National Labor Relations Board v. Special Touch Home Care Services, Inc. , 708 F.3d 447 ( 2013 )


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  •      11-3147-ag
    NLRB v. Special Touch Home Care Servs., Inc.
    1                    UNITED STATES COURT OF APPEALS
    2                        FOR THE SECOND CIRCUIT
    3
    4
    5                            August Term, 2012
    6
    7   (Argued: January 30, 2013              Decided: February 27, 2013)
    8
    9                          Docket No. 11-3147-ag
    10
    11
    12                  NATIONAL LABOR RELATIONS BOARD,
    13
    14                                                        Petitioner,
    15
    16                                  -v.-
    17
    18               SPECIAL TOUCH HOME CARE SERVICES, INC.,
    19
    20                                                        Respondent,
    21
    22              1199SEIU UNITED HEALTHCARE WORKERS EAST,
    23
    24                                                        Intervenor.
    25
    26
    27
    28   Before:
    29       WESLEY, CHIN, Circuit Judges, LARIMER, District Judge.*
    30
    31        Petitioner National Labor Relations Board applies to
    32   this Court for enforcement of its January 30, 2011
    33   Decision and Order finding that Respondent Special Touch
    34   Home Care Services, Inc. (“Special Touch”) violated the
    35   National Labor Relations Act, 
    29 U.S.C. § 158
    (a)(1) and
    36   (3), by failing to immediately reinstate striking workers
    *
    The Honorable David G. Larimer, of the United States
    District Court for the Western District of New York, sitting by
    designation.
    1
    1   engaged in protected conduct. Home health care aides who
    2   work for Special Touch went on strike after their Union
    3   gave ten days of advance notice as required by statute, 29
    
    4 U.S.C. § 158
    (g). Special Touch lawfully polled its
    5   approximately 1400 employees scheduled to work on the
    6   first day of the strike. Forty-eight of the aides who
    7   indicated their intention to work failed to report to
    8   their patients’ homes. Because we find that these
    9   employees engaged in unprotected, indefensible conduct
    10   that created a reasonably foreseeable risk of imminent
    11   danger, we DENY the National Labor Relations Board’s
    12   petition for enforcement.
    13
    14            DENIED.
    15
    16
    17
    18            JILL A. GRIFFIN, Supervisory Attorney (Lafe E.
    19                 Solomon, Acting General Counsel, Celeste J.
    20                 Mattina, Deputy General Counsel, John H.
    21                 Ferguson, Associate General Counsel, Linda
    22                 Dreeben, Deputy Associate General Counsel,
    23                 Amy H. Ginn, Attorney, on the brief),
    24                 National Labor Relations Board, Washington,
    25                 DC, for Petitioner.
    26
    27            RICHARD J. REIBSTEIN (Russell E. Adler, on the
    28                 brief), Pepper Hamilton LLP, New York, NY,
    29                 for Respondent.
    30
    31            DAVID M. SLUTSKY, Levy Ratner, P.C., New York NY,
    32                 for Intervenor.
    33
    34
    35
    36
    37   WESLEY, Circuit Judge:
    38
    39       This petition for enforcement presents two issues: (1)
    40   whether a health care employer may enforce an individual
    41   notice rule after its employees’ union provides advance
    2
    1   notice of an impending strike pursuant to 
    29 U.S.C. § 2
       158(g); and (2) whether health care employees who fail to
    3   report to work at individual patients’ homes without
    4   alerting their employer create a reasonably foreseeable risk
    5   of imminent danger.
    6
    7
    8                             Background
    9
    10       Respondent Special Touch Home Care Services, Inc.
    11   (“Special Touch”) subcontracts with nursing and health-
    12   related services to provide home health aides for patients
    13   who require assistance.   Special Touch’s patients have four
    14   common characteristics: (1) a physician ordered home health
    15   care services; (2) they have an illness that prevents them
    16   from normal functioning and daily living activities; (3)
    17   they are “homebound;” and (4) they are receiving skilled
    18   nursing, physical, occupational or speech therapy.     Given
    19   the nature of its services, Special Touch has a call-in rule
    20   requiring aides who will not be able to report to their
    21   patients’ homes as scheduled (for any reason) to notify
    22   Special Touch.   Because aides go directly to patients’
    23   homes, Special Touch uses an automated attendance system.
    24   The company gets a report of which aides have not called in
    25   after the start of their shifts, at which point Special
    3
    1   Touch calls each home to verify whether or not the aide is
    2   there.   Confirming an aide’s presence takes approximately
    3   twenty minutes.
    4       In 2004, Special Touch had approximately 2500 aides on
    5   its roster, with about 1400 of these aides regularly
    6   assigned to specific clients.       Aides are typically matched
    7   with patients based on common language, primarily English,
    8   Spanish, Chinese or Russian.     Patients receive varying
    9   amounts of care; some have an aide present twenty-four hours
    10   per day, seven days a week, while others require just a few
    11   hours each week.   The necessary amount of care is determined
    12   by the patient’s physician.     A nursing agency sets the
    13   specific “plan of care” and then subcontracts the work to
    14   Special Touch.
    15       Aides who work for Special Touch undergo two-and-a-half
    16   weeks of mandatory training before being assigned to
    17   patients.   The specific responsibilities of an aide depend
    18   on the individual patient’s plan of care, but they will
    19   often include helping the patient bathe and maintain good
    20   personal hygiene, helping patients move around and transfer
    21   from a chair to bed or to the bath, meal planning and
    22   preparation, light housekeeping, and grocery shopping and
    4
    1   errands.   Aides often remind patients to take medication and
    2   ensure they are taking the proper doses, but aides do not,
    3   and cannot, perform medical procedures.     Special Touch’s
    4   handbook explicitly lists functions its aides are not to
    5   perform, including: taking vital signs, changing bandages,
    6   giving medication, and “[g]iv[ing] any care not included on
    7   the nursing care plan.”
    8       According to Inessa Lutinger, a registered nurse
    9   instructor who trains aides for Special Touch, “our role is
    10   prevention, prevention of higher level care, prevention [of]
    11   patient hospitalization, and prevention [of a] patient
    12   [becoming] a resident in the nursing home.”     To achieve this
    13   end, aides are taught, among other things, how to look for
    14   signs of distress, to prevent falls and to recognize signs
    15   of internal bleeding.     In addition, aides are trained how to
    16   respond to an emergency, whether health-related or external
    17   (such as a fire).   According to Lutinger, one of the biggest
    18   worries with patients is their susceptibility to falling –
    19   particularly falling backwards – because of their lack of
    20   balance and strength.     Lutinger explained that the high risk
    21   of falls is the reason the aides are tasked with light
    22   housekeeping: “[I]f you keep your floor neat and nice, it
    5
    1   decrease[s the] probability of falling, and as a
    2   consequence[] of possible fatal injuries.”
    3
    4
    5                                 Facts
    6
    7        On May 27, 2004, New York’s Health and Human Service
    8   Union 1199SEIU, AFL-CIO, CLC (the “Union”) notified Special
    9   Touch of its intent to strike from Monday, June 7, 2004 at
    10   6:00 a.m. until Wednesday, June 10, 2004 at 6:00 a.m.
