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ROBERT H. ZIMMERMAN, Bar No. 84345 Superior Court of California F
SCHUERING ZIMMERMAN & DOYLE, LLP County of Butte
400 University Aven
Sacramento, California 95825-6502 12/3/2020
(916) 567-0400
FAX: 568-0400
KinGerty shy Clerk
By Deputy
Attomeys for Defendant ENLOE MEDICAL CENTER Electronically F: ED
SUPERIOR COURT OF CALIFORNIA, COUNTY OF BUTTE
10 PATSY NEWTON, individually; HAROLD NO. 20CV01091
NEWTON, individually; SUZANNE
11 BOLDEN, individually, Assigned to Judge Tamara L.
Mosbarger for | Purposes
12 Plaintiffs,
MOTION IN LIMINE NO. 7 TO
13 vs. PRECLUDE PLAINTIFFS’ EXPERTS
FROM OPINING PLAINTIFF’S CARE
14 ENLOE MEDICAL CENTER; and DOES 1 - WAS RECKLESS OR THE LIKE;
50, et al., DECLARATION OF ROBERT H.
15 ZIMMERMAN IN SUPPORT
Defendants.
16 Date: December 10, 2020
Time: 1:30 p.m.
17 Dept: 1
18 Action Filed: May 29, 2020
Trial Date: December 14, 2020
19
20
I
21
INTRODUCTION
22
This is an action brought by plaintiffs against ENLOE MEDICAL CENTER. Plaintiffs
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allege Patsy Newton, was neglected during a 11 day hospitalization at Enloe Medical
24
Center from September 11, 2019 through September 21, 2019. Plaintiffs allege defendant's
25
staff was negligent in the care of Ms. Newton and violated the Patients’ Bill of Rights
26
pursuant to Health and Safety Code § 1250.
27
It is expected that plaintiffs will seek to present expert opinion on certain statutory
28
definitions, as well as opinions that certain statutes/regulations were violated.
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MOTION IN LIMINE NO. 7 TO PRECLUDE RECKLESSNESS
1 Specifically, defendant expects plaintiffs will elicit testimony from their experts that the
defendant's actions were “reckless,”grossly negligent,” and that defendant “knowingly
disregarded” the risk of harm to Ms. Newton. Such testimony is not the proper subject of
expert opinion and should be found inadmissible.
II.
EVIDENCE SOUGHT TO BE EXCLUDED
A Statutory Definitions
It is expected that at least one of plaintiff's retained expert witnesses will provide
testimony as to whether actions by Enloe Medical Center’s personnel met statutory
10 definitions that a jury must decide in determining liability under the Welfare and
11 Institutions Code section 15657, which include intent/state of mind requirements. As set
12 forth below, any testimony by plaintiffs’ expert witnesses, or any other witness, regarding
13 statutory standards and/or the state of mind of others is inappropriate expert opinion.
14 B. Opinions Regarding Statutory Violations
15 It is also anticipated that plaintiffs’ experts will attempt to offer opinions on
16 statutory violations. Plaintiffs’ Complaint contains numerous citations to alleged
17 statutory/regulatory violations. (See Plaintiffs’ Complaint, attached as Exhibit A to the
18 Declaration of Robert H. Zimmerman (hereafter Zimmerman Decl.), at 111, 4, 14-39, 52,
19 & 56.) Defendant expects plaintiffs’ expert witnesses will attempt to offer testimony at
20 their upcoming depositions that certain acts/omissions were “reckless,”“grossly
21 negligent,” and “knowingly disregarded” the risk of harm to Ms. Newton and her rights,
22 health and welfare. (See Exhibit A to Zimmerman Decl., at 111, 7, 9, 13, 16, 17, 20, 21, 22,
23 24, 25, 26, 27, 29, 30, 31, 32, 35, 38, 39, 41, and 43.)
24 Ill.
25 LAW AND ARGUMENT
26 A. Expert Opinions
27 Pursuant to Evidence Code section 801, expert opinion is admissible when it is
28 “[rJelated to a subject that is sufficiently beyond common experience that the opinion of
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MOTION IN LIMINE NO. 7 TO PRECLUDE RECKLESSNESS
) Moreover,
an expert would assist the trier of fact... .” (Evidence Code section 801(a.).
objectionable
“{t]estimony in the form of an opinion that is otherwise admissible is not
ce Code
because it embraces the ultimate issue to be decided by the trier of fact.” (Eviden
es an
section 805.) “However, the admissibility of expert opinion evidence that embrac
ultimate issue in a case does not bestow upon an expert carte blanche to express any
opinion he or she wishes to.” (Summers v. A.L. Gilbert Co. (1999) 69 Cal.App.4th 1155,
1178.) “There are limits to expert testimony, not least of which is the prohibition against
admission of an expert’s opinion on a question of law.” (Ibid.) An expert also may not
draw “legal conclusions.” (Nevarrez v. San Marino Skilled Nursing & Wellness Centre, LLC
10 (2013) 221 Cal.App.4th 102, 122.) Moreover, “[e]ven if an expert’s opinion does not go to
1] a question of law, itis not admissible if it invades the province of the jury to decide case.”
