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.
The preponderance of evidence standard has been met, therefore the above allegations, staff engaged in sexual interactions with client in care and staff made several inappropriate comments to client in care are found to be SUBSTANTIATED.
From the state's report. Substantiated.
The operation failed to report sexual abuse against a child in care by another resident.
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.
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.
A 32-year-old volunteer for the operation engaged in inappropriate sexualized contact with two 10-year-old males in care.
During the course of the investigation, it was determined that an operational volunteer did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with two children in care.
From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.
During investigation, confidential interviews, police reports, and physical evidence were obtained, it was determined that a staff sexually abused client in care. Therefore, the preponderance of evidence standard has been met, therefore the above allegation, Staff sexually abused client in care is found to be SUBSTANTIATED.
From the state's report. Substantiated. Cited: 84072(d)(11).
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.
Specifically, it was reported [Staff 1] made inappropriate sexual comments to [Child 1] on at least two occasions.
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.
A caregiver knowingly failed to report sexual abuse to the Child Abuse Hotline which allowed sexualized contact to continue be exhibited toward children by two caregiver(s) at the operation.
During the course of the investigation, it was determined that two operational caregiver(s) did not use proper judgement and did not demonstrate self-control in the presence of the children by engaging in inappropriate sexualized contact and behavior with six children in care.
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; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.
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.
A caregiver was informed by 16-year-old and 14-year-old child in care that they were sexually assaulted and the caregiver observed blood on the children(s) clothing. The caregiver then failed to immediately seek medical attention or contact law enforcement as related to the incident.
She had the children shower after a sexual assault before returning them to the operation.
From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.
On 02/24/2022, the Department received an allegation that a minor was sexually abused while in care. It was reported that staff #1 walked client #1 to the shower and raped [Child 1]. [...] Confidential interviews stated [Staff 1] had sexual intercourse with [Child 1] and charges will be filed against [Staff 1]. Based on confidential interviews, the allegation that [Child 1] was sexually abused 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.
Records revealed that [Staff 2] was terminated for allowing [Child 1] to use [Staff 2]'s work phone on more than one occasion resulting in [Child 1] engaging in an inappropriate relationship with an adult male.
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.
1. During an interview on 04/12/22 at 1:00 PM, Staff A, Licensing and Compliance Manager, stated that the alleged sexual assault incident was only reported to the Department of Children, Youth and Family (DCYF) and was not reported to DOH.
3. Review of the “Root Cause Analysis”, dated 03/07/22, showed that Patient #3 had gone into the room of Patient #1, #2 and #4 on the night of the alleged sexual assault incident.
Based on staff interview, the agency failed to report to the Department of Health an incident of sexual abuse for 1 or 4 patients reviewed (Patient #3).
From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-341-0420 (13)(a), Agency policies and procedures.; WAC 246-337-075 (2)(a)(g) Resident rights.; WAC 246-337-065 (5)(a) Safety and Security..
3. Review of the “Root Cause Analysis”, dated 03/07/22, showed that Patient #3 had gone into the room of Patient #1, #2 and #4 on the night of the alleged sexual assault incident.
Based on staff interview, the agency failed to report to the Department of Health an incident of sexual abuse for 1 or 4 patients reviewed (Patient #3). [...] 1. During an interview on 04/12/22 at 1:00 PM, Staff A, Licensing and Compliance Manager, stated that the alleged sexual assault incident was only reported to the Department of Children, Youth and Family (DCYF) and was not reported to DOH.
From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-337-075 (2)(a)(g) Resident rights.; WAC 246-337-065 (5)(a) Safety and Security.. "[...]" marks text left out between sentences.
In plain words: A child in the program reported having sex with another child in the game room and closet while a staff member sat nearby with their back turned. The report also states that a staff member threw a water bottle and bumped into a child with her body. Our summary of the state's report. The state's own wording follows.