    11   During the week prior to the strike, coordinators and
    12   supervisors from Special Touch contacted the approximately
    13   1400 aides scheduled to work to inquire whether they planned
    14   to take any time off during the upcoming week.2     The
    15   majority of the aides indicated their intent to work as
    16   scheduled.   Approximately seventy-five aides said that they
    17   anticipated being absent during part of the following week
    18   (whether for purposes of striking or for other reasons).
    19
    2
    In Preterm, Inc., the Board determined that a health care
    organization may survey its employees to determine whether they
    plan to work during an upcoming strike after receiving a ten-day
    notice from the union. 
    240 N.L.R.B. 654
    , 656 (1979). The Board
    proceeded to specify three requirements for a pre-strike survey:
    (1) explain the purpose of the questioning, (2) assure employees
    that “no reprisals would be taken against them as a result of
    their response,” and (3) refrain from otherwise creating a
    coercive atmosphere. 
    Id.
     At oral argument, the Board agreed
    that the poll here was never alleged to be unlawful and is
    therefore not challenged in this action.
    6
    1   Special Touch arranged for replacements to cover these
    2   employees’ patients.
    3        Forty-eight3 aides who had not previously conveyed their
    4   plans to be absent during the strike did not appear for work
    5   on Monday morning, June 7, 2004.    Most of these aides spoke
    6   Spanish, which made finding emergency replacements for them
    7   difficult.   Unbeknownst to Special Touch, the Union had held
    8   a meeting shortly before the strike, at which it advised
    9   aides that they did not need to notify the company if they
    10   planned to strike because the Union had already provided the
    11   requisite ten-day notice required by 
    29 U.S.C. § 158
    (g) for
    12   health-care workers.4
    13        On June 7, when forty-eight aides who were expected to
    14   work failed to call in or report, Special Touch struggled to
    15   get replacements to its patients.    These patients included
    16   people suffering from recent strokes, Parkinson’s disease,
    3
    Although forty-eight aides struck after saying they would
    report to work, the disciplinary measures Special Touch took are
    relevant for only forty-seven of these aides because Crecencia
    Miller was lawfully discharged for other reasons. See Special
    Touch Home Care Servs., Inc., 
    351 N.L.R.B. 754
    , 754-55, 757
    (2007) (Special Touch II).
    4
    The Union explains in its brief that: “1199 correctly
    informed the Aides that the Union’s notice was the only notice
    lawfully required, and individual Aides had no obligation to
    provide individual notice to Special Touch.”
    7
    1   early-onset Alzheimer’s disease and other memory problems,
    2   epilepsy, broken limbs, diabetes, osteoporosis, breast
    3   cancer, developmental disabilities, and impaired mobility;
    4   some of these individuals were over eighty years old.
    5   Forty-three of the patients received partial coverage, while
    6   five patients did not receive any coverage.     According to
    7   Special Touch Vice President of Operations Linda Keehn,
    8   “[s]ome of them got partial service because we didn’t find
    9   out right away . . . . [It] was very, very confusing, very
    10   chaotic.   Here all of a sudden, we thought we had everything
    11   sort of covered . . . .”
    12       Following the strike, the seventy-five aides who had
    13   advised Special Touch of their planned absence when asked
    14   during the pre-strike poll were immediately reinstated to
    15   work with their previously-assigned patients.     The forty-
    16   eight aides who responded during the poll that they intended
    17   to work but failed to report as expected were advised not to
    18   return to their assigned patients until further notice.
    19   These forty-eight aides were ultimately reassigned over the
    20   next few months, but not always to their prior patients or
    21   to similar work schedules.   One week after the strike began,
    22   Keehn sent letters to these forty-eight aides detailing the
    8
    1   company’s position on their absence:
    2
    3               You were asked if you would be taking any
    4               time off the week of June 7th. You told
    5               us that you would be working.
    6
    7               Despite your assurance, you did not show
    8               up at the patient’s home on June 7th, nor
    9               did you call into the office at any time
    10               prior to the start of your shift to
    11               advise us that you would not be working
    12               that day. As a result, you left the
    13               patient at risk of being unattended by a
    14               home health aide.
    15
    16               You know that Special Touch policies and
    17               procedures require you to call in.
    18
    19   (JA 863.)
    20
    21   The letter goes on to state that Special Touch was aware of
    22   the confusion over notification following the Union meeting,
    23   and, as a result, the company had determined not to
    24   terminate any of the employees.
    25
    26                           Procedural History
    27
    28        After the Union filed charges against Special Touch,
    29   the National Labor Relations Board’s (“Board”) General
    30   Counsel issued a complaint charging Special Touch with
    31   violating the National Labor Relations Act (“NLRA”), 29
    
    32 U.S.C. § 158
    (a)(1) and (3),5 by failing and refusing to
    5
    Section 8(a)(1) and (3) of the National Labor Relations
    Act, 
    29 U.S.C. § 158
    (a)(1) and (3), provides that:
    9
    1   reinstate the forty-eight aides who participated in the
    2   strike unexpectedly.   Administrative Law Judge Raymond P.
    3   Green (“ALJ”) held a hearing, at which he heard testimony by
    4   eleven of the striking aides, various Special Touch
    5   supervisors and coordinators, Keehn, and Lutinger.      The ALJ
    6   ruled that Special Touch could not defend its treatment of
    7   the forty-eight aides as unprotected strikers because their
    8   failure to comply with the company’s call-in rule did not
    9   alter their status as protected workers.     Special Touch Home
    10   Care Servs., Inc., 2005 N.L.R.B. LEXIS 472, at *20-22 (Sept.
    11   15, 2005) (Special Touch I).    The ALJ reasoned that to find
    12   otherwise would mean that “an employer could, by enactment
    13   of a private rule, nullify the public rights guaranteed by a
    14   statute of the United States” – namely, 
    29 U.S.C. § 158
    (g).
    15   
    Id. at *14
    .
    16        The ALJ discussed Congress’s enactment of Section 8(g)
    (a) Unfair labor practices by employer
    It shall be an unfair labor practice for an employer–
    (1) to interfere with, restrain, or coerce employees in the
    exercise of the rights guaranteed in section 157 of this
    title;
    (3) by discrimination in regard to hire or tenure of
    employment or any term or condition of employment to
    encourage or discourage membership in any labor organization
    . . . .
    10
    1   in 1974, which requires unions to give ten days of notice to
    2   health care facilities before their employees go on strike.6
    3   He confirmed that the notification requirement is limited to
    4   unions and does not apply to individual employees.          See 
    id.
    5   at *17.       The ALJ rejected Special Touch’s argument that some
    6   type of notice requirement was appropriate in this situation
    7   because of the “imminent danger” to patients that would be
    8   created otherwise: “[a]ssuming arguendo that an ‘imminent
    9   danger’ qualification can be read into the Act’s conference
    10   of the right to strike, the evidence does not establish that
    11   such a danger existed in this case.”         
    Id. at *19
    .   The ALJ
    12   reasoned that “there were only about five clients for whom
    13   the Respondent could not get coverage.         And as to them,
    14   there was no evidence that they suffered any adverse
    15   consequences.”       
    Id. at *20
    .   Accordingly, the ALJ concluded
    16   that Special Touch had violated 
    29 U.S.C. § 158
    (a)(1) and
    17   (3) by failing to immediately reinstate the forty-eight
    6
    Section 8(g) of the NLRA, 
    29 U.S.C. § 158
    (g), provides
    that:
    A labor organization before engaging in any strike, picketing, or
    other concerted refusal to work at any health care institution
    shall, not less than ten days prior to such action, notify the
    institution in writing and the Federal Mediation and Conciliation
    Service of that intention . . . . The notice shall state the date
    and time that such action will commence . . . .
