Severe reports

On May 13, 2026, Community Care Licensing (CCL) received allegations that staff pushed minor on bed and that staff put minor in a "choke" hold. [...] LPA reviewed video #2 and observed [Child 1] walking in the hallway with [Staff 1] behind them and LPA observed [Staff 1] shove [Child 1] as they were walking back to their bedroom. Based on confidential interviews, records reviewed and videos observed, the preponderance of evidence standards has been met and the allegations that staff pushed minor on bed and that staff put minor in a "choke" hold are substantiated.

From the state's report. Substantiated. Cited: 87072(c)(16). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

A review of the video revealed that facility staff observed the assault and gave minimal crisis communication and verbal de-escalation instructions.

From the state's report. Substantiated (one of several allegations).

This Department has investigated the complaint allegations that staff has an inappropriate relationship with youth in care, staff did not prevent youth from consuming alcoholic beverages, and staff did not prevent youths from self-harm.

No witnesses reported observing conduct they believed constituted grooming for the purpose of sexual abuse however, confidential interviews showed possible psychological grooming in the context of establishing emotional connections with youth in care leading youth to not follow other staff directions as required by the program rules and policies.

From the state's report. Substantiated (one of several allegations); Substantiated. Cited: 87072(c)(15).

Based on consistent confidential interviews and pertinent documentation, the allegation that staff ([Staff 1]) inappropriately restrained minor ([Child 1]) is substantiated.

From the state's report. Substantiated (one of several allegations). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On December 3, 2025, the Department received a complaint alleging the licensee physically abused minor in care. [...] **Continued on page 2** *****This is an amended report of the report issued June 4, 2026***** **Continued from page 1** During the investigation, confidential interviews and record review provided consistent and detailed descriptions of the physical abuse. [...] Based on confidential interviews and record review, the preponderance of evidence standard has been met and the allegation that LC physically abused [Child 1] in care is substantiated.

From the state's report. Substantiated. Cited: 83072(d)(11). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Enhanced Civil Penalty package for a violation that is determined to have resulted in the death of a client was approved on 05/18/2026. Pursuant to the Enhanced Civil Penalty law, Health & Safety Code section 1548 (e)(3)(A) for the death of a client receiving care at a transitional housing placement provider the Department issues an immediate civil penalty of $7,500.00. [...] A copy of this report and a Civil Penalty Assessment - Death/Serious Bodily Injury/Physical Abuse (Form 421-D) was provided to the Administrator.

From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences.

In plain words: { summary: The state received a report that a child was sexually assaulted by another child outside a cottage during an overnight shift due to a lack of supervision. The state found the allegation substantiated. } Our summary of the state's report. The state's own wording follows.

On January 26, 2026, Community Care Licensing (CCL) received an allegation that due to lack of supervision, minors engaged in inappropriate sexual activity while in care. It was reported that while [Child 1] and [Child 2] were residents at Fred Finch Youth Center San Diego, during an overnight shift, [Child 2] convinced [Child 1] to go out of a resident cottage and [Child 1] was taken behind a building, where [Child 2] pushed [Child 1] onto the ground, held [Child 1]'s arms down, and sexually assaulted [Child 1], although [Child 1] allegedly said no. [...] Based on consistent confidential interviews, the allegation that due to lack of supervision, minors engaged in inappropriate sexual activity while in care is SUBSTANTIATED because the preponderance of the evidence standard has been met.

From the state's report. Substantiated. Cited: 80078(a). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

The purpose of the inspection was to deliver complaint findings for the above allegations of staff handled youth in a rough manner.

From the state's report. Substantiated.

The allegation of sexual abuse to minor specifically refers to [Staff 1] having an inappropriate relationship with [Child 1]. Confidential interviews, video surveillance, and record review provided consistence evidence of [Staff 1] having an inappropriate relationship with [Child 1] which included massages, inappropriate touching and oral sex. [...] Based on confidential interviews, video surveillance, and record review, the preponderance of evidence standard has been met, and the allegations of sexual abuse to [Child 1] by [Staff 1] and [Staff 1] provided [Child 1] with a vape pen are substantiated.

From the state's report. Substantiated. Cited: 87072(C)(16). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Based on witnesses interviewed and documents reviewed, it was determined that a staff member bit a client, resulting in injury.

From the state's report. Substantiated.

The following was discussed: In November 6, 2024, the Facility had a serious incident that occurred, which subsequently resulted in the death of a youth in care. [...] It was not until approximately four hours after the incident that staff were aware of the youth's condition which ultimately resulted in death.

From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences.

On October 13, 2025, an allegation was made that staff member [Staff 2] struck client [Child 1] on the chest following a brief confrontation. [...] The allegation that [Staff 2] hit a minor in care is substantiated.

