8
7/23/2019 OSC FORM 11 060409 http://slidepdf.com/reader/full/osc-form-11-060409 1/8 Page 1 o Printer Friendly E-Filing Form $ummary E-Filing form printed on 6lLAl2009 12:38 AM Formll 6l4n009 Status Saved Originat EntrY Date 6l4n\Ag 4:57 PM Last Modilied 6/rc12009 12:37 AM Case Number User Information Oliver Mitchell redpatchmari ne@Y ahoo . com Agency: Veterans Affairs A summary of the data You entered: Did the incident occur while federally employed? Yes 'Were you employed by any of the following Federal agencies? a Federal agency not listed above Your name: Prelix h{r. Your name: First name Oliver Your name: Middte name Bruce Your name: Last name Mitchell Your name: Suffix m Your home address: Street PO Box 1912 Your home address: APt No Your home address: City Long Beach Your home address: State California 6t912009 Your home address: ZiPcode https : //www.o sc. gov/o ssefi lePrinterSummary. aspx?ufi : I 2 0 I I

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Page 1: OSC FORM 11 060409

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http://slidepdf.com/reader/full/osc-form-11-060409 1/8

Page

1

o

Printer

Friendly

E-Filing

Form

$ummary

E-Filing

form

printed

on 6lLAl2009

12:38

AM

Formll

6l4n009

Status

Saved

Originat

EntrY

Date

6l4n\Ag

4:57

PM

Last Modilied

6/rc12009

12:37

AM

Case

Number

User

Information

Oliver

Mitchell

redpatchmari

ne@Y

ahoo

.

com

Agency:

Veterans

Affairs

A

summary

of

the

data

You

entered:

Did

the

incident

occur

while

federally

employed?

Yes

'Were

you

employed

by

any

of

the

following

Federal

agencies?

a Federal

agency

not

listed

above

Your

name:

Prelix

h{r.

Your

name:

First

name

Oliver

Your

name:

Middte

name

Bruce

Your name:

Last

name

Mitchell

Your

name:

Suffix

m

Your

home

address:

Street

PO

Box

1912

Your

home address:

APt No

Your home

address:

City

Long

Beach

Your

home

address:

State

California

6t912009

Your

home

address:

ZiPcode

https

:

//www.o

sc.

gov/o ssefi

lePrinterSummary.

aspx?ufi

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E-Filing

Form

Summary

90801

Your

home

address:

countrY

T]NITED

STATES

Your

phone

numbers:

Home

(s62) 726-r8e7

Your

phone

numbers:

I{ome

Ext

Your

phone

numbers:

Work

(310)

268-4sos

Your

phone

numbers:

Work

Ext

Your

phone

numbers:

Cell

(s62)

23A-7U2

Your

phone

numhers:

CelI

Ext

Your

phone numbers:

Fax

Your

phone

numbers:

Fax

Ext

Your

phone

numbers:

Other

Your

phone

numbers:

Other

Bxt

Your

phone numbersl

Email

redpatchmarine@yahoo.

com

Outreach

Info:

How

did

you

first

become

aware

that

you

could

file

a

complaint

with

OSC?

Agency

Personnel

Office

Outreach

Info:

For

Other,

please describe:

0utreach

Info:

Date

(aPProximate);

6t4/2009

Do

You Have

a

Representative?

No

Agency

Address:

AgencY

Name

Veterans

Affairs

Agency

Address:

Street

11301

Wilshire

Blvd

Agency

Address:

APt No

Agency

Address:

CitY

Los

Angeles

https

:

//www.

osc.

gov/oscefi

lelPrinterSummary.

aspx?ufi

=

1

2

0

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E-Filing

Form

Summary

Agency

Address:

State

Califomia

Agency

Address:

ZiPcode

90073

Agency

Address:

CountrY

TINITED STATES

Job

Info:

Title

Patient

Services

Assistant

Job

[nfo:

Series

GS-0303

Job

Info:

Grade

GS.O5

Are

you

covered

by

a

collective

bargaining

agreement

(or

union

contract)?

Yes

Enter

Your

Employment

Status:

Applicant

for federal

employment

(not

current

employee)

False

Enter

Your

Employment

Status:

Excepted

Service

@or

Other,

please specif)

Enter

Your

Employment

Status:

Other

(For Other,

please

specify)

Enter

Your

Employment

Status:

Competitive

Serviee

Career

or

career-conditional

appointment

Actions Taken:

X'iled appeal

with

Merit

Systems

Protection

Board

(MSPB)

Actions

Taken:

Biled

petition

for

reconsideration

of

initial

MSPB

decision

Actions

Taken:

Initial MSPB

decision

No.

