The juvenile died during the night hours, in the bedroom where two quarantined boys had been staying for three days. The incident report drawn up by the non-public JEC states that at 20.00 hrs. the educator started his night shift. The day preceding the incident was quiet, without any incidents. At that time, the quarantine group consisted of five juveniles. After the bath at about 21.00 hrs., all juveniles went to their rooms which they were not permitted to leave at night. Throughout the night, the educator was present in the facility and, according to the then-practised procedure, remotely supervised the juveniles from the quarantine groups. He did not enter the bedrooms but looked into them several times through the window in the door to check if everything was all right. He spent the rest of his shift in the educators’ room (located 2 meters from the juveniles’ room). According to the educator’s report, he did not notice anything alarming. He did not hear any disturbing noises or signals from the juveniles, and nothing unusual attracted his attention. On the following morning at 8, a new shift started and a new educator arrived. By 10.30am he had checked each bedroom several times looking through the window in the door, but the juveniles were asleep. At about 10.40 one of the juveniles knocked on the door, went to the toilet, and then took the breakfast from the kitchenette for himself and his roommate. After about 5 minutes, when the educator entered the bedroom to measure the temperature, the juvenile informed that his roommate was probably dead. After an attempt to check the heart rate and breathing (the boy did not show any signs of life), the educator immediately notified the director of the JEC who called an ambulance and the police. The ambulance doctor who arrived to the JEC confirmed that the juvenile was dead. The police secured the place and called a prosecutor. The juvenile’s parents were also notified. According to the preliminary opinion of medical experts, the boy had a piece of toilet paper in his mouth (he had a runny nose and kept some toilet paper in the bedroom). Two weeks later, the other juvenile who slept in the same bedroom admitted that he killed his roommate. On the same day, the police detained him and placed him in a shelter for juveniles. The circumstances and the course of the incident are being investigated by the District Prosecutor's Office in Łańcut. Immediately after the incident, the practice of night-time supervision over the juveniles was changed, as mentioned in the earlier part of this report297. Actions to support the other juveniles has also been undertaken in the centre. They mainly consisted in individual and group meetings with a psychologist and an educator, aimed at reducing psychological tension. Moreover, the juveniles were permitted to contact their parents by telephone at any time. The psychological aid team also conducted telephone conversations with the parents of the juveniles from the group of which the dead juvenile had been a member, in order to dispel the parent’s fears and doubts regarding the safety of their children in the facility. At present, staff members are required to enter the juveniles’ rooms at night (every half hour between 10.00 p.m. and 1.00 a.m., and every hour between 1.00 a.m. and 6.00 a.m.) with a torch to check their condition. The director of the centre has also introduced the requirement to keep the Bedrooms monitoring logbook, in which the dates and hours of the monitoring are recorded. The entries are verified against the CCTV recordings. 297 112

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