Filed 7/30/19
                               CERTIFIED FOR PUBLICATION




                IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
                                THIRD APPELLATE DISTRICT
                                          (San Joaquin)
                                               ----




DONALD WILSON et al.,

                  Plaintiffs and Appellants,                         C084895

        v.                                                     (Super. Ct. No.
                                                           STKCVUMM20120013089)
COUNTY OF SAN JOAQUIN,

                  Defendant and Respondent.


       APPEAL from a judgment of the Superior Court of San Joaquin County, Roger
Ross, Judge. Reversed.

      Law Offices of Johnson and Johnson, Peter Johnson and Jesse Gill for Plaintiffs
and Appellants.

      HERUM/CRABTREE/SUNTAG and Dana A. Suntag for Defendant and
Respondent.



        Donald Wilson entered a plea of no contest on a charge of felony child abuse in
connection with events culminating in the death on his infant son. He and his wife
(plaintiffs) then sued several individuals and entities who undertook to provide lifesaving


                                                1
services for the infant, asserting causes of action for medical malpractice, professional
negligence, and intentional infliction of emotional distress.
       This appeal involves the trial court’s grant of summary adjudication as to one of
those causes of action (Second Cause of Action) against one of those defendants, San
Joaquin County (the County). This cause of action sought to hold the County responsible
for alleged negligence on the part of two firefighters employed by the City of Stockton
(the City), who provided emergency medical services to the infant during his transport to
San Joaquin General Hospital (the hospital).
       The trial court concluded Government Code1 section 850.6 provided the County
with immunity under these circumstances. We conclude this provision, which applies to
“fire protection or firefighting” services (§ 850.6, subd. (a)), does not apply to the
emergency medical services provided by the firefighters in this case. We must therefore
reverse the judgment.
                                      BACKGROUND
                                    The Infant’s Death
       On August 1, 2011, shortly before 10:00 p.m. (21:51), an American Medical
Response (AMR) ambulance arrived at plaintiffs’ house in Stockton. Inside the house,
emergency medical technicians found plaintiffs’ infant son in critical condition, with no
pulse or heartbeat, not breathing, and unresponsive. They immediately started chest
compressions and provided airway and ventilation intervention.
       One minute later (21:52), one of the City’s Fire Department units also arrived on
scene. The infant was loaded into the ambulance and transported to the hospital. Two
City firefighters, Brian C. Popoff and Jeff Whitlock, rode with him in the ambulance and




1      Undesignated statutory references are to the Government Code.


                                               2
performed various emergency medical procedures. Whitlock performed bag-valve mask
ventilation using an airway device while one of the AMR paramedics continued chest
compressions. The cardiac monitor in the ambulance revealed the infant’s heart was in
bradycardia, meaning it was beating at less than 60 beats per minute. Popoff performed
an intraosseous (within bone) infusion into the infant’s lower left leg after being unable to
start an intravenous line. Whitlock also intubated the infant and Popoff administered
epinephrine for the bradycardia, causing the infant’s heart to elevate and peak at 160
beats per minute. The firefighters continued rescue breathing until their arrival at the
hospital.
         The infant was delivered to the hospital’s emergency department at 10:04 p.m.
(22:04). After he was determined to no longer be in cardiac arrest, emergency room
personnel noticed bruises on his body. Dr. Douglas DeMartinis, M.D., the emergency
room physician attending to the infant, ordered CT scans of the infant’s head, chest,
abdomen, and pelvis. The head scan revealed a subdural hematoma, meaning blood had
collected outside the infant’s brain. The chest scan revealed pulmonary parenchymal
consolidation, meaning a portion of both lungs had filled with fluid. Possible causes
included edema, pneumonia, aspiration, hemorrhage, and non-accidental trauma.
Because of the latter possibility, law enforcement authorities were called.
         About three hours after the infant was brought to the emergency room, he was air
lifted to Sutter Medical Center in Sacramento, where he would die 10 days later. The
coroner’s report lists the cause of death as “[n]on-accidental trauma in a child” and notes
the infant “was possibly shaken.” The Stockton Police Department investigated the death
as a homicide and the San Joaquin District Attorney’s Office charged the infant’s father,
one of the plaintiffs herein, with four felony counts, including child abuse resulting in
death. Eventually, in May 2012, the father entered a plea of no contest to felony child
abuse.