12 (Summers, supra, 69 Cal.App.4th at p. 1182.) As further explained,
13 Expert opinions which invade the province of the jury are not
14 tp
excluded because the’ embrace an ultimate issue but
because they are not he! ful (or perhaps too helpful). “ (T]he
rationale for admitting opinion testimony is that it will assist
15 the jury in reaching a conclusion called for by the case.
‘Where the jury is just as competent as the expert to consider
16 and weigh the evidence and ‘aw the necessary conclusions,
then the need for expert testimony evaporates.’” (/d. 1183.)
17
18 Such inadmissible expert opinions include testimony to the effect that certain
19 actions were contrary to the law, legal requirements, and liability for acts based on legal
20 Principles. (/d. at 1185.) The state of mind of an actor is also generally an inappropriate
21 subject of expert opinion. (Kotla v. Regents of University of California (2004) 115
22 Cal.App.4th 283, 293 [“Absent unusual facts, it must be presumed that jurors are capable
23 of deciding a party's motive for themselves without being told by an expert which finding
24 on that issue the evidence supports.”].) Itis inappropriate for an expert to be “advocating”
25 instead of “testifying.” (Ibid., Kotla, supra, 115 Cal.App.4th at p. 294 [in finding expert’s
26 opinion inadmissible, noting that it did “not offer the jury anything more than the lawyers
27 can offer in argument.”].)
28 The case of Intrieri v. Superior Court (2004) 117 Cal.App.4th 72 is instructive. This
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.
case involved a cause of action under the Elder Abuse Act. The court noted that, in such
nt has
a cause of action, a plaintiff is entitled to enhanced remedies where the defenda
been “guilty of recklessness, oppression, fraud, or malice ... .” (Id. at 82, quoting Welfare
and Institutions Code section 15657.) In Intrieri, plaintiffs’ expert provided a declaration
in opposition to a motion for summary judgment. (Id. at 79. The declaration stated, in part,
that the defendant “acted with conscious disregard that [the plaintiff] would sustain
further injury when [defendant] failed to provide care planning, skin care reporting and
proper treatmentof...ulcers.” (/d. at 79.) Another expert provided a declaration stating that
the defendant’s conduct fell below the standard of care “and was done with a conscious
10 disregard of the high probability that her condition would worsen.” (/bid.) On appeal, the
11 defendant argued the expert’s statements that the defendant acted with conscious
12 disregard of the decedent’s safety constituted inadmissible opinion about a party’s state
13 of mind. (/d. at 83.) The Intrieri court agreed, noting that “the experts’ conclusions
14 regarding the [defendant's] state of mind cannot be considered in determining whether
15 a triable issue of material question of fact exists, because conclusions of fact or law do
16 not constitute evidentiary facts[.]” (/bid.)
17 B. Inadmissible Opinions Re Elder Abuse/Neglect
18 Plaintiffs’ Complaint, states a cause of action under Welfare and Institutions Code
19 section 15600 et seq. under a theory of neglect and abuse. Pursuant to statute, the
20 elements of this cause of action are:
21 [Name of _ plaintiff] claims that [he/she/nonbinary
ronoun/name of decedent] was neglected by [[name of
22 individual defendant]/ [and] [name of employer defendant} ]
in violation of the Elder Abuse and Dependent Adult Civil
23 Protection Act. To establish this claim, [name of plaintiff] must
prove all of the following:
24
1. That ([name of individual defendant]/[name
25 of employer defendant]’s employee] had a
substantial caretaking or custodial relationship
26 with [name of laintiff/decedent], involving
ongoing responsibility for [his/her/nonbinary
27 pronoun] basic needs, which an able-bodied
and fully competent adult would ordinarily be
28 capable of managing without assistance;
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2. That [name of plaintiff/decedent] was [65
ears of age or older/a dependent adult] while
he/she/nonbinary pronoun] was in [{name of
individual defendant]’s/[name of employer
fe
defendant]’s e mM] loyee’s] care or custody] was
in [[name of de! fendant]’s/[name of employer
defendant]’s employee’s] care or custody;
3. That [[name of individual defendant]/[name
of employer defendant]’s employee] failed to
use the degree of care that a reasonable person
in the same situation would have used in
roviding for [name of plaintiff/decedent]’s
btheasicfollowing:
needs, including [insert one or more oO!
