Lockhart v. County of Los Angeles, a case in which we represented the County as appellate counsel, addresses the sensitive area of public health care provider immunity for injuries to mental inpatients.
In Lockhart, the plaintiff's father was on suicide watch in a mental hospital during a 5150 hold and a subsequent 14-day hold. He locked himself in his bathroom and hanged himself. Efforts to revive him were unsuccessful.
Government Code section 854.8 broadly immunizes public entities from liability for injuries to inpatients of mental institutions. One exception to the immunity is Government Code section 855. Section 855 renders the entity liable for injuries in medical facilities subject to regulation by specified state agencies dealing with social services or mental health, if the injury proximately results from failure to provide adequate or sufficient equipment, personnel or facilities required either by statute, or by any regulation of the specified state agencies "prescribing minimum standards for equipment, personnel or facilities" -- unless the entity establishes it exercised reasonable diligence to comply with the regulations.
Plaintiff alleged that the facility violated County regulations, federal Medicare regulations, and Joint Commission on Accreditation of Healthcare Organization standards. None of those bodies are listed in section 855. The appellate court therefore ruled that violation of those bodies' standards does not trigger section 855's exception to the section 854.8 immunity.
The court further ruled that only statutes and regulations that prescribe minimum standards can create liability. Regulation that simply require "sufficient" equipment, personnel or facilities are too broad to fit within the "narrow exception of Government Code section 855." On this point, the Second District Court of Appeal, which decided Lockhart, disagreed with the First District Court of Appeal's decision in Baber v. Napa State Hospital (1989) 209 Cal.App.3d 213, 220, which held that such broad regulations met section 855's criteria.
The Lockhart court emphasized the need to preserve local entity's discretion over what constitutes "sufficient" equipment, personnel or facilities where regulations did not prescribe minimum standards.