N.L. Custer v. BPOA ( 2020 )


Menu:
  •           IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Nicole L. Custer,                        :
    Petitioner      :
    :
    v.                           :   No. 564 M.D. 2018
    :   Submitted: February 7, 2020
    Commonwealth, Department of              :
    State, Bureau of Professional and        :
    Occupational Affairs, Kathy              :
    Boockvar, Kalonji Johnson, Ian           :
    Harlow, State Board of Occupational      :
    Therapy Education and Licensure,         :
    Kerri Hample, Joanne M. Baird,           :
    Carolyn M. Gatty, Christine L.           :
    Hischmann, Edward J. Mihelcic,           :
    Commonwealth, Department                 :
    of Human Services, and Teresa            :
    D. Miller,                               :
    Respondents    :
    BEFORE:     HONORABLE MARY HANNAH LEAVITT, President Judge
    HONORABLE MICHAEL H. WOJCIK, Judge
    HONORABLE J. ANDREW CROMPTON, Judge
    OPINION NOT REPORTED
    MEMORANDUM OPINION
    BY PRESIDENT JUDGE LEAVITT                                FILED: October 29, 2020
    Before the Court are the preliminary objections filed by the Department
    of State, Bureau of Professional and Occupational Affairs; Secretary of State, Kathy
    Boockvar; Kalonji Johnson; Ian Harlow; the State Board of Occupational Therapy
    Education and Licensure; Kerri Hample; Joanne M. Baird; Carolyn M. Gatty;
    Christine L. Hischmann; Edward J. Mihelcic; the Department of Human Services;
    and Secretary of Human Services, Teresa D. Miller (collectively, Respondents) to
    Nicole L. Custer’s amended petition for review filed in this Court’s original
    jurisdiction. Under various legal theories, Custer’s amended petition seeks, inter
    alia, to compel the State Board of Occupational Therapy Education and Licensure
    (State Board) to renew her license as an occupational therapist as of July 5, 2017,
    the date on which she completed all requirements for license renewal. The State
    Board marked Custer’s license as “expired” because its agent did not notify it that
    Custer had completed the online continuing education requirement for a license
    renewal. Respondents assert that the amended petition for review does not state a
    cognizable claim for relief and should be dismissed.
    I. Procedural Background
    On August 20, 2018, Custer filed a petition for review addressed to this
    Court’s appellate and original jurisdiction.     Respondents moved to quash the
    appellate claim and to dismiss the original jurisdiction claim. In a single-judge
    opinion, the Court granted the motion to quash the appellate jurisdiction claim;
    sustained the preliminary objections to the original jurisdiction claim; and dismissed
    the petition for review with prejudice. See Custer v. Department of State, Bureau of
    Professional and Occupational Affairs (Pa. Cmwlth., No. 564 M.D. 2018, filed June
    18, 2019) (Brobson, J.).
    The Court reasoned that Custer could not appeal letters sent to her by
    the State Board and the Department of State, Bureau of Professional and
    Occupational Affairs (Department of State), because they were not adjudications.
    The Court also concluded that Custer was required to complete her licensing
    requirements by June 30, 2017, and did not do so until July 5, 2017. Accordingly,
    she had no legal right to renewal of her license as of June 30, 2017.
    Custer then filed an application for reconsideration of the Court’s ruling
    on her original jurisdiction claim and sought leave to file an amended petition for
    2
    review. This Court granted reconsideration; vacated its order of June 18, 2019; and
    granted leave for the filing of an amended petition for review within 30 days.
    Custer’s amended petition for review then followed, seeking a
    declaration that her license was renewed as of July 5, 2017, rather than February 27,
    2018.    It presents the following factual bases and legal theories in support of her
    request for relief.
    II. Factual Background
    Custer is an occupational therapist who treats children with disabilities.
    She began her career with United Cerebral Palsy, working with cerebral palsy
    patients to develop the skills they needed to perform daily activities. Amended
    Petition for Review (Amended Petition) ¶6.          Since 2008, Custer has worked
    primarily in early intervention to promote the development of infants, toddlers and
    preschoolers in everyday routines.
    Id. ¶7. Her patients
    are newborns to three-year-
    olds with conditions such as Down’s Syndrome, cerebral palsy, autism, premature
    birth, drug addiction or behavioral issues.
    Id. ¶8. Custer was
    first licensed as an
    occupational therapist in 2003, pursuant to the Occupational Therapy Practice Act,
    Act of June 15, 1982, P.L. 502, No. 140, as amended, 63 P.S. §§1501-1519.
