Severe reports

During an on-site investigation inspection, multiple interviews disclosed that a staff yelled, swore at, pulled and shoved a client up a hill that needed a break during a hike. Other staff present failed to intervene and prevent the staff from pulling and shoving the client and an additional staff eventually assisted the first staff in pulling and shoving the client up the hill.

From the state's report. Out of compliance, complaint, focus inspection. Cited: R495-876-5(1)(a)-(m) Code of conduct.

A 16-year-old child received a bruise when the caregiver pushed the child out of the door.

A caregiver used inappropriate discipline by pushing a child when the child refused to leave a room.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

During on and off-site inspections, multiple interviews disclosed that a staff member offered and provided vapes to clients, showed clients inappropriate photos on their cell phone, and had inappropriate conversations with clients about their sexual activities and illegal substances. A second staff member was alleged to have had inappropriate sexual conversations with clients, flirted with clients, and touched clients inappropriately.

From the state's report. Out of compliance, complaint, focus inspection. Cited: R495-876-4(2) Report abuse or neglect.

In plain words: A child in the program reported that a staff member made sexual comments, flirted, and touched them inappropriately. Another staff member reported the allegations to child protective services and law enforcement. The state report notes that the staff member was later charged with two counts of child molestation. Our summary of the state's report. The state's own wording follows.

Review of a facility document titled, “Incident Report”, dated 08/23/23, showed that Staff B, Milieu Manager, contacted CPS to report sexual assault allegations made by Patient #1. [...] It showed that Staff Q captured detailed statements Patient #1 was making to law enforcement about the alleged sexual assault by Staff A. e. [...] 19. Review of an email exchange between Investigator #1, Staff D, Executive Director of Intensive Youth Services, and Individual #2, Detective, on 01/02/24, showed: “[Staff A] has been charged with two counts of Child Molestation in the 3rd Degree”. [...] On or around 08/19/23, Patient #1 disclosed during a “casual conversation” with a milieu staff that Staff A had inappropriately touched them. b. [...] On a second occasion, there was an inappropriate touching event with Staff A in the facility’s laundry room.

Law enforcement determines whether a crime was committed and therefore the facility may not limit or prohibit external reporting activities. [...] 12. During an interview with Staff D, on 09/21/23, they stated that no one from the facility had contacted law enforcement to report the sexual assault allegations made by Patient #1 on 08/18/23. They stated that after a conversation with Staff L, Chief Administrative Officer, they realized that they had the responsibility of reporting allegations of sexual assault to law enforcement.

The documents contained the following information: a. “[Staff A] has been making sexual comments like, “age is just a number” and [they] slap my ass. [They] also been looking down girls' shirts and has been making all of us uncomfortable.” b. “[Staff A] flirts with us kids. [They] tell them age is just a number, winks at them, touches them in places like their butts, gives them flowers, and overall is just really taken. [They] need to not work in a place where people have been sexually assaulted.

From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-337-075 Resident rights.; WAC 246-337-065 Safety and security.; WAC 246-337-048 Quality improvement program.; WAC 246-337-048 Quality improvement program.. "[...]" marks text left out between sentences.

In plain words: A child in the program reported that a staff member made sexual comments and touched them inappropriately. Another child made a similar report and called law enforcement, and records showed staff failed to report the first allegation to the police. Our summary of the state's report. The state's own wording follows.

On or around 08/19/23, Patient #1 disclosed during a “casual conversation” with a milieu staff that Staff A had inappropriately touched them. b. [...] The documents contained the following information: a. “[Staff A] has been making sexual comments like, “age is just a number” and [they] slap my ass. [They] also been looking down girls' shirts and has been making all of us uncomfortable.” b. “[Staff A] flirts with us kids. [They] tell them age is just a number, winks at them, touches them in places like their butts, gives them flowers, and overall is just really taken. [They] need to not work in a place where people have been sexually assaulted. [...] On 09/05/23 law enforcement responded to a lewd conduct call [lewd conduct is a type of criminal charge] from Patient #2 after they reported they’d been inappropriately touched by Staff A. b.

