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

Notice of Incident

  • Maltreatment
    • During call time for client, time was up for his call and client became escalated and took off his coat and shirt. Staff member grabbed client, leaving red marks and some bruising on client’s shoulder and lower parts of his neck.
    • Child Abuse Hotline was called and accepted. Staff member was terminated, and other staff viewed on the video have been retrained. Specialist completed a visit on 11/16/21 to provide a 521 with citations for regulations 907.2 and 905.4g.

PRLU or OLTC

Notice of Incident

  • Overdose
    • Client was transported to ER after stating she took 10 pills that she had regurgitated and put in a book. ER staff stated there were no signs of client taking extra medications due to tests/vital signs. Staff at facility stated client has been on med watch and she has been sitting for 30 minutes after taking medication and mouth is checked before she is able to return to activities.
    • Client was sent to acute; Client has been on and will stay on med watch and tongue dispenser is inserted in mouth when medication is taken.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R911.15.d – Shorts with string that could be taken out and used for self-harm was removed during walkthrough. Client was new to the program and Director stated they were just missed.
    • Checked MARs for 3 residents with no concerns noted. EMCC was not visited due to outbreak of lice. EMAC was not visited due to incident.

PRLU or OLTC

Revisit Survey, Validation Survey

  • A 5-year validation survey was conducted from 10/25/21 through 10/28/21.
  • Regs out of compliance –
    • E 004 – Facility failed to ensure a comprehensive emergency preparedness (EP) plan was reviewed and updated at least annually and operationalized to prepare for resident and staff safety in the event of a potential emergency or disaster situations.
  • During the Revisit Survey conducted on 12/15/21, the facility was found to be in compliance with program requirements.

Police Report

Disturbance

Staff stated J1, J2, and J3 were in a verbal altercation and were rough with staff when they began to intervene. The juveniles made statements of self-harm; MEMS were advised to respond. Decision was made to keep juveniles on the property.

PRLU or OLTC

Notice of Incident

  • Sexual Activity
    • Client stated to staff that he had sex with another client while the 2 were at another facility together. This was reported to Child Abuse Hotline and accepted (referral # unknown).
    • Clients are being assigned to separate dorms, classrooms, and group sessions. Staff have been informed to keep clients separated during outside time, meal services, and other activities.

Police Report

Battery Third Degree

Staff advised Juvenile 1 attacked Juvenile 2 in class. Juvenile 2 stated he was talking to himself after Juvenile 1 told him to stop talking to him, and Juvenile 1 got up and put his hands on him. Officers observed small knot on Juvenile 2s forehead.

PRLU or OLTC

Visit Compliance Report

No regs out of compliance. Reviewed MARs for 4 residents with no issues found.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Reviewed MARs for 3 residents with no issues found.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Checked med logs for residents with no issues found.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Checked MAR for residents with no issues found.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Med logs were checked with no issues found.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Reviewed meds logs for 5 residents.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Reviewed med logs for 4 residents.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R912.4 – Specialist viewed fecal matter and tissue in toilet on the boy’s hall. Corrected during the visit.
  • TA –
    • R911.15 – Specialist viewed a possible issue in reference to suicide risk regarding the sprinkler heads throughout the facility and the door knobs in the classroom not being anti-ligature.

Police Report

Suspicious Person

Officers received call to facility for a suspicious person. Upon arrival, caller did not answer phones and Officers could not make contact.

PRLU or OLTC

Visit Compliance Report

No regs noted out of compliance. Reviewed med logs for 4 residents.

Police Report

Check Subject

Upon arrival, Officers were advised the subject was working in the back and was walking/talking on the phone

PRLU or OLTC

Visit Compliance Report

  • Building and grounds inspection; Checked fire drill logs, disaster logs, and med logs with no regs out of compliance.
  • TA –
    • R911.6 – The shower in the private dorm is still inoperable and the staff advised that they are still waiting on parts to fix it. The hall is currently vacant.

Medicaid Inspection of Care

Notice of Sanction

  • 07.19.21 Actions: After careful review of the IOC reports and the CAP submitted by CYF, DMS has concluded that the following actions are necessary and appropriate:
    • Monitor the corrective action plan submitted by CYF to determine the level of compliance with the terms stated therein.
    • Suspend provider referrals and disallow future admissions pending progress made on the CAP submitted by CYF.
    • Additionally, DMS reserves the right to recoup payments made for services determined to not be medically necessary or that fail to meet professionally recognized standards for healthcare.
  • 11.23.21 Actions: Given the progress made by your facility and maintaining awareness of the seriousness of the previously cited deficiencies, DMS hereby amends the sanctions against your facility.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R911.15.f – A drawstring was found in a girl’s room in the dorm. Staff removed the item as directed.
  • TA –
    • R911.6 – All faucets in the private dorm and one showerhead were not functioning properly. Staff advised they are waiting on parts to finish repairs.

PRLU or OLTC

Notice of Incident

  • Injury – Accidental
    • Client reportedly fell in the shower. Client complained of head, arm, and shoulder pain as a result of her fall.