Date: Date of the letter from DPW to the
institution citing a violation of state regulation
or law and asking for a plan of remedy.
Description: A summary of the violation as
described in the letter from DPW and the letters of
response from the institutions.
Response by agency: The agency's reply to DPW
listing actions it had taken or planned to take to
prevent the violation from recurring. In some cases,
DPW did not provide the institution's response.
|
Holy Family Institute Total incidents -
20 |
|
Non-accidental non-serious injury by staff |
2 |
|
Date / Response
by agency |
Aug. 2000
/ Worker to be retrained. |
|
Description of incident
|
Worker sends name-calling child upstairs,
then accosts him, scratching neck, bruising
finger.
|
|
|
April 2002
/ Worker fired. |
|
|
Worker tells one child to hit another child,
which is done. |
| |
|
|
Sexual abuse
by staff |
2 |
|
Date/response by
agency |
Aug. 2002
/ Worker fired; staff reminded of
appropriate relationships with children. |
|
Description of incident
|
Worker sexually abuses child.
|
|
|
May 2003
/ DPW did not provide response. |
|
|
Worker sexually abuses child. |
| |
|
|
Restraint by
staff |
11 |
|
Date/response by
agency |
Nov. 1999/Two
workers retrained; mediation with staff and
children. |
|
Description of incident
|
Worker restrains child improperly; drags
another by his pants; second staff member
doesn't help. |
|
|
May 2000/One
worker fired, one given verbal warning.
|
|
|
Youth restrained in a closed room, counseled
inappropriately and openly about sexuality;
no one intervenes. Also, DPW reports that a
worker made it clear to children he would
permit them to handle their disputes by
hitting each other. And, DPW said, he
pushed, shoved and screamed at a child when
the youth said he was going to file a
grievance against him.
|
|
|
|
|
|
|
|
|
May 2000/Worker
given written warning; his moodiness
discussed; retraining. |
|
|
Worker restrains child unnecessarily; child
is verbally but not physically aggressive.
Worker admits that as child attempted to
walk past him, he shoved her backward as he
had to "stand his ground." Other children
report this worker frequently provokes
youngsters, then restrains them. They fear
his bad moods. |
|
|
|
|
|
|
May 2000/Workers
retrained; two-person escorts and
"takedowns" discussed. |
|
|
Staff restrains child refusing to go to
quiet room; second staff doesn't help at
first. |
|
|
June 2000/Worker
warned, suspended 2.5 days and retrained. |
|
|
Worker, who was visibly angered and swearing
during a personal phone call, hangs up, then
chases, restrains, curses at and threatens a
child who was not being aggressive. |
|
|
|
|
Jan. 2002/Worker
to be retrained. |
|
|
Hall monitor, by himself, restrains child,
blackening eye. |
|
|
July 2002/DPW
did not provide response |
|
|
Worker grabs child by throat, then restrains
him. Child suffers brush burns and abrasions
to face. |
|
|
Sept. 2002/Worker
given written warning. |
|
|
Worker restrains youth with unapproved
technique, bruising his shoulder by "chicken
winging." |
|
|
March 2003/Worker
to be retrained, denied overtime.
|
|
|
Worker restrains child who is not
aggressive, then kicks and punches child.
|
|
|
March 2003
/Staff to be retrained, given three-day
suspension and written warning. |
|
|
Worker "takes down" child with unapproved
"leg sweep," causing bruising and brush
burns. Worker threatens to cancel child's
visits with relatives, an action prohibited
by state law.
|
|
|
|
|
July 2005/Worker
given written warning and three-day
suspension. |
|
|
Worker injures girl in one-woman restraint. |
|
|
|
| |
|
|
Other |
5 |
|
Date/response by
agency |
Dec. 1998/Formal
policy issued forbidding workers to take
children home. |
|
Description of incident
|
Worker takes youngsters home for holidays,
continues contact with children who have
left Holy Family. Worker rejects DPW warning
that this puts him in vulnerable position.
|
|
|
|
|
July 1999/Two
workers who did not protect child fired,
third suspended 40 hours; horseplay policy
re-issued |
|
|
Child seriously bruised while wrestling with
others in activity encouraged by staff |
|
|
May 2000/Worker
suspended five days, to be retrained.
|
|
|
Worker pulls girl's pony tail; she pushes
him, confrontation ensues, her finger is
broken. |
|
|
Aug. 2000/Worker
trained to be alone with children;
notification requirements reviewed. |
|
|
Workers give child mixed messages over
whether she can use a pencil sharpener. DPW
report is unclear how child is injured, but
suggests the incident was not responded to
or reported immediately and one worker did
not have sufficient training to be alone
with child.
|
|
|
|
|
|
|
April 2002/Three
workers fired; bed check logs upgraded. |
|
|
Two youths have consensual sex two days in a
row.
