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.

BLISSFUL LIVING GROUP HOME, INC. CA

Inspected September 9, 2024 Sexual abuse

Page The Department received a complaint alleging staff ([Staff 1]) hosted minors at her home, fondled a client's ([Child 1]) genitals and kissed [Child 1] mouth to mouth in her bedroom.

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.

YOUTH TREATMENT PROGRAM CA

Inspected September 4, 2024 Sexual abuse Police involvement

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.

OUR HOUSE RESIDENTIALS AZ

Inspected August 23, 2024 Sexual abuse

In an interview, [Staff 1] acknowledged residents were admitted to the behavioral health residential facility with previous sexual abuse as well as residents with previous sexual aggression.

From the state's report. Deficiency cited, complaint. Cited: A. An administrator shall ensure that: 7. A resident does not: b. Share any space, participate in any activity or treatment, or verbally or physically interact .... 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.

East Idaho Youth Homes LLC ID

For example: 1/2/24 Two youths eloped, stole a vehicle, hit a pole and rolled the vehicle multiple times. 1/28/24 A child eloped and stole clothing and jewelry from Wal-Mart. 1/4/24 A child eloped, stole alcohol, was observed by law enforcement to be intoxicated and trying to break into a house. 1/5/24 A child eloped. 1/6/24 Another child eloped, stole monster drinks and Tylenol from Wal Mart returned to the facility and stated she overdosed on the Tylenol. [...] 3/11/24 A child eloped. 3/11/24 A child eloped and upon return reported she was stabbed, tased and sexually assaulted by a man. 3/12/24 A child eloped. 3/19/24 Three children eloped. 3/20/24 Two children eloped. 3/22/24 Two children eloped together. 3/24/24 Three children eloped together. 3/9/24 A child eloped. 3/31/24 three children eloped, stole alcohol and tested intoxicated. 4/1/24 Four children eloped and stole alcohol. [...] 4/16/24 A child eloped.

From the state's report. Deficiency cited. Cited: 16.04.18.207 QUALITY OF SERVICES. An organization must carry out its licensed programs in an environment that is safe, accessible, and appropriate for the .... "[...]" marks text left out between sentences.

YOUTH DEVELOPMENT INSTITUTE AZ

Inspected July 9, 2024 Sexual abuse

1. A review of facility documentation revealed an Arizona Health Care Cost Containment System (AHCCCS) incident report dated July 9, 2024 for an incident of sexual abuse reported on July 5, 2024. The report indicated suspected sexual abuse of [Resident 1] by [Staff 5]. The report stated "On 7/6, the member reported to a staff member that on 7/5, a staff member has inappropriate sexual contact with [Resident 1]." 2.

From the state's report. Deficiency cited, complaint. Cited: B. An administrator shall ensure that: 1. A resident is treated with dignity, respect, and consideration;. 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.

Life-Way Homes NC

Inspected June 5, 2024 Sexual abuse

[Former client 4] stated the staff had been making "sexual advances toward him for the last 2 month."

From the state's report. Deficiency cited, annual, complaint, and follow-up survey. Cited: V 132. 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.

Greener Pastures RTC TX

Inspected May 23, 2024 Sexual abuse

Operation did not call in to report when they became aware of an allegation made by a child in care of being sexually assaulted by another child.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

Three Rivers Treatment Center VA

Inspected May 10, 2024 Sexual abuse

Individual #1 reported a sexual assault to Employee #1 involving Individual #2.

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..

Meadowlark Academy WY

Inspected April 4, 2024 Sexual abuse

The report states that | Reported the staff member has used sexually inappropriate comments that make outh feel uncomfortable. oases, [resem [rinding: [

From the state's report. Evidence supports non-compliance, DFS notice. Cited: Chapter 3, Section 23 Child and Family (Parent, Guardian) Rights.

OUR HOUSE CA

Inspected March 12, 2024 Sexual abuse Child missing or ran away

LPA was unable to interview client 2 due to aging out of foster care and whereabouts unknown. On March 13, 2023, the Department received a complaint that alleged a facility staff has engaged in inappropriate relationships with residents and facility staff has spoken inappropriately to residents. [...] Regarding the allegation that [Staff 2] has engaged in an inappropriate relationship with [Child 1], confidential interviews confirmed [Staff 2] brought [Child 1] to their residence for a home cooked meal but documented a mall trip in the client file. [...] Based on confidential interviews, the preponderance of evidence standard has been met, and the allegation that [Staff 2] has engaged in an inappropriate relationship with [Child 1] and [Staff 2] has spoken inappropriately to [Child 1] is supported and proven by evidence, therefore the allegations are substantiated at this time.

