PUBLISHED
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
ALEXANDRA WOLF, individually and
on behalf of her minor children;
C. W., her minor child; R. W., her
minor child,
Plaintiffs-Appellants,
v.
FAUQUIER COUNTY BOARD OF
SUPERVISORS; MIMI DENICOLAS, in
her official and individual
capacities; STEPHANIE DUNCAN, in No. 07-2022
her official and individual
capacities; LA’TEEKA TUTWILER, in
her official and individual
capacities; BETH STEPHENS;
CHRYSALIS COUNSELING CENTER,
P.C.; ELIZABETH A. STEVENSON,
Individually, and as the Alter Ego
of Chrysalis Counseling Center,
P.C.; DR. MARK SIMONDS,
Defendants-Appellees.
Appeal from the United States District Court
for the Eastern District of Virginia, at Alexandria.
James C. Cacheris, Senior District Judge.
(1:06-cv-00945-JCC)
Argued: December 5, 2008
Decided: February 6, 2009
2 WOLF v. FAUQUIER COUNTY
Before WILLIAMS, Chief Judge, and WILKINSON and
GREGORY, Circuit Judges.
Affirmed by published opinion. Judge Wilkinson wrote the
opinion, in which Chief Judge Williams and Judge Gregory
joined.
COUNSEL
ARGUED: Earl Neville Mayfield, III, CUCCINELLI &
DAY, P.L.L.C., Fairfax, Virginia, for Appellants. Julia Bou-
gie Judkins, TRICHILO, BANCROFT, MCGAVIN, HOR-
VATH & JUDKINS, Fairfax, Virginia; Douglas McNeil
Coleman, COLEMAN & RAGLAND, Alexandria, Virginia;
John Harvey Craddock, Jr., LECLAIR RYAN, P.C., Rich-
mond, Virginia, for Appellees. ON BRIEF: Allyson C. Kit-
chel, TRICHILO, BANCROFT, MCGAVIN, HORVATH &
JUDKINS, Fairfax, Virginia, for Appellees Fauquier County
Board of Supervisors, Mimi deNicolas, Stephanie Duncan,
and La’Teeka Tutwiler; James R. Kearney, KEARNEY,
FREEMAN, FOGARTY & JOSHI, P.L.L.C., Fairfax, Vir-
ginia, for Appellees Beth Stephens and Chrysalis Counseling
Center, P.C.; Eugenia Vroustouris, LECLAIR RYAN, P.C.,
Alexandria, Virginia, for Appellee Mark Simonds.
OPINION
WILKINSON, Circuit Judge:
Plaintiffs Alexandra Wolf and her two children appeal the
district court’s grant of summary judgment to various private
and public defendants in a case involving the reporting and
investigation of suspected child abuse. Plaintiffs allege a
WOLF v. FAUQUIER COUNTY 3
number of violations of state law by Chrysalis Counseling
Center, P.C. and its employees, and allege violations of 42
U.S.C. § 1983 by Fauquier County Board of Supervisors and
the employees of the Fauquier County Department of Social
Services ("DSS"). The claims arise out of a complaint of sus-
pected child abuse made to DSS by Alexandra Wolf’s coun-
selor at Chrysalis. Plaintiffs allege that the complaint was
false and that DSS failed to adequately investigate the com-
plaint. We affirm the judgment for defendants because the
Commonwealth of Virginia has made the protection of chil-
dren the centerpiece of its child abuse reporting system and its
social services apparatus. To impose civil liability in these cir-
cumstances would turn that system on its head.
I.
Alexandra Wolf is a single mother of two children who in
2005 resided in Warrenton in Fauquier County, Virginia. At
the time of the events at issue in this litigation, her son was
eleven years old and her daughter was ten. In the late 1980s
and early 1990s, Wolf had problems with panic and anxiety
for which she sought mental health counseling. During the
early 1990s she also briefly experienced suicidal thoughts.
These problems subsided and Wolf had no further mental
health issues until July 2005, when she again began suffering
from panic attacks. As a result, Wolf sought treatment at
Chrysalis Counseling Center in Culpeper, Virginia. Chrysalis
is a Virginia corporation that offers counseling services and
employs a psychiatrist, a psychologist, social workers, and
licensed professional counselors. Elizabeth Stevenson, a
licensed social worker, is the founder and sole shareholder,
officer, and director of Chrysalis. Beth Stephens is a "life
coach" employed at Chrysalis. She has no advanced training
or expertise in mental health. She initially was employed only
as the office manager at Chrysalis, but Stevenson chose to
designate Stephens as a life coach and gave her some limited
training.
