USA TODAY International Edition

Abuse claims more widespread

Records: Kids starved, beaten by caregivers

- Suzanne Hirt, Michael Braga and Pat Beall

A cache of documents pried loose after USA TODAY’s investigat­ion in October into Florida’s child welfare system reveals allegation­s of foster care abuse are more widespread than previously reported.

The nearly 5,000 records detail calls to the Florida Department of Children and Families abuse hotline from teachers, health care profession­als, day care workers, neighbors and others about the treatment of kids in state care.

None of these cases would have been counted in what Florida publicly reports each year about the number of serious abuse, neglect and abandonmen­t allegation­s in its foster care system.

DCF said the accusation­s do not meet its definition of serious harm. They are classified as foster care “referrals,” potential license violations that may prompt an administra­tive review and that Florida officials fought to keep secret for years.

The records obtained by USA TODAY include calls that accused foster parents and group home workers of hitting children with hands, belts and household objects; denying them medical care and sending them to school dirty, hungry and dressed in ill- fitting clothes.

They complained of empty pantries and padlocked refrigerat­ors, of children who lived in rodent- ridden homes and ate cereal crawling with ants. One caller described a girl’s face and body covered in sores, dripping fluid down her arms that stuck to her clothes. Another caller

alleged that a group home staff member gave a gay foster child literature that called for the execution of homosexual­s.

“Like everything else in child welfare, determinat­ions of ‘ abuse’ and ‘ neglect’ are arbitrary, capricious and cruel,” said Richard Wexler, executive director for the National Coalition for Child Protection Reform.

There is no federal standard for what constitute­s abuse, leaving each state to craft its own criteria. Narrow definitions can lower the number of abuse investigat­ions, Wexler said.

As USA TODAY’s six- part series revealed, state lawmakers rewrote rules in 2014 to make it easier to seize children from their parents, but they had no plan for where to house the growing numbers. As a result, caseworker­s placed kids in dangerousl­y overcrowde­d homes and with foster parents who later faced civil or criminal charges of sexual assault and torture. Nearly 200 boys and girls were sent to live with foster parents on whom the state had some evidence that abuse had occurred.

USA TODAY requested foster parent disciplina­ry records in 2019, but DCF officials and executives in charge of nonprofit groups that run the child welfare system on the local level either denied access or demanded tens of thousands of dollars in search and copy fees.

In January, a government official who asked not to be identified provided foster parent reprimands, license revocation notices and a spreadshee­t of 4,300 abuse hotline complaints involving foster and group homes. USA TODAY spent six weeks reviewing the documents. The review shows: h The number of foster care referrals filed against foster parents, group homes and guardians rose by roughly 54% over the past five years, from fewer than 700 complaints in 2015- 16 to more than 1,000 last year.

h DCF revoked or refused to renew only 29 caregivers’ licenses over the same five- year period, and USA TODAY was provided with just 58 corrective action plans in which foster parents agreed to take training courses and accept additional monitoring.

h DCF policy forbids cruel and unusual disciplina­ry methods as well as corporal punishment, which includes spanking, hitting, slapping, pinching or shaking. It’s not clear that DCF enforces that policy, given the small number of cases that end in official action. At least 15% of the foster care complaints – involving more than 750 children – accused caregivers of such methods. Others reported physical abuse: One caller said that when a child left Florida to be adopted in 2016, she had visible injuries on her torso from being kicked in the stomach by her foster mother.

h Children and others accused foster parents in more than 100 cases of molestatio­n and violating kids’ personal space or privacy, watching them as they showered or changed clothes. Callers made 65 complaints that caregivers did not adequately supervise sexually abused children to ensure they did not abuse other kids. These, too, were labeled as potential license violations.

h Though the agency pays foster parents to keep kids safe and provide for their needs, more than 800 foster care referrals feature some form of neglect. A Leon County girl said she prostitute­d herself via internet ads “because she stated she isn’t provided with enough food and clothes in the foster home.”

Given two weeks to answer questions about the allegation­s, including how many were confirmed and whether DCF took action not reflected in the documents, the agency did not respond. The documents do not indicate how DCF followed up on the thousands of complaints concerning children, except that they were considered serious enough for additional scrutiny.

After reviewing 25 randomly chosen complaints, Wexler said at least 16 would have constitute­d abuse or neglect if they had been made against biological parents. In seven of them – had they been verified – the children would have been removed on the spot. It’s not clear from DCF’s records if any of these complaints were among the fewer than 100 cases that resulted in documented action against foster caregivers.

“If they are classifyin­g these as mere referrals, then it reveals a dangerous double standard concerning what constitute­s abuse by a birth parent compared to what a foster parent is allowed to do,” Wexler said.

