Lopez-Lopez v. The Robinson School ( 2020 )


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  •             United States Court of Appeals
    For the First Circuit
    No. 19-1386
    SANDRA LÓPEZ-LÓPEZ,
    Plaintiff, Appellant,
    v.
    THE ROBINSON SCHOOL; MARÍA TERESA LARRIEU; DANIEL M. HILDEBRAND;
    MELVIN SANTONI-CRESPO; ÁNGEL M. NARVÁEZ-MORELL; AIG INSURANCE
    COMPANY-PUERTO RICO,
    Defendants, Appellees,
    CONTINENTAL INSURANCE COMPANY; SAN JUAN CAPESTRANO HOSPITAL,
    INC.; MEDICAL DEFENSE INSURANCE COMPANY; ASPEN AMERICAN
    INSURANCE COMPANY,
    Defendants.
    APPEAL FROM THE UNITED STATES DISTRICT COURT
    FOR THE DISTRICT OF PUERTO RICO
    [Hon. Carmen Consuelo Cerezo, U.S. District Judge]
    Before
    Torruella, Dyk, and Barron,
    Circuit Judges.
    José G. Fagot Díaz, with whom Fagot Law Offices and Manuel E.
    López Fernández, were on brief, for appellant.
    Maralyssa Álvarez-Sánchez, with whom Juan Felipe Santos-
    Caraballo and Jackson Lewis LLC, were on brief, for appellees The
    Robinson School, Inc. and María Teresa Larrieu.
    
    Of the Federal Circuit, sitting by designation.
    Ramonita Dieppa González, with whom Dieppa González Law
    Offices, LLC on brief, for appellee Melvin Santoni-Crespo.
    Doris Quiñones Tridas, with whom Quiñones Tridas Law Office,
    PSC on brief, for appellee Ángel M. Narváez-Morell.
    May 11, 2020
    - 2 -
    DYK, Circuit Judge.        Sandra López-López ("Ms. López"),
    a teacher at the Robinson School ("Robinson") in Puerto Rico, sued
    the school and two school administrators (María Teresa Larrieu and
    Daniel Hildebrand) in the United States District Court for the
    District of Puerto Rico.       She asserted claims under the Americans
    with Disabilities Act ("ADA") and Age Discrimination in Employment
    Act ("ADEA"), as well as under analogous Puerto Rico laws, for
    discrimination   and   retaliation. 1        The   district      court   entered
    summary judgment against Ms. López. We affirm.
    I.
    As this appeal arises from a grant of summary judgment,
    we state the facts in the light most favorable to Ms. López, the
    non-moving party.    Alvarez-Torres v. Ryder Mem'l Hosp., Inc., 
    582 F.3d 47
    , 49 (1st Cir. 2009) (citing Levesque v. Doocy, 
    560 F.3d 82
    , 84 (1st Cir. 2009)).          At this juncture, we describe the
    allegations central to Ms. López's ADA discrimination claim that
    she was forced to seek a medical examination and treatment for a
    psychiatric disorder as a condition of continued employment and
    the   allegations   relating    to    her    ADA   claims   of    retaliation.
    Ms. López also asserted a variety of ADEA claims.                    The facts
    1Ms. López asserted various state law claims against
    Robinson, Larrieu, Hildebrand, and numerous other defendants. The
    district court entered judgment against Ms. López with respect to
    those claims, and Ms. López does not challenge that judgment on
    appeal except to argue that some of the state claims should be
    reinstated if we reverse summary judgment of her federal claims.
    - 3 -
    relating to those claims are described later in the opinion.
    Ms. López has been a teacher at Robinson since 2005.
    The school offered the Pathways Program, which supports special
    needs students with mild language-based learning disabilities.
    For the 2015–2016 academic year, Ms. López taught Social Studies
    and English classes within the Pathways Program.   She reported to
    Larrieu who was the Supervisor of the Pathways Program.         On
    numerous occasions, the school evaluated Ms. López's performance
    and advised her that she needed to improve skills such as planning,
    organizing, and communication, and issued performance improvement
    plans.   For instance, in May 2015, the school administrators met
    with Ms. López and informed her that she needed to improve in
    several areas, including grading, organization, communication,
    teamwork, and honesty.
    On September 1, 2015, Larrieu visited Ms. López's 6th
    grade Social Studies class during a test. According to Ms. López,
    when Larrieu asked for her lesson plans, "the students started
    walking around, looking at each others' test papers, and they got
    a little rowdy."     When Ms. López saw this, she "hit the desk
    because [she] had the [l]esson [p]lans in [her] hand," although
    she usually clapped, and she told the students that they needed to
    sit down.    Larrieu testified that some students said that they
    cried during the test. After Larrieu left the classroom, she wrote
    an email to Jannette Santiago, the Business Operations Manager,
    - 4 -
    and Zuleyka Carmona, the Human Resources Officer, about the visit
    to Ms. López's classroom.        Larrieu wrote that when answering the
    students'    questions     Ms. López's        "interaction     towards    [the]
    students seemed odd [and was] disproportionate and rude," and that
    it appeared "[she] had lost control of herself . . . [and m]any of
    the things discussed with her in the last meeting[] [concerning
    her performance] were found unresolved in this visit."