    Id. ¶4. On June
    30, 2017, Custer submitted a renewal application for her
    occupational therapist license to the Department of State’s website and paid the
    renewal fee.
    Id. ¶22. On July
    5, 2017, Custer received a “License Renewal
    Discrepancy Letter” by email from the Department.
    Id. ¶23, Ex. 1.
    The email
    acknowledged receipt of her renewal application and advised that she had to
    complete a course on child abuse recognition before her license could be renewed.
    Id. ¶24, Ex. 1.
    The email stated as follows:
    3
    Since the implementation of Act 31 of 2014,[1] you are now
    required to complete two hours of [State] Board approved
    Child Abuse Recognition and Reporting Continuing
    Education (Child Abuse CE) before your license can be
    renewed.
    If you have met the Child Abuse CE requirement, but are
    receiving this notice, you must contact the [State] Board
    approved provider that offered the course to ensure that they
    have submitted an electronic certification of completion to the
    [State] Board.
    ***
    • DO NOT reply to this email and/or submit a paper copy
    of your certification of completion. We cannot accept
    paper certificates.
    • Proof of completing the course MUST BE submitted
    electronically from the course provider to the [State]
    Board.
    ***
    Please be advised that your license WILL NOT be renewed
    until the Child Abuse CE requirement has been met.
    Id. at
    Ex. 1 at 1-2 (emphasis in original).
    That same day, Custer completed the required Child Abuse CE course
    online through the University of Pittsburgh School of Social Work, Pennsylvania
    Child Welfare Resource Center (University). Amended Petition ¶32. As directed
    by the above-quoted email, Custer did not submit documentation to the Department
    of State that she had completed the course.
    On February 12, 2018, Custer submitted claims for reimbursement to
    the Department of Human Services for occupational therapy services she rendered
    1
    Act of April 15, 2014, P.L. 411, No. 31.
    4
    to Medical Assistance enrollees.
    Id. ¶39. The Department
    of Human Services
    informed her that her license was expired.
    Id. ¶40. Custer contacted
    the State Board
    and learned that it marked her license as “expired” because the Board had not
    received certification from the University that she had completed the Child Abuse
    CE course.
    Id. ¶41. Custer immediately
    re-took the course, and the State Board
    reactivated her license on February 27, 2018.
    Id. ¶¶42-43. Custer then
    contacted the University to determine why she had not been
    credited for the continuing education course she completed on July 5, 2017.
    Id. ¶45. She learned
    that the University had mistakenly credited her husband, who is also a
    professional licensee subject to the Child Abuse CE requirement.
    Id. ¶53. The University
    corrected the mistake and reported the credits to the State Board as having
    been completed by Custer on July 5, 2017.
    Id. ¶56. When Custer
    contacted the State Board to request a renewal of her
    license as of June 30, 2017, the Board Administrator responded, “[u]nfortunately the
    [State] Board cannot make the change retroactive. All the renewal requirements
    must be met, received, and processed on or before the 30 days after expiration.”
    Id. ¶60. Custer requested
    information on how to appeal that decision, but she did not
    receive a response.
    Id. ¶¶61-62. In April
    2018, the Department of Human Services notified Custer that
    because her license had been expired for the period between June 30, 2017, and
    February 26, 2018, she owed the Department of Human Services $50,307.84, which
    was the amount it had paid to her for services she rendered during that period to
    patients enrolled in Medical Assistance.
    Id. ¶75. Custer, now
    represented by legal
    counsel, again requested the State Board to correct the mistake of its agent, the
    5
    University, by reactivating her license as of June 30, 2017.
    Id. ¶77, Ex. 12.
    The
    Department of State and the State Board refused her request.
    Id. ¶80. III. Amended
    Petition for Review and Preliminary Objections
    The amended petition for review contains several counts: Count I
    requests this Court to issue a writ of mandamus to the Department of State and State
    Board to deem Custer’s occupational therapist license renewed as of July 5, 2017,
    or, alternatively, conduct a fair and adequate hearing on the matter. Count II seeks
    a declaratory judgment that Custer’s license was renewed as of July 5, 2017, and
    none of Respondents may take any administrative, disciplinary, civil or criminal
    action against her for allegedly unlicensed activity. Count III asserts that the
    individual Respondents violated Custer’s due process rights under the United States
    Constitution by refusing to acknowledge the renewal of her license on July 5, 2017.
