Jesus Jehovah v. Harold Clarke ( 2015 )


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  •                                      PUBLISHED
    UNITED STATES COURT OF APPEALS
    FOR THE FOURTH CIRCUIT
    No. 13-7529
    JESUS EMMANUEL JEHOVAH, a/k/a Robert Gabriel Love, a/k/a
    Gabriel Alexander Antonio,
    Plaintiff - Appellant,
    v.
    HAROLD W.       CLARKE,    Director;     A.   DAVID    ROBINSON,   Deputy
    Director,
    Defendants – Appellees,
    and
    COMMONWEALTH OF VIRGINIA; LORETTA K. KELLY, Warden, Sussex I
    State Prison; ALL EMPLOYEES OF THE VIRGINIA DEPARTMENT OF
    CORRECTIONS, in their official, individual, and private
    capacities, jointly and severally; EDDIE L. PEARSON, Warden;
    KEISHA FOWLKES, Unit Manager; MS. EVANS, Records Officer;
    MS. ANSAH, Corporal; ARMOR CORRECTIONAL HEALTH SERVICES,
    INC.;   ANTHONY    KING,   Dr.;   MESELE    GEBREYES,   Dr.;
    BENJAMIN ULEP, Dr.,
    Defendants.
    Appeal from the United States District Court for the Eastern
    District of Virginia, at Alexandria. James C. Cacheris, Senior
    District Judge. (1:12-cv-00087-JCC-IDD)
    Argued:   May 12, 2015                                Decided:   July 9, 2015
    Amended:    August 11, 2015
    Before TRAXLER,   Chief   Judge,   and   GREGORY   and   FLOYD,   Circuit
    Judges.
    Reversed and remanded by published opinion. Judge Gregory wrote
    the opinion, in which Chief Judge Traxler and Judge Floyd
    joined.
    ARGUED:    Lola Abbas Kingo, GEORGETOWN UNIVERSITY LAW CENTER,
    Washington, D.C., for Appellant. Trevor Stephen Cox, OFFICE OF
    THE ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for
    Appellees.     ON   BRIEF:     Steven  H.   Goldblatt,  Director,
    Clay Greenberg, Student Counsel, Elizabeth Purcell, Student
    Counsel, Appellate Litigation Program, GEORGETOWN UNIVERSITY LAW
    CENTER, Washington, D.C., for Appellant.        Mark R. Herring,
    Attorney General of Virginia, Cynthia E. Hudson, Chief Deputy
    Attorney General, Linda L. Bryant, Deputy Attorney General,
    Public Safety & Enforcement, Richard C. Vorhis, Senior Assistant
    Attorney General, Kate E. Dwyre, Assistant Attorney General,
    Stuart A. Raphael, Solicitor General of Virginia, OFFICE OF THE
    ATTORNEY GENERAL OF VIRGINIA, Richmond, Virginia, for Appellees.
    2
    GREGORY, Circuit Judge:
    Inmate     Jesus       Emmanuel     Jehovah     appeals        from   the   district
    court’s dismissal of his pro se claims against the Commonwealth
    of     Virginia       and     various      employees      and    contractors       of    the
    Virginia    Department          of    Corrections      (“VDOC”).         Jehovah      claims
    that Appellees violated his free exercise rights under the First
    Amendment       and    the     Religious      Land       Use    and    Institutionalized
    Persons Act (“RLUIPA”) by a) prohibiting him from consuming wine
    during communion, b) requiring him to work on Sabbath days, and
    c) assigning him non-Christian cellmates.                        Jehovah also alleges
    that     Appellees          demonstrated      deliberate        indifference       to     his
    medical     needs      in     violation      of    the    Eighth       Amendment.         The
    district court dismissed sua sponte Jehovah’s Sabbath claims,
    cell assignment claims, and deliberate indifference claim, and
    granted Appellees summary judgment on the communion wine claim.
    We reverse the district court’s judgment in its entirety and
    remand for further proceedings.
    I.
    Jehovah is a VDOC inmate who was incarcerated at Sussex I
    Prison (“SIP”) in Waverly, Virginia when he filed this lawsuit.
    In his pro se complaint, he alleges four courses of action taken
    by   VDOC   employees          that   he    claims     violated       his    rights     under
    RLUIPA and the First and Eighth Amendments.
    3
    First, Jehovah claims that various policies have prevented
    him   from    taking       communion    in       the       manner    required   by   his
    religious beliefs.             Jehovah’s religion 1 mandates that he take
    communion by drinking red wine and consuming bread dipped in
    honey, olive oil, sugar, cinnamon, and water.                             While he was
    incarcerated        at    Nottoway     Correctional              Center   (“NCC”)    from
    September 2009 to March 2010, Jehovah was not permitted to take
    communion     at    all    pursuant     to       a    memorandum      prohibiting    the
    practice for inmates in segregation.                      In April 2010, Jehovah was
    transferred        to    SIP   and   placed          in    the    general   population.
