Court Opinion

ID: 9365347
Source: CourtListenerOpinion
Date Created: 2023-01-23 20:02:13.7145+00
Date Added: 2024-06-11T17:15:45.040836
License: Public Domain

Filed 1/23/23 Tonti v. Naficy CA4/3

                      NOT TO BE PUBLISHED IN OFFICIAL REPORTS
California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
or ordered published for purposes of rule 8.1115.

                IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

                                     FOURTH APPELLATE DISTRICT

                                                DIVISION THREE

 ALISON TONTI,

      Plaintiff and Appellant,                                           G060814

           v.                                                            (Super. Ct. No. 30-2019-01116243)

 K. MITCHELL NAFICY,                                                     OPI NION

      Defendant and Respondent.

                   Appeal from a judgment and orders of the Superior Court of Orange
County, Theodore R. Howard, Judge. Affirmed in part, reversed in part, and remanded.
                   Medvei Law Group and Sebastian M. Medvei for Plaintiff and Appellant.
                   Peterson Bradford Burkwitz, Thomas Bradford and Gil Burkwitz for
Defendant and Respondent.
                                          *                  *                  *
                                                INTRODUCTION
              This appeal arises from a judgment in favor of defendant Dr. K. Mitchell
Naficy following orders sustaining demurrers and an order granting summary judgment.
In December 2018, plaintiff Alison Tonti received substance abuse treatment at a
residential detoxification facility operated by codefendant Capo By The Sea, Inc. (Capo).
According to Tonti, she was not examined by Naficy prior to receiving a drug
prescription given to ease her anticipated withdrawal symptoms. Tonti alleges that days
later, she lost consciousness as a result of the drug and suffered a substance abuse
relapse. Shortly thereafter, she withdrew from Capo and filed the underlying lawsuit
against Naficy, Capo, and a Capo staff member, asserting three claims against Naficy.
              Relevant to this appeal, Naficy filed successful demurrers against Tonti’s
claims for violation of the unfair competition law (UCL) (Bus. & Prof. Code, § 17200 et
    1
seq.) and willful misconduct. Naficy then filed a motion for summary judgment (MSJ)
against Tonti’s remaining medical malpractice claim. In support, Naficy submitted
Tonti’s medical records and a declaration of a proposed expert witness who presented
opinions based on the records. In her opposition to the MSJ, Tonti asserted evidentiary
objections to the records, arguing they were hearsay and not properly authenticated. The
trial court overruled the objections and granted the MSJ.
              Tonti asserts the trial court erroneously sustained Naficy’s demurrers and
incorrectly overruled her objections to the admissibility of her medical records. We
conclude Tonti has shown one of the demurrers was erroneously sustained and agree her
medical records lacked proper authentication to support Naficy’s MSJ. We affirm the
court’s order sustaining Naficy’s demurrer to Tonti’s original complaint willful
misconduct claim, reverse the court’s order sustaining Naficy’s demurrer to Tonti’s
amended complaint UCL claim, reverse the grant of summary judgment, and remand this
matter for further proceedings.

1
        All further undesignated statutory references are to the Business & Professions
Code.

                                             2
                                                              2
                             FACTUAL BACKGROUND
              In December 2018, Tonti admitted herself to Capo to receive residential
substance detoxification services for a fee of $10,000. A Capo staff member that Tonti
has designated in her complaint as “Jeff Doe” drove Tonti there. Relevant to her claims
against Naficy, Tonti asserts that upon arriving at Capo, she “did not meet with any
doctors, and did not have any kind of examination by a licensed health care professional.”
              Tonti alleges that, notwithstanding the lack of an examination, she received
prescriptions for medication treatments known as “taper[s],” which she explains are
“designed to ease a [substance abuse disorder] patient through detoxification and into
abstinence . . . by using medications to alleviate and control the severe pain from
withdrawals associated with detoxification and abstinence.”
              Tonti asserts that after she complained about her first taper treatment, Doe
called Naficy who, without examining Tonti, prescribed for the next treatment “a 30-day
protocol of [b]enzodiazepine.” Because she had no direct line of communication to
Naficy, Tonti told Doe she “did not feel comfortable taking [the b]enzodiazopene as part
of [her treatment] because her past experience with it had led to unfortunate side effects.”
Notwithstanding, Doe “required [Tonti] to continue with the [b]enzodiaz[e]p[i]ne
protocol,” according to her allegations.
              After beginning the benzodiazepine taper, Tonti asserts she had an episode
where she “blacked out” and during that time obtained heroin, relapsing into substance
abuse. Tonti alleges she was transferred to a lower security location by Capo and
unsuccessfully demanded to be returned to a residential facility. “[F]earing another
relapse,” she “cease[d] enrollment with” Capo and unsuccessfully demanded a refund.

