The most serious findings in the state inspection reports we hold: deaths, sexual and physical abuse, restraints that injured a child, suicide attempts, medical neglect and hospitalisations. Every quote below is the licensing agency's own wording, and each one was read against its report by a person before it was listed here.
The facility is found in non-compliance as per interviews conducted, documentation reviewed, and video footage reviewed, Staff 1 pushed Youth A twice during the incident, and pushing a youth is prohibited according to the facility’s policy and this rule.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Both staff and youth were interviewed, and video footage was reviewed that documented the staff hit/pushed the youth, thus there was sufficient evidence to support non-compliance.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Youth A was pushed down several times, arms pulled by several staff multiple times, dragged at least twice, once by the leg and once by the arms, and thrown to the ground by Staff 2.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Video observation and interviews with Staff 1 and Staff 4 confirm Staff 1 pushed Youth A as he was leaving the unit.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Any staff observing another staff using an unapproved restraint or other technique should stop the staff engaged in the inappropriate technique and have that staff removed from the situation.
From the state's report. Repeat violation established, special investigation. Cited: 400.10177.
The facility is found in noncompliance as per Staff 1’s interview he failed to report Youth A being slapped by Staff 3.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4131 Compliance with child protection law; development of plan required..
The agency is found in noncompliance as per staff and youth interviews and video review Staff A did push Youth A. Staff 1 admitted to pushing Youth A.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Staff 1 was seen pushing and pulling Youth A throughout the incident.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in non-compliance as per video footage and interviews, Staff 1 dragged Youth A to her bedroom.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Noncompliance is also found when Staff 1 grabbed Youth A’s shirt and forcefully ripped it.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions..
Staff 1 followed Youth A to the front door and stood directly next to her, while continuing to verbally antagonize Youth A. Youth A pushed 5 Staff 1 away and Staff 1 responded by pushing Youth A off the porch.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions..
Based on the interview with Staff 1 and the video observation, Staff 1 pushed Youth A. Staff 1 has been trained in CPI and has been given the proper tools to use in this situation, but did not utilize them.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in noncompliance as Staff 1 reported pushing Youth A away from her. [...] Staff 1 reported she “swiped her hands down and pushed her back”.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions. "[...]" marks text left out between sentences.
Staff 1 admitted to pushing Youth A.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in non-compliance as per interviews conducted, video reviewed, and documentation reviewed Staff 4 6 inappropriately restrained Youth A by bear hugging him, which is not an approved restraint method.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4159 Youth restraint; pregnant youth; reduction,.
The Facility is found in non-compliance per interviews with Staff, Youth, and documentation reviewed, Staff 1 did hit Youth A on the face and used derogatory language.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in non-compliance as per interviews conducted, video reviewed, and documentation reviewed, Staff 1 got into a physical altercation with Youth A, which included Staff 1 punching Youth A multiple times as well as pushing him.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in noncompliance as Staff 1 slammed Youth A into the wall per Youth A’s interview and video footage.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Based on interviews conducted, video footage reviewed, and documentation reviewed, this violation is established regarding Staff 1 hitting Youth A on the back of the head.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in noncompliance as Staff 1 and Staff 2 were pulling Youth A’s arms when attempting to get Youth A into the restraint and Staff 1 pushed Youth A into his bedroom upon releasing Youth A from the escort hold per video footage.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The agency is in non-compliance as per video review, Supervisor Y dragged Youth A across the floor several feet by her right arm.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in violation as per interviews conducted and documentation reviewed, Staff 1 had inappropriate contact with Youth A as Complainant reported Staff 1 slapped Youth A multiple times, and Staff 1 admitted to pushing Youth A’s arms away from 4 him.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The agency is found in non-compliance as per video reviewed, Staff 7 pulled Youth A by his shirt and around his waist to stop him from exiting the pod.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The agency is found in non-compliance as per staff interviews and video review, Staff 1 pushed Youth A two times during an incident on 06/29/2024.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions..
The agency is found in non-compliance as interviews with Youth A, Supervisor 1 and Supervisor 2 confirm Staff 1 hit Youth A in the face. Additionally, Supervisor 3 reported Staff 1 informed her Staff 1 hit Youth A.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Criminal history check, subject to requirements; staff qualifications.
The facility was found in non-compliance as per staff and youth interviews and video review, Staff 1 pushed Youth A multiple times and threw Youth A to the side during the escalated incident that occurred on 05/18/2024.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The agency is found in non-compliance as interviews and video footage verified that Staff 1 pushed Youth A to the ground.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4157 Behavior management.
The agency is found in non-compliance as per video review, youth interviews, and staff interviews, Staff 1 punched Youth A in the face which is prohibited.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in non-compliance as per video review, Youth A and Staff 1’s interview, Staff 1 pushed Youth A into his room.
From the state's report. Repeat violation established, special investigation. Cited: 400.10107 Employment policies and procedures; establishment.
