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Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 1 of 35 IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF PUERTO RICO JASON MICHAEL PIÑERO-VERA AND * CIVIL NO. MIGUEL ANGEL PIÑERO-COTTO, * WANDA VERA-GONZÁLEZ, JENNIFER * PIÑERO-VERA AND JULISSA PIÑERO- * NEGRON, by themselves and as the * ESTATE OF JASON MICHAEL PIÑERO- * Federal Tort Claims Act, 28 VERA; JASON MICHAEL PIÑERO- VERA * U.S.C.S. § 2671 et seq.; * Eigth Amendment to the US Plaintiffs * Constitution, Biven's Action, * Arts. 1802 & 1803 of the Puerto vs. * Rico Civil Code; Section II (Bill of * Constitution of the Commonwealth UNITED STATES OF AMERICA, * of Puerto Rico HONORABLE ERIC HOLDER, U. S. * ATTORNEY GENERAL, U. S. DEPT. OF * JUSTICE, FEDERAL BUREAU OF * PRISONS, represented by its Director * CHARLES S. SAMUELS; DR. NEWTON E. * KENDIG; Assistant Director (HSD) and * Medical Director of the Bureau of Prisons * JERRY C. MARTINEZ, , WARDEN of the * Metropolitan Detention Center in Guaynabo; * CHRISTINE MARRERO, Clinical Nurse at * JURY TRIAL MDC in Guaynabo; ROBERTO CURRAS * or R. CURRAS, OIC in the MDC in Guayna- * bo; DR. ADA I. RIVERA; DR. ALEX SEDA, * DR. JOSE MIRO; JOSE GARCIA; THE * CONJUGAL PARTNERSHIP CONSTITU- * TED BETWEEN THE RESPECTIVE * SPOUSES OF MARRERO, CURRAS, * RIVERA, SEDA, MIRO, AND GARCIA * BVR AMBULANCE BEST CARE, INC., * BRYAN VELEZ, President of BVR Ambu- * lance Best Care; THE CONJUGAL LEGAL * PARTNERSHIP CONSTITUTED BY * BRYAN VELEZ AND HIS WIFE; ABC and * DEF, THE CONJUGAL LEGAL PARTNER-* SHIP CONSTITUTED BY ABC and DEF and * their respective spouses; GHI CORRECTIO- * NAL HEALTH SERVICES, INC., JKL COR-* PORATION, INC., MNO CORP., PQR INSU-* RANCE CO. and STU INSURANCE CO., * JOHN DOE and JANE DOE; * 1 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 2 of 35 * Defendants * ______________________________________ * COMPLAINT TO THE HONORABLE COURT: COME NOW the Plaintiffs through the subscribing counsel and respectfully STATE AND PRAY: I. JURISDICTION This Honorable Court has jurisdiction to entertain this civil action pursuant to the Federal Tort Claims Act, 28 U.S.C.S. § 2671 et seq. and 28 U.S.C. § 1331. Also, the Honorable Court has jurisdiction pursuant to Bivens v. Six Unknown Named Agents of the Federal Bureau of Narcotics, 403 U.S. 388, 29 L. Ed. 2d 619, 91 S. Ct. 1999 (1971), for violations of the late Jason Michael Piñero-Vera's constitutional rights under the Eighth Amendment to the United States Constitution. Under 28 USC § 1367 this Court has supplemental jurisdiction over the cause of action arising from the laws of the Commonwealth of Puerto Rico: Articles 1802 and 1803 of the Puerto Rico Civil Code, 31 L.P.R.A. §§ 5141 and 5142, respectively, and Section II of the Bill of Rights of the Constitution of the Commonwealth of Puerto Rico. II. VENUE Venue is proper in the District of Colorado under 28 U.S.C. § 1391(b), because a the acts or omissions that give rise to Plaintiffs’ claims occurred in the District of Puerto Rico. III. PARTIES PLANTIFFS The Estate and relatives of Jason Michael Piñero-Vera constituted by: 2 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 3 of 35 JASON MICHAEL PIÑERO-VERA, an inmate at the Metropolitan Detention Center in Guaynabo, who went through the agony of suffering and pain as a result of defendants negligent acts or omissions and/or deliberate indifference, that were the direct cause of his death at age 25on August 5, 2012. MIGUEL ANGEL PIÑERO-COTTO and WANDA VERA-GONZALEZ, of legal age, retired, father and mother, respectively, of Jason Michael Piñero-Vera, and resident of Urb. Idamaris Gardens, C-25 Cantalicio Rodríguez Street, Caguas, Puerto Rico, 00727, with telephone number (787) 598-0085. JENNIFER PIÑERO-VERA, of legal age, single, sister of Jason Michael Piñero-Vera, manufacturing associate at Amgen Pharmaceuticals and resident of Urb. Idamaris Gardens, C-25 Cantalicio Rodríguez Street, Caguas, Puerto Rico, 00727, with telephone number (787) 598-0085. JULISSA PIÑERO-NEGRON, of legal age, single, paramedic, sister of Jason Michael Piñero-Vera, and resident of Barrio Duque, 139 Azucena Street, Naguabo, Puerto Rico, 00718, telephone number (787) 556-3264 and (787) 874-1969. DEFENDANTS THE UNITED STATES OF AMERICA, represented by HON. ERIC HOLDER, United States Department of Justice, Attorney General of the United States of America. The FEDERAL BUREAU OF PRISONS (BOP), a subdivision of the United States Department of Justice, a United States federal law enforcement agency responsible for the administration of the federal prison system, represented by its Director, 3 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 4 of 35 CHARLES S. SAMUELS, JR. Mr. Samuels is sued in his official capacity as Director of the federal Bureau of Prisons (BOP). NEWTON E. KENDIG, M. D., is sued in his official capacity as both, the Assistant Director, Health Services Division (HSD) and Medical Director of the federal Bureau of Prisons. The Medical Director is the final health care authority for all clinical issues and is responsible for all health care delivered by BOP health care practitioners. JERRY C. MARTINEZ, of legal age, whose marital status is unknown at this time, who for the time relevant to this complaint was the Warden of the MDC in Guaynabo, with address Metropolitan Detention Center, Highway 22, at the intersection of Roads 165 and 28, Guaynabo, Puerto Rico, and telephone number (787) 749-4480. Codefendant Martínez is sued in his official capacity as Warden of the Metropolitan Detention Center in Guaynabo. DR. ADA I. RIVERA, of legal age, medicine doctor, with address Metropolitan Detention Center, Highway 22, at the intersection of Roads 165 and 28, Guaynabo, Puerto Rico, and telephone number (787) 749-4480. Codefendant Rivera is sued in her official capacity as Clinical Director of the Metropolitan Detention Center in Guaynabo and in her personal capacity. THE CONYUGAL LEGAL PARTNERSHIP constituted by ADA I. RIVERA and her husband FULANO, whose real name is unknown at this time. CHRISTINE MARRERO, of legal age, Registered Nurse, with address Metropolitan Detention Center, Highway 