellee’s
Brief, Williams again asks us to dismiss this appeal for the same reasons presented in her previous
motions. We see no reason to depart from the decisions of our motions panel and thus decline her
request.
10
The board may impose any of the following sanctions, singly or in
combination, if it finds that a practitioner is subject to disciplinary sanctions
under section 4, 5, 6, 6.7, or 6.9 of this chapter or IC 25-1-5-4:
(1) Permanently revoke a practitioner’s license.
(2) Suspend a practitioner’s license.
(3) Censure a practitioner.
(4) Issue a letter of reprimand.
(5) Place a practitioner on probation status . . . .
(6) Assess a fine against the practitioner . . . .
The trial court initially affirmed the Board’s decision, but then reversed on Williams’s
motion to correct error. The court’s order on the motion to correct error shows it was
troubled with the Board’s severe sanction of revocation, not with any determination that
Williams’s conduct warranted a sanction. We can draw no other conclusion from its
remand ordering either a lesser sanction or a new hearing.
Upon finding that Williams was subject to discipline, however, the Board could
impose any sanction authorized by Section 25-1-9-9, one of which includes
“[p]ermanently revok[ing the] practitioner’s license.”
The trial court nonetheless concluded that the Board’s decision to impose the
harshest sanction of revocation was arbitrary and capricious in light of: (1) the absence of
evidence of prior disciplinary actions against Williams; (2) what the court believed to be
the improper use of Section 25-1-9-4; (3) the credibility of the State’s witnesses; (4) other
facts leading the court to believe there was a reasonable perception of unfairness in the
proceedings (the denial of a continuance of the emergency suspension hearing, the grant
of the suspension without a quorum, Stockton’s statements, and the allotment of only ten
minutes for Williams’s closing argument); and (5) the Board’s lack of a standard in
determining the appropriate sanction.
11
An arbitrary and capricious decision is one that is patently unreasonable. A.B. v.
State, 949 N.E.2d 1204, 1217 (Ind. 2011). Such a decision is made without consideration
of the facts and in total disregard of the circumstances and lacks any basis that might lead
a reasonable person to the same conclusion. Id.Progressive discipline not required. While there was no evidence that Williams
had been the subject of any prior disciplinary actions, we find nothing in our statutes or
caselaw that requires a system of progressive discipline. Indeed, a recent decision of this
Court affirmed the revocation of a nursing license even though the licensee had no prior
disciplinary incidents in her twenty-two years of practice. See Davis v. Ind. State Bd. of
Nursing, 3 N.E.3d 541, 542-43 (Ind. Ct. App. 2013).
Use of Section 25-1-9-4. The trial court determined that Section 25-1-9-4(a)(4)(B)
(continuing to practice although unfit to practice due to “failure to keep abreast of current
professional theory or practice”) was “improperly utilized” by the Board to revoke
Williams’s license. Appellants’ App. p. 210. The order provided no explanation of how
the statute was improperly used but cited Indiana Real Estate Commission v. Kirkland,
256 Ind. 249, 268 N.E.2d 105 (1971). In Kirkland, an administrative agency revoked a
real estate broker’s license pursuant to a statute that prohibited him from “[f]ailing to
account and remit any moneys coming into his possession belonging to others.” Id. at
253, 107. The Supreme Court affirmed the trial court’s reinstatement of the broker’s
license because there was no evidence that he failed to account and remit moneys coming
into his possession belonging to another. Id. at 256, 109.
12
Kirkland involved administrative proceedings based on an entirely different statute
with entirely different circumstances from those before us. Here, the Board determined
Williams had violated Section 25-1-9-4(a)(4)(B) by failing to meet the standards for the
competent practice of mental health counseling set forth in 839 Indiana Administrative
Code 1-5-5(1) and 839 Indiana Administrative Code 1-5-5(9). To the extent the trial
court believed the Board’s use of Section 25-1-9-4(a)(4)(B) was not meant to be applied
in such a manner, we note that reviewing courts defer to an administrative agency’s
reasonable interpretation of a statute it is charged with enforcing, even over an equally
reasonable interpretation by another party. Chrysler Group, LLC v. Review Bd. of Ind.
Dep’t of Workforce Dev., 960 N.E.2d 118, 124 (Ind. 2012).
Moreover, the Board’s revocation was based not only on two violations of Section
25-1-9-4 but also on two violations of Section 25-1-9-6.7. The trial court’s initial order
concluded that any one of the violations would have been sufficient to justify revoking
Williams’s license. While its subsequent order faulted the Board’s use of Section 25-1-9-
4, it found nothing deficient with the Board’s application of Section 25-1-9-6.7. Even by
the court’s own terms, then, its concern about Section 25-1-9-4 did not affect the
determination that Williams’s conduct justified revocation.
Witness credibility. The trial court was concerned with the credibility of both
State’s witnesses, particularly Patient A. It questioned Patient A’s credibility in light of
her medical diagnoses, thus decided that other evidence was necessary to justify
revocation, and faulted the Board for disregarding Williams’s evidence:
13
9. The record herein established that Patient A suffered from Dissociative
Identity Disorder, Posttraumatic Stress Disorder, Depression, and
Schizophrenia. With this diagnosis, there is a serious question about
Patient A’s trustworthiness as a witness. Even assuming the Board
properly found Patient A to be competent, due process requires that her
testimony be given limited weight, and that Board findings sufficient to
revoke a license must constitutionally rest on additional compelling,
trustworthy evidence.
....
13. Because of the mental illness of Patient A and the contradictions and
confusion in her testimony, the Court concludes that her testimony standing
alone was insufficient to support a license revocation. Furthermore, the
record demonstrates she was impeached and yet the Board accepted her
testimony and disregarded Dr. Williams’ evidence . . . .
