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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Police Report

Assault Third Degree, Battery Third Degree, Information Report

Staff advised Officers that Juvenile stated she was “leaving today on her own or in a body bag”; Staff secured and placed Juvenile in isolation when she tried to choke herself with a face mask. Juvenile punched and kicked Staff members while they attempted sedation. All parties had no visible injuries.

Police Report

Information Report

Officers responded to facility in reference to a 911 hang up call. Officers made contact with Nurse at location who stated everything was okay and police were not needed.

PRLU or OLTC

Notice of Incident

Maltreatment – Staff Abuse

  • Former client disclosed several allegations from his time at facility involving 5 staff members. Client stated his therapist made him suck her breast and played with his private area and made him go down and lick therapist’s private area, threatening him with a knife; This happened 2 times. Client stated that 2 program managers were in office with guns and had sex in front of client, then 1 manager made client perform oral sex on him and penetrated him from behind. Client also stated manager peed down his throat. Client stated this happened 5 or more times. Client also stated 2 other staff members put a card over the camera and had sex with him, client stated this happened 3 times.
  • Child Abuse Hotline was called and accepted. Suspects removed from the schedule immediately due to pending investigation. No follow-up details.

Police Report

Battery Second Degree

Referral was received by AR State Police. While in the care of the facility, Juvenile sustained severe injuries including broken arm by staff member. Nurse on duty at the facility ordered Staff member to administer the restraint. Investigation is ongoing.

PRLU or OLTC

Complaint Survey with POC, Workload Report

  • Complaint #AR00026502 substantiated, Complaint #AR00026504 substantiated, Complaint #AR00026552 unsubstantiated.
  • Regs out of compliance –
    • N 128 – Facility failed to ensure client did not sustain an injury as a result of a restraint. Client #4 was put in a restraint after acting out and attempting to punch staff; Client was complaining about face and arm pain due to restraint. Client was taken to hospital for evaluation and report was received that client’s right humerus was broken and surgery needed.
    • N 132 – Facility failed to ensure a physical restraint was performed safely and was appropriate for the client’s size.
    • N 136 – Facility failed to ensure a copy of the facility’s restraint policy was received by the guardian at admission.
    • N 144 – Facility failed to ensure a Physician’s Order for a restraint was documented.
    • N 145 – Facility failed to ensure a face-to-face assessment was conducted within onehour of the start of the restraint for 4 clients.
    • N 148 – Facility failed to ensure the specific time limit for the restraint order was on the physician’s order for 4 clients.
    • N 152 – Facility failed to ensure that the date/time of the 1-hour assessment was documented for Client #3.
    • N 155 – Facility failed to maintain documented records for ESI reports for Client #2.
    • N 156 – Facility failed to ensure the physician signed an order for a physical restraint as soon as possible to ensure restraint orders were accurate and appropriate & update treatment plan as needed for 3 clients.
    • N 165 – Facility failed to ensure a nurse was physically present to continually assess the safety of a restraint and monitor client during the use of a restraint for Client #4.
    • N 167 – Facility failed to ensure a physician or other permitted licensed practitioner evaluated the resident’s well-being immediately after the restraint was removed for 5 clients.
    • Plan of Correction – Handle with Care Holds (HWC) are no longer used in Destiny’s House, EMAC, and EMCC. Retraining on Nonviolent Crisis Prevention Intervention (CPI) and Emergency Safety Intervention (ESI). Video review by staff on holds done the previous day. ESI forms were revised, and data will be reviewed monthly regarding CPI holds to monitor trends. Both staff involved in the 5/2/21 incident were terminated. Guardians were sent Restraint Policy. Nurse Management initiated ESI audit daily and developed ESI protocol
  • Survey Team Composition and Workload Report –
    • Surveyor 1 onsite 23.5 hours 8am – 6pm; 10 travel hours, 16 off-site report prep hours (04/30/21 – 05/05/21).
    • Surveyor 2 onsite 32 hours 8am – 6pm; 5 travel hours, 6.5 off-site report prep hours (04/30/21 – 05/11/21).
      • Surveyor 3 onsite 18 hours 8am – 6pm; 8.5 travel hours, 5 off-site report prep hours (05/03/21 – 05/05/21).

Police Report

Non Police Incident

Juvenile was transported to Children’s Hospital by MEMS; No other info.

PRLU or OLTC

Notice of Incident

  • Injury – Self-Harm
    • Client was in possession of a plastic object during outdoors time (piece of siding from the building) and was using it to injure herself by scratching her arm. Red linear marks observed on her arm but no breaks in the skin were observed. Area was cleaned with soap and water. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury
    • Client was allegedly attacked by peer during outdoors time. Client had a red mark and bruising to left side of face.
    • Client was examined by nurse, client denied pain.

PRLU or OLTC

Notice of Incident

  • Injury
    • Client reported that peer bit him on the back. Peer’s note does reflect that he bit client. Human bite observed to left upper back with redness and breaks in the skin.
    • Client was sent to ER for evaluation, Tdap received. Dose administered in ER and Rx called by ER to CVS.

