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.

OUR HEALING CENTER CA

Inspected January 28, 2025 Sexual abuse Self-harm

Corroborating statements found the facility has had issues with youth using drugs and alcohol while in care, including marijuana, vaping and on July 7, 2024, facility reported a medical emergency as youth was reported to have overdosed on fentanyl. [...] On an isolated incident, the youth was allegedly sexually assaulted by another resident while in care.

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

NEW BEGINNINGS RESIDENTIAL TREATMENT FAC.- RAJA CA

Inspected December 18, 2023 Death Physical abuse or assault Self-harm

As a result, [Child 1] was found unconscious from an overdose and later passed away. [...] As a result, [Child 1] suffered an overdose and loss of life while under the direct care of STRTP [Staff 4]. Pursuant to the Enhanced Civil Penalty law, the Health and Safety Code 1548 (e)(3) 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 issue an immediate civil penalty of $7,500.00. [...] A copy of this report, the Confidential Names List, and a Civil Penalty Assessment - Serious Bodily Injury/Physical Abuse (Form 421-D) were provided to the administrator.

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.

NEW BEGINNINGS RESIDENTIAL TREATMENT FAC.- RAJA CA

Inspected November 9, 2023 Self-harm Medical neglect

On May 22, 2023, Community Care Licensing (CCL) received two allegations alleging due to a lack of care and supervision minor (Child #1) overdosed while in care and Minor ([Child 1]) did not receive medical treatment in a timely manner. [...] Confidential interviews and medical records note overdose as cause of [Child 1] being found unconscious. [...] Based on confidential interviews and record review the allegations alleging due to a lack of care and supervision minor (Child #1) overdosed while in care and Minor ([Child 1]) did not receive medical treatment in a timely manner are substantiated.

From the state's report. Substantiated. Cited: 87078(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.

ENVIRONMENTAL ALTERNATIVES LOSH CA

Inspected May 24, 2023 Death Self-harm Hospitalisation

On 12/20/2022, the Administrator reported an attempted suicide at the facility by [Child 1]. [...] FM Dewalt called 911 as the Administrator Losh and Staff Scholes started CPR. [Child 1] was transported to Saint Joseph's hospital in Stockton then Life-flighted to Oakland Children's Hospital. [...] [Child 1] was pronounced deceased on 12/22/22 at 10:30 pm. [...] The cause of death was listed as suicide by hanging.

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.

INCLUSION SPECIALIZED PROGRAM-HIGHLAND CA

Inspected July 12, 2021 Physical abuse or assault Self-harm

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.

CASA PACIFICA STRTP CA

Inspected May 28, 2021 Self-harm Hospitalisation

On December 27, 2020, CCLD received a complaint referral alleging Neglect / Lack of Supervision as Child #1 reportedly had access to hazardous items and [Child 1] ingested hazardous items while in care (see Confidential Names form LIC811, dated 5/28/2021). Information obtained during the investigation including interviews and review of related medical records for [Child 1] indicates in part, numerous hospitalization's for [Child 1] due to ingesting foreign objects and being placed on involuntary psychiatric holds between August 2020 and February 2021. [Child 1] was hospitalized on 12/14/2020, for "foreign body ingestion" of glass. Records indicate [Child 1] ingested two fistfuls of glass shards. On 08/31/2020, [Child 1] was admitted to the hospital emergency room with complaint of swallowing glass and ingesting a metallic screw seen on x-ray. [...] On 10/04/2020, [Child 1] was admitted to the emergency room for ingesting window screws.

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.

How a report gets on this page

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.