South Carolina
Children’s Code
&
Omnibus Adult
Protection Act
Mandatory Training
You should know the following:
What is abuse.
The different types of abuse.
Who is required to report abuse.
What should be reported.
How to report abuse.
What agency or agencies you must contact to report abuse.
How to prevent abuse.
You will be required to take a test at the end of this
presentation.
You must make 80% or better on the test.
Mandatory
Reporting of
Child Abuse
and Neglect
When the child
has special needs
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You may find the statutes referred to in this
training in SC Title 63, Chapter 7
South Carolina Legislature Online - Code of
Laws Title 63 Chapter 7 Child Protection And
Permanency
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In South Carolina, a person is considered a
child until their 18th birthday for abuse and
neglect allegations.
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It is abuse or
neglect when a
child is injured
by the
intentional acts
or omissions of
an adult.
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Physical or mental injury
Excessive corporal punishment
Sexual offenses
Failure to supply food, clothing,
shelter, education, medical
care, though financially capable
of doing so
Lack of supervision
Abandonment
Encouraging delinquency
Substantial risk of abuse or
neglect
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Willfully deserting or
surrendering a child.
Failure to make adequate
arrangements for the
child’s needs.
SC statute allows
unharmed infants (under
30 days old) to be left
with personnel at
designated “safe havens”.
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Injury to intellectual,
emotional, psychological
capacity or functioning.
Existence of the impairment
must be supported by expert
opinion (in court).
That doesn’t mean you must
have an expert opinion to
report.
Includes children who are
exposed to domestic violence
as reported by law
enforcement.
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1.7 % higher rate of abuse than children without
disabilities (Westat, 1991)
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3.4 % rate of abuse (Sullivan, 2001)
4-10 times that of children without
disabilities (Garbarino, 1987)
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Only about 10% reported
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South Carolina received 28,887 reports
18,803 were accepted 3,966 of the children
in the accepted reports had some form of
disability.
Source Child Maltreatment 2010
U.S. Department of Health & Human Services
Administration for Children and Families
Administration on Children, Youth and
Families Children’s Bureau
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Autistic Disorder
Attention Deficit
Hyperactivity Disorder
Cerebral Palsy
Deafness/Hearing Loss
Down Syndrome
Emotional Disturbance
Epilepsy
Learning Disabilities
Mental Retardation
Pervasive Developmental Disorder (PDD)
Reading and Learning Disabilities)
Severe and/or Multiple Disabilities
Speech and Language Impairments
Spina Bifida
Traumatic Brain Injury
Visual Impairments
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Children react to the same disability in
different ways.
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More dependent on
others.
Think about that…
how can that put
them at greater
risk?
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Family and Friends
Health Care providers
School
Transportation providers
School teachers
Teacher’s aides
One-on-one aides
Sign language interpreters
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Speech therapists
Readers
Resource staff
Nurses
Counselors
Behavioral Aides
Trainees and interns
Care providers
Other students
Tutors
Social Service
Providers
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Obey the rules.
Do not cause trouble.
Obey those in charge.
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Agree with people.
Other people’s opinions
are more important than
yours.
Do not be assertive or
show anger.
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Privacy is greatly
reduced or nonexistent.
Negative attitudes and
being ignored are
common
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Few general
friendships.
Social isolation.
Difficulty being
accepted in activities,
clubs, etc.
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Rarely make their own
decisions.
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Taught to be obedient
and dependent.
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Unlikely to refuse (want
to be liked).
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Don’t want to get their
“friends” in trouble.
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May communicate in a
way that others do not
understand.
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Body may be touched for hygiene
and therapy.
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May affect sense of ownership of
own body.
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Child may be used to being touched .
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Cannot set limits on contact.
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May be unaware that sexual contact
by caregiver is unusual, but may be
able to understand that it is not
okay.
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Concrete
thinkers?
Differences
between
children with
and without
disabilities.
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Children with disabilities often require a lot
of extra care, and attention.
May be challenging to family if they do not
have any outside resources, and support
systems.
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Often times the
abuser thinks the