    Jehovah requested permission from the warden to take communion
    but did not receive a response, so he filed a grievance.                              In
    January 2011, while Jehovah’s grievance was pending, VDOC issued
    a new policy prohibiting all inmates from consuming wine during
    communion.     Jehovah filed another grievance, which VDOC denied.
    VDOC revised its policy in January 2012 to allow inmates to
    consume bread dipped in wine but not to drink wine.                             Jehovah
    filed a third grievance, which was also denied.                             In December
    1Jehovah appears to adhere to his own particular brand of
    Christianity, citing to a version of the Bible written by
    himself. See J.A. 23 (Compl. n.1). Appellees do not challenge
    the sincerity of his beliefs, and it is not within the courts’
    purview to “question the centrality of particular beliefs or
    practices to a faith, or the validity of particular litigants’
    interpretations of those creeds.”       Hernandez v. Comm’r of
    Internal Revenue, 
    490 U.S. 680
    , 699 (1989).
    4
    2012, VDOC changed its policy yet again to ban inmates from
    consuming communion wine by any method. 2
    Second, Jehovah asserts that he has been unable to secure a
    job that will allow him to observe his Sabbaths.                                  Jehovah’s
    faith prohibits him from working during the “Old Jewish Sabbath”
    (Friday       sundown      to    Saturday      sundown)     or       the   “New   Christic
    Sabbath”      (Saturday         at   sunset    to      Monday   at    sunrise). 3        VDOC
    requires inmates to participate in programming –- including work
    and educational activities -- for a certain number of hours per
    week in order to be eligible for good conduct allowances and
    earned sentence credits.              See Va. Code § 53.1-32.1.              In February
    2011       Jehovah   was    assigned      to       a   cleaning      position,     and    his
    supervisor required him to work seven days a week.                                  Jehovah
    requested that VDOC accommodate his observance of the Sabbaths,
    but VDOC refused, informing him that his failure to work could
    lead to sanctions.               He filed a grievance, which VDOC denied.
    VDOC staff has not approved him for any job for which he has
    applied since December 2011, including jobs for which they had
    2
    This policy, like the January 2011 policy, allows clergy
    to consume wine during services but permits inmates to drink
    only wine substitutes such as grape juice.
    3
    Jehovah is required to devote these days to religious
    observance and instruction.
    5
    previously approved him. 4                   According to Jehovah, “there are few
    prison jobs available to him at SIP and other prisons which he
    can work and keep observing the Sabbaths.”                                  J.A. 27 (Compl.
    ¶ 32).
    Third, Jehovah states that VDOC has housed him with “people
    who    are       anti-Christian           and       unbelievers,”          contrary          to   his
    religious beliefs.                 J.A. 28 (Compl. ¶ 34).              Jehovah “is directed
    by God not to be yoked to unbelievers.”                              J.A. 28 (Compl. ¶ 34).
    At one point Jehovah was housed with a “self-proclaimed Satanist
    and    anti-Christian,”                 even    though         VDOC     knew   of     Jehovah’s
    religious views.                 J.A. 28 (Compl. ¶ 35).               This inmate harassed
    Jehovah and subjected him to “anti-Christian, anti-Jewish, anti-
    God . . . rhetoric.”                  J.A.     28   (Compl.        ¶ 35).      After         several
    requests to be reassigned, Jehovah filed a grievance to which
    VDOC       never      responded.           Since        July    2011,      Jehovah    has         been
    assigned         to       live   with    “an    atheist,        an    agnostic,      a       worldly
    Muslim,      a     false/non-practicing                 insincere     Christian,         a    racist
    black anti-Christian atheist, a self-proclaimed ‘Hell’s Angel’
    biker,      and       a    black    anti-Christian          from      an   anti-white         gang.”
    J.A. 29 (Compl. n.18).                    Other VDOC prisons had been able to
    4
    Jehovah lost his cleaning job on May 17, 2011 after being
    placed in segregation.
    6
    accommodate       Jehovah’s       requests       to    be      housed       only     with
    Christians.
    Finally,    Jehovah      alleges     that      he    has    suffered     various
    medical    ailments      that    VDOC     medical      staff      have    deliberately
    ignored.          In    2009     while     incarcerated           at     NCC,   Jehovah
    experienced,      among     other   things,      tongue       lesions,      chest    and
    throat pain, difficulty swallowing, coughing, nausea, lethargy,
    and    unexplained      weight    loss.        After       medical      staff   at   NCC
    “detected and acknowledged” Jehovah’s symptoms but before they
    could diagnose them, Jehovah was transferred to SIP on March 26,
    2010.      J.A.    30     (Compl.   ¶ 43).         Jehovah        developed     further
    symptoms after arriving at SIP, and after testing negative for
    strep throat he was referred to Dr. King.                         On April 15, 2010,
    Dr. King examined Jehovah for the first time.                      He found holes in
    Jehovah’s tonsils but “did not acknowledge” any of Jehovah’s
    other symptoms; he ordered a test for HIV, which was negative,
    and then did not provide any further care.                             J.A. 30 (Compl.
