Juvenile’s parent stated the facility would not allow them to check their son out of the facility for lunch, stating this was a violation of a court order. Parent wanted to press charges.
Police Report
Interference with Visitation
PRLU or OLTC
Monitor Visit, Visit Compliance Report
- Licensing Specialist: Clayton DeBoer.
- Buildings & Grounds conducted for EMCC from 11:30am – 12:30pm. Census: 48. MARs observed for 5 residents. No licensing concerns noted.
PRLU or OLTC
Notice of Incident, Self-Injury, Visit Compliance Report
- Self-inflicted Injury
- After refusing to return to her dorm, client picked up a small plastic/metal cap and swallowed it. The object did not obstruct client’s airway. Client was transported to the ER for an x-ray. The x-ray showed the foreign object traveling down her digestive track without obstruction.
- Licensing follow-up: Licensing viewed camera footage on 12/14/22. Client was observed on the phone and unable to talk with whom she was calling. The phone was taken from the classroom, and the resident refused her medication. Client was asked to return to her room, and client refused and began walking around the room touching different objects. Client grabbed a battery-operated pencil sharpener and removed a small object from it, then swallowed it. Multiple staff were seen speaking to the client during the incident. Client was placed on self-harm precautions (removed on 12/12/22). No licensing concerns noted.
PRLU or OLTC
Medical, Notice of Incident
- Medical
- Nurse assessed client due to not responding to verbal stimuli. Client was alert but unresponsive verbally, vitals fluctuated, and she was breathing rapidly. MEMS transported client to the ER where she was treated for a behavior disturbance (anxiety).
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
- Peer Altercation
- Client was on the floor when a peer kicked him in the head. Staff immediately separated the clients. Nurse noted his vitals were elevated and client would not speak when asked questions. This improved after 5 minutes, but client stated he felt lightheaded and appeared to be lethargic. MEMS transported client to the ER, where client was diagnosed with head trauma and instructed to take pain medication as needed.
- Licensing follow-up: Licensing requested incident report and visited facility on 12/08/22 to review video. Client was observed lying on the floor due to a headache, with another staff present. The peer is then seen running into camera view and kicking client, and staff immediately used body as barrier. No licensing concerns viewed.
Police Report
False Alarm
Staff advised officers the juveniles pulled the fire alarm. No further police action taken.
Police Report
Fire Run
Juveniles pulled the fire alarm and sprayed fire extinguisher. Employees did not want to make a report.
Police Report
Information Report
Officers responded in reference to 2 runaway juveniles. Officers arrived on scene and were able to locate and return the juveniles.
PRLU or OLTC
Elopement, Notice of Incident
- Elopement
- At approximately 1850, 2 clients discharged a fire extinguisher causing the fire alarm to be activated. Staff opened the emergency exit door (leads to the parking lot) to remove the clients from the dorm. Once in the parking lot, the 2 clients eloped. Staff followed the clients to a convenience store several blocks from the facility, and the clients were returned to the facility by the police department at approximately 1917.
- Licensing follow-up: Facility visited on 11/28/22 and video footage reviewed. No licensing concerns noted.
PRLU or OLTC
Accidental Injury, Notice of Incident
- Accidental Injury
- On 11/22/22, client jammed his finger as he was trying to catch a basketball. Slight swelling was noted to his finger, and client was given an icepack. Client’s hand was re-evaluated the following morning with swelling and pain noted. Client was sent to Ortho Arkansas, and an x-ray determined there were no fractures present. A splint was placed on client’s sprained right pinky, and he was instructed to wear it for 5-7 days.
PRLU or OLTC
Notice of Incident, Peer Altercation, Self-Injury
- Self-inflicted Injury, Peer Altercation
- On 11/22/22, client was involved in a peer altercation when he punched the Lexan surrounding the television. Slight swelling was noted to the fifth finger of client’s right hand, and staff administered icepack and Ibuprofen. Client’s hand was re-evaluated the next morning with swelling and pain noted. Client was sent to Ortho Arkansas, and an x-ray determined there was a fracture in the fifth metacarpal if his right hand. A splint was placed on the finger to immobilize it. Follow-up appointment scheduled on 11/29/22.
PRLU or OLTC
Notice of Incident, Ratio
- Ratio
- A staff member decided she no longer wanted to work at the facility and left without finishing her shift. Staff reported this to the Arkansas Child Abuse Hotline.
- Licensing follow-up: Per phone call with facility on 11/21/22, the staff member was in training under another staff and was never counted in the ratio. When the staff member left the facility, the staff/client ratio for Dorm 2 remained 1:6. Licensing confirmed the hotline call was not accepted for investigation.
Police Report
Battery Third Degree
Staff advised officers that juvenile was being aggressive and struck him on the nose.
PRLU or OLTC
Notice of Incident, Peer Altercation, Self-Injury, Visit Compliance Report
- Self-inflicted Injury, Peer Altercation
- Client became dysregulated after a peer pushed him to the ground. Client began hitting the back of his head against a wall. Staff intervened and client was placed in an ESI, and also received an emergency injection of Benadryl. After incident, nurse noted several bumps to the back of client’s head. Client was transported to the ER and diagnosed with a concussion. Client has been assessed several times since his injury and has not exhibited any adverse effects.
