Officers made contact with staff who advised one of the youths had gotten on a phone and was playing.
Police Report
Non Police Incident
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
Client was punched in the nose by a peer, causing an immediate nosebleed. Nursing stopped the bleeding and client was sent to the ER for evaluation. ER Diagnosis: Abrasion and swelling of the nose. The aggressor was placed on assaultive level B and line of sight precautions.
Licensing Specialist: Kendra Rice.
Facility visited on 9/6/23 and video reviewed of incident. Licensing observed the peer walk up and start hitting the resident in the head area, and staff were observed separating them and escorting the resident out of the classroom. No licensing concerns noted.
PRLU or OLTC
Acute Placement, Notice of Incident
Client became dysregulated and exhibited continued aggressive behaviors and posturing towards peers and staff. Acute placement was located for [REDACTED] and she was transported via MEMS Non-Emergent Transport. After her treatment at Conway Behavioral Health, it is expected that [REDACTED] will return to The Centers.
PRLU or OLTC
Medical, Notice of Incident
On the afternoon of 8/28/2023, student returned from outdoors to classroom and was noted to be in a “daze” and slow to respond. Client went to the restroom and was found asleep on the bathroom on the toilet paper roll holder. Staff assisted her to a chair. [REDACTED] was transported to ACH ER for further evaluation of altered mental state. ACH completed multiple labs to rule out hypoglycemia, drug use, and other abnormal levels. [REDACTED] was discharged from ACH and returned to The Centers.
Licensing Specialist inquired about resident’s discharge summary. 8/31/2023, Licensing Specialist informed that resident was diagnosed with major depressive disorder, recurrent, severe, with psychosis. Licensing Specialist inquired about any information provided for resident’s behavior (daze and falling asleep). Licensing Specialist informed ACH attributed resident’s daze and slow to respond to her mental illness diagnosis. ACH ruled out hypoglycemia and drug use. Possible cause psychosis vs. malingering.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Client reported to nurse that a staff member choked her. Client was assessed with no injuries noted. A hotline report was made and accepted for investigation. Staff member was terminated on 8/28/23.
Licensing Specialist: Kendra Rice.
Facility visited on 8/29/23 and interviews conducted. During resident’s interview, she disclosed that she had been in altercations with her peers and staff members. Several staff were interviewed regarding the alleged staff member, with one reporting that the staff member was too direct with the residents, verbally aggressive, and curses at residents. This staff heard a resident tell her family on a phone call of how the staff member had been mean to her.
Facility visited on 9/1/23 and video reviewed. During video review, the staff member was observed pushing a resident out of a bedroom, and pulling resident out of her bedroom to line up for breakfast. Staff was not observed choking resident.
Facility cited 109.1.g: Staff member was observed showing aggression toward residents.
Licensing complaint was unfounded. CACD investigation was found unsubstantiated.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Licensing completed buildings and grounds and observed the following areas: Administration hall of EMAC, dorms, rage rooms, dining room areas, common/day areas, comfort corners, grounds, laundry rooms, library, nurse’s station, courtyard, hygiene cabinet, storage closets, and the classroom hall. MARs were reviewed for 5 residents. No licensing concerns noted.
Licensing reviewed 7 personnel files; All complied with the minimum licensing standards.
PRLU or OLTC
Medical, Notice of Incident
On 8/23/2023, client reported experiencing extremely itchy throat following dinner. Client has a fish allergy, however, she was served an alternate meal. APRN ordered oral medication and monitoring at approximately 1715. Centers’ staff later noticed facial swelling and contacted APRN who then ordered IM medication at approximately 1815 and that [REDACTED] be sent to ACH for further evaluation. MEMS transported client to ACH ER at approximately 1900. Once at ACH, medical personnel monitored [REDACTED] for a period of time; No treatment or medications were noted. ACH prescribed [REDACTED] and [REDACTED] returned to The Centers upon resolution of allergic reaction symptoms and medical release from ACH.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Complaint received: A staff member was seen on 8/23/23 abusing the children. A resident was drug by her hair into the bathroom by staff member, staff forces resident to wear a diaper, and resident has scratches on her arm. The complaint stated there is camera footage of this. Staff also curses at resident and slaps him in the head.
The hotline was called and report was accepted for investigation. The staff member was suspended pending the investigation.
Licensing Specialist: Kendra Rice.
Facility visited on 8/29/23. Licensing was informed there was no camera footage to review for this incident, as camera footage is only kept for 5 days. During interviews conducted with 4 staff members, no complaints were noted and the Shift Supervisor indicated he did not have the staff member scheduled to work on 8/23/23.
