An audit of the Department of Children and Families released today by State Auditor Suzanne M. Bump found reforms to date have not enabled the agency to take a proactive approach to protecting the children in its care. The audit found that DCF:\n\nIs not using all of the tools at its disposal to detect all serious bodily injury to children already in its custody,\n\tIs not reporting all of these injuries to its oversight agency, the Office of the Child Advocate (OCA), and\n\tIs not ensuring that all potentially criminal actions are referred to the District Attorney\u2019s offices for investigation or prosecution.\nIn addition to these findings, Auditor Bump is also calling on DCF to consider sexual abuse a critical incident, a designation which triggers immediate investigative action. \u201cHow can the agency not consider sexual abuse a serious injury to a child? It defies logic,\u201d Bump stated. \n\nBump found that during the two year audit period, DCF was unaware of 260 incidents of what appeared to be serious bodily injury to children in its care. These incidents include: a 15-year-old with brain damage from a firearm injury, a 1-year-old with first- and second-degree burns on multiple body parts, and a 12-year-old with multiple head contusions that a physician determined were a result of an assault. The audit notes that this deficiency was a result of DCF relying on others to report occurrences of serious bodily injury to children rather than utilizing data sources that they have at their fingertips. \n\nIn order to establish a more proactive approach, Bump called on DCF to use MassHealth data to proactively identify incidents of serious bodily injury to children in its care. This data provides records of all medical treatments provided to an enrolled member that are billed to the program. Children in DCF care that have been removed from their home are enrolled in MassHealth, and DCF currently has access to claims data for these children but is not using it as a tool to identify serious medical incidents. In its response, DCF indicated it has not yet taken action to implement this recommendation because it did not believe this data was timely. Bump noted that despite DCF assertions, her office\u2019s analysis shows that MassHealth claims data is timely and an effective tool to identify medical incidents involving children in DCF care.\n\n\u201cThe children entrusted into DCF care are among the most vulnerable residents of the Commonwealth. This audit found that despite reforms, victimization of children in DCF\u2019s care continues to occur unnoticed by the agency,\u201d Bump said. \u201cThe work of DCF is incredibly difficult and extremely important. This is why it is so critical that the agency uses all of the tools at its disposal, such as MassHealth claims data, to identify and investigate physical harm to children in its care.\u201d\n\nA recent audit from Bump\u2019s office found a similar pattern of poor data-sharing at the Sex Offender Registry Board. \n\nBump\u2019s audit also noted that DCF does not consider sexual abuse a critical incident, and therefore does not report it to the Office of the Child Advocate (OCA), which is tasked with ensuring children involved in state care receive timely, safe, humane, and effective services. Defined by state law, critical incidents are those events that result in a fatality, near fatality, or serious bodily injury of a child. Bump\u2019s office found 118 incidents of sexual abuse of a child in DCF care that were not reported to OCA. These incidents included two male employees at different DCF-contracted residential facilities who sexually abused three girls each; a 10-year-old who was raped by his father; a 4-year-old who was sexually abused by her mother; and a 17-year-old who was gang-raped by five assailants. In one case, a male who had sexually abused one child, abused the child\u2019s sibling less than one year later. While officials indicated these incidents were investigated by DCF staff in collaboration with law enforcement, they told Bump\u2019s staff that these occurrences did not meet the definition of a critical incident, and therefore were not reported to OCA. As a result of the audit, DCF indicated it is collaborating with OCA to address this issue.\n\n\u201cClearly, we as a society must do more to confront and address sexual abuse. To say, as DCF has asserted, that sexual abuse should not be considered a critical incident, defies logic,\u201d Bump said. \u201cAgain, by not reporting incidents of sexual abuse to the Office of the Child Advocate, the Department is hindering this important voice for children.\u201d\n\nBump noted that DCF is taking other steps in response to the audit to enhance its work, including:\n\nCentralizing its reporting of critical incidents in which children in its care are involved;\n\tUpdating its procedures for referring incidents of abuse, neglect, and/or sexual abuse of children to district attorneys\u2019 offices for investigation; and\n\tRecording child-on-child injuries in case files.\nBump\u2019s office has previously found management deficiencies related to DCF\u2019s foster care program.\n\nDCF provides services to children 0 through 21 years of age who are at risk or have been victims of abuse or neglect, as well as their families. It provides services such as adoption/guardianship, foster care, housing stabilization, family support and stabilization, adolescent services, protective services, and other in-home supports to reduce risks to children. In Fiscal Year 2017, it served an average of 51,882 children each month and had an annual appropriation of $908 million. \n\nThe Department of Children and Families audit is available here.