    ¶ 45).     Jehovah’s symptoms worsened, and he sought additional
    treatment from Dr. King on June 17, 2010.                    Dr. King ignored all
    of    Jehovah’s    symptoms      except    his   coughing,         neck    lesion,   and
    nasal drip. 5     Dr. King ordered a chest x-ray and urine and blood
    5At this point in time, Jehovah’s alleged symptoms
    included:   “coughing with unusual whitish phlegm, [a] patch of
    hair loss and neck lesion on His neck, fatigue, dizziness, night
    (Continued)
    7
    tests:        the x-ray appeared normal but the urine and blood tests
    revealed        abnormalities         consistent          with     infection.         Jehovah
    maintains Dr. King ignored these results and provided no further
    treatment.           Jehovah saw Dr. King again on July 30, 2010, and
    Dr. King referred him to mental health staff, who ultimately
    determined that he had no psychological problems.                                 Jehovah’s
    condition        continued      to    deteriorate. 6             When   Jehovah   next    saw
    Dr. King on August 30, 2010, Dr. King “disregarded most” of his
    symptoms       and    treated       him    for   gastroesophageal           reflux    disease
    with        Prilosec,   which       made    many     of    Jehovah’s       symptoms   worse.
    J.A. 31 (Compl. ¶ 48).               Dr. King also referred Jehovah to mental
    health       staff    again    to    be    evaluated       for     bipolar    disorder,   of
    which       staff    found    no     symptoms.        This       pattern    continued    into
    sweats, nasal drip, weight loss, a lump under [h]is left ear,
    chest pains, chest burning sensations, involuntary muscle spasms
    throughout [h]is body, headaches, difficulty sleeping, swollen
    lymph nodes, and other symptoms.” J.A. 30 (Compl. ¶ 46).
    6
    Additional symptoms included “tinnitus/ringing sensations
    in   [h]is   hearing/ears,   popping  and   bubbling  sounds and
    sensations and pains in [h]is ears and ear canals; episodic
    problems concentrating, slowed cognitive functioning, malaise,
    and dizziness; abdominal pains, abnormal stools, and rapidly
    passing    consumed   meals;   more  difficulty   swallowing and
    persistent sensations of something being caught in [h]is throat,
    neck pain, and sore and tender swollen nodes and tissues in his
    neck; more chest pains and of greater intensity, and bones in
    [h]is sternum area slightly, audibly, and painfully popping and
    moving out of place; worsening muscle spasms, and spontaneous
    irregular and painful heartbeats.” J.A. 31 (Compl. ¶ 47).
    8
    2012,       with     Dr.    King         and       other       VDOC       doctors        allegedly
    acknowledging        only       some    of     Jehovah’s       symptoms,         ignoring       test
    results indicating infection, and failing to improve Jehovah’s
    condition. 7
    Jehovah      filed       this     lawsuit          on   July       11,    2012,       seeking
    compensatory and injunctive relief for these alleged violations
    of RLUIPA, the First Amendment, and the Eighth Amendment.                                        On
    September 27, 2012, the district court sua sponte dismissed all
    of Jehovah’s claims except his communion claim pursuant to the
    Prison       Litigation         Reform       Act       (“PLRA”),      28       U.S.C.     § 1915A.
    Appellees moved to dismiss the remaining claim on December 21,
    2012.       In support of their motion they submitted a declaration
    from       VDOC   Chief    of    Corrections            Operations        A.    David     Robinson
    discussing the purposes of the wine ban.                           Jehovah responded with
    numerous discovery requests to which Appellees responded in part
    and    otherwise      objected.              He    then    filed      a    motion       to   compel
    discovery and to hold an evidentiary hearing, which the district
    court denied on May 17, 2013.                          On August 20, 2013, the court
    granted       Appellees’         summary           judgment      motion         and      dismissed
    Jehovah’s         RLUIPA    and        First       Amendment       claims        regarding       the
    7
    In 2013, Jehovah filed a notice with the district court
    stating that an ultrasound electrocardiogram had revealed that
    for two years he had been suffering from pulmonary hypertension
    with right ventricle hypertrophy, an irreversible and often
    fatal condition.
    9
    communion wine ban.        Jehovah timely appealed the dismissal of
    all his claims.
    II.