    11
    1   strikers upon their unconditional offer to return to work.
    2   See 
    id. at *35
    .
    3       The Board adopted the ALJ’s reasoning with respect to
    4   Special Touch’s violation of Section 8(a) and petitioned
    5   this Court for enforcement of its September 29, 2007
    6   Decision and Order.     Special Touch Home Care Servs., Inc.,
    7   
    351 N.L.R.B. 754
     (2007) (Special Touch II).      We issued a
    8   decision enforcing the order in part, modifying and
    9   enforcing as modified in part, and remanding for the Board
    10   to consider the intersection of the “plant rule” doctrine
    11   and Section 8(g).     NLRB v. Special Touch Home Care Servs.,
    12   Inc., 
    566 F.3d 292
     (2d Cir. 2009) (Special Touch III).          We
    13   were concerned with the potential incompatibility between
    14   the plant rule doctrine, which allows employers to enforce
    15   neutral plant rules governing employees on company time
    16   (such as Special Touch’s call-in rule), and Section 8(g)’s
    17   union notification requirement.      See 
    id. at 297-301
    .   We
    18   remanded and advised the Board to balance three key
    19   interests in resolving the issue: “(1) the employer’s
    20   attempt to maintain a properly regulated workforce, (2) the
    21   employees’ interest in striking (including their interest in
    22   not having to decide in advance that they wished to
    12
    1   participate), and (3) the risk to the clients, including the
    2   nature of the care provided by the aides.”      
    Id. at 300
    .     We
    3   did not reach Special Touch’s remaining arguments regarding
    4   indefensible conduct (imminent danger), permanent
    5   replacement and the legitimate business justification
    6   defense.     See 
    id. at 301
    .
    7        On remand, the Board re-affirmed its prior conclusion
    8   that Special Touch had violated Section 8(a)(1) and (3) by
    9   refusing to promptly reinstate the forty-eight striking
    10   aides.     Special Touch Home Care Servs., Inc., 
    2011 N.L.R.B. 11
       LEXIS 322 (June 30, 2011) (Special Touch IV).      The Board
    12   concluded that Congress had already balanced the relevant
    13   interests at stake with respect to health care strikes and
    14   reached a conclusion:     Section 8(g).7   See 
    id. at *13-19
    .
    15   The Board determined that the union notification rule
    16   represented a compromise reached by legislators endeavoring
    17   to balance two competing interests: first, the previously
    18   limited rights of health care employees, and second, the
    19   special protection necessary for patient care.      See 
    id.
     at
    20   *15-16.
    7
    The Board further noted that “[i]f the balance established
    by Congress in the 1974 amendments is imperfect, it is up to
    Congress, not the Board, to adjust it.” Special Touch IV, 2011
    N.L.R.B. LEXIS 322, at *19.
    13
    1       With respect to patient care, the Board acknowledged
    2   that even health care employees who “cease work without
    3   taking ‘reasonable precautions to protect’ the employer’s
    4   plant, equipment, or patients ‘from foreseeable imminent
    5   danger due to sudden cessation of work’” are not protected
    6   under the NLRA.     
    Id. at *41
     (quoting Bethany Med. Ctr., 328
    
    7 N.L.R.B. 1094
    , 1094-95 (1999)).         The Board rejected the
    8   claim that Special Touch’s aides’ failure to warn the
    9   company about their intent to strike created an “imminent
    10   danger.”   See 
    id. at *19-22
    .      However, the Board noted that
    11   “under appropriate circumstances, we would entertain an
    12   argument that despite prior notice, a strike, or particular
    13   employees’ participation in a strike, created an imminent
    14   danger.”   
    Id.
     at *22 n.17.
    15       Finally, the Board reviewed and rejected Special
    16   Touch’s argument that its aides’ misrepresentations during
    17   its pre-strike polling justified denying immediate
    18   reinstatement.    Disavowing Special Touch’s contention that
    19   the right to poll employees loses all value if the employees
    20   need not answer accurately, the Board declined to adopt a
    21   rule requiring honesty in polling or allowing discipline in
    22   its absence.     See 
    id. at *33
    .
    14
    1       Member Hayes dissented, arguing that under “the
    2   particular facts of this case,” Special Touch acted lawfully
    3   because the company had shown a “sufficiently compelling
    4   business justification for enforcing its call-in rule and
    5   that justification outweighs the minimal burden imposed on
    6   employees’ protected right to strike.”     
    Id.
     at *47
    7   (dissent).     The dissent focused on the forty-eight aides’
    8   affirmative misrepresentations upon being polled.       Member
    9   Hayes reasoned that the majority’s ruling meant that
    10   employees need never provide a lawful answer to a post-
    11   notice of strike survey, “thus eviscerating the poll as an
    12   effective aid in arranging for continuing patient care.”
    13   
    Id. at *51
    .     The dissent noted further that this would allow
    14   unions and employees the opportunity to wield their ability
    15   to strike in a dangerously disruptive manner – essentially,
    16   by purposely misleading their employer.     See 
    id. at *51-52
    .
    17       The Board’s June 30, 2011 Decision and Order holding
    18   Special Touch responsible for violating Section 8(a)(1) and
    19   (3) is now before us on the Board’s petition for
    20   enforcement.
    21
    22
    15
    1
    2                             Discussion
    3       Special Touch makes two main arguments before this
    4   Court.   First, Special Touch contends that the Board ignored
    5   our mandate instructing it to balance the interests of
    6   employees, employers and clients in determining whether
    7   failure to comply with the company’s call-in rule renders
    8   otherwise lawful strikers’ actions unprotected.     The NLRB
    9   argues that the Board did consider the interests of the
    10   aides, Special Touch and patients “by giving heed to the
    11   balance Congress already struck with regard to their
    12   interests.”   (Petitioner’s Br. at 28.)
    13       Second, Special Touch argues that the Board erred in
    14   rejecting its “imminent danger” defense, pursuant to which
    15   the company claims that forty-eight aides failed to take
    16   reasonable precautions to protect their patients from
    17   foreseeable imminent danger.   The NLRB gives little
    18   attention to this argument, stating that the record fails to
    19   show that patients were subject to substantial risk of harm
    20   and, instead, only that the company was inconvenienced.
    21       We will enforce the Board’s order if its legal
    22   conclusions have a “reasonable basis in law.”     See NLRB v.
    16
    1   Windsor Castle Health Care Facilities, Inc., 
    13 F.3d 619
    ,
    2   623 (2d Cir. 1994)(citing Universal Camera Corp. v. NLRB,
    3   
    340 U.S. 474
    , 488 (1951)).   We review the Board’s factual
    4   findings for whether they are supported by substantial
    5   evidence.   See 
    id.
       Here, the facts are not in dispute.
    6   Accordingly, we review the Board’s application of law to
    7   fact de novo, deferring to the Board’s decision if there is
    8   “more than one reasonable resolution,” one of which the
    9   Board has adopted.    See Sheridan Manor Nursing Home, Inc. v.
    
    10 NLRB, 225
     F.3d 248, 252 (2d Cir. 2000).