    Count IV asserts that all Respondents have violated her due process rights under the
    Pennsylvania Constitution. Count V asserts a substantive due process claim under
    the United States Constitution against the individual Respondents for refusing to
    acknowledge her July 5, 2017, license renewal. Count VI asserts a substantive due
    process claim under the Pennsylvania Constitution against all Respondents for
    failing to acknowledge renewal of her license as of July 5, 2017. Count VII asserts
    a claim that the individual Respondents have violated Custer’s right to equal
    protection under the United States Constitution by refusing to acknowledge the
    renewal of her license on July 5, 2017. Count VIII asserts an equal protection claim
    under the Pennsylvania Constitution against all Respondents for refusing to
    acknowledge her July 5, 2017, license renewal. Count IX seeks an injunction against
    all Respondents to restrain their unconstitutional conduct.
    6
    Custer seeks relief in the form of a declaratory judgment that her
    constitutional rights were violated; a declaratory judgment that her license renewed
    as of July 5, 2017; an order that Respondents may not initiate or aid in administrative,
    disciplinary, civil or criminal actions against her for the stated ground that the license
    had expired; and an order that the Secretary of Human Services, Teresa Miller, may
    not seek recovery of the fees paid to Custer for services she rendered for the stated
    reason that her license had expired. Custer seeks an award of costs and attorneys’
    fees pursuant to 42 U.S.C. §§1983 and 1988 (actions for deprivations of civil rights
    and in vindication of civil rights).
    In response, Respondents filed preliminary objections in the nature of
    a demurrer to all nine counts. Respondents assert that Count I of the amended
    petition for review does not present a clear right to relief, which is necessary for a
    writ of mandamus; Count II does not present a case in controversy, which is
    necessary for a declaratory judgment; Counts III and IV do not state a procedural
    due process claim and none of the individual Respondents are alleged to have been
    personally involved in any action adverse to Custer; Counts V and VI do not state a
    substantive due process claim and none of the individual Respondents are alleged to
    have been personally involved in any action adverse to Custer; Counts VII and VIII
    do not state an equal protection claim and none of the individual Respondents are
    alleged to have been involved in any action adverse to Custer; and Count IX does
    not state a cognizable claim for equitable relief.
    When considering preliminary objections, we must accept as true all
    well-pleaded facts and inferences, but not conclusions of law. Cowell v. Department
    of Transportation, 
    883 A.2d 705
    , 707 n.2 (Pa. Cmwlth. 2005).                “Preliminary
    objections in the nature of a demurrer should be sustained only where the pleadings
    7
    are clearly insufficient to establish a right to relief; any doubt must be resolved in
    favor of overruling the demurrer.”
    Id. IV.
    Analysis
    A. Mandamus
    Respondents argue that Custer is not entitled to a writ of mandamus to
    compel the State Board or the Department of State to renew her license as of July 5,
    2017, or to direct them to conduct a hearing on the effective date of her license
    renewal. Respondents acknowledge that the State Board has a ministerial duty to
    renew the licenses of occupational therapists who qualify for them and that Custer
    was qualified. However, Respondents argue that it was Custer’s responsibility to
    ensure that the University submitted the Child Abuse CE documentation to the State
    Board. Further, Custer has not pointed to any statute that would authorize the Board
    to backdate her occupational therapist license.
    Custer responds that she had a clear legal right to have her license
    renewed as of July 5, 2017. Neither the statute nor the regulations impose a duty on
    her to notify the Department of State that she completed the required course. To the
    contrary, the Department of State directed her not to contact it once she completed
    the Child Abuse CE course. Custer asserts that a writ of mandamus is necessary to
    compel Respondents to renew her license as of the date she qualified, i.e., July 5,
    2017.
    A writ of mandamus compels a public official’s performance of a
    ministerial act or mandatory duty. Chesapeake Appalachia, LLC v. Golden, 
    35 A.3d 1277
    , 1280 n.7 (Pa. Cmwlth. 2012). Mandamus requires a clear legal right to relief
    in the petitioner, a corresponding duty in the respondent and the lack of any other
    adequate and appropriate remedy. Wilson v. Pennsylvania Board of Probation and
    8
    Parole, 
    942 A.2d 270
    , 272 (Pa. Cmwlth. 2008). Mandamus is not available to
    establish legal rights but only to enforce rights that have been established.
