Victor Perez v. James Cox ( 2019 )


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  •                             NOT FOR PUBLICATION                          FILED
    UNITED STATES COURT OF APPEALS                       SEP 16 2019
    MOLLY C. DWYER, CLERK
    U.S. COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    VICTOR PEREZ, as Special Administrator          No.    17-17140
    of the Estate of Carlos Perez, deceased; and
    as the Guardian Ad Litem for S.E.P. and         D.C. No.
    A.I.P.,                                         2:15-cv-01572-APG-CWH
    Plaintiff-Appellee,
    MEMORANDUM*
    v.
    JAMES GREG COX; et al.,
    Defendants-Appellants,
    and
    RAMOS; et al.,
    Defendants.
    Appeal from the United States District Court
    for the District of Nevada
    Andrew P. Gordon, District Judge, Presiding
    Argued and Submitted May 17, 2019
    San Francisco, California
    Before: IKUTA and CHRISTEN, Circuit Judges, and MORRIS,** District Judge.
    *
    This disposition is not appropriate for publication and is not precedent
    except as provided by Ninth Circuit Rule 36-3.
    **
    The Honorable Brian M. Morris, United States District Judge for the
    District of Montana, sitting by designation.
    Appellants (“Supervisor Defendants”) are individual officials with the
    Nevada Department of Corrections and High Desert State Prison (“HDSP”). They
    appeal a portion of the district court’s order denying Supervisor Defendants’
    motion to dismiss.1 We have jurisdiction pursuant to 28 U.S.C. § 1291, and we
    review de novo a district court’s denial of a motion to dismiss based on qualified
    immunity. Padilla v. Yoo, 
    678 F.3d 748
    , 757 (9th Cir. 2012). Because the parties
    are familiar with the facts, we do not recite them here.
    1. The Supervisor Defendants can be held liable on Plaintiff-Appellees’
    excessive force claim. A supervisor may be liable for purposes of § 1983 for his
    “own culpable action or inaction in the training, supervision, or control of his
    subordinates,” “his acquiescence in the constitutional deprivations of which the
    complaint is made,” or “conduct that showed a reckless or callous indifference to
    the rights of others.” Starr v. Baca, 
    652 F.3d 1202
    , 1206–07 (9th Cir. 2011)
    (quoting Larez v. City of Los Angeles, 
    946 F.2d 630
    , 646 (9th Cir. 1991)). The
    Plaintiff-Appellees, members of the decedent Carlos Perez’s family, allege that the
    Supervisor Defendants promulgated, maintained, or ratified—as well as trained,
    supervised, or controlled their subordinates pursuant to—the “actual practice,
    1
    The dissent suggests that the Plaintiff-Appellees did not sue either the officer-
    trainee who shot Perez or the two corrections officers who encouraged the
    shooting. In fact, the Plaintiff-Appellees sued Ramos, Castro, and Smith (the
    officer-trainee and two corrections officers). None of the three moved to dismiss
    on qualified immunity grounds and thus are not parties to this appeal.
    2
    custom and de facto policy” to, inter alia: use live birdshot as a means of inmate
    control; encourage the use of deadly force to respond to non-deadly circumstances;
    and rely primarily on shotguns to maintain prison order. Inexplicably, the dissent
    focuses solely on the written policy, which it dubs “the Use of Force Regulation.”
    It is well established that § 1983 liability may attach based on a “policy, practice,
    or custom.” See, e.g., Pierce v. Multnomah Cty., 
    76 F.3d 1032
    , 1039 (9th Cir.
    1996) (emphasis added). The dissent criticizes the majority for not citing the
    written policy, overlooking that the focus of the complaint is the “actual practice,
    custom, and de facto policy” the Supervisor Defendants adopted and condoned.
    The written policy is immaterial.
    The Plaintiff-Appellees allege that the report published by the Association of
    State Correctional Administrators (ASCA), incorporated by reference in the
    complaint, shows a troublesome history of the use of birdshot in Nevada state
    prisons—a practice or de facto policy allegedly promulgated or ratified by the
    Supervisor Defendants and followed in practice by prison staff in spite of the
    Supervisors’ awareness of the dangerous and potentially lethal consequences.
