Centers for Youth and Families Little Rock

•  Elopement
  • Resident stated he was angry because he was lied to, then got up and ran to the fence and climbed on top of the roof, running from side to side. After notifying other staff, resident could not be located. He was located an hour later and escorted back to facility.

• Resident Suicide Attempt
  • When staff went to check on resident in bathroom, resident slid a suicide note under the door. Staff opened door and found resident on floor with elastic from her underwear around her neck. Staff intervened to get elastic off her neck. Video was reviewed; Specialist reported that video didn’t show anything negligent on behalf of staff. Staff checked on resident after required amount of time.

• Injury
  • Resident stated she didn’t feel well with a headache, then fainted by her bed. The nurse came and worked with resident. Resident fainted due to syncope; Hospital trying to determine the cause.

• Resident Suicide Attempt

• •  Peers informed staff resident was about to hurt herself. When staff went to the resident’s room, she was standing on her cubby and putting cloth around the door hinge. She then placed her head through the loop briefly before staff was able to get it away from her.

• Resident Self-Harm
  • Resident wrapped mask strings tied together around her neck.
  • Video reviewed; All cloth masks were replaced with paper masks.

• Resident evaluated at ER after punching wall several times and being restrained. No breaks or fractures were diagnosed.

• Resident Suicide Attempt
•  Regs out of compliance –
  • R907.2 – supervision based on period of time resident was in room without being checked on.

• Resident transported to ER for infected toe.

• Resident attacked another resident. Staff failed to prevent aggressor from entering other resident’s room and failed to identify aggressor’s pattern of behavior and adapt prior to an incident occurring.