i
[assisting in personal hy: iene or in the provision
of food, clothing, or she! iter; ]
10
[providing medical care for physical and mental
1] health needs;
12 [protecting [name of plaintiff/decedent] from
health and safety hazards;]
13
[preventing malnutrition or dehydration;]
14
[insert other grounds for neglect;]
15
4. That [name of plaintiff/decedent] was harmed; and
16
5. That [[name of individual defendant]’s/[name of
17 employer defendant]’s employee’s] conduct was a
substantial factor in causing [name of
18 plaintiff/decedent]’s harm.
19 (CACI No. 3103.)
20 Additionally, in order to obtain enhanced remedies, the relevant jury instructions
21 provide:
22 [Name of plaintiff] also seeks to recover [attorney fees and
costs/ [and] damages for [name of decedent]’s pain and
23 suffering]. To recover these remedies, [name ofplaintiff] must
prove all of the requirements for neglect y clear and
24 convincing evidence, and must also prove by clear and
25
convincin:
with
i evidence that [[name
[recklessness/oppression/fraud/
of individual
defendant], name of employer defendant]’s employee] acted
[or] malice] in
26 neglecting [name of plaintiff/decedent].
27 (CACI No. 3104.)
28 [Name of individual defendant]/[Name of employer
defendant]’s employee acted with “recklessness” if
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d
he/she/nonbinary pronoun] knewit was hi hly probable that
his/her/nonbinary pronoun] conduct woul cause harm and
[he/she/nonbinary pronoun] knowingly disregarded this risk.
“Recklessness” is more than just the failure to use reasonable
care.
(CACI No. 3113.)
“Malice” means that [[name of individual defendant]/[name
of emp! loyer defendant]’s employee] acted with intent to
cause injury or that [his/her/nonbinary pronoun] conduct was
despicable and was done with a willful and knowin;
A
disregard of the rights or safety of another. A person acts wit!
the person’s con duct
and
knowing disregard when the person is aware of th ie
dangerous consequences of
deliberately fails to avoid those consequences.
10
“Despicable conduct” is conduct that is so vile, base, or
11 contemptible that it would be looked down on and despised
by reasonable people.
12
13 (CACI No. 3114.)
14 “Oppression” means that [[name of individual
defendant]’s/[name of employer defendant]’s employee’s]
15 conduct was despicable and _ subjected name oO!
plaintiff/decedent] to cruel and unjust hardship in knowing
16 disregard of [his/her/nonbinary pronoun] rights.
17 “Despicable conduct” is conduct that is so vile, base, or
contemptible that it would be looked down on and despised
18 by reasonable people.
19 (CACI No. 3115.)
20 “Fraud” means an intentional misrepresentation, deceit, or
concealment of a material fact with the intention of depriving
21 [name of plaintiff/decedent] of property or of a legal right or
otherwise to cause [name of plaintiff/decedent] injury.
22
23 (CACI No. 3116.)
24 Here, all of the above-noted definitions and standards for enhanced remedies are
25 improper subjects for expert opinion. As defined, recklessness, malice, oppression, and
26 fraud) all concern the subjective state of mind of the actor, and these are ultimate facts
27 for a jury to decide based on inferences from the evidence. Moreover, given that a jury
28 is fully capable of arriving at conclusions regarding the state of mind of an actor, expert
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MOTION IN LIMINE NO. 7 TO PRECLUDE RECKLESSNESS
able conduct,
opinions will not assist the jury. The same is true of the definition of despic
would
as the standard is one specifically designed to apply to how “reasonable people”
view the conduct. Accordingly, any expert opinion on the elements or definitions of
recklessness, malice, and/or fraud, should be excluded.
Experts should also be precluded from testifying on alleged statutory or regulatory
violations. These are likewise ultimate issues of law that a jury must decide based on the
evidence. and the subject of improper expert opinion. Accordingly, experts should be
precluded from offering opinions on statutory or regulatory violations.
Vv.
10 CONCLUSION
11 Based on the foregoing, defendant requests an orderin limine precluding experts
12 from offering testimony or opinions regarding the statutory definitions of recklessness,
13 oppression, malice, and fraud on plaintiffs’ cause of action for elder neglect. Defendant
14 also requests an order in limine precluding experts from offering testimony or opinions
15 as to whether any statutes or regulations were violated by the defendant and/or their
16 employees.
17 Dated: December 1, 2020
18 SCHUERING ZIMMERMAN & DOYLE, LLP
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20 B