infolio

Chapter 16 - THE PEOPLE WHO OBEYED

The audit did not end with Ophelia.

Elaine Porter had obeyed pressure and downgraded reports.

She admitted it.

MDS suspended her.

Independent review found she had also preserved enough original documentation that problems could later be reconstructed.

Bad judgment.

Not fraud.

She completed retraining, moved to a non-family account, and eventually became a strong safety manager.

The household director who received Lucy’s first incident report had done less.

He closed it without speaking to the pediatric team.

He was terminated.

Different conduct.

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Different consequences.

No need to make everybody equally guilty.

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