4 WOLF v. FAUQUIER COUNTY
On July 27, 2005, Wolf contacted Chrysalis by telephone
and requested help dealing with anxiety and panic. The recep-
tionist took down her information on a contact sheet. Steven-
son reviewed the contact sheet and assigned Wolf to
Stephens. Wolf’s first two sessions with Stephens, in which
they discussed Wolf’s problems with anxiety, occurred with-
out incident.
However, what happened at the end of the third session, on
August 17, 2005, is disputed. What the parties do agree on is
that this is when events took a strange turn. Wolf claims that
she mentioned to Stephens that she had years earlier had sui-
cidal thoughts and had considered ending her life with carbon
monoxide poisoning, but that she now recognized those
thoughts were foolish. Stephens alleges that Wolf described a
plan to kill herself and her children using carbon monoxide on
November 1, 2005. Wolf for her part concedes that suicide
had been on her mind and that at the least her suicide as a sin-
gle mother would leave her children dangerously unattended.
Whatever was actually said, it seems clear that Stephens
understood Wolf as expressing present intentions to kill her-
self or her children. And whether Wolf’s thoughts had turned
to taking her own life or that of her offspring hardly seems
dispositive, for the effect on the children would in either case
be horrific and surely sufficient to elicit Stephens’s concern
for their well-being. Stephens, in a self-described state of
"shock" at Wolf’s description of her suicidal thoughts,
excused herself to go speak with Dr. Mark Simonds, a psychi-
atrist employed by Chrysalis. Simonds instructed Stephens to
have Wolf sign a "no-harm contract," a document stating that
the signor has no intention to harm herself or others; he also
advised Stephens to contact Stevenson and DSS.
Stephens then phoned Stevenson, who reiterated Simonds’s
advice that Stephens call DSS. Stephens also obtained a copy
of a no-harm contract and returned to the room where she had
left Wolf. According to Wolf, Stephens asked her several
WOLF v. FAUQUIER COUNTY 5
times whether she planned to hurt herself or her children, and
Wolf each time said no. Stephens asked that Wolf sign the no-
harm contract. Wolf was reluctant to sign the contract, but
ultimately did sign. Stephens claims that Wolf then abruptly
left the Chrysalis building. Wolf claims that she left only after
Stephens exited the room once Wolf had signed the contract.
Stephens then telephoned DSS, but received a recorded
message stating that for urgent matters callers should contact
the local sheriff’s office. Stephens telephoned Stevenson, who
instructed Stephens to contact law enforcement. Stephens then
telephoned the Warrenton Police Department and told the dis-
patcher that she believed Wolf planned to kill herself and her
children.
The police department sent an officer to Wolf’s residence
in order to check on Wolf’s safety. When Wolf learned of the
officer’s visit, she contacted her attorney, David Silek. Silek
contacted the police department and stated that Wolf was of
sound mind and requested that the police not bother her.
The next morning, August 18, 2005, Stephens and Steven-
son spoke with Mimi deNicolas, DSS’s program manager, on
a conference call. Stephens told deNicolas that Wolf had
threatened to kill herself and her children. DSS thus began an
investigation. Because the complaint was considered "high
priority," two social workers were dispatched that morning to
Wolf’s home. The social workers found no one at home.
Later that day, two other DSS employees, Stephanie Dun-
can and Lateeka Tutwiler, were sent to Wolf’s home. Duncan
and Tutwiler knocked on Wolf’s door, but no one answered.
However, the DSS employees heard noises inside the house,
so they returned to their car and called the police. Wolf had
been napping inside; when she awoke and saw a white car in
front of her house, she called Silek again. Wolf came outside
to speak to Duncan and Tutwiler. Wolf attempted to have
Silek speak to Duncan on Wolf’s cellphone, but Duncan was
6 WOLF v. FAUQUIER COUNTY
skeptical that Silek was actually an attorney. Silek contacted
deNicolas, and they agreed that Silek, deNicolas, and Wolf
would meet the next day to discuss the situation. The DSS
workers were not permitted to interview Wolf or her children
about the details of the complaint while at the residence.
Because the meeting was not scheduled until the next
morning, Duncan and Tutwiler told Wolf that they needed to
establish a plan to ensure the safety of Wolf’s children for the
night. The parties agreed that the children would spend the
night at the home of Wolf’s neighbor. Wolf signed the "safety
plan," although she noted on it several objections, and wrote
a statement that she was not suicidal and would not hurt her
children. The children were placed with the neighbor, who
was told to call the police if Wolf attempted to contact the
children that night.
