Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_15-cv-00266/USCOURTS-caed-1_15-cv-00266-27/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

JOAQUIN MURILLO,

Plaintiff,

v.

K. HOLLAND, et al.,

Defendant.

No. 1:15-cv-0266 KJM DB P

FINDINGS AND RECOMMENDATIONS

Plaintiff is a state prisoner proceeding pro se with a civil rights action pursuant to 42 

U.S.C. § 1983. Plaintiff alleges he suffered sleep deprivation due to defendants’ use of the Guard 

One welfare check system in violation of his Eighth Amendment rights. Before the court is 

defendants’ motion for summary judgment. For the reasons set forth below, this court 

recommends defendants’ motion be denied. 

BACKGROUND

This case is proceeding on plaintiff’s first amended complaint filed December 19, 2016. 

(ECF No. 52.) Plaintiff alleges that the Guard One welfare check system, implemented at the

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California Correctional Institution (“CCI”) in 2014, caused him severe sleep deprivation.1 He 

claims defendants, who supervised correctional officers and reviewed inmate appeals, failed to 

investigate and attempt to reduce or mitigate the noise caused by Guard One despite knowing 

they were causing injury to plaintiff. Defendants moved to dismiss the first amended complaint 

on the grounds that plaintiff failed to state a claim. (ECF No. 53.) In June 2017, the court 

granted in part and denied in part defendants’ motion to dismiss. (ECF Nos. 57, 58.) The court 

found plaintiff sufficiently alleged Eighth Amendment claims for damages against the three 

defendants - Warden Holland, Deputy Warden Gutierrez, and Correctional Sergeant Ybarra - in 

their individual capacities. The court dismissed plaintiff’s state law claims, claims for injunctive 

relief, and claims against defendants in their official capacities. 

After receiving notices of related cases, the court related the present case to several other 

cases involving use of Guard One in California prisons. These Guard One cases have also been 

related to the Coleman class action. 

In July 2018, defendants filed a motion for summary judgment. (ECF No. 97.) Among 

other things, defendants argued they are entitled to qualified immunity from this suit because 

implementation of the Guard One system was required by the court in Coleman. On March 8, 

2019, the undersigned issued findings and recommendations in which it recommended summary 

judgment be granted as to defendant Ybarra and denied as to defendants Holland and Gutierrez. 

(ECF No. 113.) This court found the undisputed facts showed that plaintiff could not demonstrate 

that Ybarra was deliberately indifferent to the excessive noise causing sleep deprivation. This 

court further found disputes of material fact about what defendants Holland and Gutierrez knew 

about inmates’ complaints about Guard One and what they did in response. This court found 

1

In 2013, the court in Coleman v. Newsom, 2:90-cv-0520 KJM DB, a class action regarding 

mental health care in the California prisons, ordered the prisons to institute regular welfare checks 

on inmates in administrative segregation units (“ASU”) and security housing units (“SHU). In 

2014, CCI started using the Guard One welfare check system. On February 3, 2015, the Coleman

court ordered the California prisons to use Guard One in all SHUs and ASUs. The Guard One 

system is a suicide prevention measure. It is intended to track officers’ compliance with the 

regular welfare checks. It requires officers to strike a metal plate on each cell door with a metal 

pipe. The metal pipe has an electronic sensor that records each such contact.

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those disputed facts material to both plaintiff’s Eighth Amendment claim against those defendants 

and Holland and Gutierrez’s qualified immunity defense. 

On August 27, 2019, Chief District Judge Mueller stayed this action pending the Ninth 

Circuit Court of Appeals’ resolution of the motion for rehearing en banc in related case Rico v. 

Ducart, No. 19-15541 (9th Cir.); No. 2:17-cv-1402 KJM DB P (E.D. Cal.). The Ninth Circuit 

denied the motion for rehearing en banc and on May 6, 2021 issued the mandate for the panel’s 

decision. See Rico v. Ducart, 980 F.3d 1292 (9th Cir. 2020) (“Rico I”

2

). 

Defendants Holland and Gutierrez moved to lift the stay and to dismiss this case. (ECF 

No. 129.) After lifting the stay, on July 28, 2023, this court issued findings and recommendations 

in which it recommended the motion to dismiss be denied without prejudice to its renewal as a 

motion for summary judgment and reaffirmed its prior recommendation that summary judgment 

be granted as to defendant Ybarra. (ECF No. 138.) On September 29, 2023, Chief Judge Mueller 

adopted the findings and recommendations, dismissing the motion to dismiss and granting 

summary judgment as to defendant Ybarra. (ECF No. 141.)

Defendants Holland and Gutierrez now move for summary judgment. (ECF No. 147.) 

Plaintiff filed an opposition (ECF No. 149) and defendants Holland and Gutierrez filed a reply 

(ECF No. 152).3

MOTION FOR SUMMARY JUDGMENT

Defendants move for summary judgment on the grounds that the undisputed facts show 

they are entitled to qualified immunity from plaintiff’s suit. In the alternative, they argue plaintiff 

cannot demonstrate a triable issue of fact on the merits of his Eighth Amendment claim. 

2

In 2019, Rico filed a second action in this court – Rico v. Ducart, 2:19-cv-1989 KJM DB P. In 

that case, Rico II, Rico challenged the use of Guard One every 30 minutes during first watch in 

2017 and 2018, a violation of a court order in Coleman requiring Guard One checks every hour 

during first watch. This court found defendants were entitled to qualified immunity. Id. (Feb. 8, 

2024 Findings and Recos.). Chief Judge Mueller adopted the recommendation that defendants’ 

motion to dismiss be granted and closed the case on April 16, 2024. Plaintiff Rico’s appeal of 

that decision is pending. 

3 Counsel is identified on the first page of the reply as “Attorneys for Defendants Gilbert Ybarra.” 

(ECF No. 152 at 1.) However, it is evident from the body of the reply brief that this is an error 

and the reply is being filed on behalf of the remaining defendants, Holland and Gutierrez. 

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I. Summary Judgment Standards under Rule 56

Summary judgment is appropriate when the moving party “shows that there is no genuine 

dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. 

Civ. P. 56(a). Under summary judgment practice, the moving party “initially bears the burden of 

proving the absence of a genuine issue of material fact.” In re Oracle Corp. Sec. Litigation, 627 

F.3d 376, 387 (9th Cir. 2010) (citing Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)). The 

moving party may accomplish this by “citing to particular parts of materials in the record, 

including depositions, documents, electronically stored information, affidavits or declarations, 

stipulations (including those made for purposes of the motion only), admissions, interrogatory 

answers, or other materials” or by showing that such materials “do not establish the absence or 

presence of a genuine dispute, or that an adverse party cannot produce admissible evidence to 

support the fact.” Fed. R. Civ. P. 56(c)(1)(A), (B).

When the non-moving party bears the burden of proof at trial, “the moving party need 

only prove that there is an absence of evidence to support the nonmoving party’s case.” Oracle 

Corp., 627 F.3d at 387 (citing Celotex, 477 U.S. at 325.); see also Fed. R. Civ. P. 56(c)(1)(B). 

Indeed, summary judgment should be entered, after adequate time for discovery and upon motion, 

against a party who fails to make a showing sufficient to establish the existence of an element 

essential to that party's case, and on which that party will bear the burden of proof at trial. See

Celotex, 477 U.S. at 322. “[A] complete failure of proof concerning an essential element of the 

nonmoving party’s case necessarily renders all other facts immaterial.” Id. In such a

circumstance, summary judgment should be granted, “so long as whatever is before the district 

court demonstrates that the standard for entry of summary judgment . . . is satisfied.” Id. at 323.

