SUPERIOR COURT OF THE STATE OF CALIFORNIA COUNTY OF ORANGE JURISDICTION

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1 M.E. STEPHENS (SBN 149649) SHELBY L. STUNTZ (SBN 231594) 2 STOCK STEPHENS, LLP 110 W. "C" STREET, SUITE 1810 3 SAN DIEGO, CA 92101 Tel: (619) 234-5488 4 Fax: (619) 234-8814 5 ATTORNEY FOR PLAINTIFF, JOHN DOE 6 FILED SUPERb~~~~~ ~J~~~ORNIA CENTRAL JUSTICE CENTER BY: MAY 052006 ALAN SLATER. Clerk of the Court ENRIQUE VELOZ,DEPUTY 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 JOHN DOE, Plaintiff, SUPERIOR COURT OF THE STATE OF CALIFORNIA vs. COUNTY OF ORANGE; ORANGE COUNTY SHERIFF'S DEPARTMENT; SHERIFF MICHAEL S. CARONA; ORANGE COUNTY HEALTH CARE AGENCY; and DOES 1 through 25, inclusive, Defendants. COUNTY OF ORANGE COME NOW Plaintiff JOHN DOE individually, and alleges as follows: JURISDICTION 06CC05833 Case No. COMPLAINT FOR DAMAGES FOR: (1) DELIBERATE INDIFFERENCE (2) INTENTIONAL INFLICTION OF EMOTIONAL DISTRESS (3) NEGLIGENCE GENERAL CIVIL CASE AMOUNT EXCEEDS $25,000 JUDGE ANDREW P. BANKS DEPtC6 1. Plaintiff, JOHN DOE, is an individual, and except as otherwise indicated, at all times herein mentioned was a resident of the County of Orange, State of California. 2. JOHN DOE is informed and believes and thereon alleges that Defendants, COUNTY 1

1 OF ORANGE, ("COUNTY") and ORANGE COUNTY SHERIFF'S DEPARTMENT 2 ("DEP ARTMENT") are and were at all times herein mentioned political subdivisions andlor public 3 entities of the State of California, created, duly organized, and existing under the laws of the State 4 of California. 5 3. JOHN DOE is informed and believes and thereon alleges that Defendant, SHERIFF 6 MICHAEL S. CARONA ("SHERIFF CARONA") is and at all times herein mentioned was 7 employed by COUNTY as Sheriff. JOHN DOE is informed and believes, and thereon alleges, that 8 at all relevant times herein mentioned, SHERIFF CARONA was acting under color of law and in 9 the course and scope of his employment for Defendant COUNTY as Sheriff. Defendant, SHERIFF 10 CARONA is sued individually and in his official capacity. 11 4. JOHN DOE is further informed and believes and thereon alleges that Defendant, 12 ORANGE COUNTY HEALTH CARE AGENCY ("OCHCA") is and at all times herein men tioned 13 was a political subdivision andlor public entity of the State of Cali fomi a, created, duly organized, 14 and existing under the laws of the State of California. OCHCA provides essential medical services 15 to persons for whom the COUNTY has legal responsibility including those in the Orange County 16 Jail, by and through Correctional Medical Services, a division ofochca. 17 5. JOHN DOE is ignorant of the true names and capacities of Defendants sued herein as 18 DOES 1 through 25, and therefore shall sue these Defendants by such fictitious names. JOHN DOE 19 is informed and believes, and therefore alleges, that each of the Defendants designated as a DOE 20 is legally responsible in some manner for the circumstances alleged in this Complaint, and caused 21 JOHN DOE to suffer damages as alleged herein. JOHN DOE will amend this Complaint to allege 22 their true names and capacities when ascertained. 23 6. JOHN DOE is informed and believes and thereon alleges that at all times herein 24 mentioned, Defendants, and each of them, including all Defendants sued under fictitious names, 25 were acting within the course and scope of their authority as agents, representatives, subcontractors, 2