2
       The factual allegations discussed are limited to the issues material to our
disposition of this appeal.

                                             3
              Tonti alleges that if Naficy had “conducted a non-negligent work up” that
included “an inquiry into [Tonti]’s particular substance sensitivities . . . Naficy would
have discovered that [Tonti] ha[d a] very low tolerance for [the Benzodiazepine] as it is
outside the scope of the typical substances related to” Tonti’s substance abuse disorder.
She alleges the defendants “engaged in a conspiracy, common enterprise, and common
course of conduct, the purpose of which is and was to engage in the violations of law
alleged.” She seeks restitution of the $10,000 she paid to Capo, compensatory and
punitive damages, and declarative as well as injunctive relief.

                               PROCEDURAL HISTORY
              In Tonti’s original and amended complaint, she alleges six causes of action
against various defendants: (1) professional negligence; (2) negligence; (3) “intentional
conduct”; (4) breach of contract; (5) intentional misrepresentation; and (6) violation of
the UCL. Only three of the claims were alleged against Naficy: professional negligence,
“intentional conduct,” and violation of the UCL.
              Tonti’s claims for “intentional conduct” and violation of the UCL were
eliminated at the pleadings stage of litigation. Specifically, the trial court sustained
Naficy’s first demurrer against the two claims with leave to amend.
              In her amended complaint, Tonti only reasserted professional negligence
and violation of the UCL against Naficy, adding some factual specificity for the latter.
Naficy filed a second demurrer, against the UCL claim, that the trial court sustained.
Although leave to amend was again granted, Tonti failed to do so and proceeded against
Naficy on the professional negligence claim only.
              Five months later, in May 2021, Naficy filed an MSJ on Tonti’s
professional negligence claim. In support, he filed a declaration by proposed expert
witness Dr. Darryl J. Ballin, who specialized in “addiction medicine.” Ballin presented
opinions supporting Naficy’s positions on the applicable standard of care, causation, and

                                              4
damages claimed, including his opinion that the taper prescription Tonti relies on did not
cause the “‘black out’” episode she claims to have suffered. The opinions were based on
Naficy’s presentation of Tonti’s medical records purportedly documenting her treatments
received through Naficy’s practice and Capo which had been filed in the trial court.
Naficy presented defense discovery verifications as the foundations for the records.
              Tonti’s opposition to the MSJ included written evidentiary objections to
Ballin’s declaration as well as hearsay and foundation objections to the presented medical
records. The trial court overruled Tonti’s objections, citing Evidence Code section 720
and Shugart v. Regents of University of California (2011) 199 Cal.App.4th 499 (Shugart).
The court granted Naficy’s MSJ and entered judgment. Tonti timely appealed.

                                       DISCUSSION
              As noted, Tonti challenges the trial court’s rulings on Naficy’s demurrers
and the MSJ. We first review the MSJ rulings, then Tonti’s challenges to the demurrer
rulings.

   I.      THE MOTION FOR SUMMARY JUDGMENT
A. Standard of Review
              We review a summary judgment motion ruling de novo for whether any
triable issue of material fact exists. (Wiener v. Southcoast Childcare Centers, Inc. (2004)
32 Cal.4th 1138, 1142.) The moving party bears the initial burden of production to make
a prima facie showing that no triable issue of material fact exists. (Aguilar v. Atlantic
Richfield Co. (2001) 25 Cal.4th 826, 850.) Only if the moving party carries this burden
does it shift to the opposing party, to show a triable issue of material fact exists. (Ibid.)
Because an MSJ grant implements a drastic result, we strictly construe the moving
party’s papers and evidence, with all doubts on the propriety of granting summary
judgment resolved against the moving party. (Hamburg v. Wal-Mart Stores, Inc. (2004)

                                               5
116 Cal.App.4th 497, 502 [papers]; City of Vista v. Robert Thomas Securities, Inc. (2000)
84 Cal.App.4th 882, 886 [evidence].)