|
|
|
|
| |
|
Shuman Juvenile Detention Center - 15 |
|
Non-accidental non-serious injury by staff |
4 |
|
Date/response by
agency |
Oct. 2002/Worker
suspended a day without pay. |
|
Description of incident
|
Worker spits on child and locks her in room
|
|
|
Nov. 2002
Worker given one day suspension. |
|
|
Worker out of control verbally and
physically. |
|
|
March 2003/Worker
fired. |
|
|
Worker grabs child around neck, leaves
scratches. |
|
|
April 2005/DPW
did not provide response. |
|
|
Child may have been hit by worker.
|
| |
|
|
Restraint by
staff |
5 |
|
Date/response by
agency |
Sept. 1998/Worker
suspended one day; retrained. |
|
Description of
incident |
Unacceptable restraint by worker who is an
instructor in "passive restraint
techniques." Worker injures child in
restraint. Worker fails to try to
de-escalate child. Worker pushes child down
hall and jams him into a corner. In another
restraint, this same worker "applied
excessive force to the resident's neck and
throat, thus choking him." Supervisor
described it as "clearly out of bounds." |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 2002/Worker
fired, supervisor disciplined. |
|
|
During a restraint, a worker smacks and
pinches girl in face, causing scratches and
bruises. Thi is verified by three witnesses
who also say they were prohibited from
writing witness statements, and given this
message: "What happens on this unit stays on
this unit." |
|
|
|
|
|
|
|
|
|
|
May 2003/Worker
suspended three days; supervisor one day |
|
|
Worker restrains inappropriately with
forearm to chest. DPW says this is "not an
approved method for safe physical
management." Worker also asked the child,
who was on suicide watch, if he "was ready
to die." Supervisor later tells DPW that he
told the worker to stop when he saw worker
place his hands around the child's throat,
but the supervisor failed to include that in
the incident report.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Aug. 2003/Worker
will be reminded not to do this.
|
|
|
Child locked in room while in mechanical
restraint, violating state law forbidding
simultaneous use of locking and restraint |
|
|
|
|
Sept. 2004/Worker
suspended for 5 days without pay. |
|
|
Child inappropriately restrained, DPW says:
"It appears that [worker] used unauthorized
restraint methods to control the resident
and then falsely wrote up an incident report
about the way it transpired." |
|
|
|
|
|
|
| |
|
|
Non-accidental serious injury by staff |
2 |
|
Date/response by
agency |
June 2004/Worker
fired. |
|
Description of incident
|
Worker punches child in eye; sticks buttocks
toward child and yells sexually suggestive
remarks. Child pushes worker away. Worker
says punch was accidental while he was
deflecting punches from child. |
|
|
|
|
|
|
|
|
July 2003/No
response given. |
|
|
Worker seriously injures child by kicking
her in the head. Child's version
corroborated by two other residents and her
injuries. |
|
|
|
|
|
|
| |
|
|
Other |
4 |
|
Date/response by
agency |
Aug. 1999/Two
workers suspended for a day without pay. |
|
Description of incident
|
Child says staff let boys in his room to
rough him up.
|
|
|
July 2002/Workers
told to stop this; to be retrained.
|
|
|
Children forced to strip and stay in rooms.
|
|
|
Nov. 2004/Worker
to be trained. |
|
|
Worker does not have required training. |
|
|
June 2004/Worker
to be trained. |
|
|
Worker without proper training dispensing
medications. |
|
|
|
| |
|
Auberle - 12 |
|
Non-accidental non-serious injury by staff |
2 |
|
Date/response by
agency |
April 2004/Worker
removed from counseling duties. |
|
Description of incident
|
Worker mistreats child, using "serious lack
of good judgment," DPW says. |
|
|
July 2005/Worker
suspended and moved to different unit. |
|
|
Worker mistreats child, using "serious lack
of good judgment," DPW says. |
| |
|
|
Sexual abuse
by staff |
1 |
|
Date/response by
agency |
July 2002/Worker
fired; criminally charged. |
|
Description of incident
|
Child sexually assaulted by staff member.
Auberle wrote DPW: "Auberle's management
believes this situation to be unfortunate." |
|
|
| |
|
|
Restraint by
staff |
7 |
|
Date/response by
agency |
April 1998/Response
not provided by DPW. |
|
Description of incident |
Improper physical restraint used without
assistance, under questionable
circumstances.
|
|
|
|
|
April 1999/Retraining;
review de-escalation with supervisor |
|
|
Child restrained; injures self while trying
to escape; restrained again. |
|
|
June 1999/Staffing
to be improved. |
|
|
Staff member with hand injury restrains
child by himself because of understaffing.
|
|
|
|
|
March 2000/Response
not given. |
|
|
Child's ear lacerated during restraint,
stitches required. |
|
|
Feb. 2002/Worker
given verbal warning; retraining. |
|
|
Child restrained by worker from another unit
after an earlier confrontation. DPW wrote,
"worker unilaterally create[d] a
confrontation with the statement, 'Do you
have a problem with me?'" |
|
|
|
|
|
|
Feb. 2003/Worker
removed from counseling duties |
|
|
Worker punches child during a restraint. |
|
|
Aug. 2003/Worker
to be retrained, closely supervised.
|
|
|
Worker chokes child during restraint.