    11
    12   I. “Plant Rule” Doctrine
    13
    14       We previously remanded to the Board for the specific
    15   purpose of considering the intersection between the plant
    16   rule doctrine and Section 8(g).     We understand the plant
    17   rule doctrine to “permit[] an employer to enforce neutral
    18   ‘reasonable rules covering the conduct of employees on
    19   company time.’”   See Special Touch III, 
    566 F.3d at
    297
    20   (quoting Republic Aviation Corp. v. NLRB, 
    324 U.S. 793
    , 803
    21   n.10 (1945)).
    22       In Republic Aviation, the Supreme Court upheld the
    23   Board’s finding that a company’s rule prohibiting any type
    24   of solicitation on company property could not be used to
    17
    1   prohibit union solicitation on the premises during an
    2   employee’s free time without violating Section 8(3).          See
    3   
    324 U.S. at 795, 805
    .   The Court reached this result by
    4   endorsing the Board’s established presumption that the NLRA
    5   does not prevent employers from establishing “reasonable
    6   rules” governing employee conduct while “on company time.”
    7   
    Id.
     at 803 n.10 (quoting Peyton Packing Co., 
    49 N.L.R.B. 8
       828, 843 (1943)).   The Court (like the Board) emphasized the
    9   importance of rules regulating the workplace applying to
    10   conduct occurring “during working hours.”       See 
    id.
    11       The Board subsequently relied on the plant rule doctrine
    12   to uphold the termination of employees who violated a neutral
    13   notification rule at a chicken-processing plant.          See Terry
    14   Poultry Co., 
    109 N.L.R.B. 1097
     (1954).      In Terry Poultry, the
    15   company had a “long-standing plant rule” requiring factory
    16   workers to notify other personnel if they were leaving the
    17   assembly line.   See 
    id. at 1097-98
    .      Two employees violated
    18   this rule by leaving the line to make a labor complaint to
    19   the plant’s superintendent.     See 
    id.
        Their undisclosed
    20   departure caused disruption of the production line.          See 
    id.
    21   at 1098.   The employees were terminated for violating the
    22   plant rule.   
    Id. at 1099
    .    The Board upheld their
    23   terminations after finding that the rule was not adopted for
    18
    1   a discriminatory purpose but was instead aimed solely at
    2   ensuring efficient business practices.    See 
    id. at 1098-99
    .
    3   The Board further supported this decision by reasoning that
    4   the rule did not constitute an “unreasonable impediment” to
    5   the employees’ exercise of their rights under the NLRA.      See
    6   
    id. at 1098
    .
    7       The Board later cited to Terry Poultry in upholding
    8   employee suspensions for violating a chemical plant’s
    9   “longstanding, well-publicized rule requiring operators to be
    10   properly relieved before leaving the plant” during a strike.
    11   See Gen. Chem. Corp., 
    290 N.L.R.B. 76
    , 83 (1988).     This case
    12   brought in elements of both the plant rule doctrine and the
    13   imminent danger doctrine, discussed infra, because the rule
    14   at issue in General Chemical was not intended merely for
    15   factory efficiency, but primarily for “ensur[ing] safety to
    16   the equipment, the plant, and the general public.”     
    Id.
       The
    17   Board found that the employees’ failure to take the
    18   reasonable precaution of spending fifteen minutes obtaining
    19   relief at their stations created a “reasonably foreseeable
    20   possibility of danger.”   
    Id.
       However, because the “danger
    21   was eminent (significant) rather than imminent (impending),”
    22   the Board relied primarily on the plant rule doctrine to find
    23
    19
    1   that the employer’s response did not violate the NLRA.     See
    2   
    id. at 83-84
    .
    3       In its analysis of these key plant rule decisions, the
    4   Board noted some crucial differences between the facts
    5   therein and those at issue here, see Special Touch IV, 2011
    6   N.L.R.B. LEXIS 322, at *26-30, as did we, see Special Touch
    7   III, 
    566 F.3d at 298-99
    .   First, the companies in the plant
    8   rule cases did not receive any prior notice of concerted
    9   activity.   Special Touch had ten days’ notice provided by the
    10   Union.   Second, the plant rule cases emphasize the propriety
    11   of reasonable rules regulating employee conduct “on company
    12   time.”   Here, the relevant rule focuses specifically on
    13   employee conduct outside of working hours by requiring
    14   advance notice of an employee’s intent to miss work.
    15       The Board contends that a better match for this case is
    16   Savage Gateway Supermarket, 
    286 N.L.R.B. 180
     (1987), enfd.,
    17   
    865 F.2d 1269
     (6th Cir. 1989) (unpublished decision), in
    18   which the Board examined when an employer’s desire to enforce
    19   a plant rule is supported by compelling business interests
    20   sufficient to outweigh certain rights held by employees.     In
    21   Savage Gateway, the Board determined that a grocery store had
    22   violated the NLRA by terminating an employee who did not show
    23   up for work on two consecutive days while picketing was
    20
    1   ongoing in front of the store.        See id. at 183-84.   The
    2   company argued that its termination of the employee was due
    3   to her failure to comply with its “longstanding work rule
    4   requiring notification of absence to the store manager.”             Id.
    5   at 183.   The Board rejected this contention, finding that the
    6   employer did not have a compelling business interest for
    7   enforcing its rule that was sufficient to outweigh the
    8   employee’s right to engage in protected activity.          See id.
    9   Instead, the company sought to apply its rule for the sake of
    10   convenience.   See id.
    11       Special Touch argues that the Board’s reliance on Savage
    12   Gateway is misplaced in light of this Court’s decision in
    13   Business Services by Manpower, Inc. v. NLRB, which is cited
    14   in Savage Gateway and features facts more closely analogous
    15   to those at issue here.   
    784 F.2d 442
     (2d Cir. 1986).        In
    16   Manpower, the company supplied temporary employees to
    17   businesses with industrial or clerical short-term
    18   assignments.   See 
    id. at 443
    .    Because the employees reported
    19   directly to the temporary employer that had contracted with
    20   Manpower, the company had a policy that any employee who
    21   could not make it to an assignment had to call in and that
    22   anyone who failed to call in or report to work would be
    23   considered to have resigned.     See 
    id.
         Two employees sent to
    21
    1   fill a shift at a factory chose not to work after seeing a
    2   “stranger” picket line composed of five or six workers from
    3   one of the temporary-employer’s plants located 100 miles
    4   away.    See 
    id. at 443-44
    .
    5          Manpower considered these employees to have resigned
    6   after they did not show up for their assignment.       See 
    id.
     at
    7   444.    The Board ruled that the company violated the
    8   employees’ rights under the NLRA.    See 
    id. at 445
    .    We
    9   declined to enforce this order because we determined that
    10   Manpower had “compelling business reasons” for enforcing its
    11   policy that were sufficient to overcome the employees’
    12   exceptionally “thin” protected rights under the
    13   circumstances.     See 
    id. at 454
    .
    14          Here, Member Hayes takes a similar position in dissent:
    15   Special Touch’s business reasons for enforcing its call-in
    16   rule were sufficiently compelling to override the minimal
    17   burden that compliance with the rule imposed on the aides’
    18   right to strike.    The dissent notes that Congress intended
    19   for health care workers to be treated the same as any other
    20   industry employees, such that legitimate business reasons
    21   that would justify a non-health care company’s conduct should
    22   suffice equally in the health care field.    See Special Touch
    23   IV, 2011 N.L.R.B. LEXIS 322, at *52 (dissent).     This argument
    22
    1   is tempting.   After all, Special Touch has compelling
    2   business interests for enforcing its call-in rule (providing
    3   aides when and where the company said it would) that are very
    4   similar to the interests cited by the company in Manpower.