On 10/3/23, licensing informed facility that the ICA for staff can be lifted and staff can return to work with residents once remedial training has been completed and documentation is provided to Licensing (documentation received on 10/5/23).
This complaint was unfounded by Licensing and Crimes against Children Division (CACD).
PRLU or OLTC
Medical, Notice of Incident
On 8/21/2023, client had one episode of coughing up some blood. Centers’ medical personnel assessed [REDACTED] and made the decision to send her to Arkansas Children’s Hospital for further evaluation. Once at ACH, medical personnel conducted several lab tests. [REDACTED] was diagnosed with Hematemesis and Constipation. [REDACTED] was instructed to do a clean out on Saturday and Sunday consisting of Miralax every 1-2 hours for 8 doses each day followed by 1 dose per day for maintenance.
PRLU or OLTC
Medical, Notice of Incident
On 8/15/2023, clients [REDACTED] and [REDACTED] refused to allow Centers’ medical personnel to draw their blood for necessary lab tests. When all efforts to draw their blood failed, [REDACTED] and [REDACTED] were transported to Arkansas Children’s Hospital (ACH) to complete the Phlebotomy in the safest way possible. Once at ACH, medical personnel completed the blood draw on both clients without incident.
Police Report
Non Police Incident
Upon officers arrival, all staff advised they did not know of any incident going on.
Police Report
Complainant Not Located
Officers responded in reference to a battery call. Upon arrival, officers were not able to locate the complainant.
PRLU or OLTC
Notice of Incident, Self-Harm
On 8/14/2023, client became dysregulated and began to punch walls with her right hand. Centers’ medical personnel assessed [REDACTED] and noted her right hand was moderately swollen. Centers’ staff transported [REDACTED] to Ortho AR for further evaluation. Once at Ortho AR, medical personnel X-rayed [REDACTED]’s right hand and determined there were NO fractures present.
PRLU or OLTC
Notice of Incident, Peer Altercation
Client reported to staff that he was bitten by a peer. Nurse assessed and noted a human bite on his right upper torso with bruising to area. On 8/11/23, the area was red and slightly swollen. Client was transported to the ER for further evaluation. ER Diagnosis: Human bite. Client was prescribed medication to take for 10 days.
Licensing was informed there is no camera footage of this incident (timeframe and location of incident is unknown). Both residents were separated and will remain in separate dorms.
Police Report
Battery
Officers responded in reference to a battery report. Upon arrival, juvenile stated her and a peer were in an argument over a blanket which belongs to the facility. During this, the peer hit and bit juvenile causing injury to her left wrist. Staff advised they just needed a report made and would handle the situation.
Police Report
Battery
Officers responded in reference to a battery report. Upon arrival, juvenile stated her and a peer were in an argument over a rumor about a staff member touching her, which juvenile states is not true. During this, the peer hit juvenile causing injury to her mouth and chin area. Staff advised they just needed a report made and would handle the situation.
PRLU or OLTC
Medical, Notice of Incident
On 8/10/2023, client began vomiting and the emesis appeared bright red in color. Centers’ medical personnel assessed [REDACTED] and made the decision to send her to Arkansas Children’s Hospital (ACH) for further evaluation. Once at ACH, medical personnel conducted several lab tests and imaging scans, none of which were abnormal. [REDACTED] did show to have a lower-than-normal blood count, so the decision was made to admit her into ACH for further testing and observation. As of this report, [REDACTED] is still a patient at ACH and remains in stable condition.
On 8/14/23, Licensing Specialist inquired if resident was still a patient at ACH. Licensing Specialist informed resident is still inpatient at ACH with possible discharge today.
PRLU or OLTC
Medical, Notice of Incident
On 8/09/2023, client had one episode of vomiting that appeared to contain some blood. Centers’ medical personnel assessed [REDACTED] and made the decision to send her to Arkansas Children’s Hospital for further evaluation. Once at ACH medical personnel conducted several lab tests, none of which were abnormal. [REDACTED] was diagnosed with Hematemesis. [REDACTED] was instructed to take Pepcid twice a day for 14 days.
Police Report
Battery
Officers responded in reference to a battery report. Upon arrival, staff advised she was attacked by juvenile without provocation and displayed her left arm with deep scratches present. Officers spoke with juvenile who stated she was frustrated and acted out. The staff member involved was advised to contact the Prosecuting Attorney’s Office.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
On 8/08/2023, client was involved in a physical altercation with a peer when the peer kicked her in the mouth. Centers’ medical personnel assessed and noted she was bleeding from her bottom lip. [REDACTED] was also complaining of jaw pain. [REDACTED] was transported to Arkansas Children’s Hospital (ACH) for further evaluation. Once at ACH, medical personnel conducted several imaging tests, all of which showed no abnormalities. [REDACTED] and her peer have both been placed on Assaultive Precautions.