child is a perfect
victim.
 Why?
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...due to failure to report on the part of
mandated reporters.
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A belief that a report will
not result in any positive
benefit for the victim.
A belief that a report may
result in a more negative
situation for the victim
and for the reporter.
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Mandated reporters
of child abuse
should be
knowledgeable
about their duty and
how to perform it.
They may know
their agency policy,
but do not know if it
complies with the
state law.
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Failures occur in Special
Education and residential
programs where ALL staff do
not receive (and/or are not
encouraged to utilize) this
information.
These failures can occur
with any school staff.
There are tendencies to
disbelieve that abuse could
occur.
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There are tendencies to
believe the more
intellectually able
student over the student
with a disability.
There are few
prosecutions against
mandated reporters for
failing in their duty, thus
disincentives reign.
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Doctors
Nurses
Dentists
Optometrists
EMT’s
Mental Health
Allied Health
Clergy
Teachers
Counselors
Principals (and assistants)
Social Workers
Substance Abuse
Counselors
Childcare Workers
Foster Care Workers
Police/Law Enforcement
Undertakers (and staff)
Funeral Directors (and staff)
Film Processors
Computer Technicians
Judges
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Non-attorney Guardian ad litems
Foster Parents
School attendance/truancy officers
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Supersedes confidentiality
requirements.
Makes void privileged
communication between
professional and
patient/client.
Makes void privilege
between husband/wife
Is expressly authorized
under HIPPA.
Is consistent with
professional ethical
guidelines.
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DSS investigates child
abuse and neglect cases
that involve a parent,
guardian, or other adult
responsible for the
child’s welfare, as the
abuser.
Law enforcement
investigates criminal
cases.
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Unexplained, chronic or repeated
bruising and/or injuries.
Unexplained burns, rope burns on
arms, legs or torso, cigarette
burns.
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Injuries that don’t match the
explanations given.
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Bruises or welts in various stages
of healing or in unusual patterns.
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Administered by a parent, guardian or
someone acting in-loco parentis
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for the sole purpose of restraining or
correcting the child
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is reasonable in manner and moderate
in degree\
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has not brought about permanent or
lasting damage to the child
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and is not reckless or grossly
negligent
Corporal Punishment 63-7-20(a)
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Chronic uncleanliness.
Poor hygiene, including
chronic head lice and/or
scabies, severe or
untreated diaper rash.
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Failure to thrive.
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Lack of medical care and
immunizations.
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Lack of basic clothing, i.e.
shoes, coat.
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Chronic hunger,
tiredness or
lethargy.
Hoarding,
begging or
stealing food.
Frequent or
chronic school
absence and/or
tardiness.
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As defined as a sexual offense
according to the criminal laws of South
Carolina.
Such offenses may involve fondling,
intercourse, cunnilingus, fellatio, anal
intercourse, or any intrusion, however
slight, of any part of a person’s body,
or of any object into the genital or anal
opening of another’s person’s body.
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Somatic complaints, including pain
and irritation in genitals
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Sexually transmitted diseases
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Pregnancy
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Bruises or bleeding from external
genitals, vagina or anal region
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Genital discharge
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Poor peer relationships, inability to relate to peers
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Sudden changes in behavior
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Promiscuity or seductive behavior
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Aggression or delinquency
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Truancy or chronic running away
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Substance abuse
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Major change in school performance
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Young children – preoccupation with sex organs
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This type of interview can be
conducted by any mandated
reporter or first responder.
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Basic- Who, What and Where.
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No details!
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Interview may be the most
important aspect of the
investigation. Interviews are the
main element that is attacked by
defense attorneys. The child’s
