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AURORA, Colo. -- An undercover investigation by Scripps station KMGH in Denver has revealed another unlicensed person practicing health care in defiance of multiple state cease and desist orders handed down by regulators. A February KMGH?revealed 28 people had received such cease and desist orders from state regulators, but the state did little to ensure they actually stopped, and most never faced criminal charges. One of those people was Alfredo Ruiz, also known as Alfredo Ruiz Rueda, who received cease and desist orders from the Colorado Medical Board in 2013 and again in 2017. A search of the state’s professional license database shows Ruiz does not hold any kind of license in Colorado. In the orders, the board said Ruiz used laser equipment only appropriate for licensed medical professionals, and ordered him to stop providing skin injections.State records show Ruiz previously operated clinics called CI Laser Clinic and Central Integral de Belleza y Salud in the Denver area.It appeared Ruiz closed his clinics after receiving each order, but KMGH recently called the number posted online for those clinics and discovered Ruiz had reopened his business at another location.A producer left a message and received a phone call back in Spanish and a text with the clinic’s new address. The producer made an appointment for a Botox treatment.  Outside of the clinic’s door, a sign is posted listing various skin care services, injections and laser treatments in Spanish along with Ruiz’s name. Two KMGH producers brought hidden cameras into the office to speak to Ruiz about Botox.  When asked if he was a doctor, Ruiz responded affirmatively multiple times. He said he had 12 years experience and estimated he sees 10 patients per day. He showed the producers needles he would use to administer Botox, and he estimated one 28-year-old producer would likely need extra treatment costing between 5-0. When confronted after the appointment by KMGH reporter Ryan Luby, Ruiz claimed he was a doctor in Mexico. He also pointed out the certificates -- not state licenses -- on his wall indicating he had completed laser training. Ruiz indicated he works under the supervision of two licensed doctors whose names were posted on the sign outside of his clinic. Neither doctor was present in the office. When KMGH reached one of the doctors by phone, he said he had not worked with Ruiz in years and was surprised to learn his name was posted at the office. The other doctor could not be reached.When KMGH returned to the office days after the initial confrontation, the sign bearing the names of the other two doctors had been removed from the door, but the sign with Ruiz’s name and the services he offers remained. State rules allow some unlicensed individuals to provide medical-aesthetic treatmentThe state does allow for some “medical-aesthetic services” including laser treatment and injections to be administered by unlicensed individuals under the close supervision of a licensed physician.The medical board’s rules for such agreements requires documentation of the arrangement be “available to the public at the site where the delegated medical services are performed.” Ruiz did not produce any such documentation nor was it readily visible in his office.The board’s rules also require that patients are fully informed of such arrangements and sign forms affirming they have been made aware they are receiving care from an unlicensed person. “When the delegating physician is not actively involved in the patient encounter, the disclosure shall include: the service the patient is receiving is a medical service; the delegatee of the service is not licensed by the state of Colorado or is acting beyond the scope of his or her Colorado license, certification or registration; the delegatee is providing the service pursuant to the delegated authority of a physician; and, the delegating physician is available personally to consult with them or provide appropriate evaluation or treatment in relation to the delegated medical services,” the rules say in part.KMGH’s undercover producers received no such information during their discussion with Ruiz about Botox treatments.   State regulators, police take actionThe Department of Regulatory Agencies (DORA) acted quickly upon learning from KMGH that Ruiz was still practicing. The state’s medical board convened an emergency meeting and the state obtained a temporary restraining order against Ruiz. The state also referred the case to law enforcement for potential criminal charges for the second time.In 2017, DORA alerted the Denver district attorney about Ruiz but the DA’s office did not pursue an investigation because his previous office was already closed.Aurora police are now investigating Ruiz’s latest clinic, which police say is now vacant. Attorney General subpoenas KMGH again The office of Colorado Attorney General Cynthia Coffman sent subpoenas to KMGH seeking its video and a producer’s testimony to present as evidence in court as it seeks a permanent injunction against Ruiz. That marked the second time the state has subpoenaed KMGH’s investigative materials as evidence in court to seek court orders against unlicensed individuals.Last month, a KMGH producer testified in court in response to a subpoena in injunctive proceedings against Randy Flynt, who claimed to be a clinical psychologist and kept his office open more than a year after the state issued three cease and desist orders against him. In that case, the attorney general’s office played a portion of KMGH’s undercover video in court and the judge granted the temporary injunction. Pueblo police have also issued a warrant for Flynt’s arrest.In the Ruiz case, an injunction hearing is set for April 23. DORA is making changes DORA said it is making numerous improvements to its process for handling unlicensed individuals in the wake of KMGH’s investigation – changes first ordered by Governor John Hickenlooper in the days after the initial stories aired.The changes include: 6166