The next morning, August 19, 2005, Wolf, Silek, deNi-
colas, Duncan, and two of Wolf’s friends met at Wolf’s
house. The parties discussed DSS’s family assessment pro-
cess, and Wolf agreed that later that day she would receive an
emergency temporary detaining order evaluation by a member
of the Community Services Board in order to determine
whether she was suicidal or homicidal. Wolf told deNicolas
and Duncan that she planned to travel to Florida with her chil-
dren in the next few weeks. The evaluation was conducted by
Annie Holland later that afternoon. In her report, Holland rec-
ommended that Wolf continue to seek counseling, and that
she allow DSS to monitor her children. However, she did not
recommend that Wolf be hospitalized. The children were
returned to Wolf after the evaluation.
Later that month, Janis Selbo, deNicolas’s supervisor, told
deNicolas to contact DSS’s attorney, Robert Beard. Selbo was
concerned that DSS had not heard from Wolf since the
August 19 meeting, and that DSS had never been able to
interview Wolf’s children. Beard’s advice was that DSS go to
court to obtain a protective order for the children against
WOLF v. FAUQUIER COUNTY 7
Wolf. Accordingly, Duncan and Tutwiler prepared a petition
for each child.
At a September 2, 2005 ex parte hearing in Fauquier
County Juvenile & Domestic Relations Court, a judge entered
an order for each child appointing Whitson Robinson as the
guardian ad litem ("GAL"), and requiring that Wolf undergo
a psychiatric evaluation, make the children available for inter-
views with DSS, and allow DSS to provide services to the
children. The court continued the matter for one week and
scheduled a hearing for September 9.
Wolf had left for Florida on September 1 and was not
aware of the September 2 hearing. Silek, having learned of the
September 9 hearing from one of Wolf’s neighbors, appeared
at the hearing. He negotiated an agreement with Beard in
which Wolf would allow a friend to have daily contact with
her children, and that friend would report to DSS on the chil-
dren’s safety. Wolf also agreed that she would receive a psy-
chiatric evaluation, the children could be evaluated by a social
services representative, and the appointment of the GAL
would continue.
Pursuant to the agreement, Wolf had daily contact with her
friend. She received an evaluation from a psychologist in late
September. The children were interviewed by Beverly Dun-
ford, Director of Rappahannock County Department of Social
Services on November 4, 2005. In Dunford’s view, the chil-
dren had been "coached," and she was not able to make any
assessment about the children. The GAL met with Wolf and
her children in January of 2006. He did not file his report until
April of 2006. After receiving the GAL’s report, DSS had
Beard request that the court continue the GAL’s appointment.
The court denied the request and dismissed the GAL.
On August 16, 2006, Wolf and her children filed an action
in the United States District Court for the Eastern District of
Virginia, alleging various state law claims against Chrysalis
8 WOLF v. FAUQUIER COUNTY
and Stephens as well as several claims arising under 42
U.S.C. § 1983 against defendants Fauquier County Board of
Supervisors, deNicolas, Tutwiler, and Duncan. After the com-
plaint was amended a third time, the district court dismissed
Simonds as a defendant for failure to state a claim upon which
relief can be granted. The court ultimately granted the remain-
ing defendants’ motion for summary judgment on all claims.
Plaintiffs timely appealed.
II.
First, we shall consider the district court’s dismissal of the
claims against the Chrysalis defendants. At issue here are
claims of defamation, breach of contract of confidentiality,
negligence, and intentional infliction of emotional distress
against Stephens and Chrysalis; negligent hiring against Chrysa-
lis;1 and medical malpractice against Stevenson and Simonds.
A.
The claims brought against both Stephens and Chrysalis
arise directly out of Stephens’s report to DSS. The most seri-
ous obstacle to these claims is Virginia’s statutory scheme for
the prevention of child abuse. Under Virginia Code § 63.2-
1509, medical and mental health professionals, social work-
ers, as well as a number of other occupation holders who
"have reason to suspect that a child is an abused or neglected
child" are legally required to "report the matter immediately
to the local department of the county or city wherein the child
resides or wherein the abuse or neglect is believed to have
occurred or to the Department’s toll-free child abuse and
neglect hotline." Va. Code § 63.2-1509. Mandatory reporters
who fail to notify the authorities are subject to fines. Id. A
person who is not required to report but who nonetheless
1
Plaintiffs also brought a claim for negligent supervision against Chrys-
alis, but have not appealed the district court’s determination that such a
cause of action does not lie under Virginia law.
