Severe reports

The report indicated that [Resident 3] contacted the Administrator, [Staff 2], and [Staff 2] directed [Staff 3] to take [Resident 1] to the emergency room for a "rape kit." The incident report further indicates that [Resident 2] and [Resident 3] were the alleged perpetrators of the assault. A review of the discharge paperwork from the hospital confirmed that [Resident 1] was evaluated for sexual assault and had contusions. In an interview over the telephone, [Staff 2] originally reported being unaware that there were any allegations of sexual or physical assault. [...] I need to speak to you asap because apparently a staff member sat and watch this happened and laugh... we really need the cameras." In an interview, [Staff 3] reported that [Staff 5] was the overnight behavioral health technician (BHT) and that [Resident 1] reported that [Staff 5] watched the assaults occur and did not intervene.

In an additional interview over the telephone, [Staff 2] reported never stating being unaware that there were any allegations of sexual or physical assault. [Staff 2] reported being aware only of the physical assault and not the sexual assault.

From the state's report. Deficiency cited, complaint and compliance (annual). Cited: R9-10-711.B.1. Resident Rights B. An administrator shall ensure that: 1. A resident is treated with dignity, respect, and consideration;; R9-10-716.A.7.b. Behavioral Health Services A. An administrator shall ensure that: 7. A resident does not: b. Share any space, participate in any activity or .... "[...]" 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.

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).

During the inspection, investigative interviews with several clients disclosed a staff member making inappropriate sexual and homophobic remarks.

During the inspection, investigative interviews revealed that a client had eloped from the facility. Upon return, the provider failed to conduct a search of the client who had concealed a box opener on their person and ultimately self harmed with it, cutting their arm and neck.

During the inspection, investigative interviews revealed that a client had swallowed a battery. The provider did not seek immediate medical attention or send the client to the Emergency Room.

From the state's report. Out of compliance, complaint, investigation inspection. Cited: R380-80-6(1)(a)-(i) Client rights; R380-80-5(4) Provider shall protect clients from abuse, prevent abuse.

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.

In plain words: { summary: Medical and police records showed potential bodily fluid on a child in the program during an exam. The child reported that a staff member gave them a THC vape pen during a sexual assault. The state found that the facility failed to respond to the sexual assault and provide necessary care because four staff members did not report it until the child called for help. } Our summary of the state's report. The state's own wording follows.

A. Maltreatment: Regarding Sexual Abuse Information provided in [the alleged victim]’s medical record and in law enforcement information showed that during [the alleged victim]’s SANE exam, speckled fluorescence appeared under ultraviolet light that indicated potential bodily fluid. [...] Sexual abuse includes threatened sexual abuse.) Regarding Neglect The [the alleged victim] provided consistent information that [the staff person] provided [the alleged victim] with a THC vape pen during the time of the sexual assault. [...] Additionally, given that [the alleged victim] called and reported the sexual assault him/herself, after four staff persons with various levels of authority failed to report the incident, and that without [the alleged victim] reporting the incident him/herself the alleged sexual assault would have not been investigated there was a preponderance of the evidence that the facility failed to respond to a sexual assault and supply [the alleged victim] with necessary care and services.

From the state's report. Maltreatment Determined as to sexual abuse and neglect of an alleged victim by a staff person.. "[...]" 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 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.

According to the report, Resident #1 indicated that the staff members at the facility would not allow him/her to call Law Enforcement or Emergency Medical Services (EMS) for medical attention. It was further revealed that Resident #1 ran away from the facility for a short period of time. Lastly, it was reported that Resident #1 returned and waited on the facility front porch for law enforcement and EMS that brought him/her to hospital. [...] According to the report, Resident #2, Resident #3, and Resident #4 went to a truck stop where they were picked up by an adult male who brought them to a motel where six (6) men allegedly sexually assaulted them. It was further revealed that local law enforcement was called to the motel and two of the men were subsequently arrested.

From the state's report. Deficiency cited, severity D, licensure complaint survey. "[...]" marks text left out between sentences.

It was determined that a staff member had sexually inappropriate communication with a child in care.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

The operation failed to demonstrate prudent judgment by placing a child in care identified to have a sexual behavior problem with a roommate, resulting in a disclosure of sexual abuse by the collateral child.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

The complainant reported that Resident A had been forced to perform oral sex by Resident B. The licensing coordinator reviewed the Incident Reports (IR) for both residents and interviewed four staff members who were present in the building at the time of the incident.

From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.14(a) Program staff shall provide care and supervision at all times to ensure that residents are safe and that their needs are met according to their ....