- Licensing follow-up: Incident was reported to licensing on 11/18/22. Facility was cited 110.17 (late reporting).
Police Report
False Alarm
Complainants advised they were okay.
PRLU or OLTC
Licensing, Notice of Incident, Suicide Attempt
- Suicide Attempts
- Client wrapped a torn piece of clothing around her neck while in her dorm area. Although client was on several precautions at the time, staff did not properly follow the protocols in place. It was approximately 10 minutes before staff called for additional personnel and they were able to remove cloth from client’s neck. The facility located an acute placement for client, and client was transported to the hospital for medical clearance before being placed in acute care. After reviewing video footage, the staff member involved was immediately terminated. On 11/12/22, client was in her dorm when she wrapped a pillowcase around her neck. When staff finally observed this, they intervened and removed the pillowcase. Video footage of this incident was reviewed on 11/14/22, and the staff member involved was terminated.
- Licensing follow-up: Child Abuse Hotline was called and accepted. Licensing reviewed video footage of both incidents. During the incident on 11/14/22, staff was reportedly on her cellphone and was alerted that the client was turning purple; Staff member went over to the client and stood over her with her hands in her pockets. Staff did not call for assistance until approximately 10 minutes after the suicidal behavior was initiated. During the incident on 11/12/22, client was unsupervised for more than 30 minutes. Client was placed on “line-of-sight”, which was not followed by staff on 11/14/22.
- Facility was cited 907.2 for incidents on 11/12/22 and 11/14/22.
Police Report
False Alarm
Employee advised false alarm.
Police Report
False Alarm
False alarm.
PRLU or OLTC
Licensing, Loss of Connsciousness, Notice of Incident
- Licensing (Loss of Consciousness)
- After client was involved in an ESI, client lost consciousness while staff were taking client’s vitals. This was the second time in a few days that client appeared to lose consciousness. Client was transported to ER by ambulance. Several tests were conducted at the ER, and all results were normal. Shortly after returning to the facility, client reported feeling dizzy and then appeared to lose consciousness again. Client was transported to ER by ambulance and admitted for further testing. All test results returned normal. Client was released from hospital on 11/12/22.
- Licensing follow-up: Client treated twice at hospital with no irregularities found. Client remains at facility.
Police Report
Non Police Incident
Secured the scene for MEMS.
Police Report
Complainant Not Located
Officers responded in reference to a disturbance. Upon arrival, officers circulated the area for any possible subject with negative results.
PRLU or OLTC
Licensing Complaint, Notice of Incident
- Licensing (Complaint)
- Complaint received reporting several issues: 1) Staff member brings in outside food for residents as a bribe for good behavior and withholds it from residents who she deems are not behaving well. 2) A supervisor has broken ethical standards regarding confidentiality of residents and staff. 3) A supervisor was recently suspended for placing a resident in a headlock during a restraint hold but was only suspended for a few days and allowed to return with no repercussions. 4) A staff member has been under the influence of marijuana while at work supervising kids and you can smell the marijuana on her strongly. 5) Staff were out of ratio the day that 3 residents broke a window and eloped from Destiny House.
- Licensing follow-up: Reporter forwarded several text messages to corroborate her statements and contact info for potential staff witnesses that could support claims. Licensing visited facility on 11/8/22. 1) Two staff members have been retrained on this company policy, and a check of the units will be completed again to confirm there is no outside food and drink being brought in. 2) Licensing discussed concerns that a hotline call has been discussed around the facility by staff. Facility reported a retraining will be conducted for all staff regarding mandated reporting and maintaining confidentiality. 3) It was discovered this incident was reported to Licensing and investigated by DCFS and determined to be unsubstantiated. 4) Licensing reviewed HR file for staff member which showed no complaints made and a negative drug screening completed in February of 2020; Facility reported they will conduct interviews with staff on the unit to determine if anyone has had concerns. 5) Facility provided time clock sheets showing 7 staff were clocked in and working at Destiny House with 16 residents at the time of the elopement. Complaint unfounded.
PRLU or OLTC
Licensing, Notice of Incident
- Licensing (Suicide Attempt)
- Client was in the bathroom when she refused to verbally respond to staff. Staff entered the bathroom and found client wrapping a piece of clothing around her neck. Staff removed the clothing from client’s neck, and client was placed in an ESI after becoming aggressive with staff. No injuries were noted to client. On 11/7/22, client told medical staff that she wanted to die on 11/5/22 and she was sad that staff intervened. The incident was then classified as a suicide attempt.
- Licensing follow-up: Email from facility on 11/7/22 stated that client was on line-of-sight protocol, bathroom protocols, and suicide precaution.
Police Report
False Alarm
False alarm.
PRLU or OLTC
Licensing Complaint, Notice of Incident
- Licensing (Complaint)
- Complaint received stating orders given by the doctor are not being followed. There are 2 clients on a 6-foot order due to sexual allegations, and both are currently in the same classroom, same dorm, and sharing the same room. Management has been informed and nothing has been corrected.
- Licensing follow-up: Facility visited 11/16/22. Licensing requested and reviewed all safety plans from 11/04/22. Client who was on “SRB” (sexually related level B) precautions with peer was interviewed and reported she was kept 6ft away from peer and did not share a room with the peer. Video review confirmed client had a different roommate. Other residents interviewed reported they were closely supervised. Licensing complaint was unfounded.