Wolverine Center

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The agency is found to be in non-compliance as per interviews, documentation and video review, it was found that Staff 1 physically assaulted Youth A and Staff 1 also bit Youth A on his right arm on 3/24/2026.

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The agency is found to be in non-compliance as per staff interviews, Staff 1 was overheard using threatening and inappropriate language with Youth A during the incident on 3/24/2026.

Repeat violation established, special investigation : CCI Rule 400.4126 Sufficiency of staff

The agency is found in noncompliance. Although multiple staff responded to the incident, the evidence indicated deficiencies in staff coordination and protection of the youth. Youth A and Youth B, who had known behavioral triggers, were allowed to be in close proximity without sufficient preventative supervision. While staff ultimately intervened, the incident was not prevented, demonstrating that supervision was not sufficient to ensure the continual safety and protection of residents.

Repeat violation established, special investigation : CCI Rule 400.4109 -1-c

The agency is found in non-compliance. Video review confirmed Supervisor 1 and Supervisor 3 were the primary staff present and intervened during the initial altercation, while Supervisor 2 responded after the incident had already begun. However, the incident report inaccurately identified Supervisor 2 as present at the onset of the event and failed to include Supervisor 3 in the staff documentation, resulting in an inaccurate and incomplete report.

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The agency is found in non-compliance as per youth and staff interviewed and documentation reviewed Staff 1 spit back at Youth A during an escalated incident that occurred on 01/24/2026.

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

The agency is found in non-compliance as per staff interviewed and documentation reviewed the Incident Report authored by Staff 2 was missing detail of Staff 1’s actions during the incident with Youth A on 01/24/2026

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The facility is found in noncompliance as evidenced by interviews with staff, youth, documents and video recording. Evidence supports the allegations of Staff 1 engaging in an inappropriate behavior management technique when placing his hand around Youth A’s neck and pushing Youth A at the same time. TECHNICAL ASSISTANCE: Technical assistance was offered regarding the facility developing a system of emotional wellness check on staff prior to beginning their shift. This could be accomplished by having staff check in with the shift supervisor who could ask questions about the staff’s emotional state prior to beginning the shift. If a staff is found to be struggling in any aspect of their emotional wellbeing they should be excused from the shift. Technical assistance was offered regarding the facility to ensure staff training beginning at orientation involves staff understanding the importance of remaining calm in very intense situations. Staff should learn the skills to avoid and ignore what type of statements will be used by youth in their care so they can remain calm.

Violation established, special investigation : CCI Rule 400.4130 Privacy and confidentiality

The agency was found to be in non-compliance. During the investigation, it was determined youth were housed in the gymnasium from 01/27/2026 through 02/03/2026 due to the facility’s heating system being inoperable. A Facebook post showed pictures of youth sleeping in the gymnasium which is a violation of their privacy and Human Resource records indicate Youth Care Specialist was suspended for taking photos of a youth in the gym and uploaded them to Facebook.

Violation established, special investigation : MCL 722.120 Investigation, inspection, and examination of conditions, books,

The agency was found to be in non-compliance. During the investigation, concerns were identified regarding the accuracy and completeness of information provided by the agency. A staff roster provided on 02/25/2026, intended to identify employees who worked while youth were housed in the gymnasium from (01/27/2026–02/03/2026), did not include Youth Care Specialist or Supervisor 3. During the on-site visit on 02/23/2026, Supervisor 1 and Clinical Manager denied having knowledge of who could have uploaded the pictures. This is inconsistent with HR Manager disclosure indicating Supervisor 1 was involved in the internal investigation initiated on 2/18/26 and participated in the termination conference on 02/27/2026. Supervisor 1 was interviewed again on 3/25/26 and reported he had no knowledge of Youth Care Specialist’s suspension or termination. During a meeting with the CA on 03/13/2026, the CA did not reference any suspicion regarding Youth Care Specialist. CA also reported having no knowledge of the person who could have uploaded the pictures. A copy of the staff schedule from 01/27/2026–02/03/2026 was requested from CA in order to cross reference but was never received. HR documentation received on 03/16/2026 revealed Youth Care Specialist had prior disciplinary action, including a counseling form on 12/14/2025 for possession of a phone in the gymnasium and a suspension on 02/18/2026 for phone use during an outing, including alleged FaceTime or video recording of youth. ...

Violation established, special investigation : CCI Rule 400.4125 Personal possessions; money; clothing;

The agency is found in non-compliance as per interviews with the youth and staff the youth were not provided with winter footwear and some of the youth do not have hats or gloves.

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The agency is found in non-compliance as Youth C, Staff 1, Staff 2, Staff 4, Staff 5, and Supervisor all reported Staff 5 pushed Youth C against the wall which is not an approved restraint technique and is against Wolverine Center Policy. Further, video footage showed Staff 5 walking towards Youth C twice prior to grabbing him and pushing him against the wall with at least two other staff within arms reach of the incident who could have assisted in a proper restraint had Staff 5 asked for assistance or waited for them to assist. Technical Assistance: Technical assistance was provided that the agency review and update the Incident Report procedure due to the incident report not being written by the staff who took lead in this incident or accurately reflecting the entire incident as the author of the incident report was only present for a portion of the incident. It is recommended all staff involved in the incident write a witness statement in addition to the incident report which can be reviewed by a supervisor to ensure all information is accurately included in the incident report. In addition, it is recommended supervisors review the video footage, if available, when reviewing the incident report to ensure the incident report is accurate and includes all relevant information.

