Disability Rights Arkansas

Centers for Youth and Families Little Rock

*Photos taken by DRA staff during onsite monitoring visits. Photos reflect the most recent conditions observed by DRA staff but may not reflect the current conditions at the facility. If you are associated with a facility and have updated information or photos you would like to share, please contact DRA at [email protected]

Location: Little Rock, AR

Population Served: Youth ages 5-18

# of residents per unit: Up to 8 Residents per room: 1-3 Capacity: 82 beds (PRTF and residential)

Contact with family (Calls and visit schedule): Facility declined to provide specifics regarding call frequency or schedule

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? No

Treatment Components

Clinical Director - LCSW

Therapists: Facility declined to identify, report number employed, or share credential status of any therapists.

Treatment modalities offered: Facility declined to identify any specific modalities available.

# of individual therapy sessions/week: Facility declined to provide a number or range.

# of group therapy sessions led by a licensed mental health professional/week: Facility declined to provide a number or range.

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PRLU or OLTC

Licensing Complaint, Notice of Incident

  • Licensing (Complaint)
    • Complaint received stating a suicide attempt was made by a client. Client was sent to the ER via MEMS for swallowing a rubber ball.
    • Licensing follow-up: Facility visited on 10/19/22 and incident report was reviewed for 9/29/22. Client was given a sensory ball to assist with calming her down, and client swallowed the ball trying to self-harm. Client was sent to the ER. The facility did not report this incident to Licensing and was cited for 110.17.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Self-Injury

  • Licensing (Self-inflicted Injury 1)
    • While a peer damaged a fire alarm causing police to respond, client became dysregulated and punched a wall. Client was assessed and taken to the ER. X-ray results: No fractures present. This is the second time in 2 days that client struck a wall with her hand.
    • Licensing follow-up: ER visit revealed no fractures.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Self-Injury

  • Licensing (Self-inflicted Injury 2)
    • While a peer damaged a fire alarm causing police to respond, client became dysregulated and hit a wall with her hand. Client was assessed and taken to the ER. X-ray results: No fractures present.
    • Licensing follow-up: ER visit revealed no fractures.

Police Report

Non Police Incident

Officers determined a child called 911 and hung up. Officers didn’t observe any suspicious or criminal activity.

PRLU or OLTC

Elopement, Licensing Follow Up, Notice of Incident, Visit Compliance Report

  • Licensing (Elopement 1)
    • At approximately 1759 hours, 2 clients breached the door of their dorm and eloped from the facility. Both clients were gone for approximately 1 hour before staff located them and returned them to Destiny House. Neither client sustained any injuries.
    • Licensing follow-up: Facility visited on 9/30/22 and camera footage reviewed. Clients were seen breaching the exit door and running outside during an altercation with other peers. Staff/client ratio was 2:8.

PRLU or OLTC

Elopement, Licensing, Notice of Incident

  • Licensing (Elopement 2)
    • At approximately 2325 hours, clients eloped from the ER where they were being evaluated for acute placement. Both clients were gone for approximately 1 hour before being located by ER personnel. Neither client sustained any injuries. Client 1 was transported to an acute facility and Client 2 was in the custody of DHS awaiting placement to an acute facility.
    • Licensing: “No follow up needed. Clients remain at facility.”

Police Report

Battery Third Degree, Criminal Mischief First Degree, Use of Force

Officers responded to a disturbance. Staff advised officers that the situation started when a fight occurred outside between Juveniles 1 & 2. J3 then began hitting J1 which required most staff to respond to a “code red”. A fight then started inside, and a few children started breaking things. Staff stated they saw J5 attempting to leave out of a back door, and kicked the door until it had broken. This allowed several children to leave out of the back door, but all were located and returned to the location. After this, J1 stated J2, J3, and J4 began assaulting him, and he sustained a contusion to his right forearm. Upon arrival, officers observed a large disturbance, and juvenile standing on a counter kicking glass. Another juvenile was breaking parts of wooden counter and tables. While officers attempted to detain a juvenile, he became combative, and pepper spray was deployed. MEMS was called to assess injuries. J1 was taken to ACH (no serious injury determined) and pepper sprayed juvenile was assessed with no injury noted.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Peer Altercation, Visit Compliance Report

  • Licensing (Peer Altercation 1)
    • Client was involved in a physical altercation with several peers, in which he was struck multiple times. Client complained of pain to his forearm and was taken to the ER. X-ray results: No fractures present. Client also complained of back pain while at the ER, and an x-ray of his thoracic spine showed no fractures.
    • Licensing follow-up: Facility visited on 9/30/22 and camera footage reviewed. Staff/client ratio was initially 2:7, then 3:7. Client was sitting when a peer threw a foot stool at him, which client defended with his arm. Staff intervened in approximately 1 second and stopped attack from continuing.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Peer Altercation, Visit Compliance Report

  • Licensing (Peer Altercation 2)
    • Client pushed peer, resulting in 2 peers physically attacking him. Staff intervened and separated them. Nurse noted multiple raised areas on client’s forehead and face, and client was transported to the ER. Diagnosis: Concussion without loss of consciousness and a black eye.
    • Licensing follow-up: Facility visited on 9/30/22 and camera footage reviewed. Staff/client ratio was 2:8. Peer was seen attacking client, and staff immediately intervened and eventually separated clients.

