Civil case cover sheetCal. Super. - 5th Dist.April 23, 2021Auto Tort 1. Check one box below for the case type that best describes this case: Form Adopted for Mandatory Use Judicial Council of California CM-010 [Rev. July 1, 2007] Cal. Rules of Court, rules 2 30, 3.220, 3.400-3.403, 3.740; Cal. Standards of Judicial Administration, std. 3.10 www.courts.ca.gov CIVIL CASE COVER SHEET Page 1 of 2 SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: BRANCH NAME: CITY AND ZIP CODE: JUDGE: DEPT.: CASE NAME: CIVIL CASE COVER SHEET Unlimited (Amount demanded exceeds $25,000) Limited (Amount demanded is $25,000) Complex Case Designation Counter Joinder Filed with first appearance by defendant (Cal. Rules of Court, rule 3.402) FOR COURT USE ONLY CASE NUMBER: CM-010 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO. (Optional): ATTORNEY FOR (Name): Auto (22) Uninsured motorist (46) Asbestos (04) Product liability (24) Medical malpractice (45) Other PI/PD/WD (23) Other PI/PD/WD (Personal Injury/Property Damage/Wrongful Death) Tort Business tort/unfair business practice (07) Civil rights (08) Defamation (13) Fraud (16) Non-PI/PD/WD (Other) Tort Intellectual property (19) Professional negligence (25) Other non-PI/PD/WD tort (35) Employment Wrongful termination (36) Other employment (15) Contract Breach of contract/warranty (06) Rule 3.740 collections (09) Other collections (09) Insurance coverage (18) Other contract (37) Eminent domain/Inverse condemnation (14) Real Property Wrongful eviction (33) Other real property (26) Commercial (31) Residential (32) Unlawful Detainer Drugs (38) Asset forfeiture (05) Petition re: arbitration award (11) Judicial Review Writ of mandate (02) Other judicial review (39) Antitrust/Trade regulation (03) Construction defect (10) Mass tort (40) Securities litigation (28) Provisionally Complex Civil Litigation (Cal. Rules of Court, rules 3.400-3.403) Environmental/Toxic tort (30) Insurance coverage claims arising from the above listed provisionally complex case types (41) Enforcement of judgment (20) RICO (27) Enforcement of Judgment Other complaint (not specified above) (42) Miscellaneous Civil Complaint Partnership and corporate governance (21) Other petition (not specified above) (43) Miscellaneous Civil Petition Items 1-6 below must be completed (see instructions on page 2). 2. This case is is not complex under rule 3.400 of the California Rules of Court. If the case is complex, mark the factors requiring exceptional judicial management: Large number of separately represented parties Large number of witnessesd.a. Extensive motion practice raising difficult or novel issues that will be time-consuming to resolve Coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal court e.b. Substantial amount of documentary evidencec. Substantial postjudgment judicial supervisionf. Remedies sought (check all that apply):3. monetarya. nonmonetary; declaratory or injunctive reliefb. punitivec. Number of causes of action (specify):4. 5. This case is notis a class action suit. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)6. (SIGNATURE OF PARTY OR ATTORNEY FOR PARTY) Date: (TYPE OR PR NT NAME) NOTICE Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. File this cover sheet in addition to any cover sheet required by local court rule. If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. Unless this is a collections case under rule 3.740 or a complex case, this cover sheet will be used for statistical purposes only. • • • • FRESNO 1130 O Street Same as above B.F. Sisk Courthouse Fresno, CA 93721 Rodriguez v. Fresno Valley SNF, LLC, et al. Amber M. Tham, SBN 266207 Lanzone Morgan, LLP 5001 Airport Plaza Drive, Suite 210, Long Beach, CA 90815 (562) 596-1700 (562) 596-0011 Plaintiff, SAMUEL RODRIGUEZ 1-Elder Abuse and Neglect; 2-Violation of Residents' Bill of Rights; 3-Negligence April 23, 2021 Amber M. Tham, Esq. w D D D D D D D D D D D D D D D D D D w D D D D D D D D D D D D D D D D D D D D D D D D D D 0 D D D D D D w w w D 0 ► E-FILED 4/23/2021 9:44 AM Superior Court of California County of Fresno By: A. Rodriguez, Deputy 21CECG01153 To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET CM-010 [Rev. July 1, 2007] CIVIL CASE COVER SHEET Page 2 of 2 CM-010 Auto Tort Auto (22)-Personal Injury/Property Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PI/PD/WD (Personal Injury/ Property Damage/Wrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PD/WD (e.g., assault, vandalism) Intentional Infliction of Emotional Distress Negligent Infliction of Emotional Distress Other PI/PD/WD Non-PI/PD/WD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (not civil harassment) (08) Defamation (e.g., slander, libel) (13) Fraud (16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (not medical or legal) Other Non-PI/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract/ Warranty Other Breach of Contract/Warranty Collections (e.g., money owed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/tenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (11) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30) Insurance Coverage Claims (arising from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-tort/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief From Late Claim Other Civil Petition