Actions

Trken:

Filerl USERRA

claim with

YETS

in Department

of

Labor

Actions

Taken:

Filed

grievance

under

agency

grievance

procedure

Actions

Taken:

Filed

grievance

under

negotiated

griwance

procedure

Actions

Taken:

Matter

heard by

arbitrator

under

grievance

procedure

Actions

Taken:

Matter

is

pending

ir arbitration

Actions

Taken:

Filed

discrimination

complaint

with

agency

4n412009

Actions

Taken:

Appealed

discrimination

complaint

decision

to

Equal

Employment

Opportunity

Commission

https

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E-Filing

Form

Summary

 

Actions

Taken:

Filed

appeal

with

Office

of

Personnel

Manrgement

(OPM)

Actions

Taken:

Filed

unfair

labor

practice

(uLP)

complaint

with

Federal

Labor

Relations

AuthoritY

GLRA)

Actions

Taken:

tr'iled

lawsuit

in

federsl

court

Actions Taken:

Court

name

ActionsTaken:ReportedmattertoagencylnspectorGeneral

312412009

Actions

Taken:

Reported

matter

to

one

or

more

members

of

Congress

61912009

Actions

Taken:

Nues

of

senatort

or

representatives

'C""g.*t**

sob

Filner

&

Congressman

Henry

Waxman

Actions

Teken:

Other

(sPecifY)

Actions

Taken:

For

Other,

please

specify

Actions

Taken:

None

False

Please

describe

your

complrint

in

detail

onApril

14,2009

I filed

an;ioE";;i;i",

withthe

ofEce

of

ResolurionManagement

Dept.

of

Veterans

Affairs

fo,

nu"",

CiiJ"rXJ"fiiidf"

W*[fn

itor*"nt.

I

have

received

numerous

death

threats

from

a co-*orrer

"uritiililil"i

cr*t

n"

".ti"n

has

been

taken

oo

the

agencies

part'

My

immediate

supervisior

nam"J

lf*".f,

Nru*toto

has

repeatedlv

discriminated

against

me

due

to

my

gender.

My

immediate

*p"iiS".

*a

interim

Service

ihief

have

repeatedll

ht""t i{

me

with

reassignment

ana

t"*,i"lru",

i-

t}Lion iouotu".ent

and

filing

a

EeO

q

OIG

cgmnlSint'

On

March

24'

2009

I

frled

a

olc

oomplain:ifoi

auJ,

*"tt"

*a

abuse

lgainJ

mv.

+Jffln

s:rviT

Chief

named

Suzie

El-Saden.

The current

interim-i"*t".

bfi"fm

repeatedli

violated

direct

orders

from

Cental

OIfice

Dept.

of

Veterans

affuir,

UV

a"f"ting

valid doctors

requesi

for

medical

services

for

nearly

20,000

t

Veteran

patients rritfri,

u

yJu.. tim"-Au-e.

In

addition

on

Novc6ber

3,

2008

the

current

interim

Servico

Chief

Dr. El-Sadeo

stated

".t"

*

u*ut"

of

the

cunent

backlog

and

demand

for medical

services

tno"fo..

she

asked

who

*we;

could

get

to

delete

the

request

and

a

response

from

Crai-g

(last

name

u*nown

at

this time)

was

'ho;;;;".y.""

is in

fear

of

losing

there

job".

Additit4ll,

D.

El-Saden

st

t"d

',to

*y."lf

andmy

"o-lrork".

toi"ozo

Gaines

that

'her

job

was

on

the

line

and that

tbis

would be

the

death

of

her ir*" aant

a"rcte

and/or

cancel any

of

the

penaing

backlgs.-she

s te$

that

cental

Office

had

ordereO

t

o

,ot to

p*gi

G

*ytt *".

Oir neUruiry

Z,

2-009

at

4:09

pm

the

interim Service

Chief

Dr. El-Saden

provided

in

fiRI

to

fr"r

S

year

old

son

while

Veteran

patients

were

waiting

for

there

owu

exam. On

Novimber

3,

ZOO3

n*aofpl

Jones

the

Chief

Tech

for

the

Imaging

Deparheot

stated

"that

our nunrbers

for

Znd

6i

3rd

qtr

were'same

as

last

year

aod

il order

to

show

favorable

results

we

needed

to delete

as

many orders

as

possible

he

went on

to say

that

it

was all-a

numbers.game

*9

l'{-to

prav

trre systenu

he

trren

di.ectea

-"

to t"gio

aa"ting

all orders

pertaing

to

MN-the

clinic

in

which

I

*oit,,

I tin

r"i

.