statement is often the only evidence.
Reason to believe:
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Child’s physical or
mental health or
welfare has been or
may be adversely
affected by abuse or
neglect.
This information is
received in your
professional capacity.
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Law requires report to be made when
there is “reason to believe.”
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Does not require the reporter to have
conclusive proof.
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Information must be such that a
reasonable person would rely upon
it, including hearsay.
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The child’s statement alone is
enough.
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Does not require proof beyond a
reasonable doubt.
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To the county DSS office
or
To law enforcement
or
To the coroner(child death)
In the county where the
child lives or is found.
For children - based on
location of occurrence :
Residential (OHAN - DSS
(803) 898-7669)
Home (local DSS - child
protective services)
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Listen attentively.
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Do not probe for details.
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Do not remove clothing.
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You may take photographs of visible
areas of trauma (become the
property of DSS).
Do not indicate disbelief, shock, or
anger.
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Your role is very important to the safety
and care of others.
Thank you for caring about South Carolina’s
vulnerable children!
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Report this information
to the appropriate agency
or agencies first.
Then report this
information to the appropriate
management staff in
Babcock Center.
You must report if you have
“reason to believe”.
Omnibus Adult
Protection Act
Training for Mandated Reporters
Omnibus Adult Protection Act often referred
to as OAPA
 Omnibus Adult Protection Act requires the
reporting of suspected abuse, neglect, or
exploitation of a vulnerable adult, age 18 and
above.
 Found at South Carolina Code Ann §43-35-5
et.seq.
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A person who is 18 years or older
Has a physical or mental condition
which substantially impairs the person from
adequately providing for his/her own care
Due to infirmities of aging, including:
organic brain damage
advanced age, and
physical, mental, or emotional dysfunction.
A resident of a DDSN Facility is a Vulnerable Adult.
SC Code Ann. §43-35-10
http://www.scstatehouse.gov/code/t43c035.php#43
-35-10
Physician
Nurse
 Dentist
Optometrist
 Medical examiner
Coroner
 Christian Science Practitioner
Religious Healer
 School teacher
Counselor
 Psychologist
Mental Health Specialist
 Intellectual Disability Specialist
 Social or public assistance worker
 Caregiver
 Staff or volunteer of an adult day care center or facility
 Other medical, Mental Health or allied health professional
 Law enforcement officer
SC Code Ann. § 43-35-25
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Babcock
Center
Employees
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May take photographs of trauma to vulnerable adult.
Notify the person in charge of the photographs.
Investigative entity or law enforcement may cause to
be performed a radiological examination or medical
examination without consent.
All photographs, x-rays, and results of medical
examinations must be provided to law
enforcement or the investigative entity upon request.
SC Code Ann. §43-35-30
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A caregiver is someone who:
Provides care to a vulnerable adult
With or without compensation
Temporary or permanent
Full or part-time
Can be a relative
household member
day care personnel
adult foster home sponsor
personnel of a public or private institution or
facility.
SC Code Ann. §43-35-10(2)
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A facility directly operated by or contracted for
operation by:
Department of Mental Health
Department of Disabilities and Special Needs
Nursing care facility
Community residential care facility
Psychiatric hospital
Residential program operated or contracted for
operation by:
Department of Mental Health
Department of Disabilities and Special Needs
SC Code Ann § 43-35-10(4),(12),(13)
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Physical Abuse
Including Sexual Abuse
Psychological Abuse
Neglect
Exploitation
SC Code Ann. § 43-35-25
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Physical Abuse
Intentional infliction or allowing to inflict injury
Types of Physical Abuse
Slapping
Hitting
Kicking
Biting
Choking
Pinching
Burning
Actual or attempted sexual battery
Use of medication outside the standards of medical
practice
SC Code Ann. § 43-35-10(8)
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Use of restricted or physically intrusive
procedure to control behavior
For punishment Not used as part of a written
plan of care from a physician or qualified
professional (Failure to properly follow a
behavior support plan may result in an allegation
of abuse).
Punishing a vulnerable adult by using a
restrictive or physically intrusive procedure to
control behavior may be considered physical
abuse unless the procedure is included as a part
of a therapeutic plan developed by a qualified
professional.
SC Code Ann. § 43-35-10(8)
Staff at a nursing home beat resident with a belt
when resident tried to smear feces on the staff at
bath time. Staff on the next shift noticed the
marks and reported the incident.
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Resident could not communicate, but based on