WOLF v. FAUQUIER COUNTY 9
"suspects that a child is an abused or neglected child may
make a complaint concerning such child." Id. § 63.2-1510. A
child whose parent has threatened to kill the child qualifies
under the statute as an "abused or neglected child." Id. § 63.2-
100.
Under Virginia law, reporters are protected. A person who
reports suspected child abuse pursuant to either § 63.2-1509
or § 63.2-1510 "shall be immune from any civil or criminal
liability in connection therewith, unless it is proven that such
person acted in bad faith or with malicious intent." Id. § 63.2-
1512. Virginia’s scheme is thus highly solicitous of the needs
of potentially abused or neglected children. The statutory
framework is designed to encourage those who genuinely sus-
pect a child is at risk to report their suspicions to authorities
without fear of civil liability.
Plaintiffs argue that § 63.2-1509 "clearly does not apply to
layperson reports" like that of Stephens. Opening Brief of
Appellants at 44. The Chrysalis defendants argue that "as an
employee of a licensed counseling center," Stephens is "con-
sidered a mandatory reporter." Brief of Appellees Stevenson,
Chrysalis, Stephens & Simonds at 6. On this point, we shall
assume that Stephens is not a mandatory reporter, as she does
not appear to be "licensed to practice medicine or any of the
healing arts," "employed as a social worker," or a "mental
health professional." Stephens has no degree or training in
social work or any mental health field, and she has no profes-
sional license of any kind. Nor does she fit into any of the
other enumerated categories in the statute. Va. Code § 63.2-
1509. Even if Stephens were not a mandatory reporter, how-
ever, she could hardly be condemned for having some doubt
about her status and not wishing to risk criminal penalties for
failure to "immediately" report. Va. Code § 63.2-1509.
Stephens’s status, however, does not resolve the ultimate
question of liability because immunity attaches to both man-
datory and voluntary reporters. In fact, the standards for
10 WOLF v. FAUQUIER COUNTY
immunity—a presumptive protection absent bad faith or
malice—are the same. See Va. Code § 63.2-1512. The main
difference between the two types of reporters lies not in the
level of immunity provided but rather in the penalty for fail-
ure to report, which applies only to mandatory reporters.
We address therefore the standard for immunity. Plaintiffs
claim that Stephens made the report to DSS in bad faith. The
Virginia Supreme Court has not had occasion to interpret the
terms "bad faith" or "malicious intent" in the particular con-
text of § 63.2-1512. The cases interpreting bad faith have
largely arisen in the context of insurance law. See CUNA Mut.
Ins. Soc’y v. Norman, 375 S.E.2d 724, 726-27 (Va. 1989);
State Farm Mut. Auto. Ins. Co. v. Floyd, 366 S.E.2d 93, 96-97
(Va. 1988); Aetna Cas. & Sur. Co. v. Price, 146 S.E.2d 220,
228 (Va. 1966). Those cases, while helpful, are of less than
complete utility in the very different field of reporting sus-
pected child abuse. Our deference to the Virginia Supreme
Court on matters of state law makes it inadvisable to attempt
a comprehensive definition of bad faith in this context. Cer-
tain points, however, are self-evident. One is the strong pre-
sumption that immunity applies, a presumption that cannot be
overcome "unless it is proven that such person [the reporter]
acted in bad faith or with malicious intent." Va. Code § 63.2-
1512 (emphasis added). The burden is placed squarely on the
person who would overcome the presumption to prove that
immunity should not attach.
In short, the Virginia General Assembly set a high bar for
those wishing to strip reporters of suspected child abuse of
their statutory immunity. This conclusion is evident from the
words chosen by the General Assembly. The words "mali-
cious intent" obviously require some kind of malign motive.
As to bad faith, Black’s Law Dictionary defines the term (out-
side of the context of insurance law) as "[d]ishonesty of belief
or purpose." Black’s Law Dictionary 149 (8th ed. 2004). Neg-
ligence or mistake does not rise to the level of dishonesty. Cf.
Aetna, 146 S.E.2d at 228 (holding that "sound reason compels
WOLF v. FAUQUIER COUNTY 11
the adoption of the bad faith rule, rather than the negligence
rule" in the context of an insurer’s refusal to settle a claim).
It was open to the legislature to provide a less effective immu-
nity defense by using different language. The statute could
have provided that immunity attaches only to those reports
that are "reasonable," or "supported by substantial evidence,"
or "tendered with due care," but the General Assembly used
no such terminology.
