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When two-year-old Damarcus Jackson was rushed to a Cincinnati hospital on Oct. 21, 2011, his ancestor told hospital agents he may be adversity complications from a access disorder.

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But by the time he died at 11:10 that evening, nurses were alpha to doubtable article added adverse had occurred.

Damarcus had able-bodied all over his anatomy in assorted stages of healing, according to a accompaniment adolescent corruption assimilation report. He had contusions on his forehead, scratches on his buttocks and a awful attractive bake on his duke that had not been appropriately treated.

READ THEIR STORIES:These 19 accouchement died afterwards abundance agencies alternate them to their bearing parents

The afterward day, beneath analytic by police, 29-year-old Antrone Smith said simply, “I did it.”

Smith, Demarcus’s father, accepted to punching his son in the belly — assault that resulted in the boy’s afterlife from centralized bleeding. He was bedevilled of annihilation and bedevilled to 15 years to activity in prison; Latricia Jackson — Damarcus’s mother — pleaded accusable to adolescent endangering and served two and a bisected years in prison.

The brace had regained aegis of Demarcus aloof two months above-mentioned to his death.

For best of his life, Demarcus was blessed and healthy, according to the Hamilton Canton advance parents who cared for him until a cloister placed him with his bearing parents in August 2011. They say what they bethink best about Demarcus was his near-constant advanced smile.

Ohio has connected accustomed to accumulate accouchement with their biological parents whenever possible. While adolescent abundance admiral say the assurance of the adolescent is consistently paramount, they additionally say they allegation act on accepted facts and not suspicion while afterward laws that assure parents’ rights.

But a months-long Dayton Daily News analysis begin Ohio’s arrangement generally fails to assure children, some adversity aching deaths aloof weeks or alike canicule afterwards actuality reunited with their bearing parents.

The analysis begin Ohio fails to accommodated civic standards on several key adolescent assurance measurements. And the state’s allotment of allotment for canton agencies — abounding advancing to accumulate up with a collection of cases consistent from the opioid catching — has consistently ranked asleep aftermost in the nation, according to the Accessible Accouchement Casework Association of Ohio.

RELATED: High agents turnover, addict puts adolescent abundance arrangement in crisis

Just 10 percent of accouchement casework allotment came from the accompaniment in 2016, the accumulation says. It additionally credibility out that abandoned about bisected of Ohio counties acquire bounded levies to armamentarium accouchement services, putting the agencies in a added crunch.

“State allotment has been around collapsed aback 2010 alike as the cardinal of accouchement in aegis has increased,” the latest PCSAO anniversary address says. “No added accompaniment relies so heavily on bounded communities to acquire the majority of accouchement casework costs.”

Critics say a ailing adjourned arrangement has led to busy caseworkers and adverse after-effects for abounding of the accouchement in their care. In 39 counties — about bisected of the counties in Ohio — caseworkers in 2016 were accustomed a caseload that exceeded the civic standard, the PCSAO address says.

“Overloaded, underprepared caseworkers acquire no time to investigate any case properly,” said Richard Wexler, a adolescent assurance apostle and architect of the Civic Coalition For Adolescent Aegis Reform. “So they appoint in ‘drive-by casework’ and wind up authoritative abhorrent mistakes in all directions.”

More investigations from the I-Team

Hundreds of deaths

To do this story, the Daily News analyzed a state-provided database of cases involving doubtable corruption and carelessness over about a decade and advised cloister documents, afterlife certificates and added annal to advance added advice on as abounding adolescent deaths as possible.

The aftereffect shows how generally accouchement die at the calmly of adults whose histories were able-bodied accepted to agencies appointed to assure the abundance of children.

In fact, added than bisected of the 474 Ohio accouchement who died from doubtable corruption or carelessness amid 2009 and 2016 had been on the alarm of a bounded adolescent aegis bureau above-mentioned to their deaths, according to the Daily News’ assay of accompaniment records.

In 85 cases, a accouchement casework bureau had advised assorted letters of corruption or carelessness afore the child’s death.

And in at atomic 19 cases, the adolescent had been initially removed from the home because of an alarming active bearings and afresh alternate — sometimes aloof canicule afore their deaths.

For example:

• The mother of four-year-old Averylee Hobbs had ahead been beatific to bastille for assault her as an infant, yet regained aegis about a year afore Averylee died in 2016 from edgeless force arch injuries suffered in the bathtub of her Cincinnati home. The mother, Britney Mayes, is apprehension balloon for aggravated annihilation and added accuse accompanying to the afterlife of her daughter. Her attorney, William Welsh, beneath to animadversion for this story.

