- No regs noted out of compliance.
PRLU or OLTC
Visit Compliance Report
PRLU or OLTC
Notice of Incident
- Restraints – Staff Abuse
- Client stated that staff member had grabbed him by his shirt, brought him inside and slammed him down on the couch in his room and pressed really hard in his chest trying to hurt him.
- Child Abuse Hotline was called but not accepted.
PRLU or OLTC
Notice of Incident
- Restraints
- Client did not want to follow instructions and began using racial slurs, encouraging peers to engage in like behavior. Client walked out of house with permission and attempted to run but staff was able to cut him off. Client dropped down to ground and grabbed staff’s right leg and began to bite his leg several times.
- Client sent to acute care after incident.
PRLU or OLTC
Notice of Incident
- Injury
- Client became upset with peer while playing basketball and hit peer behind the head. Client injured his right hand, and the nurse was called to assist. Client was later taken to ER for swelling of hand.
- Client was given 2-day grounding for physical aggression toward peer. Client had fracture in his 5th metacarpal bone in right hand.
PRLU or OLTC
Notice of Incident
- Restraints
- Client became verbally aggressive with staff, making threats, threw cup at staff, and swung at staff. Client was placed in physical restraint.
- Client was placed on Restricted Status for physical aggression. Client is currently in acute setting.
PRLU or OLTC
Notice of Incident
- Restraints
- Client started eating a snack they were allergic too despite staff’s instructions; When staff took tablet away from client, client started sweeping things on the floor, turning over furniture as well. Several staff began the restraint process.
- Client was grounded after incident for physical aggression for 24 hours.
PRLU or OLTC
Incident Report
- Resident began to choke himself while banging his head on the wall. Went to room to calm down, staff followed, voiced plan to strangle himself with hoodie. Observed with some erythema to the anterior neck. Resident expressed sadness for behaviors that led to placement. Placed on eyeball safety precaution – this led to further escalation. Continued to threaten to hurt himself, began banging head on wall – lead to personal restraint.
- Injuries: erythema to anterior neck, headache from banging head.
- PRLU F/U: licensing has requested to view video footage during the time of the report.
PRLU or OLTC
PRLU System Information
- Resident flipped over chair, yelled explicit and racial slurs and began throwing his personal belongings into milieu after being told he would receive a consequence. “Placed in restraints and seclusion room due to his aggression toward staff and peers.” Observed attempting to choke himself while in seclusion room. Yelled and cursed when asked to stop. Staff entered seclusion room and removed shirt.
- Explanation of no interim corrective action: staff has followed proper protocol by taking the proper measures to redirect, de-escalate the situation. Specialist will f/u
PRLU or OLTC
Visit Compliance Report
- Viewed Sturgis and 3 rooms in Chestnut. Hickory Home viewed. Made aware during visit a therapist tested positive for Covid-19 and several kids were being put on immediate quarantine. “As we tried to visit Mabee and Rose House, we were made aware that…clients from those homes were also being put on immediate quarantine. Chestnut, Sturgis, and Mabee homes were in ratio.” NOTE: says Mabee in ratio but also did not go to Mabee.
- Regs out of compliance:
- R911.15f – drawstrings found in multiple houses. Corrected on-site.
- R912.4 – ensure gym bathroom is clean. Corrected on-site.
- R911.6 – baseboard, wall, and door lock repairs needed. No correction date.
- R409.6 – Ensure chemicals are secure, located in kitchen and laundry. Corrected on-site.
- TA –
- R908.5 – Nurses and Maintenance have key access but are not in the buildings at all times.
PRLU or OLTC
PRLU Incident Report
- Resident restrained and put in seclusion room. Resident bit staff. Resident injury: bump on arm and leg. Long narrative on report.
- Interim Corrective Action: S followed proper protocol, was seen by nurse to check bump on arm and leg.
Police Report
Battery Third Degree
Staff stated Resident had become upset when another peer had asked for some space. Staff stated that after the Resident had started to throw things and punched the television, Staff restrained the resident and walked them to the seclusion room. Resident then broke loose and hit Staff in the head, and then tried to wrap headphones around Staff’s neck. Staff stated he suffered injuries resulting in a hospital visit.
Police Report
Aggravated Assault
Upon arrival, Deputies found Resident holding a sharp piece of wood and also one with nails in it. When approached, resident raised these weapons as if to throw them at the Deputies. After several verbal commands, Resident was handcuffed. After attempting to lunge at staff and retreive the Deputies weapon, resident was place in the patrol vehicle. Staff stated the resident had become angry and violent after candy had been taken away. Resident was transported to the Juvenile Detention Facility.