22, at the intersection of Roads 165 and 28, Guaynabo, Puerto Rico, and telephone number (787) 749-4480. For the time relevant to 4 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 5 of 35 this complaint defendant Marrero was a Clinical Nurse at the Metropolitan Detention Center in Guaynabo. Marrero is sued in both her official and her personal capacity. THE CONYUGAL LEGAL PARTNERSHIP constituted by CHRISTINE MARRERO and her husband MENGANO, whose real name is unknown at this time. ROBERTO CURRAS or "R. CURRAS", of legal age, with address Metropolitan Detention Center, Highway 22, at the intersection of Roads 165 and 28, Guaynabo, Puerto Rico, and telephone number (787) 749-4480. For the time relevant to this complaint defendant Marrero was a Custody Officer at the Metropolitan Detention Center in Guaynabo. Curras is sued in both his official and his personal capacity. THE CONYUGAL LEGAL PARTNERSHIP constituted by ROBERTO CURRAS or "R. CURRAS, and his wife PERENCEJA, whose real name is unknown at this time. DR. JOSÉ MIRÓ, of legal age, medicine doctor, with address Metropolitan Detention Center, Highway 22, at the intersection of Roads 165 and 28, Guaynabo, Puerto Rico, and telephone number (787) 749-4480. For the time relevant to this complaint codefendant Miro was a physician at the Metropolitan Detention Center in Guaynabo. Miro is sued in both his official and his personal capacity. THE CONYUGAL LEGAL PARTNERSHIP constituted by JOSE MIRO, and his wife, whose real name is unknown at this time. JOSE GARCIA, of legal age, medicine doctor, with address Metropolitan Detention Center, Highway 22, at the intersection of Roads 165 and 28, Guaynabo, Puerto Rico, and telephone number (787) 749-4480. 5 For the time relevant to this Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 6 of 35 complaint codefendant Garcia was a physician at the Metropolitan Detention Center in Guaynabo. Garcia is sued in both his official and his personal capacity. THE CONYUGAL LEGAL PARTNERSHIP constituted by JOSE GARCIA and his wife, whose real name is unknown at this time. BVR AMBULANCE BEST CARE, INC., Urbanización Villa Capri, 65th Infantry Ave., San Juan, Puerto Rico, telephone number (787) 273-2138 and (787) 5796766. Codefendant BVR Ambulance Best Care, Inc., is the company that was called by codefendant Marrero on August 5, 2012, to provide paramedical services to Jason Michael Piñero-Vera. (787 BRYAN VELEZ, of legal age, President of BVR Ambulance Best Care, Inc., with address Urbanización Villa Capri, 65th Infantry Ave., San Juan, Puerto Rico, 00926, telephone number (787) 273-2138 and (787) 579-6766. Codefendant Velez is sued in his capacity as President of BVR Ambulance Best Care, Inc. In the event that BVR Ambulance Best Care, Inc., is not a corporation authorized to do business in Puerto Rico, then Velez is sued in his personal capacity. THE CONYUGAL LEGAL PARTNERSHIP constituted by BRYAN VELEZ, and his wife MENGANEJA, whose real name is unknown at this time. ABC and DEF, whose real names are unknown at this time, of legal age, with address Urbanización Villa Capri, 65th Infantry Ave., San Juan, Puerto Rico, 00926, telephone number (787) 273-2138 and (787) 579-6766, are the paramedics of BVR Ambulance Best Care, Inc., that went to the MDC in Guaynabo and transported Jason Michael in an ambulance to the Puerto Rico Medical Center on August 5, 2012. 6 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 7 of 35 THE CONJUGAL LEGAL PARTNERSHIP CONSTITUTED BY ABC and DEF and their respective spouses. GHI CORRECTIONAL HEALTH SERVICES, INC., whose real name and address is unknown at this time, is a corporation authorized to do business in Puerto Rico that by the time relevant to this complaint delivered health services to the inmates in the Metropolitan Detention Center in Guaynabo under contract with the federal Bureau of Prisons and/or the Metropolitan Detention Center in Guaynabo. JKL CORPORATION, INC., whose real name and address is unknown at this time, is a corporation authorized to do business in Puerto Rico that by the time relevant to this complaint delivered security/custodial services to the Metropolitan Detention Center in Guaynabo under contract with the federal Bureau of Prisons and/or the Metropolitan Detention Center in Guaynabo. MNO CORP., whose real name and address is unknown at this time, is a corporation authorized to do business in Puerto Rico that by the time relevant to this complaint delivered PHARMACY services to the Metropolitan Detention Center in Guaynabo under contract with the federal Bureau of Prisons and/or the Metropolitan Detention Center in Guaynabo. PQR INSURANCE CO. and STU INSURANCE CO., are insurance companies whose actual name, address and telephone number are unknown, but that for the time relevant to this complaint had issued an insurance policy to respond for the actions complained of in this suit. 7 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 8 of 35 JOHN DOE and JANE DOE, are fictitious names to designate those persons and entities whose acts or omissions at the time relevant to this complaint produced or contributed to the unlawful death of Jason Michael Piñero-Vera. IV. JURY TRIAL Plaintiffs request jury trial. V. STATEMENT OF FACTS 1. Jason Michael Piñero-Vera, was born on September 2, 1987. 2. Jason Michael had a long history of mental illness. 3. By May 2012 Jason Michael had a diagnose of major depression, panic attacks, schizophrenia, psycosis and bronchial asthma. He was also suffering of asymptomatic tachycardia (abnormally rapid heartbeat). 4. At that time, Jason Michael was under the following medications prescribed by his APS' psychiatrist: Geodon, Klonopin, Depakote and Doxepin. 5. On June 27, 2012, and indictment was issued as to Jason Michael Piñero- Vera for violating Title 18 USC Section 2119 (Carjacking), Criminal No. 12-506 (JAG). 6. On June, 28, 2012, Jason Michael Piñero-Vera was arrested and brought before Magistrate Judge, Hon. Camille Velez-Rive, who issued an Order to temporarily detain him pending the Arraingment/Detention Hearing scheduled for July 3, 2012. 