AUSTIN, Texas (AP) — A holiday display meant to re-create a scene from "National Lampoon's Christmas Vacation" looked a little too real and caused a veteran to spring into action.The Heerlein family placed a dummy representing Clark Griswold dangling from the gutter of their Austin, Texas, home, with a ladder tipping beneath him.A veteran passing by thought it was the real thing and wrestled the ladder up while shouting, "Can you reach it?"KVUE-TV reports the man called police, who arrived and advised the family they were getting calls about the display.RELATED: Ohio man channels Clark Griswold, recreates Christmas Vacation lightsThey have since put up a sign that says "Clark G is part of our Christmas display please do not call 911." 752

At least five people have been killed in a ferocious storm that hammered the Northeast with powerful winds, relentless rain and historic flooding.The nor'easter moved out to sea Saturday, but not before it knocked out power -- perhaps for days -- to more than 900,000 customers from the mid-Atlantic to New England."People in these homes need to plan for a prolonged outage," Kurt Schwartz, director of the Massachusetts Emergency Management Agency, said Friday night. "This is a multi-day restoration event."RELATED:?'Bomb cyclone' pounds east coast with heavy flooding, high winds   The flooding is "the worst that we've seen in years," said Capt. John Dougan of the Quincy, Massachusetts Police Department, which had carried out more than 250 rescues between 8 a.m. Friday and midmorning Saturday. "We're seeing homes underwater, their basements were flooded out, the electricity was off."Emergency officials urged residents on higher ground to stay indoors, even after the storm pushed out."This is not a time to be out sightseeing and gawking, so please stay at home and stay out of our way," James Boudreau, the town administrator for Scituate, Massachusetts, said Saturday.Some 19 million people were still under a coastal flooding warning early Saturday afternoon.The storm morphed Friday into a "bomb cyclone" after undergoing a rapid pressure drop known as bombogenesis. It slammed much of the Northeast with heavy snow and rain, prompting significant coastal flooding and hurricane-force gusts in New England.Winds along parts of the Massachusetts coast that whipped in excess of 90 miles per hour are due to ease Saturday, CNN forecasters said.The storm also dumped heavy snow from Ohio to New England and into upstate New York, where more than 3 feet was recorded.Weak phone connection? Click here to read text-only versions of CNN's top stories.Latest developments? Power outages: More than 900,000 customers were without power Saturday from Virginia to Massachusetts.? Aftermath response: The governors of Maryland and Virginia issued emergency declarations, allowing state and local agencies to help those affected.? Flight cancellations: About 250 flights in the storm zone were canceled Saturday, according to the flight-tracking website FlightAware.com. That compares with more than 3,000 US flights scratched Friday, most at the busiest Northeast airports in Boston, Philadelphia and New York.? Amtrak back in service: Amtrak resumed modified service at 6:20 a.m. ET Saturday, on its Northeast Corridor between Washington and New York, and planned to resume service between New York and Boston beginning at 8:40 a.m., the provider said.Five killed by falling treesAt least five people died in the storm, all killed by falling trees, authorities said. They include: a 77-year-old woman in Kingsville, Maryland; an 11-year-old boy in Putnam County, New York; a 44-year-old man in James City County, Virginia; a 6-year-old in Chesterfield County, Virginia; and a Newport, Rhode Island, man in his 70s.The 11-year-old was in his home when a large tree came crashing down, trapping him. A responding deputy tried to free the boy, whose mother was taken to hospital.Another young boy, just 6 years old, suffered a similar fate when a tree fell through his Virginia mobile home as he was sleeping on a top bunk bed. The boy was rushed to hospital, but his mother told the station his organs were failing."Doctors say we have to let him go," she told CNN affiliate WRIC. Cynthia Creighton's son was in her car when a neighbor's tree fell on top of the vehicle in Watertown, Massachusetts."The house shook, and we heard a noise. We didn't know what it was," Creighton told CNN affiliate WHDH. "We ran out, my son was still in the car with the tree on top of it."Creighton's son, who was in the back seat, was not injured, she said.Boston under waterHigh tides on Friday powered coastal flooding in Boston and other parts of Massachusetts, leaving streets awash for the second time since a massive nor'easter in early January.Kayakers paddled down Boston streets and National Guard members rescued 50 people from their homes in nearby Quincy, sometimes carrying them to safety in the scoopers of front-end loaders, CNN affiliate WBZ reported.Boston Harbor has only seen tides above 15 feet twice -- in 1978 and in January, during the last bomb cyclone. A high tide late Friday morning came up a little short, reaching 14.67 feet, but still sent water sloshing through the streets of East Boston.More record-setting high tides might strike Boston Harbor on Saturday during the midday high tide.With the moon full, the tide is at its highest point of the month, and the storm surge could drive as much as 4 feet of water into coastal