9岁的Jakob Blodgett患有1型糖尿病，入住亚利桑那州最大的集中照护机构Sunshine Residential Homes。12022年，该机构员工在Blodgett血糖值升高后未按处方注射胰岛素，仅建议给水。1在错过两次长效胰岛素后，男童被送往医院，诊断为脑肿胀并进入呼吸机，最终因糖尿病并发症身亡。1
亚利桑那儿童安全部在批准Sunshine Residential Homes 30%的费率增长前两周，因违反处方未给予胰岛素而对其发出许可违规处罚。1然而，该机构未因这一死亡事件被罚款、暂停或撤销许可证。1这引发了关于政治献金与优惠待遇关联的质疑——Sunshine Residential Homes共向州内政治献金550,000美元，其中包括2022年12月向州长Katie Hobbs就职基金捐款100,000美元，以及2023年11月至2024年5月间向Hobbs法律辩护基金捐款150,000美元。1
民主党检察长未发现贿赂证据，但共和党议员和州审计长办公室继续进行独立调查。1事故发生时，仅有房屋经理接受过糖尿病管理培训。12024年7月，另一所Mesa集中照护机构的15岁糖尿病男童也因酮症酸中毒身亡，反映出该领域更广泛的监管问题。1
Nine-year-old Jakob Blodgett died in 2022 from complications of type 1 diabetes while residing at Sunshine Residential Homes, Arizona's largest group care facility, after staff failed to administer his prescribed insulin injections.1 When Blodgett's blood sugar elevated, employees offered him water instead of the required medication, and he was hospitalized only after missing two doses of long-acting insulin, arriving with brain swelling and requiring a ventilator.1
Despite this fatal incident, Sunshine Residential Homes faced no meaningful consequences from state regulators.1 The Arizona Department of Child Safety issued a licensing violation notice to the facility just two weeks before approving a 30 percent rate increase for the provider.1 The violation cited failure to administer prescribed insulin, but resulted in no fine, suspension, or license revocation.1 The contrast between the child's death and the subsequent rate hike fueled allegations of a "pay-to-play" arrangement, particularly given that Sunshine donated $550,000 in political contributions, including $100,000 to Governor Katie Hobbs' inauguration fund in December 2022 and $150,000 to her legal defense fund between November 2023 and May 2024.1
The state's Democratic Attorney General found no evidence of bribery in the matter.1 However, the state auditor's office and Maricopa County Prosecutor Rachel Mitchell launched independent investigations into the case.1 Only the facility's house manager had received training in diabetes management, according to records.1 The scrutiny intensified following a second tragedy in July 2024, when a 15-year-old boy with diabetes died of ketoacidosis at another Mesa group care facility.1
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