    On appeal, Jehovah argues that the district court erred in
    1)    dismissing    his   Sabbath,    cell       assignment,          and    deliberate
    indifference    claims    under    § 1915A,       and    2)    granting       Appellees
    summary judgment on his communion wine claim.
    We review de novo a § 1915A dismissal for failure to state
    a claim.      Slade v. Hampton Roads Reg’l Jail, 
    407 F.3d 243
    , 248
    (4th Cir. 2005).      Dismissal is proper only if the plaintiff has
    failed to “present factual allegations that ‘state a claim to
    relief that is plausible on its face.’”                   Jackson v. Lightsey,
    
    775 F.3d 170
    , 178 (4th Cir. 2014).               Similarly, we review de novo
    a grant of summary judgment.         Seabulk Offshore, Ltd. v. Am. Home
    Assur. Co., 
    377 F.3d 408
    , 418 (4th Cir. 2004).                     We must “view[]
    the   facts   and   inferences     drawn    therefrom         in   the      light   most
    favorable to the non-moving party.”                
    Id.
            Summary judgment is
    inappropriate if “the evidence is such that a reasonable jury
    could return a verdict for the nonmoving party.”                            Anderson v.
    Liberty Lobby, Inc., 
    477 U.S. 242
    , 248 (1986).
    We must construe pro se complaints liberally, Jackson, 775
    F.3d at 178, and “[l]iberal construction of the pleadings is
    particularly    appropriate       where,    as    here,       there    is    a   pro   se
    10
    complaint raising civil rights issues,” Smith v. Smith, 
    589 F.3d 736
    , 738 (4th Cir. 2009) (alteration in original).
    III.
    The First Amendment’s protection of the right to exercise
    religious beliefs extends to all citizens, including inmates.
    O’Lone v. Estate of Shabazz, 
    482 U.S. 342
    , 348 (1987).                                  In
    Turner v. Safley, the Supreme Court held that “when a prison
    regulation       impinges       on     inmates’         constitutional     rights,     the
    regulation is valid if it is reasonably related to legitimate
    penological interests.”                
    482 U.S. 78
    , 89 (1987).               The Turner
    Court    laid     out    a    four-factor     test       for   determining    whether    a
    prison regulation that infringes on an inmate’s First Amendment
    rights is nonetheless reasonable and therefore constitutionally
    valid.     First, is there “a ‘valid, rational connection’ between
    the prison regulation and the legitimate governmental interest
    put     forward     to       justify     it[?]”          
    Id.
         Second,     are     there
    “alternative means of exercising the right that remain open to
    prison inmates[?]”              
    Id. at 90
    .              Third, what is “the impact
    accommodation of the asserted constitutional right will have on
    guards    and     other       inmates,    and      on    the   allocation    of    prison
    resources       generally[?]”           
    Id.
            And    finally,   do    there     exist
    “obvious, easy alternatives” suggesting that the regulation is
    “an ‘exaggerated response’ to prison concerns[?]”                            
    Id.
         Under
    11
    this framework, “[t]he burden . . . is not on the State to prove
    the    validity    of   prison     regulations    but   on    the    prisoner     to
    disprove it.”      Overton v. Bazzetta, 
    539 U.S. 126
    , 132 (2003).
    RLUIPA    provides    more    stringent    protection      of    prisoners’
    free exercise rights than does the First Amendment, applying
    “strict scrutiny instead of reasonableness.”                  Lovelace v. Lee,
    
    472 F.3d 174
    , 186 (4th Cir. 2006).             It prohibits any government
    entity    from    imposing     a   “substantial    burden”     on    an     inmate’s
    religious exercise unless the burden “is in furtherance of a
    compelling governmental interest” and “is the least restrictive
    means     of      furthering       that . . . interest.”               42     U.S.C.
    § 2000cc-1(a).      The inmate bears the initial burden of showing a
    substantial burden on her religious exercise, but the government
    must establish that the burden is the least restrictive way to
    further a compelling governmental interest.                  Id. § 2000cc-2(b).
    “The      least-restrictive-means            standard     is        exceptionally
    demanding, and it requires the government to show that it lacks
    other means of achieving its desired goal without imposing a
    substantial burden on the exercise of religion by the objecting
    party.”     Holt v. Hobbs, 
    135 S. Ct. 853
    , 864 (2015) (internal
    quotation marks and alterations omitted).
    A.
    Jehovah    and   Appellees     agree      that   summary     judgment      of
    Jehovah’s RLUIPA claim regarding VDOC’s wine ban was improper
    12
    for two reasons.         First, Jehovah did not have the opportunity to
    brief the issue of whether the wine ban substantially burdened
    his religious exercise.             The district court held that Jehovah
    had not demonstrated a substantial burden.                        But the court had
    previously      found,    during       the        motion-to-dismiss      stage,      that
    “[p]rohibiting plaintiff from taking wine with communion burdens
    the exercise of his religion.”                J.A. 55.          Because of this, the
    parties did not address the substantial burden prong of RLUIPA
    in   their     summary    judgment      briefing.           A   district     court    may
    resolve a motion for summary judgment on grounds not raised by a
    party, but it must first provide notice and a reasonable time to
    respond.     Fed. R. Civ. P. 56(f); see also Coward v. Jabe, 532 F.