    5        The problem with this position, however, is that it
    6   elevates the company’s preferences over those espoused by
    7   Congress.   Congress’s decision to require union notification
    8   via Section 8(g) trumps Special Touch’s interests in
    9   enforcing its call-in rule, regardless of whether its argued
    10   basis for doing so is business-related or safety-oriented.8
    11   As the Board correctly determined, to hold otherwise would
    12   constitute a rejection of the balance struck by Congress in
    13   enacting Section 8(g).
    14        Section 8(g), one of Congress’s amendments to the NLRA
    15   in 1974, is part of a package intended to remedy the
    16   exclusion of nonprofit hospital workers9 from the protections
    8
    Member Hayes’ dissent assures us that “the call-in rule
    here comes into play only after the Respondent conducted the
    lawful survey . . . and only for those aides who answered that
    they would work on June 7, then failed to do so without giving
    notice.” Special Touch IV, 2011 N.L.R.B. LEXIS 322, at *48
    (dissent) (emphasis in original). But the dissent’s argument is,
    nonetheless, that Special Touch’s call-in rule should be
    enforced.
    9
    At the time, 56 percent of all hospital employees worked
    at nonprofit, non-public hospitals. See Staff of S. Comm. on
    Labor, 93d Congress, Legislative History of the Coverage of
    Nonprofit Hospitals under the National Labor Relations Act,
    23
    1   guaranteed by the NLRA while still ensuring “that the needs
    2   of patients would be met during contingencies arising out of
    3   labor disputes.”      See Staff of S. Comm. on Labor, 93d
    4   Congress, Legislative History of the Coverage of Nonprofit
    5   Hospitals under the National Labor Relations Act, (Comm.
    6   Print 1974) (hereinafter Legislative History).      The 1974
    7   amendments were the result of “extensive discussion with
    8   those groups representing employers, employees and the
    9   administration” in the health care industry.      
    Id.
        The goal
    10   of the amendments was to incorporate “the public interest
    11   demand[] that employees of health care institutions be
    12   accorded the same type of treatment under the law as other
    13   employees in our society.”      Legislative History, S. Rep. No.
    14   93-766, at 11 (1974).     With this in mind, the union
    15   notification provision is intended as a sufficient safeguard
    16   to enable health care workers to strike; there is no
    17   requirement that individual employees provide notice.       The
    18   Board, and this Court, have recognized this principle
    19   repeatedly.
    20        For example, in Montefiore Hospital and Medical Center
    21   v. NLRB, we confirmed that Section 8(g) contains a “clear
    (Comm. Print 1974).
    24
    1   limitation” requiring notice from labor organizations and not
    2   from individual workers – an interpretation that had been
    3   confirmed by numerous other Circuits as well as the Board.
    4   
    621 F.2d 510
    , 514-15 (2d Cir. 1980).   Our comments in dicta
    5   that after a “union has given notice of its intention to
    6   strike, the hospital would be well-advised to inquire of the
    7   rest of its employees whether they plan to stay out in
    8   sympathy” and that “[a]n employee who strikes after promising
    9   to show up may well forfeit protection under the Act” have no
    10   bearing on Section 8(g)’s requirements.    
    Id. at 515
    .    We
    11   supported this assertion by citing to Silbaugh v. NLRB, 429
    
    12 F.2d 761
    , 762 (D.C. Cir. 1970), which proposes that an
    13   employee who strikes “in violation of a union’s commitment to
    14   an employer not to do so” is not engaging in protected
    15   activity.   See 
    id.
       But this cannot change our finding that
    16   the language of Section 8(g) is “crystal clear” that no
    17   individual health care employee is required to give notice.
    18   Montefiore, 
    621 F.2d at 514
    .
    19       In addition, our statement in dicta is directed toward
    20   the “rest” of a hospital’s employees, meaning the ones who
    21   are not covered by the union notification.    See 
    id.
        For
    22   these employees to misrepresent their intentions to strike is
    23   distinguishable: union employees have already given notice of
    25
    1   their intent to strike via union compliance with Section
    2   8(g).
    3       For these reasons, the Board correctly determined that
    4   an employer cannot subvert the Congressional compromise
    5   reached in Section 8(g) by enforcing a plant rule requiring
    6   notification of absence.   The Foreword to the 1974 amendments
    7   makes it apparent that Congress specifically weighed the
    8   interests of employers and employees, in light of the
    9   “special considerations” relevant in the health care
    10   industry, in adopting a union notice rule but not an
    11   individual employee notice rule.   See Legislative History.
    12   Notably, Congress balanced these interests in 1974, after the
    13   plant rule doctrine had been established.
    14       Special Touch cannot override this policy choice:
    15   Section 8(g) trumps Special Touch’s legitimate business
    16   reasons for enforcing an individual notice rule.    Thus, we do
    17   not believe that the aides’ conduct was stripped of
    18   protection because they did not comply with Special Touch’s
    19   call-in rule.   Instead, we hold that the aides’ actions were
    20   unprotected because their uncorrected affirmative
    21   misrepresentations regarding their plans to strike in
    22   response to the pre-strike poll placed forty-eight of Special
    23   Touch’s patients in foreseeable imminent danger.
    26
    1
    2   II. Imminent Danger Doctrine
    3
    4          The Board and Special Touch agree that otherwise lawful
    5   strikers’ conduct is unprotected when employees “cease work
    6   without taking ‘reasonable precautions to protect’ the
    7   employer’s plant, equipment, or patients ‘from foreseeable
    8   imminent danger due to sudden cessation of work.’”10       Special
    9   Touch IV, 2011 N.L.R.B. LEXIS 322, at *41 (quoting Bethany
    10   Med. Ctr., 328 N.L.R.B. at 1094-95).        The case that is often
    11   cited as providing the basis for this doctrine is Marshall
    12   Car Wheel & Foundry Co., 
    107 N.L.R.B. 314
     (1953), enf.
    13   denied, 
    218 F.2d 409
     (5th Cir. 1955).
    14          In Marshall Car Wheel, almost half of the employees at a
    15   foundry deliberately timed their walk-out (without giving
    16   advance notice) to coincide with the moment when molten iron
    17   in the plant cupola was ready to be poured off.        
    218 F.2d at
    18   411.        In determining whether the employees had engaged in
    19   protected conduct, the Board first recognized the general
    20   principle that an employee’s right “to engage in concerted
    10
    In its 2011 Order, the Board spelled out the NLRB’s
    position as follows: “the General Counsel further asserts that
    Section 8(g)’s 10-day notice requirement, combined with the
    principle that a strike will be deemed unprotected if employees
    fail to take reasonable precautions to protect the employer’s
    plant, equipment, or products from foreseeable imminent danger,
    already strikes the proper balance.” Special Touch IV, 2011
    N.L.R.B. LEXIS 322, at *13 (emphasis added).
    27
    1   activity is limited by the duty to take reasonable
    2   precautions to protect the employer’s physical plant from
    3   such imminent damage as foreseeably would result from their
    4   sudden cessation of work.”       Marshall Car Wheel, 
    107 N.L.R.B. 5
       at 315.     Although the Board found that the employees had
    6   deliberately endangered the plant, the Board determined that
    7   the evidence showed that the employer disciplined the
    8   employees because they violated a plant rule, not because
    9   their action caused a risk of damage.       See 
    id. at 318-19
    .