Appellants’ App. pp. 207, 210. On appeal, Williams agrees with the trial court, arguing
that Patient A’s testimony was impeached, that she was not a credible witness, and that
the Board’s findings improperly relied solely on the State’s evidence.
But judging witness credibility and weighing evidence was not within the province
of the trial court. See Rynerson v. City of Franklin, 669 N.E.2d 964, 971 (Ind. 1996)
(“The court reviewing an administrative determination may not determine questions of
credibility or weigh conflicting evidence and choose that which it sees fit to rely upon in
determining whether there was substantial evidence to support an administrative
action.”). Instead, they were matters for the Board to resolve. And while we disagree
with the court’s bald assertion that findings sufficient to support revocation necessarily
required evidence outside of Patient A’s testimony, there were in any event several
emails from Williams to Patient A documenting Williams’s inappropriate conduct.
Perception of unfairness in proceedings. As to any perception of unfairness in the
proceedings, we note that Williams had the burden of demonstrating the invalidity of the
14
Board’s action on judicial review, see Ind. Code § 4-21.5-5-14(a), and that the court will
grant relief “only if it determines that a person seeking judicial relief has been prejudiced
by an agency action,” Ind. Code § 4-21.5-5-14(d). We simply cannot conclude that the
proceedings before the Board were unfair or that Williams was prejudiced. As noted in
the trial court’s initial order, any concerns about the emergency suspension, later
rescinded, did not affect the validity of the Board’s final order revoking Williams’s
license. Moreover, we cannot say that Stockton’s comments caused any prejudice as he
essentially reversed his positions and considered all the evidence after legal processes
were explained to him. Nor can we say that ten minutes for closing argument was
patently unreasonable. In short, although Williams may not have received perfect
proceedings, we are confident she received fair proceedings.
Lack of standard. Finally, the trial court was concerned about the Board’s lack of
a standard in determining the appropriate sanction. It cited Indiana State Board of Health
Facility Administrators v. Werner, 841 N.E.2d 1196 (Ind. Ct. App. 2006), clarified on
reh’g, 846 N.E.2d 669 (2006), trans. denied, to support its assertion that the Board here
should have had “some minimal standards” for imposing revocation. Appellants’ App. p.
209. In Werner, an administrative law judge conducted a hearing at which “voluminous
amounts of evidence” were presented. 841 N.E.2d at 1207. Following the hearing, the
ALJ entered extensive findings and conclusions and ultimately recommended that
Werner be censured. The State objected to the ALJ’s order. After oral argument, the
Board rejected the ALJ’s recommended findings, conclusions, and sanction and instead
suspended Werner’s license indefinitely with an opportunity to have it reinstated in five
15
years. On Werner’s motion to vacate, the Board vacated its earlier order, adopted the
ALJ’s findings and conclusions, but ratified its previous sanction of indefinite
suspension.
This Court determined that the Board’s decision to impose a significantly more
severe sanction than recommended by the ALJ on the very same findings and conclusions
of the ALJ was arbitrary and capricious because it left us to speculate as to the basis for
its decision. Id. at 1208. We thus concluded the Board erred by failing to explain its
decision to impose a more severe sanction. Id. at 1209.
Werner says nothing about having a public standard for imposing sanctions. It
merely concluded that the Board could not adopt the ALJ’s findings and conclusions but
then impose a more severe sanction without explanation. In this case, there was no ALJ.
The administrative complaint was heard directly before the Board, and the Board then
issued findings and conclusions explaining its decision to revoke Williams’s license.
Werner thus provides no support for reversal here.
The trial court lamented the absence of any public standard that would allow it to
evaluate whether the sanction of revocation was proper. Appellants’ App. p. 207.
Williams urges on appeal that, without such a standard, the actions of the Board were
arbitrary and capricious. Appellee’s Br. p. 30. However, our Supreme Court has
recognized that “judicial inquiries into the private motivation or reasoning of
administrative decisionmakers is a substantial intrusion into the functions of the other
branches of government.” Med. Licensing Bd. of Ind. v. Provisor, 669 N.E.2d 406, 410
16
(Ind. 1996). The Court thus affirmed the general bar against probing the mental
processes of administrative decisionmakers in their private deliberations. Id.Nor does this give the Board “unbridled discretion” to impose any sanction
authorized by statute irrespective of the circumstances. Appellants’ App. p. 208. Instead,
the Indiana Code requires some level of consistency in the imposition of sanctions: “The
board shall seek to achieve consistency in the application of the sanctions authorized in
this section. Significant departures from prior decisions involving similar conduct must
be explained in the board’s findings or orders.” Ind. Code § 25-1-9-13 (1988). Williams
made no showing that the sanction of revocation for her conduct was a significant
departure from prior decisions involving similar conduct such that the Board was
required to provide an explanation.
The evidence shows that Williams involved herself in Patient A’s personal life and
continued to contact her despite Patient A’s requests to be left alone. In her emails to
Patient A, she expressed her love for Patient A and the pain caused by Patient A’s
rejection of her. Williams’s unwanted attempts to contact Patient A caused Patient A to
call the police twice regarding Williams’s behavior, move away from her home, change
her phone number, and change her email account. The situation with Williams was
traumatic for Patient A and caused her to feel fear. In light of this evidence, the trial
court improperly substituted its judgment for that of the Board when it determined that
revocation was too severe a sanction.
17
CONCLUSION
We conclude the Board afforded Williams fair proceedings and acted within its
authority in revoking her license. We therefore affirm its decision in all respects.
Affirmed.
VAIDIK, C.J., and BAILEY, J., concur.
18