Whether the standard is thus the subjective one of mali-
cious intent or the more objective one of bad faith, see State
Farm, 366 S.E.2d at 97, it is plain that Virginia law requires
something more than a mistaken report, or a report based on
a misunderstanding, or even a report that was negligently ten-
dered. See Aetna, 146 S.E.2d at 228. So long as the reporter
was acting in the interest of protecting a child rather than out
of self-interest or with an intent, for example, to settle some
score with the child’s parent, the plain intent of the legislature
was to allow immunity to attach to the reporter. Cf. State
Farm, 366 S.E.2d at 97 (to show bad faith refusal to settle by
insurer, insured must prove that "insurer acted in furtherance
of its own interest, with intentional disregard of the financial
interest of the insured").
In other words, the statute provides that immunity will dis-
solve only in those infrequent circumstances where someone
used the reporting system for purposes other than that for
which it was designed—namely, the protection of children. It
is very clear what the General Assembly wished to do, and we
will not make public policy of our own by pursuing a differ-
ent course—specifically, that of discouraging the reporting of
suspected child abuse by exposing either mandatory or volun-
tary reporters to the significant risk of civil liability. Viewing
the evidence in the light most favorable to plaintiffs suggests
that Stephens was at worst negligent in making the report, and
negligence is a far cry from "bad faith."
Plaintiffs have not alleged or suggested any untoward ani-
mus, pre-existing bad blood, desire for revenge, or the like
12 WOLF v. FAUQUIER COUNTY
that would strip Stephens of immunity. As the district court
noted, plaintiffs have also not suggested "that Stephens was
acting only in furtherance of her own interest and with com-
plete disregard for Plaintiffs’ interests." J.A. 2414. To the
contrary, reporting the incident could well have cost Stephens
and Chrysalis a client. While one may dispute exactly what
was said in the course of the conversation between Wolf and
Stephens the district court found "it is undisputed that Ste-
phens believed Wolf intended to harm her children," that Ste-
phens repeated the same on several occasions, and that she
called DSS when told by her superiors of the obligation to do
so. J.A. 2413. In any case, no interpretation of events leaves
room for the view that Stephens was acting with malicious
intent or in bad faith. Plaintiffs suggest that Stephens should
have inquired or investigated further and assembled some
objective foundation for her report. See Opening Brief of
Appellants at 41. But the statute makes no mention of such
duties of inquiry and investigation, perhaps because in the
case of an abused or neglected child there often is no time to
investigate, and because investigation is after all the job of
DSS.
Because of the nature of the relationship between a patient
and a counselor, a rule that immunity could be overcome
merely by a patient’s disputing the contents of a conversation
during a counseling session would gut the reporting statute.
Under such a regime, the requirement that a counselor keep
the contents of her counseling sessions confidential would
make it difficult for the counselor ever to protect herself
because it limits her opportunities to establish her version of
the record. Such a rule would further put counselors between
a rock and a hard place, as they weigh on one hand the risks
of harm to a child, and perhaps criminal liability for a failure
to report, and on the other the burden of a lawsuit for report-
ing a suspicion that turned out to be inaccurate. The Virginia
legislature sought to resolve the dilemma by encouraging
reporting, simply because the failure to do so might leave
WOLF v. FAUQUIER COUNTY 13
children to a tragic fate. We do no more here than respect its
choice.
Thus, we find that Stephens and Chrysalis are immune
from suit on the defamation, breach of contract of confidenti-
ality, negligence, and intentional infliction of emotional dis-
tress claims under Virginia Code § 63.2-1512, as all arise
directly out of Stephens’s report of suspected child abuse.2
Summary judgment for defendants on those claims was
proper.
B.
The negligent hiring claim against Chrysalis and the medi-
cal malpractice claims against Stevenson and Simonds also
arise, albeit indirectly, from the fact of Stephens’s report. We
need not decide, however, whether the immunity provision in
§ 63.2-1512 bars these claims, because they fail on other
grounds.