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.

MY PLACE CA

Inspected March 12, 2024 Sexual abuse

Specifically, it was reported on September 7, 2023, [Child 1], Child #2 and Child #3 were left alone upstairs in the facility at which time [Child 1] was sexually abused.

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.

OPEN LINE - THE OAKS CA

Inspected February 16, 2024 Sexual abuse Child missing or ran away

One staff absconded from the facility with a minor in care, across state lines. [...] Other behaviors were reported that corroborate an inappropriate relationship between the staff and client at the facility. continued on 9099-C page Based on IB findings, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegations, staff had inappropriate interactions with client in care and staff absconded with client across state lines are SUBSTANTIATED, Facility is cited per Health and Safety code 1558 (a)(2) Conduct Inimical.

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

Newport Academy-Lodge NC

In plain words: A former client said two staff members sexually assaulted her while they were trying to get her phone back. The report says there is no documentation of an investigation or of protective measures being put in place. Our summary of the state's report. The state's own wording follows.

No documentation of an investigation into the allegations made by Former Client (FC) #7 that Staff #3 and Staff #4 sexually assaulted her on No documentation to support systems were put MHL0601558 Be WING 01/03/2024 in place to protect clients during an investigation after sexual assault allegations were made against Staff #3 and Staff #4 on 10/20/2023. [...] Description: Client ([Former client 7]) stated that staff (Staff #3 and Staff #4) were sexually assaulting her when staff were trying to get the phone back from the client. [...] Type of incident: Client/Staff Sexual Assault Allegation. Synopsis of incident: On Friday 10/20/2023 Client ([Former client 7]) stole staff phone and ran into her bathroom... and was making statements that staff (Staff #3 and Staff #4) were sexually assaulting her while she was in the bathroom. [...] The allegation of sexual assault incident with [Former client 7] occurred on 10/20/2023.

From the state's report. Deficiency cited, annual and complaint survey. Cited: V 132 G.S. 131E-256(G) HCPR-Notification,. "[...]" 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 Barry Robinson Center VA

Inspected December 20, 2023 Sexual abuse

Upon review CHRIS entry A- 20230020; the provider's investigation includes review of cameras and eyewitness statements which revealed that Employee # 1 had inappropriate sexual conversations and exchange letters with sexual content with Individual #1.

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..

NEWPORT ACADEMY - HAPPY VALLEY CA

Inspected December 7, 2023 Sexual abuse Police involvement

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.

MARY GRAHAM CHILDREN'S SHELTER CA

Inspected November 21, 2023 Sexual abuse

During the investigation of staff had inappropriate relationship with youth, LPA toured the facility with LaKeisha Carter, Director on 8/29/23 and with Kim Robinson Assistant Director on 9/13/23. [...] LPA's Jean Stidman and Stephannie Verna conducted interviews with the reporting party, two staff, one resource parent and three clients on 8/29/23, 9/13/23, 9/14/23 and 11/9/23.Two out of two youth interviewed reported the staff had an inappropriate relationship with youth.

From the state's report. Substantiated. Cited: 84072(d)(10). "[...]" marks text left out between sentences.

BELOVED ONES SIX CA

Inspected November 16, 2023 Sexual abuse

The referral reported staff ([Staff 1]) allegedly raped a former client, who is now an adult (A1).

From the state's report. Substantiated. Cited: 87072(c)(15). 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.

Youth Health Associates dba Lakeview UT

In plain words: A report noted several serious incidents in the program, including a medical emergency from suspected drug use, aggressive physical restraints by staff that caused injuries, sexual misconduct, criminal activity, and a child leaving without permission. Our summary of the state's report. The state's own wording follows.

These incidents included a client medical emergency as a result of reportedly smoking methamphetamine, an unnecessary and aggressive physical restraint that resulted in serious client injury, a physical restraint in which a staff punched a client in the face multiple times that resulted in client injury, 5 incidents of client sexual misconduct, criminal activity, and an AWOL incident.

From the state's report. Out of compliance, complaint, focus inspection. Cited: R501-1-11(2)(a)-(f) Licensed Program Complaints and Critical Incidents.

