Patricia Polanco v. Ralph Diaz ( 2023 )


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  •              FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    PATRICIA POLANCO; VINCENT           No. 22-15496
    POLANCO; SELENA POLANCO;
    GILBERT POLANCO, Deceased,         D.C. No. 3:21-
    cv-06516-CRB
    Plaintiffs-Appellees,
    v.
    OPINION
    RALPH DIAZ; ESTATE OF
    ROBERT S. THARRATT; RONALD
    DAVIS, Warden; RONALD
    BROOMFIELD; CLARENCE
    CRYER; ALISON PACHYNSKI,
    MD; SHANNON GARRIGAN, MD,
    Defendants-Appellants,
    and
    STATE OF CALIFORNIA;
    CALIFORNIA DEPARTMENT OF
    CORRECTIONS AND
    REHABILITATION; SAN QUENTIN
    STATE PRISON; LOUIE
    ESCOBELL, RN; MUHAMMAD
    FAROOQ, MD; KIRK A TORRES,
    MD,
    Defendants.
    2                         POLANCO V. DIAZ
    Appeal from the United States District Court
    for the Northern District of California
    Charles R. Breyer, District Judge, Presiding
    Argued and Submitted March 8, 2023
    San Francisco, California
    Filed August 7, 2023
    Before: Michelle T. Friedland and Ryan D. Nelson, Circuit
    Judges, and Kathleen Cardone, * District Judge.
    Opinion by Judge Friedland;
    Dissent by Judge R. Nelson
    SUMMARY **
    Civil Rights/State-Created Danger/COVID-19
    The panel affirmed the district court’s denial of
    defendants’ motion to dismiss a complaint on the basis of
    qualified immunity in an action brought pursuant to 
    42 U.S.C. § 1983
     by the family of San Quentin Prison guard
    Gilbert Polanco, who died from complications caused by
    COVID-19.
    *
    The Honorable Kathleen Cardone, United States District Judge for the
    Western District of Texas, sitting by designation.
    **
    This summary constitutes no part of the opinion of the court. It has
    been prepared by court staff for the convenience of the reader.
    POLANCO V. DIAZ                      3
    A few months into the COVID-19 pandemic, high-level
    officials in the California prison system transferred 122
    inmates from the California Institution for Men, where there
    was a widespread COVID-19 outbreak, to San Quentin State
    Prison, where there were no known cases of the virus. The
    transfer sparked an outbreak of COVID-19 at San Quentin
    that ultimately killed Polanco and over twenty-five inmates.
    The panel held that based on the allegations in the
    complaint, defendants were not entitled to qualified
    immunity. Plaintiffs sufficiently alleged a violation of
    Polanco’s substantive due process right to be free from a
    state-created danger, under which state actors may be liable
    for their roles in creating or exposing individuals to danger
    they otherwise would not have faced.
    Taking the allegations in the complaint as true, the
    failure to adequately test or screen inmates prior to the
    transfer, the transfer itself, and the decision to house the
    inmates in open-aired cells upon arriving at San Quentin,
    among other things, placed Polanco in a much more
    dangerous position than he was in before, the danger was
    particularized and sufficiently severe to raise constitutional
    concerns, and defendants were aware of the danger that
    transferring potentially COVID-positive inmates to San
    Quentin would pose to employees.
    The panel held that the unlawfulness of defendants’
    alleged actions was clearly established by the combination
    of two precedents: L.W. v. Grubbs, 
    974 F.2d 119
     (9th Cir.
    1992), which recognized a claim under the state-created
    danger doctrine arising out of a prison’s disregard for the
    safety of a female employee who was raped after being
    required to work alone with an inmate known to be likely to
    commit a violent crime if placed alone with a woman; and
    4                      POLANCO V. DIAZ
    Pauluk v. Savage, 
    836 F.3d 1117
     (9th Cir. 2016), which
    recognized a claim under the state-created danger doctrine
    arising from an employer’s deliberate indifference to
    workplace conditions that exposed an employee to
    dangerous airborne mold. Accordingly, defendants were not
    entitled to qualified immunity.
    Dissenting, Judge R. Nelson would hold that defendants
    were entitled to qualified immunity because no clearly
    established law placed defendants on notice that their alleged
    mismanagement of the COVID-19 pandemic at San Quentin
    prison was unconstitutional. Contrary to Supreme Court
    guidance, the majority employed a high level of generality
    to determine that the law was clearly established.
    COUNSEL
    Joshua C. Irwin (argued), Stefano Abbasciano, and Hima
    Raviprakash, Deputy Attorneys General; Fiel D. Tigno,
    Supervising Deputy Attorney General; Chris A. Knudsen,
    Senior Assistant Attorney General; Rob Bonta, Attorney
    General; Attorney General’s Office; Oakland, California; for
    Defendants-Appellants.
    Michael J. Haddad (argued), Julia Sherwin, Brian
    Hawkinson, and Teresa Allen, Haddad & Sherwin LLP,
    Oakland, California, for Plaintiffs-Appellees.
    Adam R. Pulver, Allison M. Zieve, and Scott L. Nelson,
    Public Citizen Litigation Group, Washington, D.C., for
    Amicus Curiae Public Citizen.
    POLANCO V. DIAZ                             5
    OPINION
    FRIEDLAND, Circuit Judge:
    A few months into the COVID-19 pandemic, high-level
    officials in the California prison system transferred 122
    inmates from the California Institution for Men, where there
    was a widespread COVID-19 outbreak, to San Quentin State
    Prison, where there were no known cases of the virus. The
    transfer sparked an outbreak of COVID-19 at San Quentin
    that ultimately killed one prison guard and over twenty-five
    inmates. The guard’s family members sued the prison
    officials, claiming that the officials violated the guard’s due
    process rights. The officials moved to dismiss, arguing that
    they were entitled to qualified immunity. The district court
    denied the motion with respect to some of the officials, who
    then filed this interlocutory appeal. We affirm.
    I.
    A.
    On March 4, 2020, California Governor Gavin Newsom
    proclaimed a State of Emergency due to COVID-19. 1 The
    declaration was quickly followed by other emergency
    measures at the state and local levels, including shelter-in-
    place orders and mask mandates. Later that month,
    Governor Newsom issued an executive order suspending the
    intake of inmates into all state correctional facilities. Around
    the same time, California Correctional Health Care Services
    adopted a policy opposing the transfer of inmates between
    1
    In an appeal of a denial of qualified immunity at the motion to dismiss
    stage, we accept as true all well-pleaded allegations in the Complaint.
    See Padilla v. Yoo, 
    678 F.3d 748
    , 757 (9th Cir. 2012).
    6                       POLANCO V. DIAZ
    prisons, reasoning that transfers would “carr[y] [a]
    significant risk of spreading transmission of the disease
    between institutions.”
    Defendants—a group of high-level officials at San
    Quentin and the California Department of Corrections and
    Rehabilitation (“CDCR”)—were aware of the risks that
    COVID-19 posed in a prison setting. All had been briefed
    about the dangers of COVID-19, the highly transmissible
    nature of the virus, and the necessity of taking precautions
    (such as social distancing, mask-wearing, and testing) to
    prevent its spread. Defendants were also aware that
    containing an outbreak at San Quentin would be particularly
    difficult due to its tight quarters, antiquated design, and poor
    ventilation. As of late May 2020, though, San Quentin
    appeared to be weathering the storm with no known cases of
    COVID-19. Other prisons were not so fortunate. The
    California Institution for Men (“CIM”) suffered a severe
    outbreak, which by late May had killed at least nine inmates
    and infected over six hundred.
