Severe reports

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.

Four Oaks Family and Children's Services - Smith Center IA

Inspected May 14, 2026 Suicide attempt

Record review on 5/4/26 revealed the Child 1's Behavior Management Report #14642, dated 4/12/2026 at 4:20 p.m., indicated Child 1 attempted to strangle himself with a computer cord.

From the state's report. Deficiency cited, complaint survey. Cited: A 170 41.10 Active Treatment.

How a report gets on this page

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.