Review on 11/26/25 and 1/16/26 of law enforcement call log from 9/1/25 through 1/13/26 revealed: [...] 9/20/25, 18:21 (6:21pm), MP-RUNWY (missing person-runaway) REPORT; [...] 12/11/25 13:27 (1:27pm), DV-ASLT (domestic violence-physical assault), SUSP-SCN; [...] 9/18/25, client #3 eloped, submitted on 9/22/25. 9/22/25 client #3 eloped, submitted on 10/2/25. [...] Purpose of Investigation: The purpose of this investigation is to review and assess allegations made by consumer, while in hospital for behaviors. [Client #2] alleged inappropriate staff conduct, including inappropriate touching, staff being under the influence of drugs, and staff fighting while on duty.

From the state's report. Deficiency cited, annual complaint and follow-up survey. Cited: V 367. "[...]" marks text left out between sentences.

Although findings were inconclusive regarding a staff's inappropriate contact with a child, there is evidence to support a staff member had a lack of prudent judgment as a child was able to access a staff person's nude photo and save to their personal phone.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

In plain words: { summary: State reviews showed past facility incidents. These included youth engaging in sexual acts on social media, self-harm, running away, physical fights, hospitalizations for suicide concerns and pregnancy, and crisis center calls. } Our summary of the state's report. The state's own wording follows.

Review on January 14, 2026 at 1:30 p.m. of a list of significant incidents reported by the facility in the previous 36 months to another state entity revealed the following reportable incidents: 1) On 3/30/23, a youth was caught performing sexual acts with men on social media. [...] 3) On 6/20/23, a youth was taken to the hospital for cutting his/her arms and legs. [...] 8) On 9/26/23, a youth ran away from work. [...] 10) On 10/11/23, a youth was taken to the hospital for treatment due to a physical altercation with another youth. [...] 13) On 12/4/23, a youth was taken to the hospital for suicidal thoughts and statements. [...] One youth was taken to the hospital to be checked out due to being pregnant. [...] 22) On 3/24/24, a local crisis center was called due to youth cutting his/herself and swallowing glass. [...] 28) On 6/25/24, a youth was 1013’d for suicide attempt. [...] 42) On 10/21/25, a youth was 1013’d for attempting suicide.

From the state's report. Deficiency cited, severity E, licensure complaint survey. "[...]" marks text left out between sentences.

"[Staff #1] called out my name and crawled under and went back to my stall and hit my head on the toilet paper thing." [...] "Three minutes later [client #2] came out, running out of the bathroom saying that [client #3] raped him in the bathroom. [Client #3] said the opposite that [client #2] tried to rape him." [...] "Staff full name: [staff #1]" Review on 11/20/25 of [Former client 5]'s medical records from local urgent care revealed:

From the state's report. Deficiency cited, annual complaint and follow-up survey. Cited: V 293] 27G .1701 Residential Tx. Child/Adol - Scope. "[...]" 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 staff member reportedly asked the child whether her boyfriend believed she was engaging in sexual activity.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

A staff member picked up a youth while on runaway status and transported them to their home. Staff did not notify the operation or law enforcement of the child’s whereabouts while engaging in an inappropriate relationship with the child.

From the state's report. Risk level: Medium High. Cited: 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.

In plain words: A former client reported having an inappropriate sexual relationship with a staff member that started at the facility and continued after the client left. The facility rules strictly forbid staff from having personal or sexual relationships with clients. Our summary of the state's report. The state's own wording follows.

"Staff members who engage in romantic or sexual relationships with clients are abusing their power and can be seen as taking advantage of their clients." [...] "Employees are prohibited from engaging in a personal relationship, including any type of sexual contact, with clients." [...] Mid Year Employee Evaluation completed by the DON and dated 8/12/25 included, "...does have 4 medication errors at the present time...completed medication review refresher in 3/2025...has been challenged to stay focused and focus on his responsibilities." [...] He informed Staff #1 to not contact him anymore on 9/12/25 because he felt like Staff #1 hadn't loved him and only wanted a sexual relationship; [...] Based on what [Former client 5] had informed him in September 2025 (exact date unknown) Staff #1 and [Former client 5] had an inappropriate relationship that began while the client was at the facility and continued after the client was discharged;

From the state's report. Deficiency cited, annual and complaint survey, Type A1 violation. Cited: V 512. "[...]" 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.

Additional Non-Compliance Found During Investigation: Child Endangerment: Staff member living in the same home with residents was charged with molestation of his adopted children.