physical evidence collected and interviews with
staff, the abuser confessed to the physical abuse.
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Staff was charged with Abuse of Vulnerable
Adult
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A vulnerable adult may be
furnished non-medical
remedial treatment by
spiritual means through
prayer if the vulnerable
adult has practiced this in
his/her religion.
SC Code Ann. § 43-35-13
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Altercations or acts of
assault between two
vulnerable adults.
Refer to the agency
policy and report to
local law enforcement.
SC Code Ann. §43-3510(8)
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Actual or
Attempted sexual battery
Defined by SC Code Ann. §16-3-651
Sexual battery means sexual intercourse,
cunnilingus, fellatio, anal
intercourse, or any intrusion, however slight, of any
part of a
person's body or of any object into the genital or anal
openings of
another person's body, except when such intrusion is
accomplished
for medically recognized treatment or diagnostic
purposes.
SC Code Ann. § 43-35-10(8)
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Deliberately subjecting a vulnerable adult to
threats or
Harassment or other forms of intimidating
behavior
causing fear
humiliation
degradation
agitation
confusion, or
other forms of serious emotional distress.
Example: Resident who is fearful of the dark and
that fear is used as punishment
SC Code Ann. § 43-35-10(10)
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Causing or requiring a vulnerable adult
to engage in activity or labor which is
improper, unlawful, or against the vulnerable
adult’s reasonable and rational wishes.
SC Code Ann. § 43-35-10(3)(a)
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Improper, unlawful, or unauthorized use of the
funds
assets
property
power of attorney
guardianship, or conservatorship of a vulnerable
adult
by a person for the profit or advantage of that
person or another person.
SC Code Ann. § 43-35-10(3)(b)
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Causing a vulnerable adult to purchase goods or services
for the profit or advantage of the seller or another person rough
undue influence,
harassment,
duress,
force,
coercion, or
swindling by overreaching
cheating, or
defrauding the vulnerable adult
through cunning arts or devices
that delude the vulnerable adult and cause him to lose money or
other property
SC Code Ann. § 43-35-10(3)(c)
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Requiring a vulnerable adult to participate in
an activity or labor which is a part of a
written plan of care or which is prescribed or
authorized by a licensed physician attending
the patient.
SC Code Ann. § 43-35-10(3)
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A resident of a nursing home had her bills paid by
her daughter who had power of attorney.
The daughter stopped paying the bills and the
resident’s account went into arrears at the
nursing home.
Daughter used her mother’s money to buy a new
car and to install a swimming pool at her house.
Daughter was charged with Financial Exploitation
of a Vulnerable Adult.
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Failure or omission of caregiver to provide
care, goods, or services necessary to maintain the health or
safety of a vulnerable adult
Such as, failure to provide
food
clothing
medicine
shelter
supervision
medical services
May be repeated conduct or a single incident
Failure or omission has caused or presents a substantial
risk of causing physical or mental injury
SC Code Ann. § 43-35-10(6)
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Includes the inability of a vulnerable adult, in
the
absence of a caretaker, to provide for his or
her own health or safety which produces or
could reasonably be expected to produce
serious physical harm or
psychological harm or
substantial risk of death
SC Code Ann. § 43-35-10(6)
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Noncompliance with regulatory standards
alone does not constitute neglect
SC Code Ann. § 43-35-10 (6)
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Law Enforcement was called to a Residential Care
Facility where they found an incoherent resident
lying in dirty bed linens with the smell of rotting
skin.
EMS was contacted and they discovered that the
resident had stage IV decubitus ulcers filled with
maggots, was dehydrated, malnourished and near
death.
The resident was transported to the hospital where
death occurred.
The owner of the Residential Care Facility was
charged with Neglect of a Vulnerable Adult resulting in death.
Employees and volunteers of DDSN and its
network of contracted service providers are all
mandated reporters and are required to report
the following in accordance with agency policy
and state law abuse, neglect & exploitation.
Incident must personally be reported within 24
hours orally by telephone or in writing (All reports of
abuse, neglect or exploitation must be reported as soon
as possible, but within 24 hours.).
 No facility can make policies that interfere with
reporting.
(If an employee thinks an allegation of abuse is true,
they must report it. (If they have reason to believe)
 A state agency may make a report on behalf of an
employee if policies have been approved by SLED
VAIU or other investigative entity.
 SC Code Ann. § 43-35-25(C)
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SLED Vulnerable Adults Investigation Unit (VAIU)
for incidents in facilities operated by or
contracted for operation by DMH or DDSN.
Long Term Care Ombudsman of the Lieutenant
Governor’s Office for incidents in all other facilities.
South Carolina Department of Social Services.
Adult Protective Services for incidents in all other
settings.
SC Code Ann. § 43-35-25(D)