Licensing Specialist: Kendra Rice
Facility visited and video reviewed on 8/16/23. Ratio 2:7 at time of incident. Licensing observed peer kick resident in the mouth; The 2 staff members intervened and escorted the resident off the unit. No issues noted by Licensing.
Police Report
Disturbance
Officers responded to facility in reference to a disturbance. Upon arrival, staff advised the children were playing on the phone and they no longer needed police action taken.
Police Report
Battery
Officers responded to facility to prevent a disturbance. Juvenile’s guardian advised she had received a call from the facility regarding juvenile being in a fight the day before, and received a call from the nurse hours later who advised the juvenile was stating the incident involved a staff member. Juvenile’s guardian responded to the location to pick up juvenile due to the incident that they failed to inform her of until a day later.
Officers spoke with the juvenile who stated the staff member had another juvenile fight him while the staff member restrained him. Juvenile advised he punched the staff member out of self-defense, and the staff member then escorted him to the bathroom and punched him twice in the face and began to choke him. Officers observed juvenile had a black eye. Officers advised juvenile’s guardian on process of seeking warrants, and a child abuse report was made.
PRLU or OLTC
Accidental Injury, Notice of Incident, Peer Altercation
Client was reportedly struck in his nose by a peer. Centers’ medical personnel assessed [REDACTED] and noted the bridge of his nose was swollen and purple. [REDACTED] was transported to Arkansas Children’s Hospital (ACH) for further evaluation. Once at ACH, medical personnel conducted several imaging scans of [REDACTED], and it was determined there were NO fractures present.
Licensing Specialist informed by Director of Risk Management, that resident was not struck by a peer. Resident fell on the playground and hit his face (nose) on the ground. The nurse’s note indicated there were two (2) different incidents. Resident hit his peer and neither were injured. Both residents were placed on assaultive precautions.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
On 8/4/23, client reported a staff member hit him in the left eye with his fist on the evening of 8/3/23. Nurse assessed and noted a purple bruise under his left eye. This was reported to the hotline and accepted for investigation. The staff member was suspended pending his termination.
Licensing Specialist: Kendra Rice.
Facility visited on 8/8/23 and camera footage reviewed. Licensing observed 2 staff separate resident and peer that were in an altercation. After the peer was removed from the dorm, the resident was observed running toward the staff member, who then grabbed the resident in a choke hold position and pushed him into the bathroom. Another staff member then entered the dorm, and both staff entered the bathroom and the door was shut. Licensing did not observe any other staff members in the dorm during this time (about 7 minutes). After both staff exited the bathroom, the staff member and a peer entered the bathroom and shut the door for about 5 minutes. After this, the staff member can be seen entering and exiting the bathroom several times with the door shut until both he and the resident exited. The resident was in the bathroom for about 52 minutes.
Licensing founded this complaint. Crimes Against Children Division (CACD) investigation found true. Staff member was terminated on 8/7/23.
Regs out of compliance –
- 109.1.g: Staff member engaged in behavior that could be viewed as physically harmful to children.
- 905.4.g: Staff member used disciplinary actions that could cause physical injury or threat of bodily harm.
- 907.2: Residents were left unsupervised while 2 staff members were in the bathroom with a resident.
PRLU or OLTC
Notice of Incident, Visit Compliance Report
Division of Children and Family Services (DCFS) investigator informed facility of an accepted report to the hotline involving a resident at Centers. Resident’s foster parent contacted the hotline after resident reported a staff member pushed him to the ground, then held him to the ground by his throat. Staff member has been suspended pending the investigation outcome.
Licensing requested staff member’s work schedule from 7/23/23 to the date he was suspended. Facility advised camera footage would not be available for this incident as it is only kept for 5 days. Resident was last restrained on 7/10/23. Licensing received staff member witness statement.
Licensing Specialist: Kendra Rice.
Licensing visited facility on 8/16/23 and interviewed resident. Resident stated he hit the staff member because he was upset, and the staff then put his arm on resident’s neck and chest. Resident reported 2 other staff members were present when this occurred, one of which was terminated on 8/7/23 (not related to this incident).
Licensing was informed by DCFS investigator that there was no staff member named in this complaint. This complaint was unfounded by Licensing and Crimes Against Children Division (CACD).