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567924 NO. 13-15452 IN THE UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT AILEEN MARIANO, Plaintiff- Appellant, v. LIBERTY DIALYSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS, Defendant - Appellee ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HAW Ail Civil No. ll-00652 LEK-BMK DEFENDANT -APPELLEE LIBERTY DIALYSIS-HAWAil, LLC DBA LIBERTY DIALYSIS'S ANSWERING BRIEF CORPORATE DISCLOSURE STATEMENT CERTIFICATE OF COMPLIANCE STATEMENT OF RELATED CASES CERTIFICATE OF SERVICE Case: 13-15452 08/09/2013 ID: 8738488 DktEntry: 15 Page: 1 of 58
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567924

NO. 13-15452

IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

AILEEN MARIANO, Plaintiff- Appellant,

v.

LIBERTY DIAL YSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS,

Defendant - Appellee

ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HAW Ail

Civil No. ll-00652 LEK-BMK

DEFENDANT -APPELLEE LIBERTY DIALYSIS-HA WAil, LLC

DBA LIBERTY DIALYSIS'S ANSWERING BRIEF

CORPORATE DISCLOSURE STATEMENT

CERTIFICATE OF COMPLIANCE

STATEMENT OF RELATED CASES

CERTIFICATE OF SERVICE

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MARRJONES & WANG A Limited Liability Law Partnership BARRY W. MARR MEGUMI SAKAE LEIGHTON M. HARA Pauahi Tower 1003 Bishop Street, Suite 1500 Honolulu, Hawaii 96813 Telephone: (808) 536-4900 Facsimile: (808) 536-6700

Attorneys for Defendant- Appellee LIBERTY DIAL YSIS-HA WAil, LLC. DBA LIBERTY DIALYSIS

2

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NO. 13-15452

IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

AILEEN MARIANO, Plaintiff- Appellant,

v.

LIBERTY DIAL YSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS,

Defendant - Appellee

ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HAW All

Civil No. 11-00652 LEK-BMK

DEFENDANT - APPELLEE LIBERTY DIALYSIS-HA WAil, LLC DBA LIBERTY DIALYSIS'S

CORPORATE DISCLOSURE STATEMENT

Pursuant to Fed. R. App. P. 26.1, Defendant-Appellee Liberty

Dialysis-Hawaii, LLC dba Liberty Dialysis hereby discloses that it is a limited

liability company and it does not have a parent corporation. Liberty Dialysis-

Hawaii LLC's membership consists of Liberty Pacific LLC, Liberty Nephrology

Partners LLC, and St. Francis Medical Center. No publicly held corporation owns

10% or more of Liberty Dialysis-Hawaii LLC's stock.

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Dated: Honolulu, Hawaii, August 9, 2013.

2

Is/ Barry W. Marr BARRY W. MARR MEGUMI SAKAE LEIGHTON M. HARA

Attorneys for Defendant-Appellee LIBERTY DIAL YSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS

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567924

NO. 13-15452

IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

AILEEN MARIANO, Plaintiff- Appellant,

v.

LIBERTY DIALYSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS,

Defendant - Appellee

ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HA WAil

Civil No. 11-00652 LEK-BMK

DEFENDANT -APPELLEE LIBERTY DIALYSIS-HAW Ail, LLC, DBA LIBERTY DIALYSIS'S

ANSWERING BRIEF

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TABLE OF CONTENTS

Page(s)

I. STATEMENT OF JURISDICTION ............................................................. 1

II. STATEMENT OF ISSUES PRESENTED FOR REVIEW .......................... 1

III. STATEMENT OF THE CASE ..................................................................... 1

IV. STATEMENTOFFACTS ............................................................................ 2

A. Background of Liberty Dialysis .......................................................... 2

B. Plaintiffs Employment ....................................................................... 3

C. Plaintiffs Complaint Regarding Patient E and Liberty's Response .............................................................................................. 4

1. Plaintiff meets Patient E ........................................................... .4

2. Plaintiff complains about Patient E ........................................... 5

3. Plaintiffs other unreported interactions with Patient E .................................................................................... 7

4. Natividad reads Plaintiffs AER and takes immediate action ....................................................................... 7

5. November 24: Natividad agrees with HNA to change Patient E's treatment time ........................................... l2

6. November 25: HNA informs Plaintiff she will not have to care for Patient E ........................................................ 13

7. December 10: Patient E violates the Facility Agreement and is transferred from the Clinic ......................... 13

D. Plaintiff Resigns ................................................................................ 14

E. The State Disability Compensation Division Denies Plaintiffs WC Claim ............................................................. 15

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F. The Hawaii Civil Rights Commission ("HCRC") dismisses Plaintiffs discrimination claim ......................................... 16

G. By September 2009, Plaintiff No Longer Needed Psychiatric Treatment ........................................................................ 16

V. SUMMARY OF THE ARGUMENT .......................................................... 17

VI. STANDARD OF REVIEW ......................................................................... 18

VII. ARGUMENT ............................................................................................... 19

A. The District Court Correctly Ruled That Defendant Was Entitled To Summary Judgment On Plaintiffs Sexual Harassment Claim ............................................................................. 19

1. The reported conduct was not severe or pervasive as a matter of law .................................................................... 19

2. Liberty's response was prompt and reasonable ...................... 23

3. Plaintiffs argument that the District Court improperly considered hearsay evidence in making her determination lacks merit... ............................................... 30

4. Plaintiffs spoliation argument is a red heiTing ....................... 31

B. The District Court Correctly Dismissed Plaintiffs NIED Claim ................................................................................................. 34

C. The District Court Properly Dismissed Plaintiffs liED Claim ................................................................................................. 38

H. Plaintiff Cannot Sustain Her Punitive Damages Claim ................... .40

VIII. CONCLUSION ............................................................................................ 41

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TABLE OF AUTHORITIES

Page(s) CASES

Anderson v. Liberty Lobby, Inc., 477 u.s. 242 (1986) ........................................................................................... 19

Ariz. v. Components Inc., 66 F.3d 213 (9th Cir. 1995) ............................................................................... 32

Arpin v. Santa Clara Valley Transp. Agency, 261 F.3d 912 (9th Cir. 2001) ................................................................................ 1

Arquero v. Hilton Hawaiian Vi!!., LLC, 104 Haw. 423, 91 P.3d 505 (2004) ............................................................. passim

Black v. City & Cnty. of Honolulu, 112 F. Supp. 2d 1041 (D. Haw. 2000) ............................................................... 36

Clemmons v. Hawaii Med. Servs. Ass 'n, 273 F.R.D. 653 (D. Haw. 2011) ................................................................... 35,36

Coates v. Pac. Eng 'g, 71 Haw. 358,791 P.2d 1257 (1990) .................................................................. 35

De Vera v. Estate of Marcos, 496 Fed. Appx. 759, 2012 U.S. App. LEXIS 22472 (9th Cir. Oct. 24, 2012) ..................................................................................................... 32

Diaz v. Eagle Produce Ltd. P'ship, 521 F.3d 1201 (9th Cir. 2008) ........................................................................... 18

Doe Parents No. 1 v. State, 100 Haw. 34,58 P.3d 545 (2002) ...................................................................... 38

Dowkin v. Honolulu Police Dep 't, Civ. No. 10-00087, 2011 U.S. Dist. LEXIS 2011, at *31 (D. Haw. Sept. 2, 2011) ..................................................................................... 38

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Franco v. Fannie Mae, Civ. No. 10-00735,2011 U.S. Dist. LEXIS 51795 (D. Haw. Mayl3,2011) .................................................................................................... 37

Fraser v. Goodale, 342 F.3d I 032 (9th Cir. 2003) ........................................................................... 30

Fuller v. Caterpillar Inc., 124 F.Supp.2d 610 (N.D. Ill. Oct. 4, 2000) ................................................. 24,29

Furukawa v. Honolulu Zoological Soc y, 85 Haw. 7, 936 P.2d 643 (1997) ........................................................................ 20

Hac v. Univ. of Haw., I 02 Haw. 92, 73 P.3d 46 (2003) ........................................................................ 38

Humboldt v. Boeing Co., 305 F.3d 1004 (9th Cir. 2002) .............................................................................. !

