University of Michigan Law School
Civil Rights Litigation Clearinghouse
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Case Name U.S. v. Puerto Rico ID-PR-0001
Docket / Court 3:99-cv-01435 ( D.P.R. )
State/Territory Puerto Rico
Case Type(s) Intellectual Disability (Facility)
Public Benefits / Government Services
Special Collection Olmstead Cases
Attorney Organization U.S. Dept. of Justice Civil Rights Division
Case Summary
On May 15, 1996, the Civil Rights Division of the U.S. Department of Justice (DOJ) sent notice to the Governor of Puerto Rico that it was conducting an investigation into the conditions of confinement at Integral Services ("CIS") in Rio Piedras, Puerto Rico, pursuant to its authority under the ... read more >
On May 15, 1996, the Civil Rights Division of the U.S. Department of Justice (DOJ) sent notice to the Governor of Puerto Rico that it was conducting an investigation into the conditions of confinement at Integral Services ("CIS") in Rio Piedras, Puerto Rico, pursuant to its authority under the Civil Rights of Institutionalized Persons Act ("CRIPA"), 42 U.S.C. § 1997 et seq. CIS was a one of six state-operated residential facilities serving persons with developmental disabilities in Puerto Rico. The DOJ advised the Governor that it would be examining resident safety, the adequacy of medical care, training, staffing, the use of psychotropic medication, and issues involving community placement. The investigation included a tour of the facility in February 1994 by the DOJ and its retained expert consultants in behavioral psychology and psychopharmacology. The DOJ also interviewed Department of Health officials, facility personnel, residents and their family members. Pertinent documents and records were collected and reviewed.

On June 11, 1997, the DOJ issued a findings letter outlining the deficiencies it uncovered at CIS, which included: inadequate food, medicine, shelter and basic care; inadequate psychological, behavioral and psychiatric care and services; inadequate health care; and lack of any integrated community setting. The DOJ also noted that it discovered that similar conditions may have existed at the five other state-operated mental retardation facilities. The DOJ outlined minimum remedial measures to correct the problems at CIS and the other state-operated facilities.

Apparently Puerto Rico didn't undertake those remedial measures to the satisfaction of the federal government; on April 21, 1999, the U.S. Attorney General brought this action against the Commonwealth of Puerto Rico, its Governor, and other state officials. The complaint alleged violations of the Americans with Disabilities Act and the Rehabilitation Act. The complaint was largely a restatement of the DOJ findings listed above. The complaint requested a preliminary injunction enjoining defendants from continuing the practices described in the complaint.

Nine days later, an interim settlement agreement was reached. Under the agreement, the Commonwealth was ordered to improve living conditions at its mental health facilities (e.g. clean drinking water, adequate meals, access to medication, protection of patients' personal belongings). Each element of the agreement had a different effective date. For example, the Commonwealth was to assure immediately that its staff did not neglect or abuse patients, but the Commonwealth had 90 days to provide adequate wheelchairs. Under this agreement, the U.S. had the right to inspect facilities in Puerto Rico as well as request documents, provided that the U.S. gives adequate notice prior to any investigation. Under this agreement, the Commonwealth was also to develop a community-based service plan (CBSP) for individuals with mental disabilities. This interim agreement would be in effect until a comprehensive agreement was reached and a CBSP was filed with the court. Three months later the defendants filed a motion to extend time to "file with plaintiff their draft community based system plan in accordance with the settlement agreement."

On September 6, 2001, a the Commonwealth filed a CBSP with the court. The U.S. filed a motion in support of the agreement on October 10. This plan was created with the goal of placing qualified individuals with mental disabilities who had been previous institutionalized into "the most integrated settings in the community" or "least restrictive settings."

According to the DOJ congressional reports filed annually under CRIPA, monitoring of conditions in the covered facilities and community-based settings continued throughout the decade. In 2008, a "transition order" was entered to ensure that Puerto Rico continued making progress on its obligations during the transition of executive authority following the election. In the order, Puerto Rico was required to continue its efforts on a wide number of objectives including job training, medical care access, and payment for services. On August 17, 2009, the District Court ordered the Commonwealth to adequately fund programs and services required by persons with developmental disabilities, as required in the December 2008 Transition Order. In addition, the Court emphasized the need for the Commonwealth to address the vocational needs of such persons by hiring additional job coaches and job promoters, as well as to ensure better programs, services, and protections to persons with developmental disabilities in the Commonwealth.

Puerto Rico requested that the court monitor enter into a contract with the government of Puerto Rico, but the request was denied by Judge Gelpí in an order on June 27, 2014. The court was concerned that having the monitor in contract with the government of Puerto Rico would undermine the monitor's independence. The CRIPA congressional reports then show continued monitoring through 2014, the last one of them available.