    The next day, on September 2, 2015, one of the students'
    parents complained about Ms. López's behavior during the Social
    Studies test, asserting that Ms. López had frightened their child
    by raising her voice and that the child had complained of prior
    similar incidents.       That afternoon, Ms. López was summoned to a
    meeting with Larrieu (the author of the September 1 email) and
    Santiago and Carmona (the recipients of the email) concerning what
    happened    in   the     classroom.           They     discussed   Ms. López's
    communication style with the students, and Ms. López stated that
    "I'm firm, but with love."       Santiago then told Ms. López that she
    would be placed on suspension pending an investigation.                     Upon
    hearing of her suspension, Ms. López "plead[ed] . . . not to
    suspend [her]," "that [she] did nothing to [the students]," and
    "[she] would never do anything to hurt a child."
    Ms. López then by her own account suffered a "temporary
    nervous    breakdown,"    fell   to    the    floor,    and   started    crying.
    Ms. López stated at that time "I want[] to kill myself" and
    - 5 -
    testified later that she was "in so much stress and . . . much
    pain."    At some point, Hildebrand, the Head of Robinson at the
    time, came into the meeting room and helped Ms. López to get up
    and sit on a chair.      Ms. López told Hildebrand that she "w[as]n't
    okay." Carmona reached out to Ms. López's emergency contacts, but
    none was available to help.         Larrieu spoke with the school's
    clinical psychologist, Dr. Rita Tamargo, who recommended that the
    school administrator seek help and contact San Juan Capestrano
    Hospital ("Capestrano"), a mental health facility.        Carmona called
    Capestrano, which recommended that Ms. López be brought in for an
    evaluation.
    Hildebrand then told Ms. López that he wanted to take
    her to a "crisis center to speak with someone" and that her "job
    would    depend   on   it."   Ms. López   told   him   that   she   had   an
    appointment with her realtor to see an apartment so she could sign
    a lease that day, and that she needed to keep the appointment.
    Hildebrand asked Ms. López to put in writing that she would agree
    to go to a "crisis center" after she returned from her appointment.
    Ms. López wrote on a paper:
    I will listen to advise [sic].    Things are
    getting in the way of good intension [sic]
    with my students. Visit the apart. possibly
    available. Get an appointment. Fondo -> Get
    taxi to get there. Can get there own [sic] my
    own. Yes. I can do it safely.
    I will go to the appointment with appointment
    [sic] then go with Maritere [Larrieu] to
    - 6 -
    Capestrano.    To seek help with a crisis
    (personal) crisis [sic]. Come back to campus.
    Sandra López. 5:05 p.m. Sept. 2nd, 2015.
    Ms. López later testified that she did not know Capestrano was a
    psychiatric hospital.           While Ms. López was at her appointment,
    Hildebrand and Larrieu spoke with Dr. Esther Pérez Prado, the
    school's psychologist, about Ms. López.             Dr. Pérez told them that
    it was important to make sure Ms. López was safe by receiving an
    evaluation from a mental health professional and that a court order
    might be necessary.
    After     Ms. López       returned     from     her      appointment,
    Hildebrand and Larrieu drove her to Capestrano.                 At the hospital,
    Ms. López    was     interviewed    by    a    doctor,    but   she    refused   to
    voluntarily admit herself.          After Ms. López walked outside, the
    hospital staff forcefully brought her back into the building. The
    doctor told Hildebrand and Larrieu that they would have to get a
    court order to involuntarily admit Ms. López to the hospital.
    Hildebrand        signed   an    "Informed      Consent     for      Psycho-Active
    Medication" form and, that night, Hildebrand and Larrieu obtained
    a court order from the Municipal Court under Puerto Rico's Mental
    Health Act.       The order required involuntary admission of Ms. López
    to   allow    a    "psychiatric     institution      . . .      to    perform    the
    evaluation,       observation    and     initiate   treatment"        of   her   and
    permitted the institution to detain Ms. López "for a period greater
    than twenty-four (24) hours[]" if the institution certified that
    - 7 -
    such hospitalization was necessary.                Ms. López was treated at
    Capestrano and released from the hospital on September 4, 2015.
    Thereafter, she received treatment through an outpatient program.
    That program certified that she would be able to return to work on
    September 21, 2015.