"it would be different staff." Interview on 3/28/22 with client #6 revealed: -had a hickey from her boyfriend; -client #5 was her boyfriend; -had sex with client #5 in the game room; -client #4 was with them; -staff was at the table in front of the entrance to the game room; -staff had their back to them; -had sex twice in the game room closet with client -second time staff were in the same place when she and client #5 had sex; -don't remember what staff was working; -in the closet for five minutes both times. [...] Clients #1, #2, #3, #4, #5 and #6 displayed behaviors which included sexualized behaviors, substance abuse, aggression, self-harm, suicidal ideation, impulsivity, poor boundaries and criminal activity. [...] Staff #3 threw a water bottle and bumped into client #2 with her body.
From the state's report. Deficiency cited, annual and complaint survey, Type A1 violation. Cited: V 293. "[...]" marks text left out between sentences.
[Staff 1]'s inappropriate behavior escalated and at some point [Staff 1] began engaging in sexual acts having sexual intercourse with [Child 1] while at the program. [...] The Department has determined substantiated finding for sexual abuse by [Staff 1] on [Child 1].
From the state's report. Substantiated (one of several allegations). "[...]" 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 wrote and sent a letter to a child in care, encouraging future sexual contact with him.
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.
In plain words: The state investigated and found it true that a resource parent had an inappropriate relationship with a youth in care, putting the safety and health of clients at risk. Our summary of the state's report. The state's own wording follows.
As a result of the interviews conducted, documentation reviewed and investigation conducted, the allegation that resource parent had an inappropriate relationship with client in care and resource parent engaged in conduct that is inimical to the health, morals, welfare, or safety of clients in the facility are SUBSTANTIATED at this time meaning that the allegation is valid because the preponderance of the evidence standard has been met.
From the state's report. Substantiated (one of several allegations). Cited: 84072(d).
The sexual activity was discovered by another facility client who reported it to the staff. [...] Confidential statements obtained from one of the facility clients indicated that the sexual abuse occurred, and he screamed for help during the incident but the staff was not in the immediate vicinity according to the client.
The investigation revealed that two facility clients became involved in sexual activities on two occasions during the month of June 2021 while unsupervised behind facility buildings.
(CONTINUED) It was alleged that a facility client was sexually abused by another client at the facility due to neglect and lack of supervision. [...] The incidents became known when the client who was sexually abused informed another client who then reported to staff.
From the state's report. Substantiated. "[...]" marks text left out between sentences.
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.
Evidence and information gathered support that a staff member inappropriately touched, provided substances to and inadequately supervised children 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.
In plain words: The state investigated an allegation that a staff member had an inappropriate relationship with a child in the program. The state substantiated the claim, finding it valid based on the evidence. Our summary of the state's report. The state's own wording follows.
As a result of the interviews conducted, documentation reviewed and investigation conducted, the allegation that staff had an inappropriate relationship with client in care and staff engaged in conduct that is inimical to the health, morals, welfare, or safety of clients in the facility are SUBSTANTIATED at this time meaning that the allegation is valid because the preponderance of the evidence standard has been met.
From the state's report. Substantiated (one of several allegations). Cited: 84072(d).
The letter from DSS notes a Level 1 finding for the allegation of sexual abuse due to the following: Individual 1 remained fairly consistent with the disclosure made to Employee 3 and the Albemarle County Police Department detective regarding the sexual activity between Individual 1 and Employee 1. [...] Employee 4 reported rumors regarding Employee 1's sexual relationship with people at STARS previous to Individual 1's disclosure. [...] There is a preponderance of evidence to show Employee 1 sexually abused Individual 1. [...] Individual 1 had previously told Employee 2 about Individual 1's sexual relationship with Employee 1. [...] Employee 3 reported Individual 1 had told Employee 3 that Individual 1 had previously told Employee 2 about the sexual relationship with Employee 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.. "[...]" marks text left out between sentences.
In plain words: A staff member sexually abused a client multiple times during one‑on‑one walks on facility grounds, and the state gave the facility a report and civil‑penalty forms. Our summary of the state's report. The state's own wording follows.