                                              3
                    The Present Lawsuit and Summary Adjudication
       In October 2012, plaintiffs filed the present lawsuit against several individuals and
entities who undertook to provide lifesaving medical services for the infant, asserting
causes of action for medical malpractice, professional negligence, and intentional
infliction of emotional distress. The operative Third Amended Complaint was filed in
March 2014.
       As relevant to the issues raised in this appeal, plaintiffs’ Second Cause of
Action sought to hold the County responsible for medical malpractice and
professional negligence allegedly committed by City firefighters Popoff and
Whitlock. These firefighters responded to the scene of the emergency pursuant to
an agreement between the City and the County authorizing the City’s Fire Department
to provide emergency medical services as part of the County’s Emergency Medical
Services system.
       The County moved for summary adjudication of this cause of action.2 Citing
section 850.6, the County argued it could not be held responsible for the conduct of
City firefighters. We set forth the contents of this section in detail in the discussion
portion of the opinion. For present purposes, we note it provides public entities
receiving “fire protection or firefighting service” from another public entity with




2       The motion, filed jointly with Dr. DeMartinis, also sought summary adjudication
of plaintiff’s Third Cause of Action, suing the County, the hospital, Dr. DeMartinis, and
other hospital staff for medical malpractice and professional negligence based on events
occurring after the infant arrived at the hospital. Because plaintiffs do not challenge the
trial court’s ruling as to this cause of action, we decline to set forth that aspect of the
summary judgment/adjudication proceedings in any detail. We simply note that
following the trial court’s grant of summary adjudication as to the Third Cause of Action,
plaintiffs requested and the trial court entered dismissal of that cause of action with
prejudice.


                                              4
immunity from liability “for any act or omission of the public entity providing the
service or for any act or omission of an employee of the public entity providing the
service.” (§ 850.6, subd. (a).) Plaintiffs opposed the motion, arguing the County is not
entitled to immunity under section 850.6 because that section “specifically deals with
fire protection or firefighting service” and City firefighters Popoff and Whitlock were
providing “emergency medical services unrelated to . . . fire protection and firefighting.”
In its reply memorandum, the County argued plaintiffs’ reading of the statute is
“hypertechnical.” According to the County’s reading of the provision, “ ‘[f]ire
protection’ services is specific to the things firefighters do to protect the public from
fires,” and “ ‘firefighting service’ encompasses all the other things firefighters do,”
including provision of emergency medical services.
       The trial court granted the motion, noting plaintiffs had not cited “any authority
which would clearly limit the effect of section 850.6 to services directly relating to
fighting flames, rather than to a broader category of firefighting services which include
the emergency treatment of persons by firefighting personnel.” Thereafter, the trial court
entered judgment in favor of the County. This appeal followed.
                                       DISCUSSION
                                              I
                The County’s Argument the Appeal Should be Dismissed
       The County argues this appeal should be dismissed “because the order from which
[plaintiffs] appeal is not an appealable order.”3 We disagree.




3      In response to this argument, plaintiffs’ moved to augment the appellate record
with material we determine to be immaterial to the issue raised. We deny the motion to
augment for that reason. (See Bank of America v. Quackenbush (1997) 56 Cal.App.4th
1167, 1174.)


