La Riccia v. Ohio Civ. Rights Comm. ( 2023 )


Menu:
  • [Cite as La Riccia v. Ohio Civ. Rights Comm., 
    2023-Ohio-1816
    .]
    COURT OF APPEALS OF OHIO
    EIGHTH APPELLATE DISTRICT
    COUNTY OF CUYAHOGA
    MARY LA RICCIA,                                       :
    Plaintiff-Appellant,                  :
    No. 111976
    v.
    OHIO CIVIL RIGHTS COMMISSION,                         :
    ET Al.,
    Defendants-Appellees.                 :
    JOURNAL ENTRY AND OPINION
    JUDGMENT: AFFIRMED
    RELEASED AND JOURNALIZED: June 1, 2023
    Civil Appeal from the Cuyahoga County Court of Common Pleas
    Case No. CV-22-960591
    Appearances:
    Mary La Riccia, pro se.
    David Yost, Ohio Attorney General, Adrian C. Feiertag,
    Assistant Attorney General, and David A. Oppenheimer,
    Principal Assistant Attorney General, for appellee Ohio
    Civil Rights Commission.
    Littler Mendelson P.C., Timothy S. Anderson, and
    Jennifer B. Orr, for appellee Cleveland Clinic Foundation.
    MICHAEL JOHN RYAN, J.:
    Pro se plaintiff-appellant, Mary La Riccia1 (“La Riccia”) appeals the trial
    court’s judgment affirming the decision of defendant-appellee Ohio Civil Rights
    Commission’s (“OCRC” or “commission”) finding of no probable cause that
    defendant-appellee Cleveland Clinic Foundation (“CCF”) committed a violation of
    Ohio’s civil rights laws. La Riccia claimed that CCF discriminated against her and
    failed to grant her a reasonable accommodation by terminating her physician-
    patient relationship with CCF employee Dr. Neil Cherian. After a thorough review
    of the facts and the law, we affirm the judgment of the trial court.
    Substantive and Procedural History
    La Riccia began seeing Dr. Cherian, a CCF neurologist, in April 2020,
    for treatment of her neurological disorder, Mai de Debarquement Syndrome, which
    causes dizziness and balance disturbances. The record reflects that Dr. Cherian
    treated La Riccia on four occasions consisting of one virtual visit and three in-office
    visits between April 23 and August 26, 2020. Between July and October 2020,
    La Riccia sent approximately 140 messages to Dr. Cherian through CCF’s online
    MyChart system, which is a secure, online health management application that
    allows patients to review their medical records, test results, prescriptions, and
    appointment history and exchange messages with their health care providers.
    1La Riccia’s name is also spelled as “Lariccia” or “LaRiccia” throughout the record
    and in some citations. For consistency, we will use the spelling “La Riccia” in this opinion.
    During La Riccia’s course of treatment, Dr. Cherian realized that he
    could not effectively treat La Riccia’s symptoms and recommended she establish
    care with a primary care provider, a psychologist, and a physical therapist. La Riccia
    refused to see other providers unless Dr. Cherian physically accompanied her to the
    appointments. La Riccia insisted that Dr. Cherian was the only provider that could
    treat her.
    In October 2020, a nurse notified Dr. Emad Estemalik, CCF’s Section
    Head for Headache and Facial Pain at the Center for Neurological Restoration,
    about the MyChart messages. Dr. Estemalik reviewed the messages and concluded
    that they were “inappropriate, concerning, and crossed the professional boundary
    between physician and patient.”
    On October 12, 2020, CCF terminated La Riccia’s treating relationship
    with Dr. Cherian. Dr. Estemalik instructed La Riccia to immediately discontinue
    her contact with Dr. Cherian and advised her that he would assist with the transition
    of her care to another CCF provider. La Riccia was not deterred and continued to
    contact Dr. Cherian after obtaining his personal cell phone number. She also mailed
    at least one letter to his house.
    On March 19, 2021, La Riccia, proceeding pro se, filed a charge of
    discrimination against CCF with the OCRC alleging that CCF engaged in unlawful
    discriminatory practices. Specifically, La Riccia alleged that CCF discriminated
    against her based on her mental disability. La Riccia wanted Dr. Cherian restored
    as her treating physician.