LPA Yamamoto met with the facility representative named above and discussed the following: On 3/4/21, the Department received a complaint that staff sexually abused client in care and engaged in conduct inimical to clients in care. Confidential statements obtained during the investigation revealed that the sexual abuse occurred multiple times on facility grounds when client and staff went for one on one walks. [...] Per Health and Safety Code section 1548(2), "physical abuse" includes sexual abuse as defined by Penal Code section 11165.1 which includes Section 288a oral copulation. [...] A copy of this signed report, Confidential Names Form (LIC 811), Appeal Rights and Form LIC 421-D (CRP) Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse were provided to the facility representative.
From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences.
On multiple occasions at the operation, a staff member sexually abused a child resident who was left in this staff member's 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. The state recorded it as corrected at the inspection.
The allegation that staff sexually abused a foster child is related to a disclosure made on 6/30/21, by [Child 1] (see LIC811 dated DATE) that [Child 1] had engaged in sexual intercourse with [Staff 1] in the staff room at the facility. [...] As a result of the investigation and interviews conducted, the allegations that staff sexually abused a foster child and that staff gave a foster child non-prescribed medication for illicit use are SUBSTANTIATED at this time meaning that the allegation is valid because the preponderance of the evidence standard has been met. [...] The facility has a responsibility to accord personal rights to all children in care including the right to be free of physical, sexual, emotional, or other abuse... investigation showed that [Staff 1] sexually abuse [Child 1] in the facility.
From the state's report. Substantiated. Cited: 87072(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.
However Supervisor 2 did fail to provide for the safety of Youth A when he was informed on 10/2/21 that Youth A reported being raped and failed to follow up, notify upper management or contact law enforcement.
From the state's report. Repeat violation established, special investigation. Cited: R 400.4112 Criminal history check, subject to requirements; staff.
3/30/21 Inappropriate Sexual Behavior: [Former client 1] reported to staff that she had been forced to have oral sex with someone while at school.
From the state's report. Deficiency cited, complaint survey. Cited: V 367. 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 10/5/21 at 12: PM, Licensing Program Analyst (LPA) Robin Sullivan went to the facility and met with Devin Johnson, Supervisor, to deliver findings for the allegations that staff inappropriately touched minor, staff made sexual advances towards minor, and facility did not notify licensing of an incident. [...] Based on the interviews conducted and incident reports reviewed the allegations that staff inappropriately touched minor, staff made sexual advances towards minor, and the facility did not notify licensing of an incident are SUBSTANTIATED.
From the state's report. Substantiated. "[...]" marks text left out between sentences.
On May 17, 2021, Community Care Licensing received a complaint alleging Staff Member #1 provided alcohol to minors and [Staff 1] exposed minor to CSEC (Commercial Sexually Exploited Children) activity.
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.
Staff allowed client to reside with staff and engaged in continued sexual abuse of client, when client went AWOL.
From the state's report. Substantiated (one of several allegations). Cited: 87072(d)(11).
The complaint allegation, lack of supervision resulting in minor being sexually abused by an adult while in care, is valid because the preponderance of the evidence standard has been met.
From the state's report. Substantiated. Cited: 87072(d)(11).
On June 4, Community Care Licensing (CCL) received an allegation alleging Staff member (Staff #1) sexually abused group home child (Child #1). [...] Based on record review and confidential interviews the allegation Staff member (Staff #1) sexually abused group home child (Child #1) 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 caregiver did not demonstrate self-control by having inappropriate sexual conversations, exchanging nude photos, and propositioning to engage in sexual activities 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 allegation is that the minor was sexually assaulted by another minor while in care.
From the state's report. Substantiated.
Based on the information obtained, there is preponderance of the evidence to prove that client [Child 1] (See LIC 811, dated 08/05/21 for Confidential Names) was sexually assaulted by ([Child 2]) due to lack of supervision on 3/15/21.
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.