HUMAN CARE SERVICE II AZ

Inspected October 31, 2023 Sexual abuse

[Staff 2] reported to have written incident reports on "two or three" occasions regarding [Resident 1]'s unwanted sexual misconduct behavior allegations by another resident towards [Resident 1].

From the state's report. Deficiency cited, complaint. Cited: B. An administrator shall ensure that: 1. A resident is treated with dignity, respect, and consideration;; 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.

NEWPORT ACADEMY (PALOMA) CA

Inspected October 25, 2023 Sexual abuse

According to SIA Birk's report, based on confidential interviews and documentation there were multiple consistent statements of multiple clients being sexually assaulted and/or inappropriately touched while at the facility.

From the state's report. Substantiated. Cited: 84072(d)(10).

TRINITY - YUCAIPA CA

Inspected October 20, 2023 Sexual abuse

On June 16, 2023, Community Care Licensing (CCL) received two allegations alleging Staff ([Staff 1]) sexually abused a minor ([Child 1]) in care and staff ([Staff 1]) bribed minor ([Child 1]). Specifically, it was reported when [Child 1] resided at the facility, [Staff 1] propositioned [Child 1] for sexual activities in exchange for items including drugs, candy, and things unavailable at the facility. Consistent confidential interviews and record review provided a preponderance of evidence of [Child 1] being sexually abused by [Staff 1] by [Staff 1] bribing [Child 1] to participate in sexual activities. Based on record review and confidential interviews the allegations alleging Staff ([Staff 1]) sexually abused a minor ([Child 1]) in care and staff ([Staff 1]) bribed minor are substantiated.

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.

Easterseals Gammon Academy at Zachary Road NH

The complainant’s statement that Resident A reported to emergency room staff that a peer sexually assaulted them.

From the state's report. Non-compliant, complaint visit. Cited: He-C 4001.20(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 ....

Integrated Treatment Services NC

Inspected October 12, 2023 Sexual abuse Physical abuse or assault Self-harm

In plain words: The state found that two staff members, a house manager, and the licensee neglected the needs of two former clients after one reported being sexually assaulted by the other. Staff did not get medical care for the victim and doubted the report. Our summary of the state's report. The state's own wording follows.

Finding #5: Evidence Staff #1, Staff #5, the HM, and the Licensee neglected [Former client 2] and [Former client 3]'s needs after an allegation of sexual abuse made by [Former client 2] against [Former client 3]. [...] "Allegation of sexual abuse reported 9/10 (9/10/23) ...Additional steps of safety plan were taken. [...] No medical care or evaluation completed after an allegation of sexual assault and vaginal penetration with a make-up brush. [...] On 9/9/23 between 9:30 pm and 1:00 am "She [Former client 3] raped me. ..." [...] Reported the sexual assault on 9/10/23 to Staff #1 and Staff #5, "They didn't really believe me." [...] Had [Former client 2] and [Former client 3] write a grievance and spoke to both of them about the alleged sexual assault. [...] Reported the sexual assault grievance made by [Former client 2] to the HM on 9/11/23. [...] On 9/10/23, Sunday, [Former client 2] said to her '[Former client 3] raped' her ... told her she had to talk to [the Licensee] ..."

From the state's report. Deficiency cited, 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.

Renewed Hope Treatment Center UT

Inspected September 25, 2023 Sexual abuse

During on and off-site inspections, multiple interviews disclosed that a staff member offered and provided vapes to clients, showed clients inappropriate photos on their cell phone, and had inappropriate conversations with clients about their sexual activities and illegal substances. A second staff member was alleged to have had inappropriate sexual conversations with clients, flirted with clients, and touched clients inappropriately.

From the state's report. Out of compliance, complaint, focus inspection. Cited: R495-876-4(2) Report abuse or neglect.

Pearl Youth Residence WA

In plain words: A child in the program reported that a staff member made sexual comments, flirted, and touched them inappropriately. Another staff member reported the allegations to child protective services and law enforcement. The state report notes that the staff member was later charged with two counts of child molestation. Our summary of the state's report. The state's own wording follows.