From the state's report. Substantiated. Cited: 87072(c)(16). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Specifically, it was reported that [Staff 2] shoved a paper in [Child 1]'s face and smacked the tablet from [Child 1] and swung at [Child 1].

From the state's report. Substantiated. Cited: 87072(c)(1). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Interviews conducted confirm a staff member yanked client by their hair and forcefully grabbed minor into a restraint to which the client felt like they could not breathe.

From the state's report. Substantiated (one of several allegations). Cited: 87072(c)(16).

It was reported that [Child 1] was pushed by [Staff 3] at the facility.

From the state's report. Substantiated. Cited: 84072(d)(1). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

This report is regarding the death of a 14-year-old male client ([Child 1]), which reportedly occurred on October 28, 2025 at the facility. [...] Upon arrival, the Paramedics took over care of [Child 1] and transported [Child 1] via ambulance to the hospital, while FM proceeded to the hospital as well. [...] Hospital medical staff, along with a hospital social worker, informed facility staff and the [Child 1]'s mother that resuscitation efforts were unsuccessful, and [Child 1] was pronounced deceased. [...] The facility administrator acknowledged that the client's death was not reported to Community Care Licensing as required. [...] During the Case Management incident inspection, the Department obtained information regarding the death of a client while in care at the facility.

From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

The purpose of this inspection was to deliver findings for a serious incident which had resulted in a client's death in November 2024. [...] It was not until approximately four hours after the incident that staff were aware of the youth's condition which ultimately had resulted in a client's death.

From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences.

On May 2, 2025, Community Care Licensing (CCL) received the allegations that staff ([Staff 1]) handled a minor ([Child 1]) in a rough manner and that staff ([Staff 1]) bit a minor ([Child 1]) while in care. [...] It was further reported that [Child 1] was admitted to a psychiatric hospital following the incident due to being considered a danger to others. ...CONTINUED A review of video and photo evidence revealed that [Staff 1] bit [Child 1] during a physical altercation at night outside, while [Child 1] was holding [Staff 1] down. [...] Based on confidential interviews and records reviewed, the allegations that staff handled a minor in a rough manner and staff bit minor in care are substantiated because the preponderance of evidence has been met.

From the state's report. Substantiated. Cited: 87072(c)(1), 87072(c)(16). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Staff physically assaulted client in care, Program does not allow clients to attend school of origin, Staff do not ensure that medication is readily available to clients, Facility is not addressing safety concerns of clients, Facility does not provide appropriate personal hygiene items. [...] Facility is being cited for violation of Interim Licensing Standards, Section, 87072(c)(1), 87072(d)(27), 87072(c)(16), and California Code of Regulations, Title 22, Division Six, Section 80075(b) Health related services, as described on the following LIC 9099-D. Civil pentalties are being assessed for Staff physically assaulting client in care and also for Staff not ensuring that medication is readily available to clients.

From the state's report. Substantiated. Cited: 87072(c)(1), 87072(d)(27), 87072(c)(16), 80075(b). "[...]" marks text left out between sentences.

Specifically, it was reported that on 05/06/ [Child 1] was in kitchen with [Staff 1] and they engaged in a verbal altercation led into [Child 1] hitting [Staff 1] on the head and [Staff 1] responded by pushing [Child 1]. [...] Interviews further revealed that [Staff 1] responded to being hit by jumping up from their chair and pushing [Child 1] into the fridge hard enough to make the fridge shake.

From the state's report. Substantiated. Cited: 87072(C)(16). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Specifically, it was reported that an incident occurred on facility ground on or about 2/2/2025, resulting in [Child 1] being taken to the hospital. [...] ***Continue LIC-812C*** Record review further revealed the facility had requested and been approved to have a one-to-one staff assigned to [Child 2], due to previous assaultive behaviors.

From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On August 15, 2025, the Department received a complaint alleging that staff handled youth(s) in a rough manner.

From the state's report. Substantiated. Cited: 87072(c)(16).

This agency has investigated the complaint alleging staff did not provide adequate supervision resulting in minor engaging in sexual behavior with an adult.

From the state's report. Substantiated. Cited: 80078(a).

The purpose of the visit was to conduct case management follow-up on reports received by Community Care Licensing (CCL) reporting the death of Client 1 [LIC Confidential Names List was provided to licensee]. On September 8, 2025, it was reported to CCL that on September 2, 2025, [Child 1] left the facility without permission and was subsequently struck by a SPRINTER train. It was further reported that the facility received a call from the San Diego County Medical Examiner's Office on September 3, 2025, at which time facility staff was notified of [Child 1]'s death.The facility notified the client's family and placing agency.

From the state's report. Deficiency cited at inspection. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On January 23, 2025, Community Care Licensing (CCL) received allegation staff improperly restrained a minor in care. [...] Based on confidential interviews and records reviewed, the allegation that staff improperly restrained a minor in care is SUBSTANTIATED because the preponderance of the evidence standard has been met.

