The Brief

For Julio Rivera, transferring from a local community college to a bachelor’s program in nursing was always a top priority. As someone who enjoyed helping others, nursing seemed like a natural career. While caring for an aunt with renal failure and Type 2 diabetes, a conversation with her solidified the belief that nursing was his calling.

“She said, ‘You have it. You can really tell that you care about people,’” Rivera said.

The pandemic put a pause on Rivera’s education as hospitals had difficulty accommodating student nurses. Rivera applied to public programs in San Bernardino County, but many of them were severely limiting clinical training, or not accepting new applicants at the time.

Instead, the 33-year-old chose an increasingly popular option — a private nursing program that would have a six-figure sticker price but guarantee him a timely degree. After finishing his pre-reqs, he transferred from Mt. San Antonio College to the Ontario campus of West Coast University.

Private nursing schools are teaching more students each year, filling in the gaps as California hospitals face increasing staffing shortages and public, four-year universities struggle to grow. According to the California Board of Registered Nursing, in 2021 nearly 64,300 students applied for just 16,600 spots in associate, bachelor’s, and master’s degree nursing programs. About 55% of those spots were at private institutions.

Prospective registered nurses have several pathways to their career. Associate degrees typically take two years to complete before students can take the licensing exam to become registered nurses. Bachelor’s degrees take more time with more intensive training, and increase the likelihood of career advancement and preferable hospital placement.

Although public and private programs each graduated about 6,700 nurses from all levels of degree programs in 2022, private colleges graduated three times the number of students with bachelor’s degrees as public schools. Public programs accounted for over five times as many associate degree completions than their private counterparts.

While public programs cost a fraction of private school tuition, the number of students graduating from private programs has doubled over the past 10 years while the number from public programs has remained stagnant. Students who seek to complete a bachelor’s of science in nursing program in California and advance their nursing career are faced with a difficult and unpredictable cost-benefit analysis: Apply to competitive UC and CSU public nursing programs with average tuition prices totaling about $39,000 or secure an education at a private nursing program for an average of $130,000.

Qualified applicants clamor for coveted bachelor’s program spots

Sima Sadaghiani, a nursing student at University of San Francisco, knew she wanted to be a nurse after spending time in the hospital with a sick family member during high school.

“I wanted something that would help me grow and develop and change other people’s lives,” Sadaghiani said. While in the hospital, she saw how nurses play a role beyond just administering medication, oftentimes providing mental support and educating patients about health and wellness.

When Sadaghiani applied to nursing school two years ago, she applied to private and public programs all over the state. She said the process of getting into a UC or CSU nursing program felt “all by chance,” even if an applicant had perfect grades and pre-career experiences. When she did not get into the public programs she applied to, she chose University of San Francisco because of its small class sizes, proximity to where she grew up in the Bay Area, and diversity of the patients in the area.

Nursing students practice injection procedures in the clinical skills lab at the University of San Francisco in San Francisco on Oct. 9, 2023. Photo by Amir Aziz for CalMatters According to the state registered nursing board, the number of qualified applicants for bachelor’s programs has nearly tripled from 12,476 in 2012 to 35,474 in 2021, the last year for which this data is available. There was only space for about a quarter of the total qualified applicants statewide. The board serves as the licensing and regulatory body for all nurses in the state and is responsible for approving all expansions to nursing programs operating in California.

West Coast University boasts one of the largest nursing programs in the state, with 3,089 bachelor’s students across its three campuses in California, plus one in Texas and another in Florida. It costs around $146,000 to complete the school’s nursing bachelor’s degree.

Nearly 80% of students at West Coast University identified as being from an underrepresented racial or ethnic group, and 21% of their students are male, said Dean of Nursing Katie Kay. The school also serves more “non-traditional” students, offering courses throughout the summer and clinical training on weekends to give students many options to complete their degrees.

High cost leads to high return on investment

Private nursing programs can cost up to seven times as much as public programs.

Oge Okoye, a sophomore at the University of San Francisco, cast a wide net when applying to nursing school as a high school senior in Sacramento. She focused on colleges that have direct-entry, meaning if she got into the university, she would be guaranteed a spot in the school’s nursing program. The University of San Francisco offered her a four-year, full scholarship through their Black Scholars Program, which prepares Black nursing students to work in underserved communities.

“It came down to finances,” Okoye said. As one of three children, she wanted to alleviate the financial burden on her parents when it came to college. Without the scholarship, she could not have afforded the University of San Francisco’s $226,000 sticker price, one of the highest costs of attendance among private bachelor’s nursing programs. Her backup plan was attending Gonzaga University, a less expensive option, which she would have paid for with loans, scholarships, and financial aid.

College administrators say that the nursing field’s stability and high salaries mean students are able to pay off debt without defaulting on student loans.

