QRTP – Staff stated that juvenile ran away but returned a short time later. When staff asked juvenile to move to another couch once in facility, juvenile became irate and staff initiated a restraint. While staff were trying to gain control of juvenile, juvenile kicked a staff in the leg, spat at 2 staff, struck a staff in the back, and scratched a staff’s arm. MEMS arrived on scene and transported juvenile to ER.
- Client attended staffing group within the hour of being admitted to facility and became disrespectful and noncompliant. Client returned to bedroom and attempted to use the metal from a 3-ring binder he received from admissions to self-harm. Client was restrained and placed in locked seclusion where he began hitting his head on the wall and rubbing a fidget toy on his wrist. Staff removed object and client agreed to a chemical restraint to calm down. Client was transferred to ER to rule out drug toxicity. No follow-up details.
- Injury (Accidental)
- Client slipped in shower and banged her head. Client was assessed by nurse and placed on eyeball due to history of self-harm. No follow-up details.
- Client wrapped clothing around her neck and staff intervened. After a phone call with her guardian, client grabbed a belt and wrapped it around her neck. Staff intervened and client was placed on Front of House and Eyeball precautions.
- Per email from facility on 6/13/22, client remains on Eyeball.
- ER Visit (Accidental Injury)
- Client injured left ankle while playing outside. After continued complaints of pain, client was transported to the ER.
- Licensing follow-up on 6/10/22: Client diagnosed with fracture to left foot. Client does not have a walking boot.
- ER Visit (Accidental Injury)
- During recreation, client was running and fell, slid on her knees, and hit her head on the wall. Client complained of a headache and was taken to the ER. Client was diagnosed with a head injury and left knee injury, and was given crutches to wear for 24 hours. No concussion noted. No follow-up details.
- Client was upset with peer for breaking up with her and took of running towards the street when residents were going back inside for lunch. Staff later caught up with her and restrained her. Client stated she wanted to kill herself and tried multiple times to get hit by a car. Client calmed down after being transported back to the facility by van. Client and peer were placed on peer limit.
- Per email from facility on 6/9/22, client is on eyeball, front of house, and run risk but may come off after med checks. Client was taken off eyeball on 6/9/22.
- ER Visit (Accidental Injury)
- Client broke his arm playing basketball and was taken to the ER.
- Licensing follow-up on 6/2/22: Per nursing note, client returned from ER with splint and prescribed Oxycodone 5mg. Client has a follow-up appointment with Orthopedic Clinic on 6/2/22.
- Client allegedly had a plan to run and encouraged other peers to run with her. After client was placed on House Restriction and Run Risk, she became upset and barricaded herself in her room and tied clothing around her neck. Staff intervened, and client was placed on Eyeball and Front of House in addition to HR and RR.
- Licensing follow-up on 6/2/22: Per email from facility, client is no longer on eyeball and reportedly doing better.
- ER Visit (Allergic Reaction)
- Client complained of itching throat after eating a cookie and thought it was an allergic reaction. The kitchen was certain the meal contained no nuts. Client was given Benadryl, and after client stated it was worse, was given an Epi pen and sent to ER.
- Licensing follow-up on 5/27/22: Client returned to facility on 5/25/22 and is reportedly doing fine.
- ER Visit (Facial Cellulitis)
- Client presented to nurses station with facial pain and moderate swelling. Client was sent to Urgent Care for evaluation. Client was diagnosed with left-sided facial cellulitis and prescribed antibiotics. If the problem does not resolve after antibiotics, another visit will need to be scheduled.
- Client went to staff asking to be moved to a different room because her roommate made her feel uncomfortable. Client reported that while in their room, peer was trying to touch her, kiss her, and gave her a lap dance because peer wanted them to be girlfriends. Peer admitted to staff what happened but said she didn’t realize she was making client uncomfortable. The girls have been moved away from each other and should not be in close contact any longer.
- Child Abuse Hotline was called and accepted, unsubstantiated. Per email from facility on 5/23/22, client slept in the front of the house for safety until room changes can be discussed.
- ER Visit (Dermoid Cyst)
- Client complained of having issues with her eye and was transported to ER due to continued complaints. Client has been to multiple appointments to evaluate her eye.
- Licensing follow-up on 5/19/22: Client returned from ER with diagnosis of dermoid cyst of left orbit, and instructions to return if pain increases, or if any symptoms worsen after starting antibiotics.
