Severe reports

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.

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.

Law enforcement arrived to assist facility with ensuring safety of clients. Furthermore, interviews also confirmed that [Child 1] was pushed by [Staff 2] into the wall when [Child 1] was running towards [Staff 2] during the crisis.

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

The investigation revealed, reported allegations of Youth #1 being inappropriately touched by former staff member ([Staff 1]) was previously investigated by the San Luis Obispo Police Department in February 2020 and the matter was closed. In September of 2020, the same allegation of being inappropriately touched by [Staff 1] was investigated by CCL Investigator Mariana Lomeli and substantiated regarding [Staff 1] sexually abusing minors in care.

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.

Based on confidential interviews and record reviews, the allegation of sexual abuse had maintained consistent through multiple interviews. [...] The allegations were also investigated by the Alameda County Sheriff's Office. [...] Based on the confidential interviews and record review, the allegation that staff sexually abused a youth in care has met the preponderance of doubt and is therefore substantiated.

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

Page The Department received a complaint alleging a client was injured during an altercation with staff and staff restrained a minor. [...] In addition to the above information, the investigation revealed staff admitted to law enforcement that a client was restrained during the incident and informed a placing agency investigator the restraint took place on the floor. [...] Record review and confidential interviews corroborated a client sustained an injury to his cheek after being restrained in a prone position.

From the state's report. Substantiated. Cited: 87072(c)(11). "[...]" marks text left out between sentences.

[Staff 3] contacted non-emergency numbers and Oxnard Police Department. [...] At 6:30pm Oxnard Police Department arrived and detained minor [Child 1]. Oxnard Police Department notified [Staff 2], [Staff 3] that [Child 1] would be placed on a 72-hr hold/5150 at St. John's Regional Medical Center stating he was threatening the staff, children and destroying property. Based on witness, and video footage [Staff 2] conducted inappropriate restrain hold to [Child 1] to prevent from harming himself and others.

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 December 8, 2021, Community Care Licensing (CCL) received a complaint alleging neglect/lack of supervision as Youth #1 was reportedly sexually assaulted by another youth resident while in care (see LIC811, dated October 11, 2022). [...] On October 28, 2020, LAPD responded to Adolescent Growth, Inc. concerning an alleged sexual assault between [Youth 1] and Youth #2 reportedly occurring on October 27, 2020, for which [Youth 2] was subsequently arrested.

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: A staff member sexually abused a child in the facility on May 12, 2022. The state investigation concluded the allegation was substantiated and cited the facility for violating the child's personal rights. Our summary of the state's report. The state's own wording follows.

The allegation that staff sexually abused a minor while in care is related to an incident that took place at the facility on 5/12/2022 involving [Staff 1] and [Child 1] (see LIC811 dated 8/26/22). [...] Based on information obtained and interviews conducted by the Investigations Branch, the allegation that a staff sexually abused a minor while in care is SUBSTANTIATED meaning the "preponderance of the evidence" standard has been met. The facility is being cited for Personal Rights section 87072(c)(11) as the licensee shall ensure that each child is accorded the personal rights specified in Welfare and Institutions Code Section 16001.9, including the right to be free of physical, sexual, emotional, or other abuse as it pertains to [Staff 1] engaging in a sexual relationship with a client while in the facility.

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.

LPA Diaz asked for medical documentation and further information regarding to [Child 1]'s death. At this time LPA Diaz was informed that the incident continues to be under investigation with the Sheriff Department. [...] At the time of this report, the cause of death had not yet been determined.

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.

Investigator Barajas conducted the investigation in conjunction with El Dorado County Sheriff Department. Investigation with the Department showed that [Staff 1] (see LIC811 dated 7/15/22) and [Child 1] engaged in a sexual relationship, including oral sex and sexual intercourse, while [Child 1] was residing in the facility and continued after [Child 1] left the program. The sexual relationship began while [Child 1] was under the age of 18. Investigator Barajas and El Dorado County Sheriff also conducted additional interviews with two additional clients of the facility ([Child 2] and [Child 3]) who disclosed that they exchanged nude photos with [Staff 1] and that [Staff 1] made sexually explicit statements to them, including wanting to meet up with the youth and have sexual relations with the youth.

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

On August 31, 2021, CCLD received an allegation reporting that on August 29, 2021, Staff member #1 physically assaulted Client #1 causing injuries to [Child 1]'s neck area and possible rib fracture (See LIC811, dated March 29, 2022). [...] It was revealed on August 29, 2021, an incident occurred involving [Child 1] who reportedly displayed behavior outburst resulting in [Child 1] being restrained by Staff member #1 and law enforcement being called. [...] Based on information obtained, the preponderance of the evidence standard has been met, therefore the allegation of physical abuse 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.

On June 14, 2021, CCL received an allegation that Client #1 (see LIC811, dated 12/16/2021) was sexually assaulted by Client #2 while in care. [...] Local law enforcement was contacted by the facility.

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.

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.

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.

In plain words: State officials received a report that a lack of supervision allowed a child in the program to engage in sexual activities with an unknown adult male at the facility. A staff member stated she assumed the child just preferred staying alone in her room instead of socializing. Our summary of the state's report. The state's own wording follows.

On March 31, 2020, Community Care Licensing received claims alleging a lack of supervision contributed to Client #1 engaging in sexual activities with an unidentified male while in the facility. [...] [Staff 1] disclosed that she was under the assumption of knowing [Child 1] "having the habit of staying in the room and not socializing with the residents in the living room." [Staff 1] discovered the unidentified male was present at the facility when a neighbor witnessed the male jump the fence, after the (Continued on LIC9099-C) Los Angeles Sheriff Department (LAPD) arrived at the facility and began questioning staff and residents about the alleged incident.

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.