https://kpsgill.com/research/cfmg-wellpath-california/roadmaps/096-3-claim-element-tables/ · Roadmap 096.3

Roadmap 096.3Supporting roadmapProcedure, bankruptcy, oversight and public records

Claim-by-Claim Element Tables: What Each Element Generally Requires, the Facts That May Support It, the Facts That May Defeat It, and the Primary Authority

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Who this page is for

Readers and counsel who need the elements of each claim in one place, with the kinds of facts that bear on each.

What question this page answers

For each major theory: what are the elements, what does each generally require, what facts tend to support or defeat it, and what authority governs?

What this page does not establish

These tables do not establish that any element is met on any facts or that any claim exists.

OrientationWhat this page is, and when to act now

In plain words#

Every claim is a list of elements, and every element is a fact question. A table that puts the elements in one column, what each requires in the next, the facts that may support it in the third, the facts that may defeat it in the fourth, and the authority in the fifth is the most compact statement of a claim the law allows. The project's directive requires such a table for every important theory. This page supplies them.

The tables are built from the Roadmaps and the authority register. "Facts that may support" and "facts that may defeat" are categories of facts, not findings; the defense playbook (133) carries the defenses in prose, and the worksheets (100–114) collect the facts. Where an authority is marked "R1 pending" or "not opened," the element is stated at the level the project has verified and must be re-checked before publication.

Deadline

Deadlines. None here. Each claim's limitation source is in Roadmap 096.1.

Note

Private-stage verification note (2026-10-17): The source-A serial identity 096.3 remains proposed, not canonically mapped to any competing source-B index. This candidate has targeted, mixed-grade checks only: official federal statutory text, federal agency guidance, and nonofficial California statutory reproductions. A checked cell is not an outcome, a claim deadline, a privilege determination, or publication clearance. LEAP-dependent references to 096.1/096.2 are historical source-A labels, with routing HELD pending body-to-body canonical reconciliation.

On this page — 12 sections
  1. Orientation
    1. In plain words
  2. Working analysis
    1. How to read the tables
    2. Employment and civil-rights claims
    3. Negligence, death and public-entity claims
    4. Constitutional and correctional claims
    5. Using the tables
    6. Why this may matter in a CFMG/Wellpath setting
  3. Research depth
    1. Primary authorities
    2. Related roadmaps
    3. Research expansion — how to read an element table without treating it as an outcome engine
    4. What this page cannot do
    5. Important legal-information notice

Working analysisLaw, evidence and procedure

How to read the tables#

Each row is one element. "What it generally requires" is the legal standard in one or two sentences. "Facts that may support" and "Facts that may defeat" are illustrative, never exhaustive, and never a prediction. "Primary authority" is the register ID; the full citation is in the register and the public libraries.

Employment and civil-rights claims#

FEHA disability discrimination — Gov. Code § 12940(a) (Roadmap 013)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Covered FEHA employerUnder Gov. Code § 12926(d), a private employer generally must regularly employ five or more persons; California state/political subdivisions and cities are separately included, subject to statutory exclusions. Establish the responsible employer or legally supported agent, not merely a brand or payroll label.Dated personnel counts; governing contracts; hiring, payroll, supervision and labor-relations recordsPrivate employer below five-person regular threshold; statutory exclusion; genuinely distinct employer; no supportable agency or employment linkGov. Code § 12926(d) (2026 nonofficial statute reproduction, original official host inaccessible); AR-010-S05; AR-S901 (R1 pending); AR-094-S01–S02
EmployeeThe plaintiff was an employee or applicant under the applicable FEHA employment test; a tax label does not decide status by itselfW-2; offer letter; schedule, clinical and hiring control; agreement and actual practiceEvidence of genuine independent-contractor relationship, distinct professional-corporation control, or different responsible employer; a 1099 alone is not dispositiveAR-095-S02–S03 (employment-status rule requires source/case-specific check)
Disability or medical conditionA physical or mental disability that limits a major life activity (FEHA's "limits" standard), a medical condition, or being regarded as disabledDiagnosis; restrictions; leave; employer's own treatment of the plaintiff as impairedTransient minor condition; no limitation; no employer knowledgeAR-013-S01; AR-013-R01
QualifiedAble to perform essential functions with or without reasonable accommodationPerformance history; clearance; accommodation that worksRestrictions precluding an essential function; no accommodation possibleAR-013-C01; AR-013-R01
Adverse actionTermination, demotion, refusal to reinstate, or other action materially affecting termsThe action and its dateMinor change; voluntary resignation (unless constructive discharge)AR-010-C04; AR-019-C01
Substantial motivating reasonThe disability was a substantial motivating reason for the actionTiming; shifting reasons; comparators; decisionmaker's statementsDocumented legitimate reason predating knowledge; same-decision proofAR-010-C10
Harm and causationThe action caused damageLost wages; distress; treatmentMitigation; same decision limits remediesAR-010-C10; 096.2