If the moving party meets its initial responsibility, the burden then shifts to the opposing 

party to establish that a genuine issue as to any material fact actually does exist. See Matsushita 

Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586 (1986). In attempting to establish the 

existence of this factual dispute, the opposing party typically may not rely upon the allegations or 

denials of its pleadings but is required to tender evidence of specific facts in the form of 

affidavits, and/or admissible discovery material, in support of its contention that the dispute 

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exists. See Fed. R. Civ. P. 56(c)(1); Matsushita, 475 U.S. at 586 n.11. However, a complaint that 

is submitted in substantial compliance with the form prescribed in 28 U.S.C. § 1746 is a “verified 

complaint” and may serve as an opposing affidavit under Rule 56 as long as its allegations arise 

from personal knowledge and contain specific facts admissible into evidence. See Jones v. 

Blanas, 393 F.3d 918, 923 (9th Cir. 2004); Schroeder v. McDonald, 55 F.3d 454, 460 (9th Cir. 

1995) (accepting the verified complaint as an opposing affidavit because the plaintiff 

“demonstrated his personal knowledge by citing two specific instances where correctional staff 

members . . . made statements from which a jury could reasonably infer a retaliatory motive”); 

McElyea v. Babbitt, 833 F.2d 196, 197-98 (9th Cir. 1987); see also El Bey v. Roop, 530 F.3d 

407, 414 (6th Cir. 2008) (Court reversed the district court’s grant of summary judgment because 

it “fail[ed] to account for the fact that El Bey signed his complaint under penalty of perjury 

pursuant to 28 U.S.C. § 1746. His verified complaint therefore carries the same weight as would 

an affidavit for the purposes of summary judgment.”). The opposing party must demonstrate that 

the fact in contention is material, i.e., a fact that might affect the outcome of the suit under the 

governing law, and that the dispute is genuine, i.e., the evidence is such that a reasonable jury 

could return a verdict for the nonmoving party. See Anderson v. Liberty Lobby, Inc., 477 U.S. 

242, 248 (1986).

To show the existence of a factual dispute, the opposing party need not establish a 

material issue of fact conclusively in its favor. It is sufficient that “the claimed factual dispute be 

shown to require a jury or judge to resolve the parties’ differing versions of the truth at trial.” 

T.W. Elec. Serv., Inc. v. Pacific Elec. Contractors Ass’n, 809 F.2d 626, 631 (9th Cir. 1987). 

Thus, the “purpose of summary judgment is to ‘pierce the pleadings and to assess the proof in 

order to see whether there is a genuine need for trial.’” Matsushita, 475 U.S. at 587 (citations 

omitted).

“In evaluating the evidence to determine whether there is a genuine issue of fact,” the 

court draws “all reasonable inferences supported by the evidence in favor of the non-moving 

party.” Walls v. Central Contra Costa Transit Auth., 653 F.3d 963, 966 (9th Cir. 2011). It is the 

opposing party’s obligation to produce a factual predicate from which the inference may be 

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drawn. See Richards v. Nielsen Freight Lines, 602 F. Supp. 1224, 1244-45 (E.D. Cal. 1985), 

aff’d, 810 F.2d 898, 902 (9th Cir. 1987). Finally, to demonstrate a genuine issue, the opposing 

party “must do more than simply show that there is some metaphysical doubt as to the material 

facts. . . . Where the record taken as a whole could not lead a rational trier of fact to find for the 

nonmoving party, there is no ‘genuine issue for trial.’” Matsushita, 475 U.S. at 587 (citation 

omitted).

II. Relevant Legal Standards 

A. Eighth Amendment Deliberate Indifference 

Under the Eighth Amendment, “prison officials are . . . prohibited from being deliberately 

indifferent to policies and practices that expose inmates to a substantial risk of serious harm.” 

Parsons v. Ryan, 754 F.3d 657, 677 (9th Cir. 2014); see also Farmer v. Brennan, 511 U.S. 825, 

847 (1994) (prison official violates Eighth Amendment if he or she knows of a substantial risk of 

serious harm to an inmate and fails to take reasonable measures to avoid the harm). Deliberate 

indifference occurs when “[an] official acted or failed to act despite his knowledge of a 

substantial risk of serious harm.” Farmer, 511 U.S. at 841. Thus, a prisoner may state “a cause of 

action under the Eighth Amendment by alleging that [prison officials] have, with deliberate 

indifference, exposed him to [conditions] that pose an unreasonable risk of serious damage to his 

future health.” Helling v. McKinney, 509 U.S. 25, 35 (1993).

“The second step, showing ‘deliberate indifference,’ involves a two-part inquiry.” 

Thomas v. Ponder, 611 F.3d 1144, 1150 (9th Cir. 2010). “First, the inmate must show that the 

prison officials were aware of a ‘substantial risk of serious harm’ to an inmate’s health or safety.” 

Id. (quoting Farmer, 511 U.S. at 837). “This part of [the] inquiry may be satisfied if the inmate 

shows that the risk posed by the deprivation is obvious.” Thomas, 611 F.3d at 1150 (citation 

omitted). “Second, the inmate must show that the prison officials had no ‘reasonable’ 

justification for the deprivation, in spite of that risk.” Id. (citing Farmer, 511 U.S. at 844) 

(“[P]rison officials who actually knew of a substantial risk to inmate health or safety may be 

found free from liability if they responded reasonably.”)

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B. Qualified Immunity

Government officials enjoy qualified immunity from civil damages unless their conduct 

violates clearly established statutory or constitutional rights. Jeffers v. Gomez, 267 F.3d 895, 910 

(9th Cir. 2001) (quoting Harlow v. Fitzgerald, 457 U.S. 800, 818 (1982)). When a court is 

presented with a qualified immunity defense, the central questions for the court are: (1) whether 

the facts alleged, taken in the light most favorable to the plaintiff, demonstrate that the 

defendant’s conduct violated a statutory or constitutional right; and (2) whether the right at issue 

was “clearly established.” Saucier v. Katz, 533 U.S. 194, 201 (2001), receded from, Pearson v. 

Callahan, 555 U.S. 223 (2009) (the two factors set out in Saucier need not be considered in 

sequence). “Qualified immunity gives government officials breathing room to make reasonable 

but mistaken judgments about open legal questions.” Ashcroft v. al-Kidd, 563 U.S. 731, 743 

(2011). The existence of triable issues of fact as to whether prison officials were deliberately 

indifferent does not necessarily preclude qualified immunity. Estate of Ford v. Ramirez–Palmer, 

301 F.3d 1043, 1053 (9th Cir. 2002).

“For the second step in the qualified immunity analysis—whether the constitutional right 

was clearly established at the time of the conduct—the critical question is whether the contours of 

the right were ‘sufficiently clear’ that every ‘reasonable official would have understood that what 

he is doing violates that right.’” Mattos v. Agarano, 661 F.3d 433, 442 (9th Cir. 2011) (quoting 

al-Kidd, 563 U.S. at 741) (some internal marks omitted). “Although ‘this Court’s case law does 

not require a case directly on point for a right to be clearly established, existing precedent must 

have placed the statutory or constitutional question beyond debate.’ This inquiry ‘must be 

undertaken in light of the specific context of the case, not as a broad general proposition.’” 

Rivas-Villegas v. Cortesluna, 595 U.S. 1, 5-6 (2021) (quoting White v. Pauly, 137 S. Ct. 548, 551 

(2017) (per curiam) and Brosseau v. Haugen, 543 U.S. 194, 198 (2004) (per curiam) (internal 

quotation marks omitted).) 