    The commission conducted an eight-month investigation into
    La Riccia’s claims. On November 18, 2021, the commission issued a Letter of
    Determination finding that there was no probable cause to believe CCF had
    committed an unlawful discriminatory practice under Ohio’s civil rights laws. The
    commission stated that it “considered relevant documents and testimony” to make
    its findings of fact. The commission found that CCF did not deny La Riccia access
    due to her disability but that “CCF terminated the physician/patient relationship
    between La Riccia and Dr. Cherian due to La Riccia’s inappropriate behavior.” The
    commission noted that CCF submitted evidence showing it had discontinued
    treatment for other patients in the past based on inappropriate behavior and that
    CCF tried to assist La Riccia with finding another provider. The commission
    concluded that “CCF has no duty under R.C. Chapter 4112 to accommodate an
    individual whose access to its services has been lawfully restricted” and dismissed
    the complaint.
    La Riccia filed for reconsideration.       On reconsideration, the
    commission upheld its original finding of no probable cause. The commission noted
    that La Riccia’s requested accommodation of continuing treatment with Dr. Cherian
    was unreasonable, given that Dr. Cherian himself believed he could no longer help
    La Riccia, and given the inappropriate messages La Riccia sent him. The OCRC
    reiterated that CCF had offered to assist La Riccia to find another provider and did
    not deny La Riccia services.
    In March 2022, La Riccia and her husband, Travis Horn, petitioned
    the Cuyahoga County Common Pleas Court pursuant to R.C. 4112.06 for judicial
    review of the OCRC’s finding of no probable cause. In April 2022, La Riccia filed an
    amended complaint removing Horn as a petitioner and joining CCF as a defendant.
    La Riccia filed numerous motions including motions for injunctive
    relief and summary judgment, attaching numerous exhibits. The trial court denied
    these motions and issued an order explaining that it was limiting its review to the
    commission’s record and the parties’ briefs on the merits and that it would not
    consider other motions or papers that were not properly before the court.
    On September 20, 2022, the trial court issued its judgment entry and
    opinion affirming the OCRC’s finding of no probable cause and holding that the
    commission’s decision was not “unlawful, irrational, arbitrary, or capricious.”
    Specifically, the court found that the record demonstrated that the physician-patient
    relationship had “run its course” and was damaged beyond repair. The court noted
    that Dr. Cherian referred La Riccia to providers who could treat her when he
    determined that her symptoms were not within his area of expertise. The trial court
    reasoned that the clinical relationship was no longer viable considering the nature
    of La Riccia’s communications with Dr. Cherian. The court emphasized that La
    Riccia never submitted any evidence that verified that her inappropriate conduct
    was the result of a disability and found that CCF did not deny La Riccia care; “they
    merely attempted to transition her to other providers who could provide more
    suitable treatment.”
    Federal Case
    La Riccia pursued other avenues of relief in addition to filing a
    complaint with the OCRC and a petition with the Cuyahoga County Common Pleas
    Court. La Riccia, and her spouse, Horn, filed suit against CCF and several of its
    employees (“CCF defendants”) in federal court alleging discrimination and
    retaliation under the Americans with Disabilities Act (“ADA”), among other claims.
    The district court dismissed their complaint pursuant to Civ.R. 16(b)(6) for failure
    to state a claim upon which relief could be granted. Lariccia v. Cleveland Clinic
    Found., N.D.Ohio No. 1:21 CV 1291, 
    2021 U.S. Dist. LEXIS 198552
     (Oct. 15, 2021).
    La Riccia and Horn appealed. The Sixth Circuit Court of Appeals
    affirmed the district court’s judgment. La Riccia v. Cleveland Clinic Found., 6th Cir.