- ER Visit (Healing Sutures)
- Client reported pain to arm where he had 49 stitches in 3 separate placements (due to falling through a glass table prior to admission). Stitches around lateral epicondyle appear to begin to show wound dehiscence. Client was transported to ER.
- Licensing follow-up on 5/19/22: Results of ER exam were healing sutures, with instructions to wash daily, apply antibiotic ointment to wound, and return in 8-10 days for suture removal.
Staff stated that during lunch, a peer took juveniles Ensure and juvenile became irate. Due to juvenile wanting to fight, staff took the Ensure and put it in his pocket. Juvenile pushed staff’s chest area, so staff called for assistance and put juvenile in a hold in which he broke free and was able to strike staff on his face. Shortly after, juvenile calmed down.
Staff advised juvenile was upset due to rules of the facility and took the bathroom door off the hinges, damaged the cover of a light fixture, and punched a fire extinguisher. Juvenile kicked staff member in the groin and attempted to bite him while in restraint hold, and spit on another staff member. Juvenile stated staff member punched him; Another staff stated they did not observe staff punching juvenile and reviewed video footage, in which she didn’t observe the incident on camera. Officer did not observe any injuries to juvenile.
- Two clients reported to staff that a peer had been touching them on the buttocks. Clients were placed on peer limit with the accused peer. Peer was also placed on “Front of Line”, meaning he walks at the front of the line anywhere residents go.
- Child Abuse Hotline was called and accepted. Investigation pending. No follow-up details.
QRTP – Staff stated juvenile became upset because he thought his grounding period was starting over, but it wasn’t. Staff stated juvenile flipped over furniture and a plant and also took the plastic covering off a light switch. Juvenile confirmed the details provided by staff.
- Client entered decompression zone, stating he was having suicidal thoughts. Later, client appeared to be hanging his head down and using his arms to hold up his body. He then appeared to be shaking, and staff discovered he was squeezing the arteries in his neck to make himself pass out. Staff intervened, and client was seen by nurse. No noted injuries. Client was already on eyeball for suicide ideation as of 5/5/22. Client remains on eyeball for safety precaution, front of house, and supportive status.
- Per email from facility on 5/9/22, client was removed from eyeball status.
- Client reported to staff that on the way to lunch, her and a peer were in the back of the line and the peer began touching and grabbing her butt, then grabbed her hand and made her touch him on his penis over his clothes.
- Child Abuse Hotline was called and accepted, unsubstantiated. The alleged offender was moved classes immediately upon hearing of the incident. An investigator came to the campus to interview both clients. Licensing follow-up on 5/9/22: No evidence to support or refute claim.
Staff advised officer that after juvenile was told to go to his room, he began to take pictures and nails off the wall. While staff was attempting to get the nail from juvenile, juvenile kick and bit him. Staff had to restrain him until he calmed down. Juvenile advised officer that staff member held him down and choked him. No visible injuries were observed on both parties.
- Suicidal (1)
- Client used an eraser at school to aggressively rub her skin, causing an abrasion. Later that day at the facility, client continued to self-harm, and a personal restraint was implemented. Staff working toward finding placement for client. Client was informed she would have restrictions on her belongings and would have to shower with the door cracked for threat of self-harm. This upset client, and she began picking at her scabs, making them bleed. Personal and chemical restraint utilized. The next morning at school, client began to self-harm again and banged her head on the floor. Client was transported by MEMS to ER. No follow-up details.
- Suicidal (2)
- Upon entering the decompression zone within school, client began to bang her head on the wall and punched another wall repeatedly. She then began expressing suicidal feelings and feelings of worthlessness to staff. Client was assessed and placed on close observation and supportive status.
- Licensing follow-up on 5/4/22: Email from facility states that client has not had any additional issues or concerns.
- ER Visit (Allergic Reaction)
- Client ate a cookie and had an allergic reaction. Client was sent to the ER. Facility received orders from the hospital to return to the allergy clinic for follow-up.
- Licensing follow-up on 5/1/22: Client seems to have ongoing allergic reactions to food. Client to go to allergy clinic in one week for follow-up.
Staff advised officers that juvenile got upset when he was told that he was losing a point and when he was being restrained, he kicked both staff members. Juvenile confirmed this, and stated he was going to contact his caseworker so he could be moved to acute placement. Medical was refused and there were no visible marks.