A child in care was sexually abused by a staff member.
The operation did not report to Licensing concerns of an inappropriate relationship between a child in care and a staff member for possible sexual abuse.
From the state's report. Risk level: High; Risk level: Medium High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 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.
A direct care staff had sexually inappropriate web searches on her phone (accessible to the kids) and used adult/inappropriate language while driving three girls in the operation's van.
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.
While unsupervised the child in care engaged in inappropriate sexual contact with an adult 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.
A staff member had inappropriate relationships with 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.
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.
On December 14, 2020, Community Care Licensing received claims alleging a lack of supervision resulting in inappropriate sexual contact between clients as it was reported that Client #2 was a victim of sexual assault by Client #1 while in the facility. [...] Information revealed [Child 2] was the victim of sexual assault from [Child 1]. [Child 2] was reportedly scared of [Child 1] and [Child 1] forced [Child 2] to engage in sexual acts.
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.
A caregiver engaged in a discussion with children in care about the caregivers personal sexual activities and preferences.
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.
Administrator was aware of on-going inappropriate relationship between a staff member at the operation and a child in care.
A caregiver who was on a safety plan due to an inappropriate relationship with a child in care allowed the child to stay at their home while still employed at the operation.
From the state's report. Risk level: Medium High. Cited: 748.535(2)(H) - Child-care administrator responsibilities-Ensuring persons whose behavior or health status presents danger to children are not allowed at operation; 748.507(1) - Employee general responsibilities-Demonstrate competency, prudent judgment, self-control in presence of children and when performing assigned tasks.
Staff were aware of allegations made by child in care regarding alleged inappropriate touching from a staff member.
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.
Discharge Summary completed by Licensee #1/Director/Qualified Professional #1 dated 8/6/20 revealed stealing peers' clothing, struggling with telling the truth, physical assault by pushing a peer off the couch, and a sexual assault allegation;
No incident reports regarding an allegation of abuse involving Staff #8 choking Former Client Interview on 8/10/20 with Licensee #1/Director/Qualified Professional #1 revealed: The local Department of Social Services (DSS) was in process of investigating an allegation of abuse involving Staff #8 choking Former Client
Former clients were allowed to play in each other's rooms until" ...[Former Client #4] started raping [Former Client #2] ...;"
From the state's report. Deficiency cited, complaint survey; Deficiency cited, complaint survey, Type A1 violation; Deficiency cited, complaint s. Cited: V 366; V 132; V 293.
In plain words: A child in the program reported that another child grabbed her left breast while she was in a facility van and later grabbed her crotch at a YMCA pool. Our summary of the state's report. The state's own wording follows.
Critical Incidents/ as appropriate state body overseemg that Health/ Department of Social and Health (MCO)/ and regional Administrative events when appropriate after consultation (CCO/ CAO/ Risk Manager/ or supervismg below: COMPREHENSIVE HEALTHCARE POLICIES AND PROCEDURES will report and follow-up with the appropriate email/ withm one busmess day any Critical below) or as otherwise specified m the will report to the Department of Health Healthcare s premises/ of any individual of receiving notice of the individuaFs https://fortress.wa.gov/doh/opu'do/s?s=OTPDeathReportmg Director or VP/ or designee of Residential of Health and other appropriate agencies incidents that involve serious or undesirable inpatient hospital stay; and through internal or external emergency or BHA Critical Incident Reporting webpage: https://forti'ess.wa.gov/doh/opmio/s?s=ComplamtFormHPF Director or VP/ or designee of Residential notify DSHS/Residential Care Service suicide/ relocation to a hospital or other or designee in an Assisted Living resident s physician/ and other individual(s) is a significant change in the resident's health care facility; or the resident dies.