Iddings v. Mee-Lee, 82 Haw. I, 919 P.2d 263 (1996) .................................................................. 34, 35

Indest v. Freeman Decorating, Inc., 164 F.3d 258 (5th Cir. 1999) ............................................................................. 24

Ingham v. United States, 167 F.3d 1240 (9th Cir. 1999) ........................................................................... 32

Ingle v. Liberty House, Inc., No. 94 0787(3), 1995 WL 757746 (Haw. 2d Cir. Ct. Oct. 12, 1995) ................ 39

Kahale v. ADT Automotive Servs., Inc., 2 F. Supp. 2d 1295 (D. Haw. 1998) ............................................................. 18, 41

Kaho 'Ohanohano v. Dep 't of Human Servs., 117 Haw. 262, 178 P.3d 538 (2008) .................................................................. 37

Katich v. AT&T Mobility, LLC, 679 F.3d 464 (9th Cir. 2012) ............................................................................. 24

Kang v. Harrington, 59 Haw. 652, 587 P.2d 285 (1978) .................................................................... 40

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Masaki v. Gen. Motors Corp., 71 Haw. 1, 780 P.2d 566 (1989) ........................................................................ 41

Matsushita Elec. Indus. Co. v. Zenith Radio, 475 u.s. 574 (1986) ........................................................................................... 19

Med. Lab. Mgmt. Consultants v. Am. Broad. Co., Inc., 306 F.3d 806 (9th Cir. 2002) ....................................................................... 32, 33

Nelson v. Univ. of Hawaii, 97 Haw. 376, 38 P.3d 95 (2001) ........................................................................ 20

Pfeffer v. Hilton Grand Vacations Co., Civ. No. 07-00492 .............................................................................................. 39

Renfrew v. Hartford Accident & Indem. Co., 406 Fed. Appx. 227,2010 U.S. App. LEXIS 26780 (9th Cir. Dec. 20, 2010) .................................................................................................... 30

Ross v. Stouffer Hotel Co., 76 Haw. 454,879 P.2d 1037 (1994) ...................................................... 37, 39,40

Shoppe v. Gucci Am., 94 Haw. 368, 14 P.3d 1049 (2000) .............................................................. 20,39

Star v. Togo West, 237 F.3d 1036 (9th Cir. 2000) ........................................................................... 29

Swenson v. Potter, 271 F.3d 1184 (9th Cir. 2001) ......................................................... 21, 22, 23,29

Zimmerman v. Cook Cnty. Sheriff's Dep 't, 96 F.3d 1017 (7th Cir. 1996) ............................................................................. 24

STATUTES

28 U.S.C. § 1291 ........................................................................................................ 1

Haw. Rev. Stat.§ 378 ................................................................................................. 1

Haw. Rev. Stat. § 378-2 .................................................................................... 19, 20

Haw. Rev. Stat. § 386-5 .............................................................................. 34, 35, 37

lll 567924

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Haw. Rev. Stat. § 386-8 .......................................................................................... 34

OTHER AUTHORITIES

Fed. R. Civ. P. 56(a) ................................................................................................ 19

Fed. R. Evid. 801(c) ................................................................................................ 30

Fed. R. Evid. 1004(1) .............................................................................................. 33

Restatement (Second) of Torts, § 46, cmt. d ........................................................... 39

IV 567924

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I. STATEMENT OF JURISDICTION

Defendant-Appellee Liberty Dialysis-Hawaii, LLC, dba Liberty

Dialysis ("Liberty" or "Defendant") agrees with Plaintiff-Appellant Aileen

Mariano's ("Plaintiff') Statement of Subject Matter Jurisdiction (diversity) and

Appellate Jurisdiction under 28 U.S.C. § 1291.

II. STATEMENT OF ISSUES PRESENTED FOR REVIEW

Whether the District Court properly granted summary judgment to

Defendant on Plaintiff's (1) sexual harassment claim under Haw. Rev. Stat.§ 378,

(2) state tort claims of intentional and negligent infliction of emotional distress,

and (3) punitive damages claim.

III. STATEMENT OF THE CASE

Plaintiff filed her Third Amended Complaint in Hawaii State Court on

August 12,2011. ER3, ER562. 1 The Third Amended Complaint sought relief on

nine causes of action, including the four raised on Appeal by Plaintiff. 2 On

1 References to "ER" herein are to the pages of the Appendix filed by Plaintiff. References to "SER" herein are to the pages of the Supplemental Appendix filed by Defendant.

2 Having failed to address her other causes of action on appeal, Plaintiff has abandoned them. Arpin v. Santa Clara Valley Transp. Agency, 261 F.3d 912,919 (9th Cir. 2001); see Humboldt v. Boeing Co., 305 F.3d 1004, 1012 (9th Cir. 2002) see also Opening Brief at 1, § II (Issue Presented). The abandoned causes of action include Assault and Battery, Sexual Assault, Failure to Investigate, Tort, Tortious Interference with Prospective Economic Advantage, and Retaliation.

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October 17, 2011, Defendant filed its answer to the Third Amended Complaint.

SER1. On October 26, 2011, Defendant removed the case to the United States

District Court in the District of Hawaii on the basis of diversity jurisdiction. ER3.

On September 27, 2012, Liberty filed its Motion for Summary

Judgment on all claims asse1ied in the Third Amended Complaint. ER590-91.

Plaintiff filed her Opposition to Defendant's Motion for Summary Judgment on

December 27,2012. ER592. Defendant filed its Reply Memorandum on January

8, 2013. ER593.

The District Court heard Defendant's Motion for Summary Judgment

on January 22,2013. ER2, ER593. On February 11,2013, the District Court

issued it Order Granting Defendant's Motion for Summary Judgment in its entirety

and judgment was entered the same day. ER1, ER2. Plaintiff filed a timely Notice

of Appeal on March 11,2013. ER81.

IV. STATEMENT OF FACTS

A. Background of Liberty Dialysis

Liberty provides lifesaving dialysis treatment to patients with failing

kidneys. ER176-77. Dialysis patients are fragile and if they do not receive

dialysis treatment they will die. ER 532, 533. Patients generally receive treatment

three times a week; and the length of a treatment ranges from two to five hours.

ER176.

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As a dialysis provider, Libe1iy is subject to federally-mandated

regulations and the jurisdiction of the Centers for Medicare/Medicaid Services

("CMS"), the federal agency that regulates Medicare/Medicaid providers. ER431,

Testimony of Leonarda Natividad, Clinical Manager ("Natividad"); ER484-85,

Testimony of Brent Auyong, Social Worker ("Auyong"). Because dialysis

treatments keep patients alive, under CMS regulations, Liberty cannot simply

involuntarily discharge/transfer a patient from one of its facilities without first

meeting certain mandated requirements. ER 431, ER 432-33, ER436-37,

testimony of Natividad; ER486, testimony of Auyong; ER537-38, ER539,

Testimony of MaryAnn Whaley, Human Resources Director ("Whaley").

B. PlaintifPs Employment

Plaintiff began her employment as a Registered Nurse ("RN") at

Libe1iy's Leeward facility in November 2006. ER173, ER175. The terms and

conditions of Plaintiffs employment were governed by the collective bargaining

agreement ("CBA") between Liberty and Plaintiffs union, the Hawaii Nurses'

Association ("HNA"). ER187-88, ER216; see ER279-353 (CBA).

The last day Plaintiff worked at Liberty was November 24, 2008.3

ER173, ER185. Beginning November 25, Plaintiff went on medical leave of

3 Events referenced herein occurred in 2008 unless otherwise indicated.

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absence, which lasted through September 3, 2009, when she voluntarily resigned

from Liberty. ER200, ER239, ER411-14.

C. PlaintifPs Complaint Regarding Patient E and Liberty's Response

Plaintiffs allegations in her lawsuit arise out of (1) the conduct of a

Liberty Patient ("Patient 'E"'4), (2) her complaint regarding Patient E's conduct,

and (3) Liberty's response to her complaint. Most of Plaintiffs current allegations

about Patient E's conduct were never reported to Libe1iy.

1. Plaintiff meets Patient E

Plaintiff met Patient E for the first time on November 10 when he was

her assigned patient. ER175, ER178. November 10 was the first and only time

Plaintiff cared for Patient E as her assigned patient. ER 191. Plaintiff alleges that

on November 10, Patient E engaged in inappropriate conduct, including grinning at

her "maliciously" as he said "blanket blanket," touching her covered arm three

times, and unlatching his belt as he grinned at her. ER 178-81, ER 193, ER248.

4 Patient E is also abbreviated as "C_" or "E_ C_" throughout the record. As a covered entity under the Health Insurance Portability and Accountability Act ("HIPAA"), Defendant sought to protect its patient's confidentiality in this litigation. Defendant requests that the Court not refer to Patient E by name in any Order it may issue.

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Although Plaintiff now claims Patient E's behavior left her "really scared," she did

not file a complaint about Patient E's behavior on November 10. ER 181.

2. Plaintiff complains about Patient E

Despite Plaintiff's assertion that Patient E "really scared" her, when

Patient E came in for his next dialysis treatment two days later, on November 12,

Plaintiff voluntarily proceeded to complete his admissions process by taking his

height measurement. ER182-84. Plaintiff was the Charge Nurse that day (and not

his assigned nurse) and could have assigned the task of measuring Plaintiff's

height to another nurse or even a Hemodialysis Technician ("HT"). ER 183-84,

ER245-46, testimony of Plaintiff; ER529-30, Testimony of Nancy Aglibot, RN

("Aglibot"); ER499-500, Testimony ofDigna De Gula, HT ("De Gula"); ER556-

57, ER559, Natividad Dec. ,]2, Ex. V. Instead, Plaintiff chose to do it herself.