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Self-Injury

  • Licensing (Self-inflicted Injury)
    • Client became dysregulated and punched the wall in her dorm room. Client complained of pain and was taken to Ortho Arkansas for an x-ray. X-ray results: No fractures present.
    • Licensing follow-up: X-ray yielded no fractures. Client remains at facility.

PRLU or OLTC

Complaint Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Facility visited from 6pm – 6:45pm. Census: 63. Destiny House, EMAC, and EMCC were observed and all buildings were in ratio.
  • TA – Staff informed Licensing that the graffiti in Destiny House would be removed.

PRLU or OLTC

Headache, Licensing Follow Up, Notice of Incident

  • Licensing (Headaches)
    • On 9/23/22, client told staff he was having headaches as a result of a previous injury. Client stated he hit his head on the sink during his stay at JDC and never received proper treatment for his injury. Client was sent to the ER on 9/24/22. A CT scan was conducted, and no abnormalities were found.
    • Licensing follow-up: Client remains at facility. Continue to monitor.

Police Report

False Alarm

Officers made contact with staff who advised they are having issues with the phones. No further police actions taken.

PRLU or OLTC

Licensing, Notice of Incident, Peer Altercation

  • Licensing (Peer Altercation)
    • Client and peer were in a physical altercation on the basketball court. Both were separated and assessed by staff. Client complained of pain to his finger, and staff were told to ice and monitor his finger. Client later complained of pain in his hand, and client was sent to the ER. X-ray results: No fractures present.
    • Licensing: “No follow up needed.”

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Suicide Attempt

  • Licensing (Suicide Attempt)
    • Client was in the bathroom and was being too quiet, so staff entered the bathroom to check on him (client was on LOS protocol). Staff observed client with a t-shirt wrapped around his neck. Staff removed the shirt and client was assessed. Redness noted to client’s neck. On 9/21/22, client was transferred to an acute hospital.
    • Licensing follow-up on 10/25/22: Facility states that client continues to be on LOS (line of sight).

PRLU or OLTC

Licensing Follow Up, Maltreatment, Notice of Incident

Dual (Maltreatment)

  • It was reported that 2 weeks ago, a staff member told client that he wanted to take her to his home and “make her have his babies.” He then attempted to force her into the “hygiene closet” to have sex with her. The reporter suggested that while trying to force her into the closet, the staff member “touched her butt.” The client resisted, and the staff member hit her on the back of the head. Staff member reportedly would continually make comments about “meeting outside to take her to his home.”
  • Licensing follow-up: Facility visited on 10/5/22 and Specialist interviewed 3 peers who resided with client where the alleged staff member worked. Peers were asked if any staff member had been inappropriate with them. All 3 peers stated no staff were inappropriate with them, and that staff were overall nice to them. CACD investigation was unsubstantiated. 

PRLU or OLTC

Licensing Follow Up, Notice of Incident, Self-Harm

  • Licensing (Self-inflicted Injury)
    • Client reported to staff that she placed a disposable toothbrush inside her vagina for pleasure and to self-harm. Client was unable to remove the object. Client was transported to the ER and the toothbrush was removed from client’s vagina. Client has a follow-up appointment with a gynecologist on 10/17/22.
    • Licensing follow-up: Results of client’s visit to the ER. On 10/24/22, the facility reported that client was on “line of sight”.

Police Report

Non Police Incident

Officers made contact with staff who advised they have an issue with one of their phones dialing out. Police not needed.

Police Report

Non Police Incident

Officers assisted MEMS with an aggressive juvenile patient. Juvenile was transported to Children’s via MEMS for assessment and placement.

PRLU or OLTC

Accidental Injury, Licensing Follow Up, Notice of Incident

  • Licensing (Accidental Injury)
    • On 9/8/22, client hit her toe on the bed frame in her room. Client’s toe was assessed with no concerns noted. On 9/9/22, client complained of pain in her foot and was transported to Ortho Arkansas for an x-ray. X-ray results: Closed fracture in the third toe of client’s right foot. Client was advised to take Tylenol/Ibuprofen as needed for pain.
    • Licensing follow-up: Results of client’s visit to Ortho Arkansas.

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

  • Dual (Maltreatment)
    • Client reported that while at Centers, client had a conflict with a peer, during which staff member grabbed client’s hair and dragged her into the hallway. On another occasion, client needed to use the restroom and had an accident, and client sat in soiled clothing for 1-2 hours because staff member refused to give her new clothing. It is unsure whether staff member would not let her go to the restroom or if it was unavailable at the time. Staff member was placed on administrative leave pending the investigation.
    • Licensing follow-up: Facility visited on 9/8/22. Incident reports were reviewed in which client does state her hair was pulled but does not indicate the alleged staff member. Video was reviewed of incident on 8/27/22 that lasted 15 minutes and involved 2 holds. At no time is staff member seen pulling client’s hair. Outcome: Unfounded.

PRLU or OLTC

Accidental Injury, Licensing Follow Up, Notice of Incident

  • Licensing (Accidental Injury)
    • On 9/3/22, client reported he hit his left foot on an unknown object while running and injured his toe. Client’s toe was assessed numerous times over the next several days, with no concerns noted. On 9/6/22, client complained of pain in his toe and an x-ray was ordered for 9/7/22. X-ray results: Fracture in the second toe of client’s left foot. Client’s toe was wrapped with tape and clinic advised client to take children’s Motrin as needed for pain. Client will have a follow-up appointment with an orthopedist in the next 10 days.
    • Licensing follow-up: Results of client’s visit to Family Clinic.