12. During an interview with Staff D, on 09/21/23, they stated that no one from the facility had contacted law enforcement to report the sexual assault allegations made by Patient #1 on 08/18/23. They stated that after a conversation with Staff L, Chief Administrative Officer, they realized that they had the responsibility of reporting allegations of sexual assault to law enforcement. [...] 9. A Teams message exchange between Staff D, Executive Director, and Staff E, Counselor, dated 09/28/23, showed Staff D messaging Staff E, saying “The detectives are wanting the documentation around your conversation about the sexual misconduct.

5. During an interview on 09/21/23 at 09:15 AM, Staff D, Executive Director of Intensive Youth Services, stated that an allegation of staff sexual misconduct was made by Patient #1 on or around 8/18/23. [...] 7. Review of law enforcement records and internal facility records showed that Patients #1 and #2 repeatedly reported they were prevented from using the telephone to call 911 and the non-emergency law enforcement number to report sexual misconduct by a staff inside the facility 8.

Staff S wrote:” Did anyone tell [Patient #4] that a DCR [designated crisis responder] would be coming to assess [them] and that due to [their] recent self-harm and blade to [their] neck indicating suicide risk that [they] would be likely detained for 6.5 months? [...] PYR will determine which outside entity needs to be reported to (DOH, Law Enforcement, CPS) and will determine the next steps.

From the state's report. Deficiency cited, complaint investigation. Cited: WAC 246-341-0600 Individual rights.; WAC 246-341-0410 Agency administration—Administrator key responsibilities.; WAC 246-341-0420 Agency policies and procedures.; WAC 246-341-1133 Evaluation and treatment services—Service standards.. "[...]" marks text left out between sentences.

[Child 1] was transported to the hospital by ambulance from the facility with confusion and shortness of breath. [...] [Child 1]'s condition continued to de-escalate over time and on March 1, 2023, [Child 1] succumbed to death due to medical complications. During the week proceeding [Child 1]'s hospitalization, [Child 1] had been observed exhibiting symptoms of not feeling well while at school. Documentary evidence determined that [Child 1] died from illnesses that were contracted while in the care of the facility. [...] The Department has determined substantiated findings that staff did not provide medical attention in a timely manner contributed to [Child 1]'s death. [...] A copy of this report, Appeal Rights, and form UC 421-D(CRP) Civil Penalty Assessment- Death/ Serious Bodily Injury/ Physical Abuse was provided to Facility Representative during this visit.

From the state's report. Substantiated. Cited: 84078(b), 84064(f)(4). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Based on these interviews, information reported was consistent in reports of both consensual and non-consensual sexual acts committed by Individual #1, Individual #6, and Individual #7.

From the state's report. Non-compliance, DBHDS investigation. Cited: 12VAC35-46-800. A. (1) There shall be evidence of a structured program of care designed to: 1. Meet the residents' physical and emotional needs;; 12VAC35-46-800. A. (2) There shall be evidence of a structured program of care designed to: 2. Provide protection, guidance, and supervision;.

Information obtained revealed enough evidence to determine that the allegation took place and staff performed an inappropriate restraint.

From the state's report. Substantiated.

A caregiver failed to adhere to a child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401 when the caregiver physically abused a child in care.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

During an altercation between a staff member and a child in care, the staff member responded to the child posturing up to them by pushing them away from them.

From the state's report. Risk level: High. Cited: 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment.

In plain words: A staff member forced a child to the ground with too much force, causing face and knee injuries. The state decided physical abuse occurred. Our summary of the state's report. The state's own wording follows.