"Inappropriate use of restrictive
procedures," DPW writes.
|
|
|
| |
|
|
Non-accidential serious injury by staff |
2 |
|
Date/response by
agency |
Nov. 1999/Worker
fired. |
|
Description of incident
|
Worker punches child in chest to shut him up
at bedtime. |
|
|
Aug. 2003/Worker
fired. |
|
|
Child's ear drum perforated during "physical
encounter" with worker. |
|
|
|
| |
|
Family Links, Inc. - 9 |
|
Inappropriate
contact |
1 |
|
Date/response by
agency |
Aug. 2000/Worker
quit; departures with children to be logged. |
|
Description of incident
|
Worker allows youngsters to go to his home,
smoke and watch pornographic movies. |
| |
|
|
Non-accidental non-serious injury by staff |
3 |
|
Date/response by
agency |
March 1999/Staffer
fired. |
|
Description of incident
|
Worker and child get in "street fight";
another worker hurt breaking it up; toddler
witnesses. |
|
|
Dec. 2001/Worker
reprimanded, given one-day leave. |
|
|
Child spits on counselor who then slaps her
in face. |
|
|
Aug. 2002/Worker
resigned. |
|
|
Child and worker engage in shoving and
punching match.
|
| |
|
|
Restraint by
staff |
2 |
|
Date/response by
agency |
Feb. 2000/Better
training and supervision of inexperienced
worker. |
|
Description of incident
|
Questionable restraint of girl, leading to
injury to worker and child.
|
|
|
Jan. 2001/Supervisor
placed on night duty. |
|
|
Both night staff restrain child, leaving 15
unattended. |
|
|
|
|
|
|
| |
|
|
Non-accidental serious injury by staff |
1 |
|
date/response by
agency |
March 2001/Worker
quit. |
|
description of
incident |
Worker "indicated" as abuser on state
ChildLine registry of abusers for incident
at facility. Letters leave unclear what
happened. |
|
|
|
| |
|
|
Other |
2 |
|
date/response by
agency |
July 1999/Workers
told not to do it again. |
|
description of incident
|
Workers lock selves in and children out;
youngsters throw rocks; try to break in;
workers call police. |
|
|
Dec. 1999/Worker
moved to new unit; retrained. |
|
|
Worker swears at resident and challenges him
to physical fight. |
|
|
|
| |
|
The Academy - 8 |
|
Non-accidental non-serious injury by staff |
5 |
|
Date/response by
agency |
Aug. 2001/DPW
did not provide response |
|
Description of incident |
Worker upends child's desk, child bruised on
elbow. |
|
|
Jan. 2002/Worker
suspended for week without pay. |
|
|
Worker slaps child, scratching her face |
|
|
March 2005/Worker
to be retrained. |
|
|
Worker shoves child into desk |
|
|
May 2005/Worker
fired. |
|
|
Worker throws child into wall. |
|
|
July 2005/Worker
to be retrained. |
|
|
Worker hits boy on left cheek. |
| |
|
|
Sexual abuse
by staff |
1 |
|
Date/response by
agency |
March 2003/Worker
fired. |
|
Description of incident |
Child reports inappropriate contact with
worker. |
|
|
|
| |
|
|
Restraint by
staff |
1 |
|
Date/response by
agency |
Feb. 2002/Worker
fired. |
|
Description of incident |
Worker injures child in a restraint. DPW
describes it as "non-accidental serious
injury," and files with the ChildLine abuse
registry an indicated report of abuse
against the worker. |
|
|
|
|
|
|
|
|
|
|
| |
|
|
Other |
1 |
|
Date/response by
agency |
Nov. 2003/Academy
promises to follow rules. |
|
Description of incident |
DPW cites program for falsifying bed check
log and for filing incomplete incident
report after three teens run away, and one
dies in a car crash |
|
|
|
|
|
|
|
| |
|
Cornell - 7 |
|
Inappropriate
contact |
1 |
|
Date/response by
agency |
July 2000/Response
not provided by DPW. |
|
Description of incident |
Workers wash girls' breasts when she refuses
to. |
| |
|
|
Non-accidental non-serious injury by staff |
2 |
|
Date/response by
agency |
Jan. 1999/Response
not provided by DPW. |
|
Description of incident |
Child bruised, no one will document it with
photos |
|
|
Oct. 2004/Worker
fired, others retrained |
|
|
Worker slaps child. |
| |
|
|
Restraint by
staff |
1 |
|
Date/response by
agency |
June 2003/Staff
to be retrained. |
|
Description of incident |
Worker uses inappropriate restraint "in a
situation where it was unwarranted." |
