Severe reports

In plain words: Due to a failure to provide proper staffing and supervision, young people in the program were sexually abused and exploited by a van driver and another man from the community. Our summary of the state's report. The state's own wording follows.

An admission assessment dated 3/9/18 noting “was admitted from a crisis center, Full Scale 1Q of 92, victim of physical, sexual and emotional abuse, witnessed her father being shot and killed by the police, held client and her mom hostage in a standoff, situational drug related incidents such as seizures, mini strokes, panic attacks and blacking out, self-injurious behaviors (picks skin), prior inpatient and outpatient treatment, verbal altercations, issues with being disrespectful and not following rules, destroys property, got high off of Xanax and overdosed (took 21 pills), sniffing cleaning products, AWOL from previous placements, poly-substance abuse (marijuana, alcohol, methamphetamines, over the counter drugs, crack/cocaine, opiates, hallucinogens, barbiturates and inhalants)."

Because of the failure to provide appropriate staffing and supervision, clients were sexually abused and exploited by the Church van driver (CVD) and another non-staff adult male in the community.

From the state's report. Deficiency cited, complaint and follow-up survey. Cited: V 295 27G .1703 Residential Tx. Child/Adol - Reg. for A; V 293.

Staff #3 had made sexual comments to him and also made sexual gestures.

From the state's report. Deficiency cited, complaint and follow-up survey. Cited: V 367| 27G .0604 Incident Reporting Requirements.

In plain words: A child in the program stole a school laptop from the office to contact men and then ran away from the group home. Staff found her, talked to her about the dangers of contacting older men, and she agreed to follow safety rules before running away later that shift. Our summary of the state's report. The state's own wording follows.

One elopement noted in September 2017. [...] Due to hospitalization between 03/06/18 and 03/21/18, client #8 was not able to be interviewed. [...] 02/25/18, client had been caught inappropriately using her alternative school laptop...client had stolen her school laptop from the staff's office and was attempting to utilize in her bedroom to facetime men...staff discovered Cc client using the laptop during a routine check and retained the tablet..staff educated the client on the dangers of seeking older men, giving out her personal information such as the residential placement's address and attempting to link up with men to be sexually active... client was able to contract for safety and agreed not to steal electronics, utilize face book again to contact men and to really focus on her school work...later in the shift, client eloped from the group home. [...] She was hospitalized in that area.

From the state's report. Deficiency cited, complaint survey. Cited: V 296] 27G .1704 Residential Tx. Child/Adol - Min.. "[...]" marks text left out between sentences.

In plain words: The facility failed to ensure a doctor was told about an alleged physical abuse incident involving a patient. The facility also failed to ensure a doctor examined the patient within twelve hours as required. Our summary of the state's report. The state's own wording follows.

Based on review of facility documents, clinical record review and staff interview it was determined the facility failed to ensure the Program Manager or the Nursing Supervisor notified the Attending Physician of the allegation of physical abuse and the facility failed to ensure the Attending Physician or the Medical Director assessed Patient #1 within twelve (12) hours of the alleged physical abuse per facility policy. [...] The attending physician or the Medical Director may order that the patient be transferred to Charleston Area Medical Center for evaluation of physical or sexual abuse allegations." 2.

From the state's report. Deficiency cited, complaint survey. Cited: N 196 483.372(a) MEDICAL TREATMENT FOR INJURIES. "[...]" marks text left out between sentences.

Onor about February 8, 2023, the Program received a second complaint alleging a counselor (Stowe) employed at DYS Brush Prairie was arrested for having — a sexual relationship with Patient #10.

The notice explained that the Program would comply with the conditions in Part 2 to protect covered records and information obtained from DYS Brush Prairie. — The records request letter explained that the investigation had to do with allegations of staff sexual misconduct with patients and with a failure of facility systems to ensure patient safety.

Swope also engaged in nonconsensual sexual contact with Patient #11 during an outing from DYS Brush Prairie.

2023-2056) the Program became aware of allegations that another counselor at DYS Brush Prairie (Swope) had engaged in sexual contact with Patient #11 within — DYS Brush Prairie’s facility and while Patient #11 was admitted to DYS Brush —- — Prairie.

Further, Patient #9 reported to the Program and DYS Brush Prairie that the incidents — with Reinmuth resembled how they felt when they were raped by a teacher.

