David D. Molgaard, Esq.
Darrell V. McGraw, Jr., Esq.
Charleston, West Virginia
Attorney General
Attorney for Defendant
Dennise Smith, Esq.
Assistant Attorney General
Charleston, West Virginia
Attorneys for Appellee
CHIEF JUSTICE MAYNARD delivered the Opinion of the Court.
JUSTICE SCOTT dissents and reserves the right to file a dissenting opinion.
1. When vendors who participate in the Special Supplemental Nutrition
Program for Women, Infants, and Children (WIC) are sanctioned by the West Virginia
Department of Health and Human Resources, the State agency is required by federal
regulation to consider the severity and nature of the observed violation. 7 C.F.R. §
246.12(k)(1) (1998).
2. The West Virginia Department of Health and Human Resources may
not sanction a vendor who participates in the Special Supplemental Nutrition Program for
Women, Infants, and Children (WIC) for an overcharge violation when the overcharge
occurs as a result of employee theft if the vendor was not cognizant of the employee's actions
and did not participate in or profit from the theft.
Maynard, Chief Justice:
Clay Foodland appeals the March 24, 1999 order entered by the Circuit Court
of Kanawha County, West Virginia, which upheld the Department of Health and Human
Resources' hearing examiner's decision to assess thirty sanction points against the vendor
for an overcharge violation. Clay Foodland was thereby disqualified from participating in
the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) for
two years. The vendor contends the violation arose from employee theft, and the store
should, therefore, not be sanctioned. We agree and reverse.
Clay Foodland is an authorized food vendor which participates in the WIC
program, a supplemental nutrition program for women, infants, and children. WIC is a
program of the United States Department of Agriculture which was authorized by the Child
Nutrition Act of 1966. 42 U.S.C. § 1786 (1966). The purpose of the Program is to provide
supplemental foods and nutrition education through payment of cash grants to State agencies
which administer the Program through local agencies at no cost to eligible persons. 7
C.F.R. § 246.1 (1998). In West Virginia, the local agency which administers the program
is the Department of Health and Human Resources (DHHR), and the food is distributed
through a retail purchase system. The vendors are retail grocery stores.
Participants in the program visit WIC clinics where medical personnel
determine individual nutritional needs. Based on those needs, participants receive food
vouchers or drafts which specify the kind and quantity of food which may be purchased and
the maximum amount which may be charged for each item. The vouchers are then tendered
by participants to authorized vendors to pay for food items. The vendors redeem the
vouchers by presenting them to a banking agent for processing.
Any grocery store in the state may apply to become a vendor. In order to
become authorized to accept the vouchers, a store must complete an application packet, pass
a preliminary on-site screening, complete training in WIC policies and procedures, and enter
into a contract with WIC through DHHR. Each contract is issued for a two-year period. The
federal regulations specify the terms of the contract. Among other requirements, the contract
specifies that the vendor must provide food at the current price or at less than the current
price charged to other customers and that the vendor is accountable for actions of
employees in the utilization of food instruments or provision of supplemental foods. 7
C.F.R. 246.12 (f)(2)(ii) and (ix) (1998).
Federal regulations also require the state agency to monitor vendors for
compliance and to establish policies which determine the type and level of sanctions that will
be applied against food vendors for compliance violations. 7 C.F.R. § 246.12(k) (1998)
states in pertinent part:
(k). Participant and vendor sanctions.
(1) The State agency shall establish policies which determine the
type and level of sanctions to be applied against food vendors, based
upon the severity and nature of the Program violations observed, and
such other factors as the State agency determines appropriate, such as
whether the violation represented repeated offenses over a period of
time, whether the offenses represented vendor policy or whether they
represented the actions of an individual employee who did not
understand Program rules, and whether prior warning and an
opportunity for correction was provided to the vendor. Vendor offenses
which are subject to sanctions shall include at least the following:
Providing cash, unauthorized foods or other items to participants in lieu
of authorized supplemental foods; charging the State or local agency
for foods not received by the participant; and charging the State or local
agency more for supplemental foods than other customers are charged
for the same food item.
