CPO-4 Reporting Allegations Policy
POLICY NUMBER: CPO-4
EFFECTIVE DATE: July 1, 2014
RESPONSIBLE OFFICER: Chief Compliance Officer
I. PREAMBLE; APPLICABILITY
Drexel University is responsible for the proper use of its resources and the public and private support that furthers the realization of its mission. The University is committed to conducting its affairs in full compliance with the law and with its own policies and procedures. Such adherence strengthens and promotes ethical and fair practices and treatment of all members of the University and those who conduct business with the University.
Faculty, professional staff members and others holding positions of fiduciary duty with the University are obligated to perform these duties in compliance with all applicable laws and University policies and procedures.
The University has developed and implemented internal controls and procedures that are intended to prevent or deter improper conduct. There may, nonetheless, be both intentional and unintentional violations of laws, regulations, policies and procedures. The University has a responsibility to investigate and, where appropriate, report allegations of suspected improper conduct.
This policy governs reporting and investigations of allegations of suspected improper conduct. The University encourages professional staff members, faculty, students and others to use the guidance set forth in this policy to report any and all allegations of suspected improper conduct. This policy applies to all members of the Drexel University community: faculty, professional staff members, students, trustees, contractors, and volunteers. As used in this policy, the term the “University” is meant to include the whole of Drexel University: each of its colleges, schools, centers, institutes, divisions, subsidiaries and affiliates, operating and business units, its administration, its boards of advisors, and any Boards of Trustees or Directors of the University.
The terms “faculty,” “professional staff members,” “student,” “trustee,” “contractor,” “volunteer,” “director,” “officer” and “agent” include any person who fills such a role or provides services for or on behalf of any part of that whole University, whether full-time, part-time, per hour or per diem, employed or not employed, paid or unpaid.
This policy provides for confidentiality, and confirms that any person who makes a good faith report of suspected improper conduct or who participates in the investigations of such a report will be protected from retaliation by the University or anyone within its control.
It is not intended that this policy alter in any fundamental aspect the responsibility for conducting investigations, but to provide guidance on how reports of suspected misconduct can be made. Individual employee grievances and complaints concerning terms and conditions of employment will continue to be reviewed in accordance with applicable academic and human resources policies and collective bargaining agreements.
Any allegations of improper conduct that may result in disciplinary action against a faculty member or professional staff member shall be coordinated with the applicable policies. In all cases, the University shall exercise its discretion in determining when circumstances warrant investigation and, in compliance with this policy, the appropriate investigative process to be employed.
Finally, this policy is subject to the direct oversight of the Audit Committee of the Board of Trustees in carrying out its responsibility under its Charter to receive regular reports on calls made to the hotline and the Chief Compliance Officer's responses. The Chief Compliance Officer reports directly to the Audit Committee.
For purposes of this policy the following terms shall have these meanings:
A. “University Resources” shall include, but not be limited to the following, whether owned by or under the management or control of the University:
• Cash and other assets, tangible or intangible, real or personal property;
• Receivables and other rights or claims against third parties;
• Intellectual property rights;
• Facilities and the rights to use University facilities;
• Drexel University's name, associated symbols, logos or service marks;
• University records, including student records; and
• Patient medical records.
B. “Chief Compliance Officer” is a University official who has independence within the University community, is knowledgeable concerning University resources and procedures, and can assure that there is a fair and impartial investigation of allegations of improper conduct and that the outcome of the investigation will be based on the merits. The President shall appoint the official who will serve as Chief Compliance Officer, and shall publicize the appointment no less than once each quarter. The Chief Compliance Officer shall report directly to the Audit Committee of the Board of Trustees.
C. “Improper Conduct” is any action or activity by an employee (faculty or professional staff, including members of a collective bargaining unit) that is undertaken in the performance of the employee's official duties or with the appearance or representation that it is undertaken in the performance of official duties, whether or not the action or activity is within the scope of his or her employment, and that: (1) is in violation of any federal or state law or regulation, including, but not limited to, corruption, malfeasance, bribery, theft, fraudulent claims, fraud, or conversion; (2) is a misuse or misappropriation of University property or willful omission to perform duty or intentional violation of a University policy, procedure, rule or regulation; (3) is economically wasteful or involves gross misconduct, incompetence or inefficiency or creates for the University potential exposure to liability and financial irregularities; (4) suggests strongly that the action or activity is the result of a criminal act; (5) is a significant threat to the health or safety of members of the University community; (6) is scientific misconduct; (7) is an unauthorized invasion, alteration or manipulation of records and computer files; (8) is in pursuit of a benefit or advantage in violation of the University's Conflict of Interest and Commitment Policy; (9) interferes with or obstructs a University investigation conducted in accordance with this policy, including the withholding, destruction or tampering with evidence or any effort to influence, coerce, intimidate or retaliate against Reporters or witnesses; or (10) is determined by the Chief Compliance Officer to be detrimental to the best interests of the University.