ER191.

After taking Patient E's height, Plaintiff filed a written complaint in

the form of an adverse event report ("AER") regarding Patient E's behavior.

ER173, ER174; see ER253-55 (AER). The entirety of Plaintiff's written

complaint reads as follows:

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While I am taking [Patient E's] height he touched my shoulder and my back. He touched me many times too when I admitted him 11110/08. I already warned him not to touch anybody but he did it again today.

5

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ER255 (emphasis added), ER175. The AER specifically asks for the identity of

witnesses, but Plaintiff did not identify any witnesses. ER 254-55 (AER), ER434-

35. The AER also includes boxes to check off to describe the "Event" and

"Category" he or she is reporting. ER254. Under "Event," Plaintiff checked

"Behavior" and under "Category," which also asks the individual to "Check all that

apply," Plaintiff checked, "Inappropriate touching of other patient/staff." Based on

Plaintiff's current rendition of Patient E's behavior, there were other applicable

boxes such as, "Assaultive," "Inappropriate," "Verbally assaultive or

inappropriate," and "Other," but Plaintiff did not check any of those boxes.

ER254.

Plaintiff completed her AER at 10:00 p.m. on November 12. ER173,

ER174, ER183, ER185, ER253(AER). Plaintiff then placed the AER in

Natividad's in-tray at the nurses' station. ER187. Natividad's in-tray is located in

an open area in the middle of the facility. ER187, ER521-22. The AER was

sandwiched between other materials in Natividad's in-box, such as envelopes and

magazines, and Natividad did not see the AER until November 19, one week later.

ER418, ER419, ER420-22, ER447.

During the intervening week, Plaintiff could have called, e-mailed or

spoken directly with Natividad about her AER, but Plaintiff did not. See ER447-

48, ER450, testimony of Natividad; ER548-50, Testimony of Agnes De Salla, RN

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("De Salla") (Natividad is on call24/7; all staff have access to Natividad's

number); ER525-26, testimony of Aglibot (same); see also ER385 (Employee

Handbook providing for employee to report incident directly to Human Resources,

to make a report by telephone, in person, or in writing); ER218, testimony of

Plaintiff (acknowledging receipt of Employee Handbook).

3. Plaintifrs other unreported interactions with Patient E

Plaintiff alleges that on November 14 and 19, Patient E engaged in

additional inappropriate conduct, including asking De Salla about her whereabouts,

referring to Plaintiff as his girlfriend, telling Plaintiff he misses her, saying

"Aileen, Honey, let's go home now," and pressing her "back again" while saying

"here is my weight." ER 191-92, ER248.

Despite numerous avenues of complaint, between November 10 and

her last day of work at Libetiy on November 24, other than the November 12 AER

she left in Natividad's in-tray, Plaintiff did not file any complaints with Liberty,

including after the November 14 and 19 incidents. ER185, ER188-91, ER219,

ER248.

4. Natividad reads PlaintifPs AER and takes immediate action

Plaintiff contends that Natividad approached Plaintiff regarding her

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AER on November 17.5 ER249. Plaintiff further contends that during the

November 17 conversation, Natividad told Plaintiff she read Plaintiff's AER and

reviewed Patient E's chart, but did not see a record of a mental disorder. ER250.

During this conversation, Plaintiff did not tell Natividad that Patient E engaged in

conduct beyond what was written in her AER, including that he touched her breast.

ER455.

On November 19, Natividad informed Social Worker Auyong about

Plaintiff's AER. ER462-63. Auyong immediately reached out to the Western

Pacific Renal Network ("Network 17")- an agency contracted by the government

to work with CMS and local state depmiments of health to oversee dialysis care to

ensure quality patient care and compliance with patients' rights- and reported the

contents of Plaintiff's complaint.6 ER466, ER471, ER474, ER477-78, ER485,

ER495. Because Patient E had no record of past behavioral issues, Network 17

informed Auyong that Liberty could not involuntarily discharge or transfer Patient

5 Natividad first saw Plaintiff's Report on November 19. ER435, testimony of Natividad; ER464-65, testimony of Auyong (describing Natividad's reaction to finding the AER on November 19- "[O]h my God ... I wish I had seen this earlier"). However, for purposes of this Appeal, Defendant assumes Plaintiff spoke with Natividad about her AER on November 17.

6 Natividad contacted Human Resources about the AER, but because it was a patient issue subject to CMS regulations, Human Resources was not directly involved in the investigation. ER540-41.

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E, but directed Auyong to interview Patient E and to consider a behavioral contract

so in the event of a recurrence, it could proceed with an involuntary discharge or

transfer. ER475-76, ER479.

That same day, Natividad and Auyong met with Patient E. ER427-28,

ER479. During the meeting, Patient E denied touching Plaintiff, but admitted to

loudly calling staff names. ER429, ER444, ER446, ER479. Natividad credited

Plaintiff's AER and, therefore, explained to Patient E Liberty's zero tolerance

policy and that he would need to sign a behavioral contract a/k/a Facility

Agreement agreeing that if he behaved inappropriately, he could be discharged

from the facility. ER429-30, ER445.

After the meeting with Patient E, Auyong contacted Network 17

regarding Patient E's denial and was instructed to enter into a behavioral contract

with Patient E.7 ER480, ER487. Network 17 further informed Auyong that in the

event of an involuntary discharge, Liberty must provide Patient E with thirty days'

notice. ER471. (Because of the shortage of dialysis facilities in Hawaii,

involuntary discharges are extremely rare because patients cannot simply be

abandoned. ER472, ER492.) In fact, Liberty can only immediately and

involuntarily discharge a patient when the patient is deemed an "imminent

7 Liberty is required to follow Network 17's directives. ER473, ER484.

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danger." ER433, ER436-37, ER493. After speaking with Network 17, Auyong

began drafting the behavioral contract. ER461, ER480, ER481. Network 17

reviewed and approved the Facility Agreement before it was provided to Patient E.

ER482-83.

On November 20, Natividad discussed Plaintiffs AER during the

facility's Continuous Quality Improvement ("CQI") meeting, attended by Auyong,

the morning Charge Nurse (Belen Llanes ("Llanes")), Natividad, the medical

director, and the dietician. ER197-98, ER417, ER452-53. During the CQI

meeting, Natividad instructed Llanes- who was responsible for the scheduling

changes that week- that Patient E was not to be assigned to Plaintiff. Natividad

ER452-53, ER454. Plaintiff did not attend the meeting, but was later told by

Llanes that they discussed her complaint. ER 198. Plaintiff never approached

Natividad about the CQI meeting. ER198.

On Patient E's next treatment day, November 21, Natividad and

Auyong met with Patient E again. ER483. During the meeting, Patient E verbally

agreed not to touch Plaintiff and signed the Facility Agreement in which he agreed

not to touch or make inappropriate comments to any staff, person, patient or

visitor. ER438-39, ER467; ER 458 (Facility Agreement).

Later that day, before Natividad had an opportunity to update Plaintiff

on the status ofthe investigation into her AER, Natividad saw that the patient

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schedule, which was posted by the unit clerk the week before, had been changed in

a manner that potentially resulted in overtime for one of the HTs. ER423-24,

ER451, testimony of Natividad; see ER520; ER507. When Natividad reviewed the

patient schedule, she neither noticed that it involved Patient E's schedule nor

connected it with Plaintiffs AER. ER451. Because Natividad had not been

consulted about the change, she called Aglibot, who was the evening Charge

Nurse, to her and asked why the schedule had been changed. ER423. According

to Aglibot, Natividad was neither angry nor upset about the patient being switched

and Natividad's demeanor was "normal" and "professional." ER519, ER521-24,

ER527. Aglibot responded by directing Natividad to Plaintiff. ER423, ER522.

Natividad then asked Plaintiff about the changes she made to the

patient assignments. ER225-26; ER424. Plaintiff responded by asking Natividad

why she has to take care of Patient E when he is sexually harassing her and she is

the victim. ER194, ER226.

Plaintiff then walked away without excusing herself. ER222.

Natividad followed Plaintiff and asked to speak to Plaintiff in her office. ER227.

During the conversation in the office, Natividad explained to Plaintiff that she

spoke to Patient E about his behavior and that Patient E entered into the Facility

Agreement in which he agreed to act appropriately. ER227, testimony of Plaintiff.

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During the November 21 conversation, Plaintiff did not tell Natividad that Patient

E touched her breast. ER 19 5; ER 4 55.

Natividad left the patient assignments as revised by Plaintiff and

Plaintiff did not treat Patient Eon November 21 or any other day after she filed her

AER. ER425-26, ER528; see ER185 (Plaintifftestifying she did not treat Patient E

for the twelve days between November 12 and November 24).