Failure to provide reasonable accommodation — § 12940(m) (Roadmap 014)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Employer; employee; disabilityAs aboveAs aboveAs aboveAs above
Employer knowledgeThe employer knew of the disabilityWritten request; restrictions provided; obviousness; employer's inquiryNo disclosure; no obvious impairmentAR-015-R01
Qualified with accommodationA reasonable accommodation existed that would have allowed performance of essential functionsSchedule change; modified duty; reassignment to a vacant position; leave of finite durationNo accommodation would allow essential functions; indefinite leaveAR-014-C01; AR-014-C02
Failure to accommodateThe employer failed to provide itRequest denied; silence; termination insteadAccommodation provided; employee refused itAR-014-R01
Undue hardship (defense)Significant difficulty or expense relative to the employer's size and resources— (employer's burden)Cost analysis; operational impact; safetyAR-014-R01
Harm and causationAs aboveAs aboveAs above—

Failure to engage in the interactive process — § 12940(n) (Roadmap 015)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Employer; employee; disability; knowledgeAs aboveAs aboveAs above—
Request or known needThe employee requested accommodation or the employer otherwise knew of the needRequest; restrictions; return-to-work noteNo request and no noticeAR-015-R01
Employee willingThe employee was willing to participateResponses to inquiries; provision of informationRefusal to respond; refusal of all alternativesAR-015-C01
Employer failed to engage in good faithNo timely, good-faith processSilence; unilateral decision; unreasonable demands for information; termination during the processDocumented meetings; alternatives offered; reasonable follow-upAR-015-R01; AR-015-C01–C03
Available accommodationPleading practice ordinarily identifies a reasonable accommodation that was availableAs in the accommodation tableNone availableAR-014-C01; AR-015-C01
Harm and causationAs aboveAs aboveAs above—

FEHA retaliation — § 12940(h) (Roadmap 019)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Protected activityOpposing a practice forbidden by FEHA; participating in a proceeding; requesting accommodation (§ 12940(m)(2))Written complaint referring to discrimination; charge; accommodation requestComplaint about non-FEHA matters; no reasonable beliefAR-010-S05; AR-019-C01
Adverse actionAction that materially affects terms, conditions or privilegesTermination; demotion; refusal to reinstate; pattern of actionsTrivial actsAR-019-C01
Causal linkThe protected activity was a substantial motivating reasonTiming; knowledge; shifting reasons; antagonismNo knowledge; intervening cause; decision already in motionAR-019-J01; AR-010-C10
Harm and causationAs aboveAs aboveAs above—

ADA discrimination, accommodation and retaliation — 42 U.S.C. §§ 12112, 12203 (Roadmaps 012, 019)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Covered ADA Title I entityEmployer generally must have 15 or more employees for each working day in each of at least 20 calendar weeks in the current or preceding calendar year; § 12111(5)(B) has exclusions. Employment agencies, labor organizations and labor-management committees have separate covered-entity routes. The statutory 20-week rule is not FEHA's five-person rule.Employer-specific employee/relationship counts by week and year; evidence of legally sufficient integrated-enterprise or joint employment where assertedMissing statutory threshold weeks; applicable exclusion; wrong respondent or unproven employment/control link42 U.S.C. § 12111(2),(5)(A)-(B) (official OLRC text through P.L. 119-120, 2026-10-07); current EEOC coverage guidance; AR-012-S02
DisabilityImpairment substantially limiting a major life activity; record of; regarded as (broad construction)Diagnosis; limitation; employer's treatmentNo limitation; transitory and minor for "regarded as"AR-012-S01; AR-012-R01
Qualified individualEssential functions with or without accommodationAs FEHAAs FEHAAR-012-S02; AR-012-C03
Discrimination because of disabilityBut-for causation in the Ninth CircuitTiming; statements; pretextLegitimate reason; no knowledgeAR-012-C02
AccommodationKnown limitation of an otherwise qualified individual, a reasonable accommodation that would address it, failure to provide it, and no proven undue hardship; coverage solely under ADA regarded-as definition does not require accommodation under 42 U.S.C. § 12201(h)Accommodation request, functional limitation, available modification; process communicationsNo actual/record-of impairment supporting accommodation, only regarded-as status; no reasonable option; undue hardship42 U.S.C. §§ 12112(b)(5), 12201(h) (official 2026 federal text); AR-012-R02; AR-014-C02
RetaliationProtected activity; adverse action that might dissuade a reasonable worker; causal linkRequest for accommodation; complaint; chargeNo protected activity; no causationAR-019-S01; AR-019-C02; AR-023-C01
ExhaustionCharge filed; right-to-sue notice; suit within 90 days of receiptCharge; notice; datesUntimely; different respondent; different basisAR-125-F01–F02; AR-023-S06; AR-S607