    App’x   328,    329    (4th    Cir.    2013)       (unpublished)       (“After    giving
    notice and a reasonable time to respond, the district court may
    grant a motion for summary judgment on grounds not raised by a
    party.”).      Jehovah was not afforded the requisite opportunity to
    demonstrate      an    issue   of     material       fact   regarding       the   burden
    imposed by the wine ban.
    Second, the parties agree that the record is insufficient
    to   support     the   conclusion       that       the   wine    ban   is   the    least
    restrictive means to address the government’s purported security
    13
    interest. 8   The Robinson Affidavit, which Appellees proffered in
    support of their summary judgment motion, does not even attempt
    to explain why an absolute ban is the least restrictive measure
    available.    At the very least, the government must “acknowledge
    and give some consideration to less restrictive alternatives.”
    Couch v. Jabe, 
    679 F.3d 197
    , 203 (4th Cir. 2012). 9                Both Jehovah
    and Appellees agree that this burden has not yet been satisfied,
    and   we   agree.      Therefore,     we    reverse   the   district     court’s
    summary dismissal of Jehovah’s RLUIPA wine ban claim and remand
    for further proceedings.
    Although we must subject Jehovah’s First Amendment claim to
    a standard more deferential to VDOC, we find that a reasonable
    jury could rule in Jehovah’s favor.            Under Turner, Jehovah bears
    the burden of showing not only that his religious exercise was
    substantially       burdened,   but   also    that    the   wine   ban   is   not
    “reasonably related to legitimate penological interests.”                     482
    U.S. at 89; see also Overton, 
    539 U.S. at 132
    .                     The district
    8Jehovah also argues that a genuine issue of material fact
    exists as to whether the government’s security interest is
    compelling. Appellant’s Br. 38-40.
    9 Jehovah has put forth a number of less restrictive
    alternatives, including: 1) to apply the same security measures
    used   for   medication  to  wine,   2) to   allow  Jehovah  an
    accommodation to drink wine, and 3) to exclude inmates who have
    been convicted of infractions involving stealing or alcohol and
    inmates with a history of alcoholism.
    14
    court    based     its        First    Amendment         holding   on    its       finding      that
    Jehovah      failed       to     demonstrate         a    substantial         burden      on    his
    religious exercise.                 As with the RLUIPA claim, the court failed
    to provide notice that it would be considering this alternative
    ground      for    summary          judgment.         However,      we       may    affirm      the
    district court’s grant of summary judgment on any ground in the
    record.      Bryant v. Bell Atlantic Md., Inc., 
    288 F.3d 124
    , 132
    (4th Cir. 2002).              Therefore, we must determine whether a genuine
    issue of material fact exists regarding whether the wine ban is
    unreasonable under Turner.
    Turner’s          first       prong    asks    whether       there      is    a     rational
    connection        between       a     legitimate     penological         interest         and    the
    policy infringing on an inmate’s free exercise.                              482 U.S. at 89.
    The Robinson Affidavit attests that the communion wine policy is
    motivated         by     “safety       and    security          concerns,”         specifically
    intended     to     avoid       the    mishandling         of   alcohol      and     to    prevent
    inmates     who        have    struggled      with       alcoholism      from      engaging       in
    unhealthy behavior.                 J.A. 81-82.          Promoting the inmates’ safety
    and health is a legitimate concern.                         See McRae v. Johnson, 261
    F. App’x 554, 558 (4th Cir. 2008) (unpublished) (finding that
    “in   the    prison       setting,       suppression         of    contraband . . . [and]
    maintaining            the      health        and         safety        of      inmates          and
    staff . . . constitute                  compelling          governmental            interests.”
    (emphasis added) (citing Cutter v. Wilkinson, 
    544 U.S. 709
    , 722
    15
    (2005)).      It also seems clear that the communion wine ban is, in
    the   most    general      sense,    logically        connected      to     its   asserted
    goal:        restricting         inmate     wine     consumption       is    a    rational
    approach     to    preventing       alcohol        misuse    and    abuse.        What     is
    unclear,     however,       is    whether     the    other    Turner       prongs   –     the
    availability of alternative means of exercising the right, the
    impact of accommodation, and the existence of alternatives --
    support the conclusion that the wine ban is reasonable.