    10   The former basis for reprisal was insufficient to undermine
    11   the employees’ rights to engage in concerted activity;
    12   therefore the Board declared the employees’ conduct to be
    13   protected.     See 
    id. at 319
    .
    14       The Fifth Circuit declined to enforce the Board’s
    15   decision.     NLRB v. Marshall Car Wheel & Foundry Co., 
    218 F.2d 16
       409 (5th Cir. 1955).     The court disagreed with the Board’s
    17   reasoning that the company “was not primarily concerned with
    18   the imminent threat of damage” but instead with the violation
    19   of its plant rule forbidding employees from leaving the plant
    20   without notice and permission:
    21               [The Board’s] ultimate conclusion that it
    22               was the violation of the plant rule, and
    23               that alone, which respondent refused to
    24               condone or forgive seems to us
    25               illogically to confuse cause and effect,
    28
    1               to make the tail wag the dog. Assuredly
    2               the respondent was not more interested in
    3               preserving the inviolability of its plant
    4               rule, as such, than it was in protecting
    5               its plant from the extensive damage and
    6               loss which might have resulted from the
    7               illegal walkout. On the ultimate issue of
    8               whether respondent was entitled to
    9               discharge or deny reinstatement to the
    10               offending strikers, the real inquiry is
    11               the character of the concerted activity
    12               engaged in, not whether the rule was
    13               incidentally breached thereby.
    14
    15   
    218 F.2d at 416-17
     (emphasis added) (internal quotation marks
    16   omitted).
    17
    18       This case is a good example of how the plant rule
    19   doctrine and the “imminent danger” principle can be conflated
    20   – they will often go hand-in-hand.    This is unsurprising;
    21   companies with a need to protect against dangerous work-
    22   related activity are likely to have rules in place for that
    23   purpose.    See, e.g., Gen. Chem. Corp., 290 N.L.R.B. at 77.
    24   Regardless, while enforcing an internal company rule
    25   antithetical to Congressional intent is inappropriate,
    26   recognizing the applicability of the imminent danger doctrine
    27   (even if it concerns the same subject matter as the plant
    28   rule) is not only in keeping with the case law, it is good
    29   policy.
    30        In the health care context, we cited Marshall Car Wheel
    31   in Montefiore Hospital and Medical Center v. NLRB for the
    29
    1   proposition that prior notice of concerted activity is
    2   required “only when a strike, by its timing or
    3   unexpectedness, creates great danger or is likely to damage
    4   the employer’s business excessively.”          
    621 F.2d 510
    , 515 (2d
    5   Cir. 1980).   This Court then rejected the hospital’s argument
    6   that two doctors’ participation in a strike (without notice)
    7   put patients at risk and therefore stripped the doctors’
    8   conduct of protection.       See 
    id. at 516
    .
    9       We reached this result because the doctors’ main duties
    10   were in teaching and consulting, rather than patient care,
    11   and “[t]his was not a case in which patients were left lying
    12   on the operating table, emergency room personnel walked off,
    13   or people in need of immediate treatment were left to fend
    14   for themselves.”    
    Id.
       In addition, this Court noted that the
    15   clinic remained open with one doctor, three nurses and a
    16   receptionist during the strike.        See 
    id. at 512
    .    Though
    17   short of its usual ten or twelve doctors and approximately
    18   twenty-five other personnel, the clinic was able to, and did,
    19   treat patients.    See 
    id.
    20       The Seventh Circuit dealt with a comparable scenario in
    21   East Chicago Rehabilitation Center, Inc. v. NLRB, in which
    22   the majority determined that a brief walk-out by seventeen
    23   nurse’s aides and support personnel at a nursing home did not
    30
    1   endanger the health of the facility’s patients.          
    710 F.2d 2
       397, 405 (7th Cir. 1983).       The majority gave several reasons
    3   for its conclusion that the unexpected walk-out was
    4   protected.
    5         First, the court affirmed the Board’s finding that the
    6   walk-out “caused inconvenience” but did not endanger
    7   patients.    
    Id. at 404
    .   Specifically, the Board had found
    8   that patients’ meals and medications were delayed, patients’
    9   sheets were not changed punctually, and one deceased person’s
    10   body was not removed in a timely fashion – a fact that the
    11   majority deemed “unpleasant[].”        See 
    id. at 405
    .    Second,
    12   none of the strikers were doctors or nurses, supporting the
    13   Board’s finding that the strike did not “jeopardize[] any
    14   patient’s safety or health.”       See 
    id. at 404
     (internal
    15   quotation marks omitted).       Third, the court noted that the
    16   nursing home refused to allow the striking employees to
    17   resume work, implying that the company was operating ably
    18   without them (and there was no evidence of replacements
    19   arriving).    See 
    id. at 405
    .     Even so, the court viewed this
    20   as a “close case” which “might well have gone the other way,”
    21   and noted that “at some point the cumulative distress to
    22   helpless patients caused by a walkout of nurse’s aides might
    23   cross the line that separates inconvenience from inhumanity.”
    24   
    Id.
    31
    1         In the final health care case discussed in Special Touch
    2   IV, the Board re-affirmed the principle that Section 8(g)
    3   only requires notice from unions, not from individual heath
    4   care employees.     See Bethany Med. Ctr., 
    328 N.L.R.B. 1094
    ,
    5   1094 (1999).     In Bethany Medical Center, the Board determined
    6   that a two-hour walk-out by catheterization laboratory
    7   employees who provided fifteen minutes’ notice before the
    8   first procedure scheduled for the day was not “indefensible”
    9   conduct and did not create imminent danger.      See 
    id.
     at 1094-
    10   95.   Before analyzing the facts, the Board stated that the
    11   “same standards of conduct” apply to health care employees as
    12   to employees in other industries.     
    Id. at 1094
    .
    13   “Accordingly, the test of whether the catheterization
    14   laboratory employees’ work stoppage lost the protection of
    15   the Act is not whether their action resulted in actual injury
    16   but whether they failed to prevent such imminent damage as
    17   foreseeably would result from their sudden cessation of
    18   work.”     
    Id.
    19         Based on this standard, the Board determined that the
    20   employees’ conduct was protected.     
    Id.
       First, at the time of
    21   the walk-out, no patients were actually in the laboratory,
    22   nor did any patients require emergency treatment.      See 
    id.
     at
    23   1094-95.     Second, all of the procedures scheduled for the day
    24   were routine and able to be transferred to nearby hospitals.
    32
    1   See 
    id. at 1094
    .       The Board noted that any delays experienced
    2   were not exceptional and that the lab had a set policy for
    3   rescheduling, or “bumping,” procedures – both routine and
    4   emergency.     
    Id. at 1095
    .    Third, the Board found that because
    5   there were “numerous other hospitals . . . in the near
    6   vicinity” with the same capabilities as the lab, the
    7   circumstances did not demonstrate a foreseeable risk of harm
    8   to patients.     
    Id.
    9       Board Chairman Truesdale analogized the fact pattern in
    10   Bethany Medical Center to that in East Chicago, finding that
    11   both of these cases involved situations where “there were
    12   other persons to ‘provide cover’ for the employees.”       