Employer-coverage and defendant-identity adversarial control (targeted review October 17, 2026). For the ADA threshold, preserve the legally relevant employees and employment relationships on each working day of each asserted qualifying calendar week in the current and preceding calendar years. Integrated-enterprise and joint-employer tests are legally distinct; corporate branding, shared counsel, common ownership, a shared benefits administrator, one W-2, one EDD identifier, or overlapping personnel alone cannot substitute for a fact-specific showing of who employed, controlled, or made the challenged decision. The EEOC's historical threshold guidance supplies a useful investigative framework but does not replace current controlling Ninth Circuit law. Anticipate defenses involving distinct corporate operations, exempt entity status, an insufficient 20-week census, or absence of labor-relations control. FEHA private regular-five-person coverage and the separate public-entity statutory language must be examined independently. The numbers 096.1–096.3 remain source-A historical identifiers; source-B routing and LEAP links are HELD. This statement finds no case-specific CFMG/Wellpath employer identity or violation.

Labor Code § 1102.5 whistleblower retaliation (Roadmap 021)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Disclosure or refusalDisclosure to a government agency, a person with authority over the employee, or an employee with authority to investigate, of information the employee reasonably believed disclosed a violation of statute, rule or regulation (§ 1102.5(b)); or refusal to participate in a violation (§ 1102.5(c))Written report to supervisor, compliance, board or agency about staffing minimums, licensing, patient-safety law, wage lawComplaint about management style; no legal violation implicated; unreasonable beliefAR-020-S01; AR-023-S01
Adverse actionDischarge, discipline, or other adverse employment actionAs FEHATrivialAR-020-S01
Contributing factorThe disclosure was a contributing factor (plaintiff's burden, preponderance)Timing; knowledge; pretext; patternNo knowledge; intervening causeAR-020-S02; AR-020-C01
Employer's rebuttal (burden shift)Clear and convincing evidence the employer would have taken the action for legitimate, independent reasons—Documented independent reason; consistent treatment of othersAR-020-S02; AR-020-C01
No exhaustion requiredNo prerequisite of a § 98.7 complaint——AR-021-S02; AR-021-C01
HarmDamagesAs FEHAMitigation—

Health & Safety Code § 1278.5 and Bus. & Prof. Code § 2056 (Roadmap 022)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Covered setting§ 1278.5: a health facility as defined; § 2056: a physician advocating for medically appropriate careLicensed facility; physician's advocacyA jail infirmary is generally not a licensed health facility; the plaintiff is not a physicianAR-011-S03; AR-011-S02
Protected conduct§ 1278.5: complaint, grievance or report about quality of care or services; § 2056: advocacy for appropriate careWritten complaint; report to a bodyNot about patient careAs above
Adverse action and causationDiscrimination or retaliation because of the protected conduct; § 1278.5's rebuttable presumption where the action follows within 120 days of a report to a listed body (as read)Timing within the statutory window; knowledgeLegitimate reason; outside windowAR-011-S03
RemediesReinstatement, lost wages, fees under § 1278.5(g) as read; § 2056 as the statute provides——AR-011-S03; AR-011-S02

Wrongful termination in violation of public policy — Tameny (Roadmaps 010, 011)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Employer-employee relationshipEmployment, not independent contractingAs aboveAs aboveAR-010-C01; AR-010-C05
TerminationActual or constructive discharge (intolerable conditions a reasonable employer would realize would compel resignation)Termination letter; intolerable conditions documentedVoluntary resignation; conditions not intolerableAR-010-C04
Public policyDelineated in constitutional or statutory provisions; public; fundamental; well established at the timeFEHA; § 1102.5; § 6310; a specific statute identifiedA private interest; no statutory source; policy not established at the timeAR-010-C06; AR-011-C01
Substantial motivating reasonThe violation of policy substantially motivated the terminationTiming; pretextLegitimate reasonAR-010-C10
HarmDamages (tort)As FEHAMitigationAR-010-C02