    No. 21-3990, 
    2022 U.S. App. LEXIS 23809
    , 6 (Aug. 24, 2022). In so doing, the court
    determined that the district court did not err in dismissing La Riccia and Horn’s
    complaint because each of their federal claims required that the CCF defendants
    discriminated against La Riccia on account of her disability. Id. at 4. The court
    found that La Riccia and Horn’s own allegations showed that the CCF defendants
    ended La Riccia’s treatment relationship with Dr. Cherian because of inappropriate
    MyChart messages. “That is neither discrimination on the basis of disability nor
    retaliation for requesting an accommodation.” Id. The court noted that even if La
    Riccia’s messages stemmed from a mental disability, “it does not follow that the
    defendants took their actions because of her disability.” Id. at 5. “As the district
    court correctly put it, the defendants’ actions regarding La Riccia’s ‘care would have
    been handled the same way if she had no illness and was exchanging personal, non-
    medical messages with any physician through MyChart.”’ Id., quoting Lariccia,
    N.D.Ohio No. 1:21 CV 1291, 
    2021 U.S. Dist. LEXIS 198552
    , at 
    id.
    Assignments of Error
    I. The trial court erred by allowing the Commission to exploit the
    provisions set forth in O.R.C. 4112.05 to submit an incomplete and
    clearly biased record.
    II. The trial court erred by allowing the Commission to exploit the
    provisions set forth in O.R.C. 4112.06(B) by failing to submit “all
    evidence and proffered evidence” received during their preliminary
    investigation to the court, without explanation and based solely on
    their exploitation of O.R.C. 4112.05.
    III. The trial court erred by finding the Commission’s determination
    was not unlawful, irrational, arbitrary and capricious based on
    evidence that is not included in the Commission’s submitted record,
    and by disregarding all of my arguments and evidence, even what is
    present in the Commission’s submitted record.
    IV. The trial court erred by misinterpreting the text of
    O.R.C. 4112.02(G) and allowing the legislative intent behind the
    enactment of the statute to be defeated by overly restrictive
    interpretation in direct contradiction of the Ohio Supreme Court.
    V. The trial court erred by misinterpreting the provisions set forth in
    Title III of the ADA and misapplied the law by applying Title I
    standards and restrictions to a Title III claim.
    Law and Analysis
    Failure to Follow Appellate Rules
    App.R. 12 and 16 provide this court with the authority to disregard
    any assignment of error that does not conform to the applicable appellate
    rules. Fleming v. Shelton, 8th Dist. Cuyahoga No. 108660, 
    2020-Ohio-1387
    , ¶ 10,
    citing In re R.L.H., 8th Dist. Cuyahoga No. 100327, 
    2014-Ohio-3411
    . La Riccia is
    proceeding pro se, without the representation of a licensed attorney. However,
    “[u]nder Ohio law, pro se litigants are held to the same standard as all other
    litigants.” Bikkani v. Lee, 8th Dist. Cuyahoga No. 89312, 
    2008-Ohio-3130
    , ¶ 29,
    citing Kilroy v. B.H. Lakeshore Co., 
    111 Ohio App.3d 357
    , 363, 
    676 N.E.2d 171
    (8th Dist.1996).   La Riccia’s appellate brief fails to comply with a number of
    appellate rules. Cases, however, are best decided on their merits; therefore, we will
    address her assignments of error, combining them for review.
    The Commission
    The OCRC was created under R.C. 4112.03 and operates pursuant to
    R.C. Chapter 4112, as supplemented by Ohio Administrative Code Chapter 4112. The
    commission is authorized to “[r]eceive, investigate, and pass upon written charges
    made under oath of unlawful discriminatory practices[.]” R.C. 4112.04(A)(6). As it
    applies to this case, R.C. 4112.02(G) provides:
    It shall be an unlawful discriminatory practice * * * [f]or any proprietor
    or any employee, keeper, or manager of a place of public
    accommodation to deny to any person, except for reasons applicable
    alike to all persons regardless of race, color, religion, sex, military
    status, national origin, disability, age, or ancestry, the full enjoyment of
    the accommodations, advantages, facilities, or privileges of the place of
    public accommodation.
    “Any person may file a charge with the commission alleging that
    another person has engaged or is engaging in an unlawful discriminatory practice”
    under R.C. 4112.02(G). R.C. 4112.05(B)(1). “[T]he charge shall be in writing and
    under oath and shall be filed with the commission within six months after the
    alleged unlawful discriminatory practice was committed.” 
    Id.
    “Upon receiving a charge * * * the commission may initiate a
    preliminary investigation to determine whether it is probable that an unlawful
    discriminatory practice has been or is being engaged in.” R.C. 4112.05(B)(2).
