Conservatorship of C.R. - Ruling on restrictive placement
Summary
The California Court of Appeal dismissed an appeal in the conservatorship of C.R. concerning the determination of the least restrictive appropriate placement for a secured mental health rehabilitation center. The appeal was dismissed as moot because the conservatee's placement had already been addressed and changed.
What changed
The California Court of Appeal has dismissed an appeal filed by C.R., a conservatee under the Lanterman-Petris-Short Act, regarding a trial court's January 2025 order on her least restrictive placement as a secured mental health rehabilitation center (MHRC). The court found the appeal moot, as C.R.'s placement had been re-evaluated and changed since the initial order, rendering the specific issue on appeal no longer relevant.
This ruling means that the specific legal question regarding the initial placement determination is no longer actionable. While the appeal is dismissed, the underlying conservatorship and placement decisions remain in effect, subject to ongoing legal processes. Compliance officers should note that appellate review of conservatorship placement orders can become moot due to subsequent changes in the conservatee's status or placement, emphasizing the dynamic nature of such proceedings.
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March 27, 2026 Get Citation Alerts Download PDF Add Note
Conservatorship of C.R. CA1/1
California Court of Appeal
- Citations: None known
- Docket Number: A172665
Precedential Status: Non-Precedential
Combined Opinion
Filed 3/27/26 Conservatorship of C.R. CA1/1
NOT TO BE PUBLISHED IN OFFICIAL REPORTS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 This opinion has not been
certified for publication or ordered published for purposes of rule 8.1115.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
FIRST APPELLATE DISTRICT
DIVISION ONE
Conservatorship of the Person of C.R.
PUBLIC GUARDIAN OF CONTRA
COSTA COUNTY, as Conservator,
etc.,
A172665
Petitioner and Respondent,
v. (Contra Costa County
Super. Ct. No. MSP20-01016)
C.R.,
Objector and Appellant.
MEMORANDUM OPINION1
C.R. is a conservatee under the Lanterman-Petris-Short Act (LPS Act;
Welf. & Inst. Code, § 5000 et seq.).2 She appeals a January 2025 trial court
1 We resolve this case by memorandum opinion pursuant to California
Standards of Judicial Administration, section 8.1, reciting only those facts
necessary to resolve the issue raised.
2 Undesignated statutory references are to the Welfare and Institutions
Code. The LPS Act “provides one-year conservatorships for those ‘gravely
disabled as a result of a mental health disorder or impairment by chronic
alcoholism.’ ” (Conservatorship of K.P. (2021) 11 Cal.5th 695, 703.) The
conservatorship may be extended for additional one-year periods if the person
1
order determining the least restrictive appropriate placement as a secured
mental health rehabilitation center (MHRC). We dismiss the appeal as moot.
In February 2024, the trial court determined that C.R.’s least
restrictive placement was a super board and care. She was eventually placed
at Ever Well, a super board and care in Stockton. In August 2024, a jury
found C.R. was gravely disabled and the court reappointed the Public
Guardian of Contra Costa County (Public Guardian) as conservator. The
Public Guardian requested to raise C.R.’s placement level to an MHRC but
the court declined to do so at that time.
Between June and August 2024, C.R. had repeated episodes that
required trips to the hospital for psychiatric evaluation. She fled from Ever
Well at least twice. After C.R. returned to Ever Well, she was taken to
St. Joseph’s Hospital (hospital) on August 20, after police were called to the
board and care. The hospital’s behavioral health clinician conducted a
psychiatric assessment and determined an acute psychiatric inpatient stay
was appropriate because she was not stable to return to Ever Well. The
hospital sought an acute psychiatric unit to which they could transfer C.R.,
but no facilities were available and she remained at the hospital’s emergency
department for over one month. The hospital also sent a referral to
Crestwood Manor (Crestwood) in Stockton, a locked skilled nursing facility
with specialized treatment program (SNF-STP), which is a more restrictive
placement than a board and care. On September 17, the Public Guardian
was notified that Crestwood was obtaining records from the hospital and was
remains gravely disabled. (Conservatorship of T.B. (2024) 99 Cal.App.5th
1361, 1376.) If grave disability is found, the trial court must determine the
least restrictive appropriate placement. (§ 5358, subds. (a)(1)(A), (c)(1).)