D. “Protected Disclosure” is any report, communication or other disclosure that may evidence Improper Conduct, if made in good faith for the purpose of correcting the conduct or while participating in an investigation of Improper Conduct.
E. “Reporter” is the term for a person making a Protected Disclosure. The Reporter is a reporting party, not an investigator, fact finder or the person who determines the corrective or remedial action.
III. Reporting Allegations of Suspected OR KNOWN Improper Conduct
A. Filing a Report
Any person may report allegations of suspected Improper Conduct. Reports should focus on facts, and avoid speculations and drawing conclusions. Including as much specific information as possible will facilitate the evaluation of the nature, extent and urgency of preliminary investigative procedures
Unless otherwise specified in this policy, faculty and professional staff members of the University (including its subsidiaries and affiliates) should report allegations of Improper Conduct to the employee's immediate supervisor or other appropriate administrator or supervisor within the operating unit or to the Chief Compliance Officer. Employees may also make reports to the President; General Counsel; Senior Vice President for Student Life and Administrative Services; Provost; Senior Vice Provost, Office of Research and Administration; Director, Internal Audit; and Chief Compliance and Privacy Officer.
The University recommends that persons who are not employees of the University make reports to the Chief Compliance Officer. Such reports may be made to another University official whom the reporting person may reasonably expect to have either responsibility over the affected area or the authority to review the alleged Improper Conduct on behalf of the University.
Anonymous reports may be made but they must include sufficient corroborating evidence to justify initiating an investigation.
Notwithstanding this policy, for emergency situations involving immediate danger or threat to safety (e.g., fire), violence or threat of bodily injury, criminal activity (including, but not limited to, sexual assault, robbery, possession of a gun or other serious misconduct), all persons in the University community (whether an employee, contractor, visitor/guest or other person) should call 9-1-1 and Drexel Public Safety/Drexel Police Department at 215.895.2222 (University City campus); 215.762.7111 (Center City campus); or 215.991.8102 (Queen Lane campus) (Non-emergency calls of a similar nature should be made to Drexel Public Safety/Police Department at 215.895.2222).
REPORTING CHILD ABUSE (mandatory and voluntary reporting)
University faculty and professional staff members, students, volunteers and any other person to whom this Code of Conduct applies are required to comply with all local, state and federal laws and regulations regarding the reporting of known or suspected child abuse of a minor (anyone under the age of 18), which includes serious physical injury or sexual assault, serious mental abuse, severe neglect, and exploitation (such as child pornography). If any minor is in imminent danger, or if the abuse is presently happening, immediately call 9-1-1 and Drexel Police [DU1] at 215.895.2222 University City campus); 215.762.7111 (Center City campus); or 215.991.8102 (Queen Lane campus).
Pennsylvania law currently requires the following individuals (“mandated reporters”) to make a report about the suspected child abuse:
- A person who, in the course of employment or profession comes into contact with minors, and the person has reasonable cause to suspect that a child is a victim of child abuse.
- Specifically-named professionals are “mandatory reporters” including, but not limited to: any licensed physician, osteopath, medical examiner, coroner, dentist, optometrist, chiropractor, podiatrist, intern, registered nurse, licensed practical nurse, hospital personnel engaged in the admission, examination, care or treatment of persons, school administrator, school teacher, school nurse, social services worker, day-care center worker or any other child-care worker, mental health professional, peace officer or law enforcement official. Two exceptions are made in the law for reporting requirement which involve confidential communications to a member of the clergy, and for confidential communications made to an attorney (23 Pa.C.S. § 6311).
Effective as of December 31, 2014, all University faculty and professional staff members, volunteers and independent contractors who have direct, or regular, contact with a minor through any program, activity or service sponsored by or on behalf of the University are considered to be a mandated reporter under the Pennsylvania Child Protective Services Act (“CPS”). Students also are considered mandated reporters under the CPS if, on the basis of their role as an integral part of a regularly-scheduled program, activity or service, they accept responsibility for a minor (such as through a youth camp, recreation or athletic program or an outreach program [e.g., community service]).