5. November 24: Natividad agrees with HNA to change Patient E's treatment time

On November 24, 2008, Plaintiff made a written complaint with

HNA. ER187, ER210. That same day, Natividad and Plaintiff spoke. ER195-96.

During this conversation, Plaintiff asked if she could change to the morning shift to

avoid Patient E. ER 196. According to Plaintiff, Natividad responded that she

could not switch Plaintiff to the morning shift permanently because a traveling

nurse already had that shift, but offered to move Patient E to the morning shift.

ER196. However, there were no morning treatments available and Natividad

rescheduled Patient E's treatment from his usual time (7:00p.m.) to an earlier

12:00 p.m. to 3:00p.m. treatment time so there was only a half-hour overlap where

Plaintiff and Patient E were in the facility at the same time, while Patient E

completed his treatment and Plaintiff began her shift that started at 2:30p.m.

ER178, ER 220. During the November 24 conversation, Plaintiff did not tell

Natividad that Patient E touched her breast. ER197, ER455.

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6. November 25: HNA informs Plaintiff she will not have to care for Patient E

On November 25, Plaintiff's HNA representative informed Plaintiff

that he spoke with Liberty and that Patient E would no longer be her patient.

ER199, ER212-13. Nonetheless, on November 25, Plaintiff went out on a medical

leave of absence and never returned to work at Liberty. ER 185, ER200, ER228.

HNA did not file a grievance. ER 199, ER217.

On December 11, 2008, Plaintiff submitted a work injury report and

filed a Workers' Compensation ("WC") claim on January 8, 2009. ER186, ER209.

7. December 10: Patient E violates the Facility Agreement and is transferred from the Clinic

On December 10, 2008, HT De Gula reported to Natividad that

Patient E, while hooked up to the dialysis machine, used his foot to touch De

Gula's buttock. ER440, ER501-02, ER514. De Gula reported the incident within

minutes by hand-delivering an AER to Natividad. ER 503, ER506, ER508-09.

Almost immediately after being handed the AER, Natividad and Auyong

confronted Patient E, who claimed he was only trying to get De Gula's attention.

ER440-41, ER504-05, ER509-ll. Auyong contacted Network 17 regarding

Patient E's violation of the Facility Agreement. ER487-88. Despite the incident

with De Gula, Network 17 informed Auyong that it would be difficult to

involuntarily discharge Patient E because of the limited number of dialysis clinics

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in Hawaii and it did not want him to be abandoned. ER489-91. Therefore, with

Network 17's approval, Liberty asked Patient E to transfer out of the Leeward

facility to the Waianae facility. ER442; ER488-89. Patient E agreed. ER494.

Although Patient E continued his treatment at Leeward until his transfer became

effective,8 De Gula was comfortable because Natividad moved Patient E out of her

area. ER513-14, testimony of De Gula. De Gula was satisfied with Natividad's

response to her complaint. ER509.

Patient E died on July 19, 2010. ER557.

D. Plaintiff Resigns

On or about July 27, 2009, while still out on her medical leave,

Plaintiff sent Whaley a letter informing Liberty that she had accepted another

position with another employer, Fresenius. ER203, ER238; ER398 (Plaintiffs

July 27, 2009 letter to Whaley), ER229-30. In response to Plaintiffs July 27 letter,

Whaley wrote to Plaintiff expressing her disappointment in receiving her

resignation letter and making Plaintiff an unconditional offer of reinstatement.

ER239; ER408-09 (Whaley's August 11, 2009letter to Plaintiff). Whaley

requested a response to her offer by August 17, 2009. ER409. In the letter Whaley

8 Liberty was required by Network 17 to provide Patient E with 30 days' notice of his transfer, but he voluntarily agreed to be transferred earlier. ER468-69, ER470.

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also explained that if Plaintiff returned to the Leeward facility, she would not have

to interact with Patient E again because he had been transferred out of that facility.

ER239, ER408. During Plaintiffs leave of absence, her position at the Leeward

facility remained opened and she was not replaced. ER443.

Plaintiff did not respond to the letter and on September 3, 2009,

Whaley sent Plaintiff a letter stating that she considered Plaintiffs non-response to

her unconditional offer of reinstatement a resignation. ER239, ER411 (Whaley's

September 3, 2009 letter to Plaintiff).

On or about September 21, 2009, Plaintiff left Hawaii and moved to

California to work for another employer. ER204.

E. The State Disability Compensation Division Denies Plaintiffs WC Claim

Plaintiff was represented by one of her current counsel, David

Mikonczyk, Esq., in her January 8, 2009 workers compensation ("WC") claim.

ER206. A hearing occurred before Hawaii's Department of Labor and Industrial

Relations, Disability Compensation Division ("DCD") on June 23, 2009. See

ER209, ER274 (DCD Decision). According to Plaintiff, the medical issues in her

WC claim stem from her interactions with Patient E and are the same medical

issues Plaintiff assetis in this lawsuit. ER206-07, ER24 7.

On or about July 20, 2009, the DCD concluded as a matter of law that

Plaintiff did not sustain an injury arising out of and in the course of her

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employment, and denied Plaintiff's WC claim ("July 20 Decision"). ER208-09;

see ER276 (July 20 Decision).

F. The Hawaii Civil Rights Commission ("HCRC") dismisses Plaintiff's discrimination claim

On or about June 2, 2009, Plaintiff filed a Charge with the HCRC.

ER199; ER567, 'lj20. On or about June I, 2010, Plaintiff received a letter from the

HCRC notifying her that a "preliminary finding for closure has been made because

there was insufficient evidence to substantiate discrimination." ER213; ER278

(HCRC June 1, 2009 preliminary finding letter). The HCRC further determined

that "the manager conducted an immediate investigation and took appropriate

action once she learned about the harassment." ER278; see ER215. The HCRC

dismissed Plaintiff's charge on June 16, 2010. ER554-55.

G. By September 2009, Plaintiff No Longer Needed Psychiatric Treatment

On December 13, Plaintiff was referred to Dr. Danilo Ponce by the

WorkS tar clinic. ER202. Plaintiff stopped treatment with Dr. Ponce on or about

September 2009 because she did not believe she needed further psychiatric care.

ER202, ER242.

V. SUMMARY OF THE ARGUMENT

The HCRC correctly concluded after its investigation that Liberty

acted promptly and appropriately once it learned about the alleged harassment. ER

278. This Appeal is the latest in Plaintiff's quest for a finding that Libetiy failed to

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respond reasonably and adequately to her complaint about Patient E. The DCD

also correctly concluded that while Patient E's conduct may have been

inappropriate, it did not constitute sexual harassment, and that Plaintiff did not

sustain a workplace injury as a result of his conduct. ER276.

In its Order Granting Defendant's Motion for Summary Judgment

("District Court's Order") at ER2-33, the District Comi con·ectly dismissed

Plaintiff's Third Amended Complaint in its entirety, concluding, in salient part:

1. That Defendant was entitled to summary judgment on

Plaintiff's claim that she was sexually harassed because Patient E's conduct, in

touching Plaintiff's shoulder and arm, was not objectively severe or pervasive

under the law. The District Court further ruled correctly that "Defendant's

response was reasonable and adequate under the circumstances of this case."

2. That Plaintiff's claim for negligent infliction of emotional

distress ("NIED") is based in negligence and barred by workers' compensation

law. Plaintiff's NIED claim does not fall under the exception for NIED claims

arising out of sexual harassment or sexual assault because Plaintiff's claim seeks to

hold Defendant liable not under a respondeat superior theory, but for a breach of

its independent duty to supervise and train employees and to handle investigations

of sexual harassment properly. Even if this Comi determines that Plaintiff's NIED

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claim falls under an exception to the workers' compensation exclusivity, Plaintiffs

NIED claim fails on the merits because she did not suffer a physical injury.

3. That Plaintiffs intentional infliction of emotional distress claim

("liED") fails because Defendant's conduct was not outrageous and did not

amount to behavior beyond the bounds of decency.

4. That Plaintiffs punitive damages claim is derivative of her

other causes of action and need not be addressed because Defendant's Motion for

Summary Judgment was granted. Because the District Court should be affirmed,

Plaintiffs separate claim for punitive damages need not be reached. Even if the

District Court is not affirmed, Plaintiffs punitive damages claim fails because

Defendant did not act egregiously, intentionally, and deliberately, and with a

"character of outrage frequently associated with a crime." Kahale v. ADT

Automotive Servs., Inc., 2 F. Supp. 2d 1295, 1302 (D. Haw. 1998) (citations

omitted).

VI. STANDARD OF REVIEW

This Court reviews orders granting summary judgment de novo. Diaz

v. Eagle Produce Ltd. P'ship, 521 F.3d 1201 (9th Cir. 2008). Pursuant to Rule

56( a) of the Federal Rules of Civil Procedure, the court "shall grant summary

judgment if the movant shows that there is no genuine dispute as to any material

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fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P.

56( a).