7. At the Intake Screening interview on June 28, 2012 it was made clear that "[i]nmate is a mental health patient that may need follow" and treatment. However, since 8 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 9 of 35 Jason Michael´s incarceration at MDC in Guaynabo, defendants Jerry C. Martinez (Warden), Ada I. Rivera (M.D.), Alex Seda (M.D.), Jose Miro (M.D.), José García (M.D.) and Christine Marrero (Registered Nurse) unlawfully denied him the health services he deserved and had the right to receive as a psychiatric patient. Also, although Jason Michael was a chronic psychiatric patient, rather than being assigned to a cell located in a psychiatric unit, he was assigned to a cell in the general inmate population. Such assignment was contrary to the Bureau of Prisons Policy ("Medical Designation Program") requiring to "moving inmates between institutions to match each inmate's care level to the care level of the institution." There is no evidence on record that Jason Michael was given orientation regarding sick call procedures, which constitutes a violation of BOP policies and procedures. 8. In violation of BOP policies, a written consent was not requested nor obtained from Jason Michael for the administration to him of Tricyclic Antidepressant Medication, Mood Stabilizing Medication, for the Use of Benzodiazepines, nor for the Use of Atypical Antipsychotic Medication. 9. On the Clinical Encounter-Administrative Note dated 06/29/2012, codefendant Dr. Ada I. Rivera, M.D., stated: "Arrived with history of mental health problems. Medications were reconciled. Will order labs and assign to clinic appointment. 10. On the Arraingment/Detention Hearing held on July 3, 2012 attorney for Jason Michael argued in favor of granting him bail due to defendant Jason Michael Piñero-Vera's serious mental health issues and not receiving treatment at the Metropolitan 9 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 10 of 35 Detention Center, after which the Honorable Magistrate-Judge ordered that "a copy of this minutes as well as a notice to MDC be taken in order for defendant [Jason Michael] to be evaluated and receive treatment, since he gets quite aggressive when he doesn't receive medication". 11. The evaluation performed on Jason Michael by codefendant Dr. José García, MLP, at the MDC in Guaynabo, on 07/09/2012, states, among other: Anxiety, Panic episodes, Severe Depression, --Zanax [sic] 2 mg three times a day, Depakote 500mg twice a day, Doxepin 300mg at bedtime. From a psychiatric standpoint, codefendant Garcia stated: Mood-Down, Anxiety-Moderate, Sleep-Decreased, Hallucinations-Visual, Hallucinations-Tactile, Flashbacks, Restless/Fidgety. 12. Despite the Honorable Court´s Order, it is clear from the ¨Medication Administration Record¨ that Jason Michael was left without medications up to July 15, 2012. 13. On 07/19/2012, Jason Michael did not show to the Chronic Care ("CCC") 14. However, the defendants did nothing regarding this absence, despite the visit. fact that Jason Michael had a " history of mental health problems". 15. The visit to the Chronic Care Clinic was rescheduled for 07/23/2012. 16. However, said appointment never took place. 10 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 11 of 35 17. On July 30, 2012, Jason Michael was evaluated at the Metropolitan Detention Center in Guaynabo by codefendant Dr. Alex Seda. 18. At that time, codefendant Seda's assessment was the following: Reg # 40422-069 Inmate Name: PINERO-VERA, JASON Description Type Axis I: Major depressive ICD Diag. Date Status Status Date Chronic 296.2 07/30/2012 Current 07/30/2012 Chronic 295.9 07/30/2012 Current 07/30/2012 Chronic Axis II 07/30/2012 Current 07/30/2012 Chronic G2 07/30/2012 Current 07/30/2012 07/16/2012 Current 07/16/2012 Disorder 07/30/12 15:31 EST Seda, Alex MD Axis I: Schizophrenia 07/30/12 15:31 EST Seda, Alex MD Axis II: Deferred 07/30/12 15:31 EST Seda, Alex MD Axis V: GAF 31-50 07/30/12 15:31 EST Seda, Alex MD History of unspecified Temporary/ V11.9 Mental disorder Acute 07/16/2012 9:06 EST Rivera, Ada I MD CD 19. In the "Clinical Encounter" dated 07/30/2012, codefendant Seda noted: 11 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 12 of 35 "Disposition: Follow-up at Sick Call as Needed"/Follow-Up at Chronic Care Clinic as Needed"/"Return Immediately if Condition Worsens"/"Follow-up in 1 month". 20. Codefendant Seda also stated: "Inmate was also receiving Celexa at home but I am concerned about QT prolongation if medication is added to current regimen. [...] Consider Psych consultation." 21. Despite the fact that on the Arraingment/Detention Hearing held on July 3, 2012, Jason Michael's attorney warned about Jason Michael Piñero-Vera's serious mental health issues and not receiving treatment at the Metropolitan Detention Center, and the Magistrate Judge Hon. Camille Rivé's Order for defendant [Jason Michael] to be evaluated and receive treatment, since he gets quite aggressive when he doesn't receive medication", no psychiatrist had evaluated Jason Michael as of July 30, 2012. 22. On August 5, 2012, codefendant Christine Marrero, Clinical Nurse at the MDC in Guaynabo, started to work at the 3:30 pm shift. (C. Marrero August 29, 2012 statement.) 23. When codefendant Marrero arrived to unit 2A, where Jason Michael Piñero-Vera's cell was located, and administered medications to the inmates, she was informed by codefendant OIC R. Curras that Jason Michael was pending. (C. Marrero August 29, 2012 statement.) 24. Curras also told codefendant Marrero that inmate Piñero-Vera has been on his cell during the entire day. (C. Marrero August 29, 2012 statement.) 12 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 13 of 35 25. Codefendant Marrero replied that "it was the inmate's responsibility to show up and take his medication." (C. Marrero August 29, 2012 statement.) 26. On or about 7:30 pm or 7:45 pm of August 5, 2012, when Jason Michael came up to the medication cart, he informed codefendant Marrero that he had not been feeling well during the past few days. (C. Marrero August 29, 2012 statement; Inmate Pacheco's statement to Clinical Nurse Keyla Rivera dated August 9, 2012)) 27. Codefendant Marrero had previously observed that Jason Michael had tremors when holding objects in his hands. (C. Marrero August 29, 2012 statement.) 