From the state's report. Found during a substantiated complaint investigation. Cited: 340:110-3-153.1(k)(4) Child endangerment. An individual whose health or behavior would endanger residents' health, safety, or well-being is ....

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).

In plain words: A former client refused to be searched, threatened to run away, and left a message claiming abuse. He then walked out, threatened to kill the director and the director's family, and attacked another child in the program. The report also notes two suicide attempts outside the facility. Our summary of the state's report. The state's own wording follows.

Is attempting suicide outside (facility). [...] 7/21/25 4:00pm "...Once arrive to the house (facility) he ([Former client 5]) refused to get searched staff had to ask him repeatedly to get searched it's required staff directed him to go to his room he refused to and grabbed the house and demanded staff to call his social worker or he's running away staff called the social worker number [Former client 5] then left a message stating that he has been rapped and help him he is being molested and demanded help now...([Former client 5]) walked out the door while staff was talking to the other client and demanded staff to give him [Executive Director (ED)]'s address so he([Former client 5]) can go to his (ED) house and kill and take his (ED)whole family out...He ([Former client 5]) then ran to the other client (#2) room door and kicked it open and attacked the other client (#2). [...] 7/12/25, Attempted to hang himself in the backyard of the facility;

From the state's report. Deficiency cited, annual and complaint survey. Cited: V 367|. "[...]" 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.

Per Youth A’s interview, Youth A reported having sexual interactions with Staff 1 as well as additional concerns of Staff 1 having boundary concerns with Youth A and Youth D as Staff 1 reportedly reached out to Youth D after Youth D left the facility.

From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4112 Criminal history check, subject to requirements; staff qualifications.

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.

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.

In plain words: Records showed residents earned money for cleaning. A child reported hearing rumors about a staff member and another child having a sexual relationship. An incident report noted a child wrapped a fan cord around their neck while staff were busy, leading to a restraint. During that restraint, a child reported a staff member twisted their wrist and forced them to the ground. Our summary of the state's report. The state's own wording follows.

[Resident 5]'s and [Resident 10]'s pages documented that on May 25, 2025 and June 7, 2025, [Resident 5] and [Resident 10] earned $20 per day each for "cleaning apartment," and $10 each on June 3, 2025 for "cleaning feet." 7.In an interview, [Resident 3] stated [Resident 5] is [Staff 1]'s "number one worker," and that [Resident 3] has heard rumors from multiple people regarding [Resident 5] and [Staff 1] being in a sexual relationship. [...] 9.In an interview, [Resident 5] reported other residents have made comments to [Resident 5] about [Resident 5] and [Staff 1] being in a sexual relationship.

A review of [Resident 4]'s medical record revealed a document titled, "Incident Report Form," dated May 25, 2025, which stated, "..There was a situation going on that had staff a bit pre-occupied and peer...went to talk to [Resident 4] and found [Resident 4] with a standing fan cord wrapped around [Resident 4's] neck. [Peer] yelled for staff...[Resident 4's] peer...came out of the room carrying the standing fan...[Resident 2] was sitting on the bed and [Staff 7] moved into escort [Resident 4]...[Resident 4] was put into a PCS restraint to escort [Resident 4] down the hall..." 7. [...] During this restraint [Resident 2] reported staff twisted [Resident 2]'s wrist and put [Resident 2] down to the ground, stating "it hurt." [Resident 2] also stated staff will use their hands or knee to hold the residents down on the floor "like police grabbing you." 10.

From the state's report. Deficiency cited, complaint. Cited: R9-10-716.A.7.a. Behavioral Health Services A. An administrator shall ensure that: 7. A resident does not: a. Use or have access to any materials, furnishings ...; R9-10-711.B.2.i. Resident Rights B. An administrator shall ensure that: 2. A resident is not subjected to: i. Restraint;. "[...]" 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.

Incident Summary- "On May 27, 2025, Client [Client #1] disclosed to staff that she was sexually assaulted by a peer, Client [Former client 3], during a supervised group outing to the YMCA on May 23, 2025. [...] Was physically assaulted by [Former client 3] while in the hot tub at the local YMCA;

From the state's report. Deficiency cited, annual and complaint survey. Cited: V 293. "[...]" 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.

Additionally, assessments completed by SP2 showed that [the alleged victim] experienced and/or was “high risk” to sexual trafficking and/or commercial sexual exploitation to which the facility maintained certification in compliance with FFPSA that specialized its programming in serving youth with this history and/or vulnerability of being victim to. [...] Additionally, there were no attempts made by staff persons to contact the G prior to or after [the alleged victim] left the facility, with the G being unaware that there were any concerns with [the alleged victim]’s behavior, health, and/or safety until [the alleged victim] arrived at the G’s home in “the middle of the night.” It was later determined that after [the alleged victim] left the facility, [the alleged victim] was sexually assaulted by the C who was then criminally charged, convicted, and sentenced for sexually assaulting a minor ([the alleged victim]) during the evening of May 25, 2024.