Breach of contract; implied covenant (Roadmap 028)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
ContractExpress or implied agreement limiting at-will termination or promising compensationWritten agreement; policies; course of dealing (implied); specific promiseAt-will clause; integration clause; § 2922 presumption; Guz limitsAR-010-S01; AR-010-C02; AR-010-C08
PerformancePlaintiff performed or was excusedPerformanceMaterial breach by plaintiff—
BreachDefendant failed to performTermination without cause where cause required; non-paymentCause existed; payment made—
DamagesContract damages (no emotional distress; no punitive)Lost compensationMitigationAR-010-C02

Wage claims — Lab. Code §§ 200–204, 226, 218.5 (Roadmap 026)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
EmploymentAs aboveAs aboveAs aboveAR-095-S02–S03
Wages earned and unpaidAmounts that are "wages" under § 200, earned under the terms of employment, unpaidWage statements; time records; bonus plan terms (Schachter); commission agreement (§ 2751)Discretionary bonus; conditions unmet; payment madeAR-026-S01; AR-026-C01; AR-026-S10
Final wages (§§ 201–203)Wages due at discharge or within 72 hours of resignation; willful failureSeparation date; payment dateGood-faith dispute (8 C.C.R. § 13520)AR-026-S02–S04; AR-026-R01; AR-026-C02–C03
Wage statements (§ 226)Knowing and intentional failure to furnish accurate statements; injuryMissing items including employer's legal name (a)(8)Clerical error; no injuryAR-026-S09; AR-033-S02
LimitationBy contract type and statute—ExpiredAR-010-S03–S04; AR-021-S04–S05; AR-026-C04

Record-access penalties — §§ 1198.5(k), 226(f) (Roadmap 033)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
RequestWritten (§ 1198.5) or written or oral (§ 226) request by a current or former employee or representativeDated letter; proof of receiptNo request; oral request under § 1198.5AR-033-S01–S02
Failure within timeNot within 30 days of receipt (or agreed date ≤ 35) under § 1198.5; not within 21 days of request under § 226DatesTimely production; agreed extension; impossibility (§ 226(c))AR-033-S01–S02
No exclusionRecords not within § 1198.5(h); no pending personnel-matter lawsuit (§ 1198.5(n))Records are performance or grievance recordsCriminal-investigation records; letters of reference; lawsuit pendingAR-033-S01
Penalty and relief$750; injunctive relief; fees——AR-033-S01–S02

FMLA and CFRA interference and retaliation (Roadmaps 024, 025)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Coverage and eligibilityFMLA: private-sector coverage ordinarily requires 50 employees in 20 workweeks; public agencies and covered schools can be covered regardless of size. Separately, individual eligibility generally requires 12 months, 1,250 service hours, and 50 employees within 75 miles of the worksite (subject to statutory exceptions). CFRA: generally five-employee employer coverage (public entities separately covered), more than 12 months and 1,250 hours or statutory exception; do not import the federal 75-mile requirementPayroll counts by legal employer and geographic worksite, tenure, hours, employer status, state-law exceptionsIneligible employee; employer not covered under applicable statute; inconsistent employer/employee identification29 U.S.C. § 2611(2),(4) (official 2026 text); DOL Fact Sheet 28D; Cal. Gov. Code § 12945.2 (2026 reproduction; official access pending); AR-024-F01; AR-025-S05
Qualifying reasonDetermine separately whether the requested leave fits the governing FMLA reason or CFRA reason; CFRA includes covered listed family members and a defined designated person in circumstances provided by § 12945.2, while federal family-member categories differTimely request; applicable family or designated-person relationship; qualifying certification where lawfulReason outside relevant statute; deficient notice or certification only after properly demanded and an opportunity to comply where required29 U.S.C. § 2612 (federal text requires check); Cal. Gov. Code § 12945.2(b) (2026 reproduction; official access pending); AR-024-F02–F03
NoticeEmployee gave required noticeCommunicationsNoneAR-024-CF01–CF06
InterferenceDenial of leave or benefits, including failure to reinstateDenial; termination during leave; refusal to reinstateEmployee would have been terminated regardless; leave exhaustedAR-024-F04–F05; AR-024-C01
RetaliationAdverse action because of protected activityTiming; statementsLegitimate reasonAR-024-C02–C03
Remedies§ 2617(a); CFRA via FEHA—Good faith (liquidated damages)AR-024-F06