    In an attempt to prevent further harm to CIM inmates, on
    May 30, Defendants transferred 122 CIM inmates with high-
    risk medical conditions to San Quentin. The transfer did not
    go well. Most of the men who were transferred had not been
    tested for COVID-19 for over three weeks, and none of the
    transferred inmates were properly screened for symptoms
    before being “packed” onto buses to San Quentin “in
    numbers far exceeding COVID-capacity limits that CDCR
    had mandated for inmate safety.” Although some inmates
    exhibited symptoms while on the bus, Defendants did not
    quarantine the newly arriving inmates. They placed nearly
    all the transferred inmates in a housing unit with grated doors
    (allowing air to flow in and out of the cells) and had them
    POLANCO V. DIAZ                             7
    use the same showers and eat in the same mess hall as other
    inmates.
    Two days after the inmates arrived at San Quentin, the
    Marin County Public Health Officer learned of the transfer
    and scheduled an immediate conference call with some
    Defendants. On the call, the Public Health Officer
    recommended that the transferred inmates be completely
    sequestered from the original San Quentin population, that
    all exposed inmates and staff be required to wear masks, and
    that staff movement be restricted between different housing
    units to prevent the spread of COVID-19. Despite being
    timely informed of the Public Health Officer’s
    recommendations, Defendants did not heed his advice.
    Instead, they ordered that the Public Health Officer be
    informed that he lacked the authority to mandate measures
    in a state-run prison.
    COVID-19 soon began to sweep through San Quentin.
    Within days of the transfer, twenty-five of the transferred
    inmates had tested positive. Over a three-week period, San
    Quentin went from zero confirmed cases of COVID-19 to
    nearly five hundred.
    In mid-June, a court-appointed medical monitor of
    California prisons (the “Receiver”) 2 requested that a group
    of health experts investigate the outbreak at San Quentin.
    The health experts wrote an “Urgent Memo” warning that
    the COVID-19 outbreak at San Quentin could escalate into
    2
    In response to a class action, the United States District Court for the
    Northern District of California held in 2005 that the medical services in
    California prisons failed to meet the constitutional minimum. See Plata
    v. Schwarzenegger, No. C01-1351, 
    2005 WL 2932253
    , at *1 (N.D. Cal.
    Oct. 3, 2005). It accordingly appointed a receiver tasked with
    establishing a constitutionally adequate medical system. See 
    id.
    8                      POLANCO V. DIAZ
    a “full-blown local epidemic and health care crisis in the
    prison and surrounding communities” if not contained. The
    memo criticized many practices at San Quentin, noting, for
    instance, that personal protective equipment and masks were
    not provided to staff and inmates despite being readily
    available. Even when staff had masks, many wore them
    improperly or failed to wear them at all. The prison’s testing
    protocol, too, was inadequate, suffering from what the memo
    considered “completely unacceptable” delays. Defendants
    were informed of the memo but did not adopt its
    recommendations. Indeed, when two research labs offered
    to provide COVID-19 testing at the prison, Defendants
    refused the offers, even though one offered to do so for free.
    The outbreak continued to spread. By July, more than
    1,300 inmates and 184 staff had tested positive. Two months
    later, those numbers had ballooned to more than 2,100
    inmates and 270 staff.          As of early September,
    approximately twenty-six inmates and one guard had died of
    COVID-19.
    B.
    That one guard was Sergeant Gilbert Polanco. At the
    time of the transfer, Polanco was fifty-five years old and had
    worked at San Quentin for more than two decades. Polanco
    had multiple health conditions that put him at high risk of
    mortality if he were to contract COVID-19, including
    obesity, diabetes, and hypertension. During the pandemic,
    one of his duties was to drive sick inmates—including those
    with COVID-19—to local hospitals. On those trips,
    Defendants refused to provide Polanco (or the inmates he
    was driving) with personal protective equipment.
    POLANCO V. DIAZ                              9
    In late June, Polanco contracted COVID-19. By July, his
    condition had worsened, and he was admitted to the hospital.
    He died of complications caused by COVID-19 in August.
    C.
    Polanco’s wife and children (collectively, “Plaintiffs”)
    sued Defendants under 
    42 U.S.C. § 1983
     in the United States
    District Court for the Northern District of California. Their
    Complaint alleges that Defendants violated Polanco’s
    substantive due process rights by affirmatively, and with
    deliberate indifference, placing him in danger. It also alleges
    that Defendants violated Plaintiffs’ substantive due process
    rights to familial association. 3
    Defendants moved to dismiss, arguing, among other
    things, that they are entitled to qualified immunity on
    Plaintiffs’ constitutional claims. The district court rejected
    that argument, holding that Defendants are not entitled to
    qualified immunity on the face of the Complaint.4
    Defendants timely appealed the district court’s denial of
    qualified immunity.
    II.
    We have jurisdiction under the collateral order doctrine
    to review a district court’s rejection of a qualified immunity
    defense at the motion to dismiss stage, Ashcroft v. Iqbal, 
    556 U.S. 662
    , 671–72 (2009), and we review such a denial de
    novo, Hernandez v. City of San Jose, 
    897 F.3d 1125
    , 1131–
    3
    The Complaint also alleges various statutory and common law claims
    that are not at issue in this appeal.
    4
    Plaintiffs also asserted claims against some high-level officials from
    CIM. The district court granted the motion to dismiss with respect to
    those defendants. That aspect of the district court’s order is not at issue
    in this appeal.
    10                     POLANCO V. DIAZ
    32 (9th Cir. 2018). When engaging in such review, we
    “accept[] as true all well-pleaded allegations” and
    “construe[] them in the light most favorable to the non-
    moving party.” 
    Id. at 1132
     (quoting Padilla v. Yoo, 
    678 F.3d 748
    , 757 (9th Cir. 2012)).
    III.
    We must affirm the district court’s denial of qualified
    immunity if, accepting all of Plaintiffs’ allegations as true,
    Defendants’ conduct “(1) violated a constitutional right that
    (2) was clearly established at the time of the violation.”
    Ballou v. McElvain, 
    29 F.4th 413
    , 421 (9th Cir. 2022). At
    the motion to dismiss stage, “dismissal is not appropriate
    unless we can determine, based on the complaint itself, that
    qualified immunity applies.” O’Brien v. Welty, 
    818 F.3d 920
    , 936 (9th Cir. 2016) (quoting Groten v. California, 
    251 F.3d 844
    , 851 (9th Cir. 2001)). Based on the Complaint
    here, we hold that Defendants are not entitled to qualified
    immunity.
    A.
    Plaintiffs sufficiently allege a violation of Polanco’s due
    process right to be free from a state-created danger.