    On September 18, 2015, Ms. López filed an administrative
    charge with the Equal Employment Opportunity Commission ("EEOC")
    and Puerto Rico Anti-Discrimination Unit ("ADU"), alleging that
    the school had discriminated and retaliated against her because of
    her age and perceived disability, in violation of the ADA and ADEA
    and   their    Puerto    Rico   law     analogs.      On   September   21,   2015,
    Ms. López     returned    to    the    school   and   resumed    her   previously
    assigned class schedule.          Also on September 21, 2015, the school
    placed Ms. López on a Teacher Improvement Plan ("TIP") to address
    her teaching skills in light of the Social Studies classroom
    incident and other performance issues identified in May 2015. The
    school provided follow-up TIPs in November 2015 and May 2016,
    summarizing      areas    that        were   improved      and   needed   further
    improvement.
    On July 20, 2016, Ms. López filed an action in the United
    States District Court for the District of Puerto Rico.                         She
    asserted that she was a victim of discrimination and retaliation
    under the ADA and ADEA as well as under the analogous Puerto Rico
    laws.    On summary judgment, the district court ruled against
    - 8 -
    Ms. López after applying the test set forth in McDonnell Douglas
    Corp. v. Green, 
    411 U.S. 792
     (1973) (described below).                               The
    district court held that Ms. López's ADA discrimination claim
    relating to the hospital incident failed.                          It reasoned that
    Ms. López failed to show a prima facie case because the school's
    action      in   taking       her    to   Capestrano       was    not    a   prohibited
    discriminatory act since her compensation remained the same, i.e.,
    there was no adverse employment action.                    The district court also
    pointed out that Ms. López "continued with the regular class
    schedule" when she returned to work at Robinson.                        It further held
    that, even if Ms. López had established a prima facie case, the
    school showed a "non-discriminatory reason for its decision to
    take [Ms.] López to . . . Capestrano . . . , for her suspension
    with pay, and for the . . . TIP" because she "suffered a nervous
    breakdown"       and    was    not     meeting    Robinson's       work      performance
    expectations.          The district court also rejected Ms. López's ADEA
    discrimination claims.
    Lastly, the district court concluded that Ms. López on
    the summary judgment record had no support for her ADA and ADEA
    retaliation      claims.            Ms. López    claimed    that    the      retaliation
    involved being suspended on September 2, 2015, and being placed on
    the   TIP    program.         The     district    court    held    that      Ms. López's
    suspension was an adverse employment action but that Robinson
    "provided legitimate reasons for suspending Ms. López" in light of
    - 9 -
    her   responses    during     the   September   2   meeting   and   Larrieu's
    classroom observation.        The district court also held that the TIP
    dated September 21, 2015, and later follow-ups were not "adverse
    employment actions because [Ms.] López'[s] salary and terms of
    employment did not change as a result of these plans."
    The   district    court   dismissed    without   prejudice   the
    discrimination and retaliation claims under the analogous Puerto
    Rico laws against Robinson upon declining to exercise supplemental
    jurisdiction.
    Ms. López now appeals.      We have jurisdiction pursuant to
    
    28 U.S.C. § 1291
    .     "We review the district court's disposition of
    a summary judgment motion de novo, 'scrutiniz[ing] the evidence in
    the light most agreeable to the nonmoving party, giving that party
    the benefit of any and all reasonable inferences.'"                 Murray v.
    Kindred Nursing Ctrs. W. LLC, 
    789 F.3d 20
    , 25 (1st Cir. 2015)
    (alteration in original) (quoting Noviello v. City of Bos., 
    398 F.3d 76
    , 84 (1st Cir. 2005)).
    II.
    We first address Ms. López's ADA discrimination claim
    relating to the hospital visit.
    A.
    Under the McDonnell Douglas framework, 2 "a plaintiff
    2   We apply the McDonnell Douglas burden-shifting framework
    - 10 -
    must       first    establish    a   prima     facie     case    of    discrimination."
    Raytheon Co. v. Hernandez, 
    540 U.S. 44
    , 49 n.3 (2003). "The burden
    then       shifts     to   the   employer         to    articulate      a   legitimate,
    nondiscriminatory reason for its employment action."                        
    Id.
       If the
    employer does so, the plaintiff can rebut the employer's reason by
    offering evidence that the action was pretextual. 
    Id.
    To establish a prima face case, the plaintiff must show:
    "(1) that she was 'disabled' within the meaning of the ADA;
    (2) that she was able to perform the essential functions of her
    job with or without accommodation; and (3) that she was discharged
    or   adversely       affected,       in   whole    or    in    part,   because    of   her
    disability [(i.e., suffered an adverse employment action)]." Ruiz
    Rivera v. Pfizer Pharms., LLC, 
    521 F.3d 76
    , 82 (1st Cir. 2008).