    Id.
     at
    13   1095 n.9.    Chairman Truesdale distinguished circumstances
    14   like these, in which striking workers are “provided cover,”
    15   from those in NLRB v. Federal Security, Inc., 
    154 F.3d 751
    16   (7th Cir. 1998), in which a walk-out by security guards left
    17   a housing project unprotected.         See 
    id.
    18       In Federal Security, the Seventh Circuit refused to
    19   enforce the Board’s decision that security guards who
    20   abandoned their stations at a dangerous public housing
    21   complex in Chicago (leaving at least four posts completely
    22   unguarded) had engaged in protected activity.       
    154 F.3d at
    23   752-53, 756.    The housing complex hired around-the-clock
    24   armed guards to staff posts, sweep buildings for weapons and
    33
    1   drugs, and verify that only residents and guests entered the
    2   facilities.     See 
    id. at 753
    .     The court determined that the
    3   protection provided by the guards was critical – a finding
    4   contained “in record evidence undisputed by the parties but
    5   largely unmentioned by the ALJ.”        
    Id. at 756
    .   Given the
    6   guards’ protective duties, the Seventh Circuit determined
    7   that even though the complex was left unguarded for only
    8   twenty minutes, that was enough to place residents in danger.
    9   See 
    id. at 757
    .
    10        The court identified a “clear” distinction between the
    11   facts in Federal Security and those in East Chicago: “[W]hile
    12   the nurses’ aides left behind doctors, nurses, and other
    13   front-line health care workers to provide cover, here the
    14   guards were the front line, leaving behind unattended
    15   stations and vulnerable residents.”        
    Id. at 756
    .   Moreover,
    16   the Seventh Circuit took issue with the ALJ’s focus on
    17   whether harm actually occurred as a result of the walk-out.
    18   See 
    id. at 756-57
    .     The court explained that the imminent
    19   danger doctrine11 “does not ask whether anyone actually was
    20   harmed by the activity otherwise protected; it asks whether
    21   the activity endangered anyone to the point that harm was
    22   foreseeable.”     
    Id. at 757
    .     Since “otherwise protected
    11
    Therein referred to as the “‘health and safety’
    exception.” See 
    id. at 757
    .
    34
    1   activity surely loses its protection when it compromises the
    2   safety of others,” the guards’ conduct was not protected
    3   under the NLRA.   See 
    id. at 755, 756
    .
    4       We have no doubt that this case is more akin to Federal
    5   Security than to East Chicago.     The Board, however, was
    6   dismissive of the argument that Special Touch’s patients were
    7   placed at risk by the aides’ conduct.      This view is traceable
    8   to two sources.
    9       First, the ALJ in Special Touch I used the wrong
    10   standard to assess whether the imminent danger doctrine was
    11   in play (as in Federal Security), observing that “[a]t the
    12   end of the day on June 7, 2004, there were only about five
    13   clients for whom the Respondent could not get coverage.      And
    14   as to them, there was no evidence that they suffered any
    15   adverse consequences.”   2005 N.L.R.B. LEXIS 472, at *20.
    16   Actual harm to patients is not the issue.      The appropriate
    17   inquiry is focused on the risk of harm, not its realization.
    18   The Board was quite clear in General Chemical:      “Although no
    19   actual damage took place, that is not the test.      There was a
    20   reasonably foreseeable possibility of danger – the purpose of
    21   the [plant] rule.”   290 N.L.R.B. at 83.     Likewise, in Federal
    22   Security, the Seventh Circuit specifically noted that
    23   “[w]hether actual harm resulted is hindsighted and
    24   irrelevant.   The proper focus is that the unguarded stations
    35
    1   unquestionably heightened the danger to residents.”     
    154 F.3d 2
       at 757.   The standard is well-established for good reason.
    3   Penalizing companies for disciplining employees whose
    4   indefensible conduct fortuitously yields no damage would not
    5   serve the underlying purpose of the doctrine – avoiding
    6   unreasonable risk.   It would be cruel to hold well-meaning
    7   entities accountable for their employees’ good luck.
    8       Second, although the Board cabined its focus to danger
    9   (rather than actual harm) in Special Touch IV, it also
    10   observed that it was unaware of any case in which “imminent
    11   danger” existed along with properly given Section 8(g)
    12   notice.   2011 N.L.R.B. LEXIS 322, at *22.   And, while “under
    13   appropriate circumstances, [the Board] would entertain an
    14   argument that despite prior notice, a strike, or particular
    15   employees’ participation in a strike, created an imminent
    16   danger,” the Board did not believe that the situation here
    17   qualified.   See 
    id.
     at *22 n.17.
    18       The facts in this case are not disputed.    The Board
    19   acknowledged that Special Touch patients “have a wide range
    20   of physical and mental conditions ranging from depression to
    21   diabetes to poststroke partial paralysis.”    
    Id. at *3
    .
    22   Still, the Board did not believe that Special Touch aides’
    23   presence in patients’ homes was necessary to prevent a
    24   foreseeable risk of harm.   At oral argument, attorneys for
    36
    1   the NLRB supported this position by explaining that many of
    2   the aides advised their patients or patients’ families that
    3   they would be absent on the day of the strike (thus
    4   alleviating the danger) and that, regardless, if an emergency
    5   did arise, the aides are unable to administer medication.      We
    6   disagree with the Board’s application of the law to these
    7   facts and to the record as a whole.    Neither the aides’
    8   individual notice to patients nor the aides’ inability to
    9   perform medical services significantly mitigates the risks
    10   posed when a home health care aide neglects to attend his or
    11   her patient.
    12       It was undisputed that Special Touch aides care for
    13   patients who are referred to nursing agencies by physicians
    14   or hospitals and it is this contracting agency that
    15   ultimately determines whether a patient can be left alone at
    16   any given time.    For example, Special Touch Vice President
    17   Keehn testified that if a patient resists having an aide on
    18   any given day, or even if a family member of the patient
    19   offers to take care of the patient instead, Special Touch
    20               would then consult with the contracting
    21               agency just to see if that would be
    22               acceptable to them because we couldn’t
    23               cancel the service even for the one day
    24               without reporting it to the nursing
    25               staff, contracting agency nursing staff.
    26               And they do say no. Sometimes they say,
    27               no, we don’t think it’s a good idea.
    28   (JA 503.)
    37
    1   There is an obvious explanation: medical professionals do not
    2   want people without training to be responsible for taking
    3   care of elderly, sick and/or homebound patients.
    4        For this reason, it is irrelevant that many of the
    5   forty-eight aides who did not call in or show up on June 7,
    6   2004 warned their patients in advance.     While this gesture is
    7   well-meaning, it does not remove the danger.     First, many of
    8   the patients served by Special Touch live alone and there is
    9   no one readily available to cover for an absent aide.      Some
    10   of the company’s patients live with equally aged and infirm
    11   spouses or siblings.12   Second, even if a patient does live
    12   with family, these individuals have not been trained to
    13   provide the care the patient needs.     And finally (but
    14   critically), many of Special Touch’s patients do not
    15   appreciate the degree of care that their conditions require.
    16        The aides who work at Special Touch receive weeks of
    17   training designed to help them take care of patients who,
    18   like some of the forty-eight who were left alone on June 7,
    19   2004, have conditions including Parkinson’s disease, early-
    20   onset Alzheimer’s disease and other memory problems,
    12
    For example, Norma Lindao, one of the forty-eight aides at
    issue, was assigned to care for a couple from 9:00 a.m. to 5:00
    p.m. six days per week in June of 2004. The husband had
    Parkinson’s disease and early-stage Alzheimer’s disease and the
    wife suffered from epilepsy.