During this phone call, Patient #9 reported they had been in communication with Reinmuth since being discharged, and that Reinmuth had been communicating with another patient of DYS Brush Prairie outside of the facility. — Patient #9 reported the conduct of Reinmuth had triggered a manic episode due to past trauma when Patient #9 had been raped by a teacher.

While admitted to DYS Brush Prairie, Patient #9 had frequent contact — with Reinmuth, including disclosing to Reinmuth that Patient #9 was raped by a teacher.

From the state's report. Findings of fact, notice of intent.

In plain words: A staff member and a child went into a room with the lights off after smoking. It is alleged the staff member had sexual intercourse with the child inside the room. Our summary of the state's report. The state's own wording follows.

Staff Member A and Child #1 reentered the bullding after Ihey were finished smoking, Staff Member A walked in to the private communily area room and Child #4 followed, Staff Member A and Child #1 wero inside the room for about four minutes wilh the lights off, Staff Member A had allaged sexual intercourse with Child #1 inside the private communily area room, The lights flickered brlefly before Staif Member A exited the room and Child #1 followed, 3.

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

Child #7 was sexually abused by Child #5 Tl Child #5 took Child # 7's hand:and put it on Child # 5's private area without consent. ;

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

Between February and March of 2016, Child #1 was twice subjected to sexual abuse by Child #2 and Child #3. The instances of sexual abuse occurred in the bedroom shared by Child #1 and Child #3. Child #2 forced Child #1 fo perform oral sex on Child #2 and Child #3 by threatening Child #1 with bodily harm if he/she did not comply. [...] Interviews with children confirmed that the assault was in retaliation for the sexual assault referenced above. [...] Staff Member A told the children "you know what needs to be done", and "you know what needs to happen.” Staff Member A was told by one of the children "go to your room” while the assault happened.

On Saturday April 2, 2016, Child #1 disclosed to Staff member A that a sexual assault was perpetrated on him/her by Child #2 and Child #3.

Staff Member A was aware of the physical assault on the date it occurred.

From the state's report. Citation, renewal inspection, licence action taken. Cited: 55 Pa. Code § 3800.32.b; 55 Pa. Code § 3800.15.a; 55 Pa. Code § 3800.16.c. "[...]" marks text left out between sentences.

Realdent # 8 had a safely plan dated 6/16/16 thal was created In fasponse {9 being found In the shower room on 6/16/18 with Resident # 10 , and the residents reportad to staff thal thay engaged In Klesing, unclolhed touching, and oral sex, The safely plan Indicated that there will be a ive fool rute' with Resldant # 8 and Resident # 10, that they will nol be permilted to be on the same hallway as each other, and {hat they are not lo be permitted to leave the hallway unsupervised, While Resident #10 was showering on 8/6/16 at approximately 7:00 PM, Stalf Member B was monitoring the showers from the hallway and left hlsfher hatlway position to answer (he telephone al the slaff desk.

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

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.

In plain words: A staff member wrote inappropriate entries in a childs journal, including vulgar profanity and statements denying rumors of sexual abuse involving other children in the program. Our summary of the state's report. The state's own wording follows.

On or around the months of July 2015 and August 2016, staff member A wrote mulliple Inappropriate entries in residant#3's journal, Including stataments that used vulgar profanily and addressed multiple allegations of sexual abuse betwoen staff momber A and resident #2 and resident #1, The journals Indicated the following statements and question: "Yas they are rumors, | did not touch her or (resident #1] In any way shape or form. | can't belleve you told them to rat or have omeone olse rat?" Is crazy, | can't work here any longer, | can't belleve you. { would lose my Job over this ass.” eli | wasn't being smart and I'm not a fraud, [resident #3) now your hurting my feelings."

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

The resident's letter read, “They are trying to pin you for the 2 girls rape thing, But [name] is talking to them so am 1.

From the state's report. Citation. Cited: 55 Pa. Code § 3800.32.g.3.

In plain words: A staff member sexually exploited a child by discussing sexual acts on social media. Our summary of the state's report. The state's own wording follows.

Staff Person A was employed by the legal entity at a Chapter 3800 licensed facility located on the sama property as Claney House ITU, Staff Person A was hired on 10/18/13 and was terminated on 01/29/14, On 01/28/14, Staff Person A sexually exploited Child #1 by engaging in conversations on a social media web} I where he/she discussed doing sexual acts to the child and having the chitd do sexual acts to himvher. :

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

Child 1 has a history sexually acling out and had allegedly sexually assaulted a peer at another facllily prior to being admitted on 6/30/12.