    For the first prong, Ms. López argued that she was "being regarded
    as having . . . an impairment [that substantially limited one or
    more       major    life   activities]"        under    
    42 U.S.C. § 12102
    (1)(C). 3
    because Ms. López did not offer direct evidence of discriminatory
    animus. Mancini v. City of Providence, 
    909 F.3d 32
    , 38 (1st Cir.
    2018).
    3
    Section        12102(1)(C)         is   subject    to    paragraph (3),     which
    states:
    (A) An individual meets the requirement of
    "being   regarded   as   having  such   an
    impairment" if the individual establishes
    that he or she has been subjected to an
    action prohibited under this chapter
    because of an actual or perceived physical
    or mental impairment whether or not the
    - 11 -
    Ms. López appears to argue that the school perceived her nervous
    breakdown to be such an impairment.             The school does not contend
    otherwise and instead asserts that Ms. López was not subject to an
    adverse employment action.            The district court agreed, holding
    that Robinson's taking of Ms. López to Capestrano did not adversely
    affect her employment because her salary and duties did not change.
    López   argues      that    Robinson's   conditioning     her    employment    on
    receiving a medical examination and treatment at a hospital was an
    adverse employment action and that she established a prima face
    case of ADA discrimination.
    Even    assuming       (without    deciding)       that     Ms. López
    established a prima facie case, we conclude that the district
    court's summary judgment against her was proper because Robinson
    gave a legitimate, non-discriminatory reason for conditioning
    Ms. López's employment on receiving a medical examination and
    treatment and Ms. López failed to provide evidence from which a
    reasonable     juror       could   conclude    that   Robinson's       articulated
    reasons were pretextual. In reaching this conclusion, we consider
    impairment limits or is perceived to limit
    a major life activity.
    (B) Paragraph (1)(C) shall not apply to
    impairments that are transitory and minor.
    A transitory impairment is an impairment
    with an actual or expected duration of 6
    months or less.
    
    42 U.S.C. § 12102
    (3).
    - 12 -
    Ms. Lopez's contentions relating to examination and treatment
    separately.
    B.
    We first turn to the issue of whether Robinson gave a
    legitimate, non-discriminatory reason for requiring Ms. López to
    undergo a medical examination.      Robinson asserts that the actions
    it took were a business necessity.
    The ADA statute sets forth a business necessity test for
    a   medical    examination   request.      An   employer   may   require   an
    examination if it "is shown to be job-related and consistent with
    business necessity."      
    42 U.S.C. § 12112
    (d)(4)(A).4       We understand
    this to be similar, if not identical, to a justification under the
    general test for evaluating legitimate, non-discriminatory reasons
    under the McDonnell Douglas framework.            See Sensing v. Outback
    Steakhouse of Fla., LLC, 
    575 F.3d 145
    , 162 (1st Cir. 2009).
    Ms. López alleges that "Hildebrand conditioned López'[s]
    continued employment at Robinson on her visiting a crisis center."
    In this case, it is apparent that requiring a medical examination
    4   Section 12112(d)(4)(A) provides:
    A covered entity shall not require a medical
    examination and shall not make inquiries of an
    employee as to whether such employee is an
    individual with a disability or as to the
    nature or severity of the disability, unless
    such examination or inquiry is shown to be
    job-related and consistent with business
    necessity.
    - 13 -
    was     a    business       necessity.          Ms. López's         undisputed     nervous
    breakdown       and       statement     of     suicidal       intent    indicated        that
    Ms. López could not perform her job as a schoolteacher at that
    time.       When Ms. López was informed of her suspension, she became
    distraught, fell to the floor, and cried, stating that she wanted
    to kill herself.            In her own words, Ms. López was "in so much
    stress and so much pain."              She told Hildebrand that she "w[as]n't
    okay."
    Ms. López herself seemed to recognize the need for an
    evaluation. Before leaving for her realtor appointment, Ms. López
    wrote a note to the school administrators that she would "go with
    [Larrieu] to Capestrano[] [t]o seek help with a . . . (personal)
    crisis"      and    that    "[t]hings        were   getting     in     the   way   of    good
    intension [sic] with [her] students."                   The school's psychologist,
    Dr. Tamargo,        recommended        seeking        help    and    reaching      out    to
    Capestrano, and Dr. Pérez likewise suggested that Ms. López needed
    an evaluation by a mental health professional to ensure that she
    was safe. Capestrano recommended that Ms. López be brought in for
    an examination. The school followed those recommendations.