"When a moving party has carried its burden under Rule 56[(a)] its

opponent must do more than simply show that there is some metaphysical doubt as

to the material facts ... [and] come forward with specific facts showing that there

is a genuine issue for trial." Matsushita Elec. Indus. Co. v. Zenith Radio, 475 U.S.

574, 586-87 (1986) (citation and internal quotation signals omitted); see also

Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986) (stating that a party

cannot "rest upon the mere allegations or denials of his pleading" in opposing

summary judgment).

VII. ARGUMENT

A. The District Court Correctly Ruled That Defendant Was Entitled To Summary Judgment On Plaintifrs Sexual Harassment Claim

1. The reported conduct was not severe or pervasive as a matter of law

The District Court correctly granted Defendant summary judgment on

Plaintiffs sex discrimination claims under Haw. Rev. Stat. § 378-2.9 ER19. To

9 Haw. Rev. Stat. § 378-2 provides in relevant part: "It shall be an unlawful discriminatory practice: (1) Because of ... sex ... : (A) For any employer to refuse to hire or employ or to bar or discharge from employment, or otherwise to discriminate against any individual in compensation or in the terms, conditions, or privileges of employment; .... "

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establish a prima facie claim for sexual harassment under Hawaii law, a plaintiff

must show:

(a) she was subjected to sexual advances, requests for sexual favors, or other verbal or physical conduct or visual forms of harassment of a sexual nature;

(b) the conduct was unwelcome;

(c) the conduct was severe or pervasive;

(d) Complainant actually perceived the conduct as having such purpose or effect; and

(e) the conduct had the purpose or effect of either:

(1) unreasonably interfering with Complainant's work performance, or

(2) creating an intimidating, hostile, or offensive work environment;

(f) Complainant's perception was objectively reasonable to a person of her gender in the same position as Complainant.

Nelson v. Univ. of Hawaii, 97 Haw. 376, 390-91,38 P.3d 95, 109-10 (2001). In

reviewing a claim under§ 378-2, federal case law is persuasive, but not

controlling. See Arquero v. Hilton Hawaiian Vill., LLC, 104 Haw. 423, 429-31, 91

P.3d 505, 511-13 (2004); see also Shoppe v. Cucci Am., 94 Haw. 368,377, 14 P.3d

1049, 1058 (2000) ("In interpreting HRS § 378-2 in the context of ... gender

discrimination, we have previously looked to the interpretations of analogous

federal laws by the federal courts for guidance.") (citing Furukawa v. Honolulu

Zoological Soc 'y, 85 Haw. 7, 13, 936 P.2d 643, 649 (1997) ("The federal comis

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have considerable experience in analyzing these cases, and we look to their

decisions for guidance.").

Initially, Liberty submits that Plaintiff has failed to establish a prima

facie case of sexual harassment because the conduct she complained of- i.e., the

conduct Liberty was made aware of- was neither sufficiently severe nor pervasive.

In her Opening Brief, Plaintiff focuses on Arquero, a Hawaii Supreme Court case

where the court determined that a single act by an employee in grabbing the

buttock of his co-worker for approximately one second was sufficiently severe to

constitute sexual harassment because it could constitute a sexual assault under

Hawaii criminal law. Opening Brief at 12. The District Court correctly rejected

Plaintiffs attempts to equate Arquero to the instant case:

[Plaintiff] did not inform Defendant that Patient E touched the back of her breast, made a crude gesture with his belt buckle, or verbally harassed her, as alleged in her Complaint and at her deposition. "An employer cannot be liable for misconduct of which it is unaware." Swenson v. Potter, 271 F.3d 1184, 1192 (9th Cir. 2001 ) .... The allegations that Patient E touched her shoulder and arm do not appear to amount to sexual assault, as was the case in Arquero. Patient E's conduct, while offensive, does not appear to have been objectively severe or pervasive enough to unreasonably interfere with Plaintiffs work performance or create an intimidating, hostile, or offensive work environment under the law.

ER 21 (emphases added).

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Plaintiff expends great effort in her Opening Brief arguing the merits

of her sexual harassment claim based on the additional alleged incidents that she

did not include in her AER or report to Liberty. Opening Brief at 12-16. These

unreported acts were correctly rejected by the District Court in its analysis of

whether Patient E's conduct rose to the level of actionable sexual harassment as a

matter oflaw. Swenson, 271 F.3d at 1192. Plaintiff has not explained why she

wrote in her AER that Patient E touched her back rather than the back of her

breast. When asked by the Court about this omission during the hearing on

Liberty's Motion for Summary Judgment, her attorneys speculated that she

withheld details that have become the crux of her case because it was "probably"

uncomfortable and she felt too "humiliated" to write it down. ER49. Her

attorneys' speculation is unsupported by the record and is not admissible evidence.

While Plaintiff admits that in her AER "she indicated on the back of the shoulder,"

she submits that "the evidence is that it was the back of the breast." ld. However,

the only evidence Plaintiff submitted is her self-contradictory testimony.

Because Plaintiff has not introduced any evidence that the conduct she

complained of was severe or pervasive under the law, Plaintiffs sexual harassment

claim fails.

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2. Liberty's response was prompt and reasonable

Even assuming, arguendo, that Patient E's conduct constituted sexual

harassment, an employer is not liable for a patient's harassing conduct unless it

"fails to take corrective action after learning of [the harasser's] sexually harassing

conduct, or takes inadequate action that emboldens the harasser to continue his

misconduct .... " Swenson, 271 F.3d at 1192. Thus, the "matter alleged to be

discriminatory is the adequacy of the employer's response, not the ... underlying

behavior." !d. at 1191; see also Arquero, 104 Haw. at 432, 91 P.3d at 514 ("An

employer will be liable for co-worker sexual harassment only where the employer

knew or should have known of that harassment and failed to take steps reasonably

calculated to end the harassment.").

In her Opening Brief, Plaintiff appears to allege that Liberty failed to

act promptly because Natividad did not see and act on the "critical" AER

immediately on November 13, the day after Plaintiff left it in Natividad's in tray. 10

Opening Brief at 18-19. Even assuming Natividad saw the AER the day after

Plaintiff left it in her in tray, Plaintiff's claim fails because the evidence shows

Natividad took prompt remedial action:

10 Plaintiff never approached Natividad to let her know she left a "critical" AER in her in tray. ER447-48. Moreover, there is no evidence that Natividad intentionally avoided finding the AER.

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• On November 19, Natividad and Auyong met with Patient E and told him he would need to sign a Facility Agreement.

• On November 20, Natividad directed Llenes not to assign Patient E to Plaintiff.

• On November 21, Liberty entered into the Facility Agreement with Patient E in which he agreed that if he engaged in inappropriate behavior, he would be discharged or transferred from the clinic.

• On November 24, Liberty agreed with HNA not to assign Plaintiff to Patient E, and switched Patient E's schedule so that, at most, Plaintiff and Patient E would be in the same facility for half-an-hour on days their schedules overlapped.

Although seven days passed between November 13 and November 20, when

Natividad began taking remedial action, this Circuit has found longer time spans

between the complaint, investigation and remedial action reasonable. See Katich v.

AT&T Mobility, LLC, 679 F.3d 464 (9th Cir. 2012) (nineteen-day delay was

reasonable); see also Zimmerman v. Cook Cnty. Sheriff's Dep 't, 96 F.3d 1017,

1019 (7th Cir. 1996) (citing 42 U.S.C. § 2000e-5(b) in finding ten-day delay

reasonable given EEOC allows employers ten days to investigate after receiving

notice of charge); Indest v. Freeman Decorating, Inc., 164 F.3d 258, 266 (5th Cir.

1999) (finding response one-month after complaint "prompt"); Fuller v.

Caterpillar Inc., 124 F.Supp.2d 610, 616 n. 6 (N.D. Ill. Oct. 4, 2000) (eight-day

delay reasonable).

Thus, the District Court correctly concluded that Defendant's

remedial response met its obligations under the law especially given the

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regulations constraining Liberty's ability to discipline Patient E for his

inappropriate conduct:

Even viewing the facts in the light more favorable to Plaintiff, the Court concludes that Defendant's response was reasonable and adequate under the circumstances of this case. See Arquero, 104 Hawai'i at 433, 91 P.3d at 55 (recognizing "there may be situations in which a court could conclude that an employer's response was sufficient as a matter of law.") Moreover, in this particular context, Defendant's response was reasonable in light of its relationships with its dialysis patient and Network 17, as well as its employees. See id. at 433, n. 14,91 P.3d at 515, n. 14 (stating that courts "must balance the victim's rights, the employer's rights, and the alleged harasser's rights. If our rule were to call for excessive discipline, employers would inevitably face claims from the other direction of violations of due process rights and wrongful termination.") [citation omitted].

ER22-23, District Court's Order (emphasis added).