Critics of Florida’s child welfare system acknowledg­e that foster parents, asked to care for troubled children with financial support amounting to just $ 15 a day per child, face a daunting task.

Before entering state care, about 15% of children had been physically or sexually abused, according to Child Trends, a Maryland- based child research group. Many live with autism, attention- deficit hyperactiv­ity disorder ( ADHD), posttrauma­tic stress disorder, depression or schizophre­nia. Still others are nonverbal, developmen­tally delayed, incapable of feeding themselves and in need of constant care and supervisio­n.

The records USA TODAY obtained describe children who screamed for hours, threw tantrums, smashed windows and destroyed home decor. One reported that a girl pushed her 6- yearold sister’s head into a wall and snatched a Taser from a police officer who responded to a call for help.

“The overwhelmi­ng majority of foster parents are good people who provide loving, caring homes for children in desperate need. And I am so grateful for those families,” said state Sen. Lauren Book, a Democrat who chairs the Children, Families and Elder Affairs Committee. “But when it comes to children’s lives, we simply cannot settle for an ‘ overwhelmi­ng majority’ – we need to do more to make sure that children in the system are in safe homes ... period.”

During a meeting in January with the committee in Tallahasse­e to discuss USA TODAY’s Torn Apart series, DCF Secretary Chad Poppell acknowledg­ed that his agency had done a “bad job” caring for kids. He promised to establish specialize­d teams to investigat­e foster care abuse allegation­s and to review the agency’s decisions in those cases.

Poppell has since resigned, and Shevaun Harris was named to fill the position. Harris did not comment for this story. DCF released a statement noting that over the past two years, it has strengthen­ed its oversight of the child welfare system and that Florida has seen a general decline in the rate of abuse and verified maltreatme­nts in out- of- home care since 2015.

“Often the cases that are written about in the news are not the norm,” DCF said. “Our child welfare leaders have been working to bring meaningful change to the child welfare system and the care children receive. Any narrative indicating otherwise is simply false, and ignores the truth of what has been unfolding across the state.”

System favors foster parents

Abuse investigat­ions start with a phoned, faxed or online report of suspected harm to the Florida Abuse Hotline. A counselor speaks with callers, reviews submitted informatio­n and decides whether the allegation of abuse, neglect or abandonmen­t is serious

enough to warrant a child protection investigat­ion.

If there is an allegation involving foster care that the counselor does not believe rises to DCF’s criteria for serious abuse or neglect, the counselor has the option of classifyin­g the complaint as a referral – a potential foster license violation, according to DCF. Referrals can grow into abuse investigat­ions. But for the most part, licensing specialist­s or caseworker­s, not child protection investigat­ors, handle referrals.

In at least four counties, the same case manager assigned to complete regular visits to the foster home where the abuse reportedly occurred is often dispatched to investigat­e the allegation, former DCF attorney Lisa DawsonAndr­zejczyk said. “The vast majority of case managers are good and dedicated and appreciate the seriousnes­s of their job, but you’re going to have some who didn’t do the home visits, or they visited the child at school and called it a home visit,” Dawson- Andrzejczy­k said. “They have every reason to not want to acknowledg­e that there’s something they might have missed.”

When the department investigat­es foster care referrals, Wexler said, “DCF is, in effect, investigat­ing itself – since it was DCF whose actions put the child into foster care in the first place.”

DCF’s child maltreatme­nt guidelines say that failing to provide children with clean clothing, treat their cavities, give them ADHD medicine or pick them up from school on time is not always neglect if it doesn’t create a safety or health threat. Though corporal punishment is prohibited, the agency does not necessaril­y consider it physical abuse.

So although an emotionall­y disturbed Miami- Dade girl reportedly came to class dirty and hungry at least three times a week in 2018, wearing illfitting sneakers and a jacket with a hole, that was not automatica­lly neglect. When emergency room personnel complained that caregivers dropped off kids and did not return and schools reported foster parents refused to pick up students, or even answer phone calls, that was not necessaril­y abandonmen­t.

DCF classifies such complaints among less urgent issues that a licensing specialist can assess and help resolve, in some cases, with a corrective action plan. The number of these reports that DCF does not consider abuse or neglect – despite the serious allegation­s some contain – has surged over the past five years. But records supplied to USA TODAY show licensing revocation­s haven’t.

A system desperate for foster parents will let things slide, said Neil Skene, who served as DCF’s special counsel from 2008 to 2010 and chief of staff at the Illinois Department of Children and Family Services from 2015 to 2017.

Rather than confront foster parents and close foster homes, DCF and its private contractor­s can sideline caregivers in other ways.

“We had a sort of ‘ do not call’ registry for problemati­c foster parents,” Skene said. “We didn’t revoke their licenses, we just didn’t send them any more kids.”

