Severe reports

In plain words: Video footage showed a staff member pushing one child into a room and blocking the door with a chair. The staff member also pulled another child by the shirt and blocked a third child, causing that child to fall. Finally, the staff member dragged the first child by the ankle across the floor. Our summary of the state's report. The state's own wording follows.

Per video surveillance footage review, Staff Member A is scon pushing Child # 1 into his/her coom and placing a large wooden chair In front of Child # {'s door and sits in the chair, which is blocking Child # 1 from exiting the room. [...] Regulation- 3800.32(b)- A child may not be abused, mistreated, threatened, harassed or subject to corporal punishment morning of 10/20/19, Staff Member A is seen pushing Child #1 into his bedroom, pulls Child #2 backwards by his shirt while the Child #2 is attempting to walk down the hallway, and is physically blocking Child #3 from walking down the hallway which makes Child #3 fall to the floor. [...] Child #1 falls to the floor and Staff Member A grabs Child #1’s foot/ankle and picks his leg up, Staff Member A takes a couple of steps while holding Child#1’s foot/ankle and drags Child#1 on the floor for approximately 2-3 feet.

From the state's report. Citation. "[...]" marks text left out between sentences.

Furthermore, thel child paychiatic evaluation reeds: “Recently [the child] had cut severe enough that fhe/she] required 27 sutures, [The child] reports [he/she] last cut. [...] The child then swallowed the razor blade. According to notes taken by Staff Member 8, the facility's contractad peychiatriat, Child #1 swallowed the blade because “wea hoping H would kill (hinvher].” The faoilty’s internal policy prohiblis penci] sharpeners In the posseasion of childran or present In the facility at any tins. ‘The factity developed an initial written safely plan on fEEEEhch indicated that Child #1 “will be encouraged to utilize [molding clay, lying down, coloring and humor] to cope with negative feelings.” This written safety plan was not developed with methods fo monitor and prevent self-harm, increased general supervision, or othar adequate methods to ensure child safety.

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.142. "[...]" marks text left out between sentences.

In plain words: A child in the program told a staff member about thoughts of self-harm, but the facility did not immediately increase supervision. Later that evening, the child attempted an act of self-harm, and the home then increased supervision. Our summary of the state's report. The state's own wording follows.

" Risk: Miiig#has reported suicidal ideation thalglipouchts to self harm Plan: The Therapist processed coping skills thatllll—has readily available and revised lllMeafety pro! ort Min manag M@@B safety. [...] According to Staff Member A's notes from that session, Child #1 Indicated “continued thoughts of self-harm’. During an interview with representatives of the department, Child #1 also expressed that he/she “had urges and flashbacks and wanted to i wrap sheet around neck"on and also stated that he/she expressed this to Staff Member A during the 15 therapeutic i interaction, ‘The facility did not Immediately implement intensive supervision as part of their intemal safety plan procedure protocol. i At6:14 pm or Chitd #1 attempted an act of self-harm. [...] At 9:10 pm the home implemented Increased supervision due to suicidal ideation and self-harm.

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.142. "[...]" marks text left out between sentences.

On 3/6/2016, Resident #3 self-harmed with a piece of glass he/she reported to have found near the back doors of hallway A of the _ Expressions unit, Resident #3 was sent (o Ohio Vailey Hospital via ambulance where heishe was ‘reated wilh medical glue for an Injury to hisfhes left arm,

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.87.a.

In plain words: A staff member physically held a child to the floor of a bedroom after the child yelled and got close to the staff member. The child complained of arm pain afterward, went to the hospital, and was diagnosed with a broken arm. Our summary of the state's report. The state's own wording follows.

On 7/6/15 al approximately 8:30 AM, Staff Member A manually restrained Resident # 4 {o the floor In a resident bedroom for yalling and getting Into the face of the staff member, Following the restraint, Resident # 4 complained of left arm discomfort and was transported to a hospital emergency room and was diagnosed wilh a radial shaft fracture to his/her left arm.

From the state's report. Citation, complaint, incident inspection. Cited: 55 Pa. Code § 3800.32.b.

In plain words: A sixteen-year-old resident sexually assaulted an eleven-year-old resident in their shared bedroom. A staff member later took the younger resident to the hospital, and the older resident was charged with rape and other crimes. Our summary of the state's report. The state's own wording follows.