    A member or members of the commission staff conduct this informal procedure to
    examine the factual basis behind the charge and to obtain the information necessary
    for the commission to determine whether it is probable that the respondent has
    engaged in any unlawful discriminatory practices. McCrea v. Ohio Civ. Rights
    Comm., 
    20 Ohio App.3d 314
    , 315-316, 
    486 N.E.2d 143
     (9th Dist.1984); see also Ohio
    Adm.Code 4112-3-03(A) and (B).
    Although the commission investigates the charge, it does not seek to
    receive formal evidence. Unlike the procedure set forth for a post-
    complaint formal hearing, R.C. 4112.05 does not provide for the
    swearing of witnesses, the taking of testimony, or the keeping of a
    record during the preliminary investigation.
    McCrea at id.; see also Ramudit v. Fifth Third Bank, 1st Dist. Hamilton No. C-
    030941, 
    2005-Ohio-374
    , ¶ 19. After its investigation is completed, the OCRC issues
    a decision stating whether it finds “probable cause” or “no probable cause.”
    R.C. 4112.05(B)(4). When the OCRC makes a finding of “no probable cause,” it
    notifies the complainant that it will not issue a complaint in the matter.
    R.C. 4112.05(B)(4). The decision whether to issue an administrative complaint is
    within the OCRC’s discretion. State ex rel. Westbrook v. Ohio Civ. Rights Comm.,
    
    17 Ohio St.3d 215
    , 216, 
    478 N.E.2d 799
     (1985).
    When the OCRC decides not to pursue a claim beyond the
    investigation phase, the complainant is notified of the decision via a Letter of
    Determination. The commission states its findings of fact in the letter and dismisses
    the complaint. R.C. 4112.05(H).
    A party may apply to the commission for reconsideration of its
    determination, which the commission has the discretion to accept or reject. Ohio
    Adm.Code 4112-3-04(A) and (B). If the commission accepts an application for
    reconsideration, it shall make a determination and notify all parties.           Ohio
    Adm.Code 4112-3-04(B)(2).
    Judicial Review
    The final orders of the commission are subject to judicial review upon
    the filing of a petition in the court of common pleas by the aggrieved party.
    R.C. 4112.06(A). The commission files its record, including all evidence and proffers
    of evidence, with the reviewing court. R.C. 4112.06(B). Judicial review of the
    commission’s orders is based upon the commission’s record and such additional
    evidence as the court allows. R.C. 4112.06(B) and (D).
    “The findings of the commission as to the facts shall be conclusive if
    supported by reliable, probative, and substantial evidence on the record and such
    additional evidence as the court has admitted considered as a whole.”
    R.C. 4112.06(E). That said, because the commission does not hold an evidentiary
    hearing when it makes a no probable cause finding, there is “no evidence to review
    on appeal, reliable, probative, substantial, or otherwise.” McCrea, 20 Ohio App.3d
    at 317, 
    486 N.E.2d 143
    . “The applicable standard of review for a pre-complaint
    decision not to issue a complaint for lack of probable cause is whether the decision is
    unlawful, irrational, and/or arbitrary and capricious.” (Emphasis sic.) Id. at 318.
    Under this standard, the court’s review consists of a “limited examination” of the
    OCRC’s decision, which only reviews the “findings of fact” and attachments from the
    OCRC’s determination, “rather than examining the full record of the investigation.”
    Kutz v. State Edn. Assn., 10th Dist. Franklin No. 94APE06-781, 
    1995 Ohio App. LEXIS 1015
    , 7 (Mar. 16, 1995).
    The reason for using the unlawful, irrational, arbitrary, and
    capricious standard in an appeal from a no probable cause finding rests on the
    fundamental differences between a pre-complaint and post-complaint proceeding
    when a charge of discrimination is brought. Hous. Advocates, Inc. v. Am. Fire &
    Cas. Co., 8th Dist. Cuyahoga Nos. 86444 and 87305, 
    2006-Ohio-4880
    , ¶ 10, citing
    McCrea. Therefore, because this case stems from a pre-complaint proceeding, the
    product of the commission’s investigation does not constitute evidence for the trial
    court’s reevaluation. Rather, the trial court’s review is confined to reviewing the
    commission’s findings of fact to determine whether sufficient justification is given
    for not issuing a complaint. Id. at ¶ 11, citing McCrea at id.
