Severe reports
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.
ENVIRONMENTAL ALTERNATIVES - BUTTE VALLEY CA
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).
CRITTENTON SERVICES FOR CHILDREN AND FAMILIES CA
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.
LIGHTHOUSE MENTORING CENTER 2 CA
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.
Based on LPA's observations, record review, and interviews, a resident in care sustained bruising on their arm following an improper restraint performed by staff.
From the state's report. Substantiated.
SAN DIEGO CENTER FOR CHILDREN CA
On April 4, 2023, Community Care Licensing (CCL) received the allegation that facility staff handled minor in a rough manner and facility staff inappropriately restrained minor causing injury. [...] Based on confidential interviews and document review, the allegations that facility staff handled [Child 1] in a rough manner and facility staff inappropriately restrained [Child 1] causing injury are SUBSTANTIATED because the preponderance of evidence has been met.
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 8/31/ 21, CCLD received an allegation reporting that on 08/29/21, [Staff 1] physically restrained [Child 1] causing injuries to [Child 1]'s neck area and possible rib fracture. Licensing Program Analyst (LPA), Regina Martin investigated the complaint allegation and based on information obtained, the preponderance of the evidence standard has been met, the allegation of physical abuse was 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.
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.
BELLA VISTA ZOOK HOUSE CA
Staff interviews reveal that staff handled client in a rough manner while performing a one-man restraint causing the client injuries.
From the state's report. Substantiated. Cited: 87072(d)(11).
PROGRESS RANCH: CHESTNUT HOME CA
On page 346 it states, "The restraints must not cause injury to the child." LPA Diaz was able to identify five nail marks on client's right forearm.
From the state's report. Substantiated.
A.B. JESSIE POLINSKY CHILDREN'S CENTER CA
On 08/31/2022, Community Care Licensing (CCL) received an allegation that [Child 1] was injured by staff due to excessive restraint. It was reported that [Staff 1] restrained [Child 1], when [Child 1] attempted to leave the facility and pushed and tussled with [Child 1], resulting in bruises on [Child 1]'s legs. [...] Based on confidential interviews and a review of the gym video footage, the allegation that [Child 1] was injured by staff due to excessive restraint is substantiated.
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.
A report obtained by law enforcement reflects that BOD and the minor sustained bodily injuries due to an unauthorized restraint initiated by BOD.
From the state's report. Substantiated.
ST. VINCENT'S SCHOOL FOR BOYS CA
LPA confirmed through interviews with staff and clients and record reviews that the client's injury was caused by the manual restraint. Based on the information obtained, there is a preponderance of the evidence to prove that staff violated the client's personal rights by causing injury due to a manual restraint.
From the state's report. Substantiated.