Annual Report of Child Fatalities 2.0M State Fiscal Year (SFY) (July 01, 2013 to June 30, 2014) 11? INDIANA DEPARTMENT OF CHILD SERVICES Preface P er the Indiana Department of Child Services (DCS) policy, DCS completes a review of all child fatalities in the following circumstances: For children under the age of one, if the circumstances surrounding the child’s death are reported to be sudden, unexpected or unexplained, or if there are allegations of abuse or neglect; and For children age one or older, if the circumstances surrounding the child’s death involve allegations of abuse or neglect. DCS will assess the fatality in question to determine if abuse or neglect has occurred and therefore should be substantiated. Abuse is defined in Indiana Code 31-34-1-2 as an act in which a child’s physical or mental health is seriously endangered due to injury by the act or omission of the child’s parent, guardian, or custodian. Neglect is defined in Indiana Code 31-34-1-1 as an act in which a child’s physical or mental condition is seriously impaired or seriously endangered as a result of the inability, refusal, or neglect of the child’s parent, guardian, or custodian to supply the child with necessary food, clothing, shelter, medical care, education or supervision. DCS collects and analyzes this data to create an annual Child Fatality Report (Report). This Report, abridged in the Executive Summary (Summary), illustrates changes or trends in the number of fatalities from the previous year. The Summary also includes a synopsis of data for all substantiated child abuse or neglect fatalities for that State Fiscal Year (SFY), including demographic information pertaining to the victims, perpetrators, and households impacted by these fatalities. The report augments the demographics with a description of the maltreatment that led to the child’s death. Through analysis of the report, DCS identifies the risk factors that are common elements related to abuse and/or neglect fatalities. This information can aid in the development of prevention, educational and service programs specific for the communities affected and the State as a whole. The data is also used to evaluate, review, and modify DCS policy, practice and procedure where warranted. The data assembled in the report is collected from multiple sources, including DCS records, death certificates, coroners’ reports, autopsy reports, and law enforcement records. Each fatality identified undergoes a multi-layered review process that occurs at both the county and state level. A team of professionals from the local county reviews the assessed fatality alleged to be the result of abuse and/or neglect. A local multi-disciplinary team examines the evidence and recommendations provided by the local DCS staff regarding each death. After the local team reviews the assessment, a team of DCS personnel provides a supplementary review of each case. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 1 General SFY 2014 Child Abuse and Neglect Comments T his Report focuses on the deaths that were substantiated as a direct result of caregiver maltreatment or neglect during SFY 2014. Each child who was a victim of child abuse or neglect should be remembered and mourned. The circumstances of these deaths need to be studied so every citizen in Indiana can understand the factors that led to their tragic deaths, and apply these painful lessons toward preventing the deaths of other children. Whether from maltreatment, poor judgment and/or lack of information and resources, many child deaths are preventable. The Report is compiled using data from the DCS database. The database categorizes fatalities by the major category of death, and provides detailed information about cause of death to gain a clearer picture of the types of abuse and neglect that ultimately resulted in the child’s death. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 3 DCS Annual Child Fatality Report Executive Summary I n SFY 2014, 66 child fatalities were substantiated for abuse or neglect via the fatality review process. Of the total fatalities, 12 (18%) were due to abuse, and 54 (82%) were due to neglect. Four of these children (6%) had prior history with DCS*. * Prior history is defined as: the victim had prior substantiated history as a victim. In the case of abuse, 50 percent of these children were one year of age or younger, and in the case of neglect, 46 percent of these children were one year of age or younger. This finding demonstrates a consistent trend that young children are at the highest risk of abuse or neglect. This Report also found head trauma was the primary injury in cases of abuse fatalities, and drowning was the primary contributor in neglect fatalities. A pattern of stress factors was also revealed, with insufficient income and unemployment being a risk factor in 61 percent of both abuse and neglect cases combined. Additionally, substance abuse was a risk factor in 31 percent of abuse cases and 28 percent of neglect cases. The Report found domestic violence was a risk factor in 19 percent of abuse cases and 19 percent of neglect cases. These findings indicate continued societal/community-level issues that affect parents, and can contribute to an increased risk of child abuse or neglect in the home*. * Perpetrators are not asked about specific stress factors. Information is obtained through the interview process. Perpetrators can exhibit multiple stress factors, yet may not reveal all of their stress factors. Another pattern revealed in the report is abuse or neglect inflicted by the biological parent(s). The report shows, 63 percent of abuse fatalities and 77 percent of neglect fatalities were committed by the biological parent(s). Additionally, 31 percent of these abuse fatalities and 14 percent of the neglect fatalities were committed by the parent’s intimate partner or another relative. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 5 Fatalities Due to Abuse A n eight month old child died from multiple blunt force injuries to the head. The mother stated that the child had been in the bedroom with her boyfriend sleeping when the child fell off the bed. The mother stated that when she went to check on the child, she noticed that the child had bruises in his ear, neck area, and was gasping for air. The mother stated that every time her boyfriend put the child to sleep she noticed that he had bruises on his head. The child was taken to the hospital by the mother and the mother’s boyfriend. The child had severe bruising to the left ear, throat, forehead, lower extremities, genitals, and right ankle. A CT scan was done by the hospital and revealed a right occipital fracture and subdural hematoma. These were described by medical personnel as non-accidental injuries. Medical records indicated that the child had acute respiratory failure, traumatic brain injury, subdural hematoma, skull fracture, and rib fractures. The child also had a burn on the right forearm. The mother’s boyfriend denied that he had caused the injuries to the child. The mother’s boyfriend was arrested and charged with battery resulting in death and neglect of a dependent resulting in death. He pleaded guilty and a plea agreement was signed. He was sentenced to 50 years for battery resulting in death and 40 years for neglect of a dependent resulting in death. The mother was arrested and charged with neglect of a dependent resulting in death. She was sentenced to 30 years. DCS substantiated death due to physical abuse, medical neglect, and environment life/health endangering against the mother and the mother’s boyfriend. A one year old child died with the initial cause of death reported as retropharyngeal abscess. However, upon further review by a medical team, it was determined that the child had suffered inflicted trauma which was the likely cause of death. The child was in the care of her mother and her mother’s boyfriend at the time the injuries occurred but neither offered a plausible explanation to account for the child’s condition. Both did report that the child was seen in the emergency room the previous day after reportedly injuring her mouth on the railing of the crib. Medical records do support that visit but do not record all of the injuries the child was found to have upon death. The child was found to have blunt force injuries on the face including numerous small round bruises around the mouth and under the chin, concentrated along the left jaw line and with a deep purple bruise to the left of the mouth. The child also had a deep ¾ inch laceration on the inner aspect of the upper lip, left of midline and an additional, shallower ½ inch laceration on the inner aspect of the upper lip at midline. A ½ inch horizontal laceration on the inner aspect of the lower lip was also found. DCS substantiated death due to physical abuse against the mother and the mother’s boyfriend. No criminal charges were filed. A two year old child was taken to the hospital after 911 was called by his father. The child was in the care of his father while his mother was at work. The father stated that he found the child not breathing and pulseless. The hospital ordered a CT scan and the child had three skull fractures, subdural hematomas on both the right and left side, an acute hematoma on the left side and a chronic hematoma on the right. The child had only brain stem breathing and there was no other brain activity. A belly CT scan was done and revealed that there was fluid in the digestive tract which meant a possible pancreatic injury. The child also had a bruise in the corner of his left eye. The child had a 90 degree body temperature when he arrived at the hospital. The parents stated that the child was seen in the ER a week Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 7 Fatalities Due to Abuse (Cont’d) prior to the incident and was diagnosed with an ear infection and prescribed antibiotics. The child was brought back to the ER a few days later and diagnosed with febrile seizures and pneumonia. The child was transferred to Riley Hospital and upon further examination the child had two torn retinas with the left being fully detached, which is caused by severe shaking. Doctors stated that the child was blind and deaf and would not be able to move on his own if he survived. The child also had a torn frenulum. When law enforcement interviewed the parents the father admitted to slamming the child’s head on the floor, forcing a bottle into his mouth, and violently shaking him twice. The child was placed on life support and later died. The cause of death was listed as sepsis due to pneumonia. There were contributing factors of respiratory failure and ventilator dependent secondary to nonaccidental trauma. The father was arrested and charged with several felony battery charges. He pleaded guilty to 4 counts of felony battery on a child. He was sentenced to 44 years in prison. DCS substantiated death due to physical abuse against the father. A two year old child was brought to the ER by her mother and stepfather. The mother reported that the child was acting