Negligence, death and public-entity claims#

Professional negligence (Roadmap 044)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
DutyA provider-patient relationship or undertaking of careTreatment; orders; triageNo relationship; purely administrative roleRoadmap 044 (CACI 500, not opened)
Standard of careSkill and care of reasonably careful practitioners in the same or similar circumstancesExpert opinion; guidelines; protocolsExpert opinion to the contraryRoadmap 044
BreachDeparture from the standardMissed assessment; delay without reason; failure to follow up or referReasoned clinical judgment; adherence to protocolRoadmap 044
CausationBreach was a substantial factor, to a reasonable medical probabilityExpert opinion; hospital findings on presentationOutcome unchanged by timely careRoadmap 044
DamagesEconomic; noneconomic subject to MICRABills; lost earnings; injuryComparative fault; capsAR-0961-S03
Prerequisites§ 364 notice; Claims Act for public defendantsNotice served; claim presentedNoneAR-096-S04; AR-096-S02

Wrongful death — Code Civ. Proc. § 377.60

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Death caused by wrongful act or neglectThe underlying tort provenAs aboveAs aboveAR-065-S08
Proper plaintiffSpouse, domestic partner, children, issue of deceased children, or intestate takers; dependent putative spouse, stepchildren, parentsRelationship documentsOutside the listAR-065-S08
DamagesHeirs' pecuniary and non-pecuniary losses; MICRA wrongful-death cap for providersSupport; services; companionshipCaps; no dependency where requiredAR-0961-S03; § 377.61 (not opened)

Survival — Code Civ. Proc. §§ 377.30, 377.34

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Decedent's surviving claimThe decedent had a claim at deathThe tortNoneAR-0961-S06
Proper plaintiffThe personal representative may bring the estate claim; a successor in interest relying on CCP § 377.32 must file the specified sworn declaration or affidavit, attach a certified death certificate, and address any estate administration and superior claimants; these are not interchangeable procedural routesLetters of administration or properly supported successor declaration plus certified death certificateNo legal authority to sue; conflicting superior successor; defective declaration or missing attachmentCal. Code Civ. Proc. §§ 377.30, 377.32 (2026 statutory reproduction, not official authentication); AR-0961-S06
DamagesOrdinarily decedent's own pre-death losses plus legally supportable penalties or punitive damages; CCP § 377.34(b) allows pre-death pain/suffering/disfigurement only for an action granted a § 36 preference before 2022-01-01, or filed 2022-01-01 through 2025-12-31. An action newly filed in 2026 is not automatically within that temporary window; § 377.34(f) preserves separate elder/dependent-adult-abuse lawEvidence of decedent's pre-death economic loss; actual filing date, pre-2022 preference order, or separately pleaded statutory basisFiling on/after 2026-01-01 without qualifying exception; no established injury/damages; punitive prerequisites unprovedCal. Code Civ. Proc. § 377.34(a),(b),(f) (2026 reproduction; official page HTTP 403); AR-065-S07

Government Claims Act prerequisites (Roadmap 096.1 Family J)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Threshold and defendantIdentify whether a California state-law cause is subject to the Government Claims Act against the particular public entity or employee; do not impose state claim-presentation on a standalone federal § 1983 claim. A private corporation and its workers are not automatically public employees merely because of a county contractCounty/public employment, scope documents, legal claim and each defendant's statusPure federal claim; genuinely private-party defendant; statutory presentation exceptionGov. Code §§ 905, 910, 911.2, 945.4 (official 2026 California authentication OPEN); § 1983 federal-law distinction; AR-S506 (R1 pending)
Claim presentedGov. Code § 911.2(a): ordinarily six months after accrual for death, personal injury, personal-property injury or crops; one year for other covered claims. Determine statutory accrual, claim category, presentation method, proper public entity and exceptions individuallyComplete presented claim, service/receipt record, accrual chronology and relevant categoryLate or defective presentation to the proper entity; claim is outside the Act; claim falls in different statutory time categoryCal. Gov. Code §§ 911.2(a), 915 (2026 reproduction, official page HTTP 403); AR-096-S01–S02
Rejection and suitFor covered public-entity suits under § 945.6(a), the six-month suit period ordinarily turns on notice given in accordance with § 913, running from personal delivery or deposit in mail; absent § 913-compliant written notice, the statute provides a different two-year-from-accrual rule, subject to enumerated exceptions/extensions. Do not calculate from an informal denial aloneActual § 913 notice, mailing/personal-delivery proof, action date, accrual and any extensionsWrong accrual/date, missing compliance with claim prerequisite, contrary § 913 notice, expired governing periodCal. Gov. Code §§ 913, 945.6(a), 946.4, 946.6 (2026 reproduction; official verification OPEN); AR-096-S03
Late claim reliefFor a claim ordinarily due in six months, § 911.4 permits a written late-presentation application within a reasonable time generally not exceeding one year after accrual, with the proposed claim attached; statutory exceptions to measuring the one-year interval and § 911.6 grounds matter. A denied application may require a separate, timely § 946.6 petition. Relief is not automaticDated § 911.4 application and proposed claim, evidence supporting a statutory ground, denial notice and petition recordWrong claim category, elapsed applicable window, missing statutory justification, untimely petitionCal. Gov. Code §§ 911.4, 911.6, 946.6 (2026 reproductions; official authentication OPEN); AR-S503 (R1 pending)