28. Jason Michael was not being monitored for psychotropic medical side 29. At that time, despite Jason Michael's opposition, codefendant Marrero effects. forced him to take twice the doses of the prescribed liquid medication known as Doxepin. (Inmate Pacheco's, # 35774-069, statement to Keyla Rivera, MDC Clinical Nurse, in Rivera's August 9, 2012 statement) 30. Codefendant Marrero administered the double dose of the "clear liquid" in front of codefendant OIC R. Curras and inmate Pacheco, # 35774-069. (Inmate Pacheco's, # 35774-069, statement to Keyla Rivera, MDC Clinical Nurse, in Rivera's August 9, 2012 statement; OIC Senior Officer Curras August 15, 2012, statement) 13 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 14 of 35 31. Prior to being locked down, inmate Pacheco, # 35774-069, took Jason Michael to codefendant Officer Curras, because Jason Michael was not feeling and was not being well. 32. Codefendant Curras responded in careless manner, asking them to leave and take Jason Michael back to his bed adding that the nurse was eating. (Inmate Pacheco's, # 35774-069, statement to Keyla Rivera, MDC Clinical Nurse, in Rivera's August 9, 2012 statement) 33. As per codefendant Curras' orders, inmate Pacheco took Jason Michael back to his bed. (Inmate Pacheco's, # 35774-069, statement to Keyla Rivera, MDC Clinical Nurse, in Rivera's August 9, 2012 statement) 34. At approximately 9:10 pm 2B OIC called and notified codefendant Marrero that Jason Michael remained in his cell snoring. (C. Marrero August 29, 2012 statement.) 35. Despite, codefendant Marrero did not go to Jason Michael's cell to verify his condition, but rather stated that she would go to the unit during the count. (C. Marrero August 29, 2012 statement.) 36. At approximately 9:24 pm codefendant OIC Curras proceeded to inform codefendant Marrero via telephone that Jason Michael was in a deep sleep and would not wake up and that, in addition, he was snoring really hard. (OIC Senior Officer Curras August 15, 2012, statement) 14 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 15 of 35 37. Codefendant Marrero told codefendant Curras that it was OK for Jason Michael to be in such deep sleep because of the medication that she provided to him. (OIC Senior Officer Curras August 15, 2012, statement) 38. Codefendant OIC Curras replied that Jason Michael was not OK because he couldn't wake up from his deep sleep. (OIC Senior Officer Curras August 15, 2012, statement) 39. Codefendant Marrero stated once again that Jason Michael was OK and that she would make rounds during the 10:00 pm count. (OIC Senior Officer Curras August 15, 2012, statement) 40. Despite the fact that codefendant Curras had observed that Jason Michael was in a critical condition, he took no other measures to protect Jason Michael's life in light of codefendant Marrero´s refusal and deliberate indifference. 41. At 10:25 pm 2B notified codefendant Marrero that Jason Michael had fallen. (C. Marrero August 29, 2012 statement.) 42. At approximately 10:34 pm, codefendant Curras called codefendant Marrero via radio for the "second time", to see if she was going to make rounds and check on inmate Jason Michael Piñero-Vera. (OIC Senior Officer Curras August 15, 2012, statement) 15 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 16 of 35 43. As codefendant Curras was calling codefendant Marrero, she was entering the sally port and Curras let her into the unit and escorted her to cell 129. (OIC Senior Officer Curras August 15, 2012, statement) 44. When codefendant Marrero went into the unit, she found inmate Piñero- Vera "sitting on the floor, breathing but unresponsive"; "with shallow breaths but unresponsive. (C. Marrero August 29, 2012 statement.; Bureau of Prisons "Health Services Clinical Encounter dated 08/05/2012) 45. At that point codefendant Marrero called the corridor officers via radio to step into 2-A unit with a gurney. (OIC Senior Officer Curras August 15, 2012, statement) 46. Operations Lieutenant and Corridor Officers were notified. (C. Marrero August 29, 2012 statement.) 47. Beyond asking for a gurney, no emergency procedures were applied by codefendant Marrero nor codefendant Curras at that moment to address the critical lifethreatening situation affecting Jason Michael in that moment. 48. Jason Michael was placed in a gurney and the staff escorted him out of the unit. (OIC Senior Officer Curras August 15, 2012, statement) 49. Jason Michael was taken to MDC Health Services. 50. According to Bureau of Prisons "Health Services Clinical Encounter dated 08/05/2012, codefendant Marrero evaluated Jason Michael at health services at 11:34 pm (23:34 hr). (Bureau of Prisons "Health Services Clinical Encounter dated 08/05/2012) 16 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 17 of 35 51. When Jason Michael was brought to Health Services, vital signs indicated that he had no pulse. 52. Jason Michael also was wheezing, had cold cyanotic extremities, was pale and had cardiopulmonary distress. (Bureau of Prisons "Health Services Clinical Encounter dated 08/05/2012) 53. No oxygen ("O2") was administered to Jason Michael. 54. Medical officer and PA on call were notified, but no physician was available nor came to manage the critical situation. 55. Paramedics were called, specifically codefendant BVR Ambulance Best, 56. When codefendant paramedics ABC and DEF, who are employees of Inc. codefendant BVR Ambulance, arrived the only equipment they brought into the institution was a gurney, despite the serious life-threatening condition affecting Jason Michael. 57. When Jason Michael arrived to the Puerto Rico Medical Center he had no pulse, was not breathing, and had no blood pressure. 58. Jason Michael lacked vital signs and the Puerto Rico Medical Center's staff attempt at resuscitation with ACLS protocol, which includes endotracheal intubation and a round of intravenous ("IV") medication was futile. 17 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 18 of 35 59. Jason Michael was pronounced dead at the Puerto Rico Medical Center at 11:40 pm of August 5, 2012. 