    The Fourteenth Amendment’s mandate that “[n]o State
    shall . . . deprive any person of life, liberty, or property,
    without due process of law” confers both procedural and
    substantive rights. DeShaney v. Winnebago Cnty. Dep’t of
    Soc. Servs., 
    489 U.S. 189
    , 194–95 (1989) (alterations in
    original) (quoting U.S. Const. amend. XIV).              The
    substantive component of that clause “protects individual
    liberty against ‘certain government actions regardless of the
    fairness of the procedures used to implement them.’”
    Collins v. City of Harker Heights, 
    503 U.S. 115
    , 125 (1992)
    POLANCO V. DIAZ                      11
    (quoting Daniels v. Williams, 
    474 U.S. 327
    , 331 (1986)).
    The Due Process Clause does not “impose an affirmative
    obligation on the State” to protect a person’s life, liberty, or
    property; it acts as a “limitation on the State’s power to act”
    rather than a “guarantee of certain minimal levels of safety
    and security.” DeShaney, 489 U.S. at 195. The “general
    rule,” then, is that “a state actor is not liable under the Due
    Process Clause ‘for its omissions.’” Pauluk v. Savage, 
    836 F.3d 1117
    , 1122 (9th Cir. 2016) (quoting Munger v. City of
    Glasgow Police Dep’t, 
    227 F.3d 1082
    , 1086 (9th Cir. 2000)).
    But there are exceptions to this general rule. See 
    id.
     As
    relevant here, under the state-created-danger doctrine, state
    actors may be liable “for their roles in creating or exposing
    individuals to danger they otherwise would not have faced.”
    
    Id.
     (quoting Kennedy v. City of Ridgefield, 
    439 F.3d 1055
    ,
    1062 (9th Cir. 2006)). In the context of public employment,
    although state employers have no constitutional duty to
    provide their employees with a safe working environment,
    see Collins, 
    503 U.S. at 126
    , the state-created-danger
    doctrine holds them liable when they affirmatively, and with
    deliberate indifference, create or expose their employees to
    a dangerous working environment. We have recognized, for
    instance, that a state employer can be liable under the state-
    created-danger doctrine for knowingly assigning an
    employee to work in a building infected with toxic mold, see
    Pauluk, 
    836 F.3d at 1125
    , or for requiring a prison employee
    to work alone with an inmate likely to cause her serious
    harm, see L.W. v. Grubbs, 
    974 F.2d 119
    , 123 (9th Cir. 1992).
    To state a due process claim under the state-created-
    danger doctrine, a plaintiff must first allege “affirmative
    conduct on the part of the state,” Patel v. Kent Sch. Dist., 
    648 F.3d 965
    , 974 (9th Cir. 2011) (quoting Munger, 
    227 F.3d at 1086
    ), that exposed him to “an actual, particularized danger
    12                      POLANCO V. DIAZ
    that [he] would not otherwise have faced,” Martinez v. City
    of Clovis, 
    943 F.3d 1260
    , 1271 (9th Cir. 2019). Second, a
    plaintiff must allege that the state official acted with
    “deliberate indifference” to that “known or obvious danger.”
    
    Id.
     (quoting Patel, 
    648 F.3d at
    971–72).
    1.
    Plaintiffs’ allegations satisfy the first requirement, which
    has several components. The state must have taken actions
    that placed the plaintiff in a “worse position” than he would
    have been in “had [the state] not acted at all.” Pauluk, 
    836 F.3d at 1124
     (alteration in original) (quoting Johnson v. City
    of Seattle, 
    474 F.3d 634
    , 641 (9th Cir. 2007)). The act must
    have exposed the plaintiff to an “actual, particularized
    danger,” and the resulting harm must have been foreseeable.
    Id. at 1125 (quoting Kennedy, 
    439 F.3d at 1063
    ).
    The transfer of 122 inmates from CIM to San Quentin
    was plainly affirmative conduct, as was the decision to house
    the transferred inmates in open-air cells and have them share
    facilities with the general San Quentin population. And the
    transfer placed Polanco in a much more dangerous position
    than he was in before. Prior to the transfer, there were no
    known cases of COVID-19 at San Quentin; after the transfer,
    there were many. That harm was foreseeable, because
    Defendants transferred inmates from a prison experiencing
    an active COVID-19 outbreak to a prison that had managed
    to avoid such an outbreak—and did so without properly
    testing or screening the transferred inmates for COVID-19,
    revising the plan when inmates fell ill on the buses, or
    quarantining the inmates upon their arrival. The allegations
    POLANCO V. DIAZ                        13
    paint a clear picture: San Quentin had managed to keep
    COVID-19 out, but Defendants brought it in. 5
    So too was the danger “particularized.” Affirmative
    state action that exposes a broad swath of the public to
    “generalized dangers” cannot support a state-created-danger
    claim. See Sinclair v. City of Seattle, 
    61 F.4th 674
    , 676, 683
    (9th Cir. 2023) (holding that the plaintiff had not alleged a
    state-created-danger claim because “the City-created danger
    was a generalized danger experienced by all those members
    of the public who chose to visit” a certain part of the city).
    But a danger can be “particularized” even if it is directed
    toward a group rather than an individual. See Hernandez,
    897 F.3d at 1133 (holding that the danger to which the state
    exposed a group of protesters was sufficiently particularized
    to support a state-created-danger claim). The danger here
    falls into the latter category because the transfer exposed a
    “discrete and identifiable group”—prison guards and
    inmates at San Quentin—to the dangers of COVID-19. See
    Sinclair, 61 F.4th at 683.
    Finally, the danger to which Polanco was exposed was
    sufficiently severe to raise constitutional concerns.
    Although our precedent has not elaborated on the level of
    harm required to sustain a state-created-danger claim, it has
    been implicit in our cases that not any risk will do—the harm
    must be severe enough to constitute a “danger.” See, e.g.,
    Grubbs, 
    974 F.2d at 120
     (assault, battery, kidnapping, and
    rape); Kennedy, 
    439 F.3d at 1058
     (murder); Pauluk, 836
    5
    As alleged in the Complaint, each Defendant was involved in the
    administrative decisions underlying the due process claim. We
    accordingly reject Defendants’ argument that some Defendants are
    entitled to qualified immunity because of their status as “medical
    officials.”
    14                         POLANCO V. DIAZ
    F.3d at 1120 (serious illness leading to death); Hernandez,
    897 F.3d at 1130 (assault and battery resulting in serious
    injuries); Martinez, 943 F.3d at 1269 (physical and sexual
    violence). We do not attempt to delimit here the range of
    harms that count, but we are confident that exposure to
    COVID-19, at least in a pre-vaccine world, does.
    Defendants respond that they cannot be held responsible
    for Polanco’s death, because “[g]uards are free to refuse to
    work in a prison.” In Defendants’ view, Polanco assumed
    the risk of COVID-19 exposure by accepting—and not
    quitting—his job as a corrections officer. But that argument
    runs headlong into Pauluk, in which we held that a public
    employer’s deliberately indifferent transfer of an employee
    to an office building infected with toxic mold would be a
    constitutional violation even if the employee was aware of
    the mold and presumably could have quit his job when he
    learned of the transfer. See 
    836 F.3d at 1125
    . If the
    employee’s ability to leave his post did not defeat the
    constitutional claim in Pauluk, it cannot defeat the claim
    here. 6
    6
    Defendants rely on a Third Circuit case that suggested in dicta that
    public employees’ freedom to leave their jobs may limit the scenarios in
    which employees can bring claims under the state-created-danger
    doctrine to those involving “deliberate misrepresentations” by their
    public employer about the level of danger. See Kaucher v. County of
    Bucks, 
    455 F.3d 418
    , 430 (3d Cir. 2006). But the Third Circuit has since
    refrained from embracing that dicta, describing Kaucher as standing for
    the proposition that “a government employee may bring a substantive
    due process claim against his employer if the state compelled the
    employee to be exposed to a risk of harm not inherent in the workplace.”
