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OFFICE OF THE INSPECTOR GENERAL - State of Illinois

OFFICE OF THE INSPECTOR GENERAL - State of Illinois

OFFICE OF THE INSPECTOR GENERAL - State of

OFFICE OF THE INSPECTOR GENERAL ILLINOIS DEPARTMENT OF CHILDREN AND FAMILY SERVICES REPORT TO THE GOVERNOR AND THE GENERAL ASSEMBLY JANUARY 2011 DENISE KANE, PH.D. INSPECTOR GENERAL

  • Page 3: OFFICE OF THE INSPECTOR GENERAL ILL
  • Page 7 and 8: INTRODUCTION The Office of the Insp
  • Page 9 and 10: investigation or administrative act
  • Page 11 and 12: designed to strengthen. The Inspect
  • Page 13 and 14: INVESTIGATIONS DEATH AND SERIOUS IN
  • Page 15 and 16: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 17 and 18: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 19 and 20: 4. This report should be shared wit
  • Page 21 and 22: shelter and the caseworker mistaken
  • Page 23 and 24: Although the investigator spoke wit
  • Page 25 and 26: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 27 and 28: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 29 and 30: offices should share this informati
  • Page 31 and 32: intervention might have a negative
  • Page 33 and 34: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 35 and 36: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 37 and 38: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 39 and 40: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 41 and 42: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 43 and 44: DEATH AND SERIOUS INJURY INVESTIGAT
  • Page 45: The Department's Office of Affirmat
  • Page 48 and 49: Ensuring safe sleeping practices co
  • Page 50 and 51: Table 33: Child Deaths by County of
  • Page 52 and 53:

    UNDETERMINED A death is classified

  • Page 54 and 55:

    HOMICIDE Child No. 1 DOB 12/07 DOD

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    Child No. 5 DOB 10/92 DOD 2/10 Homi

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    Prior History: In March 2010 the ho

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    Narrative: Six-week-old substance-e

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    Child No. 22 DOB 11/08 DOD 2/10 Und

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    Child No. 27 DOB 11/08 DOD 5/10 Und

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    Prior History: The ward was the thi

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    Narrative: Twenty-eight-year-old mo

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    Narrative: Three-and-a-half-month-o

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    Child No. 44 DOB 3/10 DOD 5/10 Acci

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    Narrative: Seven-week-old baby was

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    Child No. 53 DOB 11/04 DOD 9/09 Nat

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    Child No. 58 DOB 10/09 DOD 10/09 Na

  • Page 80 and 81:

    Prior History: In November 2008 the

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    Child No. 67 DOB 12/09 DOD 12/09 Na

  • Page 84 and 85:

    Prior History: The teenager and her

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    Prior History: In August 2009 the h

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    Child No. 82 DOB 5/09 DOD 4/10 Natu

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    CHILD DEATHS BY DCFS CASE STATUS AN

  • Page 93 and 94:

    GENERAL INVESTIGATIONS GENERAL INVE

  • Page 95 and 96:

    GENERAL INVESTIGATION 2 ALLEGATION

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    5. The Department should audit the

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    assigned to the children’s case,

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    Prior to entering Department custod

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    Four months after the specialized s

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    GENERAL INVESTIGATION 6 ALLEGATION

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    GENERAL INVESTIGATION 8 ALLEGATION

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    OIG RECOMMENDATIONS / DEPARTMENT RE

  • Page 111 and 112:

    of protection against the boyfriend

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    emain in the traditional foster hom

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    GENERAL INVESTIGATION 12 ALLEGATION

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    GENERAL INVESTIGATION 14 ALLEGATION

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    GENERAL INVESTIGATION 15 ALLEGATION

  • Page 121 and 122:

    GENERAL INVESTIGATION 16 ALLEGATION

  • Page 123 and 124:

    GENRERAL INVESTIGATION 18 ALLEGATIO

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    GENERAL INVESTIGATION 20 ALLEGATION

  • Page 127 and 128:

    GENERAL INVESTIGATION 21 ALLEGATION

  • Page 129 and 130:

    GENERAL INVESTIGATION 22 ALLEGATION

  • Page 131 and 132:

    Contract or Grant are received in a

  • Page 133 and 134:

    GENERAL INVESTIGATION 25 ALLEGATION

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    SYSTEMS INVESTIGATIONS USE OF POLYG

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    STATEWIDE MEDICAL EVALUATION RESPON

  • Page 139 and 140:

    Table 1: Final Findings by Age Grou

  • Page 141 and 142:

    eporting of child maltreatment, and

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    PROJECTS AND INITIATIVES ERROR REDU

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    OFFICE OF THE INSPECTOR GENERAL DEP

  • Page 147 and 148:

