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How a staffing shortage can make special education jobs more dangerous
Margo Jimenez cries as she talks about the moment she realized her husband, Fred Jimenez, would never wake up. According to his death certificate, Fred died of “blunt force head injuries” on Feb. 17, 2024. His injuries were caused by a push from a student 10 days earlier. His death was ruled a homicide.
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Every so often, Margo Jimenez says, her husband would come home from work with injuries.
“One day, he came home with a black eye, his glasses were broken, and he had bites on his arm,” Margo recalled. “I said, ‘Well, did you report it?’ He said, ‘No.’ I said, ‘Why not?’ He said, ‘Margo, because it happens all the time.’”
Fred Jimenez worked as a special education instructional assistant for the Northside Independent School District in San Antonio. He helped students with disabilities meet their learning and physical needs, and his job involved everything from diaper changes to helping students with hands-on instruction to managing violent outbursts.
On Feb. 7, one of those violent outbursts sent Fred to the hospital.
Fred was pushed by a high school student who has a cognitive disability. He fell and hit his head, and it led to a brain bleed.
He died 10 days later without ever waking up.
Margo Jimenez points out a memorial to her late husband, Fred Jimenez, in her yard – a stone with his name engraved on it. Next to it stands another stone, in remembrance of her son who died in a car accident.
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A workers compensation form describes Fred Jimenez’ injury. It reads, “Employee was pushed by a student and fell hitting his head.”
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Samuel Rocha IV/TPR
“I literally have no one since Freddy passed away,” Margo said.
“Every day is a challenge for me, every day, every single day, all day. So I just do the best that I can with what God’s given to me.”
Fred’s story is an extreme case, but the situations he faced in the classroom are a common story.
Students receive special education services for a wide variety of disabilities. According to the U.S. Centers for Disease Control and Prevention, most students with developmental disabilities aren’t any more aggressive than other students. But for some, their disability can lead to frustration and, in turn, aggression. Other students may have disabilities that include a tendency toward aggressive behavior.
“It’s not surprising,” said Susan Dvorak McMahon after hearing about the injuries Fred received before his death.
McMahon, a psychology professor at DePaul University, studies violence against educators and has conducted national surveys of educator experiences. Among her findings, published last year: Special educators are more likely to experience violence or aggression from students.
A Northside special education teacher who spoke to NPR on the condition of anonymity said her leg was injured so badly while a student was in the middle of an aggressive outburst that she required surgery. She provided this photo of the bruising that developed after the injury. She asked not to be named out of fear of retribution.
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“These issues have been going on for a while, and because we asked teachers about their worst, those most upsetting experiences, we read a lot of responses that are really – they’re very difficult to read,” McMahon said.
There isn’t a lot of research into how often special educators are hurt at work, but a Pennsylvania study published in 2014 found special educators were nearly three times as likely as general educators to be physically assaulted by students.
That can make it harder for school districts to hire special education staff, at a time when schools across the country are struggling to fill these positions. A recent federal survey found, nationwide, special education vacancies are the most difficult for schools to fill. District officials told NPR that’s also been true in Northside.
How staffing shortages can lead to unsafe conditions
After Fred’s death, his colleagues filed an internal complaint with the Northside Independent School District alleging that his death was part of a widespread pattern of student-caused injuries in special education classrooms.
Exhibits full of photos and email exchanges paint a picture of how the district’s staffing shortages can lead to unsafe conditions and serious injuries.
Special education teacher Sheree Kreusel signed the complaint.
Special education teacher Sheree Kreusel worked with Fred Jimenez before he moved to his final job at a high school. “I’ve had so many injuries,” she said.
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Samuel Rocha IV/TPR
“I’ve had so many injuries,” Kreusel said. “I’ve had three concussions, two broken noses, stabbed in the stomach, numerous bites, scars from bites. And that’s just kind of a normal thing, unfortunately.”
Kreusel worked with Fred before he moved to his final job at a high school. She teaches middle schoolers with cognitive disabilities, and for the past 15 years she’s worked in a classroom that’s only for students with higher levels of need.

She said she loves her students, and doesn’t blame them for hurting her. Many of them have their own triggers, and Kreusel says she does her best to learn them. But she isn’t always able to avoid an outburst.
“The student may be aggressive, but it doesn’t mean they are targeting you because they hate you,” Kreusel said. “That’s usually not the case. It’s usually something that has happened, and they might be nonverbal. They can’t express it, and they just blow up.”
When that happens, the teachers’ complaint says, there isn’t enough staff to address it.
Kreusel has documented her injuries in photos. “I’ve had three concussions,” she told NPR. She said her last concussion caused permanent nerve damage on her forehead. Kreusel has also documented bite marks and scars after being bitten by students.