First, the negligent hiring claim. Plaintiffs claim that Chrys-
alis was negligent in hiring Stephens as a life coach when
under Virginia law, "one who conducts an activity through
employees is subject to liability for harm resulting from the
[employee’s] conduct if the employer is negligent in the hir-
ing of an improper person in work involving an unreasonable
risk of harm to others." Se. Apts. Mgmt., Inc. v. Jackman, 513
S.E.2d 395, 397 (Va. 1999). Although the Virginia Supreme
Court has never definitively stated what kind of harm suffices
2
It is not entirely clear whether plaintiffs alleged these claims against
Stevenson as well. The complaint names only Stephens and Chrysalis on
these counts, but plaintiffs’ brief treats the claims as if they are made
against Stevenson also. See Opening Brief of Appellants at 33. The case
for liability is weak against Stevenson, however, because Stevenson, as a
licensed clinical social worker, is a mandatory reporter under a duty to
report immediately suspected child abuse. See Va. Code § 63.2-1509. Ste-
venson, who had known Stephens for some years, further had no reason
to doubt the accuracy of her claim.
14 WOLF v. FAUQUIER COUNTY
to make out a claim, other courts have concluded that a seri-
ous physical injury to the plaintiff is a required element. See
Parker v. Geneva Enterprises, 997 F. Supp. 706, 713 (E.D.
Va. 1997). Investors Title Ins. Co. v. Lawson, 68 Va. Cir. 337,
338 (Henry County 2005). But see Flanary v. Roanoke Valley
SPCA, 53 Va. Cir. 134, 139 (Roanoke 2000); Courtney v.
Ross Stores, Inc., 45 Va. Cir. 429, 430 (Fairfax County 1998).
The Virginia Supreme Court cases upholding a cause of
action for negligent hiring involved physical injuries. See J.
v. Victory Tabernacle Baptist Church, 372 S.E.2d 391 (Va.
1988); Davis v. Merrill, 112 S.E. 628 (Va. 1922); Weston’s
Adm’x v. Hospital of St. Vincent of Paul, 107 S.E. 785 (Va.
1921). Although the Virginia Supreme Court would certainly
be free to adopt a broad definition of harm extending beyond
physical injury as an element of negligent hiring, we decline
to do so on our own. Because there is no allegation that Wolf
or her children suffered any physical harm as a result of
Chrysalis’s decision to hire Stephens, or that there was any
reason for Chrysalis to think that hiring Stephens would
create a risk of physical harm to anyone, summary judgment
was properly granted for Chrysalis on the claim for negligent
hiring.
Next, we turn to the medical malpractice claim. Under Vir-
ginia law, "a physician’s liability for malpractice is predicated
upon an initial finding that a consensual agreement exists
between physician and patient, establishing a relationship
from which flows the physician’s duty of care." Harris v.
Kreutzer, 624 S.E.2d 24, 30 (Va. 2006). "A physician’s duty
arises only upon the creation of a physician-patient relation-
ship . . . . Whether a physician-patient relationship is created
is a question of fact, turning upon a determination whether the
patient entrusted his treatment to the physician and the physi-
cian accepted the case." Lyons v. Grether, 239 S.E.2d 103,
105 (Va. 1977).
We agree with the district court that no physician-patient
relationship existed between Wolf and either Simonds or Ste-
WOLF v. FAUQUIER COUNTY 15
venson. Wolf signed a contract for life coaching, which is not
medical care. She never saw Stevenson or Simonds. Wolf did
not agree to receive, and neither Stevenson nor Simonds
agreed to provide, "health care" as defined by Virginia’s Med-
ical Malpractice Act. See Va. Code §8.01-581.1. There is no
evidence that Stevenson or Simonds advised Stephens as to
the course of treatment for Wolf. When Stevenson and
Simonds each advised Stephens to report Wolf’s threats to
DSS, they were not providing medical advice but rather were
giving non-medical professional advice. Because no
physician-patient relationship existed, the claim against
Simonds was correctly dismissed and summary judgment for
Stevenson on the claim against her was properly awarded.
Plaintiffs also face an additional difficulty with respect to
these tort actions, namely that a breach of a duty must be the
proximate cause of the claimed injury. Fruiterman v.
Granata, 668 S.E.2d 127, 132 (Va. 2008) (medical malprac-
tice); Interim Personnel of Cent. Va., Inc. v. Messer, 559
S.E.2d 704, 708 (Va. 2002) (negligent hiring). We do not
believe a reasonable jury could find that any negligence by
Chrysalis, Stevenson, or Simonds was the proximate cause of
any harm that allegedly arose out of the DSS investigation,
for the causal link between the two is simply too attenuated.