“Our graduates are averaging positions after graduation (that pay) over $100,000 a year salary, so they’re well-positioned to pay back any loans that they were using to complete the program,” Kay said.

The average salary for a registered nurse in California as of May 2022 was $133,000 — the highest compensation for registered nurses in the country, according to the Bureau of Labor Statistics.

Martha Buck, a doctoral nursing student at University of San Diego, attended the University of Alabama for her bachelor’s degree before working eight years as an emergency room nurse in various hospitals around the country. Buck said she chose to continue schooling and attend the private doctoral program in San Diego — regardless of the $168,346 price tag — because of its reputable curriculum and resources dedicated to clinical training.

“After weighing the different options at different schools, I felt like I was getting more bang for my buck or a better value coming to USD,” Buck said. “Even though it was more expensive, the program seemed more robust.”

Buck said her eight-year nursing career has been fulfilling, but she chose to get her doctoral degree because she desired a more independent career as a nurse practitioner. Certified nurse practitioners can diagnose ailments, prescribe treatments and conduct tests on patients while being paid $158,130 on average in California, according to the Bureau of Labor Statistics.

“I liked the idea of health care in general… I realized nursing is a really neat way to be around a ton of different people from different walks of life,” Buck said.

Despite the potential return on investment, the president of the California Nursing Association, Catherine Kennedy, said California could lose more potential nurses if admissions for public schools stagnate and private school prices remain high.

“I’ve talked to [prospective] nurses here in the state of California that can’t get into a program here,” said Kennedy, who has worked as a nurse for 42 years. “They end up going next door to Nevada, and they’re going to private schools, and it’s pretty pricey.”

Private programs expand despite challenges

To meet the demand for nursing education in California, 11 new private programs have opened in the past seven years — six of those between 2021 and 2022.

However, a shortage of nursing faculty has created another bottleneck in the field. Fewer clinical trainers and difficulties in attracting faculty have significantly impacted the training capacity of hospitals and universities. Private and public schools alike struggle to find the instructors needed to support and teach students.

“When I talk to clinical faculty, or I’m interviewing clinical faculty, and I tell them how much I pay, they’re like ‘I can make that much working a shift,’” said Eileen Fry-Bowers, the dean of the School of Nursing and Health Professions at the University of San Francisco.

The average yearly salary of a college nursing instructor in California is $104,000, which is $29,000 less than the average registered nurse salary, according to the Bureau of Labor Statistics.

Nursing instructors must have clinical training experience, an advanced nursing degree, and one year of experience teaching or assisting in a classroom to become a certified instructor through the state registered nursing board.

Fry-Bowers believes there needs to be more incentives for nurses to fill teaching positions. She said that increasing workforce development grants, adding more scholarships for advanced nursing degrees, and reconsidering the requirements for nursing faculty would all help to develop more faculty to teach students.

Trainer shortages in hospitals

In January this year, the state registered nursing board set the requirement for clinical training to 500 hours of direct patient care. This hands-on experience is guided by trained nurses to prepare future graduates to support patients in hospital settings. However, hospitals are already struggling with a nursing shortage, which means clinical trainers are in short supply as well.

Kimberly Dunker, dean of nursing at Pacific Union College — a private, Seventh-day Adventist college in Angwin in Napa County — said clinical trainer shortages have had significant impacts. With 848 students in the program, Pacific Union graduated 67% of their nursing students on time in 2021, lower than the 85% statewide average, according to the state registered nursing board.

“If you don’t have [trainers]…that are able to supervise those nurses in the hospital setting, it really causes a delay,” Dunker said.

Eleanor Eberhard, the chief operating officer and chief nursing executive at Sequoia Hospital, a small facility in Redwood City, says the hospitals can only support so many students. The location trains between 15 and 20 students each semester, with two or three instructors working with the students. Nurses at the hospital are paid to work as preceptors, experienced nurses who teach in clinical settings.

Nursing schools are finding “very creative” solutions to prepare faculty to teach classes and obtain enough clinical placements for their students, Fry-Bowers said. The administrative staff at the University of San Francisco work with hospitals, which determine available shifts for student nurse training, and then the staff have to find faculty who are available at that time to work with students.

“It’s a puzzle, and [all the pieces] need to fit together in order for us to deliver the product to our already enrolled students, let alone increase those numbers,” Fry-Bowers said.

Nursing students practice injection procedures in the clinical skills lab at the University of San Francisco in San Francisco on Oct. 9, 2023. Photo by Amir Aziz for CalMatters Large programs like the University of San Francisco have over 100 clinical partners where students train, some as far as 60 miles away from campus.

“We’re competing with other schools,” said Tammy Valenta, program director for the Bachelor’s of Science in Nursing at Samuel Merritt University in Oakland. “Even though we don’t always get as many hours as we hoped for…our students graduate with at least 800, often more than that.”