                                              5
       “The existence of an appealable judgment is a jurisdictional prerequisite to an
appeal. Thus, this court is obligated to review the question of appealability. [Citations.]
[¶] California is governed by the ‘one final judgment’ rule which provides ‘interlocutory
or interim orders are not appealable, but are only “reviewable on appeal” from the final
judgment.’ [Citation.] The rule was designed to prevent piecemeal dispositions and
costly multiple appeals which burden the courts and impede the judicial process.
[Citation.]” (Jacobs-Zorne v. Superior Court (1996) 46 Cal.App.4th 1064, 1070 (Jacobs-
Zorne); see Code Civ. Proc., § 904.1 [generally authorizing appeals from superior court
judgments, except those that are interlocutory].)
       “It is the substance and effect of the adjudication, and not the form, which
determines if the order is interlocutory and nonappealable, or final and appealable.
[Citation.] If no issues in the action remain for further consideration, the decree is final
and appealable. But if further judicial action is required for a final determination of the
rights of the parties, the decree is interlocutory. [Citation.]” (Jacobs-Zorne, supra, 46
Cal.App.4th at p. 1070.) “Generally, an order granting summary adjudication is an
intermediate order which is ‘reviewable on appeal from the final judgment in the action.’
[Citation.] However, such an order is appealable if it effectively disposes of the entire
matter. [Citation.]” (Id. at pp. 1070-1071.)
       For example, in Belio v. Panorama Optics, Inc. (1995) 33 Cal.App.4th 1096, the
Court of Appeal held an appeal from “the trial court’s order granting summary
adjudication as to the first cause of action” was properly before the court because the
order “ ‘effectively disposed of the case.’ ” (Id. at p. 1101, quoting California Assn. of
Psychology Providers v. Rank (1990) 51 Cal.3d 1, 9.) This was because the second and
third causes of action were “purely ancillary to the first cause of action” that sought
dissolution of the defendant corporation. (Id. at p. 1102.) As the court explained, once
the trial court disallowed dissolution of the company, the plaintiff’s causes of action


                                               6
seeking an accounting to determine his share of the corporation and an order maintaining
the status quo during the pendency of the action became moot. (Ibid.) Accordingly, the
court explained, “ ‘there was nothing further in the nature of judicial action on the part of
the court essential to a final determination of the asserted rights of the respective parties.’
” (Ibid., quoting Eldridge v. Burns (1978) 76 Cal.App.3d 396, 405.)
         Here, plaintiffs asserted only two causes of action against the County. The trial
court granted the County’s motion for summary adjudication as to both. As mentioned,
following the ruling, plaintiffs requested and the trial court entered dismissal of the Third
Cause of Action with prejudice. With respect to the Second Cause of Action, the only
remaining cause of action against the County, the trial court entered judgment in favor of
the County. The title of this judgment, initially “JUDGMENT ON THIRD AMENDED
COMPLAINT AS TO THE COUNTY OF SAN JOAQUIN,” was amended by the trial
court to strike through “JUDGMENT” and replace that word with “SUMMARY
ADJUDICATION.” However, it nevertheless operated as a final judgment, ordering as
follows:
         “The Court, having issued its order on September 30, 2016, granting summary
adjudication[4] in favor of the County of San Joaquin (the ‘County’) and against all
Plaintiffs as to Plaintiffs’ Second Cause of Action, for medical malpractice/professional
negligence, now issues judgment as follows:
         “IT IS ORDERED, ADJUDGED, AND DECREED that Plaintiffs take nothing by
their Third Amended Complaint as to the County and summary adjudication judgment[5]



4        Again, the word “judgment” was crossed out and “adjudication” written in its
place.
5        Here, “summary adjudication” was added, but the word “judgment” was left in
place.


                                               7
is entered in favor of the County and against Plaintiffs as to the Plaintiffs’ Second Cause
of Action.” (Italics added.)
       Notwithstanding the interlineations, “the substance and effect of the adjudication”
was to finally resolve the only remaining cause of action pending against the County. As
against this defendant, the adjudication “effectively disposes of the entire matter” and is
therefore appealable. (Jacobs-Zorne, supra, 46 Cal.App.4th at pp. 1070-1071.) Nor does
it matter that the judgment was entered against only one of several defendants. (See
Tinsley v. Palo Alto Unified School Dist. (1979) 91 Cal.App.3d 871, 880 [judgment
finally resolving all issues between a plaintiff and one defendant is appealable although
the action remains pending between the plaintiff and other defendants].)
                                              II
                                   The Merits of the Appeal
       Plaintiffs argue the trial court improperly granted the County’s motion for
summary adjudication of the Second Cause of Action because the immunity provided by
section 850.6 does not apply to the emergency medical services provided by the
firefighters in this case. We agree.
                                             A.
                               Summary Adjudication Principles
       “ ‘A defendant making the motion for summary adjudication has the initial burden
of showing that the cause of action lacks merit because one or more elements of the cause
of action cannot be established or there is a complete defense to that cause of action.
[Citations.] If the defendant fails to make this initial showing, it is unnecessary to
examine the plaintiff’s opposing evidence and the motion must be denied. However, if
the moving papers establish a prima facie showing that justifies a judgment in the
defendant’s favor, the burden then shifts to the plaintiff to make a prima facie showing of
the existence of a triable material factual issue.’ [Citation.] ‘A prima facie showing is


