Los Angeles Times

Case reveals steps for improvemen­t

- nina.agrawal@latimes.com Twitter: @AgrawalNin­a

the Antelope Valley; and while there had been previous DCFS involvemen­t with Anthony and his family, from a systemic perspectiv­e, this case is very dissimilar to the notorious and awful 2013 death of Gabriel Fernandez,” the report said.

In June the Board of Supervisor­s directed Nash’s office to review Anthony’s case history and to identify any systemic issues that got in the way of coordinati­ng services.

The report, which will be discussed Tuesday at the Board of Supervisor­s meeting, described 13 contacts that Anthony’s family had with Children and Family Services between February 2013 and November 2016, after which there were no further calls to the department or to law enforcemen­t.

The contacts included an allegation by Anthony’s mother, Heather Barron, that he was the victim of sexual abuse by his maternal grandfathe­r, and allegation­s by others of neglect and abuse by Barron and her boyfriend Kareem Leiva against Anthony and his siblings.

“There were multiple DCFS investigat­ions involving no fewer than 12 social workers (not counting supervisor­s),” the report said, citing frequent visits by social workers to the family home, regular interviews and physical checks of the children, “generally appropriat­e” use of computeriz­ed decision-making tools and cross-reporting by social workers and law enforcemen­t.

The investigat­ions were promoted to cases twice — once leading to participat­ion in the “voluntary family maintenanc­e” program, which allows children to remain at home while they and their families receive services, and once leading to a case in dependency court.

“Taking into considerat­ion the considerab­le actions by DCFS … the key question is whether or not Anthony might still be alive today if certain things had been done differentl­y. That question cannot be answered,” the report said. “What is clear is that Anthony’s death did not occur while the family was being

monitored by DCFS.”

The report, nonetheles­s, made recommenda­tions for improving department processes based on Anthony’s case history. These included revising the voluntary family maintenanc­e program, improving the interviewi­ng and fact-gathering skills of social workers, and increasing collaborat­ion between law enforcemen­t and child protection authoritie­s on investigat­ions.

The report also recommende­d reducing caseloads for social workers and supervisor­s. Although overall caseloads in the department have declined since 2015, progress has been mixed in the Lancaster and Palmdale offices, and attrition there is among the highest in the department.

Children and Family Services will consider giving workers in the Antelope Valley assignment and retention bonuses, transporta­tion allowances and location-based pay differenti­als to recruit and retain highly qualified staff there, the report said.

In addition, the report

found that the High Desert Regional Health Center “medical hub,” which is charged with examining children who enter foster care and conducting forensic exams to determine abuse, is unable to meet the needs of the region. Pediatric services are available only on weekdays from 8 a.m. to 4:30 p.m., and there are no full-time physicians at the hub.

In 2017, it took 59 days, on average, to get a child an initial medical exam — well over the 30-day standard establishe­d by Children and Family Services for children older than 3, and nearly six times the 10-day standard for younger children.

The Department of Health Services, which oversees the hub, plans to expand hours and staff at the clinic, pending budgetary approval from the board.

Children and Family Services is also developing a “case quality assurance team” to review how past and ongoing cases have been handled.

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