• Two-year-old Glenara Bates was already asleep aback her mother brought her to Cincinnati Children’s Hospital in 2015 with able-bodied and chaw marks all over her anatomy and aught percent anatomy fat. Aloof 15 months earlier, she had been thriving, according to a accusation filed by her grandmother, who said she began her coast afterwards she was alternate to the home of her biological parents, Glen Bates and Andrea Bradley. Bates was begin accusable of annihilation and is on afterlife row, while Bradley’s balloon on accuse of aggravated annihilation and endangering accouchement is appointed for December. Welsh additionally represents Bradley and said he would acquire no animadversion on her case.

• Sylas Warwick of West Alexandria had ahead been beneath the affliction of Preble Canton Accouchement Services, and afresh was absolved from the agency’s aegis above-mentioned to his afterlife at age 21 months in 2015. Baffled and malnourished, he died from edgeless force agony to the head. His mother, Christy Warwick, was bedevilled to nine years in bastille for automatic assassination and adolescent endangering and is confined at the Ohio Reformatory for Women.

• The best publicized of the contempo cases advised by the cardboard complex Brittany Pilkington of Bellefontaine, who is accused of killing three of her children: three-month-old Niall, four-year-old Gavin and three-month-old Noah. Aback Noah was built-in in May of 2015, his two ancestors had already died beneath abstruse affairs while home abandoned with their mother. Noah was anon removed from the home, forth with his sister, but a adjudicator put them aback afterwards cardinal there was no affidavit of atrocity in the aboriginal two deaths. Noah died six canicule afterwards — of smothering, according to the coroner. In a taped acknowledgment played in court, Pilkington said she asleep all three of her boys by baking them with blankets. But her attorneys are battling the accommodation of the taped interview, which ran for nine hours. They acquire beneath abundant requests to allege about the case.

‘Parents acquire rights’

Children casework leaders say there is no way to apprehend every death, and that assorted accomplish are taken to ensure accouchement are in a safe environment.

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“The arrangement will never be abort safe,” said Moira Weir, administrator of Hamilton Canton Job and Ancestors Services. “Sometimes those in the adolescent abundance arrangement can accomplish all the appropriate decisions and booty all the appropriate precautions and a adolescent may still die.”

Some argue, too, they are bedridden accurately by the reunification laws. If parents complete the case plan requirements spelled out in their belief for regaining aegis — such as activity to rehab, accessory acrimony administration or parenting classes, and accepting abiding apartment — the cloister or bureau in allegation of the adolescent are accurately apprenticed to move adjoin reunification, they say.

RELATED: Abuse, abreast declared in Bellefontaine case

“If we acquire affidavit that the ancestors has met the case plan requirements, afresh we affectionate of get to the abode breadth we acquire no best but to attending at reunification, behindhand of maybe what the gut ability be saying,” said Jewell Good, abettor administrator of Accouchement Casework for Montgomery County. “Parents acquire rights… And to booty abroad those rights is a actual austere affair for us as a government to do. Obviously it’s not article that the accessible would appetite government accomplishing unnecessarily.”

Child advocates additionally don’t alone actuate placement. Anne O’Leary, Franklin Canton Accouchement Casework arch acknowledged counsel, said it’s not aberrant for a adjudicator to reunify a ancestors afterwards caseworkers acquire recommended adjoin it.

That was the case with Averylee Hobbs, the four-year-old whose mother had ahead gone to bastille for assault her. Weir’s appointment recommended adjoin reunification, she said, but the cloister disqualified a altered way.

“We abandoned accomplish recommendations, forth with the biological parents, guardian ad litems, prosecutors, court-appointed appropriate advocates, brainy bloom professionals, advance parents, kin, attorneys and others,” Weir said. “The cloister allegation booty into application ascribe from all of these parties.”

Montgomery Canton Adjudicator Anthony Capizzi, who has formed in adolescent abundance for 38 years and is admiral of the Civic Council of Juvenile and Ancestors Cloister Judges Association, said the cloister allegation apprehend from all parties afore free what is in the best absorption of the child.

“A adjudicator should not be relying alone on their gut,” he said. “You booty all the advice calm and you acquire to accomplish a call.”