Thus, in anticipation of these changes to Pennsylvania law, all University faculty and professional staff members, students, volunteers and contractors who have direct or regular contact with minors in connection with their professional or employment duties or an educational program or through any regularly-scheduled program, activity or service provided by or on behalf of the University, must report any known or suspected abuse, neglect or exploitation of a minor by calling: (1) ChildLine – the PA Department of Public Welfare’s child abuse hotline – at 1.800.932.0313; AND then (2) Drexel University Department of Public Safety at: 215.895.2222 (University City campus); 215.762.7111 (Center City campus); 215.991.8102 (Queen Lane campus). The oral report to ChildLine must be followed by a written report within 48 hours. Upon notification to Public Safety, Public Safety will work with the reporter to make sure that the written report is submitted as required.
See: 23 Pa.C.S. §§ 6311, 6313.
In New Jersey, any University faculty, professional staff member, student and volunteer or contractor who is providing services in connection with a University program, activity or service, who has reasonable cause to believe that a minor child under the age of 18 has been subjected to child abuse or neglect must report such known or suspected child abuse or neglect to the Division of Youth and Family Services by telephone (1.800.652.2873 – 1.800.NJABUSE) or otherwise. Immediately after making such a report, the person must contact Drexel Public Safety at 215.895.2222 and report the incident for further follow up as may be required.
See: N.J.S.A. § 9:6-8.10.
Under California law, any University faculty or professional staff member whose duties involve regular contact with a minor (under 18), or supervision of others whose duties bring that University faculty or professional staff member into regular contact with any minor, is a mandatory reporter.
If in California, acting in a professional capacity or in the course of employment at Drexel, any University faculty or professional staff member, who has knowledge of, or observes, a minor whom the person knows or reasonably suspects has been the victim of child abuse or neglect, must report that information immediately to: 916.875.5437 [916.875.KIDS], in Sacramento County (Sacramento County Child Protective Services); and then call Drexel Public Safety at 215.895.2222. An oral report must be followed by submission of a written report within 36 hours to the same agency where the report was made.
See: Cal. Pen. Code §§ 11165.7, 11165.9, 11166, 11167.
Any University faculty or professional staff member, student, volunteer, or contractor who knows, or has a reasonable suspicion, that a minor child has been abused or neglected, even if not a mandatory reporter under the law, is strongly encouraged to report that information to the applicable state child abuse registry, as outlined above, and to Drexel Public Safety.
The University’s Hotline is available to any person wishing to report suspected Improper Conduct, even anonymously. The Hotline can be accessed as follows:
1.866.358.1010 (toll free)
While not intending to preclude anyone from filing good faith reports, the Hotline is to be used for serious misconduct and violations of University policy, such as fraud, stealing, misappropriation of University property or assets, false claims to the Government, as well as other serious misconduct such as sexual assault, child sexual abuse or exploitation, patient abuse or other serious acts that involve safety to individuals or property. It diminishes the University’s ability to respond to those serious, urgent complaints if the hotline is flooded with more mundane matters, such as a dispute with a supervisor or other matters that are more regularly handled by another University department with the appropriate resources and expertise (for example, Human Resources, the Office of Equality and Diversity or the Office of Disability Resources). The University encourages reporting complaints to the Hotline, but also urges consideration of the proper channels in the University for such complaints.
B. Reporting to the Chief Compliance Officer
1. Managers, administrators and professional staff members in supervisory roles who receive a report alleging Improper Conduct shall promptly report the matter to their supervisor, an appropriate University manager and/or the Chief Compliance Officer. Such supervisory professional staff members are charged with exercising appropriate judgment in determining which matters can be reviewed under their authority or referred to a higher level of management or to the Chief Compliance Officer. The reporting supervisory professional staff member must document an oral report with a written summary of the oral report.
C. Reporting to the Office of the President and Others
1. The Chief Compliance Officer shall have principal responsibility for reporting to the President and senior management, or, if circumstances warrant, to the Board of Trustees. The Chief Compliance Officer shall consult with those who will investigate allegations of improper misconduct.
2. In some instances, a funding entity or regulatory agency may require a report of an allegation of improper conduct. The Chief Compliance Officer, in consultation with the administrators of the affected area, will determine the nature and timing of such communications.