normal prior to her death. The stepfather was at work on the day of the incident and the child was in the care of her mother. The stepfather reported that when he got home from work he checked on the child and noticed that she was wheezing and very cold. He stated that he told the mother to take the child to the hospital but she refused. The mother instead gave the child hot lemon water and wrapped a blanket around her. The mother stated that she placed the child in bed with her and at that time noticed that the child’s eyes were closed, she was limp, groaning, and her feet were “blue”. The next day the child was breathing rapidly and wheezing, she was then taken to the hospital for treatment. The child was observed at the hospital with bruises on her forehead, chin, thigh, and shins. The child had red line marks on her inner left thigh, healing and hyper pigmented scars on her arms, looped marks on her left ribcage, and trauma to her right index and middle fingers. The mother reported that the child had some developmental delays and she was trying to potty train her. The mother admitted to physically disciplining the child and that she would use an adult belt to strike her on the legs and around her private area. The mother stated that on the day of the incident the child had urinated on the floor and she grabbed her by the face. She stated that the child was crying and she was tired of her crying, so she held the child’s face down into a pillow until she stopped crying. The mother was arrested and charged with murder, neglect of a dependent, and battery with injury. She was sentenced to 60 years in prison. The autopsy report listed the cause of death as multiple acute looped, patterned blunt force traumatic injuries. DCS substantiated death due to physical abuse, medical neglect, and environment life/health endangering against the mother. A two year old child died from blunt force trauma to the abdomen. The child was brought to the hospital by ambulance after being found unresponsive by his mother. The child had been seen at the hospital earlier that day for dehydration and over the weekend for a stomach virus. The child was observed to have a bruise under his left eye and a bruise is his private area. Hospital staff did not recall seeing these injuries on the child when he was seen prior. A CT scan was completed and revealed that the child’s appendix had ruptured and there were crystals and dense fluid present. The mother stated that on the Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 8 Fatalities Due to Abuse (Cont’d) day of the incident that she left the home to go to the store and that the child was left in the care of her boyfriend. She stated that when she returned the child had feces all over him, his private area was swollen, and he was unresponsive. The boyfriend stated that on the day of the incident he tried to feed the child and he would not eat and went to sleep. He stated that he and the mother saw the child fall off of the bed and he was unresponsive. The mother and her boyfriend denied that they had done anything to hurt the child. After being interviewed again the boyfriend admitted that the mother was upset with the child for using the bathroom on himself and when the child would not stand up, she stomped on him. The boyfriend stated that he told the mother to leave the apartment and he put the child to bed. He stated that when the mother returned home the child fell out the bed and was non-responsive and they called 911. The boyfriend stated that he did not inform law enforcement of this earlier because he was trying to protect the mother. The final autopsy report lists the following abdominal injuries; extensive liver lacerations, diaphragm contusions, pancreas contusions, right adrenal gland lacerations, intestinal contusions, mesenteric lacerations and contusions, and lower left lung contusion. The boyfriend was arrested and charged with murder, battery causing death to a minor, and battery causing serious bodily injury to a minor. The mother was arrested and charged with murder, battery causing death to a minor, and neglect of a dependent. The murder and battery charges in regards to the mother were dismissed, but she still faces charges for neglect of a dependent. The mother and her boyfriend are both in jail still awaiting trial. DCS substantiated death due to physical abuse against the mother and the mother’s boyfriend. A five month old child died from multiple injuries due to child abuse. The child was brought to the ER by paramedics in full arrest. Upon examination he was found to have non-accidental injuries, blunt force head injury, and subarachnoid hemorrhage. A CT scan was completed and revealed that the child had a subdural hematoma, multiple skull fractures, old rib fractures, and blood on his brain. The child was placed on a ventilator and transferred to another hospital, where he was declared brain dead and later died from his injuries. The mother and her boyfriend reported that the child had fallen off the bed and hit his head on the night table. The hospital reported that the child had been seen approximately two months ago when he was two months old and the mother had stated then that the child had fallen off the bed and hit his face and head on the carpet. A CT scan was done at that time and a tiny post traumatic subarachnoid hemorrhage was noted. The injury was determined to be consistent with the mechanism of the fall. The day of the incident the mother stated that she left the home to go to the store and that the child was left in the care of her boyfriend. She stated that her boyfriend called her and told her to come home because the child was not breathing. She stated that she called 911. The boyfriend stated that on the day of the incident he heard a sound like a slap and then the child cried and then stopped as the mother placed him in the swing. He stated that when the mother left the home to go to the store, the child was in the bed sleeping. He stated that the child looked funny and was not breathing. He stated that he picked the child up and the child was going limp. He stated that he tried to do CPR but panicked, and called the mother to come home. The boyfriend admitted that he had seen the mother on multiple occasions handle the child “rough” and not properly support his head. The mother was arrested and charged with Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 9 Fatalities Due to Abuse (Cont’d) neglect of a dependent and battery. Through a plea agreement she was sentenced to 20 years in prison. The boyfriend pleaded guilty to neglect of a dependent and was sentenced to 4 years (2 years Community Corrections, 2 years probation). DCS substantiated death due to physical abuse and environment life/health endangering against the mother. A three year old child died from asphyxia due to soot inhalation. The child, her mother, and another family member died in a house fire set by the mother’s boyfriend. According to police records the mother’s boyfriend admitted to setting a jacket on fire in the hallway at the bottom of the stairs. He stated that the jacket was on a double child stroller when it was set on fire. He was positive for THC and intoxicated. It was reported that there was a history of domestic violence between the mother and her boyfriend. He was arrested and charged with 3 counts of murder and 4 counts of arson. He was sentenced to 200 years in prison. DCS substantiated death due to physical abuse against the mother’s boyfriend. A six month old child died as a result of extensive head injuries due to blunt force trauma. The child was brought to the hospital by ambulance in full cardiac arrest with no pulse or signs of life. The mother reported that the child had an asthma attack and sounded like she was gasping for air. The mother stated that she gave the child a breathing treatment at that time. The mother stated that the child had breathing problems and sleeps in a car seat. Hospital staff reported that the child had blood in her mouth and her abdomen was bloated. Hospital staff stated that the mother did not indicate that the child had vomited when asked about the events leading up to her death. Hospital staff also had concerns with the time frame that was being reported by the mother with regards to the child having an asthma attack at 4:30am, but paramedics were not called until 8:10am. The parents stated that their apartment had been sprayed the day before with pesticides and that upon returning to the apartment the child began having problems breathing and had several asthma attacks. An autopsy was performed and it was noted that the child’s suture lines (where the skull plates fuse together) were not fused like that of a normally developed six month old. It was also noted that along one of the suture lines was a crack, subdural hematomas were found, there was blood on top of the skull and underneath the skull cap. The parents denied that they did anything to hurt the child. The parents were also interviewed by law enforcement and the parents failed the polygraph test. The final autopsy report listed the following findings; multiple fresh or recent contusion hemorrhages over the scalp and galea of the head, multiple fractures of the skull, bilateral fused and closed temporalis suture line fractures, linear fractures at the occipital bone of the skull, fracture and fresh hemorrhages at the cribriform plate at the anterior cranial fossa, focal and fresh contusion hemorrhages over the cerebrum and cerebellum, and moderate cerebral edema. DCS substantiated death due to physical abuse against the mother and the father. No criminal charges were filed. A fourteen year old child died from a gunshot wound to the head after being shot by his father. The father shot and killed himself after killing his child. The father picked the child up from school like he usually did and when the child was not returned to his mother’s home that evening the police were called. The father’s vehicle was located in the park and the child and his father were found inside deceased from an apparent murder-suicide. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 10 Fatalities Due to Abuse (Cont’d) The mother reported that the father had been having suicidal thoughts and that he had sought mental health treatment prior to the incident. DCS substantiated death due to physical abuse against the father. A six year old child died from respiratory arrest due to asphyxia due to inhalation of soot and carbon monoxide poisoning. The child was in the care of her mother’s friend and his partner at the time of her death. The mother stated that she had dropped her child off at her friends’ home the night before as they were going to watch her while she went to work the next morning. The mother stated that she had left her child in their care before without any incident. Law enforcement and the fire department responded to a house fire in which the child had died and the mother’s friend was hospitalized due to his injuries. The caregiver admitted to starting the fire. He stated that he had purposely set two pieces of paper on fire using a cigarette lighter. Fire Department reports note that there were three areas of fire origin, one being in the room where the papers were lit, a closet in the bedroom where the child was at, and on the mattress where the child was sleeping. The door to this room was also closed. The home had a smoke detector but it did not have a battery in it. The caregiver was arrested and charged with 2 counts of murder, 1 count of attempted murder, and 1 count of arson resulting in serious bodily harm. He was sentenced to 80 years in prison. DCS substantiated death due to physical abuse against the caregiver. A one year old child died from multiple blunt trauma injuries followed by drowning while in the care of her father. The child’s father stated that the child had fallen while trying to get out of the tub and that he had found her lying in the tub. First responders noted that the child was not wet upon their arrival, nor was the floor where she was lying. The child was found to have blunt force trauma to the head, abdomen and chest, including several rib fractures. The child was also found to have a prolapsed rectum. A review of 911 records revealed that the father called 911 but hung up on dispatchers and refused to answer returned calls. The child’s father pleaded guilty to neglect of a dependent resulting in death and was sentenced to a term of 45 years. DCS substantiated death due to physical abuse against the child’s father. A one year old child died from blunt force traumatic injury to the head sustained while in the care of the boyfriend of the child’s mother. After giving multiple accounts of what had occurred the boyfriend admitted to having been frustrated with the child and then throwing the child into the pack and play with significant force. Law enforcement officials advised that the broken bar on the bottom of the pack and play may have resulted from the child being forcefully thrown into the pack and play. Medical professionals advised that the amount of brain damaged tissue indicated a significant delay in seeking medical care. The boyfriend of the child’s mother was charged with murder, battery and neglect of a dependent. He was sentenced to 40 years in prison. DCS substantiated death due to physical abuse against the boyfriend of the child’s mother. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 11 Fatalities Due to Neglect A one year old child died from carbon monoxide intoxication. There was a fire at the home daycare where the child had been dropped off by the aunt. There were a total of six children at the daycare, including the one year old child. The daycare owner successfully removed five of the children from the home to a safe location. The daycare owner initially advised that all of the children had been moved to safety and only realized that she had forgotten the one year old child after her adult son asked about the baby. The daycare owner admitted that she forgot that the one year old child was inside the daycare. The one year old child was unable to be removed from the daycare due to the extent of the flames and spread of the fire. DCS substantiated death due to neglect and environment life/health endangering against the daycare owner. No criminal charges were filed. A four year old child died from head and neck injuries sustained in a motor vehicle accident. The child was a passenger in the vehicle driven by her grandmother. The child’s mother, sibling, and a family friend were also in the vehicle. The vehicle was stopped on the interstate highway and was hit in the rear by another vehicle. The grandmother admitted to having consumed alcohol earlier that day. Toxicology reports showed that the grandmother who was the driver of the vehicle was positive for alcohol and marijuana. The child’s mother reported that the child was not in a car seat but was sitting in the back seat with the seat belt around her waist only. Criminal charges were filed against the grandmother, reckless homicide and causing death while operating a vehicle under the influence both class C felonies. The grandmother is still awaiting trial. DCS substantiated death due to neglect and environment life/health endangering against the mother and the grandmother A one month old child died as a result of positional and mechanical asphyxia. The child was found unresponsive in the bed co-sleeping with his father. The child was pronounced deceased at the scene. The father had been sleeping next to the child with his arm draped over the child’s stomach. The father denied using any drugs, however he tested positive for methamphetamine and amphetamine. The father was on probation at the time and as a result his probation was revoked and he was incarcerated. DCS substantiated death due to neglect and environment life/health endangering against the father. No criminal charges were filed. A three year old child and twin sibling died from respiratory arrest due to inhalation of super-heated air and carbon monoxide poisoning. The children were in the care of their father when a fire started in the home. The father and his girlfriend escaped but the children were still in the home when first responders arrived. The children were found and removed from the home but both died due to injuries sustained from the fire. The father admitted to smoking marijuana and taking ecstasy all through the night and into the morning, stopping only a few hours before the fire. The morning of the fire the father tested positive for THC, ecstasy, and hydrocodone. The father was charged with two counts of neglect of a dependent resulting in death. He was also charged with several counts of possession of controlled substances, dealing and possession of marijuana, maintaining a common nuisance, possession of paraphernalia, and contributing to the delinquency of a minor. The father pleaded guilty to two counts of neglect of a dependent resulting in death. Under the plea agreement he was sentenced to 55 years in the Department of Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 13 Fatalities Due to Neglect (Cont’d) Correction. DCS substantiated death due to neglect, lack of supervision, and environment life/health endangering against the father. A three year old child and twin sibling died from respiratory arrest due to inhalation of superheated air and carbon monoxide poisoning. The children were in the care of their father when a fire started in the home. The father and his girlfriend escaped but the children were still in the home when first responders arrived. The children were found and removed from the home but both died due to injuries sustained from the fire. The father admitted to smoking marijuana and taking ecstasy all through the night and into the morning, stopping only a few hours before the fire. The morning of the fire the father tested positive for THC, ecstasy, and hydrocodone. The father was charged with two counts of neglect of a dependent resulting in death. He was also charged with several counts of possession of controlled substances, dealing and possession of marijuana, maintaining a common nuisance, possession of paraphernalia, and contributing to the delinquency of a minor. The father pleaded guilty to two counts of neglect of a dependent resulting in death. Under the plea agreement he was sentenced to 55 years in the Department of Correction. DCS substantiated death due to neglect, lack of supervision, and environment life/health endangering against the father. A one year old child died from asphyxiation due to drowning. The child was found at the bottom of an above ground swimming pool in the backyard of the great-grandparent’s home. The child resided in the home with his great-grandparents and his mother. The great-grandparents had left the home to go buy a lock for the pool gate after hearing about another child relative drowning in a pool earlier that same day. The child was in the care of his mother at time of the drowning. A witness reported that the mother had been seen sitting in her car in the front yard on her cell phone. During the assessment it was later discovered that the mother was on the phone with the child’s father who was incarcerated and the phone conversation was recorded. The mother had stated to the father on the call that she had caught the child earlier climbing on the pool steps. DCS substantiated death due to neglect, lack of supervision, and environment life/health endangering against the mother. No criminal charges were filed. A one month old child died due to sudden unexplained infant death (SUID) with a contributing factor of unsafe sleeping environment. The child was found unresponsive at the foot of the parents’ bed. The mother stated that she had placed the child to sleep in a bouncy seat next to her side of the bed. The mother stated that she did not remember picking the child up in the middle of the night but stated that she was very tired and must have picked the child up when the child was fussy and fell asleep with him in the bed. However, neither parent could offer any explanation as to how their one month old, non-mobile child ended up in an unsafe environment at the foot of the bed. The parents both tested positive for marijuana. DCS substantiated death due to neglect and environment life/health endangering against the mother and the father. No criminal charges filed. A two month old child died due to sudden unexplained death in infancy (SUDI) with a contributing factor of co-sleeping. The mother woke up and found the child beside her in the bed unresponsive and cold. The mother admitted to regularly co-sleeping with the child. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 14 Fatalities Due to Neglect (Cont’d) The mother reported that the night before the child died, she laid in bed with the child and smoked cigarettes. The mother denied any drug use, however tested positive for methamphetamine and amphetamine. The mother later admitted that she had ongoing substance abuse issues since she was 15 years old. DCS substantiated death due to neglect and environment life/health endangering against the mother. No criminal charges were filed. A nine month old child died due to positional asphyxia with a contributing factor of unsafe sleeping conditions. The child was placed in a crib for a nap by the father. The father found the child wedged between the mattress and side rail of the crib unresponsive. The child had suffocated and was pronounced dead at the scene. The crib was defective and was missing a bolt from the leg of the crib where the railing would have been secured. The parents knew that the bolt was missing from the crib and had pushed the crib up against the wall until they could purchase another bolt. DCS substantiated death due to neglect and environment life/health endangering against the father and the mother. No criminal charges were filed. A five year old child died as a result of asphyxia due to hanging. The child was at a licensed daycare facility. The child was outside playing in the backyard of the daycare along with three other children unsupervised by daycare staff. It was reported that there was a jump rope tied around the playground equipment on the slide and that there was a loop in it wide enough for someone to place their head in. The other children at the daycare reported that the child put the rope around his neck and got on the slide but got stuck. The children reportedly took the rope off of the child’s neck and pushed him down the slide. The children thought that the child was “playing dead” and they attempted to try to wake the child up before they told staff that something was wrong. There were two staff members working on the day of the child’s death and both admitted that neither of them were outside supervising the children but were watching them from the window. The daycare owner was not at the facility on the day of the incident but did admit that she had not inspected the backyard or the playground equipment in about a month. The daycare was on probation for several violations when the death occurred. The daycare was immediately closed by the state daycare licensing agency after the child’s death. The daycare owner and the two staff members who were working the day of the child’s death were arrested and charged with involuntary manslaughter and reckless homicide. The daycare owner and staff members are currently in jail still awaiting trial. DCS substantiated death due to neglect and lack of supervision against the two daycare staff. DCS substantiated death due to neglect and environment life/health endangering against the daycare owner. A six month old child died as a result of multiple blunt force trauma injuries due to a motor vehicle accident. The child was a passenger in the vehicle driven by his father. The child’s mother, sibling, and cousin were also in the vehicle. The vehicle that was being driven by the father was struck from behind on the rear driver’s side causing the tire to fall off and the car to spin. The child was ejected from the car and found on the side of the road by the mother once the vehicle stopped. The child was in a car seat but it was not attached to the seat belt in the backseat of the vehicle. The child safety restraints in the car seat were not secured around the child either. The child was taken to the hospital in critical condition. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 15 Fatalities Due to Neglect (Cont’d) The child later died at the hospital from the injuries sustained from the car accident. DCS substantiated death due to neglect and environment life/health endangering against the mother and the father. No criminal charges were filed. A three year old child died from anoxic brain injury from drowning. The parents were at the beach with their four children. The father had the two older children with him and the mother had the two younger children with her. The child was playing on the beach in the water with the mother and sibling. The mother took the child’s life vest off to apply sunscreen and the mother did not put it back on. The mother got out of the water and walked back on the beach to go to the picnic area and pick up toys. The other sibling came and found the mother and told her that she could not find the child. It was reported that the child had a history of wandering away. The child was found underwater and pulled to shore by a witness who started CPR until medics arrived. It was reported that the child had been missing for approximately 5 to 10 minutes. The child was transported to the hospital in critical condition as a near fatality and placed on a ventilator. The child was declared brain dead and later died. DCS substantiated death due to neglect and lack of supervision against the mother. No criminal charges were filed. A five week old infant died as a result of perinatal asphyxia with morbid encephalopathy of a 25 week gestation female. The child’s mother was six months pregnant and committed suicide by hanging herself. It was reported that the mother was depressed. Due to the suicide, the hospital had to do an emergency C-section to deliver the child. The child was born three months premature. The child was placed on a ventilator. Due to the effects of the mother hanging herself, the child suffered brain damage due to the lack of oxygen and blood flow. DCS substantiated death due to neglect and environment life/health endangering against the mother. An eleven month old child died as a result of methadone toxicity. The child was being cared for by his cousin while his mother was at work. It was reported that the cousin saw the child pick something up off of the floor and put it in his mouth but wasn’t sure what it was. The cousin stated that she swept her finger in the child’s mouth because she thought he had swallowed something causing the child to throw up. It was reported that throughout the day the child was noticed to have some difficulty with breathing. The cousin was advised by several people that she needed to seek medical care for the child due to the issue with his breathing. Despite the concerns for the child’s health, the cousin and her boyfriend continued to run errands. At some point the child stopped breathing and at this time the child was taken to the hospital. The child was admitted to the hospital in critical condition and was placed on a ventilator. The child also began having seizures. The CT scan indicated that the child had suffered a global anoxic injury. The toxicology results showed that the child tested positive for methadone 1510mg/ml. The cousin denied any drug use or knowing how the child had ingested the methadone. The cousin and the mother both tested negative for all substances. Criminal charges were filed against the cousin and she was charged with neglect of a dependent resulting in bodily injury, a class B felony. The cousin pleaded guilty and was sentenced to 10 years in prison with 4 years being suspended. DCS substantiated death due to neglect and medical neglect against the cousin. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 16 Fatalities Due to Neglect (Cont’d) A two year old child died from asphyxiation secondary to drowning. The child was found face down in the above ground family pool. The child was outside playing and swimming with his three older siblings. It was reported by the other children that their mother was inside the house getting ready while they were outside in the pool. At some point the other children went into the house and the child was still outside. When they did not see him, they began looking for him and found him in the pool. DCS substantiated death due to neglect and lack of supervision against the mother. No criminal charges were filed. An eleven month old child died as a result of pharmacologic intoxication. The child and his four year old sibling were in the care of their mother. The mother fell asleep and the children were left unsupervised. The child reportedly ingested some Benadryl pills and ate some tobacco from a cigarette. The Benadryl and cigarettes were on the coffee table in reach of the child. The child’s sibling stated that she took the things out of the child’s mouth but did not wake up the mother. The sibling woke the mother up to let her know that the child was shaking. The mother stated that the sibling usually wakes her up if the child puts anything in his mouth. The number of pills that the child ingested was unknown. The Benadryl pills were in a plastic bag and not in a child proof bottle. DCS substantiated death due to neglect and lack of supervision against the mother. No criminal charges were filed. A nine month old child died as a result of asphyxia due to drowning with a contributing factor of lack of adult supervision. The child was found lying on his side in the bathtub. The father stated that he was preparing to give the child a bath and had ran bath water in the tub. The father stated that the child was in the bathroom with him playing on the floor while he was filling up the tub. The father stated that he then picked the child up and took him into the bedroom to undress him for the bath. The father stated that he had left the child in the bedroom and went to go lock the front door. The father stated that when he went back to the bedroom he saw the child in the tub. The father stated that he did not put the child in the tub and that the child must have climbed in by himself. It was reported by another child that was in the home that the father did put the child in the bathtub unattended and was on the computer on Facebook. DCS substantiated death due to neglect and lack of supervision against the father. No criminal charges were filed. An eleven year old child died from multiple trauma to the head due to an ATV accident. The child was out riding ATVs with his mother in the field by their home. At some point the mother went back to the home and gave the child permission to continue to ride alone. The child entered onto the road and collided with a motorcycle. The child was not wearing a helmet. The child was pronounced dead at the scene. DCS substantiated death due to neglect and lack of supervision against the mother. No criminal charges were filed. An eleven month old child died due to compression asphyxia. The child was in the care of the babysitter at a home daycare at the time of the incident. The child had been placed in a car seat and given a bottle by the babysitter. The babysitter stated that she had unbuckled the bottom harness of the car seat but left the chest straps fastened and left the room to go get changing supplies for the child. The babysitter stated that when she returned the child had slid down in the car seat and that the top straps were pressing against the child’s Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 17 Fatalities Due to Neglect (Cont’d) neck and chest area. The autopsy report listed the cause of death as compression asphyxia secondary to leaning forward against the chest buckle of a tipped child seat. DCS substantiated death due to neglect and lack of supervision against the babysitter. No criminal charges were filed. An eight month old child died from sudden unexplained infant death (SUID) with a contributing factor of unsafe sleeping conditions. The child was found not breathing in the adult sized bed with his mother. The mother stated that she put the child to sleep in the crib and at some point placed him in the bed with her. The mother admitted to drinking the night before and into the early morning. The mother was observed to be intoxicated by law enforcement and DCS. The mother’s BAC level was .28, the morning of the incident. DCS substantiated death due to neglect against the mother. No criminal charges were filed. A one year old child died from asphyxia due to drowning. The child was in the care of her mother at the time of the incident. The child and her sibling were left outside playing in the backyard unsupervised by their mother who went inside the home to clean up. The child was found in a decorative pond in the backyard of the home. DCS substantiated death due to neglect, lack of supervision, and environment