    In     the    First     Amendment        context,      “the     availability         of
    alternative        means     of     practicing         religion       is     a    relevant
    consideration.”         Holt, 
    135 S. Ct. at 862
    ; see also O’Lone, 
    482 U.S. at 351-52
     (analyzing an absolute ban on attending Jumu’ah
    and     addressing       whether         inmates      “retain       the      ability       to
    participate        in   other      Muslim      ceremonies”         (emphasis      added)).
    Although the ban at issue prohibits drinking wine at communion,
    it does not prevent inmates from engaging in other aspects of
    communion, nor does it affect other religious practices.                                It is
    noteworthy,        however,       that    a    previous      version        of    the     ban
    permitted     inmates       to    consume      wafers    dipped      in     wine.        That
    version, like the current one, allowed clergy to bring one fluid
    ounce of wine into the prison.                      Neither version categorically
    prohibits alcohol on the premises.                    The only difference between
    the two policies is that inmates used to have an alternative
    means of consuming communion wine in a controlled environment,
    16
    whereas now they are completely barred from participating in
    that practice.
    Regarding the impact of an accommodation on other inmates,
    guards,      and   prison      resources,         the    record    is    largely      silent.
    Drawing      reasonable        inferences        in    Jehovah’s     favor,     however,    a
    reasonable jury could find that exempting Jehovah from the ban
    would   have       a    minimal      impact      on    prison    resources.        Wine    is
    already permitted on the premises, and religious services take
    place   in    a    controlled        environment        in   which      Jehovah    would   be
    supervised.            Furthermore,        a    jury    could    find    that   the    prison
    population would not be endangered by a single inmate with no
    history of alcohol abuse consuming a small amount of wine in
    this setting.
    Finally, Jehovah has proposed several alternatives to the
    ban, including:          1) to apply the same security measures used for
    medication        to   wine,    2)    to       allow   Jehovah    an     accommodation     to
    drink wine, and 3) to apply the ban only to inmates who have
    been convicted of infractions involving stealing or alcohol and
    inmates with a history of alcoholism.                        A reasonable jury could
    find that at least one of these alternatives is so “obvious” and
    “easy” as to suggest that the ban is “an exaggerated response.”
    Turner, 482 U.S. at 90.                    Therefore, we reverse the district
    court’s      summary      dismissal        of     Jehovah’s      First    Amendment      wine
    communion claim.
    17
    B.
    The district court dismissed Jehovah’s Sabbath work claims
    because      “prisoners             have     no     constitutional             right    to     job
    opportunities while incarcerated.”                        J.A. 56.          As Jehovah rightly
    points out, however, this is not the correct focus of the RLUIPA
    and    First      Amendment         inquiries.           The     constitutional        right    in
    jeopardy is Jehovah’s right to free exercise of his religious
    beliefs;      the    unavailability            of       prison    jobs      accommodating      his
    Sabbath schedule is the alleged burden on that right.
    To   state        a    RLUIPA    claim,      Jehovah       need      only   plead     facts
    tending      to     show       a     substantial         burden     on      his    exercise     of
    sincerely held religious beliefs.                         42 U.S.C. § 2000cc-2(b); see
    also Hartmann v. Cal. Dep’t of Corr. & Rehab., 
    707 F.3d 1114
    ,
    1125 (9th Cir. 2013) (“To survive a motion to dismiss on their
    RLUIPA      claim,       plaintiffs         must    allege       facts      plausibly    showing
    that the challenged policy and the practices it engenders impose
    a     substantial            burden    on    the        exercise       of    their     religious
    beliefs.”).          “[A]          substantial          burden    on     religious      exercise
    occurs      when     a       state     or    local       government,         through    act     or
    omission, puts substantial pressure on an adherent to modify his
    behavior and to violate his beliefs.”                          Lovelace, 
    472 F.3d at 187
    (internal quotation marks and alterations omitted).
    Here, Jehovah has alleged that his religion requires him to
    abstain from working during the “Old Jewish” and “New Christic”
    18
    Sabbaths.       He    has    pled     that    his   cleaning      job    would   not
    accommodate his Sabbath observances, that his requests for job
    transfers were denied, and that VDOC staff has not approved him
    for any job for which he has applied since December 2011.                         He
    has further alleged that he will face sanctions and lose the
    opportunity     to    accrue     good    conduct     allowances         and   earned
    sentence credits if he fails to work for 30-40 hours per week.
    Appellees argue that Jehovah simply wishes more jobs would
    accommodate his Sabbath schedule, and that therefore he is not
    substantially burdened.          They rely on Jehovah’s assertion that
    “there are few prison jobs available to him at SIP and other
    prisons which he can work and keep observing the Sabbaths.”                      See
    J.A. 27 (Compl. ¶ 32) (emphasis added).                    However, viewing the
    facts in the light most favorable to Jehovah, and applying the
    requisite      liberal      construction      to    his     pro   se     pleadings,
    Jehovah’s assertion that there are few jobs available to him is
    not inconsistent with his having applied for and been rejected
    from all of those jobs.             As Jehovah puts it, these other jobs
    are available to him “in theory,” but he has “plainly alleged
    that   these   jobs   were     made   unavailable     to    him.”       Appellant’s
    Reply Br. 14 (emphasis in original).                Jehovah has alleged facts
    that support a plausible claim to relief.                  We therefore reverse
    the district court’s dismissal of Jehovah’s RLUIPA claim and
    remand for further proceedings.