    Although the report was published after Perez’s death, it details events that
    predated the events at issue in this case, and thus the Supervisor Defendants are
    presumed to have knowledge of that troubling history and to be responsible for
    3
    their own actions, inactions, or acquiescence in response to that history.2 The
    Supervisor Defendants can be held liable on Plaintiff-Appellees’ excessive force
    claim.
    2. The district court did not err by denying the Supervisor Defendants
    qualified immunity on Plaintiff-Appellees’ excessive force claim. “Qualified
    immunity involves two questions: (1) whether the defendant violated a
    constitutional right, and (2) whether that right was clearly established at the time of
    the alleged violation.” Isayeva v. Sacramento Sheriff’s Dep’t, 
    872 F.3d 938
    , 945
    (9th Cir. 2017).
    A.    The Constitutional Violation
    Plaintiff-Appellees allege that the Supervisor Defendants violated Perez’s
    Eighth Amendment right to be free from cruel and unusual punishment by
    2
    The dissent argues that we should not presume knowledge of these events, but at
    the 12(b)(6) stage it is reasonable to infer that prison supervisors knew of events
    that took place within their prison. Over a two-year period, HDSP had 146
    instances of guards firing birdshot, 48 of which involved firing live rounds. Prison
    staff themselves had been injured by birdshot and avoided intervention in inmate
    altercations specifically because they feared being hit by birdshot. The dissent
    argues that these empirical findings have no bearing on whether prison officials
    acted maliciously or sadistically for the purpose of causing harm. But, as we
    explained in Robins v. Meacham, 
    60 F.3d 1436
    (9th Cir. 1995), another case
    involving the use of birdshot in a Nevada prison: “the Eighth Amendment goes
    further than to simply protect inmates from actions taken with an intent to punish;
    it serves to protect the interests and safety of inmates.” 
    Id. at 1439.
    The sheer
    number of times HDSP guards fired birdshot inside the prison supports the
    allegations of a de facto policy, practice, and custom to excessively and
    unnecessarily use shotguns as primary means of control.
    4
    adopting and condoning a de facto policy, practice, and custom that caused
    corrections officers to shoot and kill Perez with a shotgun while trying to break up
    an altercation that otherwise could have been dispelled through lesser means of
    non-deadly force. Using excessive force against prison inmates is a violation of
    the Eighth Amendment. See, e.g., Clement v. Gomez, 
    298 F.3d 898
    , 903 (9th Cir.
    2002). Eighth Amendment claims reflect “the evolving standards of decency that
    mark the progress of a maturing society.” Beardslee v. Woodford, 
    395 F.3d 1064
    ,
    1070 (9th Cir. 2004) (quoting Estelle v. Gamble, 
    429 U.S. 97
    , 102 (1976)).
    Eighth Amendment claims require a two-part inquiry: (1) a “subjective”
    inquiry into whether prison staff acted “with a sufficiently culpable state of mind”;
    and (2) an “objective component” that asks whether “the alleged wrongdoing was
    objectively ‘harmful enough’ to establish a constitutional violation.” Hudson v.
    McMillian, 
    503 U.S. 1
    , 8 (1992) (quoting Wilson v. Seiter, 
    501 U.S. 294
    , 298, 303
    (1991)). The subjective inquiry for excessive force claims turns on “whether force
    was applied in a good faith effort to maintain or restore discipline or maliciously
    and sadistically for the very purpose of causing harm.” 
    Id. at 6
    (quoting Whitley v.
    Albers, 
    475 U.S. 312
    , 320–21 (1986)). The objective component of an Eighth
    Amendment excessive force claim is “contextual and responsive to ‘contemporary
    standards of decency.’” 
    Id. at 8
    (quoting 
    Estelle, 429 U.S. at 103
    ). In view of the
    contextual nature of this inquiry, the Hudson Court declined to establish a
    5
    categorical standard for the required showing of objective harm necessary to prove
    an Eighth Amendment excessive force claim. 