60. Jason Michael's corpse was taken to the Puerto Rico Forensic Sciences Institute. 61. Dr. Carlos Chavez, pathologist at the Forensic Sciences Institute, practiced the autopsy on Jason Michael's corpse. 62. The toxicology analysis established that Jason Michael's death was caused by a letal dose of Doxepin, an oral antidepressant administered to Jason on the Metropolitan Detention Center. 63. At all times since Jason Michael's arrest, defendants had absolute control over him, the medical care he received and the medication that was administered to him. 64. Since Jason Michael's arrest on June 28, 2012 until his demise on August 5, 2012, the plaintiffs (his father, mother and sisters) were not able to see him because no visits had been allowed during said time frame. 65. During his confinement in the Metropolitan Detention Center in Guaynabo, Jason Michael lacked adequate medical services. 66. In an effort to administratively settle their claims under the Federal Torts Claims Act (FTCA), 28 U.S.C. § 2672, plaintiffs wrote a formal grievance through a letter dated November 16, 2012. (Exhibit 1) 18 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 19 of 35 67. Said letter was delivered to the Bureau of Prisons by the U. S. Department of Justice. (Exhibit 2) 68. Since no answer was received, on July 11, 2013 another letter was delivered. (Exhibit 3) 69. However, no response was received whatsoever. 70. The Federal Bureau of Prisons (BOP) is responsible for confining federal offenders in prisons and community-based facilities. 71. As part of the Bureau of Prison's responsibility to house offenders in a safe and humane manner, it has the obligation under the Eigth Amendment to the Constitution of the United States Constitution to deliver medically necessary health care to its inmates in accordance with proven standards of care. Estelle v. Gamble, 429 U.S. 97 (1976) 72. Codefendant Charles S. Samuels, Jr., Director of the Bureau of Prisons, has overall authority to provide for the care and treatment of persons within the BOP’s custody. The Director has delegated this authority to codefendant Dr. Newton E. Kendig, Assistant Director, Health Services Division (HSD). The Assistant Director, HSD is responsible for directing and administering all activities related to the physical and psychiatric care of inmates and, since Dr. Kendig holds, simultaneously, the position of BOP´s Clinical Director, he is responsible for oversight of all clinical care provided at the institution. 19 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 20 of 35 73. The responsibility for the delivery of health care to inmates at the institution level is divided among various officials, staff, contractors, and others. 74. Each institution has a Health Services Unit (HSU) responsible for delivering health care to inmates. 75. Each HSU ordinarily has a Clinical Director and a Health Services Administrator who report to the Warden. 76. Both the Clinical Director and the Health Services Administrator have responsibilities related to the supervision and direction of health services providers at the institution. 77. According to BOP Program Statement P6010.02 Health Services Administration, the BOP is responsible for delivering health care to inmates in accordance with proven standards of care without compromising public safety concerns. VI. FIRST CAUSE OF ACTION FEDERAL TORT CLAIMS ACT THE NEGLIGENCE 78. Plaintiffs reallege and incorporate herein by reference the allegations contained in Section V of this complaint. 79. Under the Federal Torts Claims Act (FTCA), the United States has consented to be sued for damages for personal injury caused by "the negligent or wrongful act or omission" of a federal employee "while acting within the scope of his 20 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 21 of 35 employment," if under the same circumstances a private employer would be liable for the acts of his employee under the local law. 28 U.S.C. §§ 1346(b), 2674, 2675(a). DiazRomero v. Mukasey, Diaz-Romero v. Mukasey, 514 F.3d 115 (1stCir. 2008). 80. Defendant Bureau of Prisons and codefendants Dr. Ada I. Rivera, Dr. Alex Seda, Dr. Jose Miro, José Garcia and Registered Nurse Christine Marrero's denial of health care services in accordance with proven standards of care to Jason Michael PiñeroVera resulted in his psychiatric deterioration and finally, his death. 81. Defendant Bureau of Prisons and its employees were negligent in the administration of medication to Jason Michael Piñero-Vera and such negligence was the direct cause of Jason Michael's intoxication with Doxepin. 82. Codefendants Kendig and Martinez were negligent in the supervision of their subordinates, and the observance by those subordinates of BOP Policies and procedures. 83. Defendant Bureau of Prisons and its employees were negligent in the management of the emergency situation that arose on the evening of August 5, 2012, and such negligence was the direct cause of Jason Michael Piñero-Vera's death. 84. Defendant Bureau of Prisons was negligent in its failure to provide adequate training to its employees to manage emergency situations such as the one that took place on August 5, 2012 and that culminated in Jason Michael's death. 21 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 22 of 35 85. Defendant Bureau of Prisons was negligent in its failure to provide adequate and necessary equipment to manage emergency situations such as the one that took place on August 5, 2012 and that culminated in Jason Michael's death. Defendant Bureau of Prisons was also negligent in its failure to provide adequate, competent and sufficient staff to address the health services need of the MDC in Guaynabo inmate population. 86. Defendant Bureau of Prisons was negligent in failing to provide and implement a protocol to manage emergency situations such as the one that took place on August 5, 2012 and that culminated in Jason Michael's death. 87. Since Jason Michael incarceration in the Metropolitan Detention Center in Guaynabo, the federal Bureau of Prisons and its employees violated their own policies related to medication and treatment of a psychiatric patient inmate. 