Review of a facility document titled, “Incident Report”, dated 08/23/23, showed that Staff B, Milieu Manager, contacted CPS to report sexual assault allegations made by Patient #1. [...] It showed that Staff Q captured detailed statements Patient #1 was making to law enforcement about the alleged sexual assault by Staff A. e. [...] 19. Review of an email exchange between Investigator #1, Staff D, Executive Director of Intensive Youth Services, and Individual #2, Detective, on 01/02/24, showed: “[Staff A] has been charged with two counts of Child Molestation in the 3rd Degree”. [...] On or around 08/19/23, Patient #1 disclosed during a “casual conversation” with a milieu staff that Staff A had inappropriately touched them. b. [...] On a second occasion, there was an inappropriate touching event with Staff A in the facility’s laundry room.

Law enforcement determines whether a crime was committed and therefore the facility may not limit or prohibit external reporting activities. [...] 12. During an interview with Staff D, on 09/21/23, they stated that no one from the facility had contacted law enforcement to report the sexual assault allegations made by Patient #1 on 08/18/23. They stated that after a conversation with Staff L, Chief Administrative Officer, they realized that they had the responsibility of reporting allegations of sexual assault to law enforcement.

The documents contained the following information: a. “[Staff A] has been making sexual comments like, “age is just a number” and [they] slap my ass. [They] also been looking down girls' shirts and has been making all of us uncomfortable.” b. “[Staff A] flirts with us kids. [They] tell them age is just a number, winks at them, touches them in places like their butts, gives them flowers, and overall is just really taken. [They] need to not work in a place where people have been sexually assaulted.

From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-337-075 Resident rights.; WAC 246-337-065 Safety and security.; WAC 246-337-048 Quality improvement program.; WAC 246-337-048 Quality improvement program.. "[...]" marks text left out between sentences.

Pearl Youth Residence WA

In plain words: A child in the program reported that a staff member made sexual comments and touched them inappropriately. Another child made a similar report and called law enforcement, and records showed staff failed to report the first allegation to the police. Our summary of the state's report. The state's own wording follows.

On or around 08/19/23, Patient #1 disclosed during a “casual conversation” with a milieu staff that Staff A had inappropriately touched them. b. [...] The documents contained the following information: a. “[Staff A] has been making sexual comments like, “age is just a number” and [they] slap my ass. [They] also been looking down girls' shirts and has been making all of us uncomfortable.” b. “[Staff A] flirts with us kids. [They] tell them age is just a number, winks at them, touches them in places like their butts, gives them flowers, and overall is just really taken. [They] need to not work in a place where people have been sexually assaulted. [...] On 09/05/23 law enforcement responded to a lewd conduct call [lewd conduct is a type of criminal charge] from Patient #2 after they reported they’d been inappropriately touched by Staff A. b.

12. During an interview with Staff D, on 09/21/23, they stated that no one from the facility had contacted law enforcement to report the sexual assault allegations made by Patient #1 on 08/18/23. They stated that after a conversation with Staff L, Chief Administrative Officer, they realized that they had the responsibility of reporting allegations of sexual assault to law enforcement. [...] 9. A Teams message exchange between Staff D, Executive Director, and Staff E, Counselor, dated 09/28/23, showed Staff D messaging Staff E, saying “The detectives are wanting the documentation around your conversation about the sexual misconduct.

5. During an interview on 09/21/23 at 09:15 AM, Staff D, Executive Director of Intensive Youth Services, stated that an allegation of staff sexual misconduct was made by Patient #1 on or around 8/18/23. [...] 7. Review of law enforcement records and internal facility records showed that Patients #1 and #2 repeatedly reported they were prevented from using the telephone to call 911 and the non-emergency law enforcement number to report sexual misconduct by a staff inside the facility 8.

Staff S wrote:” Did anyone tell [Patient #4] that a DCR [designated crisis responder] would be coming to assess [them] and that due to [their] recent self-harm and blade to [their] neck indicating suicide risk that [they] would be likely detained for 6.5 months? [...] PYR will determine which outside entity needs to be reported to (DOH, Law Enforcement, CPS) and will determine the next steps.

From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-341-0600 Individual rights.; WAC 246-341-0410 Agency administration—Administrator key responsibilities.; WAC 246-341-0420 Agency policies and procedures.; WAC 246-341-1133 Evaluation and treatment services—Service standards.. "[...]" marks text left out between sentences.

Hallmark Youthcare VA

Inspected September 20, 2023 Sexual abuse

Based on these interviews, information reported was consistent in reports of both consensual and non-consensual sexual acts committed by Individual #1, Individual #6, and Individual #7.