neighborhoods, CNN meteorologists said. Massachusetts emergency officials said tides "will be astronomically high" in the next few days."I encourage all residents to be mindful of the storm and encourage employers to take the weather into consideration, which will mostly impact the coastal areas of our city," Boston Mayor Marty Walsh said.In Boston, many streets were closed and city officials advised people not to drive or walk in high water.Historic flooding prompts rescuesQuincy residents who were rescued from inundated homes told CNN they'd never seen anything like this weekend's flooding."It was pretty scary," said Alyssa Fitzgerald. "Once you saw the National Guard, that's when I was like, 'OK, we should have evacuated.'"Fitzgerald and her husband hunkered down overnight after their home lost power with their 3-year-old son and 1-year-old daughter, she said."Not like anything we've had before," Fitzgerald said. "Much worse than the snowstorm we had."Only a few storms even can compare with this level of flooding, including a 1978 blizzard, a storm in 1991 and January's bomb cyclone, Dougan, the Quincy police captain, said Saturday."We've been doing evacuations all through the night and today," he said.The-CNN-Wire? & ? 2018 Cable News Network, Inc., a Time Warner Company. All rights reserved.  6092

Authorities are investigating interference with police radio communications, websites and networks used by law enforcement and other officials during recent U.S. protests over the death of George Floyd in Minneapolis.Although the efforts to disrupt police radios and take down websites in Minnesota, Illinois and Texas aren’t considered technically difficult hacks, federal intelligence officials warned that law enforcement should be ready for such tactics as protests continue.Authorities have not yet identified anyone responsible or provided details about how the disruptions were carried out. But officials were particularly concerned by interruptions to police radio frequencies during the last weekend of May as dispatchers tried to direct responses to large protests and unrest that overshadowed peaceful demonstrations.During protests in Dallas on May 31, someone gained access to the police department’s unencrypted radio frequency and disrupted officers’ communications by playing music over their radios, according to a June 1 intelligence assessment from the U.S. Department of Homeland Security.Dallas police did not respond to questions about the incident.The assessment, which was obtained by The Associated Press, attributes the Dallas disruption to “unknown actors” and does not say how they accessed the radio frequency. It warned that attacks of various types would likely persist.“Short-term disruptive cyber activities related to protests probably will continue — various actors could be carrying out these operations — with the potential to use more impactful capabilities, like ransomware, or target higher profile networks,” the assessment warns.The assessment noted similar problems with Chicago police’s unencrypted radio frequencies during large downtown protests on May 30 followed by reports of arson, theft and vandalism. Chicago police also have not said how the radio frequencies were accessed, but an official with the city’s Office of Emergency Management and Communications told the Chicago Sun-Times that the tactic was “very dangerous.”Police around the country have encrypted their radio communications, often arguing that it’s a way to protect officers and block criminals from listening in on widely available phone apps that broadcast police radio channels. But media outlets and local hobbyists have been frustrated by the changes, which also prevent them from reporting on issues pertaining to public safety.The Department of Homeland Security issued a separate warning this week reporting that personal information of police officers nationwide is being leaked online, a practice known as “doxxing.” According to the report obtained by the AP, information shared on social media included home addresses, email addresses and phone numbers.Law enforcement agencies have been targeted by online pranksters or hackers in recent years, including by some who claimed to be motivated by on-the-ground protests against police tactics. For example, the hacking collective Anonymous claimed responsibility for the defacement of local police departments’ websites in 2012 as protesters clashed with officers during the Occupy Wall Street movement.Individuals who self-identified as being part of the collective also claimed to have accessed dispatch tapes and other Ferguson Police Department records in 2014 after a white police officer shot and killed Michael Brown, an 18-year-old black man.Like other government entities, law enforcement agencies in recent years have been frequently targeted by ransomware attacks, in which a perpetrator virtually locks up a victim’s computer files or system and demands payment to release them.The prevalence of cyberattacks — which can cause physical damage or far-reaching disruption — and less severe online trickery, such as stealing passwords, has given law enforcement agencies more experience at fending off efforts to take down their websites or access critical information. But hackers adapt too, and governments with fewer resources than private companies often struggle to keep up, said Morgan Wright, chief security officer for the cybersecurity company SentinelOne.