                                              8
one that is sufficient to support the position of the party in question.’ [Citation.]”
(Rehmani v. Superior Court (2012) 204 Cal.App.4th 945, 950.)
       Our review of an order granting summary adjudication is subject to “the same
standard of review applicable on appeal from a grant of summary judgment.” (Schofield
v. Superior Court (2010) 190 Cal.App.4th 154, 156.) Thus, “[w]e review the record and
the determination of the trial court de novo.” (Kahn v. East Side Union High School Dist.
(2003) 31 Cal.4th 990, 1003.) Moreover, where the propriety of a grant of summary
judgment turns on the proper interpretation of a statute, as here, our review of that
question of law is also de novo. (See Regents of University of California v. Superior
Court (1999) 20 Cal.4th 509, 531.)
                                              B.
                          Proper Interpretation of Section 850.6
       “Pursuant to established principles, our first task in construing a statute is to
ascertain the intent of the Legislature so as to effectuate the purpose of the law. In
determining such intent, a court must look first to the words of the statute themselves,
giving to the language its usual, ordinary import and according significance, if possible,
to every word, phrase and sentence in pursuance of the legislative purpose. A
construction making some words surplusage is to be avoided. The words of the statute
must be construed in context, keeping in mind the statutory purpose, and statutes or
statutory sections relating to the same subject must be harmonized, both internally and
with each other, to the extent possible. [Citations.] Where uncertainty exists
consideration should be given to the consequences that will flow from a particular
interpretation. [Citation.] Both the legislative history of the statute and the wider
historical circumstances of its enactment may be considered in ascertaining the legislative
intent. [Citations.]” (Dyna-Med, Inc. v. Fair Employment & Housing Com. (1987) 43
Cal.3d 1379, 1386-1387.)


                                              9
       Section 850.6 provides in relevant part: “Whenever a public entity provides fire
protection or firefighting service outside of the area regularly served and protected by the
public entity providing that service, the public entity providing the service is liable for
any injury for which liability is imposed by statute caused by its act or omission or the act
or omission of its employee occurring in the performance of that fire protection or
firefighting service. Notwithstanding any other law, the public entity receiving the fire
protection or firefighting service is not liable for any act or omission of the public entity
providing the service or for any act or omission of an employee of the public entity
providing the service; but the public entity providing the service and the public entity
receiving the service may by agreement determine the extent, if any, to which the public
entity receiving the service will be required to indemnify the public entity providing the
service.” (§ 850.6, subd. (a).)
       There is no dispute that the City and the County entered into an agreement
whereby the City’s Fire Department would provide emergency medical services as
part of the County’s Emergency Medical Services system. Under the trial court’s
reading of section 850.6, the provision of such services fell within the scope of the
statutory term “firefighting service,” making the City, as “the public entity providing
the service,” liable for “any injury for which liability is imposed by statute caused by
. . . the act or omission of its employee[s] occurring in the performance of that . . .
firefighting service,” and immunizing the County, as “the public entity receiving the . . .
firefighting service,” from such liability. (§ 850.6, subd. (a).) As we explain
immediately below, this is incorrect.
       Section 850.6 was enacted in 1963 as part of the California Tort Claims Act (§ 810
et seq.), an act adding division 3.6 to title 1 of the Government Code. (Stats. 1963, ch.
1681, p. 3266.) The section was added to chapter 4 of part 2 of this division. This
chapter is titled, “Fire Protection.” (Stats. 1963, ch. 1681, p. 3279.) While there do not