“The plaintiff bears the burden to show that the contours of the right were clearly 

established.” Clairmont v. Sound Mental Health, 632 F.3d 1091, 1109 (9th Cir. 2011). In 

making this determination, courts consider the state of the law at the time of the alleged violation 

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and the information possessed by the official to determine whether a reasonable official in a 

particular factual situation should have been on notice that his or her conduct was illegal. Inouye 

v. Kemna, 504 F.3d 705, 712 (9th Cir. 2007); see also Hope v. Pelzer, 536 U.S. 730, 741 (2002) 

(the “salient question” for the qualified immunity analysis is whether the state of the law at the 

time gave “fair warning” to the officials that their conduct was unconstitutional). “[W]here there 

is no case directly on point, ‘existing precedent must have placed the statutory or constitutional 

question beyond debate.’” C.B. v. City of Sonora, 769 F.3d 1005, 1026 (9th Cir. 2014) (citing alKidd, 563 U.S. at 740). An official’s subjective beliefs are irrelevant. Inouye, 504 F.3d at 712.

III. Undisputed Material Facts4

Defendants filed a Statement of Undisputed Facts (“DSUF”) as required by Local Rule 

260(a). (ECF No. 147-3.) Plaintiff’s filing in opposition to defendant’s motion for summary 

judgment includes responses to each of defendants’ facts in the DSUF. (See ECF No. 149 at 25-

42.) This court also looks to facts the parties did not dispute in the litigation of defendants’ prior 

motion for summary judgment. (See Findings and Recos. (ECF No. 113).) 

The following facts are not disputed: 

A. History of Court-Ordered Suicide Prevention Checks

• In 2006, due to the rate of suicides and attempted suicides by California inmates, 

the court in Coleman ordered CDCR to undertake suicide prevention and reduction 

programs supervised by the court’s Special Master. (DSUF #2.)

• On October 2, 2006, CDCR submitted its plan to address suicides in its 

Administrative Segregation Units (“ASU”), including a plan to continue its hourly 

welfare checks of inmates in ASU. (DSUF #3.)

• The Coleman Special Master and Coleman plaintiffs’ counsel urged CDCR to 

adopt the American Correctional Association’s standard for welfare checks in 

ASU, which required that inmates be personally observed every thirty minutes on 

an irregular schedule. (DSUF #4.)

4 Disputed facts are considered in the “Discussion” section that follows.

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• On October 31, 2006, CDCR issued a policy memorandum titled 30-Minute 

Welfare Checks of Inmates Placed in Administrative Segregation Units, which 

required custody staff to conduct welfare checks of inmates, at least every 30 

minutes, at irregular intervals, for the first three weeks of the inmates’ placement 

in ASU. (DSUF #5.)

• The Coleman court approved CDCR’s policy requiring welfare checks every 30 

minutes at irregular intervals and ordered the Special Master to monitor and report 

on the implementation of the policy. (DSUF #6.)

• In 2007, the Special Master reported to the Coleman court that CDCR had 

implemented the 30-minute welfare checks, and recommended that CDCR develop 

a plan to train staff on accurate logging of the checks and to track and self-monitor 

compliance. (DSUF #7.)

• On May 28, 2013, CDCR revised its policy to require security and welfare checks 

at staggered intervals not to exceed 30 minutes for all inmates in ASU and 

Security Housing Units (“SHU”) on first, second, and third watch. (DSUF #8.)

B. Implementation of Guard One 

• In May 2014, CDCR issued a policy memorandum requiring use of Guard One to 

conduct the 30-minute security checks (the “Guard One Policy”) in all adult 

institutions. (DSUF #9; Decl. of Holland (ECF No. 97-7 at 3).) 

• The Guard One Policy memorandum’s subject line was: “SECURITY/WELFARE 

CHECK PROCEDURE UTILIZING THE GUARD ONE SYSTEM TO 

SUPERSEDE ADMINISTRATIVE SEGREGATION UNIT WELFARE CHECK 

AND SECURITY/CUSTODY ROUNDS IN SPECIALIZED HOUSING 

PROCEDURES.” (Ex. C to Decl. of Holland (ECF No. 97-7 at 16).) 

• The Guard One Policy described the “custody staff responsibilities for conducting 

Security/Welfare Checks utilizing the Guard One System” to include the 

following:

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1. Correctional officers shall use the Guard One PIPE to record all 

Security/Welfare Checks conducted on all inmates housed in 

ASU, PSU, SHU, and Condemned Housing. This will be 

accomplished by touching the PIPE to each cell front button. This 

will capture the time and location that the Security/Welfare 

Check was conducted. Note: Staff shall no longer capture the 

inmates' in-cell activity via the wallet and activity buttons 

under this modified procedure.

2. Correctional officers shall conduct Security/Welfare Checks on 

all inmates in the aforementioned housing units at staggered 

intervals twice an hour, not to exceed 35 minutes between 

checks. Staggered means checks are to be conducted at 

unannounced and irregular intervals so that they are 

unpredictable to the inmate population. Disruptions of 

Security/Welfare Checks shall be documented in the ASU, PSU, 

SHU, and Condemned Housing Unit Isolation log book.

3. During First Watch hours, correctional officers shall conduct all 

Security/Welfare Checks using a pre-programmed silenced First 

Watch PIPE. The First Watch PIPE does not omit [sic] an audible 

beep during use only flashing a red Light Omitting [sic] Diode 

(LED). The First Watch PIPE shall be marked identifying it as 

equipment for First Watch use only. 

(ECF No. 97-7 at 16-17 (emphasis in original).) 

• Attached to the Guard One Policy memorandum is a document entitled 

“SECURITY/WELFARE CHECK PROCEDURE GUIDELINE” (“Guidelines”). 

Under the heading “PURPOSE AND OBJECTIVE,” the Guidelines state: “The 

purpose of this procedure is to establish specific security and operational 

guidelines for Security/Welfare Checks, to ensure operational compliance with the 

Department Operations Manual (DOM), the California Code of Regulations, Title 

15 and Coleman court mandates.” (ECF No. 97-7 at 19.) 

• The Guidelines list the responsibilities of the following prison staff:

A. The Warden has the overall managerial responsibility for the 

operation of this procedure.

B. The Chief Deputy Warden has the overall functional 

responsibility for the operation of this procedure.

C. The Associate Warden of Housing is responsible for the 

application of this procedure in the ASU, PSU, SHU and 

Condemned Housing Unit.

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D. The Captain(s) in charge of any ASU, PSU, SHU and 

Condemned Housing Unit Units [sic] are responsible for 

ensuring procedural adherence.

E. The Litigation Coordinator is responsible for monitoring this 

procedure for compliance with Coleman Court Mandates.

(ECF No. 97-7 at 20.) 

• The Guidelines describe the methods for use of Guard One in essentially the same 

language as that contained in the Guard One Policy. (ECF No. 97-7 at 20-21.) 

• The Guidelines assign to the “unit supervisor” the responsibility of ensuring that 

“all officers tasked with conducting Security/Welfare Checks are provided training 

regarding this procedure and the Guard One System equipment.” (ECF No. 97-7 

at 21.) 

• The Guard One Policy changed the May 28, 2013 policy by requiring custody staff 

to use Guard One to electronically record the check for all inmates housed in ASU 

and SHU instead of using a hand-written log to record the checks. (DSUF #10.)

• The Guard One system involves a hand-held “pipe,” a metal disc that is attached to 

each cell door, and a software program. The officer conducting housing unit 

rounds is required to touch the end of the pipe to the disc on the cell door. The 

pipe will then emit a sound and the time of the contact will be recorded on the 

pipe. The data from the pipe is then downloaded into the software program on a 

desktop computer in the housing unit by a supervisor, which is reviewed daily to 

ensure compliance. (DSUF #11.)

• In 2014, in response to a directive from CDCR headquarters, CCI implemented the 

Guard One Policy. (DSUF #12.)

• Since 2014, the Coleman Special Master has monitored CDCR’s implementation 

and use of the Guard One Policy and has recommended that CDCR continue to use 

the Guard One system to conduct security and welfare checks in segregated 

housing units. (DSUF #14.) 