    Id. Five factors
    bear on the objective prong of the excessive force analysis: “(1)
    the extent of injury suffered by an inmate; (2) the need for application of force; (3)
    the relationship between that need and the amount of force used; (4) the threat
    reasonably perceived by the responsible officials; and (5) any efforts made to
    temper the severity of a forceful response.” Furnace v. Sullivan, 
    705 F.3d 1021
    ,
    1028 (9th Cir. 2013) (quoting Martinez v. Stanford, 
    323 F.3d 1178
    , 1184 (9th Cir.
    2003)). With these in mind, we turn to the objective prong.
    The Plaintiff-Appellees allege that Perez’s death was the direct result of the
    de facto policies, practices, and customs created, ratified, and maintained by the
    Supervisor Defendants allowing prison staff to use live birdshot rounds as a
    primary means of controlling inmates, regardless of the actual level of threat.
    Objectively, the de facto policy or practice of using shotguns inside a prison is
    excessive when other less lethal or non-lethal alternatives exist. Plaintiff-
    Appellees allege that HDSP inmates Carlos Perez and Andrew Arevalo “were
    handcuffed behind their backs, wearing nothing but underwear and merely kicking
    at each other’s shins.” At the 12(b)(6) stage, it is reasonable to infer from those
    allegations that Perez and Arevalo posed a relatively minor threat to corrections
    officers, given that they were both restrained and unable to conceal or access any
    6
    weapons, which in turn implies a lesser need for force. The Plaintiff-Appellees
    alleged that lesser means of force existed to temper the altercation between Perez
    and Arevalo, rather than firing multiple rounds of birdshot. The ASCA report
    suggests that is, in fact, the case, but none were used. Plaintiff-Appellees also
    alleged that, after the first shot hit Perez in the chest, knocking him to the ground,
    both Officers Smith and Castro continued to yell at COT Ramos to “[s]hoot ‘em!”
    and COT Ramos ultimately fired three additional shots at the two men, based on
    the “unconstitutional practice to needlessly shoot inmates” and the “actual practice,
    custom, and de facto policy” of primarily relying on shotguns to maintain order
    within the prison. The officers’ response to this altercation, pursuant to the alleged
    de facto policies and practices, culminated in Perez dying “from multiple gunshot
    wounds to the head, neck, chest, and arms.” The complaint alleges that the
    practices tolerated at HDSP—allowing correctional officers to “needlessly shoot
    inmates” with birdshot and to “deploy deadly force in situations that do not require
    such force”—were the “moving force of the [alleged] constitutional violation.”
    Redman v. Cty. of San Diego, 
    942 F.2d 1435
    , 1446 (9th Cir. 1991) (en banc),
    abrogated on other grounds by Farmer v. Brennan, 
    511 U.S. 825
    (1994) (quoting
    Hansen v. Black, 
    885 F.2d 642
    , 646 (9th Cir. 1989)). The complaint allegations
    satisfy the objective prong of the Eighth Amendment inquiry.
    7
    At this early stage, Plaintiff-Appellees also satisfy the subjective prong of
    the excessive force inquiry. They allege that, because the de facto policy or
    practice was to use birdshot in situations where lesser force would suffice and the
    Supervisor Defendants were on notice that birdshot had potentially lethal
    consequences, such use of force was not a “good faith effort to maintain or restore
    discipline,” but rather used “maliciously and sadistically for the very purpose of
    causing harm.” 
    Hudson, 503 U.S. at 6
    .
    Both the objective and subjective components are corroborated by the
    ASCA report on “Use of Force Policy, Practices and Staff Training Regarding the
    Use of Shotguns in Nevada Prisons.” The report supports the Plaintiff-Appellees’
    allegation that the de facto policies and practices were at least the moving force
    causing the constitutional violation. 