    Kedra v. Schroeter, 
    876 F.3d 424
    , 436 n.6 (3d Cir. 2017). That
    description of the state-created-danger doctrine aligns with the doctrine
    in our circuit.
    POLANCO V. DIAZ                           15
    2.
    Plaintiffs’ allegations also satisfy the “deliberate
    indifference” requirement. In the context of a state-created-
    danger claim, deliberate indifference is a subjective standard
    that requires a plaintiff to allege facts supporting an
    inference that the official “recognized an unreasonable risk
    and actually intended to expose the plaintiff to such risk.”
    Herrera v. L.A. Unified Sch. Dist., 
    18 F.4th 1156
    , 1160–61
    (9th Cir. 2021). 7
    The Complaint alleges that Defendants were aware of the
    danger that transferring potentially COVID-positive inmates
    to San Quentin would pose to San Quentin’s employees. By
    the time of the transfer, state and local governments had
    enacted a range of emergency health measures designed to
    prevent the spread of COVID-19, including requirements to
    mask when interacting with individuals outside one’s
    household. As Plaintiffs allege, by May 2020, anyone in
    California “vaguely paying attention” to the news would
    have understood that COVID-19 was “highly contagious”
    and “potentially deadly” and would have been aware of the
    basic rules to prevent its spread, such as limiting contact with
    people outside one’s household, social-distancing, wearing
    masks, quarantining after exposure, and testing. In addition,
    California Correctional Health Care Services had opposed
    transfers between prisons because of the “significant risk” of
    7
    In a different context, we held that the requisite mental state for a
    Fourteenth Amendment due process claim is an objective form of
    deliberate indifference. See Castro v. County of Los Angeles, 
    833 F.3d 1060
    , 1069–70 (9th Cir. 2016) (en banc). But we have continued to
    apply a purely subjective test to state-created-danger claims. See
    Herrera, 18 F.4th at 1160–61 (recognizing a tension between the
    requisite mental states in Castro and post-Castro state-created-danger
    cases but holding that it was bound by the latter cases).
    16                     POLANCO V. DIAZ
    transmitting the disease between institutions. Plaintiffs also
    allege that Defendants understood that San Quentin’s
    construction posed unique challenges to containing a
    potential outbreak due to its tight quarters, shared spaces,
    and poor ventilation.
    Despite that knowledge, Defendants went ahead with the
    transfer. That allegation, alone, does not compel an
    inference that Defendants were deliberately indifferent—for
    example, had Defendants acted to mitigate the risks inherent
    in a transfer, those efforts could show that Defendants had
    not intended to expose prison employees to an unreasonable
    risk. See Patel, 
    648 F.3d at 976
     (holding that a teacher’s
    “lapse in judgment” did not rise to the level of deliberate
    indifference because she was “fairly active” in attempting to
    protect the plaintiff); Herrera, 18 F.4th at 1163–64 (holding
    that a school aid was not deliberately indifferent to the
    dangers a student faced because the aid neither “abandoned”
    the student nor “left him completely without protection”).
    But according to the Complaint, Defendants did not
    attempt to mitigate the risk. Despite their knowledge of the
    dangers of COVID-19 and of the basic measures to prevent
    its spread, Defendants did not take precautions to avoid
    transferring COVID-positive inmates to San Quentin or to
    decrease the likelihood that COVID-19 would spread from
    transferred inmates to San Quentin employees. They moved
    ahead with the transfer while knowing that the inmates’ test
    results were woefully out of date. They failed to properly
    screen the inmates for symptoms before the transfer; many
    inmates were screened too early to determine whether they
    had symptoms before boarding crowded buses. And
    Defendants increased the risk that COVID-19 would spread
    throughout the prison by placing the transferred inmates in
    cells with grated rather than solid doors, having transferred
    POLANCO V. DIAZ                     17
    inmates use the same showers and mess hall as the other
    inmates, and failing to provide masks or testing to inmates
    and staff.
    Defendants protest that the outbreak at CIM necessitated
    a rapid transfer. But even if we were to assume that the
    transfer itself could not have been done more carefully,
    Defendants disregarded the safety of San Quentin employees
    after the transfer, repeatedly ignoring express warnings that
    their COVID-19 policies were insufficient and dangerous.
    Two days after the transfer, the Marin County Public Health
    Officer recommended that all transferred inmates be
    completely sequestered from the original San Quentin
    population and that all exposed inmates and staff be required
    to wear masks. Rather than adopt the Health Officer’s
    recommendations, Defendants ordered that the Officer be
    informed that he lacked the authority to mandate measures
    in their prison. Further warnings came a few weeks later,
    when a group of health experts prepared an “Urgent Memo”
    for Defendants. Those experts cautioned that San Quentin
    was at high risk of a “catastrophic super-spreader event” due
    to its inadequate testing and “grave lack of personal
    protective equipment and masks.” Defendants did not
    follow those experts’ recommendations to adopt masking
    and testing requirements either, despite the availability of
    both masks and tests.
    Taking the allegations in the Complaint as true, this is a
    textbook case of deliberate indifference: Defendants were
    repeatedly admonished by experts that their COVID-19
    policies were inadequate, yet they chose to disregard those
    warnings. See Hernandez, 897 F.3d at 1136 (holding that
    allegations rose to the level of subjective deliberate
    indifference because defendants were “aware of the danger
    18                      POLANCO V. DIAZ
    to the plaintiffs” and yet “continued” their problematic
    course of conduct).
    In their briefs on appeal, Defendants offer a different
    telling of the facts. In their view, the allegations do not rise
    to the level of deliberate indifference because Defendants
    faced an impossible tradeoff: the welfare of high-risk CIM
    inmates on the one hand and the safety of San Quentin
    employees on the other. The Constitution, Defendants
    argue, cannot require prison officials to place the safety of
    their staff above the safety of the inmates entrusted to their
    care.
    We are sympathetic to the competing priorities that
    public officials had to navigate during the early days of the
    COVID-19 pandemic. But the specific tradeoff that
    Defendants invoke here is incompatible with the Complaint.
    Taking Plaintiffs’ allegations as true and drawing reasonable
    inferences in their favor, as we must at this stage of the
    proceedings, properly testing and screening the inmates
    before the transfer would have made the transfer safer for
    both San Quentin employees and the transferred inmates.
    Quarantining the transferred inmates, too, would have
    benefitted all parties. And when it comes to masks and tests,
    the Complaint expressly alleges that there was no such
    tradeoff, asserting that masks and other personal protective
    equipment were “easily obtainable” and highlighting two
    separate occasions on which Defendants turned down labs’
    offers to provide COVID-19 testing at San Quentin, at least
    one of which offered to do so for free. On the face of the
    Complaint, there is no room for Defendants’ version of the
    events. We therefore hold that Plaintiffs have sufficiently
    alleged that Defendants acted with deliberate indifference
    toward the health and safety of San Quentin employees,
    POLANCO V. DIAZ                             19
    including Polanco, satisfying the second prong of the state-
    created-danger claim.