88. Defendant Bureau of Prisons was negligent in contracting private entities and personnel incapable of managing emergency situations such as the one that took place on August 5, 2012 and that culminated in Jason Michael's death. 89. Defendant Bureau of Prisons was negligent in the supervision of the private entities and personnel under contract to provide health services to the inmates. 90. Defendant Bureau of Prisons was negligent in the contracting and supervision of the private entities responsible to provide ambulance service to the MDC. 91. The plaintiffs have suffered damages as a result of Jason Michael's death. 92. Said damages are the direct result of defendants' negligence. 22 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 23 of 35 93. As a result of Jason Michael's death, the plaintiffs underwent and are still undergoing through much pain and sufferings. 94. MIGUEL ANGEL PIÑERO-COTTO, father of Jason Michael, has not been able to cope with his only son's death. As a father he was not prepared to see his son die when, despite being a psychiatric patient, Jason Michael was full of life. Jason Michael was full of life, was very warm and affectionate to him. During all the time prior to Jason Michael's arrest and incarceration, Jason Michael lived with the family and they all spent a lot a time together. PIÑERO-COTTO and his wife Wanda Vera-González responsibly took Jason Michael to his appointments with the psychiatrist and consistently, appropriately, and timely administered to him the medications prescribed by his psychiatrist. 95. As a direct consequence of Jason Michael's demise, coplaintiff PIÑERO- COTTO cannot sleep well, is still in deep sadness, is very anxious, has lost weight, lacks concentration, has crying spells, and his diabetes has gone out of control. He misses his son a lot. He feels like if time has stopped for him; that he will never be happy again, and is deeply convinced that if his son would have been given the attention he deserved as a human being while he was incarcerated, Jason Michael would still be alive. 96. As a result of Jason Michael's demise, coplaintiff PIÑERO-COTTO has had to undergo psychiatric treatment with Dr. Eduardo Prieto, who has diagnosed him with a with a major depression and prescribed Ambien, Zoloft and Klonopin. 97. PIÑERO-COTTO's damages are estimated in $1,000,000.00. 23 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 24 of 35 98. Coplaintiff WANDA VERA-GONZÁLEZ is the mother of Jason Michael. 99. She misses Jason Michael a lot. He was a surprise baby because she thought that she could not have a baby at 30 years of age. Despite his mental health problems, Jason Michael was very warm and affectionate to her. Jason Michael played with toys (cars) like a little boy. He had aspirations, he wanted to study, he was always happy. He would lay on bed on her side when she was not feeling well. For her, it is a nightmare from which she cannot wake up. She cries every day, every time she goes into Jason Michael's bedroom. She barely sleeps. She tries to be strong, but she can’t make it. She has an immense and unbearable pain in her heart. Her blood pressure has gone high and she suffers from headaches. 100. After Jason Michael's demise, Coplaintiff VERA-GONZÁLEZ has been under psychiatric treatment with Dr. Eduardo Prieto, who has prescribed her Prozac, Klonopin, Paxil, and Ambien. 101. Coplaintiff VERA-GONZALEZ' damages are estimated in $1,000,000.00. 102. Coplaintiff JENIFFER PIÑERO-COTTO is Jason Michael's sister. 103. For Jennifer, Jason Michael's death has been real hard. They always used to watch tv together. He made coffee for her. He always looked out for her. She still feels that she will go to his bedroom and will find him there. She cannot sleep, suffers from nightmares, always sleepy, anxious, anxiety attacks, has become an isolated person, has no interest in going out. When she gets home in the morning she expects to find him 24 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 25 of 35 in the sofa and he is not there. When she passes by his bedroom is very difficult to get in. One of the most difficult moments is when the family gets together to take their meals and eats the food he used to like. She can barely make it. 104. JENIFFER, who has been depressed and anxious, has been under treatment with psychologist Dr. Marcos Figueroa and psychiatrist Dr. Ramses Normandía. She has been diagnosed with depression and Post Traumatic Stress Disorded (PTSD) and was prescribed Paxil, Ambien, and Klonopin. 105. Coplaintiff JENIFFER PIÑERO-COTTO's damages are estimated in $800,000.00. 106. Coplaintiff JULISSA PIÑERO-NEGRON is Jason Michael's sister. 107. As a paramedic, it has been very difficult for Julissa to overcome her brother's death since she is convinced that if he had been afforded the standard of care for his psychiatric illness and for the emergency situation he underwent as a result of the intoxication with the medication administered to him by the MDC Guaynabo's clinical nurse, he would still be alive. 108. Julissa is very angry and sad and, although she did not live in the same house with Jason and family, she misses him lot. 109. Coplaintiff JULISSA PIÑERO-NEGRON's damages are estimated in $300,000.00. VII. SECOND CAUSE OF ACTION 25 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 26 of 35 BIVEN'S ACTION FOR VIOLATION OF RIGHTS GUARANTEED BY THE EIGTH AMENDMENT TO THE U.S. CONSTITUTION 110. In Bivens v. Six Unknown Named Agents of the Federal Bureau of Narcotics, 403 U.S. 388 (1971) the United States Supreme Court held that "a person may sue a federal official in his or her individual capacity for damages arising out of a constitutional violation committed under color of federal law." Santoni v. Potter, 369 F.3d 594, 598 (1st Cir. 2004). The Supreme Court further established that the victims of a constitutional violation by a federal agent have a right to recover damages against the official in federal court despite the absence of any statute conferring such a right. Carlson v. Green, 446 U.S. 14 (1980). 