* The Honorable Bernice Bouie Donald, United States Di strict Judge for the Western District of Tennessee, sitting by designation. NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 06a0228n.06

Filed: March 31, 2006 No. 05-1058 UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

KATHLEEN A. NAWROCKI, Plaintiff-Appellant,

v. UNITED METHODIST RETIREMENT COMMUNITIES, INC. d/b/a CHELSEA RETIREMENT COMMUNITY, Defendant-Appellee.

____________________________________ ) ) ) ) ) ) ) ) ) ) ) ) ON APPEAL FROM THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF MICHIGAN OPINION

Before: KENNEDY and GIBBONS, Circuit J udges; and DONALD, District Judge. * BERNICE BOUIE DONALD, District Judge. Plaintiff-Appellant, Kathleen A. Nawrocki, appeals from a district court’s grant of summary judgment of her claim under the Family Medical Leave Act (“FMLA”). For the reasons outlined below, we AFFIRM the ruling of the district court. I . BACKGROUND Plaintiff was employed by Defendant, United Methodist Retirement Communities (UMRC), as a certified nursing assistant from 1997 until he r termination on November 23, 2001. Plaintiff’s performance evaluations established that she was “below standard” in attendance in 1998, 1999,2 2000, and 2001. In 1998, Plaintiff had eighteen abse nces and two tardies. In 1999, she had ten absences and one tardy; and in 2000 she had eleven absences and one tardy. On her November 15, 2001, performance evaluation, Plaintiff had fourt een absences and fifty-seven tardies. As part of her union membership, Plainti ff received a “clean slate” in October 2001 that effectively eliminated her prior “below standard” attendance record. Pursuant to the new attendance policy, effective May 1, 2001, an employee who recei ved five “occurrences” (an unexcused absence measured by the hour, four hours in one day equals one occurrence, less than four hours is 1/3 of an occurrence) is subject to termination. By Nove mber 2001, Plaintiff had received two “occurrences” due to her one absence and three tardies on October 22, 23, 24, and 26 of 2001. On October 27, 2001, Plaintiff experienced pain inher left ear during her shift. Later that evening, she was diagnosed as having an ear infec tion and prescribed an antibiotic, ear drops, and Vicodin. That same night, Plainti ff awoke from extreme pain in her left ear. She noted that her ear was swollen and red and that the redness continue d down to her jaw line. The pain, redness, and swelling worsened over the next several hours a nd by the evening of October 28, 2001, the left side of Plaintiff’s face, neck, and ears was swollen and purple. Physician’s Assistant, Raymond Mooney, who wo rked in the office of Dr. Raymond Cole, treated Plaintiff on October 29, 2001, for her suffering and discomfort . Mooney diagnosed Plaintiff as having edematous with significant debris, otitis exyterna, otitis media, and an allergic reaction to her ear drop prescription. He in serted an ear wick into her ear canal to increase drainage and the intake of the medication to the infection. She was to ld keep the wick in place for four days. He also prescribed her another antibiotic, a new ear drop prescription, and a stronger narcotic, Zydone. Plaintiff was instructed to take the Zydone regular ly for two days and was prohibited from driving while taking the medication. She was instructed to stay home from work until her next visit on3 November 1, 2001. On November 1, Raymond Mooney removed the ear wick from Plaintiff’s ear and instructed her to continue taking the prescribedmedication. Plaintiff in formed Defendant of the developments regarding her medical condition on October 28, 29, and November 1. Raymond Mooney completed, signed, and submitte d to Defendant a UMRC drafted medical certification form regarding FMLA leave on Novemb er 5, 2001. In the relevant parts of the medical certification, Mooney stated that Plaintiff had a “Pai nful (L) ear infection, otitis externa with contour dermatitis to Neomycin [Plaintiff’s original ear drop prescription]” and that it would not be necessary for Plaintiff to be absent from work for treatment. On November 15, 2001, Human Resources Director, Dale Cole (“Mr. Cole”), deniedPlaintiff’s request for FMLA leave, stating that Plaintiff’s ear infection was not a “serious health condition” and that Mooney indicated in the medical certification that it was not necessary for Pl aintiff to be absent fr om work for treatment. Defendant assessed Plaintiff’s October and November absences and tardies, including her absences on October 28, 29, 31, and November 1, under the UMRC attendance policy. This included the days Plaintiff was tardy or left her shift early on October 27, November 6, and November 7. Plaintiff was terminated for her abse nces and tardies pursuant to the attendance policy. Plaintiff filed a grievance with her union on November 30, 2001. She testified during the grievance meeting and submitted a letter dated December 12, 2001, from Dr. Cole and Mooney. This letter described Plaintiff’s a ilment, but did not state that it wa s necessary for her to be absent from work. The union denied Plaintiff’s grie vance on January 28, 2002. After a review by the union’s “Grievance Review Committee,” the union d ecided not to take Plaintiff’s grievance to arbitration. Plaintiff filed a complaint in district court alleging that Defendant violated her rights under the FMLA on October 30, 2003. On August 2, 2004, Defendant moved for summary judgment4 arguing, inter alia , that no genuine issue of material fact existed as to Plaintiff’s FMLA claim because Defendant was entitled to rely on the medi cal certification. Plaintiff filed a response on August 26, 2004, arguing that she suffered from a seri ous health condition, that Defendant interfered with her right to take FMLA leave, and that De fendant retaliated against Plaintiff for taking FMLA leave. The district court held a hearing on Defendant’s summary judgment motion on November 22, 2004. Plaintiff argued that 1) the employer inte rfered with her right to FMLA leave and that 2) the employer retaliated against the Plaintiff fo r taking FMLA leave by firing her. The court found that the medical certification Plaintiff submitted to Mr. Cole did not provide adequate notice to her employer that there was a medical reason for her absence and granted the motion for summary judgment. II. JURISDICTION AND STANDARD OF REVIEW The district court had jurisdiction pursuant to 28 U.S.C. § 1331. This Court has jurisdiction under 28 U.S.C. § 1291. When review ing a district court’s decisi on to grant a motion for summary judgment, the appellate court must conduct the review de novo . McKee v. Cutter Laboratories, Inc. , 866 F.2d 219, 220 (6th Cir. 1989). The appellate court “must view all facts and the inferences drawn therefrom in the light most favorable to the nonmoving party.” United States v. Murphy , 937 F.2d 1032, 1036 (6th Cir. 1991) (citing 60 Ivy Street Corp. v. Alexander , 822 F.2d 1432, 1435 (6th Cir. 1987). Summary judgment is appropriate only where the “moving party has [carried] the burden of showing conclusively that no genuine i ssue of material fact exists.” 60 Ivy Street , 822 F.2d at 1435. Any fact in dispute must be material suchthat it could potentially affect the outcome. Anderson v. Liberty Lobby, Inc. , 477 U.S. 242, 248 (1986). Thus, “summary judgment will not lie5 . . . if the evidence is such that a reasonable jury could return a verdict for the nonmoving [sic] party.” Murphy , 937 F.2d at 1036 (citing Anderson , 477 U.S. at 248).