    19
    The standard for stating a free exercise claim under the
    First Amendment is more stringent.                         Jehovah bears the burden not
    only of demonstrating an infringement of his religious beliefs,
    but   also     of      showing        that     VDOC’s      refusal       to    accommodate         his
    Sabbath work schedule is not rationally related to a legitimate
    penological interest.                 Turner, 482 U.S. at 89.                  Still, Jehovah’s
    pro se civil rights complaint meets the low bar of the motion-
    to-dismiss        stage.         It     is    difficult       to    see       what    interest      is
    served    by      making     it       impossible        for    Jehovah         to     perform      his
    required work hours entirely during the week.                                   One reasonably
    could       determine            that         granting        Jehovah           an        individual
    accommodation is an “obvious, easy alternative[]” that suggests
    VDOC’s      actions        are     unreasonable.                  Drawing       all       reasonable
    inferences        in     Jehovah’s         favor,     he    has    set    forth       a    plausible
    claim for relief.            See Jackson, 775 F.3d at 178.                       Therefore, the
    district      court       erred       in     dismissing       Jehovah’s        First       Amendment
    claim.
    C.
    The      district      court           dismissed        Jehovah’s         housing       claims
    because it found that Jehovah “has no right to choose a cellmate
    based    on    that      person’s          religious       preferences         or     background.”
    J.A. 57.        As discussed above, however, the proper inquiry is
    whether     and     to    what     extent       VDOC       burdened      Jehovah’s         right    to
    20
    exercise his sincerely held religious beliefs by assigning him
    cellmates who did not share his religious views.
    Jehovah’s RLUIPA claim must survive the motion-to-dismiss
    stage if he has pled facts tending to show that VDOC’s refusal
    to accommodate his housing requests “put[] substantial pressure
    on [him] to modify his behavior and to violate his beliefs.”
    Lovelace,    
    472 F.3d at 187
           (internal      quotation         marks   and
    alterations omitted).            Jehovah has alleged that VDOC required
    him to “share a cell or anything with persons who are anti-
    Christian   and    unbelievers”           in    contravention         of   his    religious
    beliefs.    J.A. 28 (Compl. ¶ 34).                  This allegation alone does not
    demonstrate that being housed with non-Christians has pressured
    him to change his religious conduct.                        Jehovah takes issue with
    the exposure to non-Christians, not with any effect it has on
    his   religious        activities.              As    Appellees        note,      the    few
    jurisdictions to address this question have found that being
    housed   with     an    inmate      who     does      not     share    the   plaintiff’s
    religious    beliefs          “does       not       inhibit     or     constrain         [the
    p]laintiff’s religious conduct.”                     Steele v. Guilfoyle, 
    76 P.3d 99
    , 102 (Okla. Civ. App. 2003); see also Rogers v. Hellenbrand,
    No. 03-C-230-C, 
    2004 WL 433976
    , at *6 (W.D. Wis. Mar. 4, 2004)
    (“There is no indication in his briefs, evidence or proposed
    facts that simply being exposed to the religious views of others
    21
    hinders [the plaintiff’s] ability to exercise his own religion
    in any way . . . .”), aff’d, 118 F. App’x 80 (7th Cir. 2004).
    In addition to his general complaints of being assigned
    non-Christian cellmates, however, Jehovah asserts that he was
    housed with a particular inmate who subjected Jehovah to “anti-
    Christian” rhetoric.          J.A. 28 (Compl. ¶ 35).            Jehovah states
    that he was “burdened, mocked, and harassed on account of [h]is
    religious views by being housed in a cell with” this inmate.
    J.A. 28 (Compl. ¶ 37).          Construing Jehovah’s pro se complaint
    liberally, it is reasonable to infer that Jehovah’s religious
    practices were chilled by his cellmate’s religiously motivated
    harassment.      At the motion-to-dismiss stage, this qualifies as a
    sufficient    prima   facie    showing    under    RLUIPA. 10     We   therefore
    reverse the district court’s dismissal of Jehovah’s RLUIPA cell
    assignment claim.
    For his First Amendment cell assignment claim to survive,
    Jehovah must allege sufficient facts showing that VDOC’s refusal
    to assign him a different cellmate was not reasonably related to
    a   legitimate    penological    interest.        Turner,   482   U.S.   at   89.