2
prepared to admit C.R., and the Public Guardian sent the requested letters
and orders.
On September 24, 2024, C.R. was admitted to Crestwood. That same
day, the Public Guardian emailed C.R.’s counsel notice of the move. On
October 1, the Public Guardian filed with the trial court notice of change of
placement level (§ 5358, subd. (d)) stating it found that the present least
restrictive suitable placement was SNF-STP, which was more restrictive
than the court’s August placement order. C.R. filed a request for an order to
show cause why she was placed in a locked facility without notice as required
by section 5358, subdivision (d)(1) (section 5358(d)(1))3 and two days later she
filed a motion for an order to show cause why the Public Guardian should not
be held in contempt.
The trial court heard the requests for orders to show cause in October
2024. C.R.’s counsel argued that C.R. had been moved to Crestwood without
the proper notice required by section 5358(d)(1). C.R.’s counsel also advised
that C.R. did not want to be at an MHRC and requested a placement hearing.
3 Section 5358(d)(1) states: “Except for a conservatee who is gravely
disabled, as defined in subparagraph (B) of paragraph (1) of subdivision (h) of
Section 5008 [Murphy conservatees], the conservator may transfer his or her
conservatee to a less restrictive alternative placement without a further
hearing and court approval. In any case in which a conservator has
reasonable cause to believe that his or her conservatee is in need of
immediate more restrictive placement because the condition of the
conservatee has so changed that the conservatee poses an immediate and
substantial danger to himself or herself or others, the conservator shall have
the right to place his or her conservatee in a more restrictive facility or
hospital. Notwithstanding Section 5328, if the change of placement is to a
placement more restrictive than the court-determined placement, the
conservator shall provide written notice of the change of placement and the
reason therefor to the court, the conservatee’s attorney, the county patient’s
rights advocate and any other persons designated by the court pursuant to
subdivision (c).”
3
The court denied without prejudice C.R.’s motion for an order to show cause
and it set a placement hearing. Due to difficulty obtaining missing medical
records as well as conservator and counsel unavailability, the placement
hearing was continued several times.
The placement hearing was conducted over multiple days in December
2024 and January 2025. Two Crestwood employees and three conservators
from the Public Guardian’s office testified. One of C.R.’s conservators
testified that when a conservatee is admitted to the hospital, while the
conservator provides input, the hospital makes the final determination on the
next placement. Here, the conservator advised the hospital that it would be
best for C.R. to go to an acute psychiatric unit. Instead, she went to
Crestwood. The conservator did not refer C.R. to Crestwood. Following the
presentation of evidence and closing arguments, the trial court found that
C.R.’s conduct was aggressive and resulted in physical assaults on staff or
destruction of property, which behavior continued despite compliance with
her medications. It also found that the conservator did not authorize C.R.’s
placement at Crestwood, the hospital did.
Throughout the hearing, the trial court and counsel discussed the legal
standard governing the hearing. C.R. argued that section 5358(d)(1) required
the court to determine whether—at the time of the hearing—C.R. continued
to pose an immediate and substantial danger to herself or others such that
she should remain in Crestwood, a more restrictive placement than a board
and care previously ordered by the court. C.R. asserted that until a
subsequent order was made, the previous order stood. The Public Guardian
argued that section 5358(d)(1) allows an immediate response, which is why
C.R. was placed at Crestwood. After C.R. objected, the Public Guardian
contended that now the court conducted a standard placement hearing to
4
determine the appropriate placement level. C.R. disputed this stance. The
court stated it was “a novel issue.” In distinguishing section 5358(d)(1),
which just includes a notice requirement, from subdivision (d)(2) (Murphy
conservatees), which includes a hearing requirement, the court stated it could
not find any case law interpreting what happens in section 5358(d)(1) in this
type of circumstance.