1 partners, alter egos and/or employees for Defendant COUNTY, and were therefore looked upon as 2 holding a superior position of authority and trust by JOHN DOE. These unidentified DOES are 3 sued individually and in their official capacities as employees, agents, representatives, 4 subcontractors, partners, and/or alter egos with the permission and consent of each other Defendant, 5 and each other Defendant having ratified the acts ofthe other Defendants. Therefore, Defendants, 6 and each of them, are liable to JOHN DOE for the acts of each of the individually named 7 Defendants. 8 7. Each reference in this Complaint to a specifically named Defendant refers to all 9 Defendants sued under fictitious names... 10 8. All events referred to in the allegations contained herein occurred within the boundaries 11 of the County of Orange, State of California, except as otherwise indicated. 12 9. The allegations of this Complaint stated on information and belief are likely to have 13 evidentiary support after a reasonable opportunity for further investigation and discovery. 14 10. Based on the foregoing, jurisdiction over this action lies with this Court. 15 FIRST CAUSE OF ACTION 16 Refusal to Provide Medical Treatment - Deliberate Indifference 17 (Against all Defendants) 18 11. JOHN DOE inco!-"porates herein by reference each and every allegation in paragraphs 19 1 through 10 of this Complaint, as though set forth in full herein with the same force and effect. 20 12. In or around 1991, JOHN DOE was diagnosed with Gender Identity Disorder. Gender 21 Identity Disorder is categorized as a medical condition by the American Psychiatric Association's 22 Diagnostic and Statistical Manual o/mental Disorders. (DSM-IV 532 (4th ed. 1994).) Prevailing 23 medical standards of care dictate that hormone therapy is a correct and proper component of 24 treatment and in many cases is medically necessary as treatment for persons with Gender Identity 25 Disorder. 3

1 13.- In or around 1992, because of the diagnosis, JOHN DOE legally and medically 2 transitioned from female to male. JOHN DOE began wearing men's clothing and began a medically 3 prescribed regimen of male hormones. JOHN DOE has undergone testosterone t4erapy for more 4 than ten years which includes prescription testosterone treatment once every fourteen days. JOHN 5 DOE underwent chest reconstruction surgery in 1992. As a result of the surgery and testosterone 6 treatment, he has a flat male chest, developed facial, body and chest hair, gained body weight in the 7 form of muscle mass, and his voice deepened. 8 14. JOHN DOE was incarcerated on or around August 20,2004 and continuing through 9 October,2004, at the Orange County Jail Intake and Release Center ("IRC"), a facility operated.. 1 0 by the DEPARTMENT, located at 550 North Flower Street, Santa Ana, California. 11 15. Prior to his admittance his last injection was on or around August 6, 2004. JOHN DOE 12 was due for his next injection on or around August 20, 2004. Upon his admittance to IRC, JOHN 13 DOE disclosed to Defendants that he required prescription testosterone inj ections every two weeks. 14 Between August 20,2004 and October,2004, JOHN DOE was explicitly denied access to his 15 medically prescribed testosterone treatment. In or around August 21,2004, JOHN DOE made a 16 verbal request for treatment. Defendants denied treatment and JOHN DOE made six additional 17 written demands for medical treatment between August 21,2004 and October,2004. 18 16. JOHN DOE'S primary care physician, Richard Horowitz, M.D., informed the 19 Correctional Medical Services Medical Director that JOHN DOE'S prescribed testosterone 20 treatment was medically necessary for JOHN DOE'S health and well-being. Dr. Horowitz informed 21 the Medical Director of the negative health consequences associated with the failure to provide 22 treatment to JOHN DOE during his incarceration. 23 17. JOHN DOE is informed and believes that Attorney Ed Isler, contacted the 24 DEPARTMENT and the Medical Director on JOHN DOE'S behalf on or around September 1,2004 25 to request treatment. The Medical Director told Attorney Isler that JOHN DOE'S testosterone 4

1 to change out his blues while wearing a pink sleevless garment in front of three pods of inmates. 2 One deputy even commented, "here comes the parade." On occasions when an inmate referred to 3 JOHN DOE as "he" or "him" the inmate was reprimanded in JOHN DOE'S presence and told that 4 JOHN DOE is female. Deputies routinely stopped at JOHN DOE'S cell and laughed at him, called 5 him "a freak," "a sicko" and "that thing." Deputies threatened to place JOHN DOE with the male 6 prisoners so that he could see that he is "really a woman." During the transfer of JOHN DOE for 7 a court appearance he was placed in a cell without bathroom facilities. After remaining in the cell 8 for six hours JOHN DOE requested the use of a bathroom. At which time one deputy said to the 9 other, "it says it needs to use the head." To which the other deputy laughed and replied "nope.".. 1 0 JOHN DOE was forced to endure an additional three hours without bathroom facilities, totaling 11 nine hours without access to a bathroom. 12 21. JOHN DOE was transferred to Valley State Prison - Chowchilla ("CHOWCHILLA") 13 on or around October, 2004. CHOWCHILLA is located in the County of Madera, California. 14 JOHN DOE received his medically prescribed hormone treatment shortly after transferring to 15 CHOWCHILLA. The injections were continued by CHOWCHILLA until JOHN DOE was released 16 on September 30, 2005. 17 22. JOHN DOE continues to experience physical and mental health problems due to the 18 deprivation of hormone treatment and harassment by Defendants. JOHN DOE was prescribed and 19 given blood pressure medication by the presiding doctor at CHOWCHILLA. JOHN DOE remains 20 on prescription blood pressure medication to this day. JOHN DOE continues to have black spots 21 in his vision, suffers from sharp pains in his chest and severe muscle cramping. JOHN DOE is 22 afraid of the future effects that the denial of the testosterone treatment will have on his body. 23 23. On or around April 18, 2005, JOHN DOE filed a formal complaint, "Claim for Money 24 or Damages", with the COUNTY regarding Defendants' deliberate indifference to provide necessary 25 medical care during his incarceration at IRC and the health consequences associated therewith. The 6

