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A Critical Examination of State Agency Investigations into ...

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esult in a finding <strong>of</strong> neglect. Also, failure to meet a personal duty that results in physicalinjury, excluding minor injury, or serious emotional injury or the risk there<strong>of</strong> to the childmay result in a finding <strong>of</strong> neglect.CQC <strong>of</strong>ficials explained to the Inspector General’s Office that it has interpretedthese two subdivisions <strong>of</strong> Social Services Law to mean that two factors must be met forCQC to substantiate a case: (1) an individual must breach a duty arising in law, regulationor facility policy that was owed to a child; and (2) that breach must result in a seriousphysical injury or a substantial risk <strong>of</strong> the same. Regarding the breach <strong>of</strong> an owed duty,CQC General Counsel Robert Boehlert stated that examples <strong>of</strong> this included: fallingasleep while on duty, ignoring a child, or hitting a child during the course <strong>of</strong> supervisingthat child. As to the result <strong>of</strong> “physical injury,” or risk there<strong>of</strong>, Boehlert stated that §412(8), which defines abuse, contains “Draconian terms” which speak <strong>of</strong> “very, verysignificant, serious injuries,” while § 412(9), which defines neglect, “lowers the bar alittle bit.”As described above, the abuse and neglect sections applicable to CQC’s childabuse investigations also provide for indication <strong>of</strong> a complaint based on “a seriousemotional injury” or “a substantial risk <strong>of</strong>…serious emotional injury.” 42However, CQC<strong>of</strong>ficials reported their belief that the emotional injury standard is difficult to meet and is42 Although Social Services Law § 412 does not provide a definition <strong>of</strong> “serious emotional injury,” arelevant and related section <strong>of</strong> the Family Court Act defining abuse and neglect in the familial setting doessupply a definition <strong>of</strong> “Impairment <strong>of</strong> emotional health”/“impairment <strong>of</strong> mental or emotional condition”which is useful in clarifying the meaning <strong>of</strong> the term in the Social Services Law, particularly in regard tothe allegations concerning Jonathan Carey. Under the Family Court Act, impairment <strong>of</strong> emotional andmental health “includes a state <strong>of</strong> substantially diminished psychological or intellectual functioning inrelation to, but not limited to, such factors as failure to thrive, control <strong>of</strong> aggressive or self-destructiveimpulses, ability to think and reason, or acting out or misbehavior, including incorrigibility,ungovernability or habitual truancy; provided, however, that such impairment must be clearly attributableto the unwillingness or inability <strong>of</strong> the respondent to exercise a minimum degree <strong>of</strong> care toward the child.”157

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