From the state's report. Maltreatment determined as to neglect of an alleged victim by a staff person. "[...]" 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.

• Individual 1 reported to staff allegations of physical aggression by a peer to include sexual harassment and threats to harm.

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-260. B. (2d) - Providers shall require their employees to: 2. Protect individuals from any form of abuse, neglect, or exploitation by: 2d. ....

Provider substantiated for sexual abuse based on the following: Review of camera footage revealed the following: On May 3, 2025, at approximately 9:36am, Individual #1 and Employee #1 entered the cool down/sensory room. Employee #1 and Individual #1 engaged in inappropriate touching, to include Individual grabbing Employee #1's waist band, slapping/smacking Employee #1 on the bottom several times, and Employee #1 grabbing/caressing Individual #1's face. [...] Employee #1 then performed oral sex on Individual #1 three times.

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.. "[...]" marks text left out between sentences.

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.

A staff did not provide youth with a safe environment when he engaged in inappropriate sexual activity with children in their care. Staff confessed to law enforcement that he took the youth to Walmart, sexually abused them, and had naked photos of the girls on his phone.

From the state's report. Risk level: High. Cited: 748.685(c)(2) - Caregiver responsibility - provide a safe environment.

Upon review of CHRIS entry, A-20250021, the provider's investigation included the review of the provider's policy which revealed: · Employees #1, #2, and #3 did not adhere to the provider's protocol for active supervision, resulting in peer-to-peer aggression involving Individual #1 being sexually assaulted by another individual.

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation..

Sexual abuse includes threatened sexual abuse.)

From the state's report. Maltreatment determined as to neglect of the AV by the SP..

Surveillance Officer did report Youth A did disclose to her of having an inappropriate sexual relationship with Staff 1. [...] Youth C reported having sexual intercourse with Staff 1 while he was at the facility and that she would write him notes at the facility. [...] Surveillance Officer and Probation Officer 2 reported concerns of Youth C attempting to cross boundaries with any female and has made false allegations of sexual abuse. [...] Due to the report from Youth C, MDHHS Worker did have enough evidence to confirm the allegations of sexual abuse of Staff 1 to Youth C.

From the state's report. Repeat violation established, special investigation. Cited: 400.10107 Employment policies and procedures; establishment. "[...]" marks text left out between sentences.

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.

On December 29, 2024, Individual 1 reported to staff that a peer had touched Individual 1 with an unwanted sexual touch under a blanket on December 24, 2024. [...] Individual 1 and peer were separated following a utilization review committee meeting on January 7, 2025, nine days after Individual 1's initial allegation of unwanted sexual touching. The provider failed to take immediate steps to protect Individual 1 following an allegation of peer- on-peer unwanted sexual touching.

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. D. (3b) (1) - The provider's duties: 3. Providers shall assure the following relative to abuse, neglect, and exploitation: 3b. The director .... "[...]" marks text left out between sentences.

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.

Another staff member inappropriately touched child while sleeping on the couch in a common area.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.32.b Specific Rights.

After reporting that another peer engaged in non- consensual sexual relations with them, Individual #1's mother reported that internal bruising was found during a medical exam.

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation..

The organization Allegation: allegedly conducted their own investigation of the sexual abuse and stated the guth was tying about the allegation

From the state's report. Evidence supports non-compliance, DFS notice. Cited: Section 3 Abuse and/or Neglect Reporting; Section 4 Critical Incident and Incident Reporting.

Entity #2 informed Human Rights Advocate via letter dated October 31, 2024, that it was determined the disposition was Founded, Level One, for Sexual Abuse. Entity #2 reported to Human Rights Advocate that Employee #1 was charged with 7 felony counts of VA Code 18.2-370.1, Taking Indecent Liberties with Child by Person in Custodial or Supervisory Relationships.

From the state's report. Non-compliance, DBHDS investigation. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation..

In plain words: A staff member sexually abused a child in the program, sending graphic TikTok messages and arranging meetings in the group home bathroom, and also left other children unattended during the abuse, sometimes in the same bedroom while they slept. The state determined the abuse was substantiated. Our summary of the state's report. The state's own wording follows.