Constitutional and correctional claims#

Fourteenth Amendment medical care — pretrial detainee (Roadmap 042)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Under color of state lawThe defendant performed the state's custodial medical functionCounty employment; contract to provide care (West)Unrelated private actorAR-0961-C07; AR-096-F03
Intentional decision re conditionsThe defendant made an intentional decision with respect to the conditions of confinement (including medical care decisions)Decision not to see, refer, transport, medicateDecision made by someone else; no decisionAR-0961-C01
Substantial risk of serious harmThe conditions put the plaintiff at substantial riskSymptoms reported; known diagnosis; obvious emergencyMinor condition; no riskAR-0961-C01
Failure to take reasonable available measures a reasonable official would have appreciatedObjective: more than negligence, less than subjective intent — akin to reckless disregardRepeated requests ignored; protocol not followed; delay without reason; obviousnessReasonable response; prompt escalation; no available measureAR-0961-C01
CausationThe failure caused the injuryExpert on timing; recordsOutcome unchangedAR-0961-C01
Entity liabilityMonell (separate table)———
PLRA exhaustion (threshold, not merits element)Under 42 U.S.C. § 1997e(a), prison-conditions actions under § 1983 or other federal law brought by a statutory prisoner while confined require exhaustion of available administrative remedies; prisoner status at filing, claim type, grievance-process operation and availability must be evaluated separatelyCustody dates; available grievance rules; final review or evidence the process was unavailableActually available process not properly exhausted; defendant has exhaustion defense; no statutory prisoner status at filing42 U.S.C. § 1997e(a),(h) (official 2026 federal text); AR-096-F04; AR-0961-C09; court case-law/subsequent history OPEN

Eighth Amendment medical care — convicted prisoner (Roadmap 043)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Serious medical needA condition a reasonable doctor would find important and worthy of treatment, or one causing substantial pain or significant effect on daily activitiesDiagnosis; symptoms; outside hospital findingsMinor conditionAR-0961-C02; AR-C31 (R1 pending)
Deliberate indifference (subjective)The defendant knew of and disregarded an excessive risk; aware of facts from which the inference could be drawn and drew it; obviousness permits inferenceRequests received; notes showing awareness; obvious riskNo knowledge; reasonable response; difference of medical opinionAR-0961-C03; AR-0961-C02; AR-C32 (R1 pending)
HarmInjury caused by the indifferenceRecords; expertNoneAR-0961-C03
Not mere negligenceMalpractice is not a constitutional violation—Facts show only negligenceAR-0961-C02
PLRA exhaustion (separate threshold)Apply the same § 1997e(a) available-remedies/prisoner-at-filing test as for detainee medical-care claims; it is not an element proving or disproving deliberate indifferenceApplicable process and response historyAvailability, proper exhaustion, prisoner-status and timing defense42 U.S.C. § 1997e(a),(h) (official 2026 federal text); AR-096-F04; AR-0961-C09

