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OTAY MESA, (KGTV) -- Construction for President Trump's border wall is set to begin the end of the month, but law enforcement is already prepping for protests.There are not too many visitors at the end of the only road that goes into the border project. Agents on ATVs and the occasional semi truck are about all you'll see.But by the looks of everything being put up, it's clear those in charge know something may be coming and they want to keep it out.People familiar with the border project say the fence was put up in the last few days.The San Diego Sheriff’s Department says they are not involved with the construction in any way but that, “the department is currently evaluating the need and possible location of a 'free speech' area where citizens can peacefully express their viewpoints.”Meanwhile, local activists like Border Angels' Enrique Morones told 10News they are not aware of any mass protest that could take place, but they are worried about possible out of town groups coming in and causing a problem. In the same week as the one-year anniversary of the Standing Rock protests over the Dakota Pipeline, law enforcement is guarding this patch near the border as it could become ground zero for the immigration debate. 1248

One of the largest addiction treatment companies in the country is on the hook for millions of dollars after a jury found it partly liable for the death of a California man.Shaun Reyna killed himself less than a day after checking into a treatment facility in Murrieta.“Shaun Reyna is a good man,” said attorney Jude Basile.In an interview with 10News, Basile said Reyna was losing his eyesight after 20 years working in a factory. He eventually lost his job, and depression led to drinking and self-medication.Reyna and his family decided treatment was the best option.He ended up going to a spot called A Better Tomorrow in Murrieta, which is part of the parent company American Addiction Centers. The location was more than 300 miles from his home in Atwater.Basile said less than a day after Reyna was admitted, "He was found dead due to self-inflicted cuts and bled to death."In February, a jury awarded the family a million verdict against American Addiction Centers and other defendants. The jury found them negligent.Court documents claimed “Decedent should have never of been admitted into ABTTC (A Better Tomorrow Treatment Center) DEFENDANTS program, and instead should have been referred to a facility/program that could provide the level of services he needed. ABTTC DEFENDANTS admitted Decedent Shaun Reyna knowing they could not provide the level of service he needed. They did so out of pure greed, putting profit ahead of patient safety.”According to a news release from the law firm representing the Reyna family, evidence revealed a call center that was staffed by people with little to no experience in addiction screening."When they called the call center they would be met with folks at the intake call center that were being paid on commission, that had quotas, and whose job was simply to sell, not to properly screen, but to sell,” said Reyna family attorney Jeremiah Lowe.In one of the recorded calls between Reyna and a treatment center representative you can hear the desperation in Reyna's voice.“Yeah, I have to do something," Reyna said. “Because I can't -- I feel like I can't hold on any longer.” A representative on the other end told him he understood. “I get it. We're reaching crisis mode, and if -- you need to get into a safe environment.”An addiction specialist who testified as an expert for the Reyna family told 10News the first thing the treatment center should have done was referred Reyna to a higher level of care than they were providing."The complications that can result if it’s not treated properly are seizures, strokes, hallucinations, confusion and things like what happened in this case with depression and suicide and they also required very close observation,” said Dr. Michel Sucher.The head of American Addiction Centers, Michael Cartwright, spoke to Team 10 investigator Adam Racusin by phone. Cartwright said he disagrees with the verdict. He believes Reyna's treatment location was appropriate. A spokesperson for American Addiction Centers directed 10News to a Yahoo Finance article on the technological advancements being implemented in its treatment centers. While Reyna's case is extreme, it's not the first time the company has faced criticism.10News’ sister station in Tampa, Fla., exposed questionable practices with the company's River Oaks Treatment facility. WFTS reported the facility's “former transportation director Mike Isom says staff was often unprepared to deal with mental health issues."  Crisis in CaliforniaAccording to the California Opioid Overdose Surveillance Dashboard, 2,031 people died of an opioid overdose in 2016 in California. Of those deaths, 251 occurred in San Diego County.With the opioid epidemic reaching crisis level, addiction treatment centers are in high demand.However, in California, there's concern the lack of supply to meet that demand has allowed for some to take advantage of people in need.According to information provided by the California Department of Health Care Services, in the 2016-17 fiscal year, there were 540 complaints against addiction treatment centers statewide. That's up from years past.There were also 36 people who died while participating in addiction rehab facilities statewide in 2017-18.Experts tell 10News there are also more people checking in to treatment facilities."When you look at that compared to the 300 plus thousand people who were treated in those facilities you see that is drastically lower than one percent and I will stack up our industry's results with any hospital system in California,” said Stampp Corbin with the Addiction Treatment Advocacy Coalition.Corbin said there are more than 1,700 treatment facilities in California.He told 10News that because there is an opioid crisis, people need access to treatment and the vast majority of facilities are helping people and saving lives.Corbin said, just as you would check your doctor's qualifications, potential patients should ask for the information about who will be providing their treatment. He suggests asking what the treatment process is and for people to check with the California Department of Health Care Services, which tracks any adverse incident."I don't think people should be worried about treatment centers any more than they are worried about hospital systems,” Corbin said.Reyna’s attorney believes the treatment center industry is needed, but needs better enforcement."We have good regulations that if they are enforced would clean up a lot of the industry,” Lowe said. ‘The problem is right now those regulations aren't being effectively enforced." 5797

One of the largest anti-smoking groups is now going after cigarette makers for their trash.The Truth Initiative released a new video in an effort to combat the littering of cigarette butts. It debuted nationally last week during the MTV Video Music Award.The organization is tying this latest campaign into their public petition to get more businesses and public places to go smoke-free.Cigarette butts are the most littered item on the planet, and it’s the most picked up item from beaches all over the world.They contain hundreds of chemicals that show up in wildlife and waterways. The butts are made with a type of plastic that can take a decade or more to decompose.Cigarette makers have tried cleaning up their act over the years, but so far, nothing has really made a dent.There is a startup company that claims to have a biodegradable cigarette filter, which breaks down in a matter of days. The company says they are in talks with cigarette makers and are currently looking for a partner to start manufacturing the green filters. 1046

On the night before emergency workers had to evacuate people from a Florida nursing home where eight died, residents suffered in the sweltering heat as staff used fans to cool them, and one woman sat naked in a bed in a hallway, a video obtained by CNN shows.The 34-second recording shows a couple in a room at The Rehabilitation Center at Hollywood Hills in Hollywood, with a fan sitting on a nightstand, blowing air across the room and a window cracked open slightly.According to the family member who shot the video, those two nursing home residents received medical treatment and are recovering. 607

On Friday afternoon, the US Centers for Disease Control and Prevention expanded it's warning to consumers to cover all types of romaine lettuce, now including whole heads and hearts of romaine lettuce, in addition to chopped romaine and salads and salad mixes containing romaine.Romaine lettuce has been linked to the growing number of people hospitalized due to a multistate E. coli outbreak. 53 people have been infected with the outbreak strain of E. coli in 16 states since March 13, the CDC said. Thirty-one of those ill have been hospitalized. Five of them developed a type of kidney failure associated with an E. coli illness called hemolytic uremic syndrome, which can be life-threatening. No deaths have been reported.The following steps were suggested by the CDC Friday: 813

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