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

An allegation of sexual abuse involving Resident #1 and Resident #2 was reported to staff persons al approximately 40:30 p.m. on -|-03/19/43,-and-the-facility-did-not- report the allegation-to-ChildLing until 9:48 a.m. on 03/20/13. —— =

On 03/19/13 Staff Person A did not conduct observational checks of Resident #1 and Resident #2 from 9:46 p.m. through 10:06 p.m. and from 10:08 p.m. through 10:33 p.m. On 03/18/13 between 9:30 p.m. and 10:30 p.m, Resident #1 was sexually assaulted by Resident #2 in the residents’ shared bedroom.

From the state's report. Citation. Cited: 55 Pa. Code § 3800.15.a; 55 Pa. Code § 3800.32.b.

Staff Member B sexually abused Child #3 and #4. ssi?

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

Bipolar, ODD, ADHD, Schizophrenia, Substance abuse, and physical sexual abuse.

From the state's report. Deficiency cited, survey. Cited: C 119 64-11-5.5.a. Center Responsibility.

Findings include: (a) Consumer #7 alleged on 6/15/01 that Staff A had sexually abused the consumer by the staff grabbing his crotch on three (3) separate occasions. [...] (b) On 8/23/01, the Center reported to the State IIU that Consumer #5, #6 and #3 alleged that they had been improperly restrained by Staff B and had sustained injuries as a result, over a two (2) week period of time. [...] (c) On 11/28/00, Consumer #8 alleged that Staff C dragged him across a room, pulled his arm and pushed the consumer into a chair two (2) weeks earlier.

From the state's report. Deficiency cited, survey. Cited: C 359 64-11-8.2.b. Violation of Consumer Rights. "[...]" marks text left out between sentences.

Law enforcement did a search warrant on [the staff person]’s phone and did not see any indication that [the staff person] was friends with clients on Snapchat but said that may have been because none of the clients “accepted” [the staff person]’s friend request. [...] Regarding Sexual Abuse Given the information provided by [Child 1] and [Child 8] that [the staff person] “patted” them and other clients on the buttocks over their clothing and also made comments about “smacking” [Child 1]’s “butt,” that [the staff person] was a staff person in authority who intentionally touched their buttocks, which was an intimate part, and making comments that were in appropriate and sexual in nature, there was a preponderance of the evidence that [the staff person]’s conduct included statements and overt acts that represented a substantial risk of sexual abuse to [Child 1] and [Child 8].

From the state's report. Maltreatment determined/substantiated as to sexual abuse of two alleged victims and neglect of twelve alleged .... "[...]" 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 or about February 8, 2023, the Program received a second complaint alleging a counselor (Stowe) employed at DYS Brush Prairie was arrested for having — a sexual relationship with Patient #10.

From the state's report. Findings of fact, notice of intent.

The notice explained that the Program would comply with the conditions in Part 2 to protect covered records and information obtained from DYS Brush Prairie. — The records request letter explained that the investigation had to do with allegations of staff sexual misconduct with patients and with a failure of facility systems to ensure patient safety.

From the state's report. Findings of fact, notice of intent.

Swope also engaged in nonconsensual sexual contact with Patient #11 during an outing from DYS Brush Prairie.

From the state's report. Findings of fact, notice of intent.

2023-2056) the Program became aware of allegations that another counselor at DYS Brush Prairie (Swope) had engaged in sexual contact with Patient #11 within — DYS Brush Prairie’s facility and while Patient #11 was admitted to DYS Brush — — Prairie.

From the state's report. Findings of fact, notice of intent.

Further, Patient #9 reported to the Program and DYS Brush Prairie that the incidents — with Reinmuth resembled how they felt when they were raped by a teacher.

From the state's report. Findings of fact, notice of intent.

During this phone call, Patient #9 reported they had been in communication with Reinmuth since being discharged, and that Reinmuth had been communicating with another patient of DYS Brush Prairie outside of the facility. — Patient #9 reported the conduct of Reinmuth had triggered a manic episode due to past trauma when Patient #9 had been raped by a teacher.

From the state's report. Findings of fact, notice of intent.

While admitted to DYS Brush Prairie, Patient #9 had frequent contact — with Reinmuth, including disclosing to Reinmuth that Patient #9 was raped by a teacher.

From the state's report. Findings of fact, notice of intent.