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Cal/OSHA Fines San Francisco General $130,500 Over Fatal Ward 86 Stabbing

The agency found that the hospital failed to plan for and warn staff about threats, a finding that led to separate citations for UCSF and prompted new security and funding commitments.

Overview

  • A social worker was stabbed to death by a patient in Ward 86 in December 2025, and Cal/OSHA completed an investigation that led to formal citations this week.
  • On June 8–9, 2026, Cal/OSHA proposed roughly $130,500 in fines for Zuckerberg San Francisco General for seven violations, six of them labeled serious, and separately proposed nearly $143,000 in fines against UCSF for eight violations.
  • Investigators said the hospital failed to develop a safety plan after threats, did not share a photo or description of the suspect with staff, lacked weapons screening and cameras in the clinic, and did not provide guards at all entrances after threats were made.
  • San Francisco health officials and the hospital say they have already expanded security staffing, installed metal detectors, launched a 24/7 threat management team, and pledged $15 million a year plus $7.5 million one-time for safety upgrades.
  • The victim’s family plans a wrongful-death lawsuit, the suspect remains criminally charged and in custody, and the citations renew focus on past Cal/OSHA actions against the hospital and longer-term protections for frontline health workers.