B. MSJ Expert Evidence Case Law
              As noted, Tonti’s opposition to Naficy’s MSJ included evidentiary
objections to Ballin’s declaration and the presentation of Tonti’s medical records on
which Ballin’s opinions rested. Among the grounds were hearsay objections that shifted
to Naficy the burden of establishing a foundation for a hearsay exception.
              The parties correctly agree that without properly admitted medical records
an expert witness’s medical opinions based on those records have no evidentiary value.
(Garibay v. Hemmat (2008) 161 Cal.App.4th 735, 743 (Garibay) [“‘Although experts
may properly rely on hearsay in forming their opinions, they may not relate the out-of-
court statements of another as independent proof of the fact’”].) Accordingly, the
threshold issue for our review is whether the medical records were properly “placed
before the [trial] court by the moving party.” (Shugart, supra, 199 Cal.App.4th at
p. 505.)
              We review the trial court’s overruling of Tonti’s evidentiary objections for
abuse of discretion. (Reid v. Google, Inc. (2010) 50 Cal.4th 512, 535.) Specifically, we
“measure[] the evidence presented to the trial court against the range of options permitted
by the established legal criteria. [Citation.] The scope of the trial court’s discretion is
limited by the governing law, and an action that ‘“‘transgresses the confines of the
applicable principles of law’”’ constitutes an abuse of discretion. [Citation.] [¶] The
trial court’s factual findings are reviewed under the substantial evidence standard while
the trial court’s legal conclusions are reviewed de novo. [Citation.]” (Cornerstone
Realty Advisors, LLC v. Summit Healthcare REIT, Inc. (2020) 56 Cal.App.5th 771, 789.)
Generally, we affirm or reverse based on the correctness of the result and not its reasons.
(See Whyte v. Schlage Lock Co. (2002) 101 Cal.App.4th 1443.)

                                              6
              As noted, the trial court’s ruling on the admissibility of the medical records
included citations to Evidence Code section 720 and Shugart, supra, 199 Cal.App.4th at
pages 506-507. At the outset, we note that Evidence Code section 720 does not bear on
the admissibility of Tonti’s medical records because that section is about expert
qualifications and not the admissibility of materials an expert can rely on for presenting
opinions.
              We review Shugart, supra, 199 Cal.App.4th 499, for grounds on which the
records were properly admitted. There, an employer of a doctor and another physician
moved for summary judgment against claims of medical negligence asserted by plaintiffs,
a patient and a spouse. The defendants submitted “properly authenticated” copies of the
patient’s medical records as well as declarations of experts who opined the physician’s
services met the standard of care and did not cause the injuries claimed. (Id. at pp. 503,
506.) In opposition, the plaintiffs submitted a declaration by their own expert
challenging both points. (Id. at pp. 503-504; see Cobbs v. Grant (1972) 8 Cal.3d 229,
236 [unless “medical question resolvable by common knowledge,” expert evidence
required].)
              The trial court granted the defendants’ summary judgment motions. It
concluded the declaration of the plaintiffs’ expert lacked evidentiary value because the
expert had failed to refer to or attach the materials he relied on to form his opinions and
because the plaintiffs did not otherwise “separately set forth any of the medical history
of” the patient plaintiff. (Shugart, supra, 199 Cal.App.4th at pp. 504-505.)
              The appellate court reversed, holding the plaintiffs’ expert’s opinions had
not lacked a proper foundation. (Shugart, supra, 199 Cal.App.4th at p. 505.) The
appellate court pointed out the opinions relied in part on medical records that had already
been properly authenticated as part of the defendant physician’s moving papers. (Id. at
pp. 505-506.) In other words, Shugart’s driving rationale on the admissibility of MSJ

                                              7
evidence is that there is no need for a party to properly authenticate medical records that
have already been deemed so by the trial court. (Id. at p. 506.)
              The Shugart court contrasted its evidentiary record from the record in
Garibay v. Hemmat (2008) 161 Cal.App.4th 735 (see Shugart, supra, 199 Cal.App.4th at
pp. 505-506), a case on which Tonti relies in this appeal. The Garibay appellate court
reversed a summary judgment granted in favor of a medical malpractice defendant.
(Garibay, supra, 161 Cal.App.4th at pp. 743-744.) The “main issue on appeal [was]
whether an expert medical witness’s declaration, setting forth facts of the surgery
performed on plaintiff Garibay based on the expert witness’s review of hospital and
medical records which were not properly before the court, was sufficient to meet the
burden of the production of evidence required of the party moving for summary
judgment.” (Id. at p. 740.) The Garibay appellate court concluded the defense expert
declaration was insufficient because the records had not been authenticated and therefore
had been erroneously admitted. (Id. at pp. 741-743.)