From the state's report. Non-compliance, DBHDS investigation. Cited: 12VAC35-46-800. A. (1) There shall be evidence of a structured program of care designed to: 1. Meet the residents' physical and emotional needs;; 12VAC35-46-800. A. (2) There shall be evidence of a structured program of care designed to: 2. Provide protection, guidance, and supervision;.

NEWPORT ACADEMY (PALOMA) CA

Inspected August 22, 2023 Sexual abuse

According to SIA Birk's report, based on confidential interviews and documentation there were multiple consistent statements of multiple clients being sexually assaulted and/or inappropriately touched while at the facility.

From the state's report. Substantiated.

Triple 7 Ranch GRO TX

Inspected August 18, 2023 Sexual abuse

Review of incident reports revealed an alleged sexual abuse incident was not called in to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

Gulf Coast Trades Center TX

Inspected July 12, 2023 Sexual abuse

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate sexual contact and relationship with a 17-year-old child in care.

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.

Daybreak Youth Services – Spokane Inpatient WA

Inspected May 25, 2023 Sexual abuse Police involvement

A. Respondent has obstructed external oversight and intervention by impeding Program investigations and failing to cooperate with DCYF/CPS and law enforcement in connection with complaints of employee misconduct, child abuse and neglect, and criminal acts at the facility. [...] M2022-552 (lead) M2022-553 (consolidated) C. Respondent has demonstrated a pattern of indifference to the mental and physical well-being of patients by failing to report sexual abuse and professional misconduct. Furthermore, individuals in supervisory capacities, in at least two instances, attempted to cause credentialed providers to downgrade serious conduct such as “grooming” and “sexual assault” to protect the agency from external scrutiny.

From the state's report. Findings of fact, summary action order. "[...]" marks text left out between sentences.

Daybreak Youth Services – Spokane Inpatient WA

Inspected May 25, 2023 Sexual abuse Police involvement

A. Respondent has obstructed external oversight and intervention by impeding Program investigations and failing to cooperate with DCYF/CPS and law enforcement in connection with complaints of employee misconduct, child abuse and neglect, and criminal acts at the facility. [...] M2022-552 (lead) M2022-553 (consolidated) C. Respondent has demonstrated a pattern of indifference to the mental and physical well-being of patients by failing to report sexual abuse and professional misconduct. Furthermore, individuals in supervisory capacities, in at least two instances, attempted to cause credentialed providers to downgrade serious conduct such as “grooming” and “sexual assault” to protect the agency from external scrutiny.

From the state's report. Findings of fact, summary action order. "[...]" marks text left out between sentences.

Daybreak Youth Services – Brush Prairie WA

Inspected May 24, 2023 Sexual abuse

For example, the Program has identified that three (3) former employees of DYS Brush Prairie have — allegedly engaged in professional boundary violations, including sexual misconduct, with three (3) minor patients.

From the state's report. Findings of fact, summary action order.

Daybreak Youth Services – Brush Prairie WA

Inspected May 24, 2023 Sexual abuse

For example, the Program has identified that three (3) former employees of DYS Brush Prairie have — allegedly engaged in professional boundary violations, including sexual misconduct, with three (3) minor patients.

From the state's report. Findings of fact, summary action order.

Just In Time Youth Services NC

Inspected May 16, 2023 Sexual abuse Physical abuse or assault

"On 4/22/23, at approximately 1933 (7:33 p.m.), [Officer] responded to [County Hospital] for a sexual assault case. [Officer] spoke with [Former client 1] who stated that he had been sexually and physically assaulted at the Just in Time Youth Services home. [...] A couple of days after the incident, [Staff #2] approached [Former client 1] again in his room. [Staff #2] began to take his hand and feel [Former client 1's] thigh. [Former client 1] stated that he was wearing pants that had a button on them, but that it did not actually button. [Staff #2] tried unbuttoning his pants, realized he did not need to, then slipped his hand down [Former client 1's] pants. [Staff #2] then began to fondle [Former client 1's] penis. -[Former client 1] could not give much detail about what exactly had occurred.

From the state's report. Deficiency cited, complaint survey. Cited: V 132. "[...]" 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.