In arguing that Liberty did not meet its obligation, Plaintiff again

relies on Arquero. In Arquero, the court held that whether the employer took

action reasonably calculated to end the harassment was a question for the trier of

fact. 104 Haw. at 434, 91 P.3d at 516. However, the Arquero court questioned the

sufficiency of the employer's response after the first incident of harassment-i.e., a

verbal warning from a supervisor to the harassing co-worker that his conduct was

inappropriate and that a repeated offense would lead to a written warning-

because the employer also allowed the employees to continue to work together

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even though the employer knew the co-worker did not take the warning seriously,

the co-worker was not told he could be discharged if his behavior continued, and

the harassment continued. !d.

Here, unlike in Arquero, Liberty took prompt remedial action upon

learning of the AER, including having Patient E sign a Facility Agreement

whereby he would risk losing access to his life-sustaining dialysis treatment if he

repeated his behavior. The District Court correctly found that Liberty's response

was reasonable given the conduct Plaintiff described in her AER.

Plaintiff contends that Liberty's decision to credit Plaintiffs AER and

take remedial action without meeting with her first was significant. However, as

Plaintiff explained in her Opening Brief, "[t]he primary purpose of the

investigation is to discover whether or not complaints of sexual harassment are

true, so that adequate measures can be implemented by the employer to stop it."

Opening Brief at 21 (emphasis added). Here, Liberty did not interview Plaintiff

because it credited her AER, i.e., it determined that her complaint was true. As the

District Court pointed out during the hearing on Defendant's Motion for Summary

Judgment in response to Plaintiffs argument that Liberty's investigation was

negligent:

567924

[B]ut the irony is ... that they took her report and said, "We believe it. We believe it, and we are going to confront your harasser. And we are going to put him on

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this contract. We are going to tell him if he does it again, he has a risk of getting kicked out."

*****

And the irony is you are saying they should have done an investigation, because she didn't tell them everything. And so they should have known that there was more stuff that she was leaving of the report that she had an opportunity to tell them. Apparently she can write, because wrote a whole thing about, He touched me this, I told him not to do it, he did again and so forth.

So how are they supposed to know . .. with no PS. PS, there is a lot more, but I don'tfeel comfortable putting on the note, that they need to then go and find out from her.

Because usually you investigate it because somebody denies it, and then you say, Well, we don't know what really happened here. We need to get witnesses. I mean that's typically how these sexual harassment or race discrimination investigations go. And then you collect evidence and weigh the evidence. You come up with a remedial plan.

*****

But here she [Natividad/ took it at face value that it was true, apparently. Confronts the patient .... after consulting apparently with this other group, and then comes up with this behavior plan.

ER 71-72 (emphases added). Defendant submits that its decision not to meet with

Plaintiff was reasonable given that it credited her AER. lfPlaintiffhad more to

say, she should have and could have provided Natividad with additional

information either in her AER or when, according to Plaintiff, she spoke to

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Natividad about Patient Eon November 17, November 22 and November 24. She

did not.

Next Plaintiff alleges Defendant's response was inadequate because

(1) on November 21, she was mistakenly assigned to Patient E, (2) Liberty would

not allow her to bump another nurse on the schedule, and (3) even after the Liberty

changed Patient E's schedule, she "would be at the same facility" for thirty

minutes while Patient E finished his dialysis treatment and Plaintiff began her shift.

Opening Brief at 21-22.

First, with respect to the November 21 incident, the District Court

correctly pointed out that "there are no allegations that Plaintiff was forced to care

for or that Plaintiff came into direct contact with Patient E after Defendant became

aware of Patient E's conduct toward Plaintiff." ER22. Thus, while Plaintiff may

have mistakenly been assigned Patient E, as the District Court correctly found,

Plaintiff was allowed to change her schedule (despite Natividad's legitimate

concerns about overtime) and Plaintiff never cared for Patient E again after she

submitted her AER. ER24.

Second, with respect to her allegation that Liberty refused to bump

another nurse on the schedule, Plaintiff is a member of HNA. Schedules are

determined two weeks in advance in accordance with the CBA. ER187-88,

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ER216; ER289 at§ 1 0.4(a). Thus, at the time of Plaintiffs request, another nurse

was already scheduled to work the morning shift.

Third, Plaintiff complains that Liberty's alternative remedial measure

of changing Patient E's treatment schedule was not reasonable because she still

had to work at the same facility as Patient E for thirty minutes on days their

schedules overlapped. Given its agreement with HNA that Plaintiff would never

have to treat Patient E again and the fact that the overlap was only thirty minutes,

Defendant submits that the alternative remedial measure was reasonable as a

matter oflaw. See Star v. Togo West, 237 F.3d 1036 (9th Cir. 2000) (finding

employer's remedial measure in changing shifts so there was only 90 minutes

overlap between harasser and plaintiffs shifts was reasonable because plaintiff

was never harassed again); see also Arquero, 104 Haw. at 432,91 P.3d at 514

("We are not to focus solely upon whether the remedial activity ultimately

succeeded, but instead should determine whether the employer's total response

was reasonable under the circumstances that existed.") (citations omitted)

(emphasis added); Swenson, 271 F.3d at 1196 ("the employer will insulate itself

from Title VII liability if it acts reasonably"); Fuller v. Caterpillar, Inc., 124

F.Supp.2d 610, 617 (N.D. Ill. 2000) (Defendant "is not required to take the most

effective action possible to avoid liability. Instead where the defendant's response

is both timely and reasonably likely to prevent the conduct underlying the

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complaint from recurring ... nothing more is required."). However, it is unknown

whether it would have been an effective measure because Plaintiff stopped

working on November 25 and never returned to work at Liberty.

3. Plaintifrs argument that the District Court improperly considered hearsay evidence in making her determination lacks merit

Plaintiff complains that the District Court considered evidence that

was hearsay and not admissible under Fed. R. Evid. 80 I (c). Opening Brief at 8,

23-24. Defendant submits that the District Court properly considered the

evidence-namely, the substance of Auyong's conversations with Network 17-

because it is not hearsay; the statements from Network 17 to Auyong are not

offered for the truth of the matter asserted (that Liberty could not transfer or

involuntarily transfer Patient E); instead, they are being offered to explain

Liberty's mindset when it required Patient E to enter into a behavioral agreement

instead of involuntarily transferring or discharging him from the clinic. See

Renfrew v. Hartford Accident & Indem. Co., 406 Fed. Appx. 227, 229, 2010 U.S.

App. LEXIS 26780, at *4 (9th Cir. Dec. 20, 201 0) (finding district court properly

allowed out of court declaration where it was not submitted '"to prove the truth of

the matter assetied,' Fed. R. Evid. 80 I (c), but instead was submitted to show the

mind-set and knowledge of the patties at the [relevant] time ... . ");see also Fraser

v. Goodale, 342 F.3d 1032, 1036 (9th Cir. 2003) ("At the summary judgment

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stage, we do not focus on the admissibility of the evidence's form."). Auyong's

personal knowledge of Liberty's obligation to follow Network ITs directives is

uncontested. ER466-68, ER471, ER474-80, ER485, ER495.

Thus, the District Court properly considered Auyong's conversations

with Network 17 in determining the reasonableness of Defendant's remedial

actions.

4. Plaintiff's spoliation argument is a red herring

Plaintiff submits to this Court that because Defendant was unable to

produce De Gula's AER, a "reasonable inference can be drawn, [sic] that evidence

LDH destroyed or suppressed was adverse to LDH, and demonstrated [Patient E]

sexually harassed AM, and [Patient E] created a hostile work environment due to

his sexual harassment, and LDH took no prompt and adequate measure to stop

him." Opening Brief at 16-17.

First, Plaintiff waived any argument that Liberty engaged in the

willful destruction and suppression of evidence. At no time during these

proceedings did Plaintiff affirmatively seek to have the District Court rule on her

unfounded allegation, either by including it as a cause of action in her Third

Amended Complaint, or by moving for a finding of spoliation under Fed. R. Civ.

P. 11, 37 or the inherent powers of the court. There was no evidentiary hearing on

spoliation and no ruling by the District Court that Defendant unlawfully destroyed

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evidence. "Although there is no bright-line rule to determine whether a matter has

been raised below, 'a workable standard ... is that the argument must be raised

sufficiently for the trial court to rule on it." Ariz. v. Components Inc., 66 F.3d 213,

217 (9th Cir. 1995). Because Plaintiff did not raise this argument "sufficiently for

the trial court to rule on it," she should not now be allowed to raise the issue. See

id.; De Vera v. Estate of Marcos, 496 Fed. Appx. 759, 760, 2012 U.S. App. LEXIS

22472, at *4 (9th Cir. Oct. 24, 20 12).

Should this Court address Plaintiffs spoliation argument on the

merits, it still fails.

First, there is no evidence that the destruction or suppression of De

Gula's AER supports a finding, as a matter of law, that there is an actionable cause

of action for spoliation, let alone an adverse inference that Plaintiff was sexually

harassed. "When relevant evidence is lost accidentally or for an innocent reason,

an adverse evidentiary inference from the loss may be rejected." Med. Lab. Mgmt.