C. Tonti’s Hearsay Objection Is Well Taken
              In this case, in contrast to Shugart, Naficy does not claim any prior trial
court ruling that found Tonti’s medical records properly authenticated; nor do we discern
any. Instead, this case is directly analogous to the threshold issue in Garibay: whether
the moving party properly authenticated medical records to satisfy their initial burden of
production to support their MSJ.
              As in Garibay, we look to Evidence Code section 1271, known as the
business records exception to the hearsay rule. It states: “Evidence of a writing made as
a record of an act, condition, or event is not made inadmissible by the hearsay rule when
offered to prove the act, condition, or event if: [¶] (a) The writing was made in the regular
course of a business; [¶] (b) The writing was made at or near the time of the act,
condition, or event; [¶] (c) The custodian or other qualified witness testifies to its identity

                                               8
and the mode of its preparation; and [¶] (d) The sources of information and method and
time of preparation were such as to indicate its trustworthiness.”
              As noted, in this case, Ballin’s expert declaration relied on two challenged
medical records of Tonti regarding treatments received from Naficy’s practice and Capo.
The records were submitted with respective discovery response verifications by Naficy
and the owner of Capo, verifying the defendants’ responses to discovery requests for
production of documents and things, as required by Code of Civil Procedure section
2031.250. Consistent with the requirements of that discovery statute, the verifications
both assert that “[t]he matters stated in the foregoing documents are true of [the
signatory’s] own knowledge except as to those matters which are stated on information
and belief, and as to those matters [they believe] to be true.” Critically, there is no
assertion in either verification specifying that their corresponding records were “made in
the regular course of a business” or “at or near the time of the act, condition, or event”
recorded, as required by the business records exception to the hearsay rule (Evid. Code, §
1271) and we do not infer these points (City of Vista v. Robert Thomas Securities, Inc.,
supra, 84 Cal.App.4th at p. 886 [moving party’s evidence strictly construed]).
              Naficy’s appellate briefing does not discuss Evidence Code section 1271 or
address Tonti’s reliance on Garibay. None of his case law citations, bereft of discussion,
address the hearsay objection at issue in Garibay and this appeal.
              Based on the record and briefing, we conclude Tonti has met her burden to
show the trial court erroneously admitted the medical records on which Naficy’s expert
based his opinions because there was an insufficient factual showing that an exception to
the hearsay rule was satisfied. It follows that Naficy’s “summary judgment motion failed
to meet its burden of production, and thus did not shift that burden to [Tonti].” (Garibay,
supra, 161 Cal.App.4th at p. 743.)
              Accordingly, because Naficy as the party moving for summary judgment
failed to meet his initial burden, summary judgment should not have been granted despite

                                              9
Tonti’s failure to present an expert declaration opposing Ballin’s opinions on the merits.
(See Garibay, supra, 161 Cal.App.4th at p. 741 [“‘In professional malpractice cases,
expert opinion testimony is required to prove or disprove that the defendant performed in
accordance with the prevailing standard of care [citation], except in cases where the
negligence is obvious to laymen. [Citation.]”].) Given our conclusion, we need not
consider the parties’ other MSJ contentions.

    II.   THE DEMURRER RULINGS
              Next, Tonti contends the trial court erred in sustaining Naficy’s demurrers
to Tonti’s third cause of action in her original complaint, for “intentional conduct,” and
sixth cause of action in her amended complaint, for violation of the UCL. Tonti asserts
the third cause of action should have survived “[f]or the same reasons as the [UCL]
claim,” so we begin our review with the sixth cause of action.