Police Report
Criminal Mischief
Staff stated that Resident had become upset about post staff status, and began destroying property. Staff stated Resident calmed down after, and resident wanted to call lawyer stating they no longer wanted to be at facility. Staff stated they would like to think about pressing charges for property destruction.
Police Report
Medical Emergency
Staff advised Deputies that Resident needed to be transported to Pinnacle Pointe due to an issue that happened earlier in the day, and stated the Resident has a history of being violent. After speaking with the Deputy, the Resident was transported by MEMS without issue.
PRLU or OLTC
Licensing Compliance Record
- Maltreatment Complaint received May 2020.
- Interim Corrective Action: Staff suspended from work pending investigation outcome.
- Findings: Maltreatment report founded 6/2020. Licensing report founded 8/2020 based on regulation.
- 405.5 – Child caring staff shall be responsible for providing the level of supervision, care, and treatment necessary to ensure the safety and well-being of each child at the facility, taking into account the child’s age, individual differences and abilities surrounding circumstances, hazards and risks.
- Final Corrective Action: Staff no longer employed at facility.
PRLU or OLTC
Licensing Compliance Record
- Maltreatment/Licensing received 7/31/20.
- Interim Corrective Action: Staff suspended from working pending investigation. Staff will be terminated upon true finding based on video.
- Findings: Maltreatment report founded 8/2020. Licensing report founded 8/2020 based on regulations.
- 404.2 – Discipline shall be directed toward teaching the child acceptable behavior and self-control.
- 404.3 – Discipline shall be appropriate for the child’s age, development, and history.
- 404.4h – Physical injury or threat of bodily harm.
- 404.6 – Physical restraint shall be performed using minimal force and time necessary.
- Final Corrective Action: Staff was terminated by agency during investigation process.
Police Report
Runaway
Staff stated that Resident had attempted to runaway from the facility. Resident was later found by staff walking on the roadway and was escorted back and assessed for injuries. Resident was instructed to take medication while Deputies were on scene.
PRLU or OLTC
Licensing Compliance Record
- Maltreatment Complaint received June 2020.
- Interim Corrective Action: Staff suspended from work pending investigation outcome.
- Findings: Maltreatment report unfounded 7/2020. Licensing report unfounded. ICA can be lifted, and staff can return to normal duties.
Police Report
Assault
Resident stated that a staff member put their hands on the residents throat back on 2/28/2020 in response to a disturbance between 2 residents. The resident advised a staff member of the incident, and photos had been taken of their neck. After the deputy spoke with the staff member, she stated the resident was upset with her today because she got the resident in trouble for spitting and they were separated to calm down. The Resident stated they just wanted to make a report of what happened in February. Incident number was provided to both staff and resident.
Police Report
Battery
Deputy arrived at Children’s Hospital in reference to battery. Resident stated that another resident had come into room at Youth Home and struck them in the face “at least 20 times”; Resident had a broken nose and believe to have been knocked unconscious. PCSO was never contacted by Youth Home Staff in regards to this incident. Deputy provided report, and will follow up with youth staff at a later time to obtain further information.
Police Report
Assault
Staff stated that Resident was being disrespectful and disruptive, and after Resident started eating a crayon Staff attempted to stop her. Resident slapped Staff on the arm. After help of other staff, Resident continued to kick, slap, and pull Staff’s hair. Staff advised they would like to press charges. An ADR was created and given to Staff.
Police Report
Information
Deputy contacted Staff by phone; Staff stated after Resident was asked to go to bed, Resident kicked Staff. Staff stated Resident has been combative toward staff members resulting in being punched, spit on, and verbally attacked. Staff stated no medical attention was needed.
Police Report
Runaway
Staff stated that Resident had run off the property, but returned prior to the Deputy’s arrival. Resident was safe and speaking to another staff member. Staff was advised of the report.
Police Report
Medical Emergency
Officers secured the scene for MEMS to transfer Resident to Methodist Hospital without incident.
Police Report
Runaway
When the Deputy arrived on scene, Staff stated the Resident had returned and was now very combative and disruptive. Resident was uncooperative in language but not physical at the time. MEMS transported Resident to Children”s Hospital for mental health evaluation. Resident had runaway because of an altercation between another resident, in which that resident had been treated for injuries.