The regulations further state that [t]he period of disqualification from Program participation
shall be a reasonable period of time, not to exceed three years. The maximum period of
disqualification shall be imposed only for serious or repeated Program abuse. 7 C.F.R. §
246.12(k)(1)(ii) (1998). A factor which must be taken into consideration before a vendor is
disqualified from the Program is whether the disqualification would create undue hardships
for participants. 7 C.F.R. § 246.12(k)(1)(v) (1998).
WIC's vendor handbook contains the sanction policy which is incorporated
into vendor contracts. The sanction policy sets forth the rules vendors must follow and the
sanction points that will be assessed for violations. As points accumulate, the following
sanctions are imposed:
5 points: warning letter
10 points: warning letter and mandatory training
20 points: warning letter and further mandatory training
30 points: disqualification from the program for two years or until the project
area is due for reauthorization, whichever is greater.
An overcharge violation occurs when a vendor charges a WIC participant more for
supplemental foods than the vendor charges other customers. This is considered to be one
of the most severe violations, and is, consequently, assessed a penalty of thirty sanction
points which results in automatic disqualification from the program for two years.
Each month, WIC's banking agent collects a random sampling of redeemed
food drafts which is forwarded to WIC for review. While reviewing a random sampling of
food drafts redeemed by Clay Foodland, WIC personnel noted that sixteen of the seventeen
vouchers had been altered upward. As this was unusual, WIC personnel suspected the store
was overcharging the program. In order to test its suspicions, WIC decided to conduct a
compliance buy.
On July 29, 1996, a WIC employee posed as a WIC participant and bought
food with a food voucher. No violations were observed at the time of purchase. The cashier
correctly wrote the sale amount on the food draft and, on the back of the draft, accurately
indicated the quantity and price of the items purchased. The actual sale totaled $19.33.
However, a compliance buy is not complete until the vendor redeems the food voucher and
the voucher makes its way through the banking system. When this particular food voucher
returned to WIC, the total sale price was inflated to $27.69. The information on the back of
the voucher had obviously and meticulously been altered to reflect the changed sale amount.
The following price changes were made: one-half gallon of milk purchased for $1.40 was
changed to $1.50, two gallons of milk purchased for $2.19 per gallon was changed to $2.49
per gallon, a can of juice purchased for $1.69 was changed to $1.89, and a twenty-eight
ounce box of cereal purchased for $3.29 was changed to three twelve-ounce boxes for $3.45
per box.
After receiving the altered food voucher, WIC sent Clay Foodland a notice
charging the store with Violation I, an overcharge, which carries an assessment of thirty
sanction points and results in disqualification for two years. Accordingly, the notice
informed Clay Foodland that the store was disqualified from the WIC program for two years.
Upon receiving a copy of the altered voucher, the store could readily see the
prices had been changed but did not immediately determine that a violation had occurred.
The agency handbook provides that an error in recording a price may be corrected by
drawing a line through the incorrect price and entering the correct price above it. Store
management retrieved and reviewed the cash register tape and drawer balances for the
cashier involved in the compliance buy. The store ultimately discovered the cashier had
masked a theft of $10.00 by increasing the value of the voucher by $8.36 and leaving the
difference to be reflected on the register tape as a shortage of $1.74 for the day. The
investigation additionally revealed the cashier was also manipulating other internal store
recording procedures unrelated to the WIC program to mask a larger pattern and practice of
theft from her drawer. When confronted, the employee did not contest management's
conclusion that she altered the voucher to conceal theft. The cashier's employment with the
store was ultimately terminated.
Clay Foodland contested the disqualification from the WIC program by
initiating the appeal procedure. The store's owner met with DHHR in a prehearing
conference and subsequently appeared at the administrative hearing. Among other findings,
the hearing examiner found that Clay Foodland had been a WIC vendor for approximately
twenty years, and that, in order to become authorized, the store had attended vendor
authorization training and signed a contract with the WIC program; the WIC Vendor
Handbook states that vendors are accountable for the actions of employees in the use of food
instruments; upon receiving a copy of the voucher from WIC, the store could not determine
upon its face that it had been improperly altered, however, a comparison of the journal tape
with the voucher revealed an inflated price; when confronted, the cashier offered no
explanation; and that upon further investigation, the store discovered the cashier was stealing
money and masking her theft by falsifying vouchers and creating fraudulent paid out
vouchers. Most importantly to the case at bar, the hearing examiner found that [w]hen WIC
assesses sanction points against vendors, it does not look at the circumstances surrounding
the violations on a case-by-case basis.