    Redman, 942 F.2d at 1446
    . The report also
    makes clear that Nevada’s policies, practices, and customs are “not consistent with
    nationally accepted correctional standards” or “best practices.” Indeed, Nevada is
    an extreme outlier. HDSP had 146 instances of guards firing shotguns between
    2012 and 2014, 48 of which involved firing live rounds—a staggering number
    compared to the next highest: 16 total firings at LCC. The report concluded prison
    staff relied on shotguns “heavily and almost exclusively . . . to maintain order” and
    “to protect inmates and staff from harm,” that staff often went directly from verbal
    warnings to using a shotgun with “little or no physical intervention,” and that staff
    8
    avoided intervening directly in inmate altercations in favor of firing blank or live
    birdshot rounds. According to the report, floor staff avoided other lesser means of
    intervention because “they didn’t want to be hit by bird shot,” recognizing that
    using birdshot in an enclosed space where nearly every surface is metal or concrete
    risked causing live rounds to ricochet and injure bystanders. The complaint
    alleges that, as supervisors, the Defendant-Appellants were charged with
    knowledge of that risk: in the three years before Perez’s death, several bystander
    inmates uninvolved in the altercations that required intervention were injured by
    birdshot, including one bystander inmate who was blinded. The complaint alleges
    that three staff members also had been previously injured by “indiscriminate” and
    “unpredictable” birdshot. Indeed, even the dissent concedes the report found there
    was “routine deployment” of live birdshot rounds at HDSP. At the 12(b)(6) stage,
    the Plaintiff-Appellees state a plausible excessive force claim.
    B.     The Clearly Established Right
    The second part of the qualified immunity test requires that the
    constitutional right that has been violated was “clearly established” at the time of
    the alleged violation. 
    Isayeva, 872 F.3d at 946
    . “A clearly established right is one
    that is sufficiently clear that every reasonable official would have understood that
    what he is doing violates that right.” 
    Id. (quoting Mullenix
    v. Luna, 
    136 S. Ct. 305
    ,
    308 (2015)). “This is not to say that an official action is protected by qualified
    9
    immunity unless the very action in question has previously been held unlawful[.]”
    Hope v. Pelzer, 
    536 U.S. 730
    , 739 (2002) (quoting Anderson v. Creighton, 
    483 U.S. 635
    , 640 (1987)) (denying qualified immunity to prison guards who
    handcuffed an inmate to a hitching post as punishment, even though no earlier
    cases had materially similar facts). “Although there is no prior case prohibiting the
    use of this specific type of force in precisely the circumstances here involved, that
    is insufficient to entitle [the officer] to qualified immunity: notwithstanding the
    absence of direct precedent, the law may be, as it was here, clearly established.”
    Deorle v. Rutherford, 
    272 F.3d 1272
    , 1285–86 (9th Cir. 2001). It is clearly
    established that an inmate has a constitutional right to be free from excessive force
    used maliciously and sadistically to cause harm. 
    Hudson, 503 U.S. at 7
    . At this
    early stage, the Plaintiff-Appellees have sufficiently alleged that the de facto
    policies and practices at HDSP caused Perez to be subjected to malicious and
    sadistic lethal force without a good faith justification.
    The dissent cites Carpino v. Demosthenes, 
    37 F.3d 1504
    (9th Cir. 1994)
    (unpublished), to conclude that this court has already determined that a policy of
    skipping birdshot at inmates does not violate the Eighth Amendment. But the de
    facto policy and practices alleged in this case go far beyond skipping birdshot. The
    Plaintiff-Appellees allege the existence of de facto policies and practices allowing
    shotguns as the primary mechanism for controlling inmates and “encouraging the
    10
    use of deadly force, in non deadly force situations.” Moreover, as Hudson
    instructs, the Eighth Amendment excessive force inquiry is “contextual and
    responsive to ‘contemporary standards of 
    decency.’” 503 U.S. at 6
    . As such, it
    must be measured against evolving norms and standards. The ASCA report
    reflects that the means of inmate control have evolved significantly since Carpino
    was decided 25 years ago, and that Nevada’s de facto policies and practices
    allowing the use of shotguns to subdue and control inmates were decidedly out of
    step with the evolving norms and industry standards. The ASCA report expressly
    concluded that the de facto policy and practice allowing use of a deadly weapon in
    “some circumstances to achieve non-deadly results” was “a dated concept not in
    keeping with modern criminal justice use of firearms.” Further, in the wake of
    Carpino, our court considered another Eighth Amendment claim involving
    Nevada’s use of live birdshot in prison. See Robins v. Meacham, 
    60 F.3d 1436
    (9th Cir. 1995). Robins involved a bystander inmate who was injured when
    corrections officers fired birdshot at a different inmate. 