    B.
    Not only has Polanco alleged a violation of his due
    process right to be free from a state-created danger, but that
    right was also “clearly established at the time of the
    violation.” Pauluk, 
    836 F.3d at 1125
     (quoting Espinosa v.
    City & County of San Francisco, 
    598 F.3d 528
    , 532 (9th Cir.
    2010)).
    For the unlawfulness of an officer’s conduct to be
    “clearly established,” it must be the case that, “at the time of
    the officer’s conduct, the law was ‘sufficiently clear that
    every reasonable official would understand that what he
    [wa]s doing’ [wa]s unlawful.” District of Columbia v.
    Wesby, 
    138 S. Ct. 577
    , 589 (2018) (quoting Ashcroft v. al-
    Kidd, 
    563 U.S. 731
    , 741 (2011)). “In other words, existing
    law must have placed the [un]constitutionality of the
    officer’s conduct ‘beyond debate.’” 
    Id.
     (quoting al-Kidd,
    
    563 U.S. at 741
    ).
    Plaintiffs have met that demanding standard because the
    unlawfulness of Defendants’ alleged actions was clearly
    established by the combination of two of our precedents:
    L.W. v. Grubbs, 
    974 F.2d 119
     (9th Cir. 1992), and Pauluk v.
    Savage, 
    836 F.3d 1117
     (9th Cir. 2016). 8
    8
    We routinely rely on the intersection of multiple cases when holding
    that a constitutional right has been clearly established. See, e.g., Ioane
    v. Hodges, 
    939 F.3d 945
    , 957 (9th Cir. 2018) (“Taken together, the
    holdings from [four prior cases] put the unlawfulness of [the officer’s]
    conduct beyond debate.”); Gordon v. County of Orange, 
    6 F.4th 961
    , 971
    (9th Cir. 2021) (holding that the relevant right was clearly established by
    20                         POLANCO V. DIAZ
    In Grubbs, we recognized a state-created-danger claim
    arising out of a prison’s disregard for the safety of one of its
    employees. The plaintiff, a nurse working in an Oregon
    correctional institution, was raped by an inmate. 
    974 F.2d at 120
    . She sued her supervisors under § 1983, claiming that
    they had violated her due process rights by requiring her to
    work alone with a “violent sex offender” who the officers
    knew was “very likely to commit a violent crime if placed
    alone with a female.” Id. We denied the state’s motion to
    dismiss because the nurse alleged that her supervisors “took
    affirmative steps to place her at significant risk” and “knew
    of the risks.” Id. at 122.
    Grubbs presents a close analogy to this case. There, as
    here, a public employee was harmed due to her employer’s
    deliberately indifferent conduct. And there, as here, the
    employee worked in a correctional institution and was
    harmed in the process of carrying out her job duties. Yet
    there are also differences; the danger in Grubbs stemmed
    from a violent inmate, whereas Polanco was harmed by a
    disease that he contracted at his workplace. If Grubbs were
    the only relevant precedent, whether Polanco’s due process
    right was clearly established might be a close question.
    But Grubbs does not stand alone. In Pauluk, we again
    recognized a claim under the state-created-danger doctrine,
    this time arising from an employer’s deliberate indifference
    to workplace conditions posing serious health risks. A state
    the “principles drawn from” three cases); Ballou v. McElvain, 
    29 F.4th 413
    , 426-27 (9th Cir. 2022) (holding that a right was clearly established
    by the intersection of two cases). This approach is required by the
    Supreme Court’s instruction that qualified immunity is improper where
    “a legal principle [has] a sufficiently clear foundation in then-existing
    precedent.” Wesby, 
    138 S. Ct. at 589
    .
    POLANCO V. DIAZ                     21
    employee there alleged that his employer violated his due
    process rights by transferring him to an office building that
    the employer knew was infested with toxic mold that the
    employee would foreseeably breathe. 
    836 F.3d at 1119
    ; see
    also 
    id. at 1134
     (Noonan, J., dissenting) (“Pauluk . . . died
    from inhaling poisonous air in the workplace.”). We held
    that the plaintiff had produced sufficient evidence from
    which a reasonable jury could find a constitutional violation
    by concluding that the state employer affirmatively
    transferred the employee to the infested building—placing
    him in a “worse position” than he had been in before—and
    that the employer acted with deliberate indifference in
    exposing the employee to the dangerous mold. 
    Id. at 1125
    .
    Together, Grubbs and Pauluk put public officials on
    notice that they may be liable under the state-created-danger
    doctrine in a scenario where:
    (1) the harmed party is their employee (Grubbs and
    Pauluk);
    (2) the harmed party encountered the relevant danger in
    the course of carrying out employment duties in a
    correctional facility (Grubbs);
    (3) the danger was created by requiring the employee to
    work in close proximity to people who posed a risk
    (Grubbs);
    (4) the physical conditions of the workplace contributed
    to the danger (Pauluk); and
    (5) the danger was a potentially fatal illness caused by
    breathing contaminated air (Pauluk).
    Defendants argue that this case is nonetheless unique
    because it involves a (novel) viral outbreak. But after
    22                          POLANCO V. DIAZ
    Pauluk, officers were on notice that they could be held liable
    for affirmatively exposing their employees to workplace
    conditions that they knew were likely to cause serious
    illness, including dangers invisible in the air. And taking
    Plaintiffs’ allegations as true—again, as we must do at this
    stage of the proceedings—Defendants knew just that. 9 The
    fact that the illness here was a newly discovered
    communicable disease rather than a toxin would not have led
    a reasonable official to conclude that the danger could be
    ignored. 10 See al-Kidd, 
    563 U.S. at 741
     (“We do not require
    a case directly on point, but existing precedent must have
    placed the statutory or constitutional question beyond
    debate.”). COVID-19 may have been unprecedented, but the
    legal theory that Plaintiffs assert is not.
    C.
    Defendants raise three additional arguments for why
    they are entitled to qualified immunity. None succeed.
    9
    Underpinning much of the dissent is the premise that conditions were
    simply too uncertain in the spring of 2020 to hold government officials
    liable for their responses to COVID-19. But at the motion to dismiss
    stage, we must take all of Plaintiffs’ allegations as true, and Plaintiffs
    have plausibly alleged that Defendants knew of, and consciously
    disregarded, the risk that COVID-19 posed to San Quentin employees.
    See supra Section III.A.2. If Defendants can show that they in fact
    lacked such awareness, they may be entitled to qualified immunity at a
    later stage of this litigation.
    10
    In other contexts, we have rejected the argument that the novelty of a
    particular means of causing harm should, in and of itself, insulate
    officials from liability. See, e.g., Nelson v. City of Davis, 
    685 F.3d 867
    ,
    884 (9th Cir. 2012) (“An officer is not entitled to qualified immunity on
    the ground that the law is not clearly established every time a novel
    method is used to inflict injury.” (cleaned up) (quoting Deorle v.
    Rutherford, 
    272 F.3d 1272
    , 1286 (9th Cir. 2001))).