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• In January 2014, the Coleman Special Master reported that the Guard One Policy 

“was a significant and commendable policy change.” (DSUF #15; ECF No. 98 at 

126.) 

• In 2014, the Special Master’s suicide prevention expert examined suicide 

prevention practices in all 34 CDCR institutions from November 12, 2013, to July 

24, 2014. The Special Master recommended that CDCR continue to use the Guard 

One security and welfare checks and the Coleman court adopted that 

recommendation on February 3, 2015, directing CDCR to continue performing the 

Guard One checks with the same frequency. (DSUF #16.) 

• Since February 2015,

5

the Coleman court has adopted its Special Master’s findings 

and recommendations on the Guard One Policy and has ordered CDCR to continue 

to conduct security and welfare checks under the Guard One Policy. (DSUF #19.) 

• In January 2018, the Coleman court adopted the findings and recommendations in 

the Special Master’s September 7, 2017 report that defendants continue to 

implement the Guard One Policy and that the Special Master continue to monitor 

its use. (DSUF #20.)

C. Inmate Appeals re Guard One

• Between June 2014 and September 2014, twenty-six inmate appeals related 

specifically to noise caused by the Guard One security and welfare check system 

were submitted by inmates housed at CCI. Of those twenty-six appeals, six were

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In the DSUF, defendants identify the date the Coleman court adopted its Special Master’s 

findings and recommendations on the Guard One Policy as “[s]ince 2014.” However, the 

evidence cited by defendants to support this statement does not support it. Rather, defendants 

provide three orders. The first one shows that on February 3, 2015, Chief Judge Mueller ordered 

CDCR to adopt the Special Master’s recommendation, which included use of Guard One (Ex. K, 

ECF No. 98 at 340-342). The court continued to order use of Guard One in 2016 and 2018. (Exs. 

N and Q, ECF No. 98 at 498 and 693-696.) The evidence does not show, as defendants state, that 

the court in Coleman ordered use of Guard One starting in 2014.

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screened out at the first and second level and eighteen appeals were sent to the 

third level for review and processing. (ECF No. 104 at 51-311.6) 

• The Office of Appeals processed eighteen appeals filed there between June 2014 

and December 31, 2014 by CCI inmates relating to noise complaints from the 

institution’s use of the Guard One security and welfare check system. (DSUF 

#68.)

• Most of the Guard One appeals were submitted by individual inmates. However, 

eight appeals were group appeals. They ranged from the smallest group of eight 

(appeal no. CCI-0-14-1583) to the largest group which included over 50 inmates 

(appeal no. CCI-0-14-2137).7 (See Decl. of Voong (ECF No. 97-4 at 42, 132-36).) 

• Considering the individual and group appeals, a cautious estimate is that 100 

inmates at CCI submitted appeals regarding the sleep disruption caused by the 

Guard One checks between June and September 2014.8 (ECF No. 104 at 51-311.)

• Defendant Gutierrez reviewed and signed the second level decisions on almost all 

of the twenty-six inmate appeals submitted to the second level between July and 

December 2014 regarding sleep deprivation caused by Guard One. (See ECF No. 

6 Plaintiff attached copies of these inmate grievances to his opposition. (ECF No. 149 at 44-323.) 

In their reply, defendants note that the exhibits appear to be their responses to discovery but 

object to them because they are not authenticated. Plaintiff also provided copies of inmate 

complaints with his opposition to the prior summary judgment motion. (ECF No. 104 at 51-311.) 

Defendants did not object to the validity of these copies. (See ECF No. 108 at 7-8.) Therefore, 

this court looks to those inmate complaints provided by plaintiff previously.

7 The group appeal forms include a blank line for participating inmates’ CDC number, name, cell 

number, and signature. That information has been redacted in the copies provided to the court. 

In reviewing the group appeals, this court has assumed that each redacted entry represents one 

inmate. 

8 As stated in the prior footnote, this number is based on the court’s count of the number of 

inmates who appear to have participated in each appeal. A simple count of each individual appeal 

(18) and the total inmates involved in the eight group appeals (163) results in a total of 181 

inmates who submitted complaints about sleep deprivation due to the use of Guard One at CCI. 

However, the court recognizes that many inmates may have participated in more than one group 

appeal or in both a group appeal and an individual one. Therefore, the court’s cautious 

conclusion is that at least 100 individual inmates complained. 

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104 at 38, 58, 68, 80, 92, 100, 112, 123, 132, 141, 147, 164, 175, 195, 199, 209, 

232, 245, 256, 267, 278, 284, 306, 318.)

• Copies of third level decisions on these appeals were provided to the “warden”

between November 2014 (appeal no. CCI-0-14-1552) and March 2015 (appeal no. 

CCI-0-14-2234). Most were copied to the warden in December 2014. (Exs. A to 

R to Voong Decl. (ECF No. 97-4 at 4-198).) Defendant Holland was the warden 

during this time period. (DSUF #21.) 

• One appeal, no. CCI-0-14-1391, which was submitted on June 23, 2014, was 

“granted” at the second level of review. In response to that appeal, CCI staff 

conducted an “evaluation” of the Guard One system. (See ECF No. 97-4 at 58-

59.) They concluded that “the Correctional Officers conducting the safety/security 

checks [were] conduct[ing] the safety/security checks appropriately.” (Id. at 59.) 

Defendant Gutierrez signed the second level review for this appeal on August 6, 

2014. (Id.) 

• In 2014 and 2015, CCI housed approximately 1,000 to 1,500 inmates in the SHU 

and ASU in A Facility and B Facility at any given time, all of whom were subject 

to the security and welfare checks under the Guard One Policy. (DSUF #38.)

D. Plaintiff’s Appeal and the Response

• Plaintiff was incarcerated in the SHU at CCI during the time period complained of, 

July 2014 through April 2015, when he was transferred out of CCI. (See FAC 

(ECF No. 52 at 3); Change of Address (ECF No. 11).) 

• Plaintiff submitted appeal no. CCI-0-14-1586 on July 13, 2014. He complained 

that officers were depriving him of sleep by the loud bang, beep, and bright light 

caused by the security checks. (ECF No. 97-4 at 116, 118.) 

• First level review of plaintiff’s appeal was bypassed. (ECF No. 97-4 at 116.)

• In response to plaintiff’s appeal, staff inquired of supervisors for the ASU and 

SHU about officers’ use of Guard One. The supervisors “confirmed that

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correctional officers conducting the checks were not banging or hitting the cell 

doors.” (DSUF #57; ECF No. 97-4 at 120.9) 

• Defendant Gutierrez reviewed the second level response to plaintiff’s appeal no. 

CCI-0-14-1586 and signed it on August 21, 2014. (DSUF 56; ECF No. 97-4 at 

121.)

• On December 1, 2014, plaintiff’s appeal was denied at the third level of review. 

The third level decision indicates that a copy of it was provided to CCI Warden 

Holland. (ECF No. 97-4 at 114-15.) 

• Plaintiff never sought medical attention for injuries related to sleep deprivation and 

never made any requests for sleep aids to address any alleged sleep disturbances. 

(DSUF #69.) 

E. Defendants

• Defendant Holland served as the Acting Warden of CCI from 2012 to 2013, and 

then as Warden from 2013 to 2016. (DSUF #21.)

• Defendant Holland’s duties as Warden of CCI included development, 

interpretation, and administration of policies and procedures governing the 

operation of the institution; directing staff in reviewing the effectiveness of 

institutional policies and activities, resolving operational problems, and directing 

the preparation of reports and statistical analysis. (DSUF #23.)