    Courts reviewing a determination made pursuant to R.C. 4112.06,
    “must give due deference to the administrative resolution of evidentiary conflicts.”
    Ashiegbu v. Ohio Civ. Rights Comm., 10th Dist. Franklin No. 96APE01-4, 
    1996 Ohio App. LEXIS 2559
    , 10 (June 18, 1996) (citations omitted). The charging party must
    demonstrate that the OCRC’s findings were unlawful or an abuse of discretion.
    Freeman v. Ohio Civ. Rights Comm., 8th Dist. Cuyahoga No. 98273, 2012-Ohio-
    4825, ¶ 17.
    Our review of a trial court’s decision is even more circumscribed. Our
    review is limited to whether the trial court abused its discretion in upholding the
    commission’s order. Hous. Advocates, Inc. at ¶ 19, citing McCrea. An “abuse of
    discretion” occurs where “a court exercise[s] its judgment, in an unwarranted way,
    in regard to a matter over which it has discretionary authority.”        Johnson v.
    Abdullah, 
    166 Ohio St.3d 427
    , 
    2021-Ohio-3304
    , 
    187 N.E.3d 463
    , ¶ 35.
    With these concepts in mind, we review La Riccia’s assignments of
    error.
    La Riccia’s Claims
    Proceedings
    La Riccia contends in her first, second, and third assignments of error
    that the commission submitted an incomplete record to the trial court and the
    commission and the trial court improperly disregarded her evidence. Specifically,
    she alleges the commission’s record is incomplete and the commission disregarded
    evidence that was relevant to the investigation. She argues that the supplemental
    information she filed with the trial court constitutes evidence that the commission
    deliberately omitted from its record.
    As previously stated, the commission does not receive formal
    evidence in its preliminary investigation of a charge of discrimination. McCrea,
    20 Ohio App.3d at 316, 
    486 N.E.2d 143
    . Unlike the procedure set forth for a post-
    complaint formal hearing, R.C. 4112.05 does not provide for the swearing of
    witnesses, the taking of testimony, or the keeping of a record during the preliminary
    investigation. 
    Id.
     Thus, the “record” that is available for review is limited when
    dealing with a preliminary investigation by the commission. Wu v. Ohio Civ. Rights
    Comm., 11th Dist. Portage No. 2020-P-0065, 
    2021-Ohio-1541
    , ¶ 79, citing Van Horn
    v. Ohio Civ. Rights Comm., 11th Dist. Trumbull No. 94-T-5117, 
    1996 Ohio App. LEXIS 415
     (Feb. 9, 1996).
    In this case, the commission’s investigatory notes along with the
    Letter of Determination, the reconsideration report, and attachments to the letter
    and report constituted the commission’s record in this case. This is the sum of the
    information the commission received and considered from the parties pertaining to
    the applicable claims.
    La Riccia has not shown that the commission disregarded
    information she submitted. La Riccia attempted to supplement the record during
    her appeal to the trial court, but the commission maintains the record, which the
    trial court reviews to determine whether the commission’s decision was supported
    by reliable, probative, and substantial evidence on the record. Although the trial
    court may consider other evidence to determine whether the commission’s findings
    of fact are supported by reliable, probative, and substantial evidence on the record,
    the commission’s record remains the same.           La Riccia cannot change the
    information the commission considered during its investigation of her charge. A
    petitioner can only supplement the record if the commission held an evidentiary
    hearing. See R.C. 4112.06(D) (“The court may grant a request for the admission of
    additional evidence when satisfied that such additional evidence is newly discovered
    and could not with reasonable diligence have been ascertained prior to the hearing
    before the commission.”); Murray v. Ohio Civ. Rights Comm., 2d Dist. Montgomery
    No. 9389, 
    1986 Ohio App. LEXIS 5807
    , 14 (Mar. 3, 1986) (finding that
    R.C. 4112.06(D) does not apply when there is no evidentiary hearing).