III. ANALYSIS
A. Interference Claim The FMLA entitles a qualifying employee up to twelve weeks of unpaid leave if the employee has a “serious health condition that makes the employee unable to perform the functions of the position of such employee.” Cavin v. Honda of Am. Mfg., Inc., 346 F.3d 713, 719 (6th Cir. 2003) (quoting 29 U.S.C. § 2612(a)(1)(D)). It also prohibits an employer from interfering with, restraining or denying the exercise of any right provided under the Act. See 29 U.S.C. § 2615(a)(1). To prevail on an interference claim, a plaintiff must show that 1) she is an eligible employee, 2) the defendant is an employer under the act, 3) she was entitled to leave under the FMLA, 4) she gave the employer notice of her intention to take fores eeable leave, and 5) the employer denied her FMLA benefits to which she was entitled. Cavin , 346 F.3d at 719. The parties do not dispute the first, second, and fourth prongs. However, Plaintiff appealed the district court’s ruling on the third and fifth prongs on the ground that the burden shifted to Defendant to investigate her right to FMLA leave when she submitted a contradictory medical certification. Under the FMLA, an employee is entitled to leav e if she has a serious health condition that makes her unable to perform the functions of her position. 29 U.S.C. § 2612(a)(1)(D). A serious health condition is defined as an illness, injury, impairment, or physical or mental condition involving continuous treatment by a healthcare provider. See 29 U.S.C. 2611. Generally, an ear infection is not considered to be a serious health condition unless complications develop. 29 C.F.R. § 825.114(c). As to Plaintiff’s ear infection, complications did arise from her allergic reaction to* Even this letter did not explicitly state that Plaintiff was unable to perform the functions of her job. 6 the prescribed ear drops and fr om the painful swelling that warranted a prescribed narcotic. Defendant does not contest whether Plaintiff ha d a serious medical condition. Rather, Defendant argues that there was nothing to indicate to Mr. Co le that Plaintiff could not perform the functions of her job. Plaintiff did submit a letter from her health care provider dated December 12, 2001, that indicated that Plaintiff’s condition was seri ous and that she was incapacitated from October 28 to November 1, 2001. Under FMLA Regulations, anemployee is entitled to leave if an illness involves continuing treatment by a health care provider that would likely result in a period of incapacity of more than three consecutive days. See 29 C.F.R. § 825.114(a)(2)(v); see also Miller v. AT&T Corp. , 250 F.3d 820 (4th Cir. 2001) (overturning a district court order granting summary judgment against an employee who was denied FMLAleave for a ordinarily non-serious illness that left him incapacitated for over three days). The letter stated, inter alia, that she was seen in an emergency room on October 27, 2001, that she was initially prescribed Vicodin for her pain, that on October 29, 2001, her ear was “markedly...swollen and tender to palpitation” due to her allergic reaction, and that she returned on November 1, 2001, for a final evaluation. It is perhaps evident from the December 12, 2001, letter that Plaintiff’s condition left her incapacitated during her absence in question. * However, the fact that this inform ation was not conveyed to the employer in the medical certification renders the Dr. Cole’s letter post-termination a nullity. Even though Plaintiff’s leave was not foreseeable, she submitted the medical certification a timely manner. See 29 U.S.C. § 2612(e)(1). Plaintiff pres ented her request for leave as soon as practicable under the facts and circumstances. 29 C.F.R. § 825.303(a). The tim eliness of Plaintiff’s7 original medical certification is not in dispute; however, the original FMLA form did not show that Plaintiff was entitled to FMLA leave. Thus, Defendant was justified in denying this claim. Defendant did not deny Plain tiff’s FMLA rights because she did not give Defendant sufficient notice of a serious medical condition. In general, if an employer lacks sufficient information about an employee’s reason for taking leave, it should inquire further to ascertain whether the employee’s leave was potentially FMLA-qualifying. Cavin , 346 F.3d at 726 (employers cannot deny an employee FMLA relief for noncompliance with internal notice requirements where an employee called into the employer’s security desk the day he was in a motorcycle accident). “Once an employer is give n notice that an employee is requesting leave for