From the state's report. Substantiated. "[...]" marks text left out between sentences.

Confidential statements and an internal investigation determine that staff did not follow program protocol to prevent inappropriate behaviors between minors and resulting in a minor being sexually assaulted.

From the state's report. Substantiated.

Confidential witness informed LPA that on April 19, 2025, while on an outing with [Child 1], [Staff 1] made sexually inappropriate comments.

From the state's report. Substantiated. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Based on confidential interviews and documents reviewed, the preponderance of evidence standard has been met and the allegations that staff restrained minor, resulting in minor sustaining bruises, Staff hit minor, and Staff do not provide a safe environment for minor is substantiated.

From the state's report. Substantiated (one of several allegations).

The confidential witness continued stating that staff observed bruising on [Child 1]'s neck an hour after the restraint. [...] Another confidential interview disclosed that after the restraint [Child 1] had marks on the neck.

From the state's report. Substantiated. Cited: 84072(d)(19). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

In regard to the allegation that staff ([Staff 1]) did not prevent minors ([Child 1], [Child 2]) from engaging in inappropriate CONTINUED ON THE NEXT PAGE behaviors; it was reported that while [Child 1] was in care at the facility, [Child 1] was sexually assaulted (no details provided) by [Child 2] on more than one occasion.

From the state's report. Substantiated. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On 11/06/2024, Community Care Licensing received allegations that staff hit minor in care and staff pepper sprayed minors in care. [...] In regard to the allegations that staff ([Staff 4]) hit minor ([Child 1]) in care and staff ([Staff 4]) pepper sprayed minors ([Child 2], [Child 3]) in care; it was reported that [Child 2] and [Child 3] sprayed [Staff 4] with "silly string." It was further reported that CONTINIUED ON THE NEXT PAGE [Staff 4] became upset by this and retaliated by pepper spraying [Child 2] and [Child 3]. Furthermore, it was reported that [Staff 4] also physically struck [Child 1], [Child 2] and [Child 3] during this incident. [...] The video clearly shows [Staff 4] throwing closed fist punches on the minors' head and body areas.

From the state's report. Substantiated. Cited: 87072(c)(11). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On 07/16/2025 at 01: PM, Licensing Program Analyst (LPA) Connie Goldie, made an unannounced, subsequent visit for the purpose of closing out a Case Management, regarding an incident that was reported to the Department on 06/20/2025, involving the death of a client. [...] Additionally, LPA Goldie received a copy of [Child 2]'s statements made to law enforcement and the client's, [Child 1]'s complete file.

From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Based on the information that LPA was able to obtain, [Staff 1] did have an inappropriate relationship with [Child 1] by mainitaining contact with him while he was on unauthorized absence from the facility and posing as his mother to try to enroll him in school.

From the state's report. Substantiated. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

As a result of the investigation conducted including camera footage review and interviews conducted, the allegation that staff handled minor in a rough manner is SUBSTANTIATED meaning the "preponderance of the evidence" standard has been met.

From the state's report. Substantiated (one of several allegations).

Regarding the allegation that lack of supervision of minors in care led to inappropriate sexual contact, confidential interviews confirmed that due to [Child 1]'s needs they were determined to have a 1:1 staff assigned to them while living at the facility. [...] In addition, records reviewed, and interviews conducted also confirmed that facility did not follow 1:1 supervision protocol and left [Child 1] and [Child 2] unsupervised which resulted in [Child 1] being the victim of inappropriate sexual contact by [Child 2]. Based on confidential interviews, the preponderance of evidence standard has been met and the allegations that facility did not meet the medical needs of minor in care and that lack of supervision of minors in care led to inappropriate sexual contact are substantiated.

From the state's report. Substantiated (one of several allegations). Cited: 87075(c), 80078(a). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

It was alleged that [Staff 1] hit [Child 1] back and attempted to restrain [Child 1] during this interaction. Immediately following the interaction, [Staff 1] called law enforcement and reported they had been assaulted in the facility.

From the state's report. Substantiated. Cited: 87072(c)(1). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Furthermore, the evidence shows [Staff 4] physically assaulting [Child 1] by wrestling and throwing [Child 1] to the ground resulted in [Child 1]'s broken arm. [...] Moreover, based on the evidence, [Staff 4] was arrested for PC 243(D)- Battery with serious bodily injury and PC 273a(a)- child abuse with possible great bodily injury.

From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

The complaint allegation indicates that staff inappropriately restrained a minor in care.

From the state's report. Substantiated.

Confidential interview indicated [Child 1] did not want to be placed on in a hold, flopped their body weight to the ground, and staff dragged [Child 1] back inside the facility by their feet.