The hearing examiner then determined that [Clay Foodland] made no showing
that [the] disqualification was inconsistent with federal regulations, the vendor contract or
any agency policy. As a result, the store was deemed disqualified from September 1, 1997
until August 31, 1999. The disqualification was stayed pending appeal to circuit court. On
appeal, the circuit court adopted the hearing examiner's findings of fact and conclusions of
law and affirmed the disqualification. The circuit court's order was stayed pending appeal
to this Court.
On appeal, Clay Foodland alleges the circuit court erred in affirming the hearing examiner's decision. Clay Foodland argues that the record as a whole does not support a finding that the store is guilty of an overcharge violation; that DHHR's sanction policy as drafted and administered is inconsistent with federal regulations; that DHHR failed to consider whether the disqualification would create undue hardship for participants; and that the terms of the WIC contract are void or voidable as unconscionable, terms of an
adhesion contract, or against public policy. The question we must answer is whether DHHR
may properly sanction a vendor who participates in the WIC program for an overcharge
violation when the overcharge occurs by employee theft. In other words, we must determine
if it is fair to sanction the vendor when he or she did nothing wrong.
The federal regulations give DHHR authority to set the type and level of
sanctions to be applied against food vendors, based upon the severity and nature of the
Program violations observed[.] Other factors may be taken into consideration as DHHR
deems appropriate. The State agency may consider whether the violation represented
repeated offenses over a period of time, whether the offenses represented vendor policy or
whether they represented the actions of an individual employee who did not understand
Program rules, and whether prior warning and an opportunity for correction was provided
to the vendor. Certain offenses must be sanctioned, including [p]roviding cash,
unauthorized foods or other items to participants in lieu of authorized supplemental foods;
charging . . . for foods not received by the participant; and charging the . . . agency more for
supplemental foods than other customers are charged for the same food item. 7 C.F.R. §
246.12(k) (1998).
We are dealing here with an overcharge violation; however, the context of this particular overcharge was not envisioned by the federal regulations or the agency guidelines.
We are dealing with employee theft. The vendor, as well as the WIC program, is a victim
in this scenario. DHHR's hearing examiner found the overcharge was caused by employee
theft but nonetheless determined that [t]he actions of this employee were carried out within
her scope of employment even though those actions were not to the benefit of her
employer[.] Clay Foodland contends the cashier was not acting within her scope of
employment when she altered the food voucher to mask the fact that she was stealing from
the vendor's cash register. We agree.
The term scope of employment is discussed in 12B M.J. Master and Servant
§ 99 (1992) as follows:
Scope of employment is a relative term and requires a
consideration of surrounding circumstances, including the character of
the employment, the nature of the wrongful deed, the time and place of
its commission and the purpose of the act.
In general terms, it may be said that an act is within the course
of the employment, if: (1) It is something fairly and naturally incident
to the business and (2) it is done while the servant was engaged upon
the master's business and is done, although mistakenly or ill-advisedly,
with a view to further the master's interests, or from some impulse or
emotion which naturally grew out of or was incident to the attempt to
perform the master's business, and did not arise wholly from some
external, independent and personal motive on the part of the servant to
do the act upon his own account.
Employee theft is certainly not naturally incident to the owner's business and even though
the act was done while the cashier was engaged in the owner's business, the theft was not
done with a view to further the owner's interests. The theft arose from a personal motive on
the part of the cashier to further her own interests. Under these circumstances, the
employee's theft from the WIC program simply does not fit within her scope of employment.
