Citing “gross incompetence,” Pennsylvania has moved to revoke the license of a treatment center for troubled young people and to relocate dozens of residents after a 17-year-old boy died in a confrontation with staff members, according to documents from the state.

The report from the Pennsylvania Department of Human Services, dated Monday and first obtained by The Philadelphia Inquirer, describes a confrontation that began after 8 p.m. on Oct. 13 at Wordsworth Academy in northwest Philadelphia. During the struggle, the report says, one staff member punched the boy, referred to as Child #1 in the documents, in the ribs multiple times while another held his legs. It describes the scene’s conclusion as told to investigators by other residents who witnessed it:

“The children also then overheard Child #1 yelling ‘get off me, I can’t breathe’ and then everything went silent.”

The boy, who was not identified, was pronounced dead by emergency responders.

“I can’t breathe” were also the last recorded words of Eric Garner, who died after a New York police officer placed him in a chokehold. Since Mr. Garner’s death in 2014, the phrase has become a rallying cry for civil rights activists around the country and one of the most recognizable slogans associated with the Black Lives Matter movement.

The Philadelphia police confirmed that the victim was 17 and black.

A statement provided by Officer Tanya Little, a spokeswoman for the Philadelphia police department, said that the police responded to a call from the academy at about 9 p.m., and discovered the victim lying unresponsive on the floor.