Critics say the adverse after-effects of some of these decisions are the absolute aftereffect of a awry arrangement that removes too abounding accouchement from their parents’ affliction unnecessarily, overburdens caseworkers with too abounding families to adviser and rushes to reunify afterwards able investigations.

Wexler doesn’t acquire that the arrangement is accurately apprenticed to put kids aback in alarming situations.

“Confronted with a case book that has added red flags than a Soviet May Day Parade and asked, ‘how could this adolescent acquire been larboard in that home to die?’ it’s a lot easier for the bureau to say ‘the law fabricated us do it’ than to say ‘we busted up,’” he said.

‘She wasn’t ready’

If a adolescent has been in the arrangement for too long, a borderline mentality takes authority and reunification gets pushed in a blitz to abutting the case, according to critics.

That’s what Derrick Stinson believes happened with his grandson, Malechi Wilson, who was two-years-old aback he was alternate to his mother in 2009. Two months later, he was taken to Dayton Children’s Hospital in abounding cardiac arrest with astringent able-bodied to his abdomen, accoutrements and back. He died from edgeless force trauma.

“My grandson was anon placed in aegis with his mom,” Stinson said. “She wasn’t ready.”

RELATED: Who will acknowledgment for Malechi’s death?

Stinson believes able precautions weren’t taken by Montgomery Canton Accouchement Casework to ensure that Malechi was in a safe environment. Denise Stinson and her boyfriend, Mark Newberry, were accused of not gluttonous medical absorption for the adolescent quickly, according to badge and assimilation records. Although they were initially arrested on adolescent endangering charges, a Montgomery Canton admirable board beneath to arraign either one.

During the analysis into Malechi’s death, Montgomery Canton admiral banned to absolution capacity about why he was initially removed from his mother’s aegis or why he was returned. An bureau backer at the time said the final accommodation was up to the court.

The cloister order, in which a cloister accepted aegis to Denise Stinson, shows the guardian ad litem on the case recommended reunification and addendum that Stinson “substantially completed her case plan objectives.” The adjustment did not specify if there was to be any advancing administration by the county.

‘I anticipate the arrangement failed’

Among the belief for regaining aegis is that parents accommodate a abiding home ambiance for the child. But a Cuyahoga Canton case shows that doesn’t consistently happen.

Two-year-old Alexandria Hamilton died from astringent burns over 80 percent of her anatomy in 2010.

Her mother, Tyesha Hamilton, said she accidentally ran the girl’s ablution baptize too hot. She was bedevilled of annihilation and is confined a 15 years to activity book in the Dayton Correctional Institution.

Alexandria lived with advance parents Ollie and Kathi Coffey for added than a year and was placed with Hamilton 11 months afore her death. At the time of the death, the ancestors — including Alexandria and three added ancestors — was active in a motel.

Ollie Coffee feels Cuyahoga Canton rushed to abutting the case and afresh didn’t do abundant chase up afterwards the reunification.

“I anticipate the arrangement failed,” he said.

The bulk of time caseworkers are appropriate to chase up with a ancestors is cloister ordered and varies from case to case, assorted Accouchement Casework admiral acquire said.

In Damarcus Jackson’s case, for example, the cloister ordered “protective supervision” by the canton to abide for bristles months afterwards reunification. His afterlife two months afterwards came aural that five-month window. But some of the added deaths came afterwards canton agencies had bankrupt the case and no best had acquaintance with the family.

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In November 2016, four-year-old Aaliyah Smith was baffled and fatigued to afterlife in Lucas Canton while active with a brace who were not her acknowledged guardians.

The antecedent year, Aaliyah was placed with a relative, Shaqunia Williams, afterwards the canton had assuredly removed the babe and her sister from their mother’s care. But in October of 2016, Williams larboard the girls to alive with two people, Bridgette White and Tyrone Hooks, afterwards advice Accouchement Services. Had the canton accepted about it, such a alteration never would acquire been accustomed because the brace ahead had at atomic one adolescent removed from their custody, according to accompaniment records.

Lucas Canton admiral say the case was bankrupt afterwards the cloister accepted abiding aegis to Williams, and they had no added captivation in the case.

“We had no acquaintance at that point,” said Julie Malkin, administrator of communications for Lucas Canton Department of Jobs and Ancestors Services. The bureau is administering a analysis of the case as is Juvenile Court, Malkin said.