    Id. at 1440.
    The issue on
    appeal involved transferred intent. We affirmed the denial of qualified immunity
    and, significant for this appeal, explained that the conduct at issue clearly
    implicated the Eighth Amendment: “Whom the prison officials shot, Robins or
    Echavarria, is not relevant—what is relevant is that they fired a shotgun blast at an
    inmate. It is this conduct that the Eighth Amendment is designed to restrain.” 
    Id. 11 The
    dissent at times slips into a summary judgment standard, evaluating the
    persuasiveness of the ASCA report or assessing the record evidence. But at the
    motion to dismiss stage, the Plaintiff-Appellees have alleged sufficient facts to
    state a plausible Eighth Amendment claim for excessive force and the district court
    correctly denied qualified immunity to the Supervisor Defendants.
    3. The district court did not err by denying the motion to dismiss Plaintiff-
    Appellees’ deliberate indifference to serious medical needs claim against
    Lieutenant Oliver. An inmate must show “deliberate indifference to serious
    medical needs” to establish an Eighth Amendment claim arising from medical
    treatment while incarcerated. Jett v. Penner, 
    439 F.3d 1091
    , 1096 (9th Cir. 2006)
    (quoting 
    Estelle, 429 U.S. at 104
    ). “A defendant must purposefully ignore or fail
    to respond to a prisoner’s pain or possible medical need in order for deliberate
    indifference to be established.” McGuckin v. Smith, 
    974 F.2d 1050
    , 1060 (9th Cir.
    1992) overruled on other grounds by WMX Techs. Inc. v. Miller, 
    104 F.3d 1133
    (9th Cir. 1997) (en banc). Plaintiff-Appellees allege that in the aftermath of the
    shooting, as Perez lay in an enormous pool of blood continuing to bleed profusely,
    Lieutenant Oliver spoke with COT Ramos instead of ensuring that Perez “received
    adequate medical attention” for “his urgent shotgun wounds.” At this 12(b)(6)
    stage, the allegations that Lieutenant Oliver “responded to the scene after [Perez]
    was shot,” but spoke to COT Ramos instead of assisting Perez, allow the
    12
    reasonable inference that Lieutenant Oliver arrived on the scene during the five-
    minute time period that elapsed between the shooting and when medical personnel
    arrived. Contrary to the dissent’s characterization, the issue is not whether
    Lieutenant Oliver interfered with or failed to supervise medical personnel; the
    complaint alleges that Lieutenant Oliver “responded” to the scene, described by a
    bystander as “the biggest pool of blood” he had ever seen and he could never “have
    imagined an experience so horrific.” The complaint alleges that Lieutenant Oliver
    spoke to Ramos rather than doing something to assess Perez’s needs or stop his
    bleeding during the five minutes it took for medical personnel to arrive. At the
    12(b)(6) stage, those allegations are sufficient to show deliberate indifference. See,
    e.g., 
    Robins, 60 F.3d at 1442
    (affirming denial of qualified immunity on summary
    judgment record when observing officers failed to present evidence that “they did
    not have the opportunity to intervene” to prevent the use of birdshot).
    4. We decline to address the remaining issues on appeal. Defendant-
    Appellants’ failure to raise the issue of qualified immunity on Plaintiff-Appellees’
    loss of familial association claim with the district court does not “overcome our
    presumption against hearing new arguments.” See Dream Palace v. Cty. of
    Maricopa, 
    384 F.3d 990
    , 1005 (9th Cir. 2004). We likewise decline to exercise
    pendent jurisdiction over Defendant-Appellants’ appeal regarding the district
    13
    court’s denial of the motion to dismiss Plaintiff-Appellees’ state law claims. See
    Kwai Fun Wong v. United States, 
    373 F.3d 952
    , 960 (9th Cir. 2004).