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Provided the mandatory reporting
requirements are met, a reporter can also
make direct contact with law enforcement,
and in cases of an emergency, serious injury,
or suspected sexual assault law enforcement
must be contacted immediately.
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After the report to the appropriate
investigative agency is made, the employee is
obligated to report the suspected abuse,
neglect, or exploitation to their supervisor or
the Facility Administrator/Executive
Director/CEO immediately following the
report to the appropriate state investigative
agency. Immediately means within one (1)
hour. The person making the report must
assure the alleged victim is safe.
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Investigative entities insure that if report is
made to wrong agency it is forwarded to the
proper agency.
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The death of any DMH client or DDSN
consumer must be reported to the SLED VAIU
within 24 hours.
The suspicious death of any vulnerable adult in
the community or any other facility setting
must be reported to the County Coroner or
Medical Examiner.
SC Code Ann. § 43-35-35
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Communications between attorney and client
are privileged.
Communications between the following are
not excused from mandated reporting
Husband and wife.
Professional person and patient or client.
SC Code Ann. § 43-35-50
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A report made in good faith
Is immune from civil and criminal liability
good faith is a rebuttable presumption in
civil and criminal proceedings
SC Code Ann. § 43-35-75
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It is against the public policy of South
Carolina to change an employee's status
solely because the employee reports or the
employee cooperates with an investigation
under OAPA
SC Code Ann. § 43-35-75
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Mandatory reporter knowingly and wilfully
fails to report abuse, neglect or exploitation
If convicted they are guilty of a misdemeanor
Fined not more than $2500 Imprisoned not
more than one year
SC Code Ann. § 43-35-85(A)
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The following action must take place when an
alleged perpetrator has been identified:
The staff must be placed on administrative
leave without pay pending the outcome of the
investigation.
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If under an Administrative or Management
Review, the employee has been found to violate
Written Rules, Regulations or Policies, employee
disciplinary action will be taken based upon the
nature and extent of the policy violation. This
disciplinary action may include:
Written Warning
Additional training
Termination or
Any of the above, depending on the nature of
the violation
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An employee terminated for abuse, neglect,
or exploitation as determined by SLED, local
law enforcement, the Attorney General’s
Office, or DSS (either APS or CPS) will not be
eligible for employment in any program,
facility, service, or supports operated by
DDSN or its contract service providers.
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Child Protection Reform Act requires the
reporting of any suspected abuse or neglect
occurring to a child, age 17 and under.
Elders Act/ Patient Protection and affordable
Care Act. Requires reports of abuse, neglect
or exploitation in an ICF/ID to be report to
the DHEC Bureau of Certification as well as
SLED.
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Long Term Care Ombudsman (LTCO) investigates or cause to be
investigated noncriminal reports of alleged abuse, neglect, and exploitation
of vulnerable adults occurring in facilities other than those handled by SLED.
Report allegation to regional ombudsman situations in facilities NH and
CRCF.
The Adult Protective Services Program (APS) or Child Protective Services
Program (CPS) of the Department of Social Services (DSS) investigates or
causes to be investigated noncriminal reports of alleged abuse, neglect, and
exploitation of vulnerable adults occurring in all settings other than
facilities.
The Medicaid Fraud Control Unit (MFCU) of the Office of the Attorney
General (AG) investigates abuse, neglect and exploitation in facilities
receiving Medicaid funds. This entity also investigates and prosecutes
health care fraud committed by Medicaid.
SLED South Carolina Law Enforcement Division investigates situations in
facilities operated or contracted for operation by the Dept. of Mental Health
or the Dept. of Disabilities and Special Needs.
Adult Protective Services Program investigates allegation to the DSS county
office of abuse, exploitation and neglect by a caregiver or self neglect by the
vulnerable adult in the community.
Prevention Must
Begin With You!
If you expect
to get respect
then you have
to give respect!
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UNDERSTAND THAT CHANGES
IN THEIR BEHAVIOR MUST
PRECEDE CHANGES IN OTHER’S
BEHAVIOR.
PRACTICE “DEFUSING”
EMOTIONS NOT SUPPRESSING
THEM.
KNOW THAT IF THEY WISH TO
TEACH OTHERS SELFCONTROL, THEY MUST
DEMONSTRATE SELF CONTROL.
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ASK CONSTRUCTIVE
QUESTIONS NOT
ACCUSATORY ONES.
RESIST SOLVING
PROBLEMS AT ONCE
OR ALONE.
OFFER CHOICES AND
RESPECT A PERSON’S
RIGHT TO MAKE
MISTAKES.
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ARE NOT OBSESSED
WITH BEHAVIOR.
ANTICIPATE
CHALLENGES.
UNDERSTAND THE
REASONS PEOPLE
CHALLENGE THEM.
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UNDERSTAND THAT
PEOPLES’ BEHAVIOR CAN
BE INNER DIRECTED EVEN
THOUGH IT MAY BE
AIMED AT THEM.
INFLUENCE PEOPLE NOT
THE REVERSE.