1 COUNTY rejected JOHN DOE'S claim on November 7,2005. (A true and correct copy of the 2 Claim for Money or Damages is attached hereto as Exhibit A.) 3 24. As a direct, legal, and proximate result of the conduct of Defendants', and each of them, 4 as aforesaid, JOHN DOE suffered severe, serious, and permanent injuries to his person, including 5 physical injury and severe emotional distress, fear, terror, anxiety, humiliation, embarrassment, and 6 loss of his sense of security and dignity, all to his damage in a sum to be shown according to proof 7 and within the jurisdiction of the Superior Court. 8 25. These acts of the Defendants, and each of them, showed a complete and total disregard 9 for the standards of their profession and the well-being of JOHN DOE, and served no legitimate 10 penalogical purpose, were merely cruel, mean spirited, malicious, wanton, and oppressive. JOHN 11 DOE is therefore entitled to an award of punitive damages against them. 12 SECOND CAUSE OF ACTION 13 Intentional Infliction of Emotional Distress 14 (Against all Defendants) 15. JOHN DOE incorporates herein by reference each and every allegation in paragraphs 16 1 through 25 of this Complaint, as though set forth in full herein with the same force and effect. 17. Because JOHN DOE was an inmate in the custody of the COUNTY, the 18 DEPARTMENT, SHERlFF CARONA, OCHCA, and DOES 1 through 25, and each of them, had 19 a duty under state regulations to provide him necessary medical care and safety. Without limiting 20 the generality of the foregoing, Defendants, and each of them, had a duty to, among other things: 21 provide humane treatment; and provide necessary medical treatment. 22. During the period of his detention from August 20, 2004, and up to and including 23 October, 2004, Defendants, and each of them, breached their duties to JOHN DOE. These 24 breaches were intentional and in reckless disregard for the probability that severe injury would 25 result from their failure to adhere to their duties. Defendants knew or should have known that there 7

1 was a probability that injury would result from the failure to adhere to their duties. In particular, 2 and without limiting the generality of the foregoing, Defendants, and each of them, intentionally, 3 maliciously, and with deliberate indifference to JOHN DOE'S health and safety failed to, among 4 other things: 5 a. follow, implement, and/or adhere to the medically necessary treatment prescribed by 6 JOHN DOE'S physician; 7 b. accord to JOHN DOE individual dignity and respect, and instead subjected him to 8 abuse and harassment; 9 c. properly and accurately administer prescribed hormone treatments; and, 10 d. diagnose and treat JOHN DOE'S symptoms which resulted from Defendants' refusal 11 to administer prescribed hormone treatments. 12 29. The conduct of Defendants, and each of them, was outrageous and beyond the bounds 13 of decency such that no reasonable person could be expected to endure it. JOHN DOE was forced 14 to endure physical injury and pain as well as severe emotional and mental distress, verbal 15 harassment, fear, terror, anxiety, humiliation, embarrassment, and loss of his sense of security and 16 dignity. 17 30. At all times mentioned herein, Defendants and each of them knew that JOHN DOE 18 was at risk when they failed to meet their duty. Defendants knew that their failure to comply with 19 such duties, would result in injury to JOHN DOE. In breaching their duties to JOHN DOE, 20 Defendants, and each of them, acted maliciously, intentionally and with a conscious disregard of 21 the consequences. 22 31. By reason of the foregoing, JOHN DOE was required to employ the services of 23 physicians and other professional services and was compelled to incur expenses for medications and 24 other medical supplies and services. 25 III 8

1 32. As a direct and proximate result of the intentional, malicious, cruel, harmful, unlawful 2 and offensive acts of Defendants, as aforesaid, JOHN DOE sustained severe and serious injury to 3 his person, including but not limited to severe emotional distress, all to JOHN DOE'S damage in 4 a sum within the jurisdiction of this Court and to be shown according to proof. 5 33. By reason of the foregoing, Defendants have acted with malice, fraud and oppression, 6 and an award of punitive damages in a sum according to proof at trial is justified, warranted and 7 appropriate. 8 THIRD CAUSE OF ACTION 9 Negligence 10 (Against all Defendants) 11 34. JOHN DOE incorporates herein by reference each and every allegation in paragraphs 12 1 through 33 of this Complaint, as though set forth in full herein with the same force and effect. 13 35. At all relevant times, Defendants, and each of them acted under the color oflaw and 14 within their official capacities as employees, agents, representatives, subcontractors, partners, and/or 15 alter egos of Defendants, COUNTY, DEPARTMENT, and OCHCA and were therefore looked 16 upon as holding a superior position of trust and authority by JOHN DOE. Defendants owed a duty 17 to JOHN DOE at all relevant times to exercise reasonable care and such other care as required by 18 law in a way which would not cause harm to JOHN DOE while under Defendants' custody and 19 control. 20 36. During JOHN DOE'S incarceration, Defendants failed to exercise reasonable care 21 expected of a law enforcement agency and/or official sworn to carry out the laws in the COUNTY, 22 resulting in, among other things, the abuse, torment, harassment and deliberate indifference to the 23 medical needs of JOHN DOE. 24 III 25 III 9

