Centers for Youth and Families Little Rock Archives - Page 9 of 30

7/24/2023

Police Report

Runaway

Officers responded to this location for an assist medical call. Upon arrival, officers were informed that juvenile 1 was sent here to be housed. C1 advised juvenile 1 was taken from her home and placed into the custody of the state of Arkansas. Officers were advised on scene that as soon as MEMS stopped their ambulance, juvenile 1 opened the back doors and sprinted eastbound, on foot, toward University. A broadcast was issued and officers circulated the area with negative results. C1 advised juvenile 1 was originally from Little Rock and could be headed anywhere. C1 also advised that juvenile 1 has run away numerous times in the past. BWC in use.

7/24/2023

Medicaid Inspection of Care

Corrective Action Plan, Inspection of Care Report

Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted on 07/18/23.

7/21/2023

PRLU or OLTC

Medical, Notice of Incident

On 7/21/2023, client developed a rash on the left side of his chest area that spread to the right side. Centers medical personnel were unsure what caused the rash, so the decision was made to send to Arkansas Children’s Hospital (ACH) for further evaluation. Centers’ staff transported to ACH. Once at ACH, medical personnel there diagnosed client. Client was prescribed medicine to treat his rash. After client’s medical evaluation at ACH, he was transported back to EMCC.

7/19/2023

PRLU or OLTC

Notice of Incident, Peer Altercation, Visit Compliance Report

Client and peer engaged in a fight, during which the peer bit client on the wrist. Upon assessment, it was noted the bite penetrated the skin. Client also sustained a superficial scratch to the left side of her face. Client was sent to the hospital for evaluation, and was diagnosed with a human bite. Medication was prescribed as a preventative measure against infection. Client and peer were placed on assault precautions and placed in separate dorms.

Licensing Specialist (Kendra Rice) visited facility on 7/25 and viewed video of incident. Once the peer charged at client, staff intervened. Staff was observed attempting to separate the residents when the bite occurred, but client had the peer’s hair. Support staff was called to assist, and client was restrained after pushing a staff member. No licensing concerns noted regarding this incident.

7/16/2023

Police Report

Non Police Incident

Subjects not located.

7/13/2023

Police Report

Non Police Incident

MEMS transport to hospital.

7/13/2023

PRLU or OLTC

Acute Placement, Notice of Incident

On 7/13/23, client became dysregulated and began making verbal statements about harming herself and others. Client also began to become more aggressive with her peers and staff. The centers’ medical team determined to keep client safe, she would need a higher level of care that an acute facility could provide. Acute placement was located for client at Conway behavioral health and mems ambulance service transported her to facility. Client’s guardian was notified about this incident. After treatment at Conway behavioral, client will return to EMAC. Licensing narrative: Licensing Specialist informed of incident 7/14/23. 7/17/23, Licensing Specialist reviewed provider reported incident of licensing concerns.

7/12/2023

Police Report

Battery Third Degree

Officers responded to a battery at the listed address. Officers made contact with Katrena Finley. Ms. Finley advised juvenile had been assaulting her yesterday and today. Ms. Finley advised she could not give out the juvenile’s information and only wanted a paper trail. Ms. Finley advised juvenile would hit her and pull her hair whenever asked to do something she did not want to do. Ms. Finley advised she has no injuries. Officers provided an incident number. No further police actions taken

7/10/2023

PRLU or OLTC

Visit Compliance Report

Licensing Specialists reviewed ten (10) personnel files: [REDACTED]. Licensing Specialist checked r103 general registry & criminal record checks and r105 staff qualifications & training. All personnel files reviewed complied with the minimum licensing standards.