PRLU or OLTC

Notice of Incident

  • Maltreatment – Staff Sexual Abuse
    • Former client stated that while he was at facility, his therapist would call him into her office where she would undress and ask him to lick her “front” (how he refers to genital area). Client said he refused, and therapist threatened to kill him, showing him a knife. Client said this happened more than once. Therapist is still working at facility.
    • Child Abuse Hotline was called and accepted. Therapist was removed from schedule immediately due to pending investigation. On 5.13.21 hotline call involved another Client disclosing several allegations from time at facility involving two staff members threatening him with a knife and guns, sexually abusing him on different occasions. Corrective Action Plan stated that staff would have no contact with youth at the facility
      per the open investigation

Police Report

Assault Third Degree

Resident at facility stated that while he was trying to calm Juvenile down when Juvenile spit in his face.

PRLU or OLTC

Notice of Incident

  • Maltreatment – Staff Abuse
    • Client stated that Staff member had “flipped a child over a chair” by grabbing the child by the back of the leg, causing him to flip and hit his head on a chair. Client stated that some staff try to make restraints hurt by pulling the child’s arms up further behind their backs. Client stated that marks and bruises are often left on him following a restraint; Client had light yellow bruises that he said were the result of a restraint. Client also
      stated that staff don’t get in a hurry to break up fights between kids and that a child had urinated on his belongings, and nothing was done about it.
    • Child Abuse Hotline was called and accepted. Both staff members taken off schedule until investigation is complete. Waiting for follow-up response from investigator.

Police Report

Non Police Incident

MEMS transported Juvenile to Rivendale in N Little Rock.

PRLU or OLTC

Visit Compliance Report

• No regs noted out of compliance. Visit for Corrective Action Agreement.

PRLU or OLTC

Notice of Incident

  • Resident Suicide Attempt
    • Client was in cafeteria upset when she grabbed a coffee pot, smashing it. Staff acted quickly to get glass away from client. Client cut left wrist with glass while staff were trying to get it out of her hand.
    • Video reviewed: Sliding door for serving area should have been closed after breakfast. Coffee pot should have been placed furthest away from the opening of the serving area due to it being made of glass. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury
    • Client fell in shower, hitting the ground and bruised her side. Client told staff and nurse/APRN that she was having a hard time because she heard a pop. Client went to ER. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury – Arm Broken in Restraint
    • Client was sent to ACH after an emergency safety intervention resulted in client injury; Client’s arm was broken. Staff member sent home until investigation is concluded.
    • Child Abuse Hotline was called and accepted. Based on video footage and reviewing the CPI Techniques program used by the agency, Specialist Breedlove determined that the proper intervention was not used in the situation with client and cited the agency under regulation 907.2.

Police Report

Information Report

Staff advised Juvenile had used some broken glass from the kitchen to cut herself on both wrists. Officers observed several staff members and the fire department attending to Juveniles injuries and requested MEMS respond. MEMS transported Juvenile to Children’s Hospital with non life-threatening injuries.

PRLU or OLTC

Notice of Incident

  • Injury
    • Alleged victim was recently discharged from facility and had a black eye, two bruises on either side of neck, and a bite mark on his back. AV was seen to have these injuries on 4.24.21 when he was discharged. Unknown how he got these injuries; Some boys were also mentioned to have peed on his clothes. The facility was said to have cockroaches. The AV’s therapist allegedly knew about the abuse and didn’t report it, simply moved the AV.
    • Child Abuse Hotline was called and accepted. No follow-up details.

PRLU or OLTC

Visit Compliance Report

  • Specialists met with Centers staff to have detailed discussion on the concerns of broken bones, suicide attempts, sexually acting out behaviors, elopements that have increasingly occurred at this facility. Specialists also discussed their method of restraints and if therapy for the youth was effective. The licensing staff also conducted complete walkthrough of the EMAC facility.
  • TA –
    • R911.6 – Ensure exposed area is repaired. Exposed sheet rock viewed on the wall in Dorm 3 room.
    • R914.6 – Ensure emergency evacuation plan diagram is reposted in Dorm 4. Diagram was removed for painting purposes.

PRLU or OLTC

Visit Compliance Report

  • Specialist watched a video of an exposure incident that took place at facility. In the video, two clients exposed their genitals and buttocks while staff sat at a desk failing to intervene in a timely manner.

Police Report

Sexual Assault Second Degree

Child Abuse Hotline Referral was initiated, reporting sexual contact between 2 Juveniles; No other info.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R911.15.f – Observed clothing with drawstrings in room on South dorm. Corrected 4.26.21.
    • R911.6 – Ensure profanity written on wall is taken down and wall where paint is chipping is repaired. Ensure blinds leading to East, South, and North dorm in hallway is repaired; Blinds were broken with jagged edge. Due date 5.3.21.
    • R908.6 – Lock on drug cart unable to be secured at time of visit. Informed by nurse an order for a new drawer has been placed. Due date 5.10.21.

PRLU or OLTC

Notice of Incident

  • Sexual Activity and Lack of Supervision
    • Resident 2 had his penis exposed in the day area, when Resident 1 motioned him to come here” and appeared to open his mouth as his face went towards Resident 2s genitals. The pair later kissed. Staff suspended until retraining or termination is determined.
    • Child Abuse Hotline was called and accepted. Video footage was reviewed, and Specialist Breedlove determined there was inadequate supervision and cited the agency for that P907.2.