1 37. Defendants breached the duty owed to JOHN DOE by deliberately failing to follow, 2 implement, and/or adhere to JOHN DOE'S physician's orders; failing to accord to JOHN DOE'S 3 individual dignity and respect; subjecting JOHN DOE to continued and ongoing verbal harassment 4 and mistreatment; failing to properly and accurately administer proper medical treatment to JOHN 5 DOE; and, failing to diagnose and treat JOHN DOE'S symptoms resulting from Defendants' refusal 6 to administer proper medical care to JOHN DOE. 7 38. Defendants knew or should have known that their failure to exercise reasonable care 8 would and did cause physical, mental and emotional harm to JOHN DOE. 9 39. As a direct and proximate result of Defendants, and each of them, breaching their duty 10 of care, JOHN DOE incurred financial damages and severe physical, mental and emotionat harm. 11 JOHN DOE has been damaged in an amount to be proven at trial. 12 40. The damages suffered by JOHN DOE were solely due to the conduct of Defendants, 13 and each of them, acting individually and/or as the agent, and employee of each of the other 14 Defendants, and acting within the course and scope of that agency and employment. 15 41. JOHN DOE is informed and believes that at all relevant times, SHERIFF CARONA, 16 COUNTY, DEPARTMENT, and OCHCA were negligent, careless, reckless and unlawful in the 17 manner in which they selected, hired, trained and supervised the Medical Director, and DOES 1 18 through 25, so as to proximately cause JOHN DOE'S injuries and damages set forth below. 19 SHERIFF CARONA, COUNTY, DEPARTMENT, and OCHCA were unfit and incapable of 20 providing supervision of each other Defendant, DOES 1-25, and the Medical Director, thereby 21 proximately causing the injuries and damages described below. 22 42. These acts of the Defendants, and each of them, showed a complete and total disregard 23 for the standards of their profession,and the well-being of JOHN DOE, and these acts caused JOHN 24 DOE irreparable physical, mental and emotional distress and harm. 25 /II 10

1 43. As a direct, legal and proximate result of the negligence of Defendants, and each of 2 them, as aforesaid, JOHN DOE, has sustained severe, serious, and permanent injuries to his person, 3 all to his damage in a sum to be shown according to proof and within the jurisdiction of the 4 Superior Court. 5 44. As a further direct, legal and proximate result of the aforesaid negligence of 6 Defendants, and each of them, JOHN DOE was compelled to and did employ the services of 7 physicians, nurses, and the like, to care for and treat him, and did incur medical, professional, and 8 incidental expenses, and JOHN DOE is informed and believes, and upon such information and 9 belief alleges, that he will necessarily by reason of his injuries, incur additional like expenses for 10 an indefinite period of time in the future, all to his damage in a sum to be shown according to proof. 11 12 WHEREFORE, JOHN DOE prays for judgment as follows: 13 ON THE FIRST CAUSE OF ACTION (Deliberate Indifference) 14 1. For general damages in a sum according to proof; 15 2. For special damages in a sum to be proven at trial; 16 3. For punitive damages in an amount appropriate to punish Defendants, and to deter 17 others from engaging in similar willful misconduct; and, 18 4. F or such other and further relief as the Court may deem proper. 19 ON THE SECOND CAUSE OF ACTION (Intentional Infliction of Emotional Distress) 20 1. For general damages in a sum according to proof; 21 2. For special damages in a sum to be proven at trial; 22 3. F or punitive damages in an amount appropriate to punish Defendants, and to deter 23 others from engaging in similar willful misconduct; and, 24 4. For such other and further relief as the Court may deem proper. 25 III 11

1 ON THE THIRD CAUSE OF ACTION (Negligence) 2 1. For general damages in a sum according to proof; 3 2. For special damages in a sum to be proven at trial and future damages; and, 4 3. For such other and further relief as the Court may deem proper 5 6 Dated: May 4, 2006 7 8 9 10 STOCK STEPHENS, LLP ~~ SHELBY L. STUNTZ, ESQ. ATTORNEYS FOR PLAINTIFF, JOHN DOE 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 12