7/9/2023

Police Report

Disturbance

Officers responded to the listed location in reference to a disturbance call. Upon arrival, offices made contact with Tamika Johnson (C1), who advised she wanted officers present to scare juveniles. Ms. Johnson advised she did not want a report made. Officers walked through the building and observed multiple disturbances between juveniles. Ms. Johnson advised multiple juveniles were in an altercation prior to officers’ arrival. Ms. Johnson advised she wanted officers present to scare the juveniles. Officers made contact with juvenile 1, who advised she and juvenile 2 were in an altercation. Juvenile 1 advised she was trying to watch tv, but the other girls were being too loud, and she told them to be quiet. Juvenile 1 advised juvenile 2 stated, “I’m going to beat our ass” and rushed at her. Juvenile 1 advised she defended herself by biting juvenile 2 on the foot. Officers made contact with juvenile 2, who advised that juvenile 1 bit her on the foot. Juvenile 2 was being irate. Officers assisted staff by escorting juvenile 2 to her room. Ms. Johnson advised no police action was needed. The juveniles live in separate living quarters.

7/9/2023

PRLU or OLTC

Notice of Incident, Peer Altercation, Visit Compliance Report

On 07/08/2023, client engaged in a fight with two of her peers. Staff intervened in the fight and separated the clients from each other. Client was assessed by centers’ medical personnel, and she complained of pain in her right shoulder. The nurse noted that did not have any discoloration or swelling to the shoulder area. The doctor was contacted and advised to continue to monitor and notify her of worsening symptoms. On 7/09/2023, client continued to complain about pain in her right shoulder. Out of an abundance of caution, centers’ staff transported to Arkansas Children’s Hospital (ACH) for further evaluation. Once at ACH, medical personnel there conducted x-Rays of client’s right shoulder and determined there was no dislocation or fracture. After client’s medical evaluation at ACH, she was transported back to EMAC. Centers’ medical staff will continue to monitor. Client’s guardian was notified about this incident. Client is a private placement at the centers. Client and her two peers were placed on assaultive precautions because of this incident. Client will not be placed in a dorm with either of the two peers involved in this incident. Licensing narrative: Licensing Specialist reviewed camera footage for licensing concerns. Licensing Specialist observed three residents in a bedroom in dorm 2 of EMAC. Licensing Specialist observed resident jump off her bed and run toward her peer with another peer running toward the resident. The resident grabbed at her peer and the peer swung the resident to the floor. Both residents were tussling. The other peer was observed kicking the resident. Licensing Specialist observed staff coming into the room within 6 seconds and separated the residents. All three residents placed on assaultive precautions. Licensing Specialist: Kendra Rice.

7/6/2023

Police Report

Battery Third Degree

Upon arrival on scene, Officer Estrada and I made contact with the caller. Caller stated she had been assaulted by juvenile while checking for contraband in her room. Caller said she was looking in juvenile’s cubby under her bed when juvenile began repeatedly punching her in the head. Caller also stated juvenile had also attacked her earlier and scratched her on her left arm. Caller had a small visible scratch on her left forearm. Caller was given the incident number and advised warrants.

6/29/2023

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

On 6/29/2023, client reported a staff member had pinched his arm. Centers’ medical personnel assessed and noted a bruise to his right upper arm. There was no skin broken and did not require any medical treatment because of this incident. Centers’ staff reported this incident to the child abuse hotline, and the alleged allegations were accepted (Referral #[REDACTED]) guardian was notified about this incident. [REDACTED] was suspended and will remain suspended until the completion of the investigation. Licensing narrative: 8/14/23, Licensing Specialist informed case found unsubstantiated. 8/14/2023, Licensing Specialist reached to investigator harp for an update. Investigator harp informed Licensing Specialist case was closed. Licensing Specialist inquired if staff member would be returning to work. Licensing Specialist reviewed camera footage for ELS case #[Redacted] at EMCC. Licensing Specialist observed ratio 2:1. Resident was observed throwing pillows at staff and walking around south dorm common area. Licensing Specialist observed staff members blocking pillows that the resident was throwing. The camera view was dark so Licensing Specialist could not review when and resident was in the corner on the furniture in the common area. Licensing Specialist observed staff walk away from the resident and him rubbing his arm. Resident was observed sitting in the common area of all the dorms, ratio 3:1. Licensing Specialist observed resident rubbing and picking at his arm. The nurse was observed taking pictures of the resident’s arm, ratio2:1. Licensing Specialist is not prepared to leave a finding at this time.