CHILDREN'S RECEIVING HOME OF SACRAMENTO CA

Inspected March 29, 2023 Sexual abuse

The following report was discussed: This Department investigated an allegation that Staff inappropriately touched youth in care.

From the state's report. Substantiated. Cited: 87072(c)(11).

NEWPORT ACADEMY (PALOMA) CA

Inspected March 28, 2023 Sexual abuse

On 04/04/2022, the San Jose Children's Residential Program Regional Office received a complaint for Newport Academy Paloma with three allegations: (1) Staff do not provide a safe and healthful environment for residents in care; (2) Inappropriate touching by one residents toward residents; and (3) Inappropriate sexual language used by one resident toward residents.

From the state's report. Substantiated. Cited: 84072(d)(11), 80078(a).

ALL OF GOD'S CHILDREN'S GROUP HOME CA

Inspected March 24, 2023 Sexual abuse

On 06/02/22, Community Care Licensing (CCL) received a complaint alleging client #1 is sexually abusing other clients. [...] The allegation [Child 1] is sexually abusing other clients is substantiated at this time.

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.

SAN PASQUAL ACADEMY CA

Inspected March 21, 2023 Sexual abuse

Confidential interviews reported that [Staff 1] admitted using the word prostitution towards [Child 1] instead of the trauma inform approach Commercial Sexual Exploitation Children (CSEC) during a meeting with County Social Worker.

From the state's report. Substantiated. Cited: 84072(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.

HMIH CEDAR CREST, LLC TX

Inspected March 13, 2023 Sexual abuse

During the course of the investigation it was determined a staff member encouraged children in care to show staff their private parts and requested that the children engage in inappropriate sexual activity.

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.

New Horizons Ranch Residential Treatment Center TX

Inspected March 9, 2023 Sexual abuse

Upon reviewing letters and pictures from a caregiver it was determined that the caregiver has maintained an inappropriate relationship 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.

R.E.F.U.G.E. CA

Inspected March 1, 2023 Sexual abuse Physical abuse or assault

Based on confidential interviews by (IB), ([Staff 1]) (see LIC 811 confidential names dated 9-27-22) sexually assaulted ([Child 3]) on three separate occasions, that occurred in a location outside of the facility. Based on the information obtained, there is a preponderance of the evidence to prove that staff had a sexual relationship with a foster 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.

Gulf Coast Trades Center TX

Inspected January 24, 2023 Sexual abuse

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate communication and sexual contact with a 17-year-old child in care.

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.

Fort Behavioral Health TX

Inspected January 13, 2023 Sexual abuse

A caregiver engaged in an inappropriate relationship and did not maintain appropriate boundaries when engaging children 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.

REMI VISTA BEAR MOUNTAIN HOME CA

Inspected December 28, 2022 Sexual abuse

One staff ([Staff 2]) witnessed another staff ([Staff 1]) inappropriately touch a youth in care on two occasions between May and June 2022. [...] Additional interviews corroborated [Staff 1] exhibited inappropriate sexualized behavior toward staff at the facility and at facilities where [Staff 1] was previously employed.

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.

Connections TX

Inspected December 8, 2022 Sexual abuse Self-harm

During this investigation it was confirmed staff had an inappropriate relationship with a child in care. This same staff was aware of a child self-harming and did not report to hotline or other staff present to ensure the safety of the child.

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.

Sunny Glen Childrens Home TX

Inspected November 23, 2022 Sexual abuse

A staff member was having an inappropriate relationship with a youth 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.

BERHE GROUP HOME INC. CA

Inspected November 22, 2022 Sexual abuse

On May 17, 2022, Community Care Licensing (CCL) received an allegation lack of supervision resulted in foster child (Child #1) being sexually abused. [...] Confidential interviews provided consistent statements of sexual acts taking place in the resident's rooms at night when staff were busy performing other duties. [...] Based on confidential interviews and record review the allegation lack of supervision resulted in foster child (Child #1) being sexually abused is substantiated.

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.

OPEN LINE - THE OAKS CA

Inspected November 17, 2022 Sexual abuse Child missing or ran away

Three clients reported a staff member solicited nude photos from one client who was Absent Without Leave (AWOL) from the facility. [...] In addition to soliciting nude photos, the clients reported the staff member allowed the clients to use the staff member's cell phone to access social media, which went against facility policy. The staff member also visited a client while the client was AWOL, brought the client food, and took the client to the staff member's home.

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

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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.