Easterseals Gammon Academy at Zachary Road

Non-compliant, compliance visit : He-C 4001.22(b)(1) Program staff shall not abuse or neglect residents.

Program staff reported an allegation that a staff member physically abused a resident at the program. Resident A reported to their clinician that Staff F had punched and kicked them and that other staff were rough when restraining them. Staff A confirmed that, while Resident A was in an approved restraint, they observed Staff F punch Resident A a few times, walk around the group of staff and then kick Resident A a few times before leaving the area. Staff C confirmed that they observed Staff F hitting and kicking Resident A repeatedly while Resident A was in an approved restraint conducted by other staff members, and described yelling for other staff to help while shielding Resident A with their body. Staff A and C immediately reported their concerns to the Building Manager. A routine nursing assessment following the restraint revealed that Resident A did have several bruises on their arms, shoulder and collarbone area, although the assessment does not identify the origin of the bruising.

Non-compliant, complaint visit : He-C 4001.10(d) Any licensee, program staff, or other person involved with a program who has reason to suspect that a resident is being abused or neglected ...

During the review of an unrelated matter on April 2, 2026, the licensing coordinator, a Division for Children, Youth, and Families employee, and a program staff member found an Incident Report documenting an incident that had occurred in December 2025 involving a current resident, and the incident had not been reported to the department. As of April 14, 2026, the incident had not been reported to the department.

Non-compliant, quality assurance visit : He-C 4001.31(b) Prior to the start date and every 5 years thereafter, an employee, volunteer, household member, or other individual who will be working in the ...

The licensing coordinator's review of the program’s staff roster in NHCIS revealed that one staff, with a hire date of October 2, 2025, had not been determined eligible by the Unit and had been working with the youths in the residential program on 57 days.

Non-compliant, complaint visit : He-C 4001.10(f) Program staff shall safeguard the confidentiality of all records and personal information regarding any resident.

Program staff confirmed that an authorization for a prescribed change in a vitamin supplement for Resident A was given to the wrong parent/guardian on July 14, 2025. The authorization was then signed by the incorrect parent/guardian and returned to the program. Staff A acknowledged having sent the authorization to the parent/guardian of another resident in error.

Non-compliant, complaint visit : He-C 4001.15(t)(3) The medication log required in (s) above shall for each medication prescribed, include at a minimum:a. The name of the resident; b. The date ...

Physician orders for Resident A indicate that the Resident was provided a specific vitamin supplement daily at 8:00 a.m. The Medication Administration Record lacked the signature of the authorized staff who administered medication from July 21, 2025, through July 24, 2025. In addition, it was determined that a medication occurrence had resulted on each of these days due to the program's erroneous request and receipt of an approval that was not signed by Resident A's parent or guardian.

Non-compliant, complaint visit : He-C 4001.14(a) Program staff shall provide care and supervision at all times to ensure that residents are safe and that their needs are met according to their ...

REPEAT CITATION, PREVIOUSLY CITED ON JANUARY 27, 2023, OCTOBER 16, 2023, AND APRIL 18, 2024. The program self-reported that on July 25, 2025, Resident A entered Resident B’s bedroom and were there with the door closed for approximately 2 minutes. Resident B confirmed that Resident A entered their bedroom and closed the door behind them. Staff A, who was assigned as the 1:1 staff for Resident A, reported that they left Resident A for a few minutes to assist another resident in making a phone call after obtaining permission from Staff B, whom they presumed would provide the required 1:1 supervision of Resident A. Staff B stated that they did not recall this request, which they attributed to a miscommunication, and confirmed that Resident A was without 1:1 supervision for a couple of minutes, which is when Resident A entered Resident B's bedroom. The licensing coordinator’s review of Resident A’s “Focus of Treatment Plan” revealed that they require one-to-one staff at all times. The department’s determination that the program staff failed to provide care and supervision at all times to ensure that residents were safe and that their needs were met according to their developmental level, age, emotional or behavioral needs, and in accordance with their treatment plan. This constitutes a third repeat citation and failure to comply with three approved Corrective Action Plans regarding supervision of residents.

Non-compliant, complaint visit : He-C 4001.22(b)(1) Program staff shall not abuse or neglect residents.

Program staff self-reported to the department that Resident A disclosed to clinical staff that during a van trip, Staff A touched them under their clothing, and that Staff A took Resident A’s hand and placed it on Staff A’s genital area above their clothing. Resident A also stated that Staff A whispered inappropriate things to Resident A while this was happening. Department staff interviewed Resident A who described the above incident with Staff A. When interviewing other residents who were present during the outing, Resident B disclosed that Staff A had also placed their hands on Resident B's genital area. Program staff stated that during this outing, Staff A was seated between Resident A and Resident B in the rear seat of the program’s passenger van. Other program staff present during the outing stated that they did not observe the interactions as one staff was driving, and the two other staff were seated ahead of Staff A and Residents A and B and responsible for supervising other residents.

Non-compliant, complaint visit : He-C 4001.22(b)(2) Program staff shall not use corporal punishment.

The department was informed by the program that a resident reported being injured by a staff member. Resident A stated that, as a result of the resident tripping over and breaking one of Staff D's personal possessions, Staff D grabbed Resident A by the face and pushed them into a wall. This act of aggressive physical contact resulted in a small laceration on the resident's jawline. Resident B witnessed the incident and reported observing Staff D pushing Resident A into the wall by his face. The injury to Resident A was documented by program staff, and it was further determined that there were no other incident reports that could have accounted for Resident A's injury. He-C 4001.01 defines corporal punishment as "use of aggressive physical contact or other action designed to cause the resident discomfort, used as a penalty for behavior disapproved of by the punisher." It is the determination of the department that Staff A used corporal punishment when responding to Resident A.