Monell liability — county and private contractor (Roadmaps 046, 047, 048, 049, 050)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Underlying violationA constitutional deprivation (tables above)As aboveNoneAR-0961-C04
Policy, custom or practiceOfficial policy; longstanding custom; decision by final policymaker; ratification; failure to train or supervise amounting to deliberate indifferenceWritten policy; prior incidents; inspection findings; staffing below contract; policymaker's decision; known need for trainingIsolated incident; policy would have prevented harm if followed; training providedAR-0961-C04; AR-C34, AR-C35, AR-C40, AR-C41, AR-C43, AR-C13 (R1 pending)
Moving forceThe policy caused the violationCausal link pleaded as factEmployee's deviation from policy caused itAR-0961-C04
Private-entity § 1983Separate questions: whether the actor functioned under color of state law (a county healthcare contract may be evidence, not conclusive for each act) and whether the private entity's own policy/custom was the moving force; employer-employee relationship alone does not establish corporate § 1983 liabilityContract, delegated functions, entity-specific policy, decision authority, repeat events and causal linkagePrivate conduct not fairly attributable to state; no policy/custom; individual deviation from an adequate policyWest v. Atkins; Tsao v. Desert Palace (Ninth Circuit holdings, full current negative history NOT checked); AR-0961-C08; AR-0961-C07
DamagesCompensatory; no punitive against the county; fees under § 1988——AR-C73; AR-S922 (R1 pending)

Individual-capacity liability and immunity (Roadmap 045)

ElementWhat it generally requiresFacts that may supportFacts that may defeatPrimary authority
Personal participationEach defendant's own conduct caused the violation; no vicarious liabilityDefendant's own acts and omissions pleadedGroup pleading; supervisor without personal involvement (supervisory liability requires own culpable action — Starr, AR-C33, R1 pending)AR-0961-C05
Qualified immunity (public employees)Right clearly established; conduct unreasonableClearly established right in the specific contextNot clearly establishedRoadmap 045 (Pearson, not opened)
Qualified-immunity inquiry for private defendantsRichardson v. McKnight denied qualified immunity to private prison guards employed by a for-profit contractor in its specific context; it did not announce a blanket rule for every private medical contractor or clinician. Filarsky v. Delia illustrates distinct immunity treatment of some private individuals retained by public entities. Defendant-specific comparison and current case history remain requiredNature of delegated function, firm arrangement, supervision, historical immunity analoguesDifferent role, temporary government engagement, jurisdiction-specific authority supporting or opposing immunityRichardson, Filarsky (Supreme Court holdings; official opinion/citator authentication OPEN); AR-0961-C10

Using the tables#

Each table is a checklist for the chronology (Worksheet 100) and for the pleading models (129–130.1): every element must have facts in the chronology and a paragraph in the complaint. Each "facts that may defeat" cell points to an entry in the defense playbook (133). Each authority ID points to the register, where the verification status and any limitation are recorded.

Why this may matter in a CFMG/Wellpath setting#

The tables include an "employer" or "under color of state law" or "public entity" row in every claim because, in a multi-entity organization operating under county contracts and through a chapter 11 case (Roadmaps 004, 090, 094), that row is where cases are won and lost before the merits are reached. Nothing here states that any element is met on any facts.

Research depthAuthorities, related pages and limits

Primary authorities#

The register entries cited in the tables. R1 pending entries relied on: AR-S506, AR-S503, AR-C13, AR-C31, AR-C32, AR-C33, AR-C34, AR-C35, AR-C40, AR-C41, AR-C43, AR-S922, AR-S901. Targeted official federal statutory texts checked 2026-10-17: 29 U.S.C. § 2611, 42 U.S.C. §§ 12112, 12201, 1997e (OLRC codifications reflecting laws through Pub. L. 119-120). California statutory reproductions, not directly authenticated official Legislative Counsel pages: Gov. Code §§ 911.2, 911.4, 945.6, 12945.2; CCP §§ 377.32, 377.34 (official site returned HTTP 403). Still not opened or not fully subsequently validated: CACI 500 series, CCP § 377.61, Pearson, Richardson, Filarsky, West, Tsao, Gov. Code § 845.6, full adverse case history and source-specific 2026 amendments.

010–039; 040–050; 044; 090; 091; 096; 096.1; 096.2; 100–114; 125–130.1; 133.

Research expansion — how to read an element table without treating it as an outcome engine#

A claim-element table states what legal questions generally arise under a legal theory; it is not a numerical score for the likelihood of winning. The same event may concern distinct statutory schemes, each with different coverage definitions, duties, causation requirements, prerequisites and available remedies. An ADA employment claim, a California FEHA accommodation or interactive-process claim, a Labor Code retaliation theory, professional negligence, and a federal §1983 claim should not be placed into a common list of “elements” as though one generic proof rule applied to all of them. For California FEHA harassment allegations, § 12940(j)(4)(A) creates a distinct employer-coverage standard reaching persons regularly employing one or more people or regularly receiving services from one or more qualifying contractors; the § 12926(d) five-person private-employer discrimination threshold must not be transposed mechanically to harassment. This is a coverage distinction, not a finding that harassment took place.