Even with faculty and clinical placement shortages, Samuel Merritt University plans to support program growth by directing their training to more community-based, outpatient settings working with the elderly, mothers and children, or unhoused people.

West Coast University — like some other private programs — rotates students at different hospitals, private practices, emergency rooms, student health centers and various other clinical sites.

The future is expanding for nursing programs

Despite being outpaced by private program growth, some public nursing programs in California are expanding. Earlier this year, UC Davis received about $6 million and Riverside City College received about $2.7 million in federal funding from the U.S. Department of Labor to expand their programs. A $40 million gift from the William & Sue Gross Family Foundation will enable UC Irvine to double its faculty and enrollment over the next 10 years. In Huntington Beach, Golden West Community College’s School of Nursing received approval from the California Board of Registered Nursing to add 80 more students to its associate degree program. That will bring enrollment to 200 and add an option for students to also earn their bachelor’s degree in partnership with Cal State San Bernardino.

Nursing Association President Kennedy said that she believes expanding educational and professional pathways through community colleges and associate degrees could help to reduce the nursing shortage. This could potentially decrease pressure on private schools to continue enrolling with insufficient staff and address the financial burden of nursing programs on students.

“There’s a lot of barriers for kids that want to go into nursing at the community college level where it’s much cheaper,” Kennedy said. “Make (post-graduate employment) equitable for both programs so that we can get the nurses out of college and working.”

Raul Malo, the leader of the country band The Mavericks and one of the most recognizable voices in roots music, died Monday night, according to a representative of the band. The guitarist and singer had been battling cancer.

He was hospitalized last week, forcing him to miss tribute shows staged in his honor at the Ryman Auditorium over the weekend. He was 60 years old.

"No one embodied life and love, joy and passion, family, friends, music and adventure the way our beloved Raul did," read a statement released by his family.

Malo's group, The Mavericks, mourned the loss of their leader in a social post.

"Anyone with the pleasure of being in Raul's orbit knew that he was a force of human nature, with an infectious energy," the statement read. "Over a career of more than three decades entertaining millions around the globe, his towering creative contributions and unrivaled, generational talent created the kind of multicultural American music reaching far beyond America itself."

Over a career that lasted four decades, The Mavericks lived up to the band's name, challenging expectations and following a roadmap crafted by Malo's expansive musical upbringing as the son of Cuban immigrants in Miami.

"I grew up in a very musical household. There was all kinds of music around always," he told WHYY's Fresh Air in 1995. "We listened to everything from Hank Williams to Celia Cruz to Sam Cooke to Bobby Darin. It didn't matter."

In 1992, Malo told NPR that his widespread influences weren't always understood or appreciated in his South Florida hometown, but he said that his struggle to fit in taught him to trust his instincts. Malo had become the guitarist and lead singer for The Mavericks in 1989, alongside co-founders Robert Reynolds and Paul Deakin, and his roaring, sentimental voice defined the band's sound and remained its constant as the group's catalog moved from slow, tender ballads to full-throttle rock songs. In 1995, the band released its biggest hit with "All You Ever Do Is Bring Me Down," a swinging country song featuring an assist from Tex-Mex accordion legend Flaco Jimenez.

As the band grew in members and devoted listeners, The Mavericks continued to push the boundaries of American music, weaving a richly layered tapestry of textures and stories. With more than a dozen studio albums, The Mavericks collected praise and recognition from the Academy of Country Music, the Country Music Association and the Recording Academy. Although they took a hiatus for several years, Malo never stopped making music — and returned to his bandmates with renewed inspiration.

Following its 30th anniversary, the group released its first full-length Spanish album in 2020, aptly titled En Español. The record reimagined Latin standards and folklore-tinged popular tunes; it also made an implicit political statement about Latin music's contributions to American culture.

"In our own little way, if we could get somebody that perhaps is on the fence on issues and hears us singing in Spanish and perhaps reminds them of the beautiful cultures that make up what this country is trying to be and what it should be, so be it," Malo told NPR at the time. "Yeah, I'm OK with that."

The following year, the Americana Music Association recognized The Mavericks with the Trailblazer Award. In 2024, the band released its last studio album, Moon & Stars. The release coincided with news of Malo's cancer diagnosis, which he discussed openly with NPR's Ayesha Rascoe.

Before being hospitalized last week, Malo had been scheduled to perform with The Mavericks at a pair of tribute concerts held this past weekend at the legendary Ryman Auditorium in Nashville. Over 30 artists, including Patty Griffin, Jim Lauderdale and Steve Earle, still gathered to pay tribute to Malo, with some of the proceeds of the night going to the cancer prevention organization Stand Up To Cancer.

According to his spokesperson, though Malo was too ill to attend, the concert was streamed to his hospital room Friday night.