    We note that La Riccia’s supplements, including messages she claims
    were exchanged between her and Dr. Cherian, were never produced to the
    commission during its investigation. Thus, those documents were not in the
    commission’s investigatory file and are not part of the record on appeal. For
    example, La Riccia’s claims that she and Dr. Cherian exchanged over 500 MyChart
    messages during the time she was his patient, including numerous nonmedical
    messages he sent to her in which, La Riccia contends, he encouraged her to disclose
    private matters. CCF submitted copies of La Riccia’s MyChart messages with
    Dr. Cherian during the relevant time period but redacted substantial portions of the
    communications due to what it stated were patient privacy laws.            During its
    investigation, the commission sought a release from La Riccia so that it could obtain
    an unredacted copy of her MyChart record, but La Riccia refused. Thus, the
    commission only had the redacted version to consider.
    Pursuant to statute, the commission issued its findings of fact in a
    Letter of Determination, which supported its determination that no probable cause
    exists to support La Riccia’s claim of discrimination. See R.C. 4112.05(H). It is these
    findings of fact that the trial court considered, pursuant to its judicial-review
    function under R.C. 4112.06, when it reviewed the commission’s decision.
    Accordingly, the first, second, and third assignments of error are
    overruled.
    Commission Decision
    In her fourth and fifth assignments of error, La Riccia claims that the
    commission misinterpreted the ADA and R.C. 4112.02(G).
    The commission contends that it does not have jurisdiction to
    consider La Riccia’s ADA claims because it is limited to enforcing only the provisions
    in R.C. Chapter 4112. La Riccia points to no authority that confers jurisdiction on
    the commission for federal claims. Additionally, La Riccia’s ADA claims were
    dismissed in federal court. The district court found that her claims “lack an arguable
    basis in law,” reasoning that the ADA requires
    as a central element of a cause of action that Plaintiffs plead facts
    suggesting the Defendants discriminated against LaRiccia on the basis
    of a disability. It is not enough to simply allege that LaRiccia has a
    medical condition. Plaintiffs have to allege facts that suggest that this
    medical condition meets the statutory definition of a disability, and that
    these Defendants made the decisions they made and took the courses
    of action that they took based solely on the fact that LaRiccia has Mal
    de Debarquement Syndrome. Plaintiffs’ allegations establish none of
    those elements. To the contrary, they allege that the Defendants were
    motivated to transfer her care to another physician by the very personal
    and non-medical content of the messages LaRiccia exchanged with
    Cherian through MyChart. The decision to transfer her care would
    have been handled the same way if she had no illness and was
    exchanging personal, non-medical messages with any physician
    through MyChart. Plaintiffs do not allege any facts that suggest
    discrimination on the basis of a disability occurred here.
    Lariccia, N.D.Ohio No. 1:21 CV 1291, 
    2021 U.S. Dist. LEXIS 198552
    , at 10-11.
    Regarding the commission’s interpretation of R.C. 4112.02(G),
    a successful claim under R.C. 4112.02(G) requires proof that the plaintiff is disabled
    within the meaning of the law and that the defendant is a private entity that owns,
    leases, or operates a place of public accommodation; took an adverse action against
    the plaintiff that was based upon the plaintiff’s disability; and failed to make
    reasonable modifications that would accommodate the plaintiff’s disability without
    fundamentally altering the nature of the public accommodation. Powell v. Bartlett
    Med. Clinic & Wellness Ctr., S.D.Ohio No. 2:20-cv-02118, 
    2021 U.S. Dist. LEXIS 12970
    , 19 (Jan. 25, 2021). In this case, the OCRC determined that La Riccia failed
    to meet this standard because CCF did not deny her access to a place of public
    accommodation or the services of said place based on her disability.             CCF
    “terminated the physician/patient relationship * * * because of Charging Party’s
    inappropriate behavior.” Upon reconsideration, the OCRC confirmed that “the
    original investigation appropriately found that Respondent did not deny Charging
    Party public accommodation, access, or service because of disability.”
    La Riccia argues that her behavior is a product of her mental
    disability; therefore, by law, she cannot be held responsible for her actions or held
    to the same standard as someone without a disability. She further argues that it is
    unlawful for CCF to deny her access to Dr. Cherian, based on her mental disability,
    because he is the only doctor in the area who can treat her Mai de Debarquement
    Syndrome. La Riccia did not submit evidence, such as medical records or a report
    from a physician, verifying that she suffered from a mental disability or that her
    conduct was caused by a mental disability. Even if La Riccia was able to show her
    behavior was due to a mental disability, it does not follow that CCF terminated the
    physician-patient relationship because of her alleged mental disability.
