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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 ILLINOIS DEPARTMENT OF CHILDREN AND FAMILY SERVICES January 1, 2011 To Governor Quinn and Members of the General Assembly: On October 5, 2010, a former DCFS administrator pled guilty in federal court to mail fraud. Five years ago, this administrator was found to be involved in the misappropriation of Department funds in an Office of the Inspector General report that was the basis for the federal investigation. In the wake of the Office of the Inspector General’s investigation, the administrator, who resigned from his Department position, told the press that the Office of the Inspector General’s investigation was “laughable.” Because justice was delayed, many DCFS employees who had been bullied by this administrator’s high handed dealings became weary, believing that child welfare could not be protected from corruption. This year, the Office of the Inspector General again investigated the administrator after learning he had renewed his involvement with DCFS through state funded subcontract arrangements. Since the administrator had not yet been convicted, some in the Department who were aware of the arrangement thought they could not move to block the subcontractor agreements. The Office of the Inspector General found the same administrator had again used state funds in order to benefit himself and bolster his own influence. In the past five years poverty levels have risen in every county in the state. Economic hardships have affected every state agency, making it essential that every state contract be monitored with due diligence to assure that state monies are honestly and efficiently spent. When multiple state agencies are funding similar services, the agencies need to communicate with one another to assure accountability. Collaboration between state agencies is vital to ensure that effective and appropriate services are provided to the citizens of Illinois. The appendix of this year’s Annual Report contains two investigations that illustrate the need for timely exchange of information between the Department of Healthcare and Family Services and the Department of Children and Family Services during a child protection investigation. If child protection staff had access to the Department of Healthcare and Family Services’ Recipient Claim Detail information, they may have been able to consult with medical providers to stem the parents’ misuse of prescription drugs which presented lethal risks to their children. Harnessing the expertise and resources of both agencies for the sake of child protection is within our grasp. We should make it happen. With Warm Regards, Denise Kane, Ph.D. Inspector General

  • Page 1: 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
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    UNDETERMINED A death is classified

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    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

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    Prior History: In November 2008 the

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

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    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

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    GENERAL INVESTIGATIONS GENERAL INVE

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    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

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    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

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    GENERAL INVESTIGATION 16 ALLEGATION

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    GENRERAL INVESTIGATION 18 ALLEGATIO

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    GENERAL INVESTIGATION 20 ALLEGATION

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    GENERAL INVESTIGATION 21 ALLEGATION

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    GENERAL INVESTIGATION 22 ALLEGATION

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    Contract or Grant are received in a

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    GENERAL INVESTIGATION 25 ALLEGATION

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    SYSTEMS INVESTIGATIONS USE OF POLYG

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    STATEWIDE MEDICAL EVALUATION RESPON

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    Table 1: Final Findings by Age Grou

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    eporting of child maltreatment, and

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    PROJECTS AND INITIATIVES ERROR REDU

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    OFFICE OF THE INSPECTOR GENERAL DEP

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    Dear Medical Provider: As part of a

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    The East St. Louis sample had only

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    OFFICE OF THE INSPECTOR GENERAL DEP

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    Dear Medical Provider: As part of a

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    The Marion sample included twenty c

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    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

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    • Caretakers should receive writt

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    RECOMMENDATIONS FOR DISCIPLINE AND

  • Page 171 and 172:

    • A child protection investigator

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    COORDINATION WITH LAW ENFORCEMENT R

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    • The State’s Attorney’s Offi

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    DEPARTMENT UPDATE ON PRIOR RECOMMEN

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    The Department should pursue an int

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    FY 10 Department Update: Trainings

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    The Department should ensure that a

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    FY 04 Department Response: The CERA

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    d) A Factitious Disorder by Proxy i

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    acknowledgment that reinstatement w

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    that contractors are not incurring

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    Interest Committee to analyze the c

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    The Department should amend Departm

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    FY 08 Department Update: The Depart

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    FY 09 OIG Response: DCFS Office of

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    FY 08 Department Update: The Depart

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    FY 08 Department Update: Using the

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    FY 09 Department Response: The Budg

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    FY 06 Department Response: The proc

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    The Department should not allow cou

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    FY 07 Department Response: The Depa

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    procedures. A list of review criter

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    APPENDICES APPENDIX A: Brian Jasko

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    . OFFICE OF THE INSPECTOR GENERAL D

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    investigator Quinn informed OIG inv

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    has denied any concerns and express

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    months. Mom needs to call Dr. Wong

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    Allegations of drug use and not usi

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    your services in order to prevent f

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    April’s Hearing and Speech Accord

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    Joyce states as follows: Brian’s

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    protection investigator Quinn repor

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    The allegation of cuts, welts and b

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    In an interview with OIG investigat

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    …Reporter states there were obser

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    RECOMMENDATIONS 1. Child protection

  • Page 243 and 244:

    8-14-07 Clonidine (Antihypertensive

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    OFFICE OF THE INSPECTOR GENERAL DEP

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    asis. It is estimated the case will

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    CPI Moran interviewed Ms. Hanes’

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    Treatment plan, patient appears mil

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    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

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    10/27/2008 Caseworker Letty Campbel

  • Page 267 and 268:

    to her former counselor and counsel

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    Cytomel, and Effexor (an anti-depre

  • Page 271 and 272:

    RECOMMENDATIONS 1. This case reinfo

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    CAROLINE & MACKENZIE HANES DEATH IN

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    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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