• Defendants Holland and Gutierrez understood that the purpose of the May 2013 

policy memorandum, titled 30-Minute Welfare Checks of Inmates Placed in 

Administrative Segregation Units, was to ensure that all inmates are accounted for 

and within their assigned housing units, to provide for the safety of all staff and 

inmates, as well as the security of the institution. They also understood that it was 

9 Plaintiff states that he agrees to this fact “in part.” However, he does not explain what he does 

and does not agree with. The only other notation on his response to DSUF #57 is an apparent 

question regarding who asked supervisors to check on Guard One use. (See ECF No. 149 at 38.) 

Plaintiff does not appear to dispute that someone made that inquiry or that the supervisors 

“confirmed” officers were not banging on the cell doors. 

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implemented under a directive from the federal court in Coleman as a suicide 

prevention measure. (DSUF #24.) 

• In 2014, defendant Holland was responsible for making sure the Guard One Policy 

was fully implemented and that the system was functioning properly. (DSUF 

#30.) 

• In 2014, prior to implementation of the Guard One Policy, Holland inspected the 

Guard One electronic equipment, and observed correctional officers conducting a 

demonstration of the checks. She also observed correctional officers conducting 

checks after the Guard One Policy was implemented and later on random tours of 

CCI’s SHU and ASU. The correctional officers had to make a connection between 

the hand-held pipe and the button on the cell door to get an accurate reading and 

have the check properly recorded. Staff would have to re-do checks that were not 

recorded properly. (DSUF #31.) 

• Training on the procedures required under the Guard One policy was mandatory 

for all staff. (DSUF #35.)

• Defendant Gutierrez has been employed by CDCR for twenty-five years in the 

positions of Correctional Sergeant, Correctional Captain, Correctional Lieutenant, 

Acting Chief Deputy Warden, and Associate Warden. (DSUF #41.)

• Defendant Gutierrez has been the Associate Warden for Facilities A and B, the 

SHU and ASU at CCI since 2011. He also served as the Acting Chief Deputy 

Warden at CCI from March 10, 2014 through August 2014. (DSUF #42.)

• Defendant Gutierrez was familiar with CDCR’s May 28, 2013 policy 

memorandum titled Revised Administrative Segregation Unit Welfare Check 

Procedure and Implementation of Security Inspections in Specialized Housing. 

(DSUF #46.)

• Defendant Gutierrez was familiar with the Guard One Policy issued in May 2014. 

(DSUF #47.)

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• Defendants were not the immediate supervisors for the correctional officers 

conducting the Guard One checks. (DSUF #34.10)

IV. Discussion

Defendants’ primary argument is that the undisputed facts demonstrate they are entitled to 

qualified immunity from this suit. In the alternative, defendants argue that the undisputed facts 

show plaintiff cannot succeed on his Eighth Amendment claims. 

A. Qualified Immunity 

1. Decision in Rico I

Defendants rely on the Ninth Circuit’s decision in Rico I for their argument that they are 

protected by qualified immunity from this suit. Consideration of defendants’ argument requires a 

close look at that decision and the facts underlying it.

Pelican Bay State Prison (“Pelican Bay”) started using Guard One in the SHU on August 

3, 2015. Rico v. Ducart, 980 F.3d 1292, 1296 (9th Cir. 2020) (“Rico I”). Plaintiff Rico was 

incarcerated in the Pelican Bay SHU at that time through August 23, 2016. Guard One was used 

consistently during that year. Id. Shortly after Guard One was implemented, Rico and other 

inmates filed a group grievance regarding the noise made by the use of Guard One during first 

watch (10:00 p.m. to 6:00 a.m.). The inmates asked that Pelican Bay use a different system for 

the welfare checks, leave pod doors unlocked and slightly open, and make as little noise as 

possible when conducting the checks. In response, the warden directed staff to make as little 

noise as possible. Id.

Over the next several months, Rico filed five grievances in which he complained about the 

noise made by the batons hitting the cell doors and the noise made by opening and closing the 

pod doors. In response, prison staff recognized that some noise was generated by use of the 

Guard One system and told plaintiff staff had been instructed to touch the cell doors as lightly as 

possible. Plaintiff was told that there was nothing that could be done to make the pod doors 

10 Plaintiff disagrees with this statement but simply states that Holland was generally responsible 

for officers’ conduct. Plaintiff does not dispute that neither defendant directly supervised the 

correctional officers. 

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quieter. Id. In his federal court complaint, plaintiff alleged, among other things, that correctional 

officers (“floor officers”) were making “extra noise by conducting the Guard One checks 

haphazardly” and that supervisory prison officials who reviewed Rico’s grievances were aware of 

the problem and failed to take action to address Rico’s sleep deprivation. Id. at 1297.

Relevant to the present case, the district court denied summary judgment on the grounds 

of qualified immunity for the supervisory officials and the floor officers. The court held that Rico 

had clearly established rights to be free from excessive sleep deprivation and to be free from 

excessive noise. Rico v. Beard, No. 17-cv-1402 KJM DB P, 2019 WL 1036075, at *5 (E.D. Cal. 

Mar. 5, 2019). The court held that a reasonable prison official reviewing Rico’s appeals would 

have known “it was unconstitutional to ignore an inmate's complaint detailing such allegations.” 

Id. Regarding the floor officers, the district court reasoned that “a reasonable officer would have 

known it was unlawful to create a racket” in executing the Guard One system. Id. 

The supervisory officials and floor officers appealed. In addressing whether federal law 

created a “clearly established” right, the Ninth Circuit noted that “[e]xisting precedent does 

recognize general rights against excess noise and prison conditions that deprive inmates of 

‘identifiable human need[s],’ such as sleep.” Rico I, 980 F.3d at 1298 (emphasis in original) 

(quoting Wilson v. Seiter, 501 U.S. 294, 304 (1991) (additional citations omitted)). The court 

then focused on the second prong of the qualified immunity analysis: “whether existing precedent 

placed the question ‘beyond debate’ that every reasonable official would have understood that his 

specific actions violated a clearly established right.” Id. at 1299. The court determined that this 

question requires looking at the particular facts of the case. 

The SHU at PBSP has an unusual, circular design unlike most prison SHUs that are 

arranged along a straight hall. The Ninth Circuit described it as follows: 

Pelican Bay's SHU contains six pods arranged around a circular core. 

The door to each pod is made of metal. Inside each pod, two floors 

of four cells line one side of the pod. Metal stairs connect the two 

floors of cells on the other side. The door to each cell is also made of 

metal.

Each time a pod door opens and closes, the door makes a loud noise 

for approximately twelve seconds. When the door fully closes, it 

makes a loud sound that resonates through the walls. Inmates can 

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hear the doors of all six pods opening and closing. As the officers 

conduct their rounds, inmates can also hear the noise of the officers' 

boots on the metal stairs and the metal-on-metal noise of the wands 

hitting the discs on every cell in their own pod and the two 

neighboring pods.

Rico I, 980 F.3d at 1296.

While recognizing that Rico alleged the floor officers were conducting the checks 

unnecessarily loudly, the court found Rico was alleging that much of the noise was caused by the 

prison’s design, which made the use of Guard One “inherently” noisy. Id. at 1301-02. The court 

also relied on the fact that use of Guard One was required by the court in Coleman: “Existing 

caselaw did not provide insight into the lawfulness of creating noise while conducting courtordered suicide-prevention welfare checks in a maximum security facility built of concrete, metal, 

and steel.” Rico I, 980 F.3d at 1299. Further, “no reasonable official would believe that creating 

additional noise while carrying out mandatory suicide checks for prisoner safety clearly violated 

Rico's constitutional rights.” Id. at 1303. The Ninth Circuit stressed that its decision was based 

on the “specific facts presented here.” Id. at 1299. 