Founded, problem resolved, complaint visit : He-C 4001.20(a) Program staff shall provide care and supervision at all times to ensure that residents are safe and that their needs are met according to their ...

Program staff self-reported that a resident was left alone in their assigned Unit for approximately five minutes. The staff discovered the resident knocking on the Unit door when returning to the Unit after readying other residents for transportation to school. The program has instituted a new policy requiring staff to have the lead staff, another staff member, and the Building Manager on duty check all bedrooms and areas of the unit to determine that all residents expected to be at school have been appropriately transported and are not left without direct supervision.

Non-compliant, complaint visit : He-C 4001.22(b)(1) Program staff shall not abuse or neglect residents.

The department received information that Staff D physically abused a resident in response to the resident's behaviors. Staff B and E stated they observed Resident A attack Staff D after Staff D denied Resident A a telephone call, and that Staff D responded by pinning the resident's arms with their own hands and causing the resident to fall to the floor. Resident A stated that they had attacked Staff D by biting, kicking, and hitting them, and that Staff D grabbed Resident A by the upper arms and pushed them down to the ground, breaking their glasses in the process. Staff D denied all accusations, stating that they were deflecting blows from Resident A. It is the determination of the department that Staff D abused Resident A.

Non-compliant, complaint visit : He-C 4001.20(a) Program staff shall provide care and supervision at all times to ensure that residents are safe and that their needs are met according to their ...

The program self-reported an incident of two residents engaging in inappropriate physical contact while unsupervised in the unit Activity Room. Staff A, Staff D, and Staff G were on the unit at the time of the incident, and Staff G was responsible for taking census during that time. Staff G was unaware of the location of two residents, and stated the program conducts "hourly" checks on the residents, when program policy requires that census be taken every 15 minutes. Further, Staff G reported looking into the Activity Room and only locating Resident A, although both residents were present in the room. Staff G stated that Resident B walked out of the room after he had checked the room and had not noted him present. Both residents disclosed improper contact while they were unsupervised in the Activity Room.

Non-compliant, renewal visit : He-C 4001.17(o) Program staff shall maintain the outside play areas free of hazards.

The licensing coordinator observed pink insulation foam on the ground in the outdoor area between the Rockingham and Hillsborough Units, where it was accessible to residents. Program staff disposed of the insulation immediately.

Non-compliant, renewal visit : He-C 4001.17(a)(1) Program staff shall maintain the residential child care environment free of conditions hazardous to residents, including electrical hazards.

Three licensing coordinators observed exposed wiring in a bedroom and bathroom on the Hillsborough Unit where fixtures had been removed. Both areas were satisfactorily covered with electrical plates prior to the end of the visit.

Non-compliant, renewal visit : He-C 4001.15(y)(3)(d) The medication log required in (x) above shall, for each medication prescribed, include the dated signature of the authorized staff who ...

1. The department's review of documentation and interview of medical personnel revealed the following; a. Resident A: 5:00 p.m. medication on April 7 and April 9, 2024, was not initialed as administered, b. Resident B: 2:00 p.m. medication on April 7, 2024, was not initialed as administered, c. Resident C: 8:00 a.m. on April 7, 2024, and 8:00 p.m. on April 9, 2024, was not initialed as administered, and d. Resident D: 8:00 a.m. and noon medication on April 8, 2024, was not initialed as administered.

Non-compliant, renewal visit : He-C 4001.16(e)(1) Programs shall assure that damage to the residence, such as holes in walls and doors, is repaired within 7 days, or as soon as possible ...

Three licensing coordinators observed a missing windowsill, causing insulation foam in the interior of the wall to be exposed. The windowsill was replaced prior to the end of the visit.

Non-compliant, complaint visit

The program self-reported inappropriate use of a restraint by a school employee who was working in the residence on a non-school day. Resident A stated that Staff A came from behind them and put Resident A into a restraint without warning. In the course of the restraint, Resident A fell forward and hit their head on a desk. The licensing coordinator observed injuries to Resident A's face which were consistent with striking their face on a desk. Staff B witnessed the restraint of Resident A by Staff A, as they were sitting at the desk. Staff A stated they tripped and fell, bringing Resident A down with them. It is the determination of the department that the restraint was not conducted appropriately or in accordance with the requirements of RSA 126-U.

Non-compliant, complaint visit : He-C 4001.20(a) Program staff shall provide care and supervision at all times to ensure that residents are safe and that their needs are met according to their ...

The complainant’s statement that Resident A reported to emergency room staff that a peer sexually assaulted them. Specifically, Resident A reported that that Resident B assaulted them in their (Resident A’s) bedroom and that Resident B was in the Resident A's bedroom for approximately 10 minutes before staff became aware of the situation. The staff responsible for supervising the residents were unaware that Resident B was not in their bedroom, where they were required to be, although program staff had been informed to keep Resident B in a restricted space by the shift leadership. It is the determination of the department that the program staff failed to provide care and supervision at all times to ensure that the resident was safe and that their needs were met according to their developmental level, age, emotional or behavioral needs, and in accordance with their treatment plan.