life/health endangering against the mother. No criminal charges were filed. A two month old child died from complications of bacterial pneumonia. The child was born premature. The child was found cold and unresponsive by his parents. The parents stated that the child had been cold, had blueish skin, and trouble breathing the day before his death. The parents did not call the doctor or take the child to hospital. DCS substantiated death due to neglect, medical neglect, and environment life/health endangering against the mother and the father. No criminal charges were filed. A one year old child died as a result of pulmonary edema and congestion due to asphyxia event due to cervical ligature. The child was found in her crib with the string from the window blinds wrapped around her neck. The mother stated that she had moved the string from the crib several times in the past because the child liked to play with it. The mother stated that she had placed the string behind the blinds. The mother stated that the string was not in the crib when she put the child to bed. DCS substantiated death due to neglect and environment life/health endangering against the mother. No criminal charges were filed. An eight month old child died from sudden unexplained infant death (SUID) with a contributing factor of unsafe sleeping conditions. The child was found cold and unresponsive by the mother. The child was placed face down on a bean bag chair to sleep by the father the morning of the incident. The parents did not immediately call 911 upon finding the child but instead contacted family members. The parents also admitted to smoking marijuana daily while caring for their children. DCS substantiated death due to neglect, medical neglect, and environment life/health endangering against the parents. No criminal charges were filed. A seven year old child died as a result of blunt force trauma to the head, fatal cardiac arrhythmia, and multi-system trauma. The child was riding in a skid loader with his father who was driving. The child fell backwards out of the skid loader when the seat slipped out Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 18 Fatalities Due to Neglect (Cont’d) from underneath him. The child was crushed by the tires of the skid loader. The child was pronounced dead at the scene. DCS substantiated death due to neglect against the father. No criminal charges were filed. A two year old child died from a gunshot wound to the head. The child shot himself in the eye with a handgun that was on the kitchen counter. The parents admitted that there were approximately 12-13 guns in the home. Law enforcement recovered several firearms from the home that were all loaded and had rounds in the chamber. The handguns were located in plain view throughout the home in reach of the children and were even located in the children’s bedroom. The father was arrested and charged with neglect of a dependent causing death and neglect of a dependent. The mother was arrested and charged with neglect of a dependent. The father pleaded guilty and was sentenced to 20 years (14 years on probation and 6 years in Community Corrections). The charges against the mother were dismissed. DCS substantiated death due to neglect, environment life/health endangering, and lack of supervision against the father and the mother. A two year old child died from hyperthermia. The child was found unresponsive in his father’s truck. The father was supposed to drop the child off at daycare on his way to work. The father forgot to drop the child off. The child was left in the vehicle for approximately four hours. The child was in a car seat and the car windows were rolled up. DCS substantiated death due to neglect and environment life/health endangering against the father. No criminal charges were filed. A two year old child died from carbon monoxide intoxication secondary to smoke and soot inhalation secondary to house fire. The child and siblings were sleeping in a bed at their mother’s friend’s house. The mother and her friend had left the home to go to the mother’s home that was approximately 3 minutes away. The child and siblings were left in the home alone. The mother stated that there were space heaters in the home and the oven was on to provide heat to the home. It was later determined that a flare had been shot into the home which ignited and caused the fire. This was in retaliation to another adult who lived in the home. The individual responsible for shooting the flare into the home was arrested and pleaded guilty to three counts of murder and one count of arson. The individual was sentenced to 65 years in prison for each count of murder and 50 years for the charge of arson. There was also a fourth child that survived the fire. The mother also tested positive for cocaine. DCS substantiated death due to neglect, environment life/health endangering, and lack of supervision against the mother. A six year old child died from carbon monoxide intoxication secondary to smoke and soot inhalation secondary to house fire. The child and siblings were sleeping in a bed at their mother’s friend’s house. The mother and her friend had left the home to go to the mother’s home that was approximately 3 minutes away. The child and siblings were left in the home alone. The mother stated that there were space heaters in the home and the oven was on to provide heat to the home. It was later determined that a flare had been shot into the home which ignited and caused the fire. This was in retaliation to another adult who lived in the home. The individual responsible for shooting the flare into the home was arrested and pleaded guilty to three counts of murder and one count of arson. The individual was Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 19 Fatalities Due to Neglect (Cont’d) sentenced to 65 years in prison for each count of murder and 50 years for the charge of arson. There was also a fourth child that survived the fire. The mother also tested positive for cocaine. DCS substantiated death due to neglect, environment life/health endangering, and lack of supervision against the mother. A four year old child died from carbon monoxide intoxication secondary to smoke and soot inhalation secondary to house fire. The child and siblings were sleeping in a bed at their mother’s friend’s house. The mother and her friend had left the home to go to the mother’s home that was approximately 3 minutes away. The child and siblings were left in the home alone. The mother stated that there were space heaters in the home and the oven was on to provide heat to the home. It was later determined that a flare had been shot into the home which ignited and caused the fire. This was in retaliation to another adult who lived in the home. The individual responsible for shooting the flare into the home was arrested and pleaded guilty to three counts of murder and one count of arson. The individual was sentenced to 65 years in prison for each count of murder and 50 years for the charge of arson. There was also a fourth child that survived the fire. The mother also tested positive for cocaine. DCS substantiated death due to neglect, environment life/health endangering, and lack of supervision against the mother. A seven year old child died from hypoxic ischemic injury secondary to submersion resulting in multi-system organ failure due to drowning. The child and sibling were playing in the Wabash River while their father watched from the shore several feet away. The child and sibling were holding hands and the child went under the water. The child could not swim. The sibling reported that the father was on his cellphone and did not hear him calling for help. The father could not swim either. The father located the child approximately 2-3 minutes later. DCS substantiated death due to neglect, lack of supervision, and environment life/health endangering against the father. No criminal charges were filed. A three year old child died from asphyxiation due to drowning. The child was found face down in a pond behind the apartment complex where the family lived. The child was in the care of his father and the mother was not home. The child was able to unlock the front door and get outside. The parents both admitted that they had knowledge that the child was able to unlock the deadbolt on the door. The child was also known to wake up in the middle of the night and play. This was the first time that the child had gotten out of the apartment. DCS substantiated death due to neglect and environment life/health endangering against the father. No criminal charges were filed. A three year old child died from asphyxiation due to drowning. The child had been riding on a pontoon boat with his family. The child was left in the care of his grandparents while his parents were out on the lake. At some point the child’s life jacket was removed by his grandfather. The grandparents lost track of the child and could not find him on the boat. The child was later found in the water. DCS substantiated death due to neglect and lack of supervision against the grandfather and the grandmother. No criminal charges were filed. A four year old child died from a gunshot wound to the head. The child shot himself with a handgun owned by his parents. The parents stated that the handgun was kept in their bedroom on a shelf in a shoe box in their closet. The handgun was not locked and did not have Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 20 Fatalities Due to Neglect (Cont’d) the safety on. The parents stated that the child was aware that there was a handgun in the home. DCS substantiated death due to neglect and environment life/health endangering against the mother and the father. No criminal charges were filed. A one day old infant died as a result of homicidal violence with possible exposure, blood loss, and asphyxiation. The infant was found in a dumpster. The mother admitted to giving birth and stated that she thought the infant was stillborn, so she placed the infant in the dumpster. According to the autopsy report the gestational age of the infant was estimated to be 25 weeks, the lungs were aerated and the body was bloodless. Doctors determined that the infant was born alive and if the infant had been taken directly to the hospital after being born the infant would have survived. The mother was found guilty of feticide and neglect of a dependent. She was sentenced to 20 years in prison. DCS substantiated death due to neglect and environment life/health endangering against the mother. A thirteen year old child died from a gunshot wound to the torso/chest. The child was accidentally shot by his six year old sibling. The gun belonged to the child’s stepfather. The stepfather admitted to having the gun out because he was going to clean it and that it was on the coffee table. The stepfather stated that the six year old child asked to hold the gun and he allowed him to. The stepfather stated that he had taken the clip out of the gun but did not know that there was a round in the chamber. The stepfather was arrested and charged with