3. Allegations of suspected losses of money, securities or other property shall be reported to the Assistant Vice President of Risk Management. The Office of Risk Management shall report such matters pursuant to the terms of any contracts with insurance or bonding companies.
4. In the event that any person with a reporting obligation believes that there is a conflict of interest on the part of the person to whom the allegations of suspected Improper Conduct are to be reported, the report of Improper Conduct shall be made to the next higher level of authority.
1. Reporters frequently make their reports in confidence. To the extent possible within the limitations of law and policy and as determined by the need to conduct a competent investigation, confidentiality shall be maintained. Reporters should be cautioned that their identity may become known for reasons beyond the control of the investigators or University administrators. Reporters should be prepared to be interviewed by the investigator. If there is a self-disclosure, the University is no longer obligated to maintain confidentiality. Some acts or omissions that are reported as Improper Conduct may have to be reported to law enforcement authorities pursuant to mandatory reporting laws or other rules and regulations imposed upon the University. Accordingly, it may not be possible to guarantee that confidentiality will be maintained at all times.
2. The identity of the subject(s) of the investigation shall be maintained in confidence subject to the same limitations described above.
E. Time Limits to Report
All emergency situations and violations of criminal law (or activity that is reasonably suspected to be criminal), including incidents of child abuse, sexual assault or exploitation involving anyone (including minor children under the age of 18) must be reported immediately. Other allegations of suspected Improper Conduct must be reported as soon as possible and no later than one (1) year after the event(s) giving rise to the allegation, unless there is good cause to explain the delay.
IV. Investigating Alleged Improper Conduct
A. A number of units within the University have responsibility for routinely conducting investigations of certain types of allegations of Improper Conduct and have resources and expertise to apply to such purposes. These units include Internal Audit, Public Safety, Human Resources and the Chief Compliance Officer. In addition, other University parties may become involved in investigations of matters based on their area of responsibility or expertise, for example, risk management, research administration, academic affairs, Office of Equality and Diversity, and conflict of interest coordinators.
B. The Chief Compliance Officer shall coordinate the investigation of reports under this policy and will enlist the efforts of the appropriate unit within the University to conduct the investigation or may solicit investigative services outside of the University. In addition, the Chief Compliance Officer shall:
1. ensure that all appropriate reporting occurs to the Office of the President, funding and regulatory agencies, Reporters, and others, as necessary;
2. ensure that all appropriate administrative and senior officials are apprised of the allegations, as necessary;
3. ensure that appropriate resources and expertise are allocated in order to effect a timely, comprehensive and objective investigation;
4. ensure that there are no conflicts of interest on the part of any party involved in specific investigative units;
5. monitor the progress of the investigation; and
6. coordinate and facilitate as an advisor in determining the corrective and remedial action to be taken. The appropriate University official shall determine the corrective and remedial action to be taken.
C. Each investigative unit shall conduct its investigation in accordance with applicable laws and established procedures within its discipline.
D. All University employees have a duty to cooperate with investigations conducted under this policy.
E. During an investigation an employee may be placed on administrative leave or investigative leave, with or without pay, when it is determined that such a leave would serve the best interests of the employee, or the University or both and the granting of such leave is consistent with applicable personnel policies or collective bargaining agreements.
F. Investigative Responsibilities
1. Internal Audit is responsible for investigations involving allegations known or suspected misuse of University Resources, including fraud, financial irregularities and the financial consequences of other matters under investigation. If criminal activity is reported or detected, consultation with Public Safety will determine whether the police should be involved.
2. Public Safety is responsible for investigations of known or suspected criminal acts within its jurisdiction. In cases involving criminal concerns, Public Safety should work in support of the police investigation.
3. Procedures for investigations of personnel matters, scientific misconduct, and student misconduct are established by Human Resources, Research Administration, the Office of Senior Vice President for Student Life and Administrative Services and the Provost.
V. Roles, Rights and Responsibilities of Reporters, Investigation, Participants, Subjects and Investigators.
1. Reporters provide initial information related to good faith belief or reasonable suspicion that there is Improper Conduct.
2. Reporters shall not obtain evidence to which they do not have a right of access. Reporters are reporting parties, not investigators.
3. Reporters must be truthful and cooperative with the Chief Compliance Officer, investigators or others to whom they make a report of alleged Improper Conduct.