At the conclusion of the hearing, the trial court acknowledged that
section 5358(d)(1) allows a conservator to quickly decide to move a
conservatee to a more restrictive placement if they present an immediate and
substantial danger. It only requires notice, not court approval, and it says
nothing about a hearing. The court observed that at the end of section 5358,
the statute references section 5358.3, which is a hearing statute.4 Therefore,
the court determined that in this circumstance the hearing would proceed
under section 5358.3. Accordingly, the court would determine the least
restrictive placement level. The court reasoned that there was a point in
time where its analysis pivoted: Leading up to September 24, 2024—when
C.R. was moved from the hospital to Crestwood—the inquiry would have
been whether she posed an immediate or substantial threat of harm to
herself or others. But then the issue “pivots” to what is the appropriate least
restrictive placement. The court ordered the least restrictive suitable
placement was a secured MHRC/SNF-STP. It concluded that C.R. required a
more restrictive placement than a board and care, her prior placement level.
C.R. appealed. She argues (1) the Public Guardian unlawfully
delegated its authority to the hospital to move her to Crestwood; (2) the trial
4 Section 5358.3 dictates hearings on placement levels, powers, and
disabilities. (Conservatorship of A.H. (2025) 114 Cal.App.5th 227, 265 (A.H.);
§ 5358.3)
5
court committed a mistake of law by conducting a standard placement
hearing to determine the least restrictive placement rather than applying the
heightened standard under section 5358(d)(1); and (3) under that heightened
standard, substantial evidence did not support the move from the hospital’s
emergency department to Crestwood. Based on these challenges, C.R.
contends the trial court’s January 2025 placement order must be reversed.
In October 2025, while this appeal was pending, C.R. petitioned the
trial court to set a placement hearing to determine the least restrictive
placement. In January 2026, the court conducted the placement hearing and
determined that a stepdown to board and care was not appropriate. The
court ordered that the least restrictive placement level remained a secured
MHRC/SNF-STP.5
The Publican Guardian argues the appeal should be dismissed as moot
because there is no longer a controversy for this court to decide—C.R. asks us
to reverse the January 2025 placement order but the trial court recently
conducted another placement hearing and determined the least restrictive
placement remained the same level of placement determined in January
2025. C.R. acknowledges the appeal is moot because the trial court was going
to reconsider her placement. (See In re D.P. (2023) 14 Cal.5th 266, 276 [case
is moot if events render it impossible for a court, if it should decide in
appellant’s favor, to grant her any effective relief].)
5 Before the appeal was fully briefed, the Public Guardian filed a
motion to dismiss and accompanying request for judicial notice. C.R. opposed
the motion. We granted the unopposed request for judicial notice and
deferred ruling on the motion to dismiss to be considered with the merits of
the appeal. The Public Guardian subsequently filed a second request for
judicial notice, asking us to take judicial notice of the trial court’s January
23, 2026 placement order. That unopposed request, filed March 5, 2026, is
granted. (Evid. Code, §§ 452, 459.)
6
While the appeal is technically moot, we nevertheless have discretion to
decide the dispute on the merits. (See Conservatorship of Susan T. (1994)
8 Cal.4th 1005, 1011, fn. 5.) We may exercise that discretion “if the
controversy between the parties is likely to recur. [Citations.] We may also
decide a moot appeal if it is a matter of general public interest or
importance.” (A.H., supra, 114 Cal.App.5th at p. 247.) C.R. urges us to
exercise our discretion to consider the merits of her appeal, contending it
raises issues of general public importance which are likely to recur yet evade
review. We decline her request.
It has not been demonstrated that the issues raised in this appeal are
issues of broad public interest or importance which are likely to recur. C.R.’s
appeal raises the following issues: (1) Did the Public Guardian unlawfully
delegate authority to the hospital to move C.R. to a more restrictive
placement level? (2) At the time of its challenged decision, was the trial court
supposed to apply the standard enunciated in section 5358(d)(1) or was it a
standard placement hearing to determine the least restrictive appropriate
placement level? C.R. asserts that she “is not the only conservatee where
these placement issues have and will arise.” But she refers us to no other
conservatorship proceedings, in Contra Costa County or elsewhere, where
they have arisen. The pertinent provision of section 5358(d)(1)—authorizing
a conservator to place a conservatee in a more restrictive facility if their
condition changes such that they pose an immediate and substantial danger
to themselves or others—has existed for decades. (See In re Gandolfo (1984)
36 Cal.3d 889, 898, fn. 8 [quoting section 5358, as amended by Stats. 1980,
ch. 681, § 2].) If similar circumstances were present in other conservatorship
proceedings, there likely would be case law on these topics. But the parties
cite to none, and the trial court could not find any. And given the unique
7
factual history here, the dearth of case law on these topics does not warrant
our exercise of discretion. The trial court described this as “a unique
circumstance” because there “appear[ed] to be a change in circumstance
which resulted in [C.R.] being placed in a higher level after the court had
designated a lower leve[l].”