neglect of a dependent resulting in death and dangerous control of a child. Through a plea agreement he pleaded guilty to dangerous control of a child and was sentenced to 3 ½ years in prison. DCS substantiated death due to neglect and environment life/health endangering against the stepfather. A twelve year old child died from carbon monoxide poisoning. The family’s electricity was turned off in the home and they set up two generators to provide power to the home. The child was asleep on the floor in his parents’ bedroom. The child was found cold and unresponsive. The child was pronounced deceased on the scene. The parents admitted to smoking methamphetamine the night prior to the child’s death. The parents were arrested and charged with neglect of a dependent resulting in death and reckless homicide. The parents were sentenced to 2 years in jail and 2 years of probation. DCS substantiated death due to neglect and environment life/health endangering against the mother and the father. A two year old child died from asphyxia due to cold water drowning. The child and twin sibling were left in the care of their grandmother while their parents were out running errands. The grandmother reported that she last saw the children playing in the sunroom. The grandmother stated that she was feeling tired so she went to her bedroom and fell asleep leaving the children unsupervised. When the parents arrived back at the home the children were missing. Law enforcement was contacted and the children were later found on a tarp in an above ground pool at a home in the neighborhood. The pool was not fenced in and the tarp that was covering the pool had about 2 to 3 feet of water on it. The grandmother stated that the children had left the home before. DCS substantiated death due to neglect and lack of supervision against the grandmother. No criminal charges were filed. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 21 Fatalities Due to Neglect (Cont’d) A two year old child died from asphyxia due to cold water drowning. The child and twin sibling were left in the care of their grandmother while their parents were out running errands. The grandmother reported that she last saw the children playing in the sunroom. The grandmother stated that she was feeling tired so she went to her bedroom and fell asleep leaving the children unsupervised. When the parents arrived back at the home the children were missing. Law enforcement was contacted and the children were later found on a tarp in an above ground pool at a home in the neighborhood. The pool was not fenced in and the tarp that was covering the pool had about 2 to 3 feet of water on it. The grandmother stated that the children had left the home before. DCS substantiated death due to neglect and lack of supervision against the grandmother. No criminal charges were filed. A one year old child died from ligature strangulation while in the care of an unlicensed daycare provider. The daycare provider originally stated that the child had been sleeping in a pack and play and had become entangled in the onesie the child was wearing. When confronted with information that the statement was not consistent with the evidence found, the daycare provider admitted that the child had been sleeping in a car seat rather than a pack and play. The car seat in which the child had been sleeping in was an infant/ carrier seat and too small for this child. The daycare provider also advised that her nine year old daughter had been the individual to put the child in the car seat and had then scooted the car seat into a back bedroom. The nine year old child had also been the individual who had checked on the child, finding him unresponsive, rather than the daycare provider. The evidence did support that the child became entangled in the straps and buckle of the infant car seat and as a result was strangled. Information gathered from interviews from various parties indicated that the daycare provider often left the child in the car seat. DCS also found that, due to the number of children at the daycare, the daycare provider was operating illegally without a license. Licensing officials were notified and advised the daycare provider to immediately shut down the daycare as it was being operated illegally. DCS substantiated death due neglect against the daycare provider. No criminal charges were filed. A one year old child died from blunt force trauma resulting from injuries sustained in an ATV accident. The child was riding on an ATV, along with his two year old sibling and another unrelated two year old child that was being driven by his mother. The one year old, the unrelated two year old child, and the operator of the ATV all died from injuries sustained during the accident. The two year old sibling sustained life threatening injuries but did recover from those injuries and was placed in the care of his father. Toxicology results showed that the ATV operator and mother of two of the children was legally intoxicated at the time of the accident as her BAC level was .104 at the hospital. Further toxicology results from her autopsy showed that marijuana was also present in her system. Witnesses reported that at the time of the accident she was operating the ATV at a high rate of speed. DCS substantiated death due to neglect against the mother of the one year old victim. A one month old child died from sudden unexpected death in infancy (SUDI) with maternal co-sleeping as a contributing factor. The mother, who placed the child in the bed with her, initially denied rolling over on the infant but later admitted that it was a possibility. The mother also admitted to regular use of marijuana and recent use of methamphetamine. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 22 Fatalities Due to Neglect (Cont’d) At the time of the incident the mother tested positive for methamphetamine, amphetamine, benzodiazepines, and THC. DCS substantiated death due to neglect against the mother. No criminal charges were filed. A three year old child died from extensive burns over the body due to a house fire and smoke inhalation with the autopsy report listing the smoke inhalation at 17.7%. The parents of the child left the child in the home with four siblings, ranging in age from six months to six years old, while they were outside. The home did not have gas or electric and was heated by the use of space heaters and an open flame propane heater. The space heaters, which were electric, were powered by an extension cord running from the basement of the building in which the apartment was located. Per the statements of the surviving children, the fire began when one child put a piece of paper in the open flame of the propane heater and then dropped the paper onto the floor. The home was extremely cluttered and the main and side entrances of the home were blocked. The mother stated that the front entrance was intentionally blocked to prevent the landlord from entering the home. Three of the five children in the home at the time of the fire died as a result of the house fire. DCS substantiated death due to neglect against both the mother and the father. No criminal charges were filed. A six month old child died from smoke inhalation and extensive burn over the body with the autopsy listing the smoke inhalation at 82.9%. The parents of the child left the child in the home with four siblings, ranging in age from three years to six years old, while they were outside. The home did not have gas or electric and was heated by the use of space heaters and an open flame propane heater. The space heaters, which were electric, were powered by an extension cord running from the basement of the building in which the apartment was located. Per the statements of the surviving children, the fire began when one child put a piece of paper in the open flame of the propane heater and then dropped the paper onto the floor. The home was extremely cluttered and the main and side entrances of the home were blocked. The mother stated that the front entrance was intentionally blocked to prevent the landlord from entering the home. Three of the five children in the home at the time of the fire died as a result of the house fire. DCS substantiated death due to neglect against both the mother and the father. No criminal charges were filed. A four year old child died from extensive burn and charred body due to house fire. The parents of the child left the child in the home with four siblings, ranging in age from six months to six years old, while they were outside. The home did not have gas or electric and was heated by the use of space heaters and an open flame propane heater. The space heaters, which were electric, were powered by an extension cord running from the basement of the building in which the apartment was located. Per the statements of the surviving children, the fire began when one child put a piece of paper in the open flame of the propane heater and then dropped the paper onto the floor. The home was extremely cluttered and the main and side entrances of the home were blocked. The mother stated that the front entrance was intentionally blocked to prevent the landlord from entering the home. Three of the five children in the home at the time of the fire died as a result of the house fire. DCS substantiated death due to neglect against both the mother and the father. No criminal charges were filed. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 23 Fatalities Due to Neglect (Cont’d) A three year old child from a single gunshot wound to the head. The boyfriend of the child’s mother was playing a game referred to as “The gun game” in which the child would point his finger in the form of a gun and say, “Boom Boom” and the boyfriend would do the same thing using a real gun rather than his finger. On the day of the incident the boyfriend forgot the gun was loaded, resulting in the child being shot in the head at point blank range. The boyfriend was found guilty of two felonies, child neglect and reckless homicide and was sentenced to 4 years in prison and 8 years of probation. DCS substantiated death due to neglect against the boyfriend of the child’s mother. A fourteen year old child died from complications of severe emaciation and dehydration due to Crohn’s Disease. The child had not been seen by a medical provider in approximately eleven months prior to his death. The mother advised that she did not have insurance and did not qualify for Medicaid. The mother had been given information by a hospital social worker regarding Children’s Special Health Care Services but failed to complete the application. In addition to the lack of medical monitoring of the child’s condition and the lack of medical insurance this resulted in the child not receiving the necessary prescribed medications for his condition. Although the mother knew that the child was having difficulty keeping food down, she still failed to seek any medical care for him. As a result, the child did not have adequate nutrition which resulted in his death. The mother was charged with neglect of a