6/27/2023

PRLU or OLTC

Maltreatment, Notice of Incident, Visit Compliance Report

CACD investigator visited facility to investigate an accepted hotline call involving a resident. The allegations involved supervision, treatment, and medical concerns regarding resident. Details of the complaint:

• A therapist at Centers LR doesn’t appear to have any set boundaries. The therapist wanted resident’s guardians to take her off birth control due to weight gain; The parents refused, as they believed the weight gain was from the various medications she was prescribed for sleep while at the facility. Complaint stated the facility had not documented any sleep issues the resident had, just prescribed and administered medication and didn’t document why she needed it.

• Several residents pierced their noses in May. When the guardian picked up the resident for an appointment, her nose was infected. When video was reviewed, the resident was observed going into the bathroom with a brush and came out hiding her nose; Staff allegedly figured out what they were doing but didn’t stop them. When the facility was contacted, no one had documented anything and did not contact the guardians. The complaint also stated that staff do not check residents for contraband after they return from outings.

Licensing follow-up: An ICA for the involved therapist was placed on hold after further information was received. Nursing notes were received regarding the nose piercings, and Licensing visited facility on 6/30/23. Staff informed Licensing that it was reported the residents were using teeth from their combs to pierce their noses, and 3-4 residents were involved. All residents were assessed; No infection was reported, and they were prescribed triple antibiotic ointment. The case was unsubstantiated by CACD and Licensing.

6/26/2023

PRLU or OLTC

Visit Compliance Report

Licensing Specialist observed the following areas in EMAC: therapy hallway, exercise room, classrooms, dining area, rage room, cozy room, hygiene closet, exercise room, and all dorms (One (1), two (2), three (3)And four (4). The grounds leading into the building were clean and free of debris. The parking lot was full of parked cars. There was an ACH dental trailer on the grounds that provided dental hygiene to the residents. Licensing Specialist was escorted by Ms. Jade, program manager. Walking down the therapy hallway, Licensing Specialist observed closed and opened doors with staff sitting in their offices. In Ms. Gretchen’s classroom, speech therapy was taking place. Ms. Karin’s classroom was empty. Ms. Jade informed Licensing Specialist that residents are participating in the following activities during this summer: real teen talk, arts and crafts, and yoga. If the residents do not have any precautions on Wednesday, they are able to volunteer at the zoo. In the dorms, Licensing Specialist observed the clients’ rights on the walls, the evacuation plan, and the menu (breakfast, lunch, and dinner) on the walls. The rage room ratio, 1:1. Exercise room ratio, 1:1.Dorm 1, ratio 2:8. Licensing Specialist observed residents laying down in their bedrooms, watching television, or playing a game with staff observing. Dorm 2, ratio 2:8. Residents were sitting in the day area with staff. Dorm 3, ratio 1:3. Residents were playing tricks with uno cards. Dorm 4. Ratio 2:7. Residents were resting in their bedrooms or watching television with staff. All bathrooms were cleaned and sanitary. Licensing Specialist: Kendra Rice.

6/26/2023

PRLU or OLTC

Acute Placement, Notice of Incident

On 6/26/2023, client became dysregulated and started making verbal statements about harming herself. Client also began to become aggressive with her peers and staff. The centers’ medical team determined, to keep client safe, she would need a higher level of care that an acute facility could provide. Acute placement was located for client at Perimeter Healthcare (West Memphis) and mems ambulance service transported her to the facility. After her treatment at perimeter, client will return to EMAC. Licensing narrative: Licensing Specialist informed of incident. 6/28/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.