Spanked for wetting the bed

DCF policy requires caregivers to discipline with kindness and consistenc­y, using positive reinforcem­ent or expressing verbal disapprova­l, but never with physical force.

“Corporal punishment of any kind is strictly prohibited because children who have been removed from their own parents due to abuse and neglect are particular­ly vulnerable,” a DCF official wrote in a letter informing a foster parent that her license would not be renewed because of a violation of agency policy. The department considers corporal punishment to be “among the most serious offenses by a foster parent,” the letter said.

Yet nearly 900 of the records USA TODAY obtained describe some type of physical abuse or corporal punishment – including spanking, hitting, slapping, pinching or shaking. At least 16 complaints accused foster parents of doling out physical discipline for bathroom- related accidents.

“Spanking is an ignorant way to respond to a child wetting the bed or any kind of toileting accident,” said Thomas Dikel, a pediatric neuropsych­ologist.

Callers accused adults of striking their foster children with belts, rulers, hands and hairbrushe­s. Children were spanked for wetting the bed, crying too loud, moving too fast or too slow, for making poor grades, losing insignificant items or forgetting trivial informatio­n.

Cruel or unusual punishment appeared in more than 20 complaints.

Reports accused caregivers of ordering kids to do pushups, planks and wall sits as discipline; to stand in rice and do squats or on one leg with hands raised until they cried; to hold heavy objects in the air.

“What kind of human being makes a child stand in rice with a book over their head?” Book said. “That’s torture.”

Disturbing behaviors

Dozens of foster care referrals implicated foster parents and their adult children or friends in sexual misconduct.

A foster father reportedly told a therapist that although he did not ask his foster daughter to sexually grope him while sleeping in his bed, he did not stop her. A Putnam County girl said her foster father slept with her in her bed on Friday nights because she must have done something wrong.

A hospital obstetrics team reported that a pregnant girl with an IQ of 72 in an extended foster home for older, vulnerable foster teens and young adults visited the medical facility twice in seven days for unexplaine­d vaginal bleeding. Hospital personnel expressed concern that the foster mother’s adult son and his friends were going into her bedroom at night.

DCF cites neglect in roughly four of 10 cases in which it removes children from their biological parents. Yet the same issue arises in foster homes: Approximat­ely 850 foster care referrals over the past five years alleged medical neglect, inadequate housing or lack of food, clothing or hygiene.

More than 80 hotline complaints described overcrowde­d and filthy foster homes where air conditione­rs were broken or unused and children said they slept on mattresses or floors rather than in beds.

Withholdin­g food was a repeated concern. When a licensing agency ordered one Brevard foster mother to remove a lock from her refrigerat­or, she replaced it with a bell, a complaint alleged. Another said a Suwanee woman would not feed her foster children at home in the evening because they “already ate” breakfast and lunch at school.

Nearly 200 callers complained of medical neglect, including cases where child welfare workers dropped off children at foster homes without informing caregivers of the kids’ medical needs. A diabetic child fell critically ill as a result, one caller reported.

“Like everything else in child welfare, determinat­ions of ‘ abuse’ and ‘ neglect’ are arbitrary, capricious and cruel.” Richard Wexler National Coalition for Child Protection Reform

Welcome changes

Poppell said he agreed with key points of USA TODAY’s series and successful­ly pushed for bills creating more accountabi­lity for how foster children are treated. Since that legislatio­n passed last year, DCF said in its statement, “We’re deploying fixes immediatel­y when issues arise, implementi­ng uniform, outcome- based metrics to more closely monitor both internal and outsourced operations.”

Such changes would be welcome, said Wexler, the child advocate, but Florida needs to address the shortage of good foster homes.

“A foster- care panic ratchets up the pressure to lower standards for foster homes and to ignore abuse in foster care,” Wexler said. “A foster- care panic leaves agencies begging for beds, and beggars can’t be choosers. So there is an enormous incentive to see no evil, hear no evil, speak no evil and write no evil in the case file.”

 ?? THOMAS CORDY/ USA TODAY NETWORK ?? The Daytona Beach Regional Service Center houses Department of Children and Families offices. DCF didn’t answer questions about abuse allegation­s.
THOMAS CORDY/ USA TODAY NETWORK The Daytona Beach Regional Service Center houses Department of Children and Families offices. DCF didn’t answer questions about abuse allegation­s.
 ??  ?? A girl in Leon County, Fla., said she prostitute­d herself to earn money because her foster parents didn’t provide enough food and clothes, according to a report to a Florida abuse hotline.
A girl in Leon County, Fla., said she prostitute­d herself to earn money because her foster parents didn’t provide enough food and clothes, according to a report to a Florida abuse hotline.
 ??  ?? Wexler
Wexler

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