dependent. The mother is still awaiting trial. DCS substantiated death due to neglect against the mother. A ten month old child died from the toxic effects of methadone. The mother of the child, who had a prescription for methadone, stated that she had taken seven or eight pills out of her prescription bottle and placed them on the coffee table in the living room. The mother stated that she then went into the kitchen to get a glass of water, leaving the ten month old child alone in the living room with the methadone pills on the coffee table. The mother gave conflicting accounts of whether or not she counted the pills upon returning to the living room but stated that she did not think that the child had taken any of the pills and had then put the child down for a nap. The mother later found the child unresponsive in her crib. Autopsy results revealed that the cause of death was methadone toxicity. DCS substantiated death due to neglect against the mother. No criminal charges were filed. A five month old child died as a result of encephalomalacia following asphyxia from aspiration of gastric contents. In the months preceding the child’s death the mother sought emergency care for the child multiple times, stating that the child was having seizures and had stopped breathing. Although the child was monitored on several occasions, including a 48 hour hospitalization with EKG monitoring, no evidence of seizure activity was found. The mother later admitted that she had given the infant numerous doses of Benadryl to make him sleep and that it was possible that she had given him too much. The mother also admitted that she had given the child Benadryl on the nights she sought emergency care for him. The mother had never informed any medical providers that she had given the child Benadryl. Law enforcement found a large quantity of Benadryl in the home of the mother along with other diluted medication and a baby syringe. DCS substantiated death due to neglect, medical neglect, and environment life/health endangering against the mother. No criminal charges filed. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 24 Fatalities Due to Neglect (Cont’d) A two year old child died as a result of drowning while in the care of his aunt. The child had been following his aunt and grandfather as they walked around a pond on their property. Upon discovering that he was following them, the aunt instructed the child to go back to the house. The aunt did not directly supervise the child as he went back to the house. A short time later they discovered the child was missing and found him in the pond. The child was left unsupervised near a body of water which resulted in the child drowning. DCS substantiated death due to neglect against the child’s aunt. No criminal charges were filed. A two year old child died as a result of drowning while in the care of his mother. After returning home from the grocery store, the mother removed the child from his car seat and began unloading groceries along with her friend who was also present. During this time, the mother failed to ensure that the child was supervised resulting in the child leaving the residence and drowning in a nearby open body of water. DCS substantiated death due to neglect against the mother. No criminal charges were filed. A thirteen year old child died from multiple traumatic blunt force injuries to the head, chest, and abdomen as a result of a moped accident. The child was riding the moped when it was stuck by another vehicle. Although the child was not of legal age to operate a moped, his mother had given him permission to do so on multiple occasions. The child was also not wearing a helmet or protective eye gear as required by law. DCS substantiated death due to neglect against the child’s mother. No criminal charges were filed. A seven year old child died as a result of drowning while in the care of his uncle. The uncle had taken the child to a pool party with several other adults and children. The child was described as a child who was not a risk taker and it was not anticipated that he would go into the deep end of the pool. At the time of the incident he was not being directly supervised by his uncle. The expectations that the child would not take risks or go into the deep end of the pool were unrealistic given the child’s age as he was in need of constant, direct supervision while in and near water. DCS substantiated death due to neglect and lack of supervision against the uncle. No criminal charges were filed. A one year child died as a result of drowning while in the care of his mother. The child and his sibling were outside playing in the yard. The child was found in a pond near the home. The mother stated that she was on the porch and in and out of the home and on the phone leaving the children unsupervised. The porch where the mother was sitting did not have a clear view of the pond. DCS substantiated death due to neglect and lack of supervision against the mother. No criminal charges were filed. Department of Child Services / Annual Child Fatality Report / For State Fiscal Year 2014 25 County of Occurrence for Abuse and Neglect Fatalities (For State Fiscal Year 2014) County Name Allen Bartholomew Clark Clay Crawford Dearborn Decatur Delaware Floyd Grant Howard Huntington Knox Kosciusko LaGrange Lake LaPorte Lawrence Marion Martin Miami Owen Perry Porter Putnam Saint Joseph Sullivan Tippecanoe Vanderburgh Vigo Washington Whitley Totals Abuse Neglect Total 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 2 1 0 3 0 0 0 0 0 0 1 0 1 1 0 1 0 12 2 1 2 1 1 2 1 1 3 2 2 0 2 2 1 4 2 1 9 1 1 1 1 1 1 1 1 3 1 1 0 2 54 2 1 2 1 1 2 2 1 3 2 2 1 2 2 1 6 3 1 12 1 1 1 1 1 1 2 1 4 2 1 1 2 66 27 Assessment Statistics of Investigations by Other Agencies—All Children (For State Fiscal Year 2014) State Fiscal Year 2014 Abuse Neglect Total All Child Fatalities 12 54 66 Coroner Cases 12 53 65 Autopsies Performed 11 49 60 Scene investigated by coroner. 4 21 25 Scene investigated by Law Enforcement. 7 43 50 Scene investigated by fire investigator. 1 7 8 Emergency Medical Services was on scene. 9 49 58 * The table above summarizes for all children information of coroner involvements, autopsies performed, and agency investigations. 28 Manner and Major Category of Death—All Children (For State Fiscal Year 2014) Manner of Death Manner of Death Accident Homicide Natural Undetermined Total Count 33 17 6 10 66 Number of Children 35 % 50% 26% 9% 15% 100% 30 25 20 15 10 5 0 Manner of Death by Age Age–Manner of Death Under one–Accident Under one–Homicide Under one–Natural Under one–Undetermined 1–Accident 1–Homicide 1–Natural 2–Accident 2–Homicide 2–Natural 3–Accident 3–Homicide 3–Undetermined 4–Accident 4–Homicide 5–Accident 6–Homicide 7–Accident 10 to 12–Accident 10 to 12–Accident 13 to 17–Accident 13 to 17–Homicide 13 to 17–Natural Total Count % 5 5 3 8 6 3 1 7 3 1 4 2 2 3 1 1 2 3 1 1 2 1 1 66 8% 8% 5% 12% 9% 5% 2% 11% 5% 2% 6% 3% 3% 5% 2% 2% 3% 5% 2% 2% 3% 2% 2% 100% Accident Homicide Natural Undetermined Major Catagory of Death Major Category of Death Count % From a medical condition 5 8% From an external cause of injury 61 92% Total 66 100% *The categories above were established by the National MCH Center for Child Death Review and were determined by DCS based on cause of death. The “Manner of Death” displayed on this page was obtained from state death certificates. 29 Cause of Death—All Children (For State Fiscal Year 2014) Cause of Death Primary Cause of Death Count % Asphyxia 8 12% Drowning 14 21% Exposure 1 2% Fire, burn, or electrocution 9 14% Malnutrition/dehydration 1 2% Motor vehicle and other transport 6 9% Other 7 11% Other infection 1 2% Other medical condition 1 2% Pneumonia 2 3% Poisoning, overdose or acute intoxication 4 6% Weapon, including body part 12 18% Total 66 100% Asphyxia Drowning Exposure Fire, Burn, or electrocution Malnutrition/dehydration Motor vehicle and other transport Other infection Other medical condition Pneumonia Poisoning, overdose or acute intoxication Weapon, including body part Other 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Number of Children 30 Abuse Statistics—Demographic Characteristics of the Child (For State Fiscal Year 2014) Age of Child Age of Child Count Under one 3 1 3 2 3 3 1 6 1 13 to 17 1 Total 12 % 25% 25% 25% 8% 8% 8% 100% Under one 1 2 3 6 13-17 0 1 2 Number of Children Race of Child Race of Child Count Multi-racial 2 Black, African-American 5 White 5 Total 12 % 17% 42% 42% 100% Ethnicity of Child Ethnicity of Child Count Not Hispanic or Latino 11 Hispanic or Latino 1 Total 12 % 92% 8% 100% Gender of Child Gender of Child Count Female 6 Male 6 Total 12 31 % 50% 50% 100% 3 Abuse Statistics—Characteristics of the Case (For State Fiscal Year 2014) Cause of Death Primary Cause of Death Asphyxia Other infection Pneumonia Weapon, including body part Count 2 1 1 8 Total 12 % 17% 8% 8% 67% 100% Detailed Information of Cause of Death State Fiscal Year 2014 Detailed Information of Cause of Death Count Firearm 1 Medical Condition 2 Person’s body part 7 Suffocation: Other 2 Total 12 % 8% 17% 58% 17% 100% Type of Abuse State Fiscal Year 2014 Type of Abuse Count Abusive head trauma 6 Asphyxia due to inhalation of soot due to 2 deliberately set house fire Beating/kicking 5 Intentional gunshot wound 1 Suffocation 1 Total 15 *A child may have experienced more than one type of abuse. 32 % 40% 13% 33% 7% 7% 100% Abuse Statistics—Characteristics of the Household (For State Fiscal Year 2014) Location of Incident Other Children in Household State Fiscal Year 2014 Location of Incident Count Child’s home 6 Friend’s home 2 Relative’s home 3 State or county park 1 Total 12 State Fiscal Year 2014 Other Children in Household Count No 2 Yes 10 Total 12 % 50% 17% 25% 8% 100% % 17% 83% 100% Caregiver Employment Status State Fiscal Year 2014 Caregiver 1 Count Employed 5 On disability 1 Retired 0 Stay-at-home 0 Unemployed 6 Unknown 0 Total 12 State Fiscal Year 2014 Caregiver 2 Count Employed 3 On disability 0 Retired 0 Stay-at-home 0 Unemployed 6 Unknown 2 Total 11 % 42% 8% 0% 0% 50% 0% 100% % 27% 0% 0% 0% 55% 18% 100% Caregiver Education Level State Fiscal Year 2014 Caregiver 1 Count Less than high school 1 High school 3 College 0 Post-graduate 0 Unknown 8 Total 12 State Fiscal Year 2014 Caregiver 2 Count Less than high school 1 High school 1 College 0 Post-graduate 0 Unknown 9 Total 11 % 8% 25% 0% 0% 67% 100% *Not all children had a secondary caregiver. 33 % 9% 9% 0% 0% 82% 100% Abuse Statistics—Characteristics of the Perpetrator (For State Fiscal Year 2014) Age of the Perpetrator 16-19 20-24 25-29 30-34 40-49 State Fiscal Year 2014 Age Count 1 7 4 3 1 Total 16 Age % 6% 44% 25% 19% 6% 100% 16-19 20-24 25-29 30-34 40-49 *A child’s death may have been caused by more than one perpetrator. 0 1 2 3 4 5 6 7 Number of Children Relationship of Perpetrator to Child State Fiscal Year 2014 Relationship Count Biological parent 10 Friend 1 Mother’s partner 5 Total 16 % 63% 6% 31% 100% *A child’s death may have been caused by more than one perpetrator. Biological parent Friend Mother’s partner 2 0 4 6 Number of Perpetrators Gender of Perpetrator Female Male State Fiscal Year 2014 Gender Count 6 10 Total 16 % 38% 63% 100% *A child’s death may have been caused by more than one perpetrator. 