DHHR chose not to consider the nature of the violation, choosing rather to
simply determine that an overcharge occurred. The federal regulations at 7 C.F.R. §
246.12(k)(1) (1998) require that DHHR sanction according to the severity and nature of
the observed violation. When asked if he considered the possibility of employee theft, Jesse
Moore, the vendor monitor for the West Virginia WIC program, testified before the hearing
officer by stating, It's not a concern that it's an employee theft. When asked if he
considered the nature and severity of the violation as it relates to employee theft, the vendor
monitor answered, It matters to me, sir, that the WIC Program got overcharged. DHHR
justifies this position by emphasizing that neither the vendor contract nor the sanction policy
distinguishes between an intentional and an unintentional overcharge. Nobody questions that
the overcharge in this case was intentional. The point is that the vendor was not cognizant
of, nor did the store reap any benefit from, the overcharge. The agency also chose not to
provide notice and an opportunity for correction even though, according to the regulations,
it could have done so. Upon proper consideration of the nature of this overcharge violation,
we do not believe the vendor should be held liable for the cashier's theft.
Clay Foodland argues that DHHR's policy, which considers only whether WIC
was overcharged, ignores the requirement that vendors be given an opportunity to correct
or justify an overcharge pursuant to 7 C.F.R. 246.12(r)(5)(iii) (1998). This regulation reads
as follows:
(5) The State agency shall establish procedures to ensure the
propriety of redeemed food instruments.
(iii) When payment for a food instrument is denied or
delayed, or a claim for reimbursement is assessed, the affected food
vendor shall have an opportunity to correct or justify the overcharge or
error. For example, if the actual price is missing, the vendor may
demonstrate what price should have been included. If the State agency
is satisfied with the correction or justification, then it shall provide
payment, or adjust the payment or claim to the vendor accordingly.
DHHR argues, and we agree, that the agency is required to give the vendor the opportunity
to correct or justify an overcharge or an error in only three situations, that is, when payment
is denied, when payment is delayed, and when a claim for reimbursement is assessed. In the
case at bar, Clay Foodland redeemed the food draft for payment and WIC paid the redeemed
food draft. Accordingly, this section does not apply.
We find no merit in Clay Foodland's argument that the store's disqualification will cause undue hardship for participants. During oral argument before this Court, it was determined that another grocery store is located within two miles of this vendor and other stores are located within a five-to-ten mile radius. In fact, the closest store is located one- fourth of a mile from this vendor.
We understand that within certain guidelines the type and level of sanctions to
be applied against food vendors is discretionary with DHHR. We also understand that
discretion requires fairness. Black's Law Dictionary 467 (6th ed. 1990) defines discretion
as follows:
When applied to public functionaries, discretion means a power
or right conferred upon them by law of acting officially in certain
circumstances, according to the dictates of their own judgment and
conscience, uncontrolled by the judgment or conscience of others. As
applied to public officers connotes action taken in light of reason as
applied to all facts and with view to rights of all parties to action while
having regard for what is right and equitable under all circumstances
and law.
The New York Supreme Court discussed discretion as it applies to public officers in
Calzaretta v. Mulrain, 131 N.Y.S.2d 76, 79 (1954). We quote with approval from that case:
There is an abuse of discretion by public officials where the
power or right to act in an official capacity is unreasonably exercised.
Discretion as applied to public officers means power or right to act in
an official capacity in a manner which appears to be just and proper
under the circumstances. (Citations omitted).
We do not believe it is just and proper to take away Clay Foodland's right to participate in
the WIC program for two years due to an overcharge violation which resulted from
employee theft from which the store profited nothing. We further note the store states it had
previously participated in the WIC program for twenty years without being cited for one
single infraction. In this case, the violation was not a repeated offense, the offense did not
represent vendor policy or actions by an employee who did not understand program rules,
neither was a prior warning and opportunity for correction provided. It is simply not fair to
sanction someone who has done nothing wrong. We, therefore, hold that DHHR may not
sanction a WIC vendor for an overcharge violation when the overcharge occurs as a result
of employee theft if the vendor was not cognizant of the employee's actions and did not
participate in or profit from the theft.
Accordingly, we reverse the judgment of the Circuit Court of Kanawha County
which upheld the agency's decision to disqualify Clay Foodland from the WIC program for
two years and remand for an order consistent with this opinion.
Reversed and remanded.