Dan Dalton - 03/19/2007
Kate Craddock - 11/08/2015

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Issues and Causes of Action
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Integrated setting
Food service / nutrition / hydration
Habilitation (training/treatment)
Individualized planning
Neglect by staff
Totality of conditions
Medical/Mental Health
Medical care, general
Medication, administration of
Mental health care, general
Mental Disability
Developmental disability without intellectual disability
Intellectual/developmental disability, unspecified
Plaintiff Type
U.S. Dept of Justice plaintiff
Type of Facility
Causes of Action Civil Rights of Institutionalized Persons Act (CRIPA), 42 U.S.C. § 1997 et seq.
Defendant(s) Center for Integral Services
Plaintiff Description United States Department of Justice
Indexed Lawyer Organizations U.S. Dept. of Justice Civil Rights Division
Class action status sought No
Class action status granted No
Prevailing Party Unknown
Public Int. Lawyer Yes
Nature of Relief Unknown
Source of Relief Unknown
Form of Settlement None on record
Order Duration not on record
Case Closing Year n/a
Case Ongoing Yes
3:99−cv−01435−GAG−MEL (D.P.R.)
ID-PR-0001-9000.pdf | Detail
Date: 10/30/2015
Source: PACER [Public Access to Court Electronic Records]
General Documents
Notice Letter re: Initiation of Investigation at Center for Integral Services
ID-PR-0001-0003.pdf | Detail
Date: 05/15/1996
Findings Letter re: CRIPA Investigation of the Center for Integral Services, Rio Piedras, Puerto Rico
ID-PR-0001-0001.pdf | Detail
Date: 06/11/1997
Notice Letter re: CRIPA Investigation of Puerto Rico Mental Retardation Facilities.
ID-PR-0001-0002.pdf | Detail
Date: 06/11/1997
Findings Letter Re: Centro de Reeducacion para Adultos in Bayamon, Centro de Servicios Multiples Rosario Bellber in Aibonito, Facilidad de Cuidado Intermedio in Cayey, Hogar de Grupo Las Mesas in Mayaguez, and Centro de Servicios Multiples de Camasey
ID-PR-0001-0004.pdf | Detail
Date: 12/11/1997
Findings letter
ID-PR-0001-0005.pdf | Detail
Date: 04/21/1999
Source: U.S. Department of Justice, Civil Rights Division, Special Litigation Section
ID-PR-0001-0006.pdf | Detail
Date: 04/27/1999
Source: PACER [Public Access to Court Electronic Records]
Interim Settlement Agreement
ID-PR-0001-0007.pdf | Detail
Date: 07/20/2000
Source: U.S. Department of Justice Civil Rights Division, Disability Rights Section
Order [Adopting the Community-Based Service Plan; with Memo, Order, and Service Plan attached] (D.P.R.)
ID-PR-0001-0008.pdf | Detail
Date: 10/05/2001
Transition Order (D.P.R.)
ID-PR-0001-0009.pdf | Detail
Date: 12/10/2008
Source: PACER [Public Access to Court Electronic Records]
Order (D.P.R.)
ID-PR-0001-0010.pdf | Detail
Date: 08/17/2009
Source: PACER [Public Access to Court Electronic Records]
Opinion and Order Denying Commonwealth's Request that Court Monitor Enter Into Contract with Puerto Rico Government (26 F.Supp.3d 139) (D.P.R.)
ID-PR-0001-0011.pdf | WESTLAW| LEXIS | Detail
Date: 06/17/2014
Source: Westlaw
Judges Garcia-Gregory, Jay A. (D.P.R.)
Gelpi, Gustavo Antonio Jr. (D.P.R.)
ID-PR-0001-0009 | ID-PR-0001-0010 | ID-PR-0001-0011 | ID-PR-0001-9000
Perez-Gimenez, Juan Manuel (D.P.R.)
Monitors/Masters None on record
Plaintiff's Lawyers Farano, Richard J. (District of Columbia)
ID-PR-0001-0005 | ID-PR-0001-0006 | ID-PR-0001-0007 | ID-PR-0001-0008 | ID-PR-0001-0011 | ID-PR-0001-9000
Frohboese, Robinsue (District of Columbia)
ID-PR-0001-0005 | ID-PR-0001-0006 | ID-PR-0001-0007 | ID-PR-0001-9000
Johnson, Elizabeth (District of Columbia)
Lee, Bill Lann (District of Columbia)
ID-PR-0001-0005 | ID-PR-0001-0006 | ID-PR-0001-0007 | ID-PR-0001-9000
Reno, Janet (District of Columbia)
ID-PR-0001-0005 | ID-PR-0001-0006 | ID-PR-0001-9000
Rosenbaum, Steven H. (District of Columbia)
ID-PR-0001-0005 | ID-PR-0001-0006 | ID-PR-0001-0007 | ID-PR-0001-0008 | ID-PR-0001-9000
Defendant's Lawyers Agostini, Jose A. Fuentes (Puerto Rico)
Castro-Moya, Leila S. (Puerto Rico)
Crespin-Credi, Esther (Puerto Rico)
ID-PR-0001-0011 | ID-PR-0001-9000
Del Valle Cruz, Carlos A. (Puerto Rico)
Landron-Guardiola, Eileen (Puerto Rico)
Perez-Borerro, Arlene R. (Puerto Rico)
Rodriguez, Anabelle (District of Columbia)
Stroud, Barron L. (District of Columbia)
Other Lawyers Gil, Guillermo (Puerto Rico)
ID-PR-0001-0005 | ID-PR-0001-0006 | ID-PR-0001-0007 | ID-PR-0001-0011 | ID-PR-0001-9000
Pinzler, Isabelle Katz (District of Columbia)
ID-PR-0001-0001 | ID-PR-0001-0002 | ID-PR-0001-0003 | ID-PR-0001-0004
Vinas-Bueso, Ramon L. (Puerto Rico)

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