6/25/2023

PRLU or OLTC

Medical, Notice of Incident

On 6/25/2023, client complained to centers’ medical personnel that her stomach was hurting. It should be noted that on 6/22/2023, client was transported to Arkansas Children’s Hospital (ACH) where she was diagnosed with a cyst of the right ovary. Out of an abundance of caution, centers’ staff transported to ACH. Once at ACH, medical personnel there conducted several tests. The attending provider noted was bleeding from her uterus and increased the dosage of medication she was prescribed on 6/22/2023. The cause of the bleeding was from the cyst on the right ovary. After client’s medical evaluation, she was transported back to EMAC. Licensing narrative: Licensing Specialist received incident via email. 6/17/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.

6/24/2023

PRLU or OLTC

Notice of Incident, Self-Harm

On 6/24/2023, client became dysregulated and hit the plexiglass window in her dorm with her right hand. Centers’ medical staff assessed client’s right hand and noted some swelling in the right little finger and right ring finger. Client reported she was unable to make a fist. Out of an abundance of caution, centers’ staff transported to Arkansas Children’s Hospital (ACH). Once at ACH, medical personnel there conducted x-Rays of clients right hand and determined there were no fractures present. After client’s medical evaluation, she was transported back to EMAC. Licensing narrative: Licensing Specialist received incident via email. 6/27/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.

6/24/2023

PRLU or OLTC

Accidental Injury, Notice of Incident

On 6/24/2023, client reported she closed the bathroom door on her left hand. Centers’ medical staff assessed client’s left hand and noted the area was red and the hand was slightly swollen. Client’s left hand was treated with an ice pack, and client was given ibuprofen. Client continued to complain about pain in her left hand so out of an abundance of caution, centers’ staff transported her to Arkansas Children’s Hospital (ACH). Once at ACH, medical personnel there conducted x-Rays of left hand and determined there were no fractures present. After client’s medical evaluation, she was transported back to EMAC. Licensing narrative: Licensing Specialist was informed of this incident via email. 6/27/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.

6/22/2023

PRLU or OLTC

Visit Compliance Report

Licensing Specialist completed buildings and grounds at EMCC on the following areas: the dorms (North, south, new, and east), administration hall, dining room area, playground, and nurse’s station. Licensing Specialist observed two (2) vans on the grounds. The lawn was well kept with no debris. There were staff members walking on the grounds between the two (2) buildings. Licensing Specialist was escorted by Mr. Mike (Lead program manager). The administration hall was clean. Licensing Specialist observed different staff members walking in the hall or in their offices. Licensing Specialist observed housekeeping cleaning the dining room area. Licensing Specialist observed the playground area. Day treatment residents were outside on the playground during this visit. There were no residents present during the walkthrough of the dorms. EMCC residents were in the classrooms. Licensing Specialist observed the cozy corner, bedrooms, laundry room, recreational closet, storage cabinets (Hygiene products, games, movies, and cleaning products), bathrooms, the rage room, and day areas of the dorms. All bathrooms were clean with a fresh smell of cleaning products. The bedrooms were organized, and some beds were without bedding due to it being laundry day for those residents. Licensing Specialist observed wall decorations (Fat heads) on the walls of the dorms and zone regulations. Each dorm has their own pitcher to supply water for the residents. Mr. Mike informed Licensing Specialist that each resident has their own water bottle and are cleaned daily. Licensing Specialist observed the following documentation on the walls: residents’ rights, emergency escape plan, menu, weekend incentives, summer and weekend schedules. Licensing Specialist reviewed MARS for the following residents: [Redacted]. All initialed and up to date. Licensing Specialist: Kendra Rice.

6/22/2023

PRLU or OLTC

Medical, Notice of Incident

On 6/22/2023, client was in the bathroom when she reported experiencing severe abdominal pain. The nurse was called and conducted an abdominal assessment of client. The assessment showed rebound tenderness and wincing and screaming to the touch. Out of an abundance of caution, MEMS ambulance service was called and transported to Arkansas Children’s Hospital (ACH) for further evaluation. Once at ACH, medical personnel there conducted several tests on client, one of which revealed a cyst of the right ovary. The attending provider ordered to take two tablets of aygestin every day for the next ten days to help relieve her condition. After client’s medical evaluation, she was transported back to EMAC. Licensing narrative: Licensing Specialist reviewed provider reported incident for licensing concerns.