Provider substantiated for sexual abuse and psychological abuse based on the following: Provider found inappropriate TikTok messages between Employee #1 and Individual #1 on Individual #1's phone that were sexually graphic in nature and which discussed meeting up in the group home bathroom on more than one occasion, along with references to sexual interactions which included oral sex and sexual intercourse. [...] While Employee #1 engaged in sexually abusing Individual #1, Employee #1 failed to provide services necessary to the health, safety, and welfare of other minor individuals residing in the group home, leaving those individuals unattended during the sexual encounters with Individual #1, and, at times, engaging in the abuse in the same bedroom with other individuals while they were sleeping. ?

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation.. "[...]" marks text left out between sentences.

In plain words: A report alleged that a staff member sexually abused a client at the facility by kissing him and touching his genitals over his clothing. The state issued a civil penalty to the program based on this finding of sexual abuse. Our summary of the state's report. The state's own wording follows.

On April 16, 2024, the Department received a complaint alleging a Blissful Living Group Home, Inc. (BLGHI) staff ([Staff 1]) (Reference Confidential Names form LIC811 dated 11/4/24) sexually abused a client in care. [...] A client alleged that while at her home, [Staff 1] sexually abused him by kissing him on the lips and fondling his genitals over his clothing. [...] Under Health and Safety Code (HSC) section 1548(f)(1)(F)(2), a violation the Department determines results in sexual abuse as defined in Section 11165.1 of the Penal Code to a child receiving care through a Short Term Residential Therapeutic Program (STRTP) there shall be a civil penalty of $2,500. [...] A copy of this report, Confidential Names form LIC811 dated 11/4/24, Appeal Rights and form LIC 421D(CRP) for a Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse were given to the facility representative.

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.

Allegations involving inappropriate sexual comments made by a staff member were not reported timely to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(3)(A) - Serious Incident-Report to Licensing as soon as aware of allegations or indications of abuse, neglect, or exploitation of a child.

During an incident on 09/26/2024, a staff member engaged in an inappropriate sexual conversation with multiple clients.

From the state's report. Out of compliance, focus inspection. Cited: R380-80-6(1)(a)-(i) Client rights.

Staff (Staff #1) then tried to open the door and realized that there was something pushed a against the door. [...] "Arrestee Information: [Staff #1]. Type of arrest: Taken into custody. [...] Charge #1: Rape- 2nd degree. [...] Charge #3: Statutory rape of a child <15 or =15. [...] He (Former Client #6) then asked [Staff #1] if he wanted him to do oral sex on him. [Former Client #6] then performed oral sex on [Staff #1]. [Staff #1] ejaculated in client's mouth. [Staff #1] then cleaned himself with [Former Client #6]'s shirt. [Former Client #6] afterwards told [Staff #2] at the facility." [...] " then ran away from the home (facility) and Cc went to the police." Facility staff called the police when he ran away. He told police there was evidence. [...] Later that day, Former Client #6 informed Staff #2 about the sexual abuse. [...] Staff #1 was charged with Rape- 2nd degree, Indecent Liberties and Statutory rape of a child <15 or =15.

From the state's report. Deficiency cited, complaint survey, Type A1 violation; Deficiency cited, complaint survey. Cited: V 512) 27D .0304 Client Rights - Harm, Abuse, Neglect; V 132) G.S. 131E-256(G) HCPR-Notification,. "[...]" marks text left out between sentences.

Staff 1 sent sexually explicit photos and videos to Youth A from her personal phone to the hidden phone at the facility.

From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4112 Criminal history check, subject to requirements; staff qualifications.

In plain words: The state found that a staff member had inappropriate sexual relations with children in care. Staff also neglected supervision, which led to a child getting a staff member's firearm and being arrested. Additionally, staff left children alone at the facility and gave a child keys to access medications and other prohibited areas. Our summary of the state's report. The state's own wording follows.

During the inspection, it was determined a staff member had inappropriate sexual relations with children in care; staff was neglectful in supervision resulting in a child gaining access to, and being arrested for the possession of, staff's firearm; and staff being neglectful in supervision by leaving children in care alone and unsupervised at the facility while providing a child keys which access medications, supplies, and other prohibited areas.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation. The state recorded it as corrected at the inspection.

Resident [Resident 1] was brought to the therapist's office at approximately 1:30-1:40. [Resident 1] disclosed to the therapist that another peer was kissing [Resident 1] and asking [Resident 1] to engage in other sexual activity.

From the state's report. Deficiency cited, complaint. Cited: A. An administrator shall ensure that: 2. If a behavioral health residential facility is licensed to provide behavioral health services to individuals whose .... 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.