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Ombudsman Releases Report: AK Board of Fisheries Violated Open Meetings Act

In Front Page News, News by kate-omb

The Alaska State Ombudsman recently concluded an investigation of a complaint about the Board of Fisheries decision in January 2019 to relocate the 2020 Upper Cook Inlet Finfish meeting location from the Kenai/Soldotna area to Anchorage. The complaint alleged that the Board violated the Open Meetings Act by not providing advance notice that it intended to take up the issue.

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Ombudsman Releases Report: Investigation of Change of Foster Care Placement by OCS

In Front Page News, News by kate-omb

The Alaska State Ombudsman recently concluded an investigation of a complaint from a licensed foster parent about the way the Office of Children’s Services changed the placement of a toddler in foster care. The Ombudsman investigated whether OCS abused its discretion in deciding to move the child from the complainant’s home to another foster home. The Ombudsman also investigated how OCS participated in the writing of court documents opposing the foster parent’s request for a placement review hearing. Read the public report here.

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Ombudsman Releases Reports on Investigations of Division of Mining, Land, & Water

In Front Page News, News by kate-omb

The Alaska State Ombudsman has released public reports related to the investigation of two complaints about the Department of Natural Resources, Division of Mining, Land, and Water. The first complaint (A2017-0619) involved the Division’s requirement that some aquatic farm leaseholders carry commercial liability insurance. The second complaint (J2018-0547) involved the Division’s public notice and comment process related to the designation of materials sites, and the subsequent sale of materials from those sites. Read the full reports:

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Anchorage Office Closed May 23-28, 2019

In Front Page News, News by kate-omb

We are excited to announce that we are moving into our permanent offices in the Legislative Office Building in Anchorage. We will be closed Thursday, May 23 through Tuesday May 28 while we move and get settled in the new space, which was designed to increase accessibility and security for visitors and staff.

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Ombudsman Investigates Patient Safety at Alaska Psychiatric Institute

In Front Page News, News by kate-omb

Alaska State Ombudsman Kate Burkhart has concluded an investigation of three allegations related to patient safety and use of seclusion and restraint at Alaska Psychiatric Institute (API). The Ombudsman made eleven recommendations to the Department of Health and Social Services (DHSS) and API to address the problems investigated.

Between January 1, 2015 and December 31, 2018, the Ombudsman received 42 complaints specifically about API. Nearly one-third of those complaints alleged maltreatment or neglect of patients. In December 2017, the Ombudsman received a complaint that a member of API staff had assaulted a patient. On June 20, 2018, the Ombudsman received a series of allegations about the way API staff were treating patients.

The Ombudsman initiated an investigation upon her own motion under AS 24.55.120 on June 20, 2018. The Ombudsman investigated three allegations:

  1. API does not take reasonable and necessary action to prevent and/or mitigate the risk of harm to patients from use of force by API staff.
  2. API does not take reasonable and necessary action to prevent and/or mitigate the risk of harm to patients due to violence by other patients.
  3. API does not consistently comply with AS 47.30.825(d) or 42 CFR §482.13(e) in the use of seclusion and restraint.

Based on a preponderance of the evidence collected in the course of the investigation, along with the surveys by the Centers for Medicare and Medicaid Services and the workplace safety investigation by attorney Bill Evans, the Ombudsman found all three allegations are justified. The Ombudsman made recommendations for improvements in API operations to prevent violence toward patients and reduce the use of seclusion and restraint.

Read the executive summary of the report here.

Read the full public report of the investigation, findings, and recommendations here.