From the state's report. Substantiated. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On March 17, 2025, the Department received a complaint alleging that a staff at the STRTP facility physical assaulted a child in care. During the interview with Staff ([Staff 1]) on 3/26/2025, in which [Staff 1] admitted to LPA that he shoved [Child 3] to the ground after a verbal / physical tussle between [Staff 1] and [Child 3], as well as video footage dated: 3/13/2025 at 7 p.m. start time, obtained and observed by LPA on 4/08/2025, which shows a physical altercation between [Staff 1] and [Child 3] taken place in the front seat of the facility's vehicle (Van - 88).

From the state's report. Substantiated. Cited: 87072(c)(16). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Specifically, it was reported that [Staff 1] was observed grabbing [Child 1] aggressively by the arm while in the shower, shoving the toothbrush into [Child 1] mouth, and brushing [Child 1] teeth in an overly forceful manner. [...] Confidential interviews and documents reviewed confirmed [Staff 1] handled [Child 1] in a rough manner by forcefully brushing [Child 1] teeth and shoving the toothbrush into [Child 1] mouth.

From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

In plain words: The state investigated an allegation that a staff member punched a child in the program. Based on interviews and video footage, the state found the allegation substantiated. Our summary of the state's report. The state's own wording follows.

On 02/26/2025, Community Care Licensing received an allegation that facility staff punched a minor in care. [...] In regard to the allegation that facility staff ([Staff 1]) punched a minor in care ([Child 1]); it was reported that [Staff 1], [Staff 3] and [Staff 4] arrived at the facility because assistance was requested. [...] Confidential interviews indicated that prior to being separated, [Staff 1] punched [Child 1] with a closed fist on at least one occasion and made contact with [Child 1]'s head and/or body area. Confidential interviews disclosed that after a review of the facility's video surveillance footage of this incident, it was observed that [Staff 1] punched [Child 1]. Based on the confidential interviews, a review of pertinent documentation and a review of video footage, the preponderance of evidence standard has been met, and the allegation that facility staff punched a minor in care is substantiated.

From the state's report. Substantiated. Cited: 87072(c)(1). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

The complaint alleged staff restrained a minor resulting in injuries and staff handled minor in a rough manner. Based on confidential interviews and records review, it was found that on February 3, [Staff 1] and [Child 1] (see LIC811 dated 4/16/25) were involved in a physical struggle which led to the client being restraint inappropriately on their bed and staff handling the minor in a rough manner, which resulted in [Child 1] obtaining bruising by their neck. (LIC9099-C dated 4/16/25) The preponderance of evidence standard has been met, and therefore the above allegations staff restrained a minor resulting in injuries and staff handled minor in a rough manner are found to be SUBSTANTIATED.

From the state's report. Substantiated (one of several allegations). Cited: 87022(f), 87072(c)(16). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On 10/28/2024, Community Care Licensing (CCL) received a complaint that staff mishandled a minor's personal belonging and staff threw a minor against the wall. [...] In regard to the allegation that staff threw a minor against the wall, it was specifically reported that [Staff 1] picked up [Child 1] from underneath [Child 1]'s arm and threw [Child 1] against the wall. [...] Another confidential interview disclosed that [Staff 1] grabbed [Child 1] and threw [Child 1] against the wall then pushed [Child 1]'s head against the wall but there was no one around. [...] Based on interview and record review, the preponderance of evidence standard has been met and the Department has determined that staff mishandled a minor's personal belonging and staff threw a minor against the wall.

From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Based on confidential interviews, the allegation that facility staff handle minor in a rough manner is SUBSTANTIATED because the preponderance of the evidence standard has been met.

From the state's report. Substantiated (one of several allegations).

During the investigation, LPA conducted confidential interviews, which revealed that staff inappropriately restrained a minor, staff threatened a minor, and staff used inappropriate language towards a minor.

From the state's report. Substantiated. Cited: 84072(d)(1).

On October 30, 2024, the Department received a complaint report alleging that staff [Staff 2] physically assaulted client [Child 1].

From the state's report. Substantiated. Cited: 87072(c)(16). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

On September 14, 2024, Community Care Licensing (CCL) received an allegation that a minor ([Child 1]) was inappropriately touched by staff ([Staff 1]) while in care. [...] Further, additional information indicated that [Staff 1] was detained for inappropriate sexual contact with [Child 1]. Based on confidential interviews and documentation, the allegation that a minor ([Child 1]) was inappropriately touched by staff ([Staff 1]) while in care is substantiated.

From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

The Department investigated the allegation, "Staff physically abused a resident in care." Nine of nine staff denied any physical abuse towards youth in care. A reliable witness stated they "saw a female staff kick a youth and scream at him in the middle of the street" which was corroborated by another witness.

From the state's report. Substantiated (one of several allegations). Cited: 84072(d).

[Staff 3] pushed [Child 1] multiple times as [Child 1] attempted to leave the room and engaged in a verbal altercation with [Child 1].

From the state's report. Substantiated. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.