                                              10
appear to be any published cases interpreting section 850.6, the Law Revision
Commission provided the following comment with respect to its purpose and scope:
“This section makes clear which public entity is liable when one entity calls for the
assistance of another in fighting a fire. Unless the entities agree, each entity is financially
responsible only for the torts of its own personnel.” (4 Cal. Law Revision Com. Rep.
(1963) p. 801, reprinted in West’s Ann. Gov. Code (2012 ed.) foll. § 850.6, italics added.)
While this comment is perhaps too restrictive in that the statute applies to both
“firefighting” and “fire protection” services, the latter term arguably encompassing
actions broader than those undertaken during the actual fighting of a fire, the comment
corresponds precisely with the plain meaning of the statutory phrase, “firefighting
service.” By “firefighting service,” the Legislature intended to include all services
attendant to “fighting a fire.” (Ibid.) “Because the official comments of the California
Law Revision Commission ‘are declarative of the intent not only of the draftsman of the
code but also of the legislators who subsequently enacted it’ [citation], the comments are
persuasive, albeit not conclusive, evidence of that intent [citation].” (Bonanno v. Central
Contra Costa Transit Authority (2003) 30 Cal.4th 139, 148.)
       The County has cited no authority suggesting the Legislature intended the phrase
“firefighting service” in section 850.6 to include emergency medical services unrelated to
fighting a fire. However, cases interpreting a related provision, section 850.4, support
our conclusion the emergency medical services rendered in this case are not part of
“firefighting service” within the meaning of the statute.
       In Lewis v. Mendocino Fire Protection Dist. (1983) 142 Cal.App.3d 345
(Lewis), the Court of Appeal held, “section 850.4 does not grant immunity to a fire
district when its personnel negligently injure a person rescued during a nonfirefighting
incident.” (Id. at p. 346.) There, the plaintiff alleged he was injured by the actions of
firefighters who negligently rescued him from beneath a tree that had fallen onto his


                                              11
tent while camping. The trial court sustained the defendant fire protection district’s
demurrer on the ground that section 850.4 provided the district with immunity under
these circumstances. (Id. at pp. 346-347.) The section provides: “Neither a public
entity, nor a public employee acting in the scope of his [or her] employment, is liable
for any injury resulting from the condition of fire protection or firefighting equipment or
facilities or, except as provided in [certain Vehicle Code provisions], for any injury
caused in fighting fires.” (§ 850.4.)
       Reversing the trial court’s decision, the Court of Appeal first noted it was required
to interpret section 850.4 to allow for liability unless “the Legislature has clearly intended
immunity.” (Lewis, supra, 142 Cal.App.3d at p. 347.) With respect to legislative intent,
the court cited the Law Revision Commission’s comment to section 850.6, indicating it
provided “ ‘absolute immunity from liability for injury caused in fighting fires (other than
injuries resulting from operation of motor vehicles) or from failure to properly maintain
fire protection equipment or facilities.’ ” (Ibid.) The court concluded: “Although this
rescue operation may be within the normal activities of today’s fire department, it was
unrelated to combatting fires and therefore is beyond the grant of governmental
immunity.” (Ibid.; see also Varshock v. Department of Forestry & Fire Protection
(2011) 194 Cal.App.4th 635, 649 [“Legislature intended to immunize the conduct of
firefighters while at the scene of a fire and actually combating a fire”].)
       In response to Lewis, supra, 132 Cal.App.3d 345, the Legislature enacted Health
and Safety Code section 1799.107. (Ma v. City and County of San Francisco (2002) 95
Cal.App.4th 488, 513, disapproved on another point in Eastburn v. Regional Fire
Protection Authority (2003) 31 Cal.4th 1175, 1183-1184.) Subdivision (a) of this
provision states: “The Legislature finds and declares that a threat to the public health and
safety exists whenever there is a need for emergency services and that public entities and
emergency rescue personnel should be encouraged to provide emergency services. To


