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MAMMEN v. COUNTY OF SACRAMENTO DEPARTMENT OF HEALTH AND HUMAN SERVICES (2021)

United States Court of Appeals, Ninth Circuit.2021-04-15No. No. 18-16270

Summary

Holding. The court affirmed the district court's rulings that the wrapping technique violates California regulations prohibiting restraints on children in care settings.

The Mammens, adoptive parents of a child with special needs, challenged the county's prohibition on an occupational therapy technique involving wrapping the child in fabric. They claimed this prohibition violated their constitutional rights. A jury found in favor of the county and its social workers. On appeal, the court examined whether the wrapping technique complied with California regulations governing restraint of children in care settings.

The court concluded that the wrapping technique violated California law. The regulation prohibits restraining devices that prevent a child from moving freely, specifically including anything that limits use of hands or feet. The court found no factual dispute: the parents' own descriptions showed the child's arms were restricted by the fabric, with the parent holding it in place. This restraint did not qualify as an exception for postural supports or protective devices. The court also declined to consider arguments based on federal disability law that the parents raised for the first time on appeal, as they provided no authority showing those statutes contradicted the state regulation.

Summary generated by law.co from the public-domain opinion. The opinion text itself is public domain.

Key issues

  • Whether wrapping technique constitutes unlawful restraint under California child care regulations
  • Whether wrapping technique qualifies as permissible postural support or protective device
  • Whether federal disability statutes preempt state restraint prohibitions

Procedural posture

Plaintiffs appealed the district court's summary judgment ruling and in limine orders following a jury verdict in favor of defendants on constitutional claims.

Authorities cited

No cited authorities resolved to law.co cases yet.

Opinion

MEMORANDUM **

A.P., a dependent minor with special needs, and his adoptive parents, Robin and Larry Mammen (collectively, “Plaintiffs”) sued the County of Sacramento and multiple social workers (collectively, “Defendants”), alleging that they violated Plaintiffs’ constitutional rights as a result of their prohibition of certain occupational therapy techniques, including one in which A.P. was wrapped up like a burrito (the “wrapping technique”). After trial, a jury unanimously found in Defendants’ favor. Plaintiffs now appeal the district courts rulings in its April 25, 2017 order on Defendants’ motion for summary judgment, and in response to a motion in limine, that the wrapping technique is unlawful under California Code of Regulations, title 22, sections 89372(a)(8) and 89475.2(a). We have jurisdiction under 28 U.S.C. § 1291, and we affirm.

Plaintiffs first argue that the district court erred as a matter of law by concluding that the wrapping technique violates California law. See Paulson v. City of San Diego, 294 F.3d 1124, 1128 (9th Cir. 2002) (en banc) (“We review de novo the district courts interpretation of state law.”). We disagree. The California Code of Regulations provides that, “[e]xcept for postural supports and protective devices ․, the caregiver shall not restrain or use any restraining devices on a ‘child.’ ” Cal. Code Regs. tit. 22, § 89475.2(a); see also id. § 89372(a)(8). A “restraining device” is defined as “any physical or mechanical item that is attached or next to the body of a ‘child’ that a ‘child’ cannot remove easily and keeps the ‘child’ from moving freely as specified in Section 89475.2, Postural Supports and Protective Devices,” id. § 89201(r)(3), such as by “tying, depriving, or limiting a ‘child’ from use of hands or feet,” id. § 89475.2(a)(1)(C).

Although Plaintiffs assert that there is a dispute of fact on the details of the wrapping technique, we are unable to identify any such dispute in the record. Indeed, Plaintiffs’ own descriptions of the wrapping technique establish that it is a “direct violation of § 89475.2’s prohibition on limiting a childs use of his hands or feet,” as the district court concluded. To use the wrapping technique, Ms. Mammen stated that A.P. is “wrapped up like a burrito” in a piece of stretchy fabric that A.P. could “push on” but which Ms. Mammen held taut by tucking a piece of the fabric underneath her thigh. In their opposition to two of the Defendants’ motion to dismiss, Plaintiffs relied on a description of the wrapping technique indicating that the “fabric is placed over a childs arms but below the shoulders and above the hips.” These explanations show that A.P.’s arms are within or under a piece of material placed on or around his body such that the technique constitutes a “restraining device” “depriving[ ] or limiting” A.P. of the use of his hands and mobility. Cal. Code Regs. tit. 22, § 89475.2(a). For these reasons, the district court also correctly concluded that the wrapping technique does not qualify as an exception to Californias anti-restraint rule as a “postural support” or “protective device.” See id.

We decline to reach Plaintiffs’ arguments raised for the first time on appeal relating to the California Welfare and Institutions Code, the Americans with Disabilities Act, and Rehabilitation Act, especially considering that Plaintiffs do not provide any authority supporting their assertion that these statutes contradict or “preempt” the restraint-regulation. See Raich v. Gonzales, 500 F.3d 850, 868 (9th Cir. 2007) (“[G]enerally, ‘we will not consider arguments that are raised for the first time on appeal.’ ”) (quoting Smith v. Marsh, 194 F.3d 1045, 1052 (9th Cir. 1999)).

Because the district court did not err in ruling that the wrapping technique violated California law, we need not consider Plaintiffs’ contention that these rulings prejudiced the trial or led to an erroneous verdict. In any event, Plaintiffs confirmed at trial that they were not contesting that the wrapping technique was prohibited by the state, failed to identify how Defendants’ closing argument resulted in any prejudicial error, did not identify any documents or witnesses they assert were improperly precluded from trial, and did not raise any specific objection to the jury instructions which they contend Defendants then used to prejudice the jury. See id.; Affordable Hous. Dev. Corp. v. City of Fresno, 433 F.3d 1182, 1193 (9th Cir. 2006) (“This Court will not ordinarily consider matters on appeal that are not specifically and distinctly argued in appellants opening brief.” (internal quotation marks and citation omitted)).

AFFIRMED.