The [the staff person] reached in and removed [the alleged victim], forcing [the alleged victim] to the ground with excessive force causing [the alleged victim] to sustain injuries to her/his face and knee. [...] Given the testimony provided through interviews with staff persons and the facility’s requirement per policy to de-escalate a potential use-of-force situation, to use the least amount of force reasonable, the physical injuries sustained by [the alleged victim], and staff persons belief that [the staff person] used excessive force or overreacted there was a preponderance of the evidence that [the staff person]’s conduct was not accidental and caused [the alleged victim] physical injury. It was determined that physical abuse occurred (any physical injury, mental injury, or threatened injury, inflicted by a person responsible for the child's care on a child other than by accidental means.

From the state's report. Maltreatment determined as to physical abuse of the AV by the SP.. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

A child in care was verbally and physically assaulted other children in care while staff watched.

From the state's report. Risk level: High. Cited: 748.685(c)(2) - Caregiver responsibility - provide a safe environment.

A child in care was inappropriately restrained at the operation.

From the state's report. Risk level: High. Cited: 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back.

A child in care suffered self-inflicted cuts to her arm on 08/24/2023 and was not seen by a medical professional until 08/28/2023 where the determination was made to admit her into a behavioral hospital for evaluation.

From the state's report. Risk level: High. Cited: 748.125(e)(1)(A) - You must immediately refer a child to a MH professional for a suicide risk assessment if screening finds child to be at a high risk for suicide..

It was determined that staff was pinching a child's nose to get the child get off of him.

From the state's report. Risk level: High. Cited: 748.2307(6) - Other Prohibited Punishments-pinching, pulling hair, biting, or shaking a child.

On April 4, 2023, Community Care Licensing (CCL) received the allegation that facility staff handled minor in a rough manner and facility staff inappropriately restrained minor causing injury. [...] Based on confidential interviews and document review, the allegations that facility staff handled [Child 1] in a rough manner and facility staff inappropriately restrained [Child 1] causing injury are SUBSTANTIATED because the preponderance of evidence has been met.

From the state's report. Substantiated. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

According to SIA Birk's report, based on confidential interviews and documentation there were multiple consistent statements of multiple clients being sexually assaulted and/or inappropriately touched while at the facility.

From the state's report. Substantiated.

Review of incident reports revealed an alleged sexual abuse incident was not called in to Licensing.

From the state's report. Risk level: Medium High. Cited: 748.303(a)(5)(A) - Serious Incident-Report to Licensing soon as aware of an incident of sexual abuse of a child against another child.

Three staff pushed Individual #1 into the seclusion room, stayed at the door for two minutes, then all three staff walked away.

From the state's report. Non-compliance, DBHDS investigation. Cited: 12VAC35-46-960. I. All space in the seclusion room shall be visible through the locked door, either directly or by mirrors.

Based on review of the internal incident report, the provider failed to implement prompt emergency care to Resident #1 after Resident #1 experienced a suicide attempt. There was a 9-minute period between the time Resident #1 was found after the suicide attempt and the provider decision to call EMS. Per video review of the incident, Resident #1 was discovered by Staff #1 and #2 at 5:01pm after the suicide attempt. Per the incident report, after a few minutes of asking Resident #1 questions, Staff #2 and Staff #6 made the determination that EMS personnel were needed and made a 911 telephone call. The incident report explained the call to EMS was not made until, "about 5:10pm," which was after the internal nursing staff was contacted.

From the state's report. Non-compliance, DBHDS investigation. Cited: 12VAC35-46-810. A. (3) The provider shall have and implement written procedures for promptly: 3. Providing emergency services for each resident;; 12VAC35-46-810. A. (4) The provider shall have and implement written procedures for promptly: 4. Providing emergency services for any resident experiencing or ....

During a CPS investigation of an incident involving Staff member A and Child A, the staff member shoved the desk violently that Child A was sitting in and pushed it backwards.

Staff member A shoved the desk into the room. [...] Staff A shoved Child A backwards and off balance.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.32.b Specific Rights; 55 Pa. Code § 3800.202.c Appropriate Use of Restrictive Procedures. "[...]" marks text left out between sentences.