111. In Estelle v. Gamble, 429 U.S. 97 (1976), the U.S. Supreme Court concluded that an inmate’s right to medical care is protected by the U.S. Constitution’s Eighth Amendment guarantee against cruel and unusual punishment. 112. Prison officials violate the Constitution if they are deliberately indifferent to prisoners' serious medical needs. Estelle, 429 U.S. at 104. 113. Accordingly, a claim based on deficient medical care must demonstrate two elements: 1) an objectively serious medical condition; and 2) an official's deliberate indifference to that condition. See Johnson v. Snyder, 444 F.3d 579, 584 (7th Cir. 2006); see also Roe v. Elyea, 631 F.3d 843, 857 (7th Cir. 2011). "Deliberate indifference to serious medical needs of a prisoner constitutes the unnecessary and wanton infliction of pain forbidden by the Constitution." Rodriguez, 577 F.3d at 828 (quoting Estelle, 429 U.S. at 103). 26 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 27 of 35 114. Codefendants Dr. Ada I. Rivera, Dr. Alex Seda, Dr. Jose Miró, Registered Nurse Christine Marrero, José García and Officer R. Curras were all informed of Jason Michael's objectively serious medical condition. 115. Beginning with the Intake Screening Form dated June 28, 2012 and throughout all the medical record to which codefendants Dr. Ada I. Rivera, Dr. Alex Seda, Dr. Jose Miró, José García, and Registered Nurse Christine Marrero had access, it was clear that Jason Michael was "a mental health patient that [... needed] follow up and treatment"; that Jason Michael had a history of major depression and schizofrenia originally diagnosed when he was 17 years old, that he had been hospitalized several times in the past and that his last hospitalization was in January 2012 after a suicide attempt. 116. On August 5, 2012, despite being aware of the chronic mental health condition of Jason Michael, codefendant Christine Marrero was deliberately indifferent to the several calls made to her requesting her presence to provide emergency attention to Jason Michael. 117. Codefendant R. Curras was deliberately indifferent when he was alerted by inmate Pacheco about Jason Michael's critical health condition on August 5, 2012 and refused to address the situation, telling them not to bother and return to their cells. 118. Codefendant R. Curras was deliberately indifferent when, given the fact that codefendant Marrero refused to come to give emergency care to Jason Michael, he did not take any further action such as calling his supervisor to request the presence of the physician on duty. 27 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 28 of 35 119. Codefendants Rivera, Seda, Miro, and Garcia were deliberately indifferent when, despite being informed of the chronic mental health illness of Jason Michael, they did not monitored the damaging effects that the medications prescribed and/or administered to Jason were having on him. BOP policies require that mentally ill prisoners be monitored on an ongoing basis to assess treatment compliance. BOP Program Statement 5310.13, “Institution Management of Mentally Ill Prisoners,” at 5. 120. Codefendants Rivera, Seda, Miro, and Garcia were deliberately indifferent when, despite being informed of the chronic mental health illness of Jason Michael, they did not follow up on how their orders were carried out by the Clinical Nurse. The physician´s responsibility is not discharged by simply leave the orders to be implemented by another health care professional. In case of an emergency, this duty is continuous. Nuñez v. Cintrón, 115 D.P.R. 598. The above named defendants are liable in their personal capacity for the damages caused to plaintiffs as a result of their deliberate indifference that terminated Jason Michael's life. 121. The damages suffered by each of the plaintiff are the direct result of the above named defendants deliberate indifference and are estimated in $1,000,000.00 for each plaintiff. 122. Jason Michael also suffered intense pain in his agony which ended up in his death as a result of defendants´ deliberate indifference. Jason Michael´s cause of action for the damages suffered by him, which are estimated in $1,000,000.00, is inherited by his parents, coplaintiffs Miguel Piñero and Wanda Vera. Vda. De Delgado v. Boston Insurance, 101 D.P.R. 598 (1973). 28 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 29 of 35 VIII. THIRD CAUSE OF ACTION BVR AMBULANCE BEST CARE, INC., LIABILITY UNDER ARTICLE 1802 OF THE PUERTO RICO CIVIL CODE 123. Plaintiffs reallege and incorporate herein by reference the allegations contained in Section V of this complaint. 124. Article 1802 of the Puerto Rico Civil Code, 31 L.P.R.A. § 5141, states: Any person who by an act or omission causes damage to another through fault or negligence shall be obliged to repair the damage so done. Concurrent imprudence of the party aggrieved does not exempt from liability, but entails a reduction of the indemnity. 125. When codefendant paramedics ABC and DEF, who are employees of codefendant BVR Ambulance, arrived the only equipment brought into the institution was a gurney, despite the serious condition threatening Jason Michael's life. 126. BVR Ambulance Best, Inc., was negligent in recruiting personnel that was not qualified for the emergency services they are obliged to provide. ("Culpa in contrahendo") 127. BVR Ambulance Best, Inc., was negligent in failing to adequately train its employees and to supervise them to assure that they were qualified for the emergency services they are to provide. . ("Culpa in vigilando") 128. Codefendant BVR negligence contributed to Jason Michael's death. 29 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 30 of 35 129. GHI CORRECTIONAL HEALTH SERVICES, INC., whose real name and address is unknown at this time, is a corporation authorized to do business in Puerto Rico that by the time relevant to this complaint delivered health services to the inmates in the Metropolitan Detention Center in Guaynabo under contract with the federal Bureau of Prisons and/or the Metropolitan Detention Center in Guaynabo. 130. GHI CORRECTIONAL HEALTH SERVICES, INC., personnel intervened with Jason Michael and their negligence was the proximate cause, altogether with the negligence of codefendant BOP´s and codefendant BVR Ambulance´s personnel was the proximate cause of Jason Michael´s demise. 