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DO NOT OVERREACT TO AN
INAPPROPRIATE BEHAVIOR.
MONITOR THEIR MOOD
STATES AND GUARD
AGAINST THE ANGER
IMPLUSE.
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KNOW WHEN THEIR
FRUSTRATIONS ARE
AFFECTING THEIR RESPONSES
TO OTHERS.
ANTICIPATE PEOPLE’S
ACTIONS.
CONTINUOUSLY EVALUATE
THEIR RESPONSES TO PEOPLE
AND PEOPLES’ RESPONSES TO
THEM.

Never cause or allow harm
by action or inaction.

Always be under control.

Do not trade emotions with
people we support.

Do not judge a person’s
behavior. Study it.

Recognize your emotional
early warning signs.

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When you feel anger:
STOP, STEP BACK and
THINK.
Do not attempt to
solve a person’s
problems at once or
alone.
Ask for advice
when you are
concerned
about the
people we
support,
co-workers or
yourself.
Do not feel
responsible for
another
person’s
behaviors.
Do not engage
people we
support in tests
of wills.
Constantly doing
for or to people
we support or
waiting for them
to do something
to you is poor
caregiving
practice.

No matter what the
problem.

No matter how you
are feeling.

No matter how much
pressure.
Never allow your actions to be the
cause of conflicts!
 Not
a parent
 Not a behavior cop
 Not an entertainer
 Not a custodian
 What?
 Companion
 Teacher
 Counselor
 Advocate
 Role
Model
Reporting Abuse, Neglect
or Exploitation
Reports for a Vulnerable
Adult:
Reports for a Child (Under
age 18):
***** If you have reason to
believe abuse has
occurred, you must
FIRST call the appropriate
agency and then call your
supervisor.
If you have any questions
regarding the reporting
process, call the Consumer
Advocacy at 331-4733.


For vulnerable adult - based
on location of occurrence Residential (SLED 1-866-200-6066)
Vocational or Home (local DSS
- adult protective
What Information to Give When Making a Report
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Accurate information shared by the reporter will assist in the
investigation. When making a report, give as much of the following
information as you have:
􀂄 Name and birth date of the victim
􀂄 Current DSS case manager, if one exists
􀂄 Allegation -- what is the abuse, neglect or exploitation event and
what happened
􀂄 Other interested individuals
􀂄 Income/income source
􀂄 Date/time of allegation and when incident occurred
􀂄 Name typology Abuse, Neglect or Exploitation (A/N/E) of the
allegation (What does ANE stand for? –Abuse- Neglect-Exploitation)
􀂄 Household members, other known relatives
􀂄 Location of the incident/Directions
􀂄 Perpetrator/Caregiver information
􀂄 Danger Influences (to client and to worker)
􀂄 Reporter request follow up (name and number required
Report this information
outside first
- Appropriate agency or
agencies
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Report inside next
You must report if you have
reason to believe.

Your role is very important to the
safety and care of others.

Thank you for caring about South
Carolina’s vulnerable adults!

SC Adult Protection Coordinating
Council.

