The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.
Specifically, it was reported that [Staff 1] threatened to hit [Child 1] and also called [Child 1] "bitch".
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 interviews and record review, there is a preponderance of evidence to prove that [Staff 1] hit [Child 3] with the door to staff office and that staff instigates incidents involving minors, therefore the allegations are substantiated.
From the state's report. Substantiated (one of several allegations). Cited: 87072(d)(10). 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 June 30, 2021, Community Care Licensing (CCL) received an allegation alleging staff member (Staff #1) physically assaulted resident (Child #1). [...] Based on record review and confidential interviews the allegation staff member (Staff #1) physically assaulted resident (Child #1) is substantiated.
From the state's report. Substantiated. Cited: 87072(d). "[...]" 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.
As [Staff 1] stood by the door, other clients pushed [Staff 1] aside and began to physically assault [Child 1]. [...] [Staff 2] admitted not giving any verbal redirection to clients to de-escalate the incident because [Staff 2] "was in shock." The incident resulted a law enforcement response to the facility. [Child 2] was observed by law enforcement with seven punctures to the right hand, seven punctures to the right wrist, a scratch to the right forearm and a scratch to the right collarbone area. [...] Law enforcement recovered a hair pick on facility property which was identified as the weapon used to stab [Child 2]. [...] [Child 1] was detained at the conclusion of law enforcement's response.
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.
[Child 1] approached a Staff member, "bumped chests and began yelling and swearing." Staff admitted to pushing [Child 1] away from him when [Child 1] approached. [...] Based on observation, record review, and interviews, the allegation Staff pushed client in care is SUBSTANTIATED. [...] The Staff member who pushed the client received disciplinary action and will complete additional training.
From the state's report. Substantiated. Cited: 87072(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.
In plain words: A staff member sexually abused a client multiple times during one‑on‑one walks on facility grounds, and the state gave the facility a report and civil‑penalty forms. Our summary of the state's report. The state's own wording follows.
LPA Yamamoto met with the facility representative named above and discussed the following: On 3/4/21, the Department received a complaint that staff sexually abused client in care and engaged in conduct inimical to clients in care. Confidential statements obtained during the investigation revealed that the sexual abuse occurred multiple times on facility grounds when client and staff went for one on one walks. [...] Per Health and Safety Code section 1548(2), "physical abuse" includes sexual abuse as defined by Penal Code section 11165.1 which includes Section 288a oral copulation. [...] A copy of this signed report, Confidential Names Form (LIC 811), Appeal Rights and Form LIC 421-D (CRP) Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse were provided to the facility representative.
From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences.
Based on record review and interviews [Staff 1] did pushed [Child 1]. The preponderance of evidence standard has been met, therefore the allegation [Staff 1] pushed [Child 1] is found to be Substantiated.
From the state's report. Substantiated (one of several allegations). Cited: 87072(d)(11). 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.
LPA Yamamoto met with the facility representative named above and discussed the following: On 1/25/21, the Department received an incident report that on 1/23/21, a client in placement was found unresponsive at the facility after staff exited a bathroom. Staff called 911 and first responders arrived. Client was taken by paramedics to the hospital where client later died. On the same day, the Department received a complaint alleging neglect/lack of supervision resulting in a client's death. [...] A copy of this signed report, Confidential Names Form (LIC 811), Form LIC 421-D (CRP) Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse and Appeal Rights were provided to the facility representative.
From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences.
It was alleged that staff handled youth in a rough manner. Based on confidential interviews, staff handled [Child 1] in a rough manner by grabbing [Child 1] which resulted in both staff and client falling onto the floor. Based on records reviewed, this was an improper restraint.
From the state's report. Substantiated. Cited: 87072(d)(11). 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 suspension was due to reviewing video footage of the incident and Administrators determining [Child 1] was pushed by [Staff 1].
From the state's report. Substantiated. Cited: 87072(d)(11). 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 a complaint that a staff member failed to properly supervise a fifteen-year-old resident before the child died. The state determined the violation resulted in the resident's death and issued an immediate seven thousand dollar fine to the program. Our summary of the state's report. The state's own wording follows.