    POLANCO V. DIAZ                            23
    1.
    Defendants urge us to take judicial notice of testimony
    that the Receiver gave before the California State Senate,
    which they argue shows that they were just following orders.
    A court may take judicial notice of facts that are “not
    subject to reasonable dispute” because they are either
    “generally known within the trial court’s territorial
    jurisdiction” or “can be accurately and readily determined
    from sources whose accuracy cannot reasonably be
    questioned.” Fed. R. Evid. 201(b). The fact that the
    Receiver testified before the California Senate is judicially
    noticeable under that standard, but that does not mean we
    can consider the testimony for its truth. See Khoja v.
    Orexigen Therapeutics, Inc., 
    899 F.3d 988
    , 999 (9th Cir.
    2018) (“Just because [a] document itself is susceptible to
    judicial notice does not mean that every assertion of fact
    within that document is judicially noticeable for its truth.”).
    Considering the Receiver’s version of the events would
    transform Defendants’ motion to dismiss into a motion for
    summary judgment without offering Plaintiffs an
    opportunity to depose the Receiver and further develop the
    record. See Fed. R. Civ. P. 12(d). The district court did not
    abuse its discretion in declining Defendants’ request to take
    judicial notice of the Receiver’s testimony. 11
    And even if the testimony could be considered for its
    truth, Defendants would still not be entitled to immunity. In
    11
    We also reject Defendants’ argument that the Complaint’s mention of
    the Receiver’s testimony incorporated the full testimony into the
    Complaint by reference. See Orellana v. Mayorkas, 
    6 F.4th 1034
    , 1043
    (9th Cir. 2021) (holding that the “mere mention” of a document “is
    insufficient to incorporate” its contents into a complaint (quoting Tunac
    v. United States, 
    897 F.3d 1197
    , 1207 n.8 (9th Cir. 2018))).
    24                      POLANCO V. DIAZ
    his testimony before the California Senate, the Receiver
    suggested that he was involved in the decision to transfer
    inmates out of CIM, but he did not indicate that he directed
    Defendants to transfer inmates to San Quentin. The
    testimony also does not suggest that the Receiver directed
    Defendants’ post-transfer protocols.
    This case is therefore unlike Hines v. Youseff, 
    914 F.3d 1218
     (9th Cir. 2019), or Rico v. Ducart, 
    980 F.3d 1292
    (9th Cir. 2020), on which Defendants rely. In both of those
    cases, the plaintiffs’ claims arose from actions state officials
    took while following the express orders of a federal receiver
    or an overseeing district court. See Hines, 914 F.3d at 1225,
    1231; Rico, 980 F.3d at 1299–300. Even if we were to
    consider the Receiver’s testimony alongside the Complaint,
    that is not what the allegations and testimony suggest
    happened here.
    2.
    Defendants next invoke a statute that they argue would
    have led reasonable prison officials to believe that they could
    handle the COVID-19 outbreak however they saw fit,
    without a risk of liability. We reject that argument because
    the statute does not affect the scope or clarity of the
    underlying constitutional right, which is all that qualified
    immunity considers.
    The Public Readiness and Emergency Preparedness
    (“PREP”) Act, 42 U.S.C. § 247d-6d, “provides immunity
    from federal and state law claims relating to the
    administration of certain medical countermeasures during a
    declared public health emergency.” Cannon v. Watermark
    Ret. Cmtys., Inc., 
    45 F.4th 137
    , 138 (D.C. Cir. 2022).
    Congress passed the Act in 2005 to encourage during times
    of crisis the “development and deployment of medical
    POLANCO V. DIAZ                     25
    countermeasures” (such as diagnostics, treatments, and
    vaccines) by limiting legal liability relating to their
    administration. 
    Id. at 139
     (citation omitted).
    The district court held that the PREP Act does not confer
    immunity here, and Defendants did not appeal (and do not
    attempt to dispute here) that aspect of the district court’s
    order. But Defendants nonetheless assert that they are
    entitled to qualified immunity because of the Act’s
    existence, which Defendants argue would have led a
    reasonable officer to believe that he would be immune from
    liability for any actions even arguably within the Act’s
    scope.
    Defendants’ argument conflates the existence of a
    constitutional right with the availability of a remedy for a
    violation of that right. Qualified immunity turns on the
    existence and clarity of the underlying right; an officer is
    entitled to constitutional immunity from a civil damages suit
    only if his conduct “does not violate clearly established
    statutory or constitutional rights of which a reasonable
    person would have known.” Pearson v. Callahan, 
    555 U.S. 223
    , 231 (2009) (emphasis added) (quoting Harlow v.
    Fitzgerald, 
    457 U.S. 800
    , 818 (1982)). The PREP Act,
    however, limits remedies, not rights. See 42 U.S.C. § 247d-
    6d(a)(1) (providing that “a covered person shall be immune
    from suit and liability under Federal and State law” with
    respect to certain claims (emphasis added)). The statute does
    not (and could not) narrow the scope of a person’s
    constitutional rights; rather, it limits an injured person’s
    ability to secure a remedy in some circumstances.
    3.
    Lastly, Defendants urge us to consider the policy
    consequences of permitting this lawsuit to proceed. They
    26                          POLANCO V. DIAZ
    warn that allowing Plaintiffs to further pursue their due
    process claims will cause officials to “delay or abandon
    necessary inmate healthcare decisions” in the future. But the
    qualified immunity inquiry already takes policy concerns of
    that sort into account. See Harlow, 
    457 U.S. at 814
    (describing qualified immunity as the “best attainable
    accommodation of [the] competing values” of permitting
    “vindication of constitutional guarantees” on the one hand
    and avoiding “social costs,” such as “the diversion of official
    energy from pressing public issues,” on the other). It is not
    for us to upset the careful balance that the Supreme Court
    has struck in crafting qualified immunity doctrine. 12
    IV.
    For the foregoing reasons, we AFFIRM.
    12
    Plaintiffs also allege that Defendants violated their due process right
    to familial association with Polanco. On appeal, Defendants respond by
    arguing only that the familial association claims are “derivative” of the
    state-created-danger claim asserted on Polanco’s behalf and that they are
    therefore entitled to qualified immunity on all claims for the same
    reasons. Defendants have accordingly forfeited any other argument that
    they are entitled to qualified immunity on the familial association claims.
    See AE ex rel. Hernandez v. County of Tulare, 
    666 F.3d 631
    , 638
    (9th Cir. 2012) (holding that a party forfeited an argument by failing to
    “‘specifically and distinctly’ argue the issue in his opening brief”
    (quoting United States v. Ullah, 
    976 F.2d 509
    , 514 (9th Cir. 1992))). We
    therefore affirm the district court’s denial of qualified immunity with
    respect to the familial association claims as well.
    POLANCO V. DIAZ                            27
    R. NELSON, dissenting:
    Because the law is not clearly established, I conclude that
    the Defendants are entitled to qualified immunity. As such,
    I would reverse and therefore dissent. 1
    I
    The conduct at issue begins in the earliest days of the
    COVID-19 pandemic. In May 2020, the science on the virus
    was far from settled, including best practices for combatting
    the virus. Prison officials at San Quentin State Prison and
    the California Department of Corrections and Rehabilitation
    faced a difficult task—managing prison affairs amid global
    chaos.