Consultants v. Am. Broad. Co., Inc., 306 F.3d 806, 824 (9th Cir. 2002) ("The

district court appropriately observed that Defendants' loss of the [evidence] did not

evidence bad faith, was not intentional, and reflected only inadvertence that at

most was negligence."); see Ingham v. United States, 167 F.3d 1240, 1246 (9th

Cir. 1999) ("To be actionable, the spoliation of evidence must damage the right of

a party to bring an action."). Here, Natividad testified that she simply could not

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recall what happened to the AER. ER112. Auyong stated during his deposition in

September 2012 that he placed his copy of De Gula's AER in the Shredex box

approximately two years earlier, in 2010, because he "felt [he] no longer needed

it." ER154-55. Thus, while Natividad and Auyong may have been negligent in

maintaining their records, there is no evidence that Liberty destroyed the AER in

bad faith or that the loss of De Gula's AER had any impact on Plaintiffs ability to

bring this action.

Second, where evidence is lost, "proof by secondary evidence is

available." Med. Lab. Mgmt. Consultants, 306 F.3d at 825 (citing Fed. R. Evid.

1 004( 1)) (affirming district court's order declining to allow adverse inference

where physical evidence lost, but plaintiff could have deposed third-parties who

had knowledge of evidence). Here, Plaintiff deposed De Gula and had the

opportunity to question her in detail regarding the contents of her AER. See

ER501-06. Plaintiff also questioned Natividad about the contents of De Gula's

AER during her deposition and Natividad's testimony was consistent with De

Gula's testimony. ER441-42. Having deposed De Gula and Natividad regarding

the contents of De Gula's AER, Plaintiff cannot complain that she was somehow

prejudiced by the loss of De Gula's AER. Plaintiff should not be allowed to use a

spoliation argument as an end run around to bolster her claims and avoid summary

judgment. SeeMed. Lab. Mgmt. Consultants, 306 F.3d at 825 ("[W]hen a party

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has produced no evidence- or utterly inadequate evidence- in support of a given

claim, the destruction of evidence, standing alone, is not enough to allow the party

... to survive summary judgment on the claim.") (citations and quotations

omitted).

Thus, the District eomi properly granted Defendant summary

judgment on Plaintiff's sexual harassment claim.

B. The District Court Correctly Dismissed Plaintiff's NIED Claim

Hawaii's We law provides, in pertinent part, that the rights and

remedies set forth in the we statute "shall exclude all other liability of the

employer to the employee ... at common law or otherwise, on account of the

injury." Haw. Rev. Stat.§ 386-5 (emphasis added); see also Haw. Rev. Stat.

§ 386-8. "One of the primary purposes underlying the implementation of the

workers' compensation scheme in Hawaii was to eliminate suits based on

negligence in the workplace." Iddings v. Mee-Lee, 82 Haw. 1, 7, 919 P.2d 263,

269 (1996). As such, it is well-recognized that Hawaii's worker's compensation

law is an employee's exclusive remedy for work-related injuries: employees

receive the certainty of a statutory award for all work-connected injuries, in

exchange for employers receiving "freedom from vexatious, delaying and

uncertain litigation with its possibilities of heavy penalties by way of verdicts and

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high costs .... " See id. (citing Coates v. Pac. Eng'g, 71 Haw. 358, 364, 791 P.2d

1257, 1261 (1990)).

Although Haw. Rev. Stat. § 386-5 includes a limited exception for

"sexual harassment or sexual assault and infliction of emotional distress ... related

thereto .... ", the District Court correctly held that the exception is inapplicable to

this case, where Plaintiff is not asserting negligence on a theory of respondeat

superior for the sexually harassing conduct, but rather "breaches of independent

duties to supervise and train employees and to handle investigations of sexual

harassment properly." ER29. In dismissing Plaintiff's NIED claim, the District

Court cited to Chief United States District Judge Susan Oki Mollway's decision in

Clemmons v. Hawaii Med. Servs. Ass 'n, 273 F.R.D. 653, 658-59 (D. Haw. 2011).

ER27-28.

Like Plaintiff, in Clemmons, the plaintiff accused his employer of

negligence based on its failure to adequately investigate his sexual harassment

complaint. 276 F.R.D. at 658-59. The District Court rejected the plaintiff's

negligence claims explaining:

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[T]his judge reads the plain language of the sexual harassment provision as exempting sexual harassment itselffrom chapter 386's exclusivity, not as exempting the distinguishable situation involving negligent training about sexual harassment. Moreover the legislative history of the 1992 amendment that added the sexual harassment language to section 386-5 does not reflect an

35

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intent by the legislature to permit all claims "intertwined" with sexual harassment.

!d. at 658; ER 28; cf Black v. City & Cnty. of Honolulu, 112 F. Supp. 2d 1041,

1048 (D. Haw. 2000) ("Where the plaintiff asserts that her employer's negligence

resulted in sexual harassment, the negligence is not actionable but for the

intentional harassment. Such negligence claims are so intertwined with sexual

harassment that they must be considered a species of the injury for which the

legislature carved out an exception in the 1992 amendment. They are therefore

exempt from the bar of the exclusivity provision."); ER28-29. Based on this

language, the District Court conectly found that Plaintiffs NIED claims "are

clearly separable from actual sexual harassment" and that "they fall far outside the

plain language of the sexual harassment exception to the exclusivity provision."

ER29 (citing Clemmons, 273 F.R.D. at 658).

In her Opening Brief, Plaintiff attempts to recast her NIED claim into

one that "resulted" from Defendant's alleged negligence by claiming Defendant

"chose to expose [Plaintiff] to the risk of continued sexual harassment by [Patient

E] as a test, or experiment." Opening Brief at 26. However, there is no evidence

in the record that Liberty was "testing" or "experimenting" with Plaintiff to

intentionally expose her to Patient E. The undisputed facts show that once

Defendant became aware of Plaintiffs AER, Natividad took prompt remedial

action with guidance from Network 17. Plaintiff cannot establish that a prudent

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person would have taken the steps that Defendant took in contacting Network 17,

requiring Patient E to enter into a Facility Agreement, taking steps to ensure

Plaintiff was not assigned Patient E as her patient and rescheduling Patient E's

treatment, as part of a larger scheme "to expose [Plaintiff] to the risk of continued

sexual harassment by [Patient E] as a test, or experiment." Opening Brief at 26.

Thus, the District Court properly held that Plaintiff's NIED claims based on

Defendant's handling of her AER complaint are "clearly separable" from the

sexual harassment and "fall far outside" the sexual harassment exclusivity

provision under Haw. Rev. Stat. § 386-5. ER29.

Even assuming Plaintiff's NIED is excepted under Haw. Rev. Stat.

§ 386-5, Plaintiff's NIED fails because there is no evidence that she suffered a

predicate physical injury caused by Defendant. See Ross v. Stouffer Hotel Co., 76

Haw. 454,879 P.2d 1037 (1994) (dismissing NIED claim in employment

discrimination case where plaintiff failed to present evidence of physical injury to

himself or anyone else); Kaho 'Ohanohano v. Dep 't of Human Servs., 117 Haw.

262, 308, 178 P.3d 538, 584 (2008) (plaintiff must establish physical injmy to

herself or physical injury to property or to another person resulting from defendant

to recover for negligent infliction of emotional distress); Franco v. Fannie Mae,

Civ. No. 10-00735, 2011 U.S. Dist. LEXIS 51795, at *33 (D. Haw. May 13, 20 11)

("an NIED claimant must establish, incident to his or her burden of proving actual

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injury (i.e., the fourth element of a generic negligence claim), that someone was

physically injured by the defendant's conduct, be it the plaintiff himself or herself

or someone else") (citing Doe Parents No. I v. State, 100 Haw. 34,58 P.3d 545,

580-81 (2002)) (emphasis in original); cf Dowkin v. Honolulu Police Dep't, Civ.

No. 10-00087,2011 U.S. Dist. LEXIS 2011, at *31 (D. Haw. Sept. 2, 2011) (citing

Haw. Rev. Stat.§ 663-8.9, which provides for liability for NIED claims arising out

of property damage where it results in physical injury or mental illness). In fact,

the evidence shows that Plaintiff did not sustain an physical injury arising out of

and in the course of her employment with Defendant. See ER276 (July 20

Decision). Plaintiffs failure to present evidence of physical injury caused by

Defendant is fatal to her claim.

Accordingly, the District Court correctly granted summary judgment

in favor of Liberty on Plaintiffs NIED claim.

C. The District Court Properly Dismissed Plaintiff's liED Claim

Defendant submits that the District Court properly dismissed

Plaintiffs liED claim because it fails on the merits. To establish an liED claim, a

plaintiff must prove the following elements: "1) that the act allegedly causing the

harm was intentional or reckless, 2) that the act was outrageous and 3) that the act

caused 4) extreme emotional distress to another." Hac v. Univ. of Haw., 102 Haw.