a FMLA-qualifying reason, the employer bears the ob ligation to collect any additional information necessary to make the leave comply with the requirements of the FMLA.” Hammon v. DHL Airways, Inc., 165 F.3d 441, 450 (6th Cir. 1999). However an employer is entitled to rely on a “negative certification” in denying FMLA leave. See Stoops v. One Call Communications, Inc., 141 F.3d 309 (7th Cir. 1998). In Stoops , the employee’s doctor indicated his chronic fatigue syndrome was a serious health condition, but that he was not presently incapacitated and would not ha ve to work intermittently or on a reduced work schedule. Id. at 311. As a result, the Seventh Circuit held that the “employer does not violate the FMLA by relying upon [a negative] certification in the absence of some overriding medical evidence. Id. at 314. Additionally it noted, “that medicalevidence should come from the employee in time to save his job, not during a subsequent law suit.” Id. In the instant case, the district court held th at Plaintiff’s contradictory medical certification relegated it to a negative certification. Although he indicated that Plaintiff had a serious health condition, Mooney answered “no” on the medical certification form as to whether it was necessary8 for the employee to be absent from work for treatment. At most, the medi cal certification indicated that Plaintiff requested an intermittent work sche dule, but it was grossly insufficient in explaining her cumulative five day absence. As a result, Defendant was entitled to rely on the face of the certification without further inquiry. Even though Plaintiff submitted the December 12, 2001, letter during the grievance process, Defe ndant was not required to rely on the letter because it never stated that Plaintiff had needed to be absent from work. Since Plaintiff’s medical certification failed, at a minimum, to place Defendant on notice that she qualified for FMLA leave, it cannot be said that she was denied FMLA rights. B. Retaliation The FMLA makes it “unlawful for any employer to discharge or in any other manner discriminate against any individual for opposing any practice made unlawful by this title.” 29 U.S.C. § 2615(a)(2). To establish a claim of reta liation for asserting FMLA rights, a plaintiff may apply the McDonnell Douglas framework if there is no direct evidence of discrimination. See McDonnell Douglas Corp. v. Green , 411 U.S. 792, 802 (1973); see also Skrjanc v. Great Lakes
Power Serv. Co. , 272 F.3d 309, 315 (6th Cir. 2001). To make out a prima facie case of discrimination the plaintiff must show 1) he av ailed himself of a protected right under the FMLA, 2) he was adversely affected by an employment decision, and 3) there is a causal connection between the employee's protected activity and th e employer's adverse employment action. Hodgens v. General Dynamics Corp. , 144 F.3d 151, 161 (1st Cir. 1998). The burden of production then shifts to the defendant to articulate a legitimate, non-discriminatory reason for the adverse employment action. Skrjanc , 272 F.3d 309, 315. Once the defendant does this, the plaintiff has the burden of showing that the articulated reason is in reality a pretext to mask discrimination. Id.9 Plaintiff has failed to show that Defendant’s legitimate, non-discriminatory reason was a pretext for discrimination. For her prima facie case, Plaintiff established that she requested medical leave for her ear infection, she was terminated, and that her discharge was based upon Defendant’s attendance policy that accounted the days Plaintiff missed as inexcusable absences. Defendant argued that “there were affirmative representations by the healthcare provider in the certification establishing that [P]laintiff did not qualify for l eave”as its legitimate, non-discriminatory reason for Plaintiff’s termination. Plaintiff does not disput e that if her leave did not qualify under the FMLA, the attendance policy was properly applied in her case resulting in her termination. As explained, evaluating the medical certification on its face at th e time of Plaintiff’s discharge, it was reasonable for Defendant to infer that Plaintiff did not qua lify for FMLA leave. The medical certification submitted on November 5, 2001, did not specify that Plaintiff was unable to perform the functions of her job, as required under the FMLA. Thus, at the time of termination, Plaintiff had not raised a claim under the FMLA, and she fails the first prong of the retaliation test. IV. CONCLUSION For all of the reasons set forth, we affirm the district court’s grant of summary judgment to Defendant.