On 8/7/15 al approximately 2:30 PM, Staff Member B transported Resident #2 to a hospital's emergency room due to the resident belng sexually assaulted by Resident #1 on the evening of 8/6/16, The jocal police department responded {o the hospital at approximately 3:68 PM to investigate (he sexual assault.

On the evening of 8/6/15, Resident #1, a 16 year-old, sexually assavited Resident #2, an 11 year-old, in the residents' shared bedroom #4, Ag a fesullt of the Incident on 8/6/15, Residen! #1 was charged with rape, Involuntary deviate sexual assaull, stalutory sexual assault, aggravated indecent assault, ‘and indecent assault, . [...] Immediate Action: At approximately 12:35 pm on August 7, 2015 Staff B approached Director EEE to inform her that resident 2 had reported 1o SB that he had been sexually assaulted during the previous night (8/6/15). [...] At approximately 1:15 pm, Director HE otified BCCYS regarding the incid ied to [Resident 2]'s agency, Butler County CYS, that he had been transported to the ER,.

Resident #1's-heallh and safely assessment dated 6/6/15 indicates, "Any concems of the child being a perpetrator of sexual abuse? [...] Whiie not within any staff person's eyesight on the evening of 8/6/15, Resident #1, a 16 year-old, sexually assaulted Resident #2, an 11 year-otd, in the residents‘ shared bedioom #4. As a resull of the Incldent on 8/6/15, Resident #1 was charged with rape, involuntary deviate sexual assault, statutory sexual assaull, aggravated indecent assault, and indecent assault,

Resident #1's health and safety assessment daled 6/5/15 indicates, "Any concerns of the child.being a perpetrator of sexual abuse? [...] While not within any staff person's eyesight on the evening of 8/5/15, Resident #1, a 18 year-old, sexually assaulted Resident #2, an 11 year-old, In the residents! shared bedroom #4, As a result of the incident on 8/6/15, Resident #1 was charged with rape, involuntary deviate sexual assaull, statutory sexual assault, aggravated indecent assault, and indecent assault, “ .

A child may not be abused, mistreated, threatened, harassed or subject to corporal punishment, On the eveniig of 8/6/16, Resident #1, a 18 year-old, sexually assaulled Resident #2, an 11 year-old, in the residents’ shared bedroom erere 4 harged with rapa, Involuntary deviate sexual assault, statutory sexual ee a monitoring process will be documented for each child, Repeat Violation: No

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.16.c; 55 Pa. Code § 3800.32.b; 55 Pa. Code § 3800.142; 55 Pa. Code § 3800.142; 55 Pa. Code § 3800.32.b. "[...]" 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.

On 3/6/2015, Resident #3 self-harmed with a piece of glass he/she reported to have found near the back doors of hallway A of the Expressions unil, Resident #3 was sent to Ohio Valley Hospital via ambulance where he/she was {reated with medicat glue for an Injury to his/her left arm.

From the state's report. Citation, licence action taken. Cited: 55 Pa. Code § 3800.87.a.

Clients on high supervision must be in direct Vew of tho assigned statt af ai times.” The facility's Observation Record indicated the “ctlont nas had extersive recont inpatient hospitalization, sign‘ficant for suicidal ideutiowplan, saif-harm, and audilury dalfucinallons, Dr. ordered to place client on Hiyh Supervision, af 1:64 PM, as a precaution sue to uncarfamty of ckent's baseline.” On 12/5/14 al approximately 8:30 ?M in Resident ¥ 1's bedioum. Resident # 1 reported to Stall Member A that he/she fell unsate and had Just attempted to self-harm by scratching his/her left wrist Staff Member A lefl Ihe resident's bedroom to notify the medical department and asked Staff Member 8 lo moaitor the resident.

From the state's report. Citation, incident inspection. Cited: 55 Pa. Code § 3800.142.

On 08/04/14, Resident #1 and Resident #2 each ingested multiple tablets of the medications that were obtained by Resident #1 on 8/03/14. This resulted In Resident #1 being taken to the local hospital by facility staff persons and then being transferred by medical helicopter to the regional nospital to receive inpatient treatment, and Resident #2 being taken to the local hospital by facility alatf pereons {o receive oulpalignt treatment on 8/04/14.

From the state's report. Citation, complaint inspection.

Child # 1 was the victim of an indicated case of physical abuse in an assault by Staff Member A that caused Child # 1 to be hospitalized,

From the state's report. Citation, j ‘type of inspection: partial bha docket number: notice: un inspection. Cited: 55 Pa. Code § 3800.32.b.