    Cases       from   this     circuit       and     other     circuits       have
    addressed similar circumstances.                      This court has held that an
    employer may be justified in requiring a medical examination of a
    current employee so long as it is shown to be "job-related and
    consistent         with     business     necessity."            Grenier      v.    Cyanamid
    - 14 -
    Plastics, Inc., 
    70 F.3d 667
    , 672 (1st Cir. 1995) (quoting 
    42 U.S.C. § 12112
    (d)(4)(A)); see also Sensing, 
    575 F.3d at 162
     (holding that
    a medical examination requirement may constitute a "permissible
    non-discriminatory    justification"      in    the   context    of   anti-
    discrimination    laws).   5   Our   sister    circuits   have   similarly
    recognized that requiring medical examinations may be justified
    based on business necessity where there is a basis to believe that
    the employee's ability to perform her job may be impaired or the
    employee presents a troubling behavior that would impact the work
    environment.   See, e.g., Sullivan v. River Valley Sch. Dist., 
    197 F.3d 804
    , 811–13 (6th Cir. 1999) (holding that the school properly
    required its teacher to submit to a mental examination); Brownfield
    v. City of Yakima, 
    612 F.3d 1140
    , 1145–46 (9th Cir. 2010) (holding
    that the employer could require an examination where there was a
    legitimate basis to doubt the employee's ability to perform the
    duties as a police officer); Coffman v. Indianapolis Fire Dep't,
    
    578 F.3d 559
    , 565–66 (7th Cir. 2009) (holding that the Fire
    Department could require employee to submit to a psychological
    evaluation when she exhibited concerns about her own condition).6
    5 Sensing involved a claim under the Massachusetts Commission
    Against Discrimination statute, which generally applies the same
    analysis as under the ADA. 
    575 F.3d at
    153–54.
    6 See also   McNelis v. Pa. Power & Light Co., 
    867 F.3d 411
    ,
    414–15, 417 n.4   (3d Cir. 2017) (government employer was justified
    in requiring an   alcohol assessment); Pesterfield v. Tenn. Valley
    Auth., 
    941 F.2d 437
    , 438 (6th Cir. 1991) (employer could require
    - 15 -
    We    conclude    that   the    evidence    was       undisputed       that
    Robinson had a reasonable basis for thinking that Ms. López needed
    to undergo a medical examination at Capestrano.
    C.
    Ms. López also argues that the school "conditioned her
    continued employment upon receiving psychiatric treatment."                         She
    asserts that Hildebrand "without her consent" signed an "Informed
    Consent for Pyscho-Active Medication" form that caused her to be
    involuntarily admitted at Capestrano despite her "constitutional
    right to refuse medical treatment."
    But    Robinson     has      provided       a        legitimate,       non-
    discriminatory       reason    for    requiring   that       Ms.       López   receive
    treatment.        Courts have held that an employer may require an
    employee   to      undertake    medical      treatment       as    a    condition    of
    employee to provide medical certification on his ability to return
    to work); Cody v. CIGNA Healthcare of St. Louis, Inc., 
    139 F.3d 595
    , 597–99 (8th Cir. 1998) (employer could require employee to
    undergo a psychiatric evaluation); 
    id. at 599
     ("An employer's
    request for a mental evaluation is not inappropriate if it is not
    obvious that an employee suffers from a disability. . . . .
    Employers need to be able to use reasonable means to ascertain the
    cause of troubling behavior without exposing themselves to ADA
    claims." (internal citation omitted)); Williams v. Motorola, Inc.,
    
    303 F.3d 1284
    , 1291 (11th Cir. 2002) ("[The employer] could have
    properly required a medical examination given [the plaintiff's]
    recent behavior and threats."); Krocka v. City of Chi., 
    203 F.3d 507
    , 515 (7th Cir. 2000) ("[T]he employer may, depending on the
    circumstances of the particular case [where there is a legitimate
    concern], require specific medical information from the employee
    and may require that the employee undergo a physical examination
    designed to determine his ability to work.").
    - 16 -
    employment if the employer had a legitimate reason for imposing
    such a requirement. See Kozisek v. Cty. of Seward, Neb., 
    539 F.3d 930
    ,   933,    935   (8th   Cir.   2008)    (employer   was   justified   in
    conditioning employment on completion of an inpatient alcohol
    treatment); Bekker v. Humana Health Plan, Inc., 
    229 F.3d 662
    , 666,
    671–72 (7th Cir. 2000) (employer was justified in requiring its
    employee doctor to undergo alcohol addiction treatment and had a
    "legitimate nondiscriminatory reason" for discharging her when she
    was reported to be still under the influence of alcohol while
    seeing patients); McNelis v. Penn., 
    867 F.3d 411
    , 414–15 (3d Cir.
    2017) (government employer was justified in declaring that its
    employee was not fit for duty until he received possible substance
    abuse treatment).