131. JKL CORPORATION, INC., whose real name and address is unknown at this time, is a corporation authorized to do business in Puerto Rico that by the time relevant to this complaint delivered security/custodial services to the Metropolitan Detention Center in Guaynabo under contract with the federal Bureau of Prisons and/or the Metropolitan Detention Center in Guaynabo. Its personnel intervened with Jason Michael and their negligence was the proximate cause, altogether with the negligence of codefendant BOP´s and codefendant BVR Ambulance´s personnel and GHI CORRECTIONAL HEALTH SERVICES, INC.´s personnel, was the proximate cause of Jason Michael´s demise. 132. MNO CORP., whose real name and address is unknown at this time, is a corporation authorized to do business in Puerto Rico that by the time relevant to this complaint delivered PHARMACY services to the Metropolitan Detention Center 30 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 31 of 35 in Guaynabo under contract with the federal Bureau of Prisons and/or the Metropolitan Detention Center in Guaynabo. Its personnel intervened with Jason Michael and their negligence was the proximate cause, altogether with the negligence of codefendant BOP´s and codefendant BVR Ambulance´s personnel and GHI CORRECTIONAL HEALTH SERVICES, INC.´s personnel, JKL Corp., MNO Corp. was the proximate cause of Jason Michael´s demise. 133. JOHN DOE and JANE DOE, are fictitious names to designate those persons and entities whose acts or omissions at the time relevant to this complaint produced or contributed to the unlawful death of Jason Michael Piñero-Vera. JOHN DOE and JANE DOE intervened with Jason Michael and their negligence was the proximate cause, altogether with the negligence of codefendant BOP´s and codefendants BVR Ambulance´s personnel and GHI CORRECTIONAL HEALTH SERVICES, INC.´s personnel, JKL Corp., MNO Corp., JOHN DOE and JANE DOE was the proximate cause of Jason Michael´s demise 134. As a direct consequence of the above named defendants´ negligent acts or omissions the plaintiffs suffered damages which are estimated in $200,000.00 for each plaintiff. 135. In addition, Jason Michael also suffered intense pain in his agony which ended up in his death as a result of defendants´ deliberate indifference. Jason Michael´s cause of action for the damages suffered by him, which are estimated in $1,000,000.00, is inherited by his parents, coplaintiffs Miguel Piñero and Wanda Vera. Vda. De Delgado v. 31 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 32 of 35 Boston Insurance, 101 D.P.R. 598 (1973). The above named defendants are liable and respond to plaintiffs for such damage. 136. PQR INSURANCE CO. and STU INSURANCE CO., are insurance companies whose actual name, address and telephone number are unknown, but that for the time relevant to this complaint had issued an insurance policy to respond for the actions complained of in this suit. 137. PQR INSURANCE CO. and STU INSURANCE CO., are liable for the negligent acts or omissions of their insured. IX. FOURTH CAUSE OF ACTION DAMAGES UNDER ARTICLE 1803 OF THE PUERTO RICO CIVIL CODE 138. Plaintiffs reallege and incorporate herein by reference the allegations contained in Section V of this complaint. 139. Article 1803 of the Puerto Rico Civil Code, 31 L.P.R.A. § 5142, states: The obligation imposed by § 5141 of this title is demandable, not only for personal acts and omissions, but also for those of the persons for whom they should be responsible. […] Owners or directors of an establishment or enterprise are likewise liable for any damages caused by their employees in the service of the branches in which the latter are employed or on account of their duties. […] 32 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 33 of 35 The liability referred to in this section shall cease when the liable persons mentioned therein prove that they employed all the diligence of a good father of a family to preclude the damage. 140. Codefendants BVR Ambulance´s personnel and GHI CORRECTIONAL HEALTH SERVICES, INC., JKL Corp., MNO Corp., JOHN DOE and JANE DOE are liable to the plaintiffs and respond to the plaintiffs for the damages suffered by them as a result of this violation of a constitutional right. 141. As a direct consequence of codefendant BVR negligent acts or omissions the plaintiffs suffered damages which are estimated in $1,000,000.00 for each plaintiff. X. FIFTH CAUSE OF ACTION VIOLATION OF THE DIGNITY CLAUSE OF THE CONSTITUTION OF THE COMMONWEALTH OF PUERTO RICO 142. Plaintiffs reallege and incorporate herein by reference the allegations contained in Section V of this complaint. 143. Section 1 of Article II (Bill of Rights) of the Constitution of the Commonwealth of Puerto Rico states: § 1. Human dignity and equality; discrimination prohibited The dignity of the human being is inviolable. […] 144. By their illegal actions, the Defendants violated Plaintiffs’ rights under the provisions of the Bill of Rights of the Constitution of the Commonwealth of Puerto Rico. 145. Plaintiffs’ damages under said provisions are estimated in TWO HUNDRED THOUSAND DOLLARS ($200,000.00) for each plaintiff. XI. 146. REMEDIES It is respectfully requested from this Honorable Court: 33 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 34 of 35 a. To enter Judgment ordering to the Defendants to pay the Plaintiffs the amounts of money requested in this Complaint to compensate plaintiffs for the damages suffered by them as a result of Defendants unlawful a actions. b. To award plaintiffs a reasonable amount in attorney fees, plus costs, expert witness fees, and other litigation expenses. c. To grant any other remedy the Court may deem necessary to vindicate plaintiffs’ rights. RESPECTFULLY SUBMITTED. In San Juan, Puerto Rico, this 5th of August 2013. S/Efraín Maceira-Ortiz Efraín Maceira-Ortiz, Esq. USDC # 215511 Urb. Pérez Morris 31 Mayagüez St. San Juan, Puerto Rico 00917-4917 Tel. (787) 250-0002 Fax: (787) 754-6411 Email: [email protected] 34 Case 3:13-cv-01600-CCC Document 1 Filed 08/05/13 Page 35 of 35 35