    AFFIRMED.
    14
    FILED
    SEP 16 2019
    Perez v. Cox, 17-17140
    IKUTA, Circuit Judge, dissenting:                                        MOLLY C. DWYER, CLERK
    U.S. COURT OF APPEALS
    According to the majority, the official policy at High Desert State Prison
    (HDSP) is to shoot inmates with shotguns for no reason. Maj. at 4–5. That is the
    majority’s basis for concluding that the prison supervisors here ordered their
    officers to use deadly force in violation of the Eighth Amendment. Needless to
    say, neither the facts nor the law provides support for the majority’s conclusion.
    To establish a claim that prison officials used excessive physical force in
    violation of the Eighth Amendment, a plaintiff must demonstrate that the officials
    used force not “in a good-faith effort to maintain or restore discipline,” but to
    “maliciously and sadistically cause harm.” Hudson v. McMillian, 
    503 U.S. 1
    , 7
    (1992). This inquiry involves a “subjective” component (whether the officials
    acted “with a sufficiently culpable state of mind”), and an “objective” component
    (whether the “alleged wrongdoing was objectively harmful enough to” violate the
    Eighth Amendment). 
    Id. at 8
    (internal quotation marks omitted).
    In this appeal, Perez asserts liability not against Correctional Officer Trainee
    (COT) Ramos (who fired the shots) or the two corrections officers at the scene of
    the shooting, but against the officials whom he alleges are liable for promulgating
    the Nevada Department of Corrections’s policy for use of force at its prisons,
    Administrative Regulation 405 (“Use of Force Regulation”).1 Given that there is
    no vicarious liability for the actions of subordinates under § 1983, see Hansen v.
    Black, 
    885 F.2d 642
    , 645–46 (9th Cir. 1989), Perez must establish that, by
    promulgating the Use of Force Regulation, the officials used force maliciously and
    sadistically (rather than for the purpose of maintaining order) by setting in motion
    a series of acts by the corrections officers (or knowingly refusing to terminate a
    series of acts by the officers) which the supervisors “knew or reasonably should
    have known would cause” the officers to shoot Perez in the chest, causing his
    death, Starr v. Baca, 
    652 F.3d 1202
    , 1207–08 (9th Cir. 2011).
    Perez fails to make plausible allegations to this effect. COT Ramos did not,
    1
    Contrary to the majority, Maj. at 3, neither the complaint nor Perez’s
    appeal claim that Department officials are liable for promulgating a de facto policy
    that differs from the written Use of Force Regulation. On appeal, Perez challenges
    only the officials’ written policy, and does not even mention the phrase “actual
    practice, custom and de facto policy” on which the majority’s analysis turns, Maj.
    at 3. In articulating claims against the prison officials, Perez’s complaint likewise
    relies on the ASCA report’s analysis of the official Use of Force Regulation. For
    instance, in a section discussing “Leadership and Staff Implementation of
    Department Use of Force Policy,” the ASCA report states that due to low staffing
    levels, the Department is in the position of “relying heavily and almost exclusively
    to the use of weapons to maintain order.” Thus, in stating “that Nevada’s “actual
    practice, custom and de facto policy is to rely ‘heavily and almost exclusively to
    the use of weapons to maintain order,’” the complaint is actually quoting from the
    ASCA report’s analysis of the Use of Force Regulation. Thus, a fair reading of the
    complaint and appeal makes clear that any liability of the prison officials must
    stem, if at all, from their promulgation of the written policy.
    2
    as the majority claims, shoot Perez with a shotgun in the chest “pursuant to” the
    Use of Force Regulation. Maj. at 7. The Use of Force Regulation (which the
    majority does not cite) directs no such actions, but explains the limited
    circumstances in which birdshot can be used for the purpose of maintaining
    discipline. It requires corrections officers to first fire a warning shot “directed
    away from [the] inmates.” “If the initial warning shot fails to stop the prohibited
    activity,2 then . . . bird shot rounds may be fired into the ground (skip shot) near the
    problem inmates or disturbance.” Officers are required “to use the minimal
    amount of force necessary to contain, control, or correct an immediate
    situation/incident, which may be a threat to the safety and/or security of the
    institution.”