    Dear Medical Provider: As part of a

  • Page 149 and 150:

    The East St. Louis sample had only

  • Page 151 and 152:

    OFFICE OF THE INSPECTOR GENERAL DEP

  • Page 153 and 154:

    Dear Medical Provider: As part of a

  • Page 155 and 156:

    The Marion sample included twenty c

  • Page 157 and 158:

    ETHICS Ethics Officer The Inspector

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    Rule Making The Ethics Officer rece

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    include hands on “safety games”

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    SYSTEMIC RECOMMENDATIONS Inspector

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    • The Department should work with

  • Page 167 and 168:

    • Caretakers should receive writt

  • Page 169 and 170:

    RECOMMENDATIONS FOR DISCIPLINE AND

  • Page 171 and 172:

    • A child protection investigator

  • Page 173 and 174:

    COORDINATION WITH LAW ENFORCEMENT R

  • Page 175 and 176:

    • The State’s Attorney’s Offi

  • Page 177 and 178:

    DEPARTMENT UPDATE ON PRIOR RECOMMEN

  • Page 179 and 180:

    The Department should pursue an int

  • Page 181 and 182:

    FY 10 Department Update: Trainings

  • Page 183 and 184:

    The Department should ensure that a

  • Page 185 and 186:

    FY 04 Department Response: The CERA

  • Page 187 and 188:

    d) A Factitious Disorder by Proxy i

  • Page 189 and 190:

    acknowledgment that reinstatement w

  • Page 191 and 192:

    that contractors are not incurring

  • Page 193 and 194:

    Interest Committee to analyze the c

  • Page 195 and 196:

    The Department should amend Departm

  • Page 197 and 198:

    FY 08 Department Update: The Depart

  • Page 199 and 200:

    FY 09 OIG Response: DCFS Office of

  • Page 201 and 202:

    FY 08 Department Update: The Depart

  • Page 203 and 204:

    FY 08 Department Update: Using the

  • Page 205 and 206:

    FY 09 Department Response: The Budg

  • Page 207 and 208:

    FY 06 Department Response: The proc

  • Page 209 and 210:

    The Department should not allow cou

  • Page 211 and 212:

    FY 07 Department Response: The Depa

  • Page 213 and 214:

    procedures. A list of review criter

  • Page 215 and 216:

    APPENDICES APPENDIX A: Brian Jasko

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    . OFFICE OF THE INSPECTOR GENERAL D

  • Page 219 and 220:

    investigator Quinn informed OIG inv

  • Page 221 and 222:

    has denied any concerns and express

  • Page 223 and 224:

    months. Mom needs to call Dr. Wong

  • Page 225 and 226:

    Allegations of drug use and not usi

  • Page 227 and 228:

    your services in order to prevent f

  • Page 229 and 230:

    April’s Hearing and Speech Accord

  • Page 231 and 232:

    Joyce states as follows: Brian’s

  • Page 233 and 234:

    protection investigator Quinn repor

  • Page 235 and 236:

    The allegation of cuts, welts and b

  • Page 237 and 238:

    In an interview with OIG investigat

  • Page 239 and 240:

    …Reporter states there were obser

  • Page 241 and 242:

    RECOMMENDATIONS 1. Child protection

  • Page 243 and 244:

    8-14-07 Clonidine (Antihypertensive

  • Page 245 and 246:

    OFFICE OF THE INSPECTOR GENERAL DEP

  • Page 247 and 248:

    asis. It is estimated the case will

  • Page 249 and 250:

    CPI Moran interviewed Ms. Hanes’

  • Page 251 and 252:

    Treatment plan, patient appears mil

  • Page 253 and 254:

    December 2005 hotline report. Nor d

  • Page 255 and 256:

    procedure she had and has continued

  • Page 257 and 258:

    pointed out that Suboxone was an op

  • Page 259 and 260:

    opiates. When Ms. Campbell question

  • Page 261 and 262:

    On October 15, 2008, the DCP Manage

  • Page 263 and 264:

    Fridays by the couple the children

  • Page 265 and 266:

    10/27/2008 Caseworker Letty Campbel

  • Page 267 and 268:

    to her former counselor and counsel

  • Page 269 and 270:

    Cytomel, and Effexor (an anti-depre

  • Page 271 and 272:

    RECOMMENDATIONS 1. This case reinfo

  • Page 273 and 274:

    CAROLINE & MACKENZIE HANES DEATH IN

  • Page 275 and 276:

    CAROLINE & MACKENZIE HANES DEATH IN

  • Page 277 and 278:

    Date Medication Dosage Qty. Medicat

  • Page 279 and 280:

    CAROLINE & MACKENZIE HANES DEATH IN

  • Page 281 and 282:

    CAROLINE & MACKENZIE HANES DEATH IN

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