    Id. As a high
    prerogative writ, mandamus is rarely issued and never to interfere with a public
    official’s exercise of discretion. Chadwick v. Dauphin County Office of Coroner,
    
    905 A.2d 600
    , 603 (Pa. Cmwlth. 2006).
    The amended petition alleges that Custer met the requirements for
    renewal of her license as of July 5, 2017, and the University so informed the
    Department of State. It further alleges that the Secretary of State will neither correct
    the effective date of her renewal license nor give her a hearing on its refusal to act.
    Respondents ignore these well-pled facts and simply assert, in conclusory fashion,
    that a license renewal date cannot be corrected.
    Respondents concede that a license renewal is a ministerial duty and
    that Custer has no other adequate and appropriate remedy. Because the amended
    petition for review asserts facts supporting Custer’s right to a license as of July 5,
    2017, Respondents’ preliminary objection to Count I of the amended petition for
    review will be overruled.
    B. Declaratory Judgment
    Respondents next contend that Custer is not entitled to a declaratory
    judgment because she has not established that there is a genuine controversy ripe for
    review. They assert that the amended petition itself shows that Custer did not
    successfully renew her license and, thus, it expired by operation of law. After she
    submitted the required documents in February 2018, the Department of State
    reactivated her license.
    Custer responds that the amended petition presents a controversy, i.e.,
    the Department of Human Services and the Secretary of Human Services have
    9
    demanded the return of fees she earned for treating Medical Assistance patients.
    There is no question that she provided the services, and there is no question that she
    qualified for a license renewal as of July 5, 2017, before she rendered the services.2
    The Department of State forbade Custer to send her Child Abuse CE record to the
    State Board, for the stated reason that it would only accept electronic certification
    directly from the course provider. Custer had no reason to believe the University,
    the course provider chosen by the State Board, would not timely submit her
    certificate of completion. Neither the State Board nor the Department of State
    notified Custer that it considered her license to be expired. She learned that fact
    months later in February 2018 and from a third party, the Department of Human
    Services.
    The amended petition alleges that the University mistakenly credited
    her completion of the Child Abuse CE course to her husband. The University
    corrected the mistake and thereafter informed the State Board that Custer did indeed
    complete the course on July 5, 2017. Nevertheless, the State Board refuses to correct
    its records in response to the University’s correction.
    The Declaratory Judgments Act provides “relief from uncertainty and
    insecurity with respect to rights, status, and other legal relations, and is to be liberally
    construed and administered.” 42 Pa. C.S. §7541(a). In a declaratory judgment
    action, the plaintiff “must allege an interest by the party seeking relief which is
    direct, substantial and present, ... and must demonstrate the existence of an actual
    controversy related to the invasion or threatened invasion of one’s legal rights.”
    Bowen v. Mount Joy Township, 
    644 A.2d 818
    , 821 (Pa. Cmwlth. 1994) (quoting
    Pennsylvania Institutional Health Services, Inc. v. Department of Corrections, 631
    2
    The State Board gave her a 30-day grace period for completing the Child Abuse CE course.
    Technically, she qualified as of June 30, 2017.
    
    10 A.2d 767
    , 771 (Pa. Cmwlth. 1993)). The Pennsylvania Supreme Court has further
    explained that
    [a] declaratory judgment must not be employed to determine
    rights in anticipation of events which may never occur or for
    consideration of moot cases or as a medium for the rendition of
    an advisory opinion which may prove to be purely academic.
    Gulnac by Gulnac v. South Butler County School District, 
    587 A.2d 699
    , 701 (Pa.
    1991) (emphasis added).
    The amended petition presents, as fact, that the Department of State did
    not timely renew Custer’s license because of an error by the University and that the
    Department would only accept information from the course provider.               The
    Department of State did not notify her that it did not receive the course certificate
    from the University, let alone that her license had expired. The Department of
    Human Services’ demand for restitution is premised entirely on its belief that
    Custer’s license had expired when she rendered services to the Medical Assistance
    enrollees. The controversy is not hypothetical; it is real and ongoing.
    The facts as pled establish an actual controversy that is direct,
    substantial and present. Respondents’ preliminary objection to Count II of the
    amended petition for review will be overruled.
    C. Procedural Due Process
    Respondents next contend that the amended petition does not state a
    violation of procedural due process, and none of the individual Respondents were
    involved in any of the matters complained of in the amended petition. Custer cannot
    claim a procedural due process violation because the Department of State has not
    issued an adjudication (or final order).