    If Defendants here tried to do their best, it is safe to say
    that they either failed or need to reassess. The facts alleged
    are troubling and tragic. These allegations, which must be
    taken as true at this stage, are sufficient for a negligence
    claim—perhaps even gross negligence. But mere negligence
    does not establish a violation of the Constitution. Tabares v.
    City of Huntington Beach, 
    988 F.3d 1119
    , 1122 (9th Cir.
    2021). Even if the complaint alleges a constitutional
    violation, as the majority holds, it is not one that was clearly
    established at the time—a time which, it bears repeating, was
    during one of the most novel and disruptive pandemics in a
    century.
    1
    Because I find that the law is not clearly established here, I would not
    analyze the underlying constitutional violation. See Pearson v.
    Callahan, 
    555 U.S. 223
    , 236 (2009) (“The judges of the district courts
    and the courts of appeals should be permitted to exercise their sound
    discretion in deciding which of the two prongs of the qualified immunity
    analysis should be addressed first in light of the circumstances in the
    particular case at hand.”).
    28                     POLANCO V. DIAZ
    Hindsight is 20/20, and we cannot view the clearly
    established inquiry through the lens of what we know or
    believe to be true now. Graham v. Connor, 
    490 U.S. 386
    ,
    396–97 (1989) (“The ‘reasonableness’ of a particular use of
    force must be judged from the perspective of a reasonable
    officer on the scene, rather than with the 20/20 vision of
    hindsight.”). The COVID-19 pandemic was unprecedented.
    Therefore, to say that the law was clearly established in my
    view disregards the exacting legal standard to overcome a
    qualified immunity defense.
    The standard for clearly established law is “demanding”
    and “protects ‘all but the plainly incompetent or those who
    knowingly violate the law.’” District of Columbia v. Wesby,
    
    138 S. Ct. 577
    , 589 (2018) (quoting Malley v. Briggs, 
    475 U.S. 335
    , 341 (1986)). “[E]xisting precedent must have
    placed the statutory or constitutional question beyond
    debate.” Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 741 (2011). The
    right must be so clear “that every ‘reasonable official would
    [have understood] that what he is doing violates that right.’”
    
    Id.
     (quoting Anderson v. Creighton, 
    483 U.S. 635
    , 640
    (1987)). And “[a] rule is too general if the unlawfulness of
    the officer’s conduct ‘does not follow immediately from the
    conclusion that [the rule] was firmly established.’” Wesby,
    
    138 S. Ct. at 590
     (quoting Anderson, 
    483 U.S. at 641
    ).
    The Supreme Court has repeatedly told the Ninth Circuit
    in particular “not to define clearly established law at a high
    level of generality.” Kisela v. Hughes, 
    138 S. Ct. 1148
    , 1152
    (2018) (per curiam) (quoting City & County of San
    Francisco v. Sheehan, 
    575 U.S. 600
    , 613 (2015)); see also
    Rivas-Villegas v. Cortesluna, 
    142 S. Ct. 4
    , 8–9 (2021) (per
    curiam); City of Escondido v. Emmons, 
    139 S. Ct. 500
    , 503–
    04 (2019) (per curiam); al-Kidd, 
    563 U.S. at 742
    ; Brosseau
    v. Haugen, 
    543 U.S. 194
    , 197–201 (2004) (per curiam). This
    POLANCO V. DIAZ                      29
    is because “[t]he dispositive question is ‘whether the
    violative nature of particular conduct is clearly
    established.’” Mullenix v. Luna, 
    577 U.S. 7
    , 12 (2015) (per
    curiam) (quoting al-Kidd, 
    563 U.S. at 742
    ).
    As is not uncommon in our circuit, the majority
    regrettably fails to heed this guidance. Making matters
    worse, in employing the high level of generality that the
    Supreme Court has chastised us for, the majority concludes
    that clearly established means “close enough.” That is not
    the law.
    II
    The majority identifies two cases that, in its view, clearly
    establish the constitutional violation: (1) L.W. v. Grubbs, 
    974 F.2d 119
     (9th Cir. 1992), and (2) Pauluk v. Savage, 
    836 F.3d 1117
     (9th Cir. 2016). Maj. at 19–20. Both cases fail to meet
    the high burden that the Supreme Court requires.
    The majority claims that Grubbs “presents a close
    analogy to this case.” Maj. at 20. But “close,” by definition,
    fails to satisfy the standard for clearly established. In
    Grubbs, a nurse was hired to work in an institution’s medical
    clinic and was specifically led to believe that she would not
    have to work alone with violent sex offenders. 
    974 F.2d at 120
    . She was then attacked when she was left alone with a
    known violent sex offender who had failed all treatment
    programs at the institution and who “was considered very
    likely to commit a violent crime if placed alone with a
    female.” 
    Id.
     Unfortunately, the offender assaulted, battered,
    kidnapped, and raped the nurse. See 
    id.
    The facts of Grubbs deeply contrast with those here too
    much to clearly establish the law. The majority suggests that
    because “there, as here, the employee worked in a
    30                      POLANCO V. DIAZ
    correctional institution and was harmed in the process of
    carrying out her job duties,” Maj. at 20, that this supports a
    finding of clearly established law. But this falls directly into
    the “too high of a level of generality” conundrum that we
    have repeatedly been warned against applying. See al-Kidd,
    
    563 U.S. at 742
     (“We have repeatedly told courts—and the
    Ninth Circuit in particular—not to define clearly established
    law at a high level of generality.” (cleaned up)). Working in
    the same type of facility and suffering harm as an employee
    cannot place everything unconstitutional “beyond debate.”
    See 
    id. at 741
    . Such a holding would strip the clearly
    established standard of all its teeth.
    The majority all but concedes that the clearly established
    standard cannot be met. As it recognizes, “there are also
    differences; the danger in Grubbs stemmed from a violent
    inmate, whereas Polanco was harmed by a disease that he
    contracted at his workplace.” Maj. at 20. The majority
    explains why Grubbs cannot clearly establish the law here.
    For a facility to directly place a violent person alone with an
    employee does nothing to clearly establish the law for the
    constitutional standards of an invisible, non-human, and
    novel global virus wafting through the air. Respectfully,
    there is no question that the conduct at issue in Grubbs fails
    to have put the officials here “on notice” that their behavior
    relating to their response to COVID-19 was
    unconstitutional. See, e.g., Wesby, 
    138 S. Ct. at 589
    .
    The majority seemingly agrees: “[i]f Grubbs were the
    only relevant precedent, whether Polanco’s due process right
    was clearly established might be a close question.” Maj. at
    20. But the majority then asserts that the law is clearly
    established because “Grubbs does not stand alone,” and
    relies on Pauluk, 
    836 F.3d 1117
    , as well.
    POLANCO V. DIAZ                          31
    But Pauluk is not dispositive either. There, an employee
    died from complications from toxic mold in his workplace.
    
    Id. at 1119
    ; Maj. 20-21. But again, the differences here are
    distinguishable enough that they cannot support a holding of
    clearly established law.
    To begin, the law was not previously established before
    Pauluk. 
