Severe reports

Child A admitted to resisting, so Staff person A kept shoving Child A's head back onto the floor, using forearm on child's face and hand on child's head. [...] A medical consult concluded that the staff used excessive force and the act was diagnostic of child abuse as it created a reasonable likelihood of bodily injury and would have caused substantial pain and interfered with Child A's breathing. [...] Child B reported that staff member B was punching Child B in the face during this restraint; child reported that nose was bleeding during the incident.

From the state's report. Citation, complaint inspection, licence action taken. Cited: 55 Pa. Code § 3800.32.b Specific Rights. "[...]" marks text left out between sentences.

On child A did not receive the appropriate medical treatment or evaluation for injuries received during the restraint on . Child A did not receive medical attention until days after the tape review, when a child abuse report was also called into the hotline on the same day. Child A did not receive medical attention until January 28, despite staff person A's assertions that all children were medically assessed on the day of the incident.

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

On child A did not receive the appropriate dental treatment needed for Child A was involved in a restraint resulting in both of upper front teeth being broken off, exposing the root in . The child was not taken to the dentist immediately following the incident.

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

On , child A was mistreated by staff member A. Staff member A inappropriately restrained child A resulting in a scratch on child A face.

On , child A was placed in a restrictive procedure that was used as a program substitution to restrain Child A. Staff member A inappropriately restrained child A resulting in a scratch on child A face.

From the state's report. Citation, complaint inspection. Cited: 55 Pa. Code § 3800.32.b Specific Rights; 55 Pa. Code § 3800.202.a Appropriate Use of Restrictive Procedures.

On , Child A was involved in 3 restraints in which they sustained injuries and was not medically assessed until the following day.

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

Child # 1 starts to scratch his/her arm, and 47 seconds later Staff Member A initiates a restraint on Child #1. During the restraint Staff Member Ais seen slamming Child # 1’s face off of a table twice, dragging Child # 1 off of a Chair by his/her left arm, and tifting Child #1 in the air by the left arm, while Child # 1 is sitting on the floor.

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

Based 6n child and staff interviews as well as video footage review and pictorial documentation of injuries, the investigation determined that Child #2 was involved in an improper restraint ona ith Staff Member B and Staff Member C.

From the state's report. Citation. Cited: 55 Pa. Code § 3800.202.b.

ont Child # 1 received treatment at Sacred Heart ER for a head injury and forehead laceration stemming from a manual restraint Initiated by Staff Member A. Child #1 had a 1 cm linear laceration in a oblique placement in the center of his/her forehead, resulting from Child # 4 hitting his/her head off of a wall during the restraint.

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

In plain words: A staff member restrained a child, causing a circular abrasion on the forehead, abrasions on the cheek, a reddened area under the eye, neck scratches and abrasions, and a large abrasion with petechiae on the right shoulder blade. Our summary of the state's report. The state's own wording follows.

According to the facility's documentation, the restraint resulted in Child # 1 sustaining an abrasion at the midline of his/her forehead, a 2cm circular abrasion and a 4cm linear abrasion to the left cheek, a sialt redenned area under the left eye, two 2cm abrasions to the loft side of his/her neck, a linear scratch to the midline of hisMer neck, and a 3 inch abrasion with petechiae surrounding the area on his/her right shoulder blade and 2 linear abrasions,

According to tho facilily's documentatlon, the restraint resulted in Child ## 1 sustaining an abrasion al the midline of his/her forehead, a 20m circular abrasion and a dem linear abrasion to the left cheek, a small sedenned area under the left aye, {wo 2cm abrasions to the left side of his/her neck, a linear scratch to the midline of hisfhor neck, and @ 3 inch abrasion with petechiae surrounding the area on his/her right shoulder blade and 2 linear abraslons.

From the state's report. Citation, incident inspection. Cited: 55 Pa. Code § 3800.32.b; 55 Pa. Code § 3800.202.b.

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: During a physical hold, a staff member pressed an elbow against a child's throat and made it hard for the child to breathe. The child was left with scrapes and needed an inhaler after the incident. Our summary of the state's report. The state's own wording follows.

Duzing the manual restraint, Staff Person A had his/her elbow pressed against Resident #1’s throat, which applied pressure to the resident's respiratory system and restricted the resident's breathing, A physical evaluation form, dated 10/27/13 at 6:25 p.m., indicated Resident #1 had abrasions on the right front of the neck, abrasions on the right collar bons, abrasions on the right shoulder, and that the resident required administration of Ventolin, an inhaler, following the manual restraint.

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

On 9/18/12, Child 1 was held face down on the floor during a prohibited manual restraint by Staff Member A, Child 1 received a laceration to the chin during the restraint process.

From the state's report. Citation. Cited: 55 Pa. Code § 3800.21.