"The proximate cause of an event is that act or omission
which, in natural and continuous sequence, unbroken by an
efficient intervening cause, produces the event, and without
which that event would not have occurred." Beverly
Enterprises-Virginia v. Nichols, 441 S.E.2d 1, 4, (Va. 1994)
(quoting Coleman v. Blankenship Oil Corp., 267 S.E.2d 143,
147 (Va. 1980)). We do not believe that the allegedly pro-
longed DSS investigation resulted "in natural and continuous
sequence" from any alleged negligence on the part of Chrysa-
lis, Stevenson, or Simonds. Moreover, the actions of DSS
employees constitute intervening causes that break any chain
of proximate causation between the alleged negligence and
the alleged injury. Thus, for this reason as well the negligent
16 WOLF v. FAUQUIER COUNTY
hiring claim and medical malpractice claims were rightly dis-
missed by the district court.
III.
We turn now to the claims under 42 U.S.C. § 1983 against
the Fauquier County Board of Supervisors and Fauquier DSS
employees deNicolas, Duncan, and Tutwiler.
A.
We consider first the claims made against Fauquier County.
A county may be found liable under 42 U.S.C. § 1983 only
"when execution of a government’s policy or custom, whether
made by its lawmakers or by those whose edicts or acts may
fairly be said to represent official policy, inflicts the injury."
Monell v. Dep’t of Soc. Servs., 436 U.S. 658, 694 (1978).
Plaintiffs contend that Fauquier County should be held liable
for DSS’s "overriding policy . . . of assuming that abuse com-
plaints are true." Opening Brief of Appellants at 62. The
County argues that it is not a proper defendant because it did
not supervise the individual defendants nor did it make policy
for DSS. Brief of Appellees Fauquier County Board of Super-
visors et al. at 22.
We agree with the County that it was not a proper party.
Under Virginia law, the supervision of local social services
departments is entrusted to the Commissioner of Social Ser-
vices and the State Board of Social Services. Bockes v. Fields,
999 F.2d 788, 789 (4th Cir. 1993). Counties and cities appoint
the members of their local social services boards from a list
of eligible candidates provided by the Commissioner; the
local boards in turn appoint local directors of social services.
Va. Code § 63.2-325. Beyond this limited appointment power,
municipalities have no control over the operations of local
social services boards or departments. The boards report to
the Commissioner and the State Board of Social Services, not
to the counties or cities that appoint their members. The poli-
WOLF v. FAUQUIER COUNTY 17
cies followed by Fauquier County DSS are found in the Vir-
ginia Code, the Virginia Department of Social Services
Manual, and the Virginia Administrative Code—all of which
are drafted by the Commonwealth of Virginia, not Fauquier
County. Fauquier County did not hire, train, or supervise the
individual DSS employees who are defendants.
Plaintiffs argue that Fauquier County is liable because it
appointed DSS Director Selbo, who, they contend, has final
policymaking authority over the agency. Opening Brief of
Appellants at 62-63 (citing Pembaur v. City of Cincinnati, 475
U.S. 469, 481-84 (1986) (opinion of Brennan, J.); Lytle v.
Doyle, 326 F.3d 463, 472 (4th Cir. 2003)). Contrary to this
assertion, the record shows that Selbo serves under the author-
ity of the Social Services Board, and must follow the policies
set by the Virginia legislature and the Commissioner of Social
Services. Plaintiffs have not adduced any evidence suggesting
that the actions of the individual DSS employees in this case
followed policies set by Selbo rather than by the Common-
wealth of Virginia.
The proper defendant was thus not Fauquier County Board
of Supervisors, but rather Fauquier County Social Services
Board. Whether the Social Services Board, as an arm of the
Commonwealth of Virginia, might assert a successful Elev-
enth Amendment defense is not before us because plaintiffs
did not name the Social Services Board as a defendant. The
district court rightly granted summary judgment for the
County.
B.
Finally we turn to the claims against the individual DSS
defendants. Plaintiffs allege that in the course of the DSS
investigation deNicolas, Duncan, and Tutwiler violated the
Wolfs’ procedural and substantive due process rights to famil-
ial relations guaranteed by the Fourteenth Amendment.3 They
3
Plaintiffs in their third amended complaint alleged that DSS’s removal
of the children from Wolf’s home on August 18 violated the Fourth
18 WOLF v. FAUQUIER COUNTY
allege that the DSS employees made false allegations against
Wolf; rejected Wolf and Silek’s attempts to explain that Ste-
phens’s report was false; told Wolf she could leave for Flor-
ida, but filed for the protective order after she left; refused to
investigate Stephens’s lack of mental health qualifications or
the circumstances of the alleged threat; created a fraudulent
affidavit on which Beard relied in obtaining a protective
order; insisted that Wolf accept "services" from DSS; and
unreasonably opposed the release of the GAL.