    In light of Ms. López's nervous breakdown and suicidal
    statements, no juror could reasonably find on this record that the
    school lacked a sufficient basis for reaching the conclusion that
    Ms. López was unable to be a teacher at the time and that she was
    a risk to her own safety.          Here, the school had a legitimate
    interest in requiring that Ms. López receive treatment when she
    went to Capestrano because she was a schoolteacher who taught young
    children.      It is well recognized that the mental fitness of a
    teacher who is responsible for the well-being of young children is
    a legitimate business concern of the school at which she is
    employed. Brownfield, 
    612 F.3d at 1145
     (reviewing cases sustaining
    - 17 -
    requirement for a psychiatric examination of school employees
    because of daily interactions with school-aged children); see also
    Pamela J. Kneisel & Gail P. Richards, Crisis Intervention After
    the Suicide of a Teacher, Professional Psychology: Research and
    Practice,    Vol   19(2),    165–69    (Apr.   1988).         The   school    had   a
    particular interest in ensuring that Ms. López did not commit
    suicide.    A suicide would have adversely affected both the young
    children and school staff.
    The actions of Capestrano's doctor in involuntarily
    admitting Ms. López, and the action of the Puerto Rico Municipal
    Court in ordering her to be involuntarily admitted at Capestrano
    further show that no reasonable juror could find that the school
    lacked a basis for finding that the treatment was necessary.                    See
    Kozisek, 
    539 F.3d at 935
     ("[I]f a [job] restriction is based upon
    the recommendations of physicians, then it is not based upon myths
    or stereotypes about the disabled . . . .") (quoting Breitkreutz
    v. Cambrex Charles City, Inc., 
    450 F.3d 780
    , 784 (8th Cir. 2006)).
    We   thus    conclude       that   Robinson     gave     a     legitimate       non-
    discriminatory     reason     to   require     that     she    receive       medical
    treatment.
    To be clear, we do not here hold that an employer has a
    right to require an employee to receive a medical examination or
    treatment whenever the employer is concerned about the employee's
    mental state.      "Section 12112(d)(4)(A) prohibits employers from
    - 18 -
    using medical exams as a pretext to harass employees or to fish
    for nonwork-related medical issues and the attendant 'unwanted
    exposure of the employee's disability and the stigma it may
    carry.'"   Brownfield, 
    612 F.3d at 1146
     (quoting EEOC v. Prevo's
    Family Mkt., Inc., 
    135 F.3d 1089
    , 1094 n.8 (6th Cir. 1998)). Also,
    "the ADA does not require that a particular treatment be foisted
    on an unwilling participant."    Buchanan v. Maine, 
    469 F.3d 158
    ,
    174 (1st Cir. 2006).    Here, the employer's stated concerns were
    reasonable, well documented, supported by recommendations of its
    own psychologists and Capestrano medical staff, and an independent
    judgment of the Commonwealth court. And the school did not require
    that Ms. López receive a particular treatment.
    D.
    Ms. López failed to provide any evidence that Robinson's
    articulated reasons were pretextual.   See Azimi v. Jordan's Meats,
    Inc., 
    456 F.3d 228
    , 246 (1st Cir. 2006) ("In assessing pretext, a
    court's 'focus must be on the perception of the decisionmaker.'"
    (quoting Mesnick v. Gen. Elec. Co., 
    950 F.2d 816
    , 824 (1st Cir.
    1991))).   Ms. López's sole theory is that the school would not
    have allowed her to meet with her realtor if it perceived that she
    required immediate psychiatric evaluation and treatment.       But
    before Ms. López left the school campus, Hildebrand made sure that
    Ms. López agreed to come back from her appointment and Ms. López
    agreed to this in writing.      The fact that the school allowed
    - 19 -
    Ms. López to first make her appointment to sign a lease for an
    apartment, before visiting the hospital, does not suffice to
    provide a reasonable juror to find that the school's actions were
    pretextual.
    E.
    Ms. López's other arguments are equally unavailing. She
    argues   that    the   district     court      erred   by    failing      to   address
    Robinson's      "direct   threat"    defense       that     was     pleaded      as    an
    affirmative defense.        The statute generally provides a "direct
    threat" defense for the employer's action where the employee
    "pose[d]   a    direct    threat    to   the     health     or    safety    of    other
    individuals in the workplace."7           
    42 U.S.C. § 12113
    (b).             Ms. López
    contends that the fact that she was allowed to leave the school
    campus and meet her realtor "negates any direct threat."                              The
    district court properly determined that the school articulated a
    "legitimate,      nondiscriminatory           reason,"      which    is     generally
    distinct from a "direct threat" defense.                    See, e.g., Curley v.
    City of N. Las Vegas, 
    772 F.3d 629
    , 632 (9th Cir. 2014); Bodenstab
    v. Cty. of Cook, 
    569 F.3d 651
    , 659 (7th Cir. 2009).                        The school
    did not need to rely on a "direct threat" defense to prevail on
    summary judgment, and thus the district court did not need to
    7 "The term 'direct threat' means a significant risk to the
    health or safety of others that cannot be eliminated by reasonable
    accommodation" under the ADA. 42 U.S.C § 12111(3).