92, 106-07,73 P.3d 46, 60-61 (2003).

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liED claims:

The Hawaii Supreme Court has established an exacting standard for

It has not been enough that the defendant has acted with an intent that is tortious or even criminal, or that he has intended to inflict emotional distress, or even that his conduct has been characterized by "malice" or a degree of aggravation which would entitle the plaintiff to punitive damages for another tort. Liability has only been found where the conduct has been so outrageous in character, and so extreme in degree, as to go beyond all bounds of decency, and to be regarded as atrocious, and utterly intolerable in a civilized society.

Ross v. Stouffer Hotel Co., 7 6 Haw. at 465 n.l2, 879 P .2d at I 049 n.l2 (quoting

Restatement (Second) of Torts,§ 46, cmt. d) (emphasis added).

The burden of establishing an liED claim is particularly high in the

context of employment actions. See, e.g., Shoppe v. Gucci Am., Inc., 98 Haw. 368,

387, 14 P.3d 1049, 1068 (2000); Ingle v. Liberty House, Inc., No. 94 0787(3), 1995

WL 757746, at *4 (Haw. 2d Cir. Ct. Oct. 12, 1995) ("Although intentional

infliction claims frequently are asserted in connection with employee dismissals,

recovery is rare. Imposition ofliability on this tort theory is likely only in the

unusual case when an employer deliberately taunts an employee, or when an

employer handles [a]n employee with outrageous insensitivity."); Pfeffer v. Hilton

Grand Vacations Co., Civ. No. 07-00492 DAE-LEK, 2009 U.S. Dist. LEXIS 911,

at *39-40 (D. Haw. Jan. 7, 2009) ("Hawaii's definition of outrageous conduct

creates a very high standard of conduct in the employment context.").

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Here, Plaintiff claims in her Opening Brief that Liberty's "decision to

not separate the parties ... to expose it's [sic] employees to the needless risk and

harm of continued sexual harassment, and defend its action because the harasser

falsely told the employer he did not engage in the harassing conduct, which the

employer knew to be untrue is 'outrageous', and intolerable conduct in a civilized

society." Opening Brief at 25. Plaintiff's conclusory allegation, even if true,

simply does not amount to "extreme" and "outrageous" conduct that is "utterly

intolerable in a civilized society." Ross, 76 Haw. at 465 n.l2, 879 P.2d at 1049

n.l2.

Thus, Plaintiff failed to raise any specific facts showing outrageous

conduct by Liberty and the dismissal of Plaintiff's liED claim should be affirmed.

H. Plaintiff Cannot Sustain Her Punitive Damages Claim

A claim for punitive damages "is not an independent tort, but is purely

incidental to a separate cause of action." See, e.g., Ross, 879 P.2d at 1049; Kang v.

Harrington, 59 Haw. 652, 689, 587 P.2d 285, 291 (1978). Because Plaintiff's

punitive damages claim is nothing more than a claim for relief that is purely

derivative of Plaintiff's substantive causes of action, if Plaintiff's other counts are

dismissed on summary judgment, the claim for punitive damages must also fail,

whether as a separate count or as a requested remedy. As such, the District Court

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properly did not reach a decision on Plaintiffs separate claim for punitive

damages. See ER33.

Even apmi from the derivative nature ofthe request for punitive

damages, that claim for relief cannot stand on its merits based on the facts of this

case. Punitive damages are warranted "only when the defendant has acted

egregiously, intentionally, and deliberately, and with a 'character of outrage

frequently associated with a crime."' Kahale v. ADT Auto. Servs., Inc., 2 F. Supp.

2d 1295, 1302 (D. Haw. 1998) (quoting Masaki v. Gen. Motors Corp., 71 Haw. 1,

6, 780 P.2d 566, 570 (1989)). Despite Plaintiffs conclusory and hyperbolic

allegations in her Opening Brief at ER26-30, that Natividad "wielded her

managerial power to expose [Plaintiff] to [Patient E]," made "[Plaintiff] a part of

her unlawful, and dangerous experiment," and "created" "needless risk," the

evidence shows that there was nothing egregious or outrageous about Liberty's

actions with respect to Plaintiffs internal complaint about Patient E; in fact, as

discussed above, Liberty took reasonable steps to address and resolve Plaintiffs

complaint. Plaintiff therefore cannot recover punitive damages as a matter oflaw,

even in the unlikely event that she prevails on any of her substantive claims.

VIII. CONCLUSION

For the forgoing reasons, Defendant-Appellee Liberty Dialysis-

Hawaii, LLC DBA Liberty Dialysis, respectfully requests that this Court AFFIRM

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the Order of the District Court granting Defendant Summary Judgment on all of

Plaintiffs claims.

DATED: Honolulu, Hawaii, August 9, 2013.

42 567924

Is/ Barry W. Marr BARRYW. MARR MEGUMI SAKAE LEIGHTON M. HARA

Attorneys for Defendant-Appellee LIBERTY DIALYSIS-HAWAII, LLC, DBA LIBERTY DIALYSIS

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NO. 13-15452

IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

AILEEN MARIANO, Plaintiff- Appellant,

v.

LIBERTY DIAL YSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS,

Defendants - Appellees

ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HAW All

Civil No. 11-00652 LEK-BMK

DEFENDANT - APPELLEE LIBERTY DIALYSIS-HAWAII, LLC, DBA LIBERTY DIALYSIS'S

CERTIFICATE OF COMPLIANCE PURSUANT TO FED. R. APP. P. 32(a)(7)(C) and CIRCUIT

RULE 32-1 FOR CASE NO. 05-15202

Pursuant to Fed. R. App. P. 32(a)(7)(B) and (C) and 9th Cir. R. 32-1, I

certify that the attached Answering Brief is proportionately spaced, has a typeface

of 14 points or more, and contains 9,286 words.

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567924

DATED: Honolulu, Hawaii, August 9, 2013.

2

Is/ Barry W. Marr BARRY W. MARR MEGUMI SAKAE LEIGHTON M. HARA

Attorneys for Defendant-Appellee LIBERTY DIALYSIS-HAWAII, LLC, DBA LIBERTY DIALYSIS

Case: 13-15452 08/09/2013 ID: 8738488 DktEntry: 15 Page: 55 of 58

Page 56: William S. Richardson School of Law | - v. · 2014. 10. 8. · Judgment on all claims asse1ied in the Third Amended Complaint. ER590-91. Plaintiff filed her Opposition to Defendant's

NO. 13-15452

IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

AILEEN MARIANO, Plaintiff- Appellant,

v.

LIBERTY DIALYSIS-HAW All, LLC, DBA LIBERTY DIALYSIS,

Defendant - Appellee

ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HAW All

Civil No. 11-00652 LEK-BMK

DEFENDANT- APPELLEE LIBERTY DIAL YSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS

STATEMENT OF RELATED CASES

Defendant-Appellee Liberty Dialysis-Hawaii, LLC dba Liberty

Dialysis is not aware of any related cases pending before this Court.

567924

DATED: Honolulu, Hawaii, August 9, 2013.

Is/ Barry W: Marr BARRY W. MARR MEGUMI SAKAE LEIGHTON M. HARA

Attorneys for Defendant-Appellee LIBERTY DIAL YSIS-HA WAil, LLC, DBA LIBERTY DIALYSIS

Case: 13-15452 08/09/2013 ID: 8738488 DktEntry: 15 Page: 56 of 58

Page 57: William S. Richardson School of Law | - v. · 2014. 10. 8. · Judgment on all claims asse1ied in the Third Amended Complaint. ER590-91. Plaintiff filed her Opposition to Defendant's

NO. 13-15452

IN THE UNITED STATES COURT OF APPEALS

FOR THE NINTH CIRCUIT

AILEEN MARIANO, Plaintiff- Appellant,

v.

LIBERTY DIAL YSIS-HA WAil, LLC DBA LIBERTY DIALYSIS,

Defendant - Appellee

ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF HA WAil

Civil No. 11-00652 LEK-BMK

DEFENDANT - APPELLEE LIBERTY DIALYSIS-HAWAII, LLC DBA LIBERTY DIALYSIS'S

CERTIFICATE OF SERVICE

I hereby certify that I electronically filed the foregoing with the Clerk

for the United States Court of Appeals for the Ninth Circuit by using the appellate

CM/ECF system on August 9, 2013.

Participants in the case are registered CM/ECF users and that service

will be accomplished by the appellate CM/ECF system.

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567924

DATED: Honolulu, Hawaii, August 9, 2013.

2

Is/ Barry W. Marr BARRYW. MARR MEGUMI SAKAE LEIGHTON M. HARA

Attorneys for Defendant-Appellee LIBERTY DIALYSIS-HAWAII, LLC, DBA LIBERTY DIALYSIS

Case: 13-15452 08/09/2013 ID: 8738488 DktEntry: 15 Page: 58 of 58


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