Methodist Children’s Home

Repeat violation established, special investigation : CCI Rule 400.4142 Health services; policies and procedures

The agency is found in non-compliance based on interviews with staff, youth, and documentation. Staff failed to notify a supervisor and seek medical attention when Youth got into a physical altercation and hurt his arm.

Repeat violation established, special investigation : CCI Rule 400.4142 Health services; policies and procedures

The agency is found in non-compliance based on interviews with staff, youth, and documentation. Staff failed to notify a supervisor and therapist regarding a youth attempting suicide.

Violation established, special investigation : CCI Rule 400.4142 Health services; policies and procedures

At the conclusion of the investigation, the agency was found to be in non-compliance with the licensing rule. Interviews were completed with agency staff and the agency policy was reviewed. Agency staff admitted that medication for the overnight visit was not packaged and labeled as required by agency policy.

Repeat violation established, special investigation : CCI Rule 400.4159 Youth restraint; pregnant youth; reduction, prevention; prohibited restraints; elimination of restraints.

The agency is found in non-compliance as per interviews with youth and staff and documentation reviewed Staff 1 attempted to restrain Youth A alone against facility policy, and in doing so positioned himself outside of the trained holds in the approved restraint model.

Violation established, special investigation : CCI Rule 400.4160 Emergency restraint

The agency is in non-compliance with this rule. • Staff 1 used a CPI transport position to intervene with Youth A. Youth A was seated when Staff 1 used this intervention and was not a threat to self or others. This position is used when youth are regaining control and after a team control position. • Staff 2 swung her arm at Youth A, although not making contact, this is not supportive stance or protective stance. CONSULTATION: The agency “Crisis Plan” and Crisis Prevention Institute Policy are specific and well written. It may benefit the agency to review these as a training to their staff either in individual supervision or in team meetings regularly. All staff are to know the details of the Crisis Plan and be able to walk through these interventions during their shifts. It may also help the agency recognize those individuals who need more training in this area.

Violation established, special investigation : CCI Rule 400.4163 Health Status assessment; notification;

The agency in violation of this rule. There was not an incident report written for the restraint.

Repeat violation established, special investigation : CCI Rule 400.4158

At the conclusion of the investigation, the agency was found to be in non-compliance with the licensing rule. Interviews were completed with both youth and staff at the agency. Staff 1 reported her intent to "protect herself" and admitted threatening the youth and stated if he hit her, she was going to hit him back. Technical Assistance: • Recommendation for agency to train staff to include witnesses in the incident report and have other staff present to also complete an incident report for detailed documentation.

Violation established, special investigation : CCI Rule 400.4150 Incident Reporting

The agency is found in non-compliance as there are several incidents where Youth ran away from the facility and the facility did not notify the foster care agency immediately as required.

Repeat violation established, special investigation : CCI Rule 400.4109 Program Statement

The facility is found in violation as per the interview with and email from Director, an incident report was not completed regarding the altercation between Youth A and Youth C.