No constitutional right was violated in this case. With
respect to the procedural due process claim, Wolf points to a
number of ways in which she claims the investigation could
have been better handled and more quickly resolved. But she
cannot show that the investigation did not meet the minimum
standards required by procedural due process. Procedural due
process provides merely "a guarantee of fair procedures—
typically notice and an opportunity to be heard." Mora v. City
of Gaithersburg, 519 F.3d 216, 230 (4th Cir. 2008) (citing
Zinermon v. Burch, 494 U.S. 113, 125 (1990); Goss v. Lopez,
419 U.S. 565, 579 (1975)) (internal citations omitted). Wolf
was not denied the right to be heard; indeed, the DSS employ-
ees went out of their way to try to interview and otherwise
obtain information about the safety of Wolf’s children and
were stonewalled by Wolf and her attorney.
In a sense plaintiffs’ claim is the opposite of most proce-
dural due process claims. Where most plaintiffs allege that
government officials act too precipitously and without ade-
quate information in depriving a plaintiff of a protected inter-
est, in this case plaintiffs allege that DSS sought too much
Amendment and the Due Process Clause of the Fourteenth Amendment.
However, plaintiffs now state that "[n]o one would plausibly claim that the
DSS social workers were not entirely reasonable in initially responding to
the report . . . that Wolf was contemplating suicide and posed a danger to
her children" and concede that the removal was reasonable. Opening Brief
of Appellants at 65.
WOLF v. FAUQUIER COUNTY 19
information and spent too long investigating. While it is
regrettable that Wolf had to spend time addressing an undeni-
ably intrusive inquiry, DSS’s investigation, even if imperfect,
did not deprive Wolf of due process by denying her the right
to make her case.
We also cannot say any substantive due process right was
violated by the DSS investigation. The Court made clear in
Lewis that "only the most egregious official conduct can be
said to be ‘arbitrary in the constitutional sense,’" 523 U.S. at
846 (quoting Collins v. City of Harker Heights, 503 U.S. 115,
129 (1992)). Only abuse of power which "shocks the con-
science" creates a substantive due process violation. Id. The
conduct of the individual DSS defendants does not approach
the level of shocking the conscience. DSS responded to a
complaint suggesting the possibility of serious harm and pro-
ceeded to investigate and take steps to assure the safety of
children that might have been in danger. Despite plaintiffs’
attempts to paint DSS’s actions as abusive, the investigation
does not seem irregular, let alone conscience-shocking.
Were we to say that DSS’s investigation violated due pro-
cess, we would surely place social services workers in an
impossible situation. In the face of a complaint alleging child
abuse, DSS employees would have two choices. On the one
hand, they could investigate and face § 1983 liability if their
investigation was somehow imperfect or the complaint turned
out to be unfounded. On the other hand, they could do nothing
—and risk tragic consequences such as those illustrated by the
facts of DeShaney v. Winnebago County Department of Social
Services, 489 U.S. 189 (1989), in which social services
employees failed to protect a child from being so savagely
beaten by his father that the child was rendered profoundly
retarded. Surely the Constitution does not require that social
services workers be placed in any such dilemma.
Because we find that deNicolas, Duncan, and Tutwiler did
not violate any of plaintiffs’ constitutional rights, summary
judgment on the claims against them was proper.
20 WOLF v. FAUQUIER COUNTY
IV.
Hard choices surround the issue of suspected child abuse.
Virginia’s reporting statute and its social services apparatus
are both based on the assumption that false positives—
mistaken reports of child abuse followed by DSS
investigations—are less harmful than false negatives — seri-
ous harm to a child that could have been prevented but was
not. Thus it is with every legal regime; whenever government
seeks to prevent harm before it occurs, it must make difficult
tradeoffs between tolerating mistake on the one hand and seri-
ous injury on the other. There is no conceivable child abuse
prevention policy that both gives government the ability to
respond to threats in order to prevent harms before they occur
yet prevents government from investigating before being cer-
tain that a perceived threat is real. Policymakers must choose
which of these harms is the greater evil.
This case makes concrete the consequences of a false posi-
tive. A legal regime that weighed the costs of false positives
differently might provide a legal redress for the harm that
plaintiffs allege. But because the Commonwealth of Virginia
in designing its child abuse reporting scheme and its social
services apparatus decided the costs of an occasional mistaken
report were far less than the costs of lasting harm to the lives
and safety of young children, the judgment must be affirmed.
AFFIRMED