Disability Rights Arkansas

Centers for Youth and Families Monticello