OnMay

22,2009

I

receiied

a

noticl

from

Office

of lnspector

General

to

provide

additional

documentatioi

pu"tui"g

to

.V

complaint,

they

have

requested

t49

names,

social

security

number

and

dates ofrequeit

for il ZO,OOO

Veteran

patieng.

On

June

5,

2009 my

current

ifferim

Sefvice

ahief

asked

me

to

meei*ith

ho

io

her

office,

onc"

I arrired

sh"

stood

there

crying

with

trilo

other

g""tL*""

i"

tr", ofrce

stating

"I

was

being

detailed

for EEO

&

Union

activity,

she stated

ushe

needed

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E

Filing

Form

Summary

metosipsomea:",-*:-Tf;Jli*il#iirt[,J,m:xrH;ru"r#"S. T#Ir"#*"

reoresentative

and

was

demec

I

was

immediatelv

placed

"'

Aliil;#il;;'*

p"iai"g

titi'i""me

oiu

ract

n"aing

for

"alleged

inapproPiate

behavior"'

What

corrective

action

or

remedy

arc

you

requcstilg

rf

You

prevail

in

your

complaint?

;,;it

d;;;

t.medy

or

corrective

action

is

yet unknown'

ChooseONEcomplaintcatcgorythatappliestoyourcomplaint.

10

RePrisal

for

whistleblowing'

Whistleblower

Reprisal

Victim:

Were

you

the

victim

of

the

reprisal?

Yes

Whistleblower

Reprisal

Yictim:

First

Name

lilhistleblower

Reprisal

Victim:

Last

Name

Whistleblower

Reprisal

Victim:

Job

Title

Whistleblower

Reprisal

Victim:

Phone

Whistleblower

Reprisal

Yictim:

Phone

Ext

Whistleblower/Disclosures:

What

information

did

the.victim

disclose?

The

current

backlo*.

nu,i*

*#ii."

[*,fr

,f,r""1.

."""1u"4,

i-itop"r

handling

of

mediacl

request

by

Service

Chiei

i*p.op.,

g;il;il;il;;tfibiirr-"diate

supirvisior

and

Service

Chief'

the

;;ffi6;iii'tRl';a

XIRav

exams

for

non-veteran

patients

WhistlebtowerlDisclosures:

When

did

the

victim

disclose

it?

313012009

Whistleblower/Disclosures:

Was the disclosure

verbal

or

in

writing?

Verbal

\ilhistleblower/Disclosures:

tlow

did

the

victim

learn

about

the

wronsdolng

e

or

she disclosed?

fi"*gft"rt

tfr"

**ra

course

of

my

work

day

while

performing

my

assigned

duties'

er/Disclosures:

Disclosed

To

Prefix

whistleblower,/Disclosures

:

Disclosed

To

First

Name

Dean

Whistleblower/Diselosures:

Disclosed

To

Middle

Name

lVhistleblower/Ilisclosures:

Disclosed

To

Last

Name

Norman

Whistleblower/Ilisclosures

:

Disclosed

To

Suffix

Whistleblower/Ilisclosures

:

Title

(for instance,

Investigator)

Chief

of

Staff

http

s

:

//www.

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govlo

sce

fi

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E-Filing

Form

Summary

Page

6 ot'E

Whistleblower/Disclosures:

Position

in

the

Victim's

Chain

of

Command

Chief

of

Staff

Whistleblower/Disclosures:Wasitwithinthevictim,sjobdutiesorresponsibilitiestomakethe

disclosure?

True

WhistleblowerlDisclosures:*Ifyes*Brieflyexplainthevictim'sjobresponsibilities.

e

putiJ

S"*i"es

Assistant,

my

iuties

ure

to

schedule

appointments

for

patients'

Whistleblower/Personnel

Actions

Taken:

an

appointment

whistleblower/?ersonnel

Actions

Taken:

a

promotion

or

selection

for

a

position

whistleblower/personnel

Actions

Taken:

a

reprimand,

suspension,

removal

or

other

disciplinary

or

corrective

sction;

Whistleblower/personnel

Actions

Taken:

a

detai

transfer,

reassipment,

or

change

in

duty

station

d;l;

5,

2009

I

was informed

that

I

was

being

ttetailed

for

"pending completion of

an

investigation

into allegations

of

inappropiate

conduct".