|
|
|
|
|
|
|
|
|
|
|
| |
|
|
Non-accidental serious injury by staff |
1 |
|
Date/response by
agency |
Aug. 2001/Worker
fired. |
|
Description of
incident |
Worker punches child in face. |
| |
|
|
Other |
2 |
|
Date/response by
agency |
July 2004/Proper
bed checks to be done. |
|
Description of incident |
Child runs away without anyone noticing for
hours because workers failed to conduct
proper bed checks. |
|
|
|
|
|
|
Aug. 2004/Staffing
to be increased; prescriptions locked. |
|
|
In unannounced visit, DPW finds inadequate
staffing, inappropriately stored
medications, children feel their complaints
not answered. |
|
|
|
|
|
|
|
| |
|
Western Psychiatric Institute and Clinic
- 4 |
|
Inappropriate
contact |
1 |
|
Date/response by
agency |
Dec. 2000/Worker
disciplined |
|
Description of incident |
Staff member who'd worked 148 hours in pay
period swats child on buttocks. He also
grabbed another child by the shirt after the
youngster threw soap at him. |
| |
|
| |
|
|
Non-accidental non-serious injury by staff |
1 |
|
Date/response by
agency |
Jan. 2001/DPW
did not provide response. |
|
Description of incident |
Child has bruises that don't match those on
"bodily injury tracking" form. Child is
unable to talk, so can't explain how
injuries occurred. |
|
|
| |
|
|
Non-accidental serious injury by staff |
2 |
|
Date/response by
agency |
Nov. 1999/WPIC
defends use of injured worker. |
|
Description of
incident |
Worker with injured knee breaks child's arm
in a restraint. |
|
|
Sept. 2003/
Worker fired. |
|
|
It is unclear from the letters how the child
was injured in this case involving worker
"misconduct." But DPW did "substantiate"
that the worker abused the child.
|
|
|
|
| |
|
Three Rivers Youth - 3 |
|
Sexual abuse
by staff |
2 |
|
Date/response by
agency |
Nov. 1999/DPW
did not provide response. |
|
Description of incident |
Male worker takes four girls on outing; girl
alleges sexual abuse. |
|
|
Oct. 2003/Three
Rivers will report in future. |
|
|
Girl alleges improper contact; recants;
Three Rivers fails to report allegation to
DPW. |
|
|
|
| |
|
|
Restraint by
staff |
1 |
|
Date/response by
agency |
April 2003/Worker
retrained and "disciplined." |
|
Description of incident |
Worker improperly restrains child, injuring
her. Incident not reported on time. |
|
|
|
|
|
|
|
|
|
|
|
|
| |
|
Pressley Ridge - 2 |
|
Non-accidental non-serious injury by staff |
1 |
|
Date/response by
agency |
Oct. 2001/DPW
did not provide response. |
|
Description of incident |
Worker picks up child by pressure points
under arms, bruising him, and backs him into
a wall. |
|
|
|
|
|
| |
|
|
Other |
1 |
|
Date/response by
agency |
June 2001/Program
to ensure no contact. |
|
Description of incident |
Worker accused of abusing child talks to
girl although contact is forbidden. |
|
|
|
|
|
| |
|
Spectrum Family Network (formerly APA and
CATY)- 1 |
|
Restraint by
staff |
1 |
|
Date/response by
agency |
Nov. 1999/Worker
to be retrained and not get new cases until
then. |
|
Description of
incident |
Worker has altercation with and restrains
child not on her caseload. |
| |
|
|
Non-accidental serious injury by staff |
1 |
|
Date/response by
agency |
June 2003/Worker
fired. |
|
Description of incident |
Worker punches child multiple times in face. |
|
|
|
| |
|
Bradley residential treatment facilities
- 1 |
|
Sexual abuse
by staff |
1 |
|
Date/response by
agency |
May 2005/Worker
fired, program supervision improved |
|
Description of incident |
Child says worker molested her repeatedly. |
|
|
|
| |
|
Circle C - 1 |
|
Non-accidental serious injury by staff |
1 |
|
Date/response by
agency |
Sept. 2004/Staffing
to be improved, smoking prohibited. |
|
Description of incident |
Child is physically assaulted by other
children; children permitted to smoke
outside, with some getting cigarettes from
workers; children permitted to get alcohol
and remain out unsupervised until 2 a.m.
during Ocean City field trip; worker
teaching children lap dancing; children
permitted to bring alcohol into the home.
|
|
|
|
|
|
|
|
|
|
|
|
|
|