White was bedevilled to activity in bastille for murder, according to cloister documents, while Hooks accustomed a three-year book for endangering children. Williams entered a appeal to a abomination allegation of endangering accouchement and was bedevilled to 180 canicule in jail.

Overloaded system

The opioid crisis is demanding bounded adolescent aegis agencies, admiral say, and may be putting added accouchement in accident because of addiction issues involving their parents or acknowledged guardians.

Nathan Wylie, 13, died in April 2017 from a biologic balance while active with his father, Robert Wylie, in a abandoned camper in Dayton.

Penny Jo Bilbrey, Nathan’s aunt, says she can’t accept why her brother was accustomed to advance his affectionate rights admitting a almanac of biologic arrests, including one breadth Nathan was in the car with his ancestor aback he was arrested. On addition occasion, drugs were begin in the family’s home, according to a Dayton Badge report.

RELATED: 13-year-old balance victim had a ‘big heart’

Montgomery Canton Accouchement Casework admiral accepted they generally acquire a adamantine time proving approaching crisis aback accouchement are apparent to opioids, which is an accretion problem. Acceptable said her bureau handles at atomic one or two of these cases a week. But alike aback biologic acknowledgment is suspected, it’s not accessible to prove, they say. Accepted tests don’t consistently ascertain the attendance of constructed opioids such as fentanyl, now apparent as the best accepted culprit in bounded overdoses.

Bilbrey said the antecedence should be with the children, decidedly aback abundant biologic use is accepted to be in the home.

“They say reunification, reunification,” she said. “So instead these kids get to watch their parents OD… or their parents die?”

‘Foster affliction panic’

Some altercate that too abounding accouchement are actuality removed from their home environments, which they say has led to a curtailment of advance homes and a blurred of standards for advance parents.

That’s one of the arguments from Wexler’s group, the Civic Coalition For Adolescent Aegis Reform, which maintains abjection is generally mistaken for bad parenting. Afterward the 2006 afterlife of Marcus Fiesel, an autistic three-year-old from Middletown, the accumulation conducted a abstraction of Ohio adolescent careful casework and accurately acid in on the arrangement in Butler County, breadth a clandestine bureau that apprenticed with the accompaniment had placed Marcus with a advance ancestors in Clermont County.

Just a few months afterwards that placement, a abominable adventure unfolded.

Marcus was apprenticed and bound in a bleared hot closet for added than two canicule while his advance parents, David and Liz Carroll, went to a ancestors alliance in Kentucky. Aback they alternate to acquisition him dead, David Carroll collection the anatomy to a alien breadth and austere it in a chimney. The brace afresh appear that he’d gone missing at a accessible park, causing a advanced manhunt and civic publicity.

Liz Carroll was bedevilled to 54 years in prison, and David Carroll accustomed 15 years to life. 

RELATED: Impact of Marcus Fiesel’s afterlife reverberates 10 years later

The Fiesel case brought absorption and accusation to the arrangement Ohio has for absorption children. But it’s not bright how abundant has improved.

In 2015, the best contempo year for which the accompaniment has data, Ohio bootless to accommodated assorted benchmarks acclimated nationally to appraise accompaniment achievement on adolescent assurance standards.

For example, 9.69 percent of accouchement who were victims of corruption or carelessness were revictimized aural a year, according to abstracts provided by the Ohio Department of Jobs and Ancestors Services. The civic accepted is 9.1 percent or less.

The accompaniment saw 13.74 percent of the accouchement who were absolved from advance affliction re-enter it afresh aural a year. The civic accepted is 8.3 percent or less.

And the accompaniment additionally exceeded the civic accepted for the amount of accouchement victimized while in advance care.

In added words, the abstracts shows there are problems at around every footfall of the process, from advance affliction to reunification.

“Look carefully at these cases and the account is about consistently the aforementioned — an under-prepared, under-trained, and badly afflicted caseworker lacked the knowledge, and best of all, the time to do a absolute analysis and accomplish the appropriate decision,” the Butler Canton address says.

Child deaths generally advance to a renewed advance by communities to abolish accouchement from ambiguous home environments, Wexler said — a convenance he calls “foster affliction panic” — but he argues that isn’t consistently in the best absorption of those children.

Bad decisions appear in both directions, according to Wexler: abrogation kids in alarming homes and removing kids that could calmly be fabricated safe with the appropriate affectionate of ancestors account intervention.

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“The added that workers are afflicted with accouchement who don’t charge to be in advance care, the beneath time they acquire to acquisition accouchement in absolute danger,” his group’s address says.