Copyright 2025 NPR

The Los Angeles County Sheriff’s Department has mostly blocked efforts to investigate misconduct within its ranks, according to the county inspector general, who announced his retirement Tuesday after 12 years on the job.

In an open letter, Max Huntsman cited examples of how the county has thwarted his efforts to watchdog the department, which in the past has been plagued with accusations that deputies use excessive force and lie on the job.

Huntsman said one example is former Sheriff Alex Villanueva’s misuse of criminal enforcement powers to discredit critics, such as opening an investigation into former County Supervisor Sheila Kuehl.

Villanueva was sheriff from 2018 to 2022.

“My requests for investigation were rejected,” Huntsman’s letter reads. “Even after receiving an official subpoena, the Sheriff’s Department has failed to turn over records regarding the improper surveillance.”

He added: “Sometimes members of the public wonder if frightening new surveillance techniques will be used for improper purposes under the guise of criminal investigation. Sadly, the answer is yes.”

Before becoming inspector general in 2013, Huntsman, 60, was a deputy district attorney who specialized in public corruption. He told LAist on Tuesday that the inspector general job wasn’t something he wanted initially.

“I didn’t want to go work for politicians,” he said. “But the need to provide some kind of independent reporting and analysis was significant.”

The Sheriff’s Department issued a statement saying it valued the Office of the Inspector General and all county oversight bodies and that it wished Huntsman and his family well in his retirement.

The department said it “continues to make great strides in advancing the department in a transparent manner.”

LAist also reached out to the county CEO and county counsel for comment, but they declined.

After George Floyd

In the letter, Huntsman says the state of California has come a long way in strengthening the power of local law enforcement oversight bodies, in part because of the 2020 murder of George Floyd by police in Minneapolis.

After widespread protests — and lobbying by Huntsman — the state provided authority to inspectors general to enforce subpoenas requiring law enforcement agencies to hand over documents and authorized external investigation of police misconduct, including deputy gang conduct.

The Sheriff’s Department — backed by county lawyers — has resisted.

“Los Angeles County may not follow those laws, but it will not be able to avoid them forever,” Huntsman wrote. “The county refuses to require the photographing of suspected gang tattoos in secretive groups that the undersheriff has identified as violating state law.”

“Just a few weeks ago, we requested some information regarding an investigation, and a pair of commanders refused to give it to us,” Huntsman said in an interview with LAist.

Origin of the office 

The Inspector General’s Office was created by the county Board of Supervisors in 2013 in response to a scandal that included former Sheriff Lee Baca covering up the abuses of jail inmates.

Baca went to federal prison.

Since then, the office has issued dozens of reports with recommendations for improving living conditions inside jails that some have described as “filthy,” stopping abuses of juveniles inside juvenile halls and providing shower privacy for inmates as part of the requirements under the Prison Rape Elimination Act.

“All of these abuses were reported by the Office of Inspector General and recommendations were ignored,” Huntsman wrote. Often, it took court orders to enact change.

“When we first blew the whistle on the torturous chaining of mentally ill prisoners to benches for 36 hours at a time, it was only a court order that ended the practice,” he wrote. “Time and time again, this pattern repeated itself.”

Huntsman wrote the county has permitted the Sheriff’s Department to block oversight and defunded the Office of Inspector General by removing a third of its staff.

“It's not surprising the county has driven out two successive chairs of the Sheriff Civilian Oversight Commission,” he wrote.

“Government always claims to value transparency and accountability, but shooting the messenger is still the most common response to criticism,” Huntsman wrote.

Despite setbacks, Huntsman values work 

Huntsman told LAist on Tuesday that he was proud of his career as a public servant.

“I’ve really enjoyed the work and I’m sad to have it end,” he said.

It’s a sentiment he echoed in his letter, adding that despite the setbacks and roadblocks, he was proud of the people with whom he shared the office.

“It has been my honor to work with a talented, brave and tireless group of public servants to ensure that the public knows what its government is doing,” he wrote.

He noted the inspector general’s reports are fact-checked by the office and public.

“When government abuses occur, they are sometimes kept secret, but that is no longer the case for much of what is happening in Los Angeles County,” Huntsman wrote. “What you do about it is up to you.,”

Huntsman’s last day is Friday.

Topline:

The backstory: Last month, the council's Transportation Committee voted to bring a proposal forward to implement a policy change that allows the city to impound and immediately destroy abandoned or inoperable RVs worth less than $4,000. The change is inspired by new state law AB 630, which was created to prevent previously impounded RVs from ending back up on the street.

The motion, authored by Councilmember Traci Park, reports that abandoned RVs pose as public and safety hazards.

What's next: Councilmember Nithya Raman requested that an implementation plan be presented to the council's public safety and housing and homelessness committees.

Go deeper: L.A. pushes policy to make it easier to remove RVs from city streets.