    Id. at 1121
     (granting qualified immunity because it
    found the law was not clearly established). And even though
    the Pauluk court noted that the danger at issue was due to
    physical conditions in the workplace, 
    id. at 1119
    , this still
    cannot have put the officers on notice that their conduct in
    handling COVID-19 would be unconstitutional. The state-
    created danger in Pauluk was both open and notorious: There
    was a years-long history of mold; Pauluk repeatedly reported
    the presence of mold in the building and near his office desk;
    and Pauluk was exposed to said mold for over five years
    before the decline of his health and eventual passing. See 
    id.
    Pauluk also repeatedly requested a transfer to a new
    workplace because of the mold but was denied by his
    superiors, who were fully aware of the mold infestation. See
    
    id.
     Therefore, the officials in Pauluk were not only aware
    the danger existed, but they also fully understood the risks
    of mold exposure and refused to remedy the problem or
    permit Pauluk to remedy it himself by transferring
    workplaces for years. See 
    id.
    None of that exists here. Pauluk, like Grubbs, contrasts
    with the rapidly evolving nature of COVID-19. During the
    initial months of the pandemic, guidance was uncertain,
    developing, and consistently changing. 2 The same cannot be
    2
    The majority counters that Plaintiffs’ have alleged that Defendants
    knew of, and consciously disregarded, the risk that COVID-19 posed to
    32                          POLANCO V. DIAZ
    said about toxic mold. The exposure of COVID-19 alleged
    here did not persist over a matter of years in which the
    subject brought the danger to the attention of any official, let
    alone Defendants. Even if the complaint alleges that
    Defendants knew or should have appreciated the risks to
    Polanco, there is no allegation that Polanco raised the
    official’s COVID-19 response as an issue or requested a
    transfer. Rather than request transfer or reassignment,
    Polanco volunteered to take on more shifts. The facts as
    alleged also do not indicate that Polanco was prohibited from
    taking any COVID-19 precautions he saw fit, such as
    San Quentin employees. Maj. at 22 n.9. But this is not dispositive. We
    have held that “a reasonable prison official understanding that he cannot
    recklessly disregard a substantial risk of serious harm, could know all of
    the facts yet mistakenly, but reasonably, perceive that the exposure in
    any given situation was not that high.” Sandoval v. County of San Diego,
    
    985 F.3d 657
    , 672 (9th Cir. 2021), cert. denied sub nom. San Diego
    County v. Sandoval, 
    142 S. Ct. 711 (2021)
     (cleaned up). Thus, the
    ‘dispositive inquiry in the clearly established analysis is whether it would
    be clear to a reasonable officer that his conduct was unlawful in the
    situation he confronted, based on the law at the time.” 
    Id.
     Even
    accepting the allegation that Defendants knew about the risks of COVID-
    19 does not change the novelty of the pandemic—or that Pauluk and
    Grubbs do not clearly establish the law based on the facts alleged by
    plaintiffs.
    That Defendants may be entitled to qualified immunity on summary
    judgment, Maj. at 22 n.9, is cold comfort. The “‘driving force’ behind
    creation of the qualified immunity doctrine was a desire to ensure that
    insubstantial claims against government officials [will] be resolved prior
    to discovery.” Pearson, 
    555 U.S. at 231
     (quoting Anderson v. Creighton,
    
    483 U.S. 635
    , 640 n.2 (1987) (cleaned up)). Accordingly, the Supreme
    Court has repeatedly stressed the “importance of resolving immunity
    questions at the earliest possible stage in litigation.” Hunter v. Bryant,
    
    502 U.S. 224
    , 227 (1991) (per curiam).
    POLANCO V. DIAZ                            33
    wearing a mask or bringing in his own personal protective
    equipment. These are meaningful distinctions from Pauluk.
    The majority concludes that the differences between
    toxic mold and COVID-19 are a distinction without a
    difference. Maj. at 21-22. I disagree. COVID-19 presented
    prison officials with a rapidly emerging and evolving
    challenge that is simply different in kind from the problems
    facing employers receiving continuing complaints over
    years about mold. This does not satisfy the high threshold
    the court’s caselaw commands for law to be clearly
    established. 3
    The majority cites no other case law that would clearly
    establish the law here. Instead, the majority combines what
    it perceives to be the most compelling attributes of Grubbs
    and Pauluk together to show that the law is clearly
    established. 4 But this mishmash of those cases still
    examines the law at too high of a level of generality. Denial
    of qualified immunity requires a factual case on point, even
    if not perfect, that places the Defendants on notice that their
    conduct was unconstitutional beyond debate. al-Kidd, 
    563 U.S. at 741
    . It is therefore no answer to say that “COVID-
    19 may have been unprecedented, but the legal theory that
    3
    The majority relies on our decision in Nelson v. City of Davis, 
    685 F.3d 867
    , 884 (9th Cir. 2012), for the proposition that “[a]n officer is not
    entitled to qualified immunity on the ground that the law is not clearly
    established every time a novel method is used to inflict injury.” Maj. at
    22 n.8 (quoting Deorle v. Rutherford, 
    272 F.3d 1272
    , 1286 (9th Cir.
    2001)). Even so, our case law must clearly establish the constitutional
    violation. Here, no such law exists.
    4
    Even combined, Maj. at 20 n.8, Grubbs and Pauluk do not establish the
    law. Indeed, Grubbs can hardly add much when Pauluk held that the
    law was not clearly established in 2016. And Pauluk does not clearly
    establish the law here with sufficient specificity.
    34                      POLANCO V. DIAZ
    Plaintiffs assert is not.” Maj. at 22. That holding is far more
    dangerous to our future precedent, as it disregards the clearly
    established inquiry we must assess here. And a shared legal
    theory does not clearly establish the law because it “does not
    necessarily follow immediately from the conclusion that [the
    rule] was firmly established.” Wesby, 138 S. Ct. at 590
    (quoting Anderson, 
    483 U.S. at 641
    ). This reflects the same
    logical flaw as the discussion of Grubbs: some similarity is
    not enough.
    It is also telling that plaintiffs cite no other binding
    authority that clearly establishes the law beyond Grubbs and
    Pauluk. I would thus also find that plaintiffs have not met
    their burden of proof to foreclose qualified immunity. See,
    e.g., Romero v. Kitsap County, 
    931 F.2d 624
    , 627 (9th Cir.
    1991) (“The plaintiff bears the burden of proof that the right
    allegedly violated was clearly established at the time of the
    alleged misconduct.”); see also Shafer v. County of Santa
    Barbara, 
    868 F.3d 1110
    , 1118 (9th Cir. 2017). To show a
    clearly established right, plaintiffs must demonstrate the
    right was clear “in light of the specific context of the case,
    not as a broad general proposition.” Keates v. Koile, 
    883 F.3d 1228
    , 1239 (9th Cir. 2018) (quoting Mullenix, 577 U.S.
    at 12). In the specific context of this case, they have not done
    so.
    III
    No clearly established law placed the Defendants on
    notice that their alleged mismanagement of the COVID-19
    pandemic at San Quentin prison was unconstitutional such
    that every “reasonable official would [have understood] that
    what he is doing violates that right.” al-Kidd, 
    563 U.S. at 742
     (citation omitted). As such, Defendants are properly
    POLANCO V. DIAZ                     35
    entitled to qualified immunity. I would reverse and therefore
    respectfully dissent.