Ohio is adverse an immense curtailment of advance affliction families, according to Ohio Advocate General Mike DeWine, who alleged absorption to the botheration in August.

The accompaniment has about 15,000 accouchement in the aegis of accouchement casework agencies, up about 3,000 from seven years ago. The cardinal of advance families accountant with the accompaniment is about 7,200.

Not abandoned are added accouchement accepting placed in advance care, admiral say, but the addiction crisis is befitting them there longer.

Drug issues accounted for about bisected the removals of accouchement from homes in Ohio aftermost year.

Worth your support: Investigating adolescent deaths

To get this story, anchorman Katie Wedell spent several months requesting accessible records, allegory data, digging through cloister dockets and interviewing families and adolescent abundance officials. The belief of these accouchement were disconnected calm from a state-provided database that didn’t accommodate any names.

This affectionate of important analytic assignment takes endless hours and is fabricated accessible through the abutment of our subscribers.

Contact anchorman Katie Wedell: On Facebook | On Twitter | Email

Contact the I-Team: On Facebook | On Twitter | Tip band 937-225-2251

‘My wife still talks about him’

In the six years aback Damarcus Jackson’s death, Joseph and Latasha Tye acquire connected to affliction for advance children, and alike afresh adopted three accouchement as abiding associates of their family. But they are still affronted about the accident of the advance son they loved.

They are affronted because they say it could acquire been prevented.

“My wife still talks about him,” Joseph says.

The Tyes were Demarcus’s advance parents from the time he was eight canicule old until he was reunited with his bearing parents two months above-mentioned to his death.

They say there were signs of corruption alike then, including bruises afterward a acting break with his bearing parents.

DeWine begin the capacity of Demarcus’s afterlife so advancing — addition adolescent murdered afterwards actuality placed with parents who acquire a history of corruption — he launched an all-embracing check of Ohio’s adolescent abundance system.

“While reunification is the ambition and we should try to accumulate families, the assurance of the adolescent is added important than putting that ancestors aback calm again,” DeWine said afterward the boy’s death. “The assurance of the adolescent is consistently paramount.”

After Demarcus’s death, DeWine alone alleged the Tyes to accurate his condolences. He captivated boondocks anteroom affairs throughout Ohio, acquisitive to draw absorption to the abundance of the state’s children.

But while a bill that grew out of those affairs became law in 2014 and resulted in some accessory reforms, he admits the accomplishment fell far abbreviate of its goal.

“One of the things that we’re activity to acquire to do is that (funding) cardinal is activity to acquire to get raised,” said DeWine, who is now active for governor of Ohio.

RELATED: Urgent alarm for advance parents fabricated in deathwatch of opioid crisis

DeWine said the accompaniment needs “to booty a adamantine attending at the advance affliction system,” and appraise the appulse the opioid crisis is accepting on children, some of whom get beatific alfresco their home canton if there are no places to put them.

However, Wexler said it will booty added than money to ensure the arrangement is as acceptable as it can be.

“If you abandoned appoint added workers afterwards alteration the axiological access of the agency, all you’ll get is the aforementioned awful arrangement abandoned bigger,” he said.

Joseph Tye doesn’t authority out abundant achievement that things will get better.

Of accomplished efforts to ameliorate the system, he said, “It hasn’t afflicted nothing.”

This adventure is the aftereffect of months of work. The Dayton Daily News aboriginal acquired a database of cases of doubtable corruption and carelessness activity aback about a decade from the Ohio Department of Jobs and Ancestors Services, and afresh akin those cases with cloister documents, afterlife certificates and added annal to allotment calm advice on as abounding adolescent deaths as possible. The bi-weekly additionally conducted interviews with adolescent abundance officials, advance parents and others to accretion a bigger compassionate of why so abounding accouchement acquire died afterwards actuality reunited with their biological parents. 

This adventure is the aftereffect of months of work. The Dayton Daily News aboriginal acquired a database of cases of doubtable corruption and carelessness activity aback about a decade from the Ohio Department of Jobs and Ancestors Services, and afresh akin those cases with cloister documents, afterlife certificates and added annal to allotment calm advice on as abounding adolescent deaths as possible. The bi-weekly additionally conducted interviews with adolescent abundance officials, advance parents and others to accretion a bigger compassionate of why so abounding accouchement acquire died afterwards actuality reunited with their biological parents. 

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