6/21/2023

PRLU or OLTC

Complaint, Notice of Incident, Visit Compliance Report

Reported that staff is giving kids melatonin with their medications that she brings from home and sprays the kids with melatonin. Licensing narrative: Licensing Specialist reviewed the complaint for licensing concerns. Licensing Specialist visited the facility and reviewed the MARS. Licensing Specialist spoke with the DON and inquired about the standing order process and the pre-Approved list of medication and was informed that melatonin was not on the pre-Approved list and the nurse would have to consult with the medical provider before administering the medication. Licensing Specialist requested a copy of the pre-Approved list, consent form, and other documentation regarding standing order. Licensing Specialist spoke with three (3) residents at EMCC regarding their medications and later spoke with nine (9) residents at EMCC regarding their medications. 8/14/2023, Licensing Specialist informed by facility that referral # [Redacted] was found true and staff members involved will be terminated. 8/18/2023, Licensing Specialist followed-Up with investigator and informed case was closed, founded. Regulations out of compliance: 109.1.G – actions of the nurse giving nonprescribed medication to residents could be viewed as dangerous to the residents. 908.8 – nurse was using gummy and spray melatonin on residents that were not prescribed the medication and no documentation was maintained on when the residents received the medication. Licensing Specialist: Kendra Rice.

6/20/2023

PRLU or OLTC

Medical, Notice of Incident

On 6/20/23, client reported she was having significant cramping and severe abdominal pain. Client is approximately 15 weeks pregnant. Out of an abundance of caution, mems ambulance service was called and transported client to the UAMS Medical Center emergency room. Once at UAMS , medical personnel there conducted several lab tests and imaging scans, all of which returned normal. Client was given zofran and tylenol to help with her abdominal pain. After client’s medical evaluation at UAMS , she was transported back to EMAC. Licensing narrative: Licensing Specialist reviewed provider reported incident for licensing concerns.

6/19/2023

PRLU or OLTC

Medical, Notice of Incident

On 6/19/2023, client was at an appointment with her gynecologist for a routine exam when she began to experience abdominal pain in her right lower quadrant. Client was transported to Arkansas Children’s Hospital (ACH) by Centers’ staff for further evaluation. Once at ACH, medical personnel there conducted several tests (Urinalysis, numerous imaging scans) all of which returned normal. The attending physician advised client should take tylenol and motrin for any discomfort. After client’s medical evaluation at ACH, she was transported back to emac. Licensing narrative: Licensing Specialist reviewed provider reported incident for licensing concerns.

6/17/2023

Police Report

Suspicious Person

Officers responded to the listed address in reference to a suspicious person. Officers made contact with Deputy Tripp Cleburne, a county deputy working in an off-duty capacity at this location. Deputy Tripp advised employees of the business told him there was a black Volkswagen occupied by a black male sitting in the parking lot. Deputy Tripp advised the employees told him the male subject, later identified as [REDACTED], has been known to be armed with a pistol. Deputy Tripp advised he did not approach the vehicle and called ‘911’ for police assistance. Deputy advised the business advised him that a female employee does have an order of protection against [Redacted]. After speaking with Deputy Tripp, officers made contact with [REDACTED]. [REDACTED] advised he was waiting to meet a female subject that works at the location and asked him to meet her here. Officers then made contact with CEO of the Center for Youth and Families. CEO advised she did want [REDACTED] banned from the property. After conducting a record check on [REDACTED], officers advised [REDACTED] that he was banned from the property and would be charged with criminal trespassing if he returns. Officers stood-By while [REDACTED] left the scene without incident.

Centers for Youth and Families Little Rock

Treatment Components