January 2014


If you have any questions
about this information
please contact your
supervisor immediately.
If you have additional
questions feel free to
contact the Consumer
Advocate or Staff
Development.
DDSN Training for Abuse, Neglect and Exploitation
Comprehension Test
Employee Name:
Title : __________________________________________________
Date of Test:
Score: __________ (Must score 80% or re-test)
Provider Agency: BABCOCK CENTER INC.
Section 1- True or False
1. A resident of any DDSN facility is a Vulnerable Adult
___True _____False
TEST
2. After the report to the appropriate investigating agency is made, the employee is obligated to report the suspected abuse, neglect, or exploitation to their
supervisor or other management staff within their organization.
_____True _____False
3.Punishing a vulnerable adult by using a restrictive or physically intrusive procedure to control behavior may be considered physical abuse unless the
procedure is included as a part of a therapeutic plan developed by a qualified professional.
_____True _____False
4.Failure to properly follow a behavior support plan may result in an allegation of abuse.
_____True _____False
5.If an employee does not think an allegation of abuse is true, they do not have to report.
_____True _____False
6.An employee terminated for abuse, neglect, or exploitation as determined by SLED, local law enforcement, the Attorney General’s Office, or DSS (either APS
or CPS) will not be eligible for employment in any program, facility, service, or supports operated by DDSN or its contract service providers.
_____True _____False
7. Employees may contact consumers/ co-workers while they are on Administrative Leave without Pay.
_____True _____False
8. If a family member makes an allegation of abuse, neglect, or exploitation, staff must follow-up to ensure the allegation is reported to the appropriate state
investigative agency.
_____True _____False
Section 2- Multiple Choice
9.The following persons are mandated reporters and shall report when they believe that a vulnerable adult has been or is likely to be abused, neglected, or
exploited:
A) Medical Professionals (physician, nurse, dentist, etc.)
B) Teacher, Counselor, psychologist
C) Caregiver, staff, supervisors and volunteers of day and residential facilities
D) All of the above.
10.Employees and volunteers of DDSN and its network of contracted service providers are all mandated reporters and are required to report the following in
accordance with agency policy and state law:
A) Abuse
B) Neglect
C) Exploitation
D) All of the above.
11.The following action must take place when an alleged perpetrator has been identified:
A) The staff is assigned to work with another consumer or in another location.
B) The staff receives a written warning and placed back on the schedule.
C) The staff must be placed on administrative leave without pay pending the outcome of the investigation.
D) The staff is terminated without any internal review.
12. If under an Administrative or Management Review, the employee has been found to violate Written Rules, Regulations or Policies, employee disciplinary action
will be taken based upon the nature and extent of the policy violation. This disciplinary action may include:
A) Written Warning
B) Additional training
C) Termination
D) Any of the above, depending on the nature of the violation.
13. Allegations of abuse, neglect or exploitation may be investigated by:
A) Department of Social Services (Child Protective Services or Adult Protective Services)
B) Attorney General- Medicaid Fraud Control Unit
C) Law Enforcement
D) Any of the above
TEST
TEST
Section 3- Please fill in the blank using the word list below
Psychological Abuse
Misdemeanor Exploitation Supervisor Long Term Care Ombudsman (LTCO) Law Enforcement
Department of Social Services (DSS)
14.__________________________may include threatening, harassing or intimidating a vulnerable adult or committing other acts of intimidation that cause fear, humiliation,
degradation, agitation, confusion, or other forms of serious emotional distress.
15.__________________________may include causing a vulnerable adult to purchase goods or services for the profit or advantage of the seller or another person.
16.__________________________investigates or cause to be investigated noncriminal reports of alleged abuse, neglect, and exploitation of vulnerable adults occurring in facilities
other than those handled by SLED.
17. The Adult Protective Services Program (APS) or Child Protective Services Program (CPS) of the
or causes to be investigated noncriminal reports of alleged abuse, neglect, and exploitation of vulnerable adults occurring in all settings other than facilities.
18. A mandated reporter who knowingly and wilfully fails to report is guilty of a
fined not more than twenty-five hundred dollars or imprisoned not more than one year.
__ investigates
and, upon conviction, must be
19. Provided the mandatory reporting requirements are met, a reporter can also make direct contact with
, and in cases of an emergency, serious injury, or suspected sexual assault law enforcement must be contacted
immediately.
20. After the report to the appropriate investigative agency is made, the employee is obligated to report the suspected abuse, neglect, or exploitation to their
or the Facility Administrator/Executive Director/CEO immediately following the report to the appropriate state investigative agency. Immediately means
within one (1) hour. The person making the report must assure the alleged victim is safe.
TEST
I have completed this Comprehension Test independently after receiving training on Abuse, Neglect and Exploitation
and DDSN Directive 534-02-DD: Procedures for Preventing and Reporting Abuse, Neglect, or Exploitation of People
Receiving Services from DDSN or a Contract Provider Organization.
Date:
Employee Signature_____________________________________________________
Training staff responsible for providing correction for any missed questions to ensure the employee understands the
correct procedures: (Employee must score 80% or re-test)
Date:_______________
Training Staff/ Supervisor Signature ______________________________________
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South Carolina Long Term Care Ombudsman
http://aging.sc.gov/Pages/default.aspx
South Carolina Department of Social Services
Adult Protective Services
South Carolina Law Enforcement Division (SLED)
http://www.sled.sc.gov/Vulnerable.aspx?MenuI
D=VulAdult
The Babcock Center, Inc. 2015