    10Since Jehovah has sufficiently pled that his housing
    assignments substantially burdened his religious exercise, the
    parties agree that remand is appropriate because the record does
    not establish whether VDOC’s housing assignment policy is the
    least restrictive means of achieving a compelling government
    interest.
    22
    Giving his complaint its due liberal construction, we find that
    he has done so.           Jehovah states that his cell assignments were
    “deliberately        done . . . to         harass          and     cause      conflict          and
    problems     for    [him].”        J.A.        29    (Compl.       ¶¶ 38,     41       &   n.18).
    Furthermore,        he     asserts        that       his    cell       assignments              have
    contravened a SIP housing policy requiring an equivalence in
    cellmates’ criminal and disciplinary records.                               J.A. 29 (Compl.
    ¶ 41 n. 18).        He filed two grievances regarding his issues with
    the   inmate   who       allegedly    harassed          him      but   never       received        a
    response. 11       J.A. 28 (Compl. ¶ 37).                   Given these allegations
    suggesting     that       VDOC     was     motivated          not      by     a    legitimate
    penological        concern   but     by    animus,         Jehovah     has        successfully
    alleged     facts        supporting        a        plausible       claim         to       relief.
    Therefore,     we        reverse     the       district          court’s      dismissal          of
    Jehovah’s First Amendment cell assignment claim.
    IV.
    A    claim    of    deliberate       indifference           in   violation           of   the
    Eighth Amendment requires two showings, one objective and one
    subjective.        First, the inmate must prove that “the deprivation
    of a basic human need was objectively sufficiently serious.”
    11
    Jehovah’s residence with this inmate came to an end when
    Jehovah was placed in disciplinary segregation.
    23
    De’Lonta       v.     Angelone,          
    330 F.3d 630
    ,    634     (4th     Cir.        2003)
    (internal quotation marks and alterations omitted, emphasis in
    original).            Second,          she     must      prove      that    “subjectively           the
    officials acted with a sufficiently culpable state of mind.”
    
    Id.
     (internal quotation marks and alterations omitted, emphasis
    in original).
    “Only       extreme          deprivations           are     adequate     to     satisfy       the
    objective       component          of     an    Eighth         Amendment      claim       regarding
    conditions of confinement.”                     
    Id.
          Therefore, Jehovah must allege
    a serious injury or a substantial risk of such.                                
    Id.
           Taking the
    facts     in     the       light        most     favorable          to     Jehovah,      they      are
    sufficient       to        support       such       a    finding.           Jehovah’s        alleged
    ailments fill two pages of his complaint and include constant
    chest     pain,       chronic          headaches,         and       diminished       hearing        and
    eyesight.           J.A.        37-38    (Compl.         ¶ 69).          Furthermore,        Jehovah
    asserts        that     he       has     since        been     diagnosed       with       pulmonary
    hypertension          with      right        ventricle       hypertrophy,       a    serious        and
    sometimes fatal condition.
    Appellees             do     not        appear       to     dispute      that        Jehovah’s
    innumerable alleged symptoms constitute serious health issues.
    Rather,    they        focus      on     the    subjective          component       of    Jehovah’s
    claim.      Jehovah must show that his doctors were deliberately
    indifferent,          or     rather,         that       they    “actually      kn[e]w        of    and
    24
    disregard[ed] an objectively serious condition, medical need, or
    risk of harm.”         De’Lonta, 
    330 F.3d at 634
    .
    Appellees argue that Jehovah cannot meet this bar because
    he   received    extensive       treatment       from   Dr.    King   and    his    other
    doctors.     But the fact that Jehovah received some treatment is
    consistent      with    the     allegation      that    his    doctors   ignored     and
    failed to treat many of his symptoms.                    See 
    id. at 635
     (finding
    that the fact that the plaintiff received some treatment did not
    mean she received treatment for a particular ailment or that the
    treatment was reasonable).              Jehovah has alleged that his doctors
    acknowledged      some        symptoms     but     ignored       most,      disregarded
    abnormal test results, and failed to treat any of his symptoms
    effectively.      In other words, he has pled facts that, if true,
    would   establish        that     his    doctors       “actually      kn[e]w   of    and
    disregard[ed] an objectively serious condition, medical need, or
    risk of harm.”         
    Id. at 634
    .       Dismissal of Jehovah’s claim is not
    appropriate unless he has failed to present factual allegations
    supporting a plausible claim to relief.                       See Jackson, 775 F.3d
    at 178.      That is not the case here.                  Therefore, the district
    court erred in dismissing Jehovah’s Eighth Amendment claim.
    25
    V.
    For the foregoing reasons, the judgment of the district
    court is
    REVERSED AND REMANDED. 12
    12  In light of our opinion, the district court should also
    reconsider Jehovah’s requests for discovery.
    26