Violation established, special investigation : CCI Rule 400.4116 Chief administrator; responsibilities

The facility if found in non-compliance as Administrator did not ensure compliance with the rules. The facility was below the required temperature for at least two days. Administrator was aware the windows are not weather tight and the boiler could not 10 keep the building at the required minimum temperature, and she did not implement the emergency response plan as she reported she was not aware of what the plan was or where it was located.

Violation established, special investigation : CCI Rule 400.4431 Heating equipment

The facility was found in non-compliance as the heating equipment is not capable of maintaining a temperature of not less than 68 degrees Fahrenheit at a point 4 feet above the floor, as evidenced by the interviews, temperature readings, and work order information.

Repeat violation established, special investigation : CCI Rule 400.4407 Facility and premises maintenance

The facility is found in non-compliance as the windows are not weather tight and were leaking in cold air per Administrator, work order information, and during the tour of the facility.

Violation established, special investigation : CCI Rule 400.4407 Facility and premises maintenance

The agency is found in non-compliance as per interviews and tour of the facility the window is not in good repair as it is covered in plexiglass which is not weather tight or a permanent repair. Further, there is no record of the broken window and there was no plan for it to be permanently fixed.

Violation established, special investigation : CCI Rule 400.4150 Incident reporting

The agency is found in non-compliance as they did not notify DCWL of the law enforcement contact with Youth A on November 26, 2025.

Violation established, special investigation : CCI Rule 400.4150 Incident reporting

The agency is found in non-compliance as neither Foster Care or DCWL were notified of Youth A’s hospitalization on November 30, 2025, as the rules require.

Violation established, special investigation : R.400.4136 Recreational activities, equipment, and supplies,

The agency is in non-compliance. The agency does not have a specific recreation policy as outlined in the rule. Technical Assistance: The agency will need to develop a recreational policy specific to programming at the facility. It will need to include how recreation is discussed, scheduled, and supervised. Any forms being used should be noted in the policy as well. Staff should be trained on how to supervise youth at recreational activities. Scheduling of 8 activities should be done in advance and discussed beforehand. Intentional staffing and youth involvement should be discussed. While staff may decide to add funds to recreational activities, if the agency allows this, it is the agency’s responsibility to provide the necessary resources for the recreational activities. Consultation: It would benefit the agency to have the staff know ahead of time what recreational activity they will participate in. Youth in the program could also be a part of this process. Youth could be involved in deciding the activities and budgeting for the activities. The agency would also benefit from having a debriefing after the activity with the youth and staff to encourage positive outcomes and discuss any different styles of staffing that may be needed in the future.

Repeat violation established, special investigation : CCI Rule 400.4126 Sufficiency of staff

The agency is in violation of this rule. Staff 1, Staff 2, Youth B, and Youth C all reported that the staff were not all physically in the presence of each other or the youth due to lack of movie tickets available. Staff were unable to see what youth were doing while sitting in the seats of the theatre and Youth C was noted to be standing or sitting with staff at the bar area instead of being in the movie theatre.

Violation established, special investigation : CCI Rule 400.4131 Compliance with child protection law;

The agency is in violation of this rule. The incident occurred on 11/29/25. Staff 1 was present and observed this concern. Supervisor 1 was made aware of the concern on 11/30/25. The information was not reported until 12/7/25 when Administrator was made aware of the concerns.

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The agency is found in non-compliance as per youth and staff interviews and documentation reviewed there was evidence found that Staff 1 used verbally threatening and inappropriate language to Youth A during the incident in question. Technical Assistance: Technical assistance was offered that all pertinent information related to an incident is documented in the incident report and/or incident reports are completed by all staff that are present. Supervisor 1 heard Staff 1 state to Youth A that she would “slit his throat” with her keys. However, this is not documented in the incident report that Supervisor 2 wrote as she was unaware of this information.

Violation established, special investigation : CCI Rule 400.4139 Driver's license

The agency is found in non-compliance as per staff interviewed and documentation reviewed there was evidence found Staff 1 transported youth while having a suspended driver’s license.

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

The agency is found in non-compliance as Staff 4 violated the agency policy and admitted to bringing a firearm onto Wolverine Center property.

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

The agency is found in non-compliance as per policy the staff are not allowed to carry personal items with them during work time and Staff 1 had her personal bag on the youth unit, allowing Youth A access to her personal items.

Violation established, special investigation : CCI Rule 400.4407 Facility and premises maintenance

The agency is found in non-compliance as the facility was not in good condition during the tour on November 19, 2025, and no one was aware of when the ceiling tiles, support, standing water, and exposed wires had occurred or how long they had been in that condition. Technical Assistance: It is recommended that the facility develop a walk-through for shift supervisors to conduct at the beginning and end of their shift to identify any issues with the facility condition. If any concerns are found, the facility should develop a protocol for how to document that and place work orders for timely repairs to be made. Consultation: It is recommended that the facility utilize the youth council to come up with ideas on how to make the youth’s bedrooms more “home- like” which could promote cleanliness.

Repeat violation established, special investigation : CCI Rule 400.4158 Intervention standards and prohibitions

The agency is found in non-compliance as per youth and staff interviews and documentation reviewed Staff 1 kicked and pushed Youth A during the incident that occurred on 10/20/2025.