Whistleblower/Personnel

Actions

Taken:

a

reinstatement,

restoration

or

reemployment

whistleblower/Personnel

Actions

Taken:

a

decision

about

pay, benefits,

or

awards

whistleblower/Personnel

Actions

Tsken:

a decision

about

education

or

training

whistleblower/Personnel

Actions

Taken:

an

anuual

performance

evaluation

Whistleblower/Personnel

Actions

Taken:

a decision

to

order

psychiatric

testing

or examination

On

March

30, 2009

I

was

referred

to the

Employee

Assistance

Program

for

what the

Chief

of Staff

deemed

was

';work

place

stress

issues"

. on

March 3

I

,

2009

I was contacted

by a

Dr'

Booker

in the

pTSD

Clinic at

the VA

West Los

Angeles.

He stated

"I

was

refened

to him

by the

Chief

of

Staff

Dr.

Norman".

I

refused

his sewices

both verbally

and

in writing.

Whistleblower/Personne

Actions

Taken:

any

other

significant

change

in

duties,

responsibilities,

or

working conditions.

Whistleblower/Perconnel

Actions

Taken:

Details

Please see

previous

statements.

Whistleblower

Reprisal

Involved:

Made

Decision

First

Name

Suzie

Whistleblower

Reprisal

Involved:

Made

Decision

Last

Name

El-Saden

Whistleblower

Reprisal

Involved:

Made

Decision Job

Title

Service

Chief

lYhistleblower

Reprisal Involved:

Made

l)ecision

Phone

http

s

:

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E-Filing

Form

Summary

Page

7

of

(310)

478-3',trr

Whistleblower

Reprisal

Involved:

Made

Decision

Phone

Ext

83591

Whistleblower

Reprisal

Involved:

Made

Recommendation

First

Name

Mary

Whistleblower

Reprisal

lnvolved:

Made

Recommendation Last

Name

Moore

Whistleblower

Reprisal

Involved:

Made

Recommendation

Job

Title

Manager

EmPIoYee

Relations

Whistleblower

Reprisal

Involved:

Made

Recommendation

Phone

(310)

478-371

1

Whistleblower

Reprisal

Involved:

Made

Recommendation

Phone

Ext

Whistleblower Reprisal

Involved:

Approved

Decision

First

Name

Dean

Whistleblower

Reprisal

Involved:

Approved

Decision

Last

Name

Norman

Whistleblower

Reprisal

Involved:

Approved

Decision

Job

Title

ChiefofStaff

Whistleblower

Reprisal

Involved:

Approved

Decision

Phone

(310)

478-37rr

Whistleblower Reprisal Involved:

Approved

Decision

Phone

Ext

Whistleblower

Reprisal

Involved:

How did

the

persons

you

just

identified

kaow

about the

victim's

disclosure?

I

verbally

informed

each

individual

about

my concems.

Whistleblower

Reprisal

More

Details:

What

specifrc

information

do

you

have to

support

your

belief

that

the agency

took

or failed

to

take

thi

action(s)

about

which

you

complain

because

of

the

victim's disclosure?

The

manage(s) and offrcial(s)

were the subject

ofthe

disclosure.

Whistleblower

Reprisal

More

Details:

What specifrc

information

do

you

have

to support

your

belief

that

the personnel action was not

justilied?

The

disctipinary

action

take,o

was

in response

to my

fi1ing various

complaint

with

various

agencies.

Whistleblower

Reprisal

Complaints

X'iled:

Union

no

Whistleblower

Reprisal

Complaints

Filed:

Date

Union

Grievance

X'iled

Whistleblower

Reprisal

Comptaints

Filed: Union

Grievance

Outcome

https

:

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scefilelPrinterSummary.

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E-Filing

Form

Summary

whistleblower

Reprisal

complaints

Filed:

agency

no

whistlebrower

Reprisat

complaints

Filed:

Date

agency

Grievance

Filed

YV

llIDalr/r,rv

vt

vr

-----

-

-

I

whistleblower

Reprisal

complaints

Filed:

agency

Grievance

outcome

lVhistleblower Reprisal

complaints

Filed:

EEO

no

age

u

or

6

whfutteblower

Reprisal

complaints

Filedr

Date

EEO

Grievance

Filed

\ffhistleblower

Reprisal

complaints

Filed:

EEO

Grievance

outcome

whistleblower

Reprisal

complaints

Filed:

MSPB

no

whistleblower

Reprisal

complaints

Filed:

Date

MSPB

Grievance

Filed

Whistleblower

Reprisal

Complaints

Filed:

MSPB

Grievance

Outcome

please

use

this

page

to

describe

additionat

incidents

related

to

the

PPP

Category

you

have chosen'

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