2. Applicability of Rico I

Based on the Ninth Circuit’s holding in Rico I, it is clearly established that severe

deprivation of a prisoner’s sleep and excessive noise can amount to Eighth Amendment

violations. Rico I, 980 F.3d at 1298. The next question, then, is a fact-specific one: whether “the 

contours of the right were sufficiently clear that every reasonable official would have understood 

that what he is doing violates that right.” Mattos v. Agarano, 661 F.3d 433, 442 (9th Cir. 2011) 

(internal quotation marks and citation omitted). Resolving this issue necessarily involves two 

considerations: identifying the relevant facts of which defendants were aware and then 

considering whether a reasonable official with knowledge of those facts would have understood 

that what they were doing violated the prisoner’s rights. See Inouye v. Kemna, 504 F.3d 705, 712 

(9th Cir. 2007). The evidence produced in the present case shows one important similarity with 

the evidence in Rico – defendants in both cases understood that the prison implemented Guard 

One at the behest of the court in Coleman. The evidence also shows important differences, 

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primarily the structure of the SHUs at each prison and the number of inmate complaints. This 

court considers each of those issues below. 

a. Defendants’ Understanding of Court’s Role in Use of Guard One

The Ninth Circuit in Rico I relied heavily on the fact that defendants were using the Guard 

One checks at Pelican Bay as the result of an order issued in Coleman. Rico I, 980 F.3d at 1299. 

In the present case, CCI implemented Guard One based on the Guard One Policy issued by 

CDCR in May 2014. (DSUF #12.) While the Coleman court did not specifically order use of 

Guard One until February 2015 (DSUF #16), both defendants state that they understood use of 

Guard One under the Guard One Policy was a directive from the court in Coleman. (See ECF 

Nos. 97-6 at 2-3; 97-7 at 3.) Plaintiff challenges those statements. (See Plt’s Resp to DSUF 

(ECF No. 149 at 30).) However, plaintiff presents no evidence to back up his challenge. The 

evidence presented shows that defendants reasonably could have understood that the court 

directed use of Guard One in 2014. The Guard One Policy stated its purpose and objective was, 

among other things, to “ensure operational compliance with . . . Coleman court mandates.” (ECF 

No. 97-7 at 19.) The Policy described the responsibilities of the Litigation Coordinator as 

“monitoring this procedure for compliance with Coleman Court Mandates.” (Id. at 20.) This 

court finds no legitimate dispute of fact regarding defendants’ understanding that CCI 

implemented Guard One at the behest of the Coleman court. 

b. Structure of the SHUs

The second primary basis for the Ninth Circuit’s holding is the fact that Pelican Bay’s 

unique construction made the use of Guard One inherently noisy. In fact, Rico’s allegations 

recognized that much of the noise affecting his sleep was the result of the prison’s construction. 

Rico complained about the opening and closing of pod doors, in addition to the noise cause by the 

contact of the Guard One pipe with the metal disks on the cell doors . Rico I, 980 F.3d at 1296. 

Plaintiff in the present case does not allege in the first amended complaint, nor did he state 

in his grievance, that CCI’s design contributed to his sleep deprivation. Rather, in his grievance, 

plaintiff complained of the banging and beeping caused by the Guard One pipes and the light 

being shone into the cell as part of the checks. (ECF No. 97-4 at 116-18.) In the first amended 

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complaint, plaintiff contends that the noise depriving him of sleep was caused by the “banging of 

the cell doors with the[ir] metal wands,” and “when a person complained verbally some officers 

would go out of the[ir] way to bang extra hard.” (ECF No. 52 at 6.) Plaintiff alleges the officers 

told the complaining prisoners to file a grievance if they didn’t like it. According to plaintiff, the 

officers did not want to use the Guard One system and were using it as “a torture weapon to get 

the inmates to complain so as to get the checks to stop.” (Id.) Plaintiff added that the sleep 

deprivation was aggravated by hearing the banging on the 20 or so doors in his pod. (Id.) While 

that noise could be attributed to the CCI SHU’s design, it can also be attributed to the officers’ 

unnecessarily loud banging on each cell door in the pod. Plaintiff does not allege that other noise 

that might be inherent in the design - the sound of officers footsteps on metal stairs or the sound 

of pod doors opening and closing - contributed to the noise waking him.

11

 Defendants point to 

no evidence that the other CCI inmates who complained about Guard One mentioned doors or 

footsteps either. In Rico I, the Ninth Circuit found that the welfare checks would have created 

significant noise even if Guard One was “perfect[ly]” implemented. 980 F.3d at 1302. The facts 

before the court in the present case do not lead to that conclusion. 

With respect to CCI’s design, there is no evidence in the present case that CCI’s SHU is 

designed in a way that would result in excessive noise if officers were not using Guard One by 

banging on the cell doors. In fact, there is little, if any, evidence regarding CCI’s design. This 

court finds the absence of such evidence surprising. In her order denying defendants’ motion to 

dismiss, Chief Judge Mueller agreed with this court’s conclusion that to determine the noise 

attributable to Guard One, the court “must conduct a fact specific inquiry related to CCI’s 

11 Defendants point out that in his 2018 deposition plaintiff stated that the sound of pod doors 

opening and closing contributed to his sleep deprivation. (ECF No. 149 at 363.) However, that is 

not what defendants were told in plaintiff’s grievance. (See ECF No. 97-4 at 116-18.) Rather, 

plaintiff complained about the banging, the beep, and the light being shined into the cell. Further, 

defendants do not show that other inmates’ grievances raised the issue. This court’s review of 

some of the group appeals shows no mention of pod doors, jangling keys, or footsteps. (See ECF 

No. 104 at 285-87 (complaint of banging and beeping); 97-4 at 130 (complaint of banging).). 

With respect to the qualified immunity analysis, the information before defendants was that it was 

the metal on metal contact, and in some instances the beep, that were the primary problems 

keeping inmates from sleeping. 

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physical structure and unique noise levels before it makes any decision on qualified immunity.” 

(ECF No. 141 at 2.) 

Defendants’ only evidentiary showings do not mention CCI’s design specifically. Rather, 

they present only their essentially identical statements regarding noise in the ASU and SHU 

generally. Both defendants state that the following noises are made during security checks and 

during regular inmate counts: a “metal clanking” or “clanging” sound is created when the 

security doors into each housing unit are opened and closed,” “jangling keys, locks opening, 

footsteps.” In addition, defendants state that during the day, noise is generated to cuff and move 

inmates, which occurs frequently. That noise includes both the noise made by any entry and exit 

into the cell pod - the metal doors, keys, locks, and footsteps - and the noise made by opening and 

closing food ports to cuff the inmates and opening and closing the cell doors. Both defendants 

state that this inmate movement is louder than the sounds generated by use of Guard One. (ECF 

Nos. 97-6 at 3-4; 97-7 at 4-5.) 

For at least two reasons, this court finds defendants’ statements largely unhelpful. First, 

defendants only describe inmate movement occurring during the day. Notably, defendants do not 

state that the sounds attributable solely to officers entering and exiting the pod at night are louder 

than the sounds generated by use of Guard One at that time. Second, defendants do not state that 

the CCI SHU’s design made those noises particularly loud or caused the noise generated by even 

the appropriate use of Guard One to be particularly loud. (ECF No. 97-6 at 3-4; ECF No. 97-7 at 

5-6.) 

With respect to the effect of noise generated by officers walking in and out of the SHU 

pod to conduct Guard One checks, this court finds it relevant that there has been no showing that 

prisoners made complaints about noise prior to the use of Guard One. The court in Coleman

ordered regular round-the-clock security checks starting in 2013. If the CCI SHU was 

constructed in such a way that prisoners experienced noise affecting their sleep prior to the use of 

Guard One, at least come complaints would be expected. A showing that there were few 

complaints prior to the implementation of Guard One could support a showing that Guard One

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was, in fact, causing inmates’ sleep disruption. At the very least, this is an issue of fact that 

would be relevant to determining the noise level generated by use of Guard One. 

c. Other Inmate Complaints

A second difference between the facts present here and those set out in Rico I, is the 

number of inmate complaints about the use of Guard One. A group of eight inmates, including 

plaintiff Rico, filed the initial grievance about the use of Guard One in the Pelican Bay SHU.12 In 

Rico I, the Ninth Circuit discussed only Rico’s grievances after that. There is no indication in the 

decision that other inmates submitted grievances. In the present case, there is evidence that at 

least 100 inmates submitted grievances around the same time plaintiff submitted his grievance. 