    - 20 -
    address that defense.
    Accordingly, we conclude that the district court did not
    err in granting summary judgment against Ms. López with respect to
    her ADA discrimination claim.
    III.
    We next turn to Ms. López's ADA retaliation claim.                 "To
    make out a prima facie retaliation claim, the plaintiff must show
    that: '(1) she engaged in protected conduct; (2) she experienced
    an adverse employment action; and (3) there was a causal connection
    between the protected conduct and the adverse employment action.'"
    Kelley v. Corr. Med. Servs., Inc., 
    707 F.3d 108
    , 115 (1st Cir.
    2013) (quoting Calero-Cerezo v. U.S. Dep't of Justice, 
    355 F.3d 6
    ,
    25 (1st Cir. 2004)).
    Ms. López   argues   that    she    engaged   in     a    protective
    activity when she filed an ADA charge with the EEOC and ADU on
    September 18, 2015, and that she suffered retaliatory actions when
    the school issued the TIP dated September 21, 2015, and the later
    follow-up TIPs in November 2015 and May 2016.                  Ms. López also
    claims that Robinson's "papering" of her personnel file — by
    including the parent complaint, a "Disciplinary Report" noting her
    September   2,   2015   suspension,     and    the   Municipal       Court   order
    requiring her to be admitted at Capestrano — was retaliatory
    conduct.    The district court held that the TIPs were not adverse
    employment actions but did not address the alleged "papering."
    - 21 -
    We agree with the district court that the TIPs received
    by Ms. López were not materially adverse actions.                    The TIPs that
    Ms. López received after she returned to the school from Capestrano
    were performance evaluations summarizing areas that Ms. López had
    improved and those which she needed further improvement.                          This
    type of evaluation, which was not even a reprimand, is normally
    expected in a course of employment.                   Indeed, Ms. López received
    similar performance improvement plans prior to 2015, which she
    does not complain to be improper.               We thus conclude that the TIPs
    did not constitute adverse employment actions.                    Bhatti v. Trs. of
    Bos.       Univ.,    
    659 F.3d 64
    ,   73    (1st    Cir.   2011)   (holding     that
    reprimands with no tangible consequences were not "material").
    Accordingly,         Ms. López's    ADA      retaliation     claim   based   on    her
    placement on the TIP fails.
    Ms. López's reliance on Robinson's "papering" of her
    personnel file with the parent complaint, Disciplinary Report, and
    the Municipal Court order is also without merit.8                    "Papering" may
    give rise to an actionable "adverse employment action" by causing
    materially significant disadvantages such as when an employee is
    subject to "systematic[] retaliat[ion]."                   Kim v. Nash Finch Co.,
    
    123 F.3d 1046
    , 1060 (8th Cir. 1997).                 But here there is no evidence
    that       placing   those   documents       into    her   file   caused   Ms. López
    8
    The Municipal Court order was in fact placed in Ms. López's
    medical file rather than her personnel file.
    - 22 -
    "material harm" or was part of a larger pattern of retaliation.
    Colón-Fontánez v. Municipality of San Juan, 
    660 F.3d 17
    , 40 (1st
    Cir. 2011).
    We    thus   determine      that   the   district    court     properly
    granted summary judgment on the ADA retaliation claim against her.
    IV.
    Ms. López asserts that the district court also erred in
    granting summary judgment on her ADEA discrimination claims. Under
    the McDonnell Douglas test, an ADEA plaintiff must first make out
    a prima facie case for age discrimination by showing that "she was
    at least 40; (ii) her work was sufficient to meet the employer's
    legitimate expectations; (iii) her employer took adverse action
    against   her;   and    (iv)   . . .    the   employer    did   not     treat   age
    neutrally in taking the adverse action."                 Del Valle-Santana v.
    Servicios Legales de P.R., Inc., 
    804 F.3d 127
    , 129–30 (1st Cir.
    2015).
    Ms. López claims that she suffered adverse employment
    actions based on her age (61) because unlike younger teachers she
    was denied training outside Puerto Rico and was required to
    manually post grades and turn in her lesson plans during her class.
    The district court concluded that Ms. López failed to show that
    she   suffered    an    adverse     employment      action      because     "never
    receiv[ing] trainings outside of Puerto Rico, by itself, d[id] not
    constitute an adverse employment action."             The district court did
    - 23 -
    not   specifically     reference    Ms. López's     allegations    regarding
    grading and lesson plans.
    We agree with the district court that Ms. López did not
    establish that she suffered events that "materially change[d] the
    conditions of [her] employ" so as to constitute adverse employment
    actions.    Cherkaoui v. City of Quincy, 
    877 F.3d 14
    , 25 (1st Cir.