Every row should identify the exact governing source and scope. An agency guidance page may describe typical filing steps, while a statute or controlling appellate decision defines operative liability. A source that supports the general topic does not necessarily support each element in the table. A well-designed matrix includes the legal proposition, pinpoint authority, controlling court, certainty grade, limitation or defense, public evidence types and verification date. It also carries a column for the strongest legally relevant contrary fact; otherwise the table rewards selection of supportive evidence without testing the claim.

For disability employment disputes, coverage of the defendant, legally cognizable disability, qualified status, essential functions, accommodation or adverse action, causation and administrative prerequisites must be separated as applicable. Requests for accommodation and formal employment discrimination are not identical theories. Federal “regarded as” treatment and California FEHA rules should not be collapsed. Medical certifications can support or challenge functional restrictions but do not decide legal qualification by themselves. A proposed schedule modification might be reasonable in one job and fundamentally alter another; the table cannot evaluate those facts for a stranger.

For correctional-care disputes, the custody classification determines which constitutional framework is relevant. A pretrial detainee's medical-care claim under Gordon requires an objective analysis distinct from a sentenced person's Eighth Amendment subjective-awareness claim under Farmer. For private and public entities, Monell and Tsao introduce policy/custom attribution and causation questions that do not appear in the same way in claims against individual clinicians. A serious illness, a staff member's presence and a corporate contracting relationship do not collectively satisfy those independent legal elements by mere proximity.

For regulatory or administrative routes, an element table should state when the route is an investigation or benefit-determination system rather than a damages cause of action. MBC, OMBC and BRN may investigate licensing issues but do not provide the same remedies as civil courts. EDD wage-replacement programs determine program eligibility, not whether an employer engaged in discrimination. A county Government Claims Act presentment pathway is a threshold for many covered California claims, not a general federal constitutional complaint. The bankruptcy process may administer specified debtor claims while leaving distinct nondebtor questions unresolved.

An honest “insufficient information” field is as important as a positive field. Missing employer identity, disputed custody status, unknown receipt dates, absent policy version or unverified corporate attribution can prevent responsible conclusions. The table should record the uncertainty and direct the reader toward neutral source categories, not suggest that a particular claim exists or a personal deadline is open. The design may aid comparison, but individualized application belongs to counsel.

Each element needs its own contradictory-evidence column

Evidence of an adverse employment action does not prove disability-based causation; a serious medical need does not prove the responsible actor's knowledge; a contract showing affiliation does not establish the policy causation required for an entity §1983 theory. An element table should make those gaps visible and record the strongest contrary proof: employer coverage, actual notice, essential functions, reasonable treatment, alternate causation, exhaustion or jurisdiction. This allows a reader to understand why evidence may be sufficient for one element but incomplete for the claim as a whole. A table with every box marked by a generic citation would conceal rather than illuminate legal uncertainty.

Table maintenance across changing statutes

An element table should preserve the citation's precise statutory subdivision, any controlling case holding, effective-date qualifier and subsequent-history check. If a legal proposition changes, the register should flag every table that reused it. A table developed for 2024 law may not automatically describe a 2026 claim, and a later decision may narrow an earlier case without eliminating its entire reasoning. Versioned updates are part of the product, not cosmetic administration.

A clear table records uncertainty rather than supplying a score

No matrix should convert multiple checked evidence boxes into a prediction of legal success. An authenticated document might establish one event and leave causation or employer status unresolved. The table should distinguish existence of evidence, admissibility questions, legal relevance and the strength of any contrary explanation. This is especially important where the same event raises distinct statutory and constitutional pathways.

What this page cannot do#

It cannot apply any element to any facts, predict any outcome, or replace the Roadmap that carries each claim. Several cells rest on authorities not yet verified for this release and flagged above.

About this page. This roadmap is part of a free public-education series on claims and accountability mechanisms connected to correctional healthcare and healthcare employment in California. It is general information about the law, current as of the date shown, and the law may have changed since. It is not legal advice and is not a substitute for advice from a licensed attorney who knows the facts of a particular situation. Reading this page, or contacting its author, does not create an attorney-client relationship, and communications with the author are not confidential or privileged. Please do not send case documents, medical records, privileged communications, Social Security numbers, or other sensitive personal information; the site does not accept them. The author does not recommend particular lawyers, receives nothing of value from any referral, and charges nothing for this material. Descriptions of lawsuits refer to allegations unless a court has made a finding, and a legal theory described here does not mean that any person or entity is liable. The author's interest in the subject is described in the series' statement of interest.

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