3. Are Defendants Entitled to Qualified Immunity?

a. What Defendants Knew

i. Defendant Gutierrez

Gutierrez was the Acting Chief Deputy Warden for the first two months plaintiff was 

incarcerated in the SHU – July and August 2014. After that, Gutierrez was the Associate 

Warden. As discussed above, this court finds no triable issue of fact regarding whether Gutierrez 

understood that CCI was required by the court to use the Guard One checks in the ASU and SHU 

and that CCI must follow the Guard One procedures – having officers conduct the regular, 

around-the-clock, checks by touching the metal pipe to the metal disks on cell doors. 

The evidence shows that Gutierrez was aware that many inmates were complaining that 

the Guard One checks were causing sleep deprivation. Gutierrez signed the second level 

responses for almost all of the 26 inmate grievances provided to the court. (See ECF No. 104 at 

38, 58, 68, 80, 92, 100, 112, 123, 132, 141, 147, 164, 175, 195, 199, 209, 232, 245, 256, 267, 278, 

284, 306, 318.) There is no question, then, that Gutierrez was aware that over 100 inmates 

submitted grievances about noise and sleep disruption due to the use of Guard One. 

////

12 The Ninth Circuit mentions that the first grievance filed regarding Pelican Bay was a group 

grievance. Plaintiff Rico attached a copy of that grievance to his complaint. Rico v. Ducart, 

2:17-cv-1402 KJM DB P (ECF No. 1 at 18). It shows that eight inmates participated in it.

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Gutierrez states that he observed officers conducting the Guard One checks both before 

and after their implementation and he opines that the noise created by other activities in the SHU 

was greater than the noise created by using Guard One. (ECF No. 97-6 at 5). 

Gutierrez states that he understood that an officer who “slammed” a rod against the disk 

would not register a contact, which would result in supervisory intervention. He was informed of 

no such incidents. (ECF No. 97-6 at 5.) 

ii. Defendant Holland 

Defendant Holland was the CCI warden during the relevant time period. Like Gutierrez, 

Holland states that she understood CCI’s implementation of the Guard One checks was required 

by the court in Coleman. Holland also believed she did not have authority to alter the Guard One 

procedures. 

Holland was copied on each of the 18 appeals considered at the third level of review. 

(Exs. A to R to Voong Decl. (ECF No. 97-4 at 4-198).) She states that, as warden, she received 

copies of many inmate appeals. In her 2018 declaration, Holland states that she does not “recall 

an issue with appeals alleging harm to inmates related to the continued use of Guard One or 

security checks that were granted after review and investigation.” (ECF No. 97-7 at 5-6.) 

Holland states that she observed officers conducting Guard One checks prior to full 

implementation, after the system was implemented, and on “random tours of the SHU and ASU.” 

(ECF No. 97-7 at 4.) She also states, “[b]ased on my personal observations, staff followed the 

security and welfare check policies.” (Id. at 5.) 

Like Gutierrez, Holland says she would have known if officers’ were using Guard One in 

a way that caused a problem with the counts of pipe to disk contacts. (ECF No. 97-7 at 5.) 

b. What Defendants Did

The inmate complaints provided to the court show the first complaint submitted on May 

30, 2014 and the last submitted on September 22, 2014. (ECF No. 104 at 126, 239.) There is 

little indication in the appeal responses about what was done in response to the complaints. The 

first mention that an inquiry was conducted shows up in the August 6, 2014 response to grievance 

no. CCI 14-1391. (See ECF No. 104 at 112.) The response, signed by defendant Gutierrez, states 

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“An inquiry into the utilization of the Guard One safety/security checks was conducted and 

disclosed that the Correctional Officers conducting the safety/security checks are conducting the 

safety/security checks appropriately.” (Id.) The response does not explain how or when the 

inquiry was conducted. After that date, second and third level responses used essentially identical 

language that an unidentified “inquiry” had been conducted,

13 stated that first watch officers were 

“making every attempt to reduce the noise that may be caused during Guard One safety/security 

checks,”

14 or made no statements indicating an effort had been made to investigate the use of 

Guard One.15 In response to at least one appeal, the inmates’ request for ear plugs was denied 

based on prison policy. (ECF No. 104 at 284 (group appeal).) 

In his declaration, defendant Gutierrez states, “[i]n response to the inmate appeals, 

inquiries were made to the supervisors for Facilities A and B, who confirmed that the correctional 

officers were conducting the checks according to policy.” (ECF No. 97-6 at 5.) Gutierrez does 

not provide any further information about the inquiries. He does not explain how many inquiries 

were made, what the supervisors were asked and what, if anything, they did in response. 

Gutierrez’s declaration shows only that someone asked the supervisors about the Guard One 

checks and that person was told the checks were being conducted according to policy. 

It is also worth noting that there is only one indication that any other inquiries about use of 

the Guard One were made after the inquiry mentioned in the August 6, 2014 Second Level 

Response authored by Gutierrez. Defendants state that “inquiries were made to supervisors” in 

response to plaintiff’s grievance. (DSUF #57.) Plaintiff does not dispute that statement. (ECF 

13 See ECF No. 104 at 68, 99, 122, 140-41, 174, 182 (plaintiff’s grievance), 199, 244, 247 (inquiry 

language in Third Level Response only), 260 (Third Level Response states “reviewer” found CCI 

“staff are following policy and procedure”); 277, 305, 317. In one grievance, the inmate 

complained about the use of Guard One by a specific correctional officer. ECF No. 104 at 146. 

The response indicated that an investigation was conducted. It stated that a correctional sergeant 

observed that officer’s use of Guard One. Id. at 146-47. 

14 See ECF No. 104 at 91-92, 132, 164, 195, 209.

15 It does not appear that either party provided a copy of the complete Second Level Response to 

CCI no. 14-2137, the grievance signed by over 50 inmates. See ECF No. 104 at 220 (first page of 

Second Level Response). However, the Third Level Response does not mention any sort of 

inquiry. See ECF No. 97-4 at 126-27; ECF No. 104 at 206-07.

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No. 149 at 38.) However, the second level response to his grievance contains the same 

boilerplate language about an inquiry used in many other second level responses. (See fn. 13, 

supra.) The boilerplate language about an inquiry could reflect that prison staff reviewing the 

inmate grievances inquired about the use of Guard One just once. There is no indication that 

inquiries or investigations into the noise created by Guard One were conducted any time after 

August 6. Yet, Gutierrez would have been aware that many inmates submitted grievances after 

that time. In addition to some individual grievances, the evidence presented shows that four 

group appeals, including the appeal signed by over 50 inmates, were submitted after August 6. 

(See ECF No. 104 at 139 (13 inmates), 161-62 (24 inmates), 204 (13 inmates), 221-25 (over 50 

inmates).)

With respect to defendant Holland, there is no indication she took any action with respect 

to inmate complaints regarding the use of Guard One.

c. Are Defendants Entitled to Qualified Immunity on Summary Judgment?