34 8 10 1 Abuse Statistics—Victim Stress Factors (For State Fiscal Year 2014) Victim Stress Factors State Fiscal Year 2014 Stress Factor Child had at least one parent who was a first generation Immigrant Child had history of child maltreatment as victim Child had history of receiving mental health services Child had prior disability or chronic illness Child has been homeless Child was on medication for mental illness Residence overcrowded Total *A child may have more than one stress factor, if any. Child had at least one parent who was a first generation immigrant Child had history of child maltreatment as victim Child had history of receiving mental health services Child had prior disaiblity or chronic illness Child has been homeless Child was on medication for mental illness Residence overcrowded 0 1 2 Number of Children 35 3 4 Count 1 1 1 3 1 1 1 12 Abuse Statistics—Caregiver Stress Factors (For State Fiscal Year 2014) Caregiver 1 Stress Factors State Fiscal Year 2014 Stress Factor Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded Total A caregiver may have had more than one stress factor, if any. Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded 0 1 2 3 4 5 6 Number of Children 36 7 8 9 10 Count 1 2 4 3 5 6 9 1 1 32 Abuse Statistics—Caregiver Stress Factors (Cont’d) (For State Fiscal Year 2014) Caregiver 2 Stress Factors State Fiscal Year 2014 Stress Factor Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as perpetrator Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded Total A caregiver may have had more than one stress factor, if any. Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of child maltreatment as perpetrator Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded 0 1 2 37 3 4 Number of Children 5 6 7 Count 1 1 1 1 1 6 6 4 1 1 23 Neglect Statistics—Demographic Characteristics of the Child (For State Fiscal Year 2014) Age of Child Age of Child Count Under one 18 1 7 2 8 3 7 4 4 5 1 6 1 7 3 10-12 2 13-17 3 Total 54 % 33% 13% 15% 13% 7% 2% 2% 6% 4% 6% 100% 0 5 10 Race of Child Race of Child Count not entered 1 Multi-racial 6 Black, African-American 14 White 33 Total 54 % 2% 11% 26% 61% 100% Ethnicity of Child Ethnicity of Child Count Hispanic or Latino 1 Not Hispanic or Latino 53 Total 54 % 2% 98% 100% Gender of Child Gender of Child Count Female 13 Male 41 Total 54 38 % 24% 76% 100% 15 20 Neglect Statistics—Characteristics of the Case (For State Fiscal Year 2014) Cause of Death Primary Cause of Death Count Asphyxia 6 Drowning 14 Exposure 1 Fire, Burn, or electrocution 9 Malnutrition/dehydration 1 Motor vehicle and other transport 6 Pneumonia 1 Poisoning, overdose or acute intoxication 4 Weapon, including body part 4 Other medical condition 1 Other 7 Total 54 % 11% 26% 2% 17% 2% 11% 2% 7% 7% 2% 13% 100% Detailed Information of Cause of Death Detailed Information of Cause of Death Count Drowning 14 Exposure: Left in car 1 Fire 9 Firearm 4 Medical Condition 3 Poisoned: Accidental overdose 3 Poisoned: Acute intoxication 1 Strangulation 2 Suffocation 2 Suffocation: Other 2 Vehicle 6 Other 7 Total 54 39 % 26% 2% 17% 7% 6% 6% 2% 4% 4% 4% 11% 13% 100% Neglect Statistics—Characteristics of the Case (Cont’d) (For State Fiscal Year 2014) Type of Neglect Abandonment—live infant placed in dumpster after being born Child died after being left in vehicle during hot weather Child died due to bacterial pneumonia Child died due to Benadryl overdose Child died due to carbon monoxide poisoning Child died due to complications from Benadryl overdose Child died due to failure of daycare staff to ensure that playground equipment was safe Child died due to injuries sustained from mother’s suicide while pregnant Child died due to methadone toxicity Child died due to negligent sleep environment Child died from compression asphyxia due to a tipped car seat Child died from emaciation and dehydration due to untreated Crohn’s disease Child died in fire at daycare due to provider forgetting to evacuate child Child died in fire at home with no caregiver present Child died in fire in home with multiple fire hazards Child died in fire in home without a sober caregiver present Child died in motor vehicle accident Child drowned in bathtub Child drowned in canal Child drowned in collected water on top of pool covering Child drowned in lake Child drowned in pond Child drowned in pool Child drowned in river Child was shot by an adult who failed to handle a firearm safely Child was shot by self due to unsecured firearm Count Type of Neglect child was shot by sibling due to firearm not being stored safely Failure to provide necessities—appropriate sleep environment Failure to provide necessities—child allowed to unsafely ride in bucket of skid loader Failure to provide necessities —child not properly restrained in automobile Failure to provide necessities—child was deprived of oxygen due to mother’s suicide Failure to provide necessities—failure to ensure child did not have access to methadone Failure to provide necessities —failure to supervise while riding ATV Failure to provide necessities —inadequate living conditions Failure to provide necessities —Infant given Benadryl to sleep Failure to provide necessities —lack of sober caregiver Failure to provide necessities —lack of sober caregiver/ATV driver Failure to provide necessities —mother allowed underage child to operate a moped on a city street. Failure to provide necessities —no electricity in home Gas-powered generator used in home without proper venting Failure to provide necessities—supervision % 1 1% 1 1% 1 1 1 1 1% 1% 1% 1% 1 1% 1 1% 2 9 1 2% 8% 1% 1 1% 1 1% 3 3% 3 3% 2 2% 6 1 1 2 6% 1% 1% 2% 2 4 3 1 1 2% 4% 3% 1% 1% 2 2% Failure to seek/follow treatment —caregivers did not seek medical care for child Failure to seek/follow treatment—failure to seek medical care when baby was born Failure to seek/follow treatment —failure to seek treatment when child demonstrated difficulty breathing Failure to seek/follow treatment —Mother failed to provide medication and medical treatment for child’s Crohn’s disease Failure to seek/follow treatment —Mother withheld info regarding medication from hospital staff 40 Count % 1 1% 4 4% 1 1% 2 2% 1 1% 2 2% 1 1% 1 1% 1 1% 7 7% 1 1% 1 1% 1 1% 25 1 23% 1% 1 1% 1 1% 1 1% 1 1% Neglect Statistics—Characteristics of the Household (For State Fiscal Year 2014) Location of Incident Other Children in Household State Fiscal Year 2014 Location Child’s home Father’s vehicle Friend’s home Lake Licensed day care center Licensed day care home Neighbor’s pool Relative’s home River Roadway State or county park Unlicensed day care home Count 31 1 6 1 1 2 2 3 1 4 1 1 Total 54 State Fiscal Year 2014 Other Children in Household Count No 13 Yes 41 Total 54 % 57% 2% 11% 2% 2% 4% 4% 6% 2% 7% 2% 2% 100% % 24% 76% 100% *A child may have experienced neglect inmore than one location. Caregiver Employment Status State Fiscal Year 2014 Caregiver 1 Count Employed 21 On disability 1 Retired 0 Stay-at-home 5 Unemployed 18 Unknown 9 Total 54 State Fiscal Year 2014 Caregiver 2 Count Employed 24 On disability 0 Retired 1 Stay-at-home 0 Unemployed 12 Unknown 6 Total 43 % 39% 2% 0% 9% 33% 17% 100% % 56% 0% 2% 0% 28% 14% 100% Caregiver Education Level State Fiscal Year 2014 Caregiver 1 Count Less than high school 6 High school 17 College 6 Post-graduate 0 Unknown 25 Total 54 State Fiscal Year 2014 Caregiver 2 Count Less than high school 7 High school 7 College 2 Post-graduate 0 Unknown 27 Total 43 % 11% 31% 11% 0% 46% 100% *Not all children had a secondary caregiver. 41 % 16% 16% 5% 0% 63% 100% Neglect Statistics—Characteristics of the Perpetrator (For State Fiscal Year 2014) Age of Perpetrator 16-19 20-24 25-29 30-34 35-39 40-49 50+ Age of Perpetrator State Fiscal Year 2014 Age Count 1 13 25 13 5 8 4 Total Perpetrators 69 Number of Perpetrators 25 % 1% 19% 36% 19% 7% 12% 6% 100% 20 15 10 5 0 16-19 20-24 25-29 30-34 35-39 40-49 50+ Age *A child’s death may have been caused by more than one perpetrator. Relationship of Perpetrator to Child State Fiscal Year 2014 Relationship Count Babysitter 1 biological parent 53 Day Care Owner 1 Grandparent 5 Licensed child 4 Mother’s partner 2 Other relative 3 Total 69 Relationship % 1% 77% 1% 7% 6% 3% 4% 100% Babysitter Biological parent Day Care Owner Grandparent *A child’s death may have been caused by more than one perpetrator. Licensed child Mother’s partner Gender of Perpetrator Female Male State Fiscal Year 2014 Gender Count 46 23 Total 69 Other relative % 67% 33% 100% 0 6 12 18 24 30 36 42 Number of Perpetrators *A child’s death may have been caused by more than one perpetrator. 42 48 54 60 Neglect Statistics—Victim Stress Factors (For State Fiscal Year 2014) Victim Stress Factors Stress Factor Child was acutely ill in the two weeks before death Child had history of child maltreatment as victim Child had history of receiving mental health services Child had history of substance abuse Child had prior disability or chronic illness Child had problems in school Child was receiving mental health services Residence overcrowded Count 3 4 1 1 3 1 1 5 Total 19 *A child may have more than one stress factor, if any. Child was acutely ill in the two weeks before death Child had history of child maltreatment as victim Child had history of receiving mental health services Child had history of substance abuse Child had prior disability or chronic illness Child had problems in school Child was receiving mental health services Residence overcrowded 0 1 2 3 Number of Children 43 4 5 Neglect Statistics—Caregiver Stress Factors (For State Fiscal Year 2014) Caregiver 1 Stress Factors State Fiscal Year 2014 Stress Factor Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as perpetrator Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded Total A caregiver may have had more than one stress factor, if any. Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as perpetrator Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 Number of Children 44 Count 6 2 6 1 12 19 18 30 2 5 101 Neglect Statistics—Caregiver Stress Factors (Cont’d) (For State Fiscal Year 2014) Caregiver 21 Stress Factors State Fiscal Year 2014 Stress Factor Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as perpetrator Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded Total A caregiver may have had more than one stress factor, if any. Caregiver education level is less than high school Caregiver has disability or chronic illness Caregiver has history of child maltreatment as victim Caregiver has history of intimate partner violence as perpetrator Caregiver has history of intimate partner violence as victim Caregiver has history of substance abuse Caregiver unemployed Insufficient income New residence in past 30 days Residence overcrowded 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Number of Children 45 Count 7 2 1 9 2 16 12 16 2 5 72 State of Indiana Department of Child Services