Legacy Youth

1 EBI document reviewed showed that a child in care was restrained for an inappropriate reason which was for jumping over the couch. No de-escalation technique was used. Another EBI document reviewed also showed that no de-escalation technique was used.

When reviewing a child's record, there was 1 staff that documented a serious incident report, which shows that she was present at the operation, and administered medication to a child before receiving notification from the Centralized Background Check Unit that the staff was eligible.

Three medication records showed that medication was not administered as prescribed.

In reviewing medication logs, two medication records were missing the reason for the medication being prescribed on two of eight children's records reviewed.

During interviews with the children in care, 5 out of the 6 interviewed advised that part of discipline is receiving a sandwich in their bedroom while the other children eat something different.

During my investigation and interview with children in care and staff, it was determined that direct care staff were not aware of an injury sustained by a child in care. The preponderance of evidence supports this standard as being deficient.

Two operation staff initiated a controlled escort with victim; however, during the investigation it was stated that the child was at the top of the stairs in the operation nudging their knees forward. The escort was utilized as a way to force the child to come down the stairs.

The operation staff initiated a two-person team controlled escort with victim that resulted in three persons (two staff & victim) falling down the stairs. During the fall, one staff member initiated a basket hold on the median level of the stairs; however, safety was not considered, as the staff member had the opportunity to step back first to distance herself away from being kicked by victim.

During a team inspection walk through it was observed that one room contained two metal hanging wires over one child in care bed.

It was observed during the walk through that the the operation had a pile of loose bricks on the outside of the home, in the rear of the home near the side yard and in the backyard of the home near the corner.

It was observed during the walk through that the fence in the backyard is broken and missing 1 picket.