    11
    Custer responds that she has a protected property interest in her
    occupational therapist license, which she needs to practice her profession. Khan v.
    State Board of Auctioneer Examiners, 
    842 A.2d 936
    , 946 (Pa. 2004). She argues
    that procedural due process guarantees a licensee notice and the opportunity to be
    heard before her license authority can be extinguished for any reason. Here, the
    Department of State recorded her license as expired because of the mistake of its
    agent, the University, which did not inform the Department of State that Custer had
    completed the Child Abuse CE course on July 5, 2017. Had it done so, Custer’s
    license would have been renewed as of June 30, 2017.3 Although the Department
    of State took her renewal fee, it did not tell her that it did not renew her license.
    The Fourteenth Amendment to the United States Constitution provides
    that no state shall “deprive any person of life, liberty, or property, without due
    process of law.” U.S. CONST. amend. XIV, §1. Our Supreme Court has held that
    due process of law is also guaranteed by Article I, Sections 1, 9, and 11 of the
    Pennsylvania Constitution. Lyness v. State Board of Medicine, 
    605 A.2d 1204
    , 1207
    (Pa. 1992). “[T]he due process standards of [the] United States and Pennsylvania
    Constitutions are essentially the same.” Muscarella v. Commonwealth, 
    87 A.3d 966
    ,
    973 (Pa. Cmwlth. 2014).
    The basic elements of procedural due process are “adequate notice, the
    opportunity to be heard, and the chance to defend oneself before a fair and impartial
    tribunal having jurisdiction over the case.” Commonwealth v. Turner, 
    80 A.3d 754
    ,
    764 (Pa. 2013). Courts examine procedural due process claims in two steps: “the
    first asks whether there is a life, liberty, or property interest that the state has
    3
    The State Board gives licensees an additional 30 days after the expiration of their licenses to
    submit documentation showing that their renewal requirements were met. Amended Petition ¶31.
    See also Amended Petition, Ex. 2.
    12
    interfered with; and the second examines whether the procedures attendant to that
    deprivation were constitutionally sufficient.”
    Id. Section 15(a) of
    the Occupational Therapy Practice Act states, in
    relevant part, as follows:
    A license issued under this act shall be renewed biennially upon
    payment of the renewal fee prescribed[.] It shall expire unless
    renewed in the manner prescribed by the regulations of the [State
    Board]. The [State Board] may provide for the late renewal of a
    license upon the payment of a late fee. A late renewal of a license
    shall not be granted more than four years after its expiration. A
    license shall be renewed after the four-year period only by
    [written examination]. The [State Board] may establish
    additional requirements for license renewal designed to assure
    continued competency of the applying occupational therapist or
    occupational therapy assistant.
    63 P.S. §1515(a) (emphasis added). The amended petition states that Custer paid
    the renewal fee and completed a Child Abuse CE course. These facts demonstrate
    her compliance. We reject Respondents’ contention otherwise.
    Additionally, Custer is not required to establish the personal
    involvement of each Respondent since she seeks injunctive and declaratory relief.
    Parkell v. Danberg, 
    833 F.3d 313
    , 332 (3d Cir. 2016). Rather, she is only required
    to name an official or officials “who can appropriately respond to injunctive relief.”
    Id. (quoting Hartmann v.
    California Department of Corrections & Rehabilitation,
    
    707 F.3d 1114
    , 1127 (9th Cir. 2013)). Here, she has done so.
    The amended petition states a procedural due process claim: it alleges
    that Custer’s license expired without her being so informed, even though she
    completed her licensing requirements and paid the fee. Her request for a hearing was
    13
    denied. Respondents’ preliminary objections to Counts III and IV of the amended
    petition for review will be overruled.
    D. Substantive Due Process
    Respondents next contend that the amended petition does not state a
    substantive due process claim because it was Custer’s obligation to maintain her
    license.   Further, they contend that none of the individual Respondents were
    personally involved in the alleged constitutional violation.            Nevertheless,
    Respondents acknowledge that the right to pursue one’s profession is a substantive
    due process right, and any restriction on that right must be rational. They argue that
    Custer simply failed to comply with Section 15(a) of the Occupational Therapy
    Practice Act, 63 P.S. §1515(a).
    Custer responds that she was deprived of her license in an unreasonable,
    arbitrary, and irrational manner. This states a substantive due process claim.
