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A judge sent a doctor to evaluate California’s largest ICE detention center. What he found

Immigration and Customs Enforcement quickly opened a new detention center in a former California state prison last year. Detainees now are suing over their access to healthcare.

San Francisco Bay Area homes and neighborhoods
Curated News BriefBased on original reporting by CalMatters Housing (July 28, 2026). The summary below is the Journal’s; the local analysis is original commentary by Omar Murillo.

According to CalMatters Housing, there are serious problems with healthcare at a new immigration detention center in California City, which opened last year in a converted state prison. The facility, run by CoreCivic but recently purchased by the federal government, is now facing a lawsuit from detainees who say the conditions violate their rights. A court-appointed doctor was brought in to evaluate the operation, and his findings paint a troubling picture of systemic failures in medical care.

The independent monitor found that the facility simply does not have the infrastructure to provide reliable healthcare to the people held there. The problems go beyond isolated mistakes and instead reflect deeper issues with how the facility is staffed and managed. According to CalMatters, the monitor noted that staff shortages were so severe that workers were sometimes pulled out of training to cover shifts, which meant untrained staff ended up training new employees. This created an unsafe environment for people with serious medical and mental health needs.

The monitor identified deficiencies across multiple areas of healthcare, including emergency care, dental services, and the management of chronic diseases. One major problem was that people were not getting their prescribed medications on time, which is especially dangerous for those managing conditions like diabetes, high blood pressure, and seizures. According to CalMatters, there were also significant delays in cancer treatment for some detainees. A separate inspection by a disability rights group had already documented similar issues just months after the facility opened.

CoreCivic maintains that it provides daily access to healthcare and maintains round-the-clock emergency services. The company spokesperson explained that when specialized care is needed beyond what they can provide on site, staff work to connect patients with outside providers, though scheduling depends on community resources. However, the findings from both the court-appointed monitor and the earlier inspection suggest that these connections are not happening quickly enough for patients who need them.

One detainee named in the lawsuit said he never received medication prescribed for an infection, and he warned that without changes, sick people will die at the facility. The lawsuit also raises broader complaints about conditions there, including inadequate clothing for the cold desert nights and lack of mobility assistance for people with disabilities.

What I am seeing locally here in the Bay Area is that immigration detention has become a real issue beyond just our region. These problems in California City are getting attention because of lawsuits and court-appointed monitors, but it shows that when government facilities are run by private companies, accountability matters a lot. As someone who cares about our region and the people living in it, these kinds of systemic failures in any facility that holds people should concern all of us, because they reflect on our values as a state and region.