    CCF’s stated reasons for discontinuing La Riccia’s treatment with
    Dr. Cherian were two-fold. Dr. Cherian initially began to treat La Riccia but she
    began to complain of symptoms that the doctor does not treat. He recommended
    that she establish care with a primary care physician and she insisted he serve as her
    primary care physician even though he is not a primary care physician. Dr. Cherian
    averred that he could do nothing further to help La Riccia’s various ailments and
    recommended her to specific doctors but she refused to see them. Dr. Cherian
    determined there was nothing more he could do to help La Riccia and informed her
    of his decision on October 7, 2020. Dr. Estemalik, Dr. Cherian’s supervisor, found
    that “Ms. La Riccia’s condition had not improved through treatment with Dr.
    Cherian” and “Dr. Cherian did not believe there was anything more he could do to
    treat her.”
    Second, CCF based its decision on La Riccia’s inappropriate behavior.
    Dr. Estemalik averred that he was notified that La Riccia sent an “alarming number”
    of messages to Dr. Cherian using MyChart, many of which did not relate to her
    medical care and some of which were “unusual and disturbing.” According to
    Dr. Estemalik, after he “reviewed the messages that Ms. La Riccia sent to
    Dr. Cherian, I concluded that the messages were inappropriate, concerning, and
    crossed the line between physician and patient.” He contacted La Riccia directly and
    “instructed her to immediately discontinue her contact with Dr. Cherian.” CCF
    provided letters it had previously sent to other patients whose treatment had been
    discontinued due to inappropriate behavior to show that La Riccia was not being
    singled out or unfairly treated and was not the only patient with whom CCF had to
    terminate a physician-patient relationship.
    La Riccia argues that CCF failed to provide her access to a public
    accommodation by prohibiting her from seeing Dr. Cherian as her treating
    physician. CCF, however, never prohibited La Riccia access to the Cleveland Clinic
    campuses, buildings, or its providers, except for Dr. Cherian. After CCF terminated
    Dr. Cherian’s treatment of La Riccia, CCF continued to offer services to La Riccia by
    offering her assistance in securing another CCF physician to treat her. Although
    CCF did not offer La Riccia the accommodation she requested, which was to remain
    under Dr. Cherian’s care, La Riccia is not entitled to the accommodation of her
    choice. Martinez v. Ohio Dept. of Adm. Servs., 
    118 Ohio App.3d 687
    , 695, 
    693 N.E.2d 1152
     (10th Dist.1997); Hankins v. Gap, Inc., 
    84 F.3d 797
    , 800-801 (6th
    Cir.1996). La Riccia’s request to force Dr. Cherian to continue to treat her against
    his clinical findings and against the advice of his department head is not a
    reasonable accommodation under the circumstances of this case.
    Accordingly, the fourth and fifth assignments of error are overruled.
    Conclusion
    The commission’s findings of fact are supported by reliable,
    probative, and substantial evidence. The record demonstrates that CCF acted
    lawfully in referring La Riccia to providers who could assist her once it determined
    that Dr. Cherian could no longer treat La Riccia because her symptoms were not
    within his area of expertise and because of the inappropriate nature of her
    communications with the doctor. CCF did not deny Ms. La Riccia care; they
    attempted to transition her to other providers who could provide more suitable
    treatment.
    Considering the above, the trial court did not abuse its discretion in
    determining that the OCRC’s finding of no probable cause is not unlawful, irrational,
    arbitrary, or capricious.
    Judgment affirmed.
    It is ordered that appellee recover from appellant costs herein taxed.
    The court finds there were reasonable grounds for this appeal.
    It is ordered that a special mandate be sent to said court to carry this judgment
    into execution.
    A certified copy of this entry shall constitute the mandate pursuant to Rule
    27 of the Rules of Appellate Procedure.
    MICHAEL JOHN RYAN, JUDGE
    ANITA LASTER MAYS, A.J., and
    MARY EILEEN KILBANE, J., CONCUR
    

Document Info

Docket Number: 111976

Judges: Ryan

Filed Date: 6/1/2023

Precedential Status: Precedential

Modified Date: 6/1/2023