The findings by the Texas Department of Protective and Regulatory Services cited the On Track wilderness program for 28 separate violations of state regulations, including improperly restraining Chase Moody as a "cruel and unnecessary punishment," using a prohibited method of restraint, mishandling medical records and failing to follow its own procedures and policies.
"At the center of all this is the fact that a child died, and a child died as a result of the violations found in this report," said Geoffrey Wool, spokesman for the department.
Moody was the fifth youth to die after being restrained in a Brown Schools facility since 1988.
According to the report, Moody was restrained as punishment after he "refused to stop talking and exit his tent as instructed." At one point, the report says, Moody was subjected to remarks that belittled him, when one staff member made the remark, "Boy, who are you calling boy?"
Sallee said Moody's death was precipitated by a violent outburst, which the report does not detail. As a result of the outburst, Brown School officials said, staff members placed Moody in what's called the "team control position," where they interlock legs, pull back the person's wrists and cup their hands on the person's shoulders. In the course of the struggle, they fell forward and continued to restrain Moody on the ground and used a cell phone to call for help.
The report also accuses the staff members of restraining Moody in such a way that they couldn't see his face, that he could not communicate with them and that impaired the teenager's breathing ? all in violation of state regulations.
When Moody began to throw up, the report says, the staff members failed to "provide treatment."
According to an autopsy performed in Travis County, Moody died after suffocating on his own vomit. Brown Schools officials have disputed the cause of death.
http://66.102.7.104/search?q=cache:RiTN ... =clnk&cd=4Three adults are holding a kid down and no one notices that he is vomitting? :rofl:
"We have one resident saying he heard Chase saying he couldn't breathe; we've got two of them saying that."
After he was contacted by radio, it took Deputy Low about 13 minutes to wind his way back through the ranch to the campsite.
In the incident report, Low wrote that when he aimed his spotlight at the scene, he "saw three counselors sitting on the subject, lying face
down," Price said.
The Brown Schools has repeatedly denied that any pressure was placed on Chase's back.
The state's findings in the separate licensing investigation question whether the situation qualified as an emergency and accused the staff
members of taunting Chase with remarks that included, "Boy. Who you calling boy?"
In addition, the report says:
* Chase was "subjected to cruel and unnecessary punishment when he was restrained for talking."
* The restraint was "inappropriately implemented, as it employed a technique that is prohibited by obstructing the airways of the child,
impairing his breathing."
* The staff "did not follow the facility's policies and procedures in handling the misbehavior of a resident, which resulted in a restraint and death of the child."
* The staff "did not document the total length of time the child was restrained."
"The bottom line: Chase Moody did not pose an emergency to himself or anybody else when he was put in this restraint," said David McLaughlin,
a lawyer working with the Cochran Firm, who is assisting high-profile lawyer Johnnie Cochran on the potential civil suit. "These three people
in the take-down . . . I'm not going to call them victims, but they were put in circumstances without the proper tools or skills to handle the
situation."