Regarding the allegations that staff spoke inappropriately to minor in care, and staff handled minor in a rough manner: both current and past statements from Bar Du clients support the statements from clients in this investigation regarding the way [Staff 1] has spoken to them, and physically handled them.

From the state's report. Substantiated (one of several allegations). Cited: 87072(d)(11), 87072(c)(10). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

A 4-year-old child was inappropriately disciplined, resulting in significant risk, when a caregiver hit a child's mouth and shove the child to the ground.

A caregiver hit a foster child on the mouth in response to the child's behavior.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation; 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Staff was observed hitting and punching a child on video.

Staff was also observed pushing the child to the floor.

From the state's report. Risk level: High. Cited: 748.1101(b)(4)(A)(ii) - Children's rights-The right to be free from being subjected to or threatened with corporal punishment, including spanking or hitting; 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

Per provider's CHRIS report #A20230324, by a preponderance of the evidence which included eyewitness statements, failure to follow policy and witness credibility, the provider substantiated the allegation of neglect when Employee #1 used an improper restraint with Individual #1 which caused Individual #1 to sustain an injury to their arm.

From the state's report. Non-compliance, DBHDS human rights inspection. Cited: 12VAC35-115-50. B. (2) In receiving all services, each individual has the right to: 2. Be protected from harm including abuse, neglect, and exploitation..

[Staff 1] was unable to be interviewed due to whereabouts unknown at this time. On July 22, 2022, the Department received a complaint that alleged staff placed minor in (Continued) (Continued) a choke hold.

From the state's report. Substantiated. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

A caregiver fought and hit a child in care in the face.

From the state's report. Risk level: High. Cited: 748.2307(1) - Other Prohibited Punishments-any harsh, cruel, unusual, unnecessary, demeaning, or humiliating discipline/punishment.

A caregiver failed to adhere to the child's rights to be free of abuse, neglect, and exploitation as defined in Texas Family Code 261.401.A staff member was found having inappropriate sexual contact and relationship with a 17-year-old child in care.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Caregivers were unaware that a child in care, who had history of suicidal gestures, went into the restroom until the door was opened for another child. The child was found unresponsive with clothing around their neck.

From the state's report. Risk level: High. Cited: 748.685(a)(4) - Caregiver responsibility - providing the level of supervision necessary to ensure each child's safety and well-being.

Staff person A precedes to lift foot and kick the child on the face/forehead area, causing the child to fall backwards.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.32.b Specific Rights; 55 Pa. Code § 3800.32.c Specific Rights.

During a short personal restraint a child received carpet burn to his face and his elbow.

From the state's report. Risk level: High. Cited: 748.2461(a)(1) - Short Personal Restraint-Caregiver must minimize risk of physical discomfort, harm, or pain to child.

A caregiver was observed on their cell phone and then working on paperwork when a child in care, who was on eyesight supervision, attempted to commit suicide in the bathroom.

From the state's report. Risk level: High. Cited: 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety.

During the review of this investigation, it was found that a caregiver used a prohibited restraint on a child in care.

From the state's report. Risk level: High. Cited: 748.2605(a)(1) - Personal Restraints Prohibited-Restraints that impair child's breathing by putting pressure on child's torso.

In plain words: A staff member grabbed a child in the program’s lower neck near the shoulder and hit the child with keys, causing a scratch. The child saw the scratch but did not report being handled or hit. The state licensing agency found the allegations substantiated. Our summary of the state's report. The state's own wording follows.

