- 07.19.21 Actions: After careful review of the IOC reports and the CAP submitted by CYF, DMS has concluded that the following actions are necessary and appropriate:
- Monitor the corrective action plan submitted by CYF to determine the level of compliance with the terms stated therein.
- Suspend provider referrals and disallow future admissions pending progress made on the CAP submitted by CYF.
- Additionally, DMS reserves the right to recoup payments made for services determined to not be medically necessary or that fail to meet professionally recognized standards for healthcare.
- 11.23.21 Actions: Given the progress made by your facility and maintaining awareness of the seriousness of the previously cited deficiencies, DMS hereby amends the sanctions against your facility.
Officers responded to an alarm; Facility appeared to be secure, no signs of forced entry.
Texas DHS employee requested officer to check on child at facility to verify he was at this location and was okay. Officer made contact with juvenile, who stated he was okay.
Officers responded to a disturbance; Upon arrival, officers stood by while DHS waited on juvenile to exit vehicle and enter facility.
Staff stated juvenile 1 attacked juvenile 2, punching him in the face several times. J1 stated when staff member came to break up the fight, staff squeezed J1s wrists super tight and then pushed him head first into the wall, causing a scratch on his forehead. Staff stated he did grab J1 and held him against the wall because he wouldn’t calm down. Supervisor and MEMS was contacted, and J1 was transported to hospital.
Staff advised officers that juvenile left the campus, and that staff had located her and transported her back to the facility. Staff advised juvenile was upset because she was being transported to a different facility.
Officers spoke with an employee, who advised it was an accident.
- ER Visit (Peer Altercation)
- Client was involved in altercation with peer, afterwards complaining of headache and feeling lightheaded. Hourly neuro checks were ordered, and client was later taken to ER due to continued headache/dizziness. Client was diagnosed with a closed head injury and prescribed Ondansetron for nausea. Peer involved was placed on assaultive precautions.
- Licensing Specialist: Clayton DeBoer.
- Facility visited from 10:00am – 11:00am. Census: 32. MARs checked for 5 residents. No licensing concerns observed during the visit.
- ER Visit (Peer Altercation)
- Client was involved in altercation with peer, in which she sustained several scratches to her face, a small cut to the inner lower lip, and slight swelling to her chin. Client also stated she possibly hit her head on the ground. Client was transported to ER, where she was diagnosed with a mild concussion. Peer (aggressor) received placement elsewhere.
Officers made contact with juvenile at ACH, who stated peer threw a deck of cards at her face, then proceeded to punch her, push her over, punch her face against the floor, kick her head, and continue assaulting her. When juvenile was able to move to another room once staff arrived, she was found by peer who continued assaulting her, pushing her head into a cabinet before she was removed.
Juvenile’s guardian wanted a report made: Juvenile advised officer that peer became irate and accused juvenile of talking behind her back. Juvenile stated at some point the peer punched her head approx. 4-5 times, showing officer picture of redness to her face taken after incident. Staff advised they would conduct their own investigation into the matter.
- ER Visit (Allergic Reaction)
- Client was outside playing when he complained that he was itching all over “really bad.” Once inside, client complained of shortness of breath, his face became very red, and he began to kick his legs and fling his arms. MEMS transported client to ER, where he received 2 EPI injections, 2 rounds of Albuterol, Benadryl, and a steroid shot. Client was possibly bitten/stung while outside, causing an allergic reaction.
- ER Visit (Accidental Injury)
- On 5/21/22, client was outside playing football when a peer ran into him, injuring his left wrist. Nurse noted slight swelling and Tylenol/icepack were provided. On 5/23/22, client was sent to ER due to his wrist still hurting. X-ray results: Fracture of left wrist. Client’s hand was placed in a wrist brace, and client has follow-up appt. on 5/31/22 with orthopedic clinic.
- Client stated that after she began banging her head into a wall and was going to harm herself, staff member assisted in an intervention in which client received a bruise/scratch injury on her left side.
- Child Abuse Hotline was called and accepted. Licensing follow-up on 5/17/22: Camera footage reviewed of incident and photo viewed of client’s injury, in which a bruise and fingernail marks were observed under client’s left armpit. Alleged staff member was observed to be on right side of client during entire escort during incident.
- Risk Management at facility reported a staff member had shoved a client to the ground.
- Child Abuse Hotline was called, pending. Staff member was immediately placed on leave pending termination. Licensing follow-up on 5/17/22: Video footage was reviewed and observed client shoving staff, then staff shoved client back. Client rears back as to hit staff, and staff then pushes client into a door. Client’s head is seen and heard hitting the door. Client appeared visibly hurt after the incident.
- ER Visit (Accidental Injury)
- Client complained of pain to his left wrist and reported he had hurt it while playing basketball on 5/14/22 but didn’t tell anyone. Nurse noted slight swelling to client’s wrist. Ibuprofen and icepack were provided to client, and after several hours with no improvement, client was taken to ER. X-ray results: Fracture of the scaphoid bone (near base of thumb) in client’s left hand. Client’s hand was placed in a soft cast.
Juvenile (w/guardian) advised officers that peer came up behind her while she was watching a movie and began to hit her. Juvenile stated staff intervened, but peer reached over staff and pulled out a handful of hair. Officers observed juveniles head to be reddened and a spot where she was missing hair. Staff confirmed juvenile’s account of the events and stated 2 other residents started a fight to distract from peer attacking juvenile.
- Client reported a staff member had hit him.
- A Child Abuse Hotline call had been placed and accepted. A DCFS investigator interviewed client on 5/12/22.Upon learning of DCFS investigation, alleged staff member was suspended pending the completion of the investigation. It should be noted that client has made several unsubstantiated allegations during his stay at The Centers. Investigation pending.
- ER Visit (Fight)
- Client and peer were in altercation in which client fell and hit his face on a plastic chair, resulting in a small laceration (less than 1 cm) next to his left eye. Staff cleaned and treated the wound, and client was sent to ER for evaluation. Client received 2 absorbable sutures to the laceration.
Officers made contact with the security, who advised false alarm.
- Client reported a staff member had pulled his hair, spit on him, and beat him.
- A Child Abuse Hotline call had been placed and accepted. A DCFS investigator interviewed client on 4/21/22. Upon learning of DCFS investigation, alleged staff member was suspended pending the completion of the investigation. Licensing follow-up on 4/27/22: Staff indicated that an internal investigation yielded no truth to allegation. There is no video to view as client provided no time of incident. Investigation was unsubstantiated.
Officers responded to a disturbance; Upon arrival, caller stated several juveniles were refusing to go to bed. Caller wanted officers to come in and talk to them. Officers talked to the juveniles; No further incident.
Staff advised officers that juvenile was causing a disturbance and refusing to return to their room. Staff advised juveniles doctor requested them to go to hospital due to mental breakdown. MEMS arrived and transported juvenile to hospital.