    “The substantive protections of due process are meant to protect
    citizens from arbitrary and irrational actions of the government.” Gresock v. City of
    Pittsburgh Civil Service Commission, 
    698 A.2d 163
    , 169 (Pa. Cmwlth. 1997)
    (citation omitted).    Substantive due process protections afforded under the
    Pennsylvania Constitution and the United States Constitution are analyzed the same
    and are thus coextensive. Griffin v. Southeastern Pennsylvania Transportation
    Authority, 
    757 A.2d 448
    , 452 (Pa. Cmwlth. 2000).
    Article I, Section 1 of the Pennsylvania Constitution provides: “All men
    are born equally free and independent, and have certain inherent and indefeasible
    rights, among which are those of enjoying and defending life and liberty, of
    acquiring, possessing and protecting property and reputation, and of pursuing their
    own happiness.” PA. CONST. art. I, §1. This section, like the Fourteenth Amendment
    14
    to the United States Constitution, U.S. CONST. amend XIV, guarantees persons in
    this Commonwealth certain inalienable rights.
    “The constitutional analysis applied to the laws that impede upon these
    inalienable rights is a means-end review, legally referred to as a substantive due
    process analysis.” Nixon v. Commonwealth, 
    839 A.2d 277
    , 286 (Pa. 2003). Where
    a law restricts an important, but not fundamental right, courts apply a rational basis
    test.
    Id. at
    287. Under that standard, the law being examined “must not be
    unreasonable, unduly oppressive or patently beyond the necessities of the case, and
    the means which it employs must have a real and substantial relation to the objects
    sought to be attained.”
    Id. (citation omitted) (footnote
    omitted). Generally, the right
    to pursue a particular profession is not a fundamental right.
    Id. at
    288. Thus, the
    rational basis test applies.
    The amended petition states that although Custer followed the State
    Board’s directions for a license renewal, it did not renew her license. Moreover, her
    request for a hearing was denied and led to the Department of Human Services’
    demand for a return of fees she earned while allegedly working with an “expired”
    license. These allegations of arbitrary conduct state a substantive due process claim.
    Additionally, Custer is not required to establish the personal involvement of each
    Respondent since she seeks injunctive and declaratory relief. 
    Parkell, 833 F.3d at 332
    . Therefore, Respondents’ preliminary objections to Counts V and VI of the
    amended petition will be overruled.
    E. Equal Protection
    Respondents next contend that the amended petition does not state an
    equal protection claim. They claim that the facts alleged therein do not show that
    Custer was treated differently than others similarly situated to her.
    15
    The Equal Protection Clause of the Fourteenth Amendment to the
    United States Constitution provides, in relevant part: “No State shall ... deny to any
    person within its jurisdiction the equal protection of the laws.” U.S. CONST. amend.
    XIV, §1. The corresponding portions of the Pennsylvania Constitution provide as
    follows:
    All men are born equally free and independent, and have certain
    inherent and indefeasible rights, among which are those of
    enjoying and defending life and liberty, of acquiring, possessing
    and protecting property and reputation, and of pursuing their own
    happiness.
    PA. CONST. art. I, §1.
    Neither the Commonwealth nor any political subdivision thereof
    shall deny to any person the enjoyment of any civil right, nor
    discriminate against any person in the exercise of any civil right.
    PA. CONST. art. I, §26. In short, the guarantee of equal protection under the law does
    not require the government to treat all persons identically, but assures that similarly
    situated persons will be treated alike. Garrison v. Department of Corrections, 
    16 A.3d 560
    , 564 (Pa. Cmwlth. 2011).
    The amended petition states that the Department of State has a policy
    of permitting licensees to correct discrepancies in their license renewal applications
    within 30 days of the expiration of the license. Amended Petition ¶29. It also states
    the Department of State has a policy of renewing a license as of the date that the
    licensee corrects the discrepancy in the licensee’s application.
    Id. ¶145. The amended
    petition alleges that individual Respondents “have renewed licenses as of
    the date that the licensee corrects the discrepancy in the licensee’s application” and
    that Custer is “similarly situated to such licensees.”
    Id. ¶¶135-36. Custer claims
    that
    16
    she was denied equal protection because she was not able to have her license
    corrected eight months after she discovered the error. ¶¶ 39-41, 136.
    Id. The amended petition
    alleges that the Department of State has a policy
    of renewing a license as of the date the licensee corrects a discrepancy and that the
    Department has learned of the University’s error in not reporting Custer’s
    completion of the Child Abuse CE course. Nevertheless, the Department refuses to
    correct its record. However, the amended petition does not allege that other licensees
    were able to have their license records corrected eight months after the mistake
    occurred. The amended petition makes only a conclusory allegation that there were
    other licensees “similarly situated” to Custer. This is insufficient to state an equal
    protection claim.
    Respondents’ preliminary objections to Counts VII and VIII of the
    amended petition for review will be sustained.
    F. Injunctive Relief
    Respondents’ sixth contention is that Custer is not entitled to injunctive
    relief4 because she had the obligation to comply with the regulations to retain her
    right to practice her profession. Custer responds that she did comply with the
    regulations.
    4
    An injunction is a court order that can prohibit or command virtually any type of action. It is an
    extraordinary remedy that should be issued with caution and “only where the rights and equity of
    the plaintiff are clear and free from doubt, and where the harm to be remedied is great and
    irreparable.” 15 STANDARD PENNSYLVANIA PRACTICE 2d §83:2 (2005). The required elements of
    injunctive relief are: a clear right to relief; an urgent necessity to avoid an injury that cannot be
    compensated in damages; and a finding that greater injury will result from refusing, rather than
    granting, the relief requested.
    Id. §83:19. Even where
    the essential prerequisites of an injunction
    are satisfied, the court must narrowly tailor its remedy to abate the injury. John G. Bryant Co.,
    Inc. v. Sling Testing & Repair, Inc., 
    369 A.2d 1164
    , 1167 (Pa. 1977). The power to grant or to
    refuse an injunction “rests in the sound discretion of the court under the circumstances and the
    facts of the particular case....” Rick v. Cramp, 
    53 A.2d 84
    , 88 (Pa. 1947).
    17
    Custer seeks a declaration that her license be renewed as of July 5,
    2017; an injunction prohibiting Respondents from initiating or aiding any
    administrative, disciplinary, civil, or criminal action against her related to the
    expired status of her license; and an injunction preventing the Department of Human
    Services from seeking the return of payments she received for services she rendered
    during a period of time she should have been licensed. Respondents do not address
    those facts. Instead, they assert, in conclusory fashion, that Custer did not comply
    with unspecified regulations. The amended petition asserts facts supporting Custer’s
    claim that she did everything required for a license renewal as of July 5, 2017, and
    we must accept those facts as true. Respondents’ preliminary objection to Count IX
    of the amended petition for review will be overruled.
    V. Conclusion
    For all the above reasons, Respondents’ preliminary objections to
    Counts VII and VIII of the amended petition for review are sustained, and the
    remaining preliminary objections are overruled.
    _____________________________________
    MARY HANNAH LEAVITT, President Judge
    Judge Covey did not participate in the decision in this case.
    18
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Nicole L. Custer,                        :
    Petitioner     :
    :
    v.                          :   No. 564 M.D. 2018
    :
    Commonwealth, Department of              :
    State, Bureau of Professional and        :
    Occupational Affairs, Kathy              :
    Boockvar, Kalonji Johnson, Ian           :
    Harlow, State Board of Occupational      :
    Therapy Education and Licensure,         :
    Kerri Hample, Joanne M. Baird,           :
    Carolyn M. Gatty, Christine L.           :
    Hischmann, Edward J. Mihelcic,           :
    Commonwealth, Department                 :
    of Human Services, and Teresa            :
    D. Miller,                               :
    Respondents    :
    ORDER
    AND NOW, this 29th day of October, 2020, the preliminary objections
    filed by the Department of State, Bureau of Professional and Occupational Affairs;
    Secretary of State, Kathy Boockvar; Kalonji Johnson; Ian Harlow; the State Board
    of Occupational Therapy Education and Licensure; Kerri Hample; Joanne M. Baird;
    Carolyn M. Gatty; Christine L. Hischmann; Edward J. Mihelcic; the Department of
    Human Services; and Secretary of Human Services, Teresa D. Miller (collectively,
    Respondents) are SUSTAINED as to Counts VII and VIII of the Amended Petition
    for Review and are OVERRULED as to Counts I, II, III, IV, V, VI, and IX of the
    Amended Petition for Review.
    Respondents are directed to file an answer to the remaining claims in
    the Amended Petition for Review (Counts I, II, III, IV, V, VI, and IX) within 30
    days of the date of this Order.
    _____________________________________
    MARY HANNAH LEAVITT, President Judge