Sheree Kreusel
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Sheree Kreusel
Boston University researcher Elizabeth Bettini studies special education. She says when it comes to students who are prone to aggressive behavior, “You really need three people to be involved. You need two people to be part of keeping the students safe, and then you need a third one to collect data,” or document what’s happening.
But Kreusel said the district’s staffing shortages means educators are sometimes alone in the classroom. The district acknowledges this does happen.
Low pay makes it hard to hire and retain staff
Northside Independent School District officials said they can’t comment on the complaint while it is ongoing. However, Tracy Wernli, who oversees special education services for the district, agreed to answer more general questions.
She said Fred Jimenez was a “very well-loved instructional assistant in our district,” and described his death as a “horrible, horrible event” and “absolutely devastating.”
She also acknowledged the district has been struggling to hire the special education staff it needs, and a big reason for that is money. Wernli said the special education funding they get from the state and federal government isn’t enough to cover their costs.
“That’s a big key part,” Wernli explained. “We spend a lot more than what we’re given.”
Northside’s starting pay is less than $16 an hour for instructional assistants. Wernli said they can’t afford to pay more. But for a lot of people, that’s not enough compensation for a job that can be physically and emotionally demanding.
Margo Jimenez’s home is full of mementos and memorials to her husband, Fred. He was known as “Mr. Fred” to students and colleagues at the school where he worked.
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“There are people that do that and do it with passion and love it, and there are people that it’s just not for them,” Wernli said.
Kreusel, the teacher who worked with Fred, says she knows limited funding and staffing shortages are a challenge for many districts. But it doesn’t change her reality.
“I’m afraid what happened with Fred – people hear about that, and they don’t want to do this job. I mean, they can get paid more working at Chick-fil-A than being an instructional assistant,” Kreusel said.
She thinks she and her colleagues will continue to get hurt until the district hires more instructional assistants and pays them well enough that they’re willing to stay.
Audio story produced by: Janet Woojeong Lee
Audio and digital stories edited by: Nicole Cohen
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A 3-D Look Inside Trump’s Revamped Oval Office
Mr. Trump spends a great deal of his public and private time in the Oval Office. Here, he fields phone calls from allies, hosts hourslong staff meetings and takes questions from reporters while cameras roll.
It’s not unusual for presidents to decorate the space to their own tastes. They often choose art or items meant to evoke meaning and a historical connection to past political eras.
But in his second term, Mr. Trump has placed a connection to his lavish decorating style above all else. His tastes veer toward the gilded, triumphal style of Louis XIV, a theme that shows up in his own properties.
Mr. Trump has regularly added to or swapped out items in the Oval, according to Karoline Leavitt, the White House press secretary. Some of Mr. Trump’s changes go beyond the decorative — he has installed a red button on his desk that lets him instantly order a Diet Coke.
Most objects on the walls are from the White House archive. But a few things, including gold angel statuettes placed above two of the doorways, were brought in from Mar-a-Lago, his estate in Palm Beach, Fla.
Donna Hayashi Smith, the White House curator, and several members of her team spend time pulling portraits and other items from an archive to show Mr. Trump for approval. The president has also traveled to a vault below the White House to see items in person before choosing to display them in the Oval, Ms. Leavitt said.
Mr. Trump was recently shown a portrait of the former first lady Jacqueline Kennedy, which now hangs near the fireplace. Ms. Leavitt said the president added this portrait, the only one of a woman in the office, because he “admires” Mrs. Kennedy.
The Oval Office makeover is among the many changes Mr. Trump has ordered at the White House, including paving the Rose Garden, remodeling the Lincoln bathroom and demolishing the East Wing to build a massive ballroom.
The Golden Stage
Why all the gold?
“He’s a maximalist,” Ms. Leavitt said, citing Mr. Trump’s background in real estate and hospitality. “So he loves showing people who come in, the renovations, his office, his gift shop.”
She added that when traveling overseas, Mr. Trump proudly talks about the White House to world leaders as he invites them to visit him in Washington. “This is the people’s house. It is also the epicenter of the world,” Ms. Leavitt said. “And he genuinely does have a great respect for the White House.”
Almost as soon as he took office, Mr. Trump began adding gold accents to the Oval. By his first bilateral meeting, with Prime Minister Benjamin Netanyahu of Israel in February, there were five gold-framed portraits surrounding the fireplace and nine gold antiques on the mantel. By his October meeting with President Alexander Stubb of Finland, the gold had proliferated.
Mr. Trump also added ornately framed mirrors on two doors leading to other parts of the West Wing. One of them, shown below, covers a peephole where the president’s aides have, in the past, looked through to monitor the progress of meetings.
Now, if the door is closed, they can no longer see what is happening inside the Oval.
The sheer amount of gilded appliqués on the walls of the Oval Office has sparked internet rumors that they are plastic furnishings purchased from Home Depot, painted in gold. Mr. Trump has denied those claims, saying that the appliqués are authentic gold.