On July 7, 2022, Community Care Licensing (CCL) received a complaint alleging that a staff handled a minor in a rough manner and minor sustained injury while in care. Regarding a staff handled a client in a rough manner allegation, it was specified that Staff #1 grabbed Client #1 in Client #1's lower neck near the shoulder area. [...] It was also stated that [Staff 1] hit [Child 1] with [Staff 1]'s keys. [...] The same interview reported [Staff 1] hit [Child 1] with her keys on [Child 1]'s body. [...] Administrator stated [Child 1] did not report being handled or hit by [Staff 1] but did observe the scratch on [Child 1]'s body. [...] Based on confidential interviews, the preponderance of evidence standard has been met, therefore, the allegations that Staff #1 handled Client #1 in a rough manner and that Client #1 sustained an injury while in care are SUBSTANTIATED.

From the state's report. Substantiated. Cited: 87072(11). "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Caregiver observed corporal punishment of a child, and failed to intervene.

A caregiver was observed using corporal punishment on a child.

From the state's report. Risk level: High. Cited: 748.685(a)(5) - Caregiver responsibility - being able to intervene when necessary to ensure child's safety; 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

Staff used unnecessary force when pushing a child before restraining her three separate times.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force.

A. Respondent has obstructed external oversight and intervention by impeding Program investigations and failing to cooperate with DCYF/CPS and law enforcement in connection with complaints of employee misconduct, child abuse and neglect, and criminal acts at the facility. [...] M2022-552 (lead) M2022-553 (consolidated) C. Respondent has demonstrated a pattern of indifference to the mental and physical well-being of patients by failing to report sexual abuse and professional misconduct. Furthermore, individuals in supervisory capacities, in at least two instances, attempted to cause credentialed providers to downgrade serious conduct such as “grooming” and “sexual assault” to protect the agency from external scrutiny.

From the state's report. Findings of fact, summary action order. "[...]" marks text left out between sentences.

A. Respondent has obstructed external oversight and intervention by impeding Program investigations and failing to cooperate with DCYF/CPS and law enforcement in connection with complaints of employee misconduct, child abuse and neglect, and criminal acts at the facility. [...] M2022-552 (lead) M2022-553 (consolidated) C. Respondent has demonstrated a pattern of indifference to the mental and physical well-being of patients by failing to report sexual abuse and professional misconduct. Furthermore, individuals in supervisory capacities, in at least two instances, attempted to cause credentialed providers to downgrade serious conduct such as “grooming” and “sexual assault” to protect the agency from external scrutiny.

From the state's report. Findings of fact, summary action order. "[...]" marks text left out between sentences.

For example, the Program has identified that three (3) former employees of DYS Brush Prairie have — allegedly engaged in professional boundary violations, including sexual misconduct, with three (3) minor patients.

From the state's report. Findings of fact, summary action order.

For example, the Program has identified that three (3) former employees of DYS Brush Prairie have — allegedly engaged in professional boundary violations, including sexual misconduct, with three (3) minor patients.

From the state's report. Findings of fact, summary action order.

On 12/20/2022, the Administrator reported an attempted suicide at the facility by [Child 1]. [...] FM Dewalt called 911 as the Administrator Losh and Staff Scholes started CPR. [Child 1] was transported to Saint Joseph's hospital in Stockton then Life-flighted to Oakland Children's Hospital. [...] [Child 1] was pronounced deceased on 12/22/22 at 10:30 pm. [...] The cause of death was listed as suicide by hanging.

From the state's report. Deficiency cited at inspection. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

During the investigation it was found two staff physically abused two children when completing two separate inappropriate restraints.

From the state's report. Risk level: High. Cited: 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.

Under Health and Safety Code section 1548(f)(1)(C)(ii), a violation that the Department determines results in physical abuse as defined in section 1548(f)(2) to a child receiving care through a STRTP, there shall be a civil penalty of $2500.00. Under H&S 1548, "physical abuse" includes neglect as defined in 11165.2 of the Penal Code, when the person responsible for the child's welfare is a licensee, administrator, or employee of any facility licensed to care for children. A copy of this report, the Confidential Names Form, Appeal Rights, and the signed LIC 421-D (CRP) Civil Penalty Assessment - Death / Serious Bodily Injury / Physical Abuse were provided to the facility representative.