    While the majority claims the officials promulgated and trained their
    subordinates to follow a policy that allowed HDSP to “use . . . deadly force to
    respond to non-deadly circumstances,” Maj. at 3, the Use of Force Regulation is to
    the contrary: any force used “shall be equivalent to the threat exhibited by the
    inmate, and . . . shall cease immediately upon control of the incident,” Staff are
    “required to intervene to halt” a use of force that “is either excessive or
    2
    The policy states that the use of birdshot (whether as a warning or skip
    shot) can be used only “for control purposes,” and is “never to be used to stop
    verbal abuse or other non-threatening behavior.”
    3
    unnecessary,” and must “immediately report their observations to the shift
    supervisor verbally and in a written report.” COT Ramos violated this policy; that
    is why he was fired and prosecuted for manslaughter. Accordingly, Perez cannot
    show that any of the supervisory officials named in his complaint sadistically and
    maliciously intended to have prison staff use force in violation of the Eighth
    Amendment. The policy mandated precisely the opposite.
    Nothing in the Association of State Correctional Administrators (ASCA)
    report, which was commissioned by the Nevada Department of Correction, is to the
    contrary. Rather, the ASCA report concludes that “[p]rison leadership and staff at
    each prison are working in good faith to implement the Department’s Use of Force
    policy.” The ASCA report indicates that the prison staff felt it necessary to rely on
    shotguns “to protect inmates and staff from harm” and to maintain discipline
    because staffing levels were extremely low. Although the use of shotguns (both
    with blanks and live birdshot rounds) at the High Desert State Prison was more
    frequent than at other prisons, the ASCA report found these higher numbers
    needed to be evaluated in light of the prison’s role as a “reception center,” which
    houses a uniquely transient and violent population. In its conclusions, the ASCA
    report recommends discontinuing “the routine deployment of the 12-gauge shotgun
    with 7 ½ bird shot on armed posts,” but warns that “[i]mplementing this
    4
    recommendation can only be done after the Department” has implemented other
    recommendations, including making increases in the level of staffing.
    In sum, the ASCA report indicates that officials and staff in Nevada prisons
    deemed the Use of Force policy to be necessary to maintain discipline and prevent
    injuries to prisoners and staff, due to the low staffing levels at Nevada state
    prisons. This conclusion effectively negates a necessary element of an Eighth
    Amendment claim, i.e., that the defendants used force not “in a good-faith effort to
    maintain or restore discipline” but to “maliciously and sadistically . . . cause
    harm.” 
    Hudson, 503 U.S. at 7
    . The report’s recommendation that the Department
    make changes to staffing levels, increase supervision, and clarify its policies to
    bring them in line with current best practices sheds no light on whether officials
    had a culpable state of mind, given that the report was published after all relevant
    events in this case occurred. Moreover, prison administrators are “accorded wide-
    ranging deference in the adoption and execution of policies and practices that in
    their judgment are needed to preserve internal order and discipline and to maintain
    institutional security.” Bell v. Wolfish, 
    441 U.S. 520
    , 547 (1979). Therefore, the
    majority’s reliance on the ASCA report and its speculations regarding the officials’
    “presumed” knowledge, Maj. at 4, is misplaced, and the majority errs in
    concluding there was an Eighth Amendment violation at the first prong of the
    5
    qualified immunity analysis.3
    And at prong two of the qualified immunity analysis, the majority points to
    no authority clearly establishing that the Use of Force Regulation actually
    promulgated by the Nevada Department of Corrections violates the Eighth
    Amendment. The Supreme Court has repeatedly stressed to courts, “the Ninth
    Circuit in particular,” that for a constitutional violation to be clearly established,
    “existing precedent must have placed the . . . constitutional question beyond
    debate.” Kisela v. Hughes, 
    138 S. Ct. 1148
    , 1152 (2018) (internal quotation marks
    omitted).