A. Standard of Review
              “‘In reviewing an order sustaining a demurrer, we examine the operative
complaint de novo to determine whether it alleges facts sufficient to state a cause of
action under any legal theory.’” (Mathews v. Becerra (2019) 8 Cal.5th 756, 768.) “[W]e
give the complaint a reasonable interpretation” and, outside of issues not implicated
     3
here, “we treat the demurrer as an admission by [the] defendant[] of all material facts
properly pled in [the] plaintiff[’s] complaint — but not logical inferences, contentions, or
conclusions of fact or law.” (Winn v. Pioneer Medical Group, Inc. (2016) 63 Cal.4th
148, 152.) “[W]hen a demurrer is sustained with leave to amend, but the plaintiff elects

3
        Complaint allegations can be refuted by attached exhibits (Nolte v. Cedars-Sinai
Medical Center (2015) 236 Cal.App.4th 1401, 1406 (Nolte).) and judicial notice (Evans
v. City of Berkeley (2006) 38 Cal.4th 1, 6).

                                             10
not to amend, it is presumed on appeal that the complaint states the strongest case
possible.” (Ram v. OneWest Bank, FSB (2015) 234 Cal.App.4th 1, 10 (Ram).)
              “‘[A]lthough we use a de novo standard of review . . . , we do not transform
into a trial court . . . . Instead, the appellant must frame the issues for us, show us where
the superior court erred, and provide us with the proper citations to the record and case
law.’” (Crawley v. Alameda County Waste Management Authority (2015) 243
Cal.App.4th 396, 404 (Crawley); Baldwin v. AAA Northern California, Nevada & Utah
Ins. Exchange (2016) 1 Cal.App.5th 545, 549 [The “[a]ppellant bears the burden of
demonstrating that the trial court erred”].)

B. UCL Principles
              California’s UCL provides limited civil remedies for unfair competition,
which it defines as “any unlawful, unfair or fraudulent business act or practice.” (Bus. &
                     4
Prof. Code, § 17200; see De La Torre v. CashCall, Inc. (2018) 5 Cal.5th 966, 993 [UCL
is “broad in scope, . . . limited in remedies”].) Relevant to this appeal, the UCL’s
“unlawful” prong requires a prima facie showing of three essential elements: (1) specific
unlawful conduct (Munson v. Del Taco, Inc. (2009) 46 Cal.4th 661, 676), (2) a business
course of conduct (see Podolsky v. First Healthcare Corp. (1996) 50 Cal.App.4th 632,
653), and (3) that as a result the defendant obtained plaintiff’s money or property
(Kwikset Corp. v. Superior Court (2011) 51 Cal.4th 310, 322). “[T]he UCL ‘“borrows”’
rules set out in other laws and makes violations of those rules independently actionable”
(Zhang v. Superior Court (2013) 57 Cal.4th 364, 369), generally independent of whether
the borrowed law otherwise allows a private cause of action (see id. at p. 369).

C. The Demurrer to the UCL Claim Was Improperly Sustained

4
        All further undesignated statutory references are to the Business & Professions
Code.

                                               11
              Tonti asserts in her appellate briefing that Naficy violated the corporate
practice of medicine (§ 2400), Health and Safety Code sections 11150, 11154, 11217.5,
and committed medical malpractice, including failing to obtain Tonti’s informed consent.
Tonti failed to assert some of the grounds in the trial court so her UCL claim can stand in
this appeal based on theories of violating: (1) the corporate practice of medicine; (2) &
(3) Health and Safety Code sections 11150 and 11154; and (4) a failure to obtain Tonti’s
informed consent. Because we conclude Tonti sufficiently alleged facts for the first
theory, we do not reach conclusions about the remaining three theories.
              “In general, under California’s long-standing ‘policy . . . against [the]
corporate practice of the learned professions,’ for-profit corporations ‘may not engage in
the practice of ... medicine.’ [Citation.] The ban on the corporate practice of medicine
generally precludes for-profit corporations — other than licensed medical corporations —
from providing medical care through either salaried employees or independent
contractors. [Citations.] . . . [T]he ban on the corporate practice of medicine ‘is intended
to ameliorate “the evils of divided loyalty and impaired confidence” which are thought to
be created when a corporation solicits medical business from the general public and turns
it over to a special group of doctors, who are thus under lay control. [Citation.]’”
(People v. Cole (2006) 38 Cal.4th 964, 970-971 (Cole); see Physicians and Surgeons:
Information Pertaining to the Practice of Medicine, Med. Bd. Cal.,
https://www.mbc.ca.gov/Licensing/Physicians-and-Surgeons/Practice-Information/
[“This section of the law is intended to prevent unlicensed persons from interfering with,
or influencing, the physician’s professional judgment”].)
              Relevant here, the same Medical Practice Act that enacted section 2400 in
1980, also enacted a statute that presently provides in relevant part as follows: “[A]ny
person who practices or attempts to practice, or who holds himself or herself out as
practicing . . . [medicine] without having at the time of so doing a valid, unrevoked, or
unsuspended certificate . . . is guilty of a public offense.” (§ 2052, subd. (a); see Stats.