4. Reporters have a right to be informed of the disposition of their disclosure.
B. Investigation Participants
1. Investigation participants have a duty to cooperate fully with the University investigators.
2. Participants should not discuss or disclose the investigation or their testimony with including, without limitation, others who are reasonably likely to be investigation participants, as well as individuals not connected to the investigation. Under no circumstances shall a participant discuss with the investigation Subject (defined below), or other witnesses, the nature of the evidence requested or provided or the testimony given to the investigator unless agreed to in advance by the investigator.
3. The participants' confidentiality will be maintained to the extent possible within the legitimate needs of law and the investigation and subject to the provisions of this policy.
4. Participants are entitled to protection from retaliation on account of their participation in an investigation to the extent that Participants cooperate in a truthful, cooperative and candid manner.
C. Investigation Subjects
1. A Subject is a person who is the focus of an investigation.
2. Subjects should be informed of the allegations at the outset of a formal investigation and have opportunities for input during the investigation.
3. Subjects shall cooperate with investigators to the extent their cooperation will not undermine protection against self-incrimination under federal or state law.
4. Subjects have the right to consult with person(s) of their choice, including an attorney.
5. The Office of the General Counsel (OGC) may provide the Subject with information concerning matters relating to the investigation. The OGC (or counsel retained by the OGC) may also provide legal advice to the Subject unless the OGC (or outside counsel) determines that a conflict of interest precludes it from doing so. The OGC represents the University's interests; accordingly, if the OGC provides legal advice to the Subject, any information shared may not be subject to the attorney-client privilege, which belongs to the University. The Subject will be advised whenever a conflict of interest arises, requiring the attorney to withdraw from providing (or continuing to provide) legal services to the Subject.
6. Subjects shall not interfere with an investigation. They shall not withhold, destroy or tamper with evidence or influence, coerce or intimidate witnesses.
7. The standard of evidence to sustain an allegation of Improper Conduct is a preponderance of the evidence.
8. Subjects shall be informed of the outcome of the investigation.
9. Any disciplinary or corrective action taken against the Subject resulting from an investigation under this policy shall conform to the applicable academic or personnel conduct and disciplinary procedures.
1. Investigators are those persons authorized by the University to conduct fact finding and analysis of cases of alleged Improper Conduct.
2. Investigators derive their authority and access rights from University policy.
3. Investigators are competent to conduct the investigation.
4. All investigators shall be independent and unbiased in fact and appearance. In addition, they have a duty to be fair, objective, thorough, ethical and observant of legal and professional standards.
5. An investigation shall be undertaken if preliminary consideration establishes that the allegation, if true, constitutes Improper Conduct and (i) the allegation contains specific information about the conduct, event, perpetrator and/or victim, or (ii) the allegation has or directly points to corroborating evidence capable of being pursued.
VI. Protection Against Retaliation
Reporters and others who make protected disclosures in good faith shall not be retaliated against in any manner, with the intent of adversely affecting the terms or conditions of employment or enrollment (including, but not limited to, threats or physical harm, loss of job, adverse or punitive work assignments or impact on salary or wages) and shall be protected from such retaliation by the University. This protection from retaliation is not intended to prohibit supervisors or administrators from taking action, including disciplinary action, in the usual scope of their duties and based upon valid performance-related factors. Reporters and others who believe they are the subject of prohibited retaliation should promptly report such actions to the Chief Compliance Officer.
VII. Sanctions for False Claims
A Reporter who makes a claim under this policy in bad faith, or knows or has reason to know that such claim is false or materially inaccurate, shall be subject to disciplinary sanctions, including reprimand, suspension, demotion or, under appropriate circumstances, termination (including loss of tenure, if applicable). In appropriate cases, the University may also impose a fine on the Reporter equal to the costs of conducting the investigation.
VIII. Oversight of Audit Committee
The administration of this policy is subject to the direct oversight of the Audit Committee of the Board of Trustees. The Audit Committee of the Board of Trustees shall receive regular reports of calls made to the hotline and the Chief Compliance Officer’s responses.
IX. Status and Amendment of Policy
The University reserves the right to amend this policy from time to time as the interests of the University may require. This policy is intended as guidance for the reporting and investigating of allegations of suspected or actual Improper Conduct. This policy does not create, nor should it be viewed as creating, a contractual obligation between the University and any faculty, professional staff member, student, contractor, volunteer, visitor/guest or any other person.
X. Chief Compliance Officer
Edward G. Longazel, MHA, CHC, CHRC
Chief Compliance and Privacy Officer
Additional Information: Inquiries regarding this policy should be referred to the Chief Compliance Officer at 215.255.7819.