A White House official, speaking on the condition of anonymity to describe the process, said that the underlying materials are made of plaster or metal, then covered with real gold leaf. A craftsman from Florida regularly travels to Washington to gild the appliqués by hand, often when the president is away on the weekends, that official said.
Gold is a metaphor the president uses to visually show his success, said Robert Wellington, an art historian at the Australian National University and author of “Versailles Mirrored: The Power of Luxury, Louis XIV to Donald Trump.”
“He’s really setting up a kind of stage — a gilded stage for his presidency,” Mr. Wellington said. “His style is to amass things together to make this look of ‘rich.’ ”
Aside from the gold, Mr. Trump has hung more than 20 portraits in the Oval Office. In addition to Mr. Washington’s above the fireplace, portraits of John Adams, Benjamin Franklin, Andrew Jackson, William Henry Harrison, Abraham Lincoln, James Monroe and Franklin D. Roosevelt are also on the walls.
Mr. Trump has ruminated about the fate of Mr. Harrison, who died shortly after he was inaugurated, to people who have visited the Oval Office. He has said that the portraits of his predecessors are there to remind him of how quickly fate can change.
Most other presidents had just a few portraits or scenery paintings in the Oval.
George W. Bush, June 2005
Barack Obama, October 2014
Even the lighting in the Oval has not gone untouched.
During his first term, Mr. Trump had lights replaced in the Oval to make sure he was better lit during televised appearances.
Now, between the gold and the overhead lights, the room is very bright. The president has recently discussed installing chandeliers, a White House official said.
The Resolute Desk
In this space, Mr. Trump has ceremonies, like awarding medals to the Kennedy Center honorees or the 1980 Olympic hockey team. He has also hosted business leaders, like Apple’s Tim Cook, or other politicians, like New York City’s mayor-elect Zohran Mamdani.
Mr. Trump has recently taken to sitting at the Resolute Desk while people stand behind him at events.
Other presidents have used the Oval Office in a more structured, organized way than Mr. Trump does.
President Joseph R. Biden Jr. used it as a space for briefings with his staff; the list of attendees was tightly controlled by his senior aides. President Barack Obama often arrived at the office in the late morning, worked there until dinner and continued his evening working in the executive residence. President George W. Bush would reach the Oval by early morning, and in the days and months after the Sept. 11, 2001, terror attacks, the office became the backdrop of some of his most significant national addresses.
Mr. Trump treats the Oval Office as something akin to a boardroom or center stage. His most loyal aides are often in the room with him, helping workshop social media posts or fetching documents at his request. Meetings often run long, and sometimes get folded into unrelated events, because the president enjoys looping in more people as the day goes on.
One day this month, Mr. Trump welcomed a conga line of reporters, political allies and at least one cabinet secretary for meetings. He took phone calls and diverted to other subjects, including his plans for the East Wing ballroom. By the end of the day, he was several hours behind his official schedule, according to a person familiar with his schedule.
Smaller details in the Oval Office were still in the works recently. A gold statuette of an eagle flying over the Constitution was added last month near the flags behind the desk.
But Mr. Trump is most likely finished putting up new items, Ms. Leavitt said.
The Oval Office in 360
Tap and drag the image to explore on your own.
Additional photo credits:
George Washington portraits above the fireplace: White House Historical Association (Richard Nixon, Gerald Ford and Ronald Reagan administrations); Everett Collection, via Alamy (Jimmy Carter administration)
Photo of gold coasters and Diet Coke button: Doug Mills/The New York Times
Gifts to Trump: Doug Mills/The New York Times (plaque from Apple); Tom Brenner for The New York Times (FIFA Peace Prize trophy); Eric Lee/The New York Times (Washington Commanders football); Doug Mills/The New York Times (Rolex desk clock)
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Explosion at a Pennsylvania nursing home kills at least 2, governor says
First responders work at the scene of an explosion and fire at Bristol Health & Rehab Center on Tuesday in Bristol, Pa.
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Monica Herndon/The Philadelphia Inquirer/AP
BRISTOL, Pa. — A thunderous explosion Tuesday at a nursing home just outside Philadelphia killed at least two people, collapsed part of the building, sent fire shooting out and left people trapped inside, authorities said.
Pennsylvania Gov. Josh Shapiro said in a news conference several hours after the explosion that at least two had been killed after emergency responders braved the flames and a heavy odor of gas to evacuate residents and employees.
Fire officials said they were in “rescue mode” five hours later, with responders still digging by hand and using search dogs and sonar to locate potential victims.
The explosion happened at Bristol Health & Rehab Center in Bristol Township, just as a utility crew had been on site looking for a gas leak.
A plume of black smoke rose from the nursing home, as emergency responders, fire trucks and ambulances from across the region rushed there, joined by earthmoving equipment.