1.Review of police report, titled “Supplemental Narrative”, dated 10/23/19, showed that Patient #1 reported sexual assault and harassment to the police. “TPatient #1] confirmed that there have been several incidents and |] asked [Patient #1]to tell me [Police Detective] about the first time that something happened. [Patient #1] told me they were in a facility van coming back from an outing...[Patient #2] reached through a ‘crease’ in the and he grabbed van the left side of her body, under her shirt... [Patient #1] told me [Patient #2}] grabbed her left breast when he reached through her shirt’.” “I [Police Officer] told [Patient #1] | heard about something happening at the YMCA pool... [Patient#1] told me that she was swimming back and forth and [Patient #2] grabbed her crotch...[Patient #2] placed his hand down the back of her pants and then got out of the pool...” 2.
From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-341-1126(l)(b) Mentai health inpatient services - Policies and procedures "Adult.; WAC 246-341-1126(1}(b) Metal health inpatient services Policies and procedures Adult..
Critical h-icidents/ as appropriate state body overseeing that Health/ Department of Social and Health (MCO)/ and regional Administrative events when appropriate after consultation (CCO/ CAO/ Risk Manager/ or supervising below: COMPREHENSIVE HEALTHCARE POLICIES AND PROCEDURES will report and follow-up with the appropriate email/ within one business day any Critical below) or as otherwise specified in the will report to the Department of Health Healfchcare s premises/ of any mdividual of receiving notice of the individuals https://forti'ess.wa.gov/doh/opuTio/s?s=OTPDeathReportmg Director or VP/ or designee of Residential of Health and other appropriate agencies incidents that mvolve serious or undesirable mpatient hospital stay; and through internal or external emergency or BHA Critical Incident Reporting webpage: https://forh'ess.wa.gov/doh/opuuo/s?s=Con'iplaintFormHPF Director or VP/ or designee of Residential notify DSHS/Residential Care Service suicide/ relocation to a hospital or other or designee m ai\ Assisted Living resident's physician/ and other individual(s) is a significant change in the resident's health care facility; or the resident dies.
From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-337-075(2)(a) Resident Rights..
In plain words: A client said a former staff member forced him to perform oral sex and sexually abused him on two dates after earlier inappropriate touching. The client told a staff member, who reported the abuse to a qualified professional and the program’s licensee. Our summary of the state's report. The state's own wording follows.
"[Client #2] further stated that he was forced to perform oral sex on [Former staff 11] on May 19, 2019 around 9 pm while at the facility. [Client #2] stated that [Former staff 11] stood up and told [client #2] to come over to where he was standing and grabbed his head and pulled his head down to his penis area." [...] He was sexually abused by [Former staff 11] on 5/17/19 and 5/19/19. Three to four weeks prior to 5/17/19 and 5/19/19 sexual assaults, [Former staff 11] had touched his butt "like four times before." [...] Denied that he ever told [Former staff 11] about his past or that he was sexually abused. [...] Client #2 made her aware that [Former staff 11] sexually abused him and she contacted the QP, the Licensee #1 and an unknown staff. [...] On 5/20/19 at approximately 12:27 a.m. he received a call from the QP that [Former staff 11] has allegedly sexually abused client #2. [...] And he said the guy eventually molested him.
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.
The MP had built a program for boys "that a [North Carolina (NC) law enforcement association] could model statewide;" [...] 2/12/17 Juvenile Petition: physically abused and injured or sexually abused by parents Interview on 6/25/18 with Client #1 revealed: [...] Staff #14 "had put him (Client #6) on the floor on his stomach because he started punching stuff and being violent;" [...] Staff #14 and Staff #13 told him he had no rights and then had slammed him on the floor trying to restrain him; [...] Staff #14 had left Client #2 at the "temple" or "mud dog"( public baseball field with concrete/rock stairs) to work out running up the stairs and around the ball field because Client #2 had said he was going to run away; [...] Staff #14 had worked for the local Sheriff's Department for 2 % years; [...] Staff #14 walked back to the client's room and Client #5 was kicking the bed and thumping the wall;
From the state's report. Deficiency cited, annual and complaint survey, Type A1 violation. Cited: V 514. "[...]" marks text left out between sentences.
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.