    38
    1   epilepsy, broken limbs, diabetes, osteoporosis, breast
    2   cancer, developmental disabilities, impaired mobility and
    3   recent strokes.    Although not all of these patients were
    4   slated to receive twenty-four hour care, they were all
    5   subject to nursing plans that prescribe some measure of
    6   supervision and assistance.     The primary reason for aides to
    7   be present in patients’ homes is prevention.     The Special
    8   Touch aides are the primary link between the nursing agency
    9   and the patients and their job is to observe the patients and
    10   ensure their safety.
    11       The consequences of aides not showing up to patients’
    12   homes and failing to secure replacements in advance could
    13   very well be dire.     In the Decision and Order that the Board
    14   asks us to enforce, the Board makes light of the aides’
    15   duties, describing them as “cleaning, shopping, bathing,
    16   reminding customers to take their medication, and observing
    17   customers for signs of immediate distress, such as dizziness
    18   or chest pains.”     Special Touch IV, 2011 N.L.R.B. LEXIS 322,
    19   at *3.   But the reason aides perform light cleaning is to
    20   decrease the chance that their frail and elderly patients
    21   will trip over an obstacle or slip on a dirty floor.
    22   Likewise, the reason the aides help their patients with
    23
    39
    1   shopping is that many of the patients have trouble walking
    2   and are homebound.
    3       It is true that some patients are occasionally left
    4   alone – even when an aide is on duty – but in these
    5   situations, the aide first places a phone with emergency
    6   phone numbers near the patient, ensures that the patient has
    7   taken any necessary medications, has gone to the bathroom and
    8   is in a comfortable position, and the aide must call a
    9   coordinator at Special Touch to inform the agency.     The
    10   evidence shows that patients who are left alone when they,
    11   their families and their physicians expect that an aide will
    12   be present are exposed to “foreseeable imminent danger.”
    13       On June 7, 2004, when forty-eight aides did not arrive
    14   as expected at their patients’ homes, their actions gave rise
    15   to this danger.     This is not a case like Montefiore, where
    16   one physician and three nurses remained available to help
    17   patients in need.     See 
    621 F.2d at 512
    .   This is not a case
    18   like East Chicago, where two nurse’s aides and four nurses
    19   kept working in the nursing home and were available to assist
    20   the elderly.   See 710 F.2d at 407 (dissent).     This is not a
    21   case like Bethany Medical Center, where routine operations
    22   were delayed and transferred to other hospitals, and
    23   emergency procedures could be redirected to “numerous other
    40
    1   hospitals . . . in the near vicinity.”     See 328 N.L.R.B. at
    2   1095.     Instead, this is a case like Federal Security, where
    3   workers completely abandoned their assigned posts, exposing
    4   the people they were hired to care for and protect to
    5   foreseeable and imminent danger.     See 
    154 F.3d at 753-57
    .
    6       Before this Court, the Board emphasized the lack of
    7   prior notice provided to employers in each of these cases.
    8   Here, the Union gave the requisite ten-day notice of its
    9   intent to strike pursuant to Section 8(g).     As previously
    10   discussed, the employees were not required to give individual
    11   notice – not by Section 8(g) and not by Special Touch’s plant
    12   rule.     But the aides were required to take “‘reasonable
    13   precautions to protect’ the employer’s . . . patients ‘from
    14   foreseeable imminent danger due to sudden cessation of
    15   work.’”     Special Touch IV, 2011 N.L.R.B. LEXIS 322, at *41
    16   (quoting Bethany Med. Ctr., 328 N.L.R.B. at 1094-95).        By
    17   misleading Special Touch into believing that each of the
    18   forty-eight aides’ patients would be covered during the
    19   strike, the aides exposed their patients to the risk of harm.
    20       To be clear, this is not a roundabout way of
    21   establishing an individual employee notification rule.       Had
    22   Special Touch not reached out to their aides in advance of
    23   the strike in an attempt to plan ahead (as the company is
    41
    1   authorized to do pursuant to Board precedent), the aides
    2   would not have been required to call in.      The Union’s notice
    3   sufficed to advise the company that all of the approximately
    4   1400 aides scheduled to work on June 7, 2004 might be on
    5   strike.    If an employer does not take it upon itself to
    6   inquire further, the employer should be considered to have
    7   received notice of 1400 absences.      Moreover, there is no
    8   requirement that an employee answer its employer’s request
    9   for information.    The Board made it clear in Preterm that an
    10   employee cannot be forced to tell the employer whether or not
    11   the employee plans to strike – this would constitute an
    12   impediment to engaging in protected activity.      See 240
    13   N.L.R.B. at 656.    What employees cannot do is mislead their
    14   employer into expecting their presence when the lack thereof
    15   will result in foreseeable imminent danger.
    16       Despite the fact that forty-eight aides never started
    17   work on June 7, 2004, it can still be said that foreseeable
    18   imminent danger resulted from their “sudden cessation of
    19   work.”    Until approximately twenty minutes after each of the
    20   forty-eight aides’ shifts began, Special Touch believed that
    21   it had these patients covered.      The “sudden cessation of
    22   work” occurred when the company determined that nearly fifty
    23   of its aides were absent and that it would need to secure
    42
    1   replacements (many of whom would need to speak Spanish) as
    2   fast as possible.13    This twenty-minute period (the bare
    3   minimum for which a patient might have been without coverage
    4   on June 7), was enough time for harm to have occurred.       See
    5   Federal Security, 
    154 F.3d at 757
    .     Moreover, while forty-
    6   three patients received partial coverage on the first day of
    7   the strike, an additional five patients were left alone
    8   entirely when the company could not secure replacements.
    9        The burden on employees is minimal.     It is simply not to
    10   mislead an employer about whether an employee plans to work
    11   when an unexpected absence will create a risk of harm to the
    12   employer’s plant, equipment or patients.     This obligation
    13   extends to all industries.     Indeed, the resolution of this
    14   case has very little to do with Section 8(g) or the
    15   requirements imposed on health care employees and employers
    16   by Congress.
    17        This case, and our opinion, merely invokes the
    18   established Board principle that an employee must take
    19   reasonable precautions not to create foreseeable imminent
    20   danger.     The parties and the Board all agree that this is the
    21   standard.     Indeed, the Board identifies the employer’s right
    13
    This task was made even more difficult because Special
    Touch had already pulled seventy-five replacements from its
    additional pool of aides to fill in for the aides who informed
    the company of their plans to strike.
    43
    1   to discipline employees who fail to meet this burden as one
    2   of the reasons why an individual employee notification
    3   requirement is unnecessary in the health care industry.
    4   Special Touch IV, 2011 N.L.R.B. LEXIS 322, at *41.   The
    5   forty-eight Special Touch aides who affirmatively
    6   misrepresented their intent to work on June 7, 2004 engaged
    7   in “indefensible conduct” that is not protected by the NLRA.
    8   As a result, Special Touch’s failure to immediately reinstate
    9   these employees did not violate Section 8(a)(1) or (3).
    10
    11                            Conclusion
    12       For the foregoing reasons, the petition of the National
    13   Labor Relations Board to enforce its June 30, 2011 Decision
    14   and Order is DENIED.
    44