On July 23, 2021, the Department concluded a complaint investigation alleging that staff #1 (See the Confidential Names List, LIC 811, dated September 3, 2021) neglected to provide the supervision necessary to meet the needs of fifteen-year-old client #1, prior to [Child 1]'s death. [...] Pursuant to the Enhanced Civil Penalty law, the Health and Safety (H&S) code section 1548 (e)(3)(A) states a violation the Department determines "...resulted in the death of a person receiving care through a Short Term Residential Therapeutic Program," the Department will be issuing an immediate civil penalty of $7,000.00." An exit interview was completed and appeal rights discussed. Copies of this report, the Confidential Names List, Appeal Rights and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the executive director.
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.
Police found the illegally concealed firearm (belonging to [Staff 2]) during a search of the vehicle. Multiple charges were filed against [Staff 1] by police, including assault with a deadly weapon, criminal threats, and cruelty to a child.
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 May 5, 2021, the Department received a complaint alleging that staff pinched minor causing bruising. It was alleged that [Staff 1] pinched [Child 1] causing bruising to the arm. [...] Then, [Staff 1] went over to [Child 1] and pinched [Child 1] on the back of the arm. [...] Based on interviews, the preponderance of evidence standard has been met regarding the allegation that [Staff 1] pinched [Child 1] causing bruising and that [Staff 1] made inappropriate comments to [Child 1].
From the state's report. Substantiated. Cited: 87072(d)(11), 87072(d)(10). "[...]" 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: A staff member denied dragging or touching a child in the program. However, another child stated on a recorded phone call that the staff member dragged and kicked the child. Our summary of the state's report. The state's own wording follows.
RP stated that [Child 1] does at times inflict self-injury but usually does so by biting and the injuries that RP observed did not appear to be self-inflicted. [...] [Staff 1] denied ever dragging or going "hands on" with [Child 1]. [...] Administrator sent IB investigator an audio recording of the phone call between [Staff 4], [Child 2], Administrator where [Child 2] confirms that [Staff 1] dragged [Child 1] up to the steps" and kicked [Child 1].
From the state's report. Substantiated. Cited: 84072(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.
In plain words: State officials found allegations substantiated that a staff member physically abused children, gave medicine early, and disrupted sleep. Videos also showed the staff member hitting and kicking children while two other staff members watched without stopping it. Our summary of the state's report. The state's own wording follows.
On March 17, 2021, Community Care Licensing (CCL) received an allegation of Staff (Staff #1 are assaulting clients (Child #1 and Child #2 in care. [...] Confidential interviews report a second video of the incident was obtained and confirmed the assault including [Staff 1] hitting [Child 1] and [Child 2] several times before throwing them to the floor. Record review revealed additional observations of both videos noted [Staff 1] was seen to have been kicking both [Child 1] and [Child 2] as they were lying on the ground. [...] Record review revealed observations of the two videos obtained of the incident show [Staff 2] and [Staff 3] were present during the assault and did not interject or try to stop the fight.
On December 11, 2020, Community Care Licensing (CCL) received an allegation of facility staff (Staff #1 A copy of the report was discussed and provided along with appeal rights to Childhelp Merv Griffin Quality Assurance Coordinator, Marlo Felix. physically abused child (Child #1 in care. [...] Based on confidential interviews, observation, and record review of facility documentation, the allegations facility staff (Staff #1 physically abused child (Child #1 in care, Staff (Staff #1 administered medication before the designated time, and Staff (Staff #1 interfered with client's (Child #1, Child #2, Child #3, Child #4, Child #5, Child # 6 ([Child 6]), Child #7 Child #8, Child #9, Child #10, ([Child 10]), Child #11, and Child #12) nightly sleeping arrangements are substantiated.
From the state's report. Substantiated. Cited: 87072(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.
On February 3, 2021, Community Care Licensing (CCL) received a complaint alleging facility staff inappropriately restrain minors and demonstrate inappropriate forms of discipline towards clients in care. [...] Regarding the allegation of Staff #1 inappropriately restraining minors, confidential interviews revealed [Staff 1] restrains children by twisting their hand(s) and pulling the children's hand(s) behind their lower back. [...] Based on interviews and records review, there is a preponderance of the evidence to prove Staff #1 inappropriately restrained minors (Child #2, Child #3, Child #4, Child #5) and facility staff demonstrate an inappropriate form of discipline by placing children in a group meeting for extended periods of time until children confess to the feces on the restroom walls.
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.
A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.