- Injury
- Client fell in shower, hitting the ground and bruised her side. Client told staff and nurse/APRN that she was having a hard time because she heard a pop. Client went to ER. No follow-up details.
PRLU or OLTC
Notice of Incident
PRLU or OLTC
Notice of Incident
- Injury – Arm Broken in Restraint
- Client was sent to ACH after an emergency safety intervention resulted in client injury; Client’s arm was broken. Staff member sent home until investigation is concluded.
- Child Abuse Hotline was called and accepted. Based on video footage and reviewing the CPI Techniques program used by the agency, Specialist Breedlove determined that the proper intervention was not used in the situation with client and cited the agency under regulation 907.2.
Police Report
Information Report
Staff advised Juvenile had used some broken glass from the kitchen to cut herself on both wrists. Officers observed several staff members and the fire department attending to Juveniles injuries and requested MEMS respond. MEMS transported Juvenile to Children’s Hospital with non life-threatening injuries.
PRLU or OLTC
Notice of Incident
- Injury
- Alleged victim was recently discharged from facility and had a black eye, two bruises on either side of neck, and a bite mark on his back. AV was seen to have these injuries on 4.24.21 when he was discharged. Unknown how he got these injuries; Some boys were also mentioned to have peed on his clothes. The facility was said to have cockroaches. The AV’s therapist allegedly knew about the abuse and didn’t report it, simply moved the AV.
- Child Abuse Hotline was called and accepted. No follow-up details.
PRLU or OLTC
Visit Compliance Report
- Specialists met with Centers staff to have detailed discussion on the concerns of broken bones, suicide attempts, sexually acting out behaviors, elopements that have increasingly occurred at this facility. Specialists also discussed their method of restraints and if therapy for the youth was effective. The licensing staff also conducted complete walkthrough of the EMAC facility.
- TA –
- R911.6 – Ensure exposed area is repaired. Exposed sheet rock viewed on the wall in Dorm 3 room.
- R914.6 – Ensure emergency evacuation plan diagram is reposted in Dorm 4. Diagram was removed for painting purposes.
PRLU or OLTC
Visit Compliance Report
- Specialist watched a video of an exposure incident that took place at facility. In the video, two clients exposed their genitals and buttocks while staff sat at a desk failing to intervene in a timely manner.
Police Report
Sexual Assault Second Degree
Child Abuse Hotline Referral was initiated, reporting sexual contact between 2 Juveniles; No other info.
PRLU or OLTC
Visit Compliance Report
- Regs out of compliance –
- R911.15.f – Observed clothing with drawstrings in room on South dorm. Corrected 4.26.21.
- R911.6 – Ensure profanity written on wall is taken down and wall where paint is chipping is repaired. Ensure blinds leading to East, South, and North dorm in hallway is repaired; Blinds were broken with jagged edge. Due date 5.3.21.
- R908.6 – Lock on drug cart unable to be secured at time of visit. Informed by nurse an order for a new drawer has been placed. Due date 5.10.21.
PRLU or OLTC
Notice of Incident
- Sexual Activity and Lack of Supervision
- Resident 2 had his penis exposed in the day area, when Resident 1 motioned him to come here” and appeared to open his mouth as his face went towards Resident 2s genitals. The pair later kissed. Staff suspended until retraining or termination is determined.
- Child Abuse Hotline was called and accepted. Video footage was reviewed, and Specialist Breedlove determined there was inadequate supervision and cited the agency for that P907.2.
PRLU or OLTC
Notice of Incident
- Elopement
- Resident stated he was angry because he was lied to, then got up and ran to the fence and climbed on top of the roof, running from side to side. After notifying other staff, resident could not be located. He was located an hour later and escorted back to facility.
Police Report
CAD Report, Information Report
Officers responded in reference to a runaway Juvenile report. Upon arrival, Staff stated that Juvenile tried to run from facility into the woods but Staff was able to get him back to the facility without incident.
Police Report
Information Report
Staff advised Officers that Juvenile became physically aggressive and punched her in the back of the head with a closed fist. Staff advised that Juvenile had pushed 2 other Staff members as well. Staff advised she was not injured but a report is required.
Police Report
Non Police Incident
Officers responded in reference to a 911 hang up and no answer on a call back. Officers made contact with Staff who advised the call was accidental and police assistance was not needed.
PRLU or OLTC
Notice of Incident
- Resident Suicide Attempt
- When staff went to check on resident in bathroom, resident slid a suicide note under the door. Staff opened door and found resident on floor with elastic from her underwear around her neck. Staff intervened to get elastic off her neck. Video was reviewed; Specialist reported that video didn’t show anything negligent on behalf of staff. Staff checked on resident after required amount of time.
PRLU or OLTC
Notice of Incident
- Injury
- Resident stated she didn’t feel well with a headache, then fainted by her bed. The nurse came and worked with resident. Resident fainted due to syncope; Hospital trying to determine the cause.
PRLU or OLTC
Notice of Incident
• Resident Suicide Attempt
-
- Peers informed staff resident was about to hurt herself. When staff went to the resident’s room, she was standing on her cubby and putting cloth around the door hinge. She then placed her head through the loop briefly before staff was able to get it away from her.
PRLU or OLTC
Notice of Incident
- Resident Self-Harm
- Resident wrapped mask strings tied together around her neck.
- Video reviewed; All cloth masks were replaced with paper masks.
Police Report
Non Police Incident
Police stood by while MEMS transported Juvenile to Methodist Children’s Home.
Police Report
Non Police Incident
MEMS transported Juvenile to Rivendell Behavioral Clinic.
PRLU or OLTC
Visit Compliance Report
- Regs out of compliance –
- R907.2 – Ensure the safety and well-being of children at facility, surrounding circumstances during a time of hazards and risk (Line of Sight, Suicide Watch). Specialist viewed video footage of attempted suicide and noticed there was a period of time that
elapsed while client was in the room alone and no one had checked to see what was happening or what she was doing.
- R907.2 – Ensure the safety and well-being of children at facility, surrounding circumstances during a time of hazards and risk (Line of Sight, Suicide Watch). Specialist viewed video footage of attempted suicide and noticed there was a period of time that
PRLU or OLTC
Notice of Incident
- Resident evaluated at ER after punching wall several times and being restrained. No breaks or fractures were diagnosed.
Police Report
Battery Third Degree
Staff stated Juvenile 1 slapped Juvenile 2 several times in the face. Staff stated they were currently in the process of contacting both parents and they have video of the incident.
Police Report
False or Unfounded Call
Officers made contact with multiple employees at the facility and it could not be determined where the 911 call originated from. No emergency; Police not needed.
PRLU or OLTC
Notice of Incident
- Resident Suicide Attempt
- Regs out of compliance –
- R907.2 – supervision based on period of time resident was in room without being checked on.
PRLU or OLTC
Notice of Incident
• Resident transported to ER for infected toe.