    The majority cannot identify a single case clearly establishing that a
    qualified policy of skipping birdshot violates the Eighth Amendment. Rather, we
    3
    Indeed, even if the record supported the majority’s speculations, the
    majority’s reliance on the “presumed” knowledge of prison officials would be
    misplaced. Empirical findings as to the number of times shotguns were used in the
    state’s prison system have no bearing on whether the prison officials acted
    “maliciously and sadistically for the very purposes of causing harm” in
    promulgating the Use of Force Regulations, 
    Hudson, 503 U.S. at 6
    , particularly
    when the ASCA report concludes that prison staff relied on shotguns to “maintain
    order.” Contrary to the majority, Maj. at 4 n. 2, Robins v. Meacham makes clear
    that “[w]here a prison security measure is undertaken to resolve a disturbance, the
    test is whether force was applied ‘maliciously and sadistically for the very purpose
    of causing harm.’” 
    60 F.3d 1436
    , 1440 (9th Cir. 1995) (citation omitted). By
    contrast, if an officer fires a shotgun loaded with birdshot “in a good faith effort to
    maintain or restore discipline,” there is no Eighth Amendment violation. 
    Id. at 1441.
    6
    have previously held that the practice does not violate the Eighth Amendment.
    Carpino v. Demosthenes, 
    37 F.3d 1054
    , 
    1994 WL 561840
    , at *1–3 (9th Cir. Oct.
    13, 1994) (unpublished) (skipping birdshot at feet of prisoner in an altercation with
    another prisoner does not constitute excessive force and is “a good faith effort to
    defuse a volatile situation that threatened prison discipline and security”). While
    the majority claims that “[t]he ASCA report reflects that the means of inmate
    control have evolved significant since Carpino was decided,” Maj. at 8, the report
    itself does not clearly establish constitutional rights. See Marsh v. Cty. of San
    Diego, 
    680 F.3d 1148
    , 1159 (9th Cir. 2012) (holding even “opinions by a federal
    district court and an intermediate state court are insufficient to create a clearly
    established right”).
    In sum, without bothering to point to any authority clearly establishing that
    the promulgated Use of Force Regulation violates the Eighth Amendment, the
    majority denies qualified immunity to the supervisors. How many times must we
    be told how to conduct such an analysis? See 
    Kisela, 138 S. Ct. at 1152
    .
    As to the Eighth Amendment claim against Lieutenant Oliver for deliberate
    indifference to serious medical needs, the record is devoid of any evidence that
    Lieutenant Oliver “intentionally den[ied] or delay[ed] access to medical care or
    intentionally interfer[ed] with the treatment once prescribed.” Estelle v. Gamble,
    7
    
    429 U.S. 97
    , 104–05 (1976) (footnote omitted). Medical personnel responded to
    the scene, and there is no allegation that Lieutenant Oliver interfered with their
    work. Rather, the only factual allegation against Lieutenant Oliver is that he
    “spoke” with COT Ramos during this time. Contrary to the majority’s assertion,
    there is no allegation in the complaint that Lieutenant Oliver arrived before
    medical personnel did, let alone before medical personnel had been called. Even if
    the majority is correct in stating that Oliver was present at the scene but “did
    nothing to assess Perez’s needs or stop his bleeding” before medical personnel
    arrived (contentions not clearly supported by the complaint), see Maj. at 11–12, the
    majority cites no authority clearly establishing that Lieutenant Oliver had some
    obligation to provide immediate medical aid when responders were just minutes
    away (there is nothing in the record to suggest that Lieutenant Oliver had any
    medical training). Indeed, a supervisor’s intentional interference with the medical
    responders’ work is more likely to violate the Eighth Amendment. See 
    Estelle, 429 U.S. at 104
    –05. Accordingly, this claim likewise fails both prongs of our qualified
    immunity analysis.
    Rather than apply settled law to the facts before us, the majority invents a
    policy requiring the sadistic use of force for the purpose of causing harm, and then
    declares it unconstitutional.
    8
    I dissent.
    9