                                             12
that end, a qualified immunity from liability shall be provided for public entities and
emergency rescue personnel providing emergency services.” (Health & Saf. Code, §
1799.107, subd. (a), italics added.) Subdivision (b) then provides in relevant part:
“[N]either a public entity nor emergency rescue personnel shall be liable for any injury
caused by an action taken by the emergency rescue personnel acting within the scope of
their employment to provide emergency services, unless the action taken was performed
in bad faith or in a grossly negligent manner.” (Id., subd. (b), italics added.)
       “[Health and Safety Code s]ection 1799.107, subdivision (d), defines
‘emergency rescue personnel’ to mean ‘any person who is an officer, employee, or
member of a fire department or fire protection or firefighting agency of the federal
government, the State of California, a city, county, city and county, district, or other
public or municipal corporation or political subdivision of this state, or of a private
fire department, whether that person is a volunteer or partly paid or fully paid, while
he or she is actually engaged in providing emergency services as defined by subdivision
(e).’ [¶] Finally, subdivision (e) of [Health and Safety Code] section 1799.107 provides
that ‘emergency services’ includes ‘first aid and medical services, rescue procedures and
transportation, or other related activities necessary to insure the health or safety of a
person in imminent peril.’ ” (Eastburn v. Regional Fire Protection Authority, supra, 31
Cal.4th at pp. 1180-1181.)
       Thus, the Legislature has provided two levels of governmental immunity for
injuries resulting from the negligent conduct of firefighters. Where such conduct is part
of their firefighting activities, with limited exceptions, an absolute immunity applies. (§
850.4.) Where, however, the negligent conduct is part of providing emergency services,
such as the emergency medical services at issue in this case, a qualified immunity
applies, requiring bad faith or gross negligence to trigger liability. (Health & Saf. Code,
§ 1799.107.)


                                              13
       The County does not dispute this, but argues the foregoing cases are inapposite
because they involved section 850.4 rather than section 850.6. Moreover, section 850.4
uses the statutory phrase, “in fighting fires,” whereas section 850.6 uses “firefighting
service,” a phrase the County argues should be interpreted to mean “all the regular
services a firefighter renders,” including emergency medical services. However, as we
have explained, the Law Revision Commission has made clear in its comment to section
850.6 that “firefighting service” means service attendant to “fighting a fire.” (4 Cal. Law
Revision Com. Rep. (1963) p. 801, reprinted in West’s Ann. Gov. Code (2012 ed.) foll.
§ 850.6.) This comports with the plain meaning of the statutory language. Additionally,
while section 850.4 and section 850.6 provide different immunities, the former shielding
both the firefighter and the entity employing him or her from liability for injuries caused
by negligent conduct while fighting a fire (among other things, and again with limited
exceptions), while the latter shields an entity receiving such firefighting services (as well
as fire protection services) from an outside entity, we conclude the placement of these
provisions in the same “Fire Protection” chapter suggests an intent on the part of the
Legislature that they be interpreted similarly to exclude conduct unrelated to protecting
the public from and fighting fires.
       Finally, we are not unsympathetic to the County’s argument that it makes sense
“to impose liability on the public entity that provides the firefighters, whether the
firefighters were actually spraying water on a flame at the time the injury occurred or
not.” But we cannot interpret a statutory enactment in such a way as to expand a grant of
immunity beyond what the plain meaning of the statute and expression of Legislative
intent would reasonably allow. As the court stated in Lewis, supra, 142 Cal.App.3d 345:
“In governmental tort cases, the rule is liability; immunity is the exception.” (Id. at p.
347.) Should the Legislature desire to create an immunity complementary to that
provided by section 850.6 for emergency services unrelated to fire protection or


                                             14
firefighting, as it did in enacting Health and Safety Code section 1799.107 following
Lewis, supra, 142 Cal.App.3d 345, it is of course free to do so.
                                      DISPOSITION
       The judgment entered following the trial court’s grant of San Joaquin County’s
motion for summary judgment and/or summary adjudication is reversed. The parties
shall bear their own costs on appeal. (Cal. Rules of Court, rule 8.278.)



                                                              /s/
                                                 HOCH, J.



We concur:



        /s/
BLEASE, Acting P. J.



        /s/
MAURO, J.




                                            15