Authorities did not identify those who died and did not know the total number of those injured after residents and employees were evacuated to hospitals.

Shapiro asked his fellow Pennsylvanians to take a moment to pray “for this community, for those who are still missing, for those who are injured, and for those families who are about to celebrate Christmas with an empty chair at their table.”
The town’s fire chief, Kevin Dippolito, said at the Tuesday evening news conference that there were five people still unaccounted for, but he cautioned that some may have left the scene with family members.
Dippolito described a chaotic rescue where firefighters found people stuck in stairwells and elevator shafts, and pulled residents out of the fiery building through windows and doors.
Emergency personnel work at the scene of an explosion and fire at Bristol Health & Rehab Center on Tuesday in Bristol, Pa.
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Monica Herndon/The Philadelphia Inquirer/AP
They handed off patients to waiting police officers outside, including one “who literally threw two people over his shoulders,” Dippolito said. “It was nothing short of extraordinary.”
Bucks County emergency management officials said they received the report of an explosion at approximately 2:17 p.m. and said a portion of the building was reported to have collapsed.
Willie Tye, who lives about a block away, said he was sitting at home watching a basketball game on TV when he heard a “loud kaboom.”
“I thought an airplane or something came and fell on my house,” Tye said.
He got up to go look and saw “fire everywhere” and people escaping the building. The explosion looked like it happened in the kitchen area of the nursing home, he said. Tye said some of the people who live or work there didn’t make it out.
“Just got to keep praying for them,” Tye said.
Shapiro said a finding that the gas leak caused the explosion was preliminary.
The local gas utility, PECO, said its crews had responded to reports of a gas odor at the nursing home shortly after 2 p.m.
“While crews were on site, an explosion occurred at the facility. PECO crews shut off natural gas and electric service to the facility to ensure the safety of first responders and local residents,” the utility said in a statement.
Nils Hagen-Frederiksen, press secretary at the Pennsylvania Public Utility Commission, said investigators from the safety division were headed to the scene. Finding that the explosion was caused by a gas leak won’t be confirmed until his agency can examine the scene up close, he said.
Musuline Watson, who said she was a certified nursing assistant the facility, told WPVI-TV/ABC 6 that, over the weekend, she and others there smelled gas, but “there was no heat in the room, so we didn’t take it to be anything.”

The 174-bed nursing home is about 20 miles (32 kilometers) northeast of Philadelphia. Its owner, Saber Healthcare Group, said it was working with local emergency authorities. The facility had been known until recently as Silver Lake Healthcare Center.
The latest state inspection report for the facility was in October and the Pennsylvania Department of Health found that it was not in compliance with several state regulations.
The inspection report said the facility failed to provide an accurate set of floor plans and to properly maintain several stairways, including storing multiple paint buckets and a bed frame under landings.
It also said the facility failed to maintain portable fire extinguishers on one of the three levels and failed to provide the required “smoke barrier partitions,” which are designed to contain smoke on two floors. It also said it didn’t properly store oxygen cylinders on two of three floors.
According to Medicare.gov, the facility underwent a standard fire safety inspection in September 2024, during which no citations were issued. But Medicare’s overall rating of the facility is listed as “much below average,” with poor ratings for health inspections in particular.
News
BBC Verify: Satellite image shows tanker seized by US near Venezuela is now off Texas
Trump was listed as a passenger on eight flights on Epstein’s private jet, according to emailpublished at 11:58 GMT
Anthony Reuben
BBC Verify senior journalist
One of the Epstein documents, external is an email saying that “Donald Trump traveled on Epstein’s private jet many more times than previously has been reported (or that we were aware)”.
The email was sent on 7 January 2020 and is part of an email chain which includes the subject heading ‘RE: Epstein flight records’.
The sender and recipient are redacted but at the bottom of the email is a signature for an assistant US attorney in the Southern District of New York – with the name redacted.
The email states: “He is listed as a passenger on at least eight flights between 1993 and 1996, including at least four flights on which Maxwell was also present. He is listed as having traveled with, among others and at various times, Marla Maples, his daughter Tiffany, and his son Eric”.
“On one flight in 1993, he and Epstein are the only two listed passengers; on another, the only three passengers are Epstein, Trump, and then-20-year-old” – with the person’s name redacted.
It goes on: “On two other flights, two of the passengers, respectively, were women who would be possible witnesses in a Maxwell case”.
In 2022, Ghislaine Maxwell was sentenced to 20 years in prison, external for crimes including conspiracy to entice minors to travel to engage in illegal sex acts and sex trafficking of a minor.
Trump was a friend of Epstein’s for years, but the president has said they fell out in about 2004, years before Epstein was first arrested. Trump has consistently denied any wrongdoing in relation to Epstein and his presence on the flights does not indicate wrongdoing.
We have contacted the White House for a response to this particular file.
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