                                              12
                                     5
1980, c. 1313, pp. 4449, 4494, § 2.) In 2002, the Legislature modified the statute and in
relevant part added the following provisions: “Any person who conspires with or aids or
abets another to commit any act described in subdivision (a) is guilty of a public offense.
. . . [¶] . . . The remedy provided in this section shall not preclude any other remedy
provided by law.” (§ 2052, subds. (b) & (c); Stats. 2002, ch. 1085, § 14.)
              On the factual allegations for her UCL claim, Tonti summarizes in her
briefing that Naficy “set[] up a medical practice where [he wa]s paid by Capo to sign off
on prescriptions, based on a pre-arranged program with Capo, without incurring the time
and expense of seeing the patients first, thus, entirely alleviating himself of the duty to
exercise professional judgment and skill and instead delegating that role to Capo and its
nonmedical employees.” In her amended complaint, Tonti alleges that “Naficy allowed
himself to be employed and directed by” Capo, prescribed drugs to Tonti when she “was
not under [] Naficy’s care,” and did so without an appropriate medical examination of
Tonti. Tonti also alleges the Capo staff member “Jeff Doe . . . was for all intents and
purposes [Tonti’s unlicensed] health care provider” and that when Doe called Naficy and
advised “further medication was needed,” Naficy prescribed the benzodiazepine without
exercising independent judgment.
              A reasonable reading of Tonti’s allegations shows her UCL claim is based
on a theory that Naficy was complicit in what Tonti asserts was a failure to provide
promised “residential detoxification services” by a for-profit corporation. Naficy claims
no exception to the corporate practice ban (see, e.g., § 2411 [ban exception for HMO’s])
and Tonti alleges she was deprived of the $10,000 she paid to Capo for promised services
because, “fearing another relapse,” she was effectively given no choice but to leave Capo,

5
      “‘Person’ means any individual, partnership, corporation, limited liability
company, or other organization, or any combination thereof, except that only natural
persons shall be licensed under this chapter [including section 2052].” (§ 2032.)

                                              13
based on a chain of events triggered by a “black out” episode caused by Naficy’s
                                     6
purportedly unlawful prescription.
              Without considering the probability of whether Tonti will be able to prove
her factual allegations (Nolte, supra, 236 Cal.App.4th at p. 1406; see Code Civ. Proc., §
589 [demurrers raise questions of law]), we conclude those allegation are sufficient to
support her theory for a UCL claim because, taken as true, they may reasonably support a
conclusion that Naficy sufficiently assisted or encouraged a violation of California’s “ban
on the corporate practice of medicine” (Cole, supra, 38 Cal.4th at p. 970; see also
Steinsmith v. Medical Board (2000) 85 Cal.App.4th 458 [restoring medical board’s
citation against physician for “aiding the unlicensed practice of medicine”]; and CACI
No. 3610)). For these reasons, the demurrer to Tonti’s sixth cause of action in her
amended complaint should not have been sustained.

D. Tonti Has Not Shown the Demurrer to Her Willful Misconduct Claim Was Improperly
Sustained
              Finally, Tonti contends the trial court erroneously sustained Naficy’s first
demurrer to Tonti’s original complaint third cause of action which is labeled “intentional
conduct” but urged by Tonti to assert a cause of action for “willful misconduct.” As
noted, Tonti did not amend her allegations for the claim even though the court granted
leave to do so. (See Ram, supra, 234 Cal.App.4th at p. 22, fn. 3 [“A reviewing court
normally ‘resolve[s] all ambiguities and uncertainties raised by the demurrer against’ the
plaintiffs when, as here, a demurrer is sustained with leave to amend and the plaintiffs
choose not to amend”].)