    2017) (first alteration in original) (quoting Gu v. Bos. Police
    Dep't, 
    312 F.3d 6
    , 14 (1st Cir. 2002)).           There is no dispute that
    Robinson allowed Ms. López to attend training workshops in Puerto
    Rico to afford her training opportunities. The fact that Ms. López
    was not allowed to attend workshops outside Puerto Rico cannot
    constitute an adverse employment action. Colón-Fontánez, 
    660 F.3d at
    40–41 (conclusory allegation that lack of training would affect
    the plaintiff's career was insufficient to establish "significant,
    not trivial, harm").          Ms. López also complains that the school
    required her to post grades manually and turn in her lesson plans
    during     her   class,   a   requirement   not    applicable     to   younger
    employees.       But she did not show that those requests were "more
    disruptive than a mere inconvenience or an alteration of job
    responsibilities." Cherkaoui, 877 F.3d at 25 (quoting Burns v.
    Johnson, 
    829 F.3d 1
    , 10 (1st Cir. 2016)); see also Marrero v. Goya
    of P.R., Inc., 
    304 F.3d 7
    , 24 (1st Cir. 2002) (holding that a minor
    increase in work responsibility was not materially adverse).
    Ms. López may raise a third claim that she had a heavier
    - 24 -
    workload    because    of   her   age.        The    district       court    held    that
    Ms. López's allegation of "having a heavier workload than younger
    teachers    [was]      speculative       and    unsupported          by      evidence."
    Ms. López does not clearly challenge this holding on appeal. Even
    if she had, Ms. López's claim would fail.                   During her deposition,
    Ms. López    admitted       her   workload          allegation       was     based     on
    speculation and she "d[id]n't know what [her] other co-workers'
    schedules    [we]re."        Conclusory        allegations          and     unsupported
    speculation cannot defeat summary judgment.                   See, e.g., J. Geils
    Band Emp. Benefit Plan v. Smith Barney Shearson, Inc., 
    76 F.3d 1245
    , 1251 (1st Cir. 1996).           Ms. López also testified that she
    believed a certain group of teachers were "treated special because
    they [we]re related and [Larrieu's] best friends."                            However,
    cronyism,     while     perhaps      unsavory,         is     not     an      age-based
    discrimination.       See Barry v. Moran, 
    661 F.3d 696
    , 708 (1st Cir.
    2011).
    We therefore conclude that, because Ms. López fails to
    make out a prima facie case of age discrimination, the district
    court properly granted summary judgment against Ms. López as to
    her ADEA discrimination claims.
    V.
    Finally, we address Ms. López's ADEA retaliation claim,
    which we also analyze under the McDonnell Douglas framework.
    Mesnick v. Gen. Elec. Co., 
    950 F.2d 816
    , 827 (1st Cir. 1991).
    - 25 -
    Ms. López asserts that she suffered retaliation because
    she complained to Larrieu during the September 1, 2015, classroom
    visit that she felt discriminated against based on her age due to
    her workload, and because she filed her administrative ADEA charge
    with the EEOC and ADU.             Ms. López argues that the school took
    retaliatory actions by (1) suspending her on September 2, 2015,
    (2) issuing TIPs after she returned to the school from Capestrano,
    and (3) "papering" her personnel file with the parent complaint,
    disciplinary report, and the Municipal Court order.               Ms. López's
    contentions based on the TIPs and "papering" are without merit for
    the same reasons discussed for her ADA retaliation claims.
    As for the suspension, the district court held that,
    while the September 2 suspension was an adverse employment action
    and Ms. López had engaged in protected conduct, the school had
    legitimate reasons to take action based on Ms. López's "responses
    during the criticism made at the September 2, 2015 meeting" and
    Larrieu's "observations during [the] classroom visit on September
    1, 2015," and that Ms. López produced no evidence that rebutted
    those reasons.        We agree that, even if Ms. López established a
    prima   face   case    of   ADEA    retaliation,   the   school   provided   a
    legitimate, nondiscriminatory reason for suspending Ms. López due
    to Larrieu's observation during the September 1, 2015, classroom
    visit and Ms. López's responses during the September 2, 2015,
    meeting.   The decision was consistent with the school's concern
    - 26 -
    with the need for Ms. López's improvement in her communication
    skills.   Moreover, Ms. López did not provide any evidence that the
    school's reason was pretextual.   Kelley, 707 F.3d at 115 ("If the
    defendant meets this burden [of articulating a legitimate, non-
    retaliatory reason], the plaintiff must show that the proffered
    legitimate reason is pretextual. . . .").
    The district court therefore properly granted summary
    judgment against Ms. López on the ADEA retaliation claims.
    VI.
    We conclude that the district court did not err in
    granting summary judgment of the ADA and ADEA discrimination and
    retaliation claims against Ms. López as well as in dismissing the
    claims under analogous Puerto Rico laws.
    Affirmed.
    - 27 -