C.R. cites little authority regarding mootness. Based on our review,
cases where the reviewing court has considered the merits of a moot appeal
presented legal issues potentially impacting future proceedings involving the
litigants as well as the general administration of the LPS conservatorship
statutory scheme. For example, in K.G. v. Meredith (2012) 204 Cal.App.4th
164, the petitioners argued “that the Public Guardian routinely seeks
imposition of section 5357(d) disabilities on temporary and one-year LPS
conservatees without a judicial determination of decisional incapacity and, in
the case of temporary conservatorship, without meaningful notice and an
opportunity to be heard.” (Id. at p. 171.) The appellate court considered the
merits of the appeal on two bases: Because both petitioners had repeated
involuntary commitments and conservatorship proceedings, it was “likely
that the issues raised in this appeal [would] arise again in future
conservatorship proceedings involving” the individual petitioners. (Id. at
p. 175.) “Moreover, because [p]etitioners challenge what they allege are the
ongoing practices and policies of the Public Guardian, there is a reasonable
likelihood the alleged violations will continue to affect other proposed LPS
conservatees. Because of the short terms of temporary and one-year
conservatorships and the lengthy process of a typical appellate proceeding, it
is likely that any future litigation raising the issues on appeal here would
also become technically moot and thus potentially evade appellate review.”
(Ibid.)
8
Similarly, in A.H., supra, 114 Cal.App.5th 227, A.H. argued his
prolonged involuntary confinement during the lengthy delays in his
conservatorship proceedings violated his due process rights. (Id. at pp. 246,
255.) The appellate court determined “the issues raised by A.H. have
recurred for some time and appear almost certain to recur in the future.
Indeed, those issues have plagued LPS cases in Contra Costa County for
years, which is A.H.’s very point.” (Id. at p. 247.) The court cited various
cases from the county involving delays. (Ibid.) Here, by contrast, C.R. does
not demonstrate any customary practices or policies of the Public Guardian to
invoke section 5358(d)(1) to move LPS conservatees to a more restrictive
placement and/or to allow an entity other than the conservator to make that
decision. Therefore, there is no demonstration that the issues raised by C.R.
are recurring or likely will recur in the future, either with C.R. or with LPS
conservatees generally.
Finally, C.R.’s sufficiency of the evidence argument is a fact-specific
issue pertinent only to her case. In asserting that the higher standard under
section 5358(d)(1) applied at the time she was moved from the hospital to
Crestwood, she argues no substantial evidence demonstrated she was an
immediate and substantial danger to herself or others. This issue requires
analysis of the evidence presented during the proceedings leading to the
challenged placement order and does not warrant our consideration of the
appeal’s merits. (See In re David B. (2017) 12 Cal.App.5th 633, 654
[declining to exercise jurisdiction to address “fact-specific questions” in moot
appeal]; MHC Operating Limited Partnership v. City of San Jose (2003)
106 Cal.App.4th 204, 215 [issues presented were “factual in nature” and
required “resolution on a case-by-case basis”].)
9
In sum, we cannot conclude that these are issues of broad public
interest or importance which are likely to recur. Accordingly, we decline to
reach the merits of C.R.’s appeal.
DISPOSITION
The appeal is dismissed as moot.
LANGHORNE WILSON, J.
WE CONCUR:
BANKE, Acting P. J.
SMILEY, J.
Public Guardian of Contra Costa County v. C.R. / A172665
10
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