From the state's report. Deficiency cited at inspection.

A staff admitted to a case worker to using an inappropriate restraint towards a child in care by placing his arms behind his back.

From the state's report. Risk level: High. Cited: 748.2461(b)(6) - Short Personal Restraint-Caregiver may not use restraint that twists or places the child's limb(s) behind the child's back.

A caregiver pulled the hair of a child in care, grabbed the child by the neck and threatened the child.

From the state's report. Risk level: High. Cited: 748.2303(a) - Corporal Punishment-May not use/threaten corporal punishment, such as hitting/spanking, forced exercise, holding physical position, unproductive work..

"On 4/22/23, at approximately 1933 (7:33 p.m.), [Officer] responded to [County Hospital] for a sexual assault case. [Officer] spoke with [Former client 1] who stated that he had been sexually and physically assaulted at the Just in Time Youth Services home. [...] A couple of days after the incident, [Staff #2] approached [Former client 1] again in his room. [Staff #2] began to take his hand and feel [Former client 1's] thigh. [Former client 1] stated that he was wearing pants that had a button on them, but that it did not actually button. [Staff #2] tried unbuttoning his pants, realized he did not need to, then slipped his hand down [Former client 1's] pants. [Staff #2] then began to fondle [Former client 1's] penis. -[Former client 1] could not give much detail about what exactly had occurred.

From the state's report. Deficiency cited, complaint survey. Cited: V 132. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

The report stated [Resident 3] and [Resident 5] appeared to be "under the influence," as staff questioned [Resident 3] and [Resident 5], it was discovered [Resident 3] and [Resident 5] had ingested eight unprescribed Oxcarbazepine 600 mg capsules each, given to [Resident 3] and [Resident 5] by [Resident 2], who had taken the pills during assistance with the self-administration of medication, without staff noticing. Both [Resident 3] and [Resident 5] were transported to the nearest emergency room location in Maricopa.

From the state's report. Deficiency cited, complaint and compliance (annual). Cited: A. An administrator shall ensure that: 7. A resident does not: a. Use or have access to any materials, furnishings, or equipment or participate in any activity .... The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

[Former client 6] was hospitalized and sustained a "broken jaw a deep gash over her eye as well as an injury to the back of her head." Review on 5/2/23 of police report revealed: [...] "[Sheriff Deputy] was never dispatched to disturbance here. [...] Three staff (she, staff #3 and [Former staff 8]) were working at the sister facility A when [Former client 6] was hit by the car. [...] The fourth staff member who should have been working was at the store when [Former client 6] was hit by a car.

From the state's report. Deficiency cited, complaint and follow-up survey. Cited: V 296] 27G .1704 Residential Tx. Child/Adol - Min.. "[...]" marks text left out between sentences. The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

Based on the documentary evidence, interviews, and statements obtained during the investigation process, LPA was able to corroborate the allegations, Staff member handled minor in a rough manner and Staff member used inappropriate language toward minor. Although Client #1 threw the remote control at the television because staff threw away [Child 1]'s cereal, confidential interviews, consistent statements, and documentary evidence revealed [Staff 1] grabbed [Child 1] by their neck and pushed [Child 1] to the floor.

From the state's report. Substantiated. Cited: 87072(c)(11). The state numbers or abbreviates the people in a report instead of naming them; we spell its codes out in square brackets, such as [Staff 1] for S1 or [Former client 3] for FC #3.

A caregiver used an inappropriate technique on a child which caused him to the be thrown on the ground with excessive force.

A 15 year old child in care was provoked to engage in a physical altercation with a staff person where the child was slammed to the ground and held in an inappropriate hold.

From the state's report. Risk level: High. Cited: 748.2551(c)(2) - EBI Implementation-Caregiver must use the minimal amount of reasonable and necessary physical force; 748.1101(b)(1)(B) - Children's rights-Adhere to the child's rights to be free of abuse, neglect, and exploitation.