In plain words: A staff member placed his hand on a youth’s face, pushed the youth’s head back, and then pushed the youth backward by the shoulders near the neck, causing the youth to fall into a chair and hit the floor. Our summary of the state's report. The state's own wording follows.
Non-compliance is also found in the courtyard when Staff Person 1 placed his hand on Youth A’s face and pushed Youth A’s head back, Staff Person 1 used one hand and pushed Youth A on his back, and Staff Person 1 placed his hands on Youth A’s shoulders by his neck moving Youth A backwards, which caused Youth A to back in to a chair and fall to the ground.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions..
Staff 2 used corporal punishment by punching and pushing Youth A. This was evident in the video watched at the facility and confirmed by both Staff 1 and Staff 2.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The agency is found in non-compliance as Staff 2 adamantly reported he witnessed Supervisor W punch Youth A in the face and did not report it as required per child protection law.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4131 Compliance with child protection law; development of plan required..
Through interviews with youth and documentation reviewed there was evidence found that Staff 1 hit Youth A during an escalated incident on 02/26/2024.
From the state's report. Repeat violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
ALLEGATION 1 Before six staff arrived to assist him, Staff 1 admitted he used a martial arts chokehold applied from behind Youth B. Choking a youth is considered physical punishment and prohibited by the rule.
From the state's report. Violation established, special investigation. Cited: 400.4158 Intervention standards and prohibitions.
Through interviews with youth and staff and documentation and video footage reviewed, there was evidence found to show a rule violation in that Staff 1 punched back at Youth A during the escalated incident.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in noncompliance as Staff 4 pushed Youth A, grabbed him, pulled him to the ground then held him to the ground.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
Through interviews with youth and staff, video footage and other documentation reviewed, there is evidence to show that Staff 1 punched back at Youth A during an escalated incident and therefore this rule was violated.
From the state's report. Violation established, special investigation. Cited: CCI Rule 400.4158 Intervention standards and prohibitions.
The facility is found in violation of this rule as both staff and youth witnesses saw Staff 1 push Youth A.
From the state's report. Violation established, special investigation. Cited: R 400.4158 Intervention standards and prohibitions.
The facility is found in noncompliance for the use of corporal punishment as evidence supports Staff 1 engaged in corporal punishment when he placed his feet under Youth A causing him to fall in what appears to be an attempt to cause a negative consequence to stop his attempted kicking.
From the state's report. Violation established, special investigation. Cited: R 400.158 Discipline.
Both staff were aware of concerns of Youth A being physically hit by Staff 2 and there was no report made to Child Protective Services.
From the state's report. Repeat violation established, special investigation. Cited: R 400.4131 Compliance with child protection law; development of plan.
The facility is in violation of the rule, as Supervisor 1 punched Youth A during this altercation.
From the state's report. Repeat violation established, special investigation. Cited: R 400.158 Discipline.
Video footage shows Staff D threw two punches toward Youth D’s face and chest.
From the state's report. Violation established, special investigation. Cited: R 400.158 Discipline.
The two staff pushed Youth A into his bedroom.
From the state's report. Repeat violation established, special investigation. Cited: R 400.159 Resident restraint.
Staff 3’s was substantiated for child physical abuse.
From the state's report. Repeat violation established, special investigation. Cited: R 400.4112 Criminal history check, subject to requirements; staff.
Evidence provided through interviews, written documentation and video review do support the allegations of Supervisor 1 not following the written policies and procedures during the restraint of Youth A. Although, the allegation of Supervisor 1 choking Youth A is not supported as evidenced by most witnesses and the video recording.
From the state's report. Violation established, special investigation. Cited: R 400.10177 Resident restraint.
It was reported consistently and verified on video review that Staff 1 hit Youth A in the face with the back of his hand. [...] DCWL considers all acts of physical discipline under corporal punishment, regardless of the intention to cause pain/injury.
From the state's report. Violation established, special investigation. Cited: R 400.10169 Discipline. "[...]" marks text left out between sentences.
Staff 2 stated he pushed Youth A into her room and is seen in video footage pushing Youth A into her bedroom.
From the state's report. Violation established, special investigation. Cited: R 400.10103 Program statement.
The findings of this investigation indicate that Staff 1 engaged in a physical altercation/corporal punishment with Youth A in violation of the facility’s discipline policies and this rule.
From the state's report. Violation established, special investigation. Cited: R 400.158 Discipline.
The findings of this investigation substantiate that Staff 1 implemented an improper restraint of Youth A by restraining Youth A in a prone position.
From the state's report. Violation established, special investigation. Cited: R 400.4157 Behavior management.
A program reads every inspection report we collect and picks out findings that describe serious harm, using the state's own severity rating or complaint outcome where there is one. A person then reads the report and approves or rejects each one. Only findings the state substantiated are listed: a citation, or a complaint the investigator upheld. A child running away is listed only when it ended in a death or a serious injury. This page is not complete: it covers the states and reports reviewed so far, and a facility's absence here says nothing about its record. Every report we hold, flagged or not, is on the state trackers.