6
       Our conclusions in this opinion should not be interpreted as views on the ultimate
merits of the parties’ respective contentions, including legal issues that may be relevant in
subsequent stages of this litigation. (See, e.g., § 2242 [on parameters for prescribing
“dangerous drugs”].)

                                             14
              Tonti states the trial court’s ruling on the misconduct claim “set forth a
completely correct analysis as to what the elements of the claim are” but she does not
analyze the elements in her appellate briefing, nor does she present any supporting
authority to demonstrate how they were satisfied by her complaint allegations. The
court’s ruling Tonti endorses relied on Berkley v. Dowds (2007) 152 Cal.App.4th 518.
That appellate court discussed the theory of willful misconduct in the context of elder
abuse law in part as follows: “‘[W]illful misconduct’ is recognized . . . not [as] a separate
tort, but simply “‘an aggravated form of negligence . . . Its pleading requirements are
similar to negligence but stricter.’’’’’ (Id. at p. 526) “‘“[T]hree essential elements must
be present to raise a negligent act to the level of wilful [sic] misconduct: (1) actual or
constructive knowledge of the peril to be apprehended, (2) actual or constructive
knowledge that injury is a probable, as opposed to a possible, result of the danger, and (3)
conscious failure to act to avoid the peril. [Citations.]”’” (Id. at p. 528; see Perlin v.
Fountain View Mgmt., Inc. (2008) 163 Cal.App.4th 657 [holding violation of elder abuse
statute “constitute[s] an independent cause of action”; opposite of conclusion in
Berkley].)
              As noted, Tonti contends her willful misconduct claim should have
survived “[f]or the same reasons” her UCL claim should have survived , without
meaningful discussion. The sole factual issue she briefs is her general pleading allegation
that Naficy issued her a prescription without an examination.
              There are two fundamental problems with Tonti’s reliance on UCL analysis
for her attempt to satisfy the elements essential for willful misconduct liability. First is
the obvious differences between the respective elements. For example, the UCL requires
no showing of a defendant’s knowledge of probable injury to a plaintiff.
              The second problem is that Tonti’s third cause of action was alleged in her
original complaint (and disposed of on Naficy’s first demurrer), whereas Tonti’s UCL
claim allegations were thereafter elaborated in her amended complaint (and disposed of

                                              15
on Naficy’s second demurrer). Particularly given that Tonti does not discuss the
differences between the pleading iterations, her urging us to analyze the trial court’s first
demurrer ruling on Tonti’s original third cause of action based on our analysis of her
amended sixth cause of action does little to bridge the gap between her UCL violation
theory and asserted theory of willful misconduct. Sufficiently pleaded facts for a UCL
violation or practice of unauthorized corporate medicine do not necessarily demonstrate
aggravated negligence. As to the sole factual issue mentioned in Tonti’s appellate
briefing, prescription without examination, we are not presented with any specific
complaint allegation that Naficy knew injury was probable and we do not infer the point
given Tonti’s election not to amend her allegations. (See Ram, supra, 234 Cal.App.4th at
p. 22, fn. 3.)
                 In sum, we conclude that even assuming arguendo Tonti’s willful
misconduct claim should be recognized as a valid cause of action, she has not carried her
burden to show why the trial court erred in sustaining Naficy’s demurrer against it.
(Crawley, supra, 243 Cal.App.4th at p. 404; see Cahill v. San Diego Gas & Electric Co.
(2011) 194 Cal.App.4th 939, 956 [“‘We are not bound to develop appellants’ arguments
for them’”].)

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                                      DISPOSITION
              The trial court’s June 18, 2020 order sustaining respondent’s demurrer to
appellant’s original complaint third cause of action is affirmed. The court’s December
10, 2020 order sustaining respondent’s demurrer to appellant’s amended complaint sixth
cause of action is reversed. The court’s August 5, 2021 order granting summary
judgment is also reversed. The matter is remanded for further proceedings consistent
with this court’s opinion. Appellant is entitled to recover her costs on appeal.

                                                  DELANEY, J.

WE CONCUR:

MOORE, ACTING P. J.

GOETHALS, J.

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