39 during the week, but not during the weekend, being approved for payment, by the General Social Assistance Directorate and Child Protection, only 48 weekend hours; thus, there was no possibility of ensuring permanent supervision in all the apartments; both the educators and the head of the center claimed that most incidents between children appeared during the weekends; in the Placement Center within the Community Services Complex "Sfânta Maria" Vălenii de Munte, Prahova county, each educator took care of more than 25 children, with different ages and needs, which, in time, can cause negative events in providing the services offered to the beneficiaries; ● lack of adequate prevention and intervention measures in conflict cases; ● no Specific Intervention Programs were developed; ● there were no activities adapted to the needs of the beneficiaries; no recreational, individual or group activities were organized; ● there were no meetings of the multidisciplinary team regarding the monitoring of the beneficiaries' situation; ● the steps regarding the family and social reintegration of the beneficiaries were insufficient; ● insufficient communication of the staff of the center with the school; ● the permanence of the medical assistance was not ensured (in the Beclean Family Placement Center a single nurse was employed, given the capacity of the center was 100 places; the "St. Marcellin Champagnat" Placement Center did not have staff medical employed, when among the beneficiaries were 9 children diagnosed with mental illnesses, who received permanent treatment recommended by the specialist doctor; in the Placement Center for children with severe disabilities Cristuru Secuiesc, medical care was provided by 3 nurses working in two shifts (07:00-15:00 and 13:00-22:00); one nurse position was vacant; two of the children, due to severe swallowing disorders, were fed through a nasogastric tube, mounted by the nurse; If during the night there were difficulties in positioning the tube, the nurses were called from home, during the night the supervision of the children being provided by an educator and a supervisor); - homes for the elderly: ● regarding the social care: in the Home for the Elderly Mărășești, Vrancea County, there were found incomplete or partially completed registers, the social surveys were not updated and the programs for social integration / reintegration were not individualized, no rooms for visits, etc.; ● there was no possibility to provide functional recovery / rehabilitation therapies for the beneficiaries; ● the number of organized culturaleducational and recreational activities was low; ● the procedures, registers and working instruments provided by law were missing; ● the accommodation conditions were inadequate: the furniture items were insufficient and / or degraded; the rooms were not equipped with panic buttons; the accommodation spaces were not personalized; there were no handrails on the hallways needed by the beneficiaries with locomotor deficiencies; In the "Vintilă Vodă" Elderly Home, Buzau County, a room was provided with windows that communicated with the hallway (there were no windows with access to the outside of the building), which is why the beneficiaries had no natural light and fresh air, the possibility for them to go out in the fresh air being very small, considering that the beneficiaries were moving in the wheelchair and the number of personnel was small; ● the situations of abuse (for example, altercations between beneficiaries) were not recorded in the Register of special events; ● regarding the safety of the beneficiaries: in the "Vintilă Vodă" Elderly Home, Buzau County, in a bedroom, the NPM members found the presence of a chain of approximately 40 cm. length; the personnel on duty were claiming that the object belonged to a beneficiary who wanted to secure their personal goods in this way, by using the chain and a lock that could not be found; considering that some of the persons in the hospital were diagnosed with chronic mental illness, the visiting team asked the staff members to remove the object and to prohibit the introduction of such objects in the home, and measure that was taken immediately; PEOPLE’S ADVOCATE ANNUAL REPORT 2019