“The biggest concern they have right now is the safety of their communities, the safety of their officers,” Wright said of how law enforcement agencies view cyberthreats amid large demonstrations and unrest. “But if you look at what underpins everything we use to communicate, collaborate and operate, it’s all technology.”As large protests gathered steam after the May 25 death of Floyd, a handcuffed black man who died after a white Minneapolis police officer used his knee to pin his neck down for several minutes, Minnesota Gov. Tim Walz said state networks had been targeted. He described the activity as a “a very sophisticated denial of service attack.”But experts said the strategy of bombarding a website with traffic is common and doesn’t always take a high level of skill, counter to Walz’s description. Minnesota’s Chief Information Officer Tarek Tomes later said state services weren’t disrupted.But the efforts got a lot of attention, partly due to unverified online claims that Anonymous was responsible after years of infrequent activity. The decentralized group largely went quiet in 2015 but is still known globally based on headline-grabbing cyberattacks against Visa and MasterCard, the Church of Scientology and law enforcement agencies.Twitter users also made unverified claims that Anonymous was behind recent intermittent outages on the city government’s website in the Texas capital of Austin. Their posts indicated that the disruption was retribution for police officers shooting a 20-year-old black man in the head with a bean bag during a May 31 protest outside of police headquarters.The injured protester, identified by family as Justin Howell, remained hospitalized Wednesday in critical condition.The city’s IT department was looking into the site’s issues, but a spokesman said Monday that he couldn’t provide any information about the cause. He said the website was still experiencing a high volume of traffic.“You should have expected us,” an account purporting to be Anonymous’ posted on Twitter. It also warned that “new targets are coming soon.”The collective’s approach — anyone can act in its name — makes it difficult to verify the recent claims of responsibility. But Twitter accounts long affiliated with Anonymous shared them, said Gabriella Coleman, a professor at McGill University in Montreal who has studied the Anonymous movement for years.People with more advanced and disruptive hacking skills often drove peak instances of attention for Anonymous, and it’s not clear whether that type of activity will resume, she added.“There’s a lot of things going on in the background, people are chatting,” Coleman said. “Whether or not it materializes is another question. But certainly people are kind of aroused and talking and connecting.”___Foody reported from Chicago. Associated Press writer Jake Bleiberg in Dallas contributed to this report.___Acacia Coronado is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues. 7294

As schools start re-opening around the country, daycare and early childhood education centers are opening too.A question on the mind of parents is, "Should you send your toddler or preschooler back?"Like every other working mom, Danielle Green admits it's challenging. She basically has two jobs. Her career as a scientist, and her around-the-clock job of mom to 2-year-old Corey and 6-month-old Dylan keeps her busy.“Having children is a full-time job in itself so it turns more into a full-time job watching kids during the day and then doing the work during nap and evening,” Green said.It’s is not only exhausting, but she says, it's 100 percent, not realistic.“It adds a lot of stress for parents,” Green said. “For me, it added a lot of stress because we want to dedicate as much time as we can to our kids and so I took the path to dedicating everything to my kids and doing the work while the kids were sleeping.”So, when her daycare opened back up, Green and her husband talked and decided it was time.“There’s uncertainty in sending a child to daycare during a pandemic, but if we’re being realistic, eventually our kids are going to have to go back to school, so the question becomes at what point do we re-enroll them,” Green said.It's a topic that parents all around the country are discussing, because we all know it’s hard to do both. Parenting expert Gigi Schweikert said give up the dream of doing it all because no one can.“What I know as a working parent of four is that you can’t give your work 100% and you can’t give your children 100% so having your children in childcare gives them the opportunity to have the education socialization and guidance they need while you as a working parent can have that individualized concentrated time to give work your full attention,”Schweikert said.But to send your children back during a pandemic isn't easy. You have to do quite a bit of homework, make sure no one is allowed in the center aside from your child and staff members, and review all the protective measures for your county and state.Things like temperature checks, masks and face shields are being required at some daycares. Experts suggest inquiring about ventilation and cleanliness. And get parent referrals. A lot of them.“What really is important is trust. You’re going to need to check off all the boxes of making sure people are cleaning, making sure air is really good. Instinctually once you make that checklist, you have to say as a parent, 'Do I trust these people with my most important thing which is my child,'” Schweikert said.There are some things that might be missing because of COVID-19, like parent and teacher visits. Some facilities like Lightbridge Academy are now reliant on electronics and in-center cameras.Green said she's confident in her decision. Her boys are happy and healthy every day, and she feels confident that she's successfully managing her career.“It makes me feel good to know that the daycare is actually practicing the appropriate safety precautions and wearing the appropriate protective equipment, take temperatures it is an added measure,” Green said. 3130