This case differs in significant respects from the facts presented in Rico I. Defendant

Gutierrez knew that at least 100 inmates complained about the use of Guard One, particularly 

during first watch. Gutierrez also knew or should have known that a number of inmate 

complaints indicated that officers were intentionally hitting the metal disks with more force than 

necessary. (E.g., ECF No. 104 at 32-34 (July 2014 grievance by plaintiff Murillo); at 67-68 (July 

2014 grievance that officers striking cell doors with too much force); at 77 (Sept. 2014 grievance 

including allegation that officers were banging, not touching, the baton to the metal plate on the 

cell door); at 86 (Sept. 2014 grievance including allegation that officers were “hitting the cell 

doors with enough force to rattle us awake”); at 104 (July 2014 grievance including allegation 

that officers were “constantly banging” the cell doors).) 

With respect to defendant Holland, she states that she does not recall an issue regarding 

Guard One use. However, she limits that statement to appeals that were granted after review and 

investigation. (ECF No. 97-7 at 6.) She states that she was typically only notified about appeals 

that were granted. (Id. at 5.) However, the evidence shows that she was copied on all third level 

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decisions. There is an issue of fact about whether Holland was aware of the many appeals denied 

at the third level of review regarding inmates’ complaints about Guard One. 

There are also material issues of fact about the amount of noise caused by use of Guard 

One, particularly during first watch. Gutierrez’s statements that he observed use of Guard One 

and felt it did not create much noise lead to more questions than they answer. Gutierrez provides 

no detail about his observations. He does not provide the dates or times of those observations. If 

Gutierrez simply observed officers conducting the checks during the day, when other noiseproducing activity was going on, he could not know what noise the Guard One checks generated 

at night. See Gardner v. Andrews, No. 5:15-cv-00231 JM-PSH, 2018 WL 2307011, at *4 (E.D. 

Ark. Apr. 26, 2018) (Because the noise levels were taken during the day and not at night and 

represented the noise level at just one time on one date, the test results did not establish that the 

noise levels were always within standards while the inmate was in isolation.), rep. and reco. 

adopted, 2018 WL 2305695 (E.D. Ark. May 21, 2018). Further, there is no indication where in 

the SHU Gutierrez was when he observed officers conducting the checks. If he was not standing 

near an inmate’s door, he could not know the extent of the noise generated by the contact between 

the pipe and disk. 

The same is true for Holland’s statement about her observations. While Holland’s 

statement indicates she had more frequent observations of the use of Guard One than Gutierrez 

did, she does not state when or at what times those observations occurred. There is no indication 

Holland was present during first watch or was close enough to a cell door to have any sense of the 

noise an inmate may have experienced. Further, while her tours may have been “random,” that 

does not mean officers were not aware of her presence and may have been unusually careful 

when conducting the Guard One checks.

While defendants did not have authority to change the basic procedures for conducting the 

Guard One checks, there is no indication that they took any action on the inmate complaints 

except for one or more unexplained inquiries to supervisors about whether the officers were 

conducting the checks appropriately. There are questions of material fact about the noise created

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by use of Guard One, what defendants could have done to reduce that noise, and what defendants 

did, among others. 

Defendants raise a point with respect to defendant Holland that requires consideration. 

Defendants note that another inmate filed a suit alleging defendant Holland violated his civil 

rights by implementing Guard One in 2014 and 2015 at CCI. In that case, Matthews v. Holland, 

1:14-cv-1959 (E.D. Cal.), the inmate made the same essential claim made here – that Holland 

failed to take action in response to his complaint that Guard One caused excessive noise, 

disrupting his sleep. As part of an order addressing the effect of Rico I on many of the related 

Guard One cases, though not addressing the present case, Chief Judge Mueller summarily 

dismissed inmate Matthews’ case against Holland on the grounds of qualified immunity. Id.

(ECF No. 89 at 6, as amended by ECF No. 93.) This court does not find the qualified immunity 

decision in Matthews necessarily controls the decision of Holland’s entitlement to qualified 

immunity in the present case. Defendants fail to show that the relevant evidence before the court 

in Matthews is similar to the evidence before the court in the present case. The Ninth Circuit 

made clear that the specific facts of Rico I lead to its decision. This court finds that Matthews

does not control the qualified immunity determination in this case. 

The law was clearly established in 2014 and 2015 that causing excessive noise and 

causing excessive sleep deprivation violated an inmate’s Eighth Amendment rights. In the 

present case, the evidence shows that defendants knew many inmates complained that the 

frequent, loud sounds made by the use of Guard One, particularly during first watch, were 

causing sleep deprivation. There are issues of material fact about defendants’ first-hand 

knowledge of the use of Guard One, what sort of inquiry or inquiries were made to floor officers’ 

supervisors, how many of those inquiries were made, and whether the CCI SHU’s structure 

amplified the Guard One noise or otherwise contributed to inmates’ sleep deprivation. This court 

finds material issues of fact about what defendants knew and what they did. A factfinder should 

determine whether reasonable officials in defendants’ positions would have been on notice that 

their conduct was illegal. 

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B. Merits of Eighth Amendment Claim

Defendants also argue that plaintiff cannot succeed on the merits of his Eighth 

Amendment claim. As set out above, to succeed on his claim, plaintiff must show that defendants 

were deliberately indifferent to a serious risk of harm. A prison official violates the Eighth 

Amendment “only if he knows that inmates face a substantial risk of serious harm and disregards 

that risk by failing to take reasonable measures to abate it.” Farmer v. Brennan, 511 U.S. 825, 

847 (1994). 

The discussion in the prior section shows that there are issues of material fact on these 

questions. Defendants knew that many inmates were complaining about sleep deprivation due to 

the use of Guard One. Because excessive sleep deprivation and excessive noise can amount to an 

Eighth Amendment violation, it follows that inmates experiencing those problems may face a 

serious risk of harm. Rico I, 980 F.3d at 1298. Defendants argue that the sounds generated by 

use of Guard One are not so extreme as to constitute an excessive risk of harm to inmate safety. 

However, the severity of the sounds generated by use of Guard One, particularly during first 

watch, is an unresolved issue of fact. 

The undisputed facts show that inmates were complaining of sleep deprivation, that 

defendants had visited the SHU on some occasions when Guard One was being used, and that 

defendants were told, possibly only once, by a supervisor that floor officers were using Guard 

One appropriately. Defendants point out that the Coleman special master was monitoring the use 

of Guard One. (DSUF #18.) However, defendants provide no evidence that the special master 

investigated the use of Guard One at CCI or was made aware of inmate complaints there. The 

fact that the special master investigated inmate complaints at Pelican Bay (see DSUF #17) does 

not establish any investigation into inmate complaints at CCI. This court cannot resolve the 

question of the seriousness of the risk of harm on the facts provided. 

With respect to whether defendants acted with deliberate indifference, the undisputed 

facts provide little information about what defendants did in response to the grievances. There is 

no showing that they seriously investigated officers’ use of Guard One. Nor is there any showing 

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that they made any attempt to mitigate the effects of its use such as by providing ear plugs. 

Defendants should not succeed on the merits of plaintiff’s Eighth Amendment claim at this stage.

CONCLUSION

Above, this court finds material issues of fact about defendants’ entitlement to qualified 

immunity. This court further finds material issues of fact on the merits of plaintiff’s Eighth 

Amendment claim. These questions cannot be resolved on summary judgment. 

For the foregoing reasons, IT IS RECOMMENDED that defendant’s motion for summary 

judgment (ECF No. 147) be denied. 

These findings and recommendations will be submitted to the United States District Judge 

assigned to the case, pursuant to the provisions of 28 U.S.C. § 636(b)(l). Within fourteen days 

after being served with these findings and recommendations, either party may file written 

objections with the court. The document should be captioned “Objections to Magistrate Judge's 

Findings and Recommendations.” The parties are advised that failure to file objections within the

specified time may result in waiver of the right to appeal the district court’s order. Martinez v. 

Ylst, 951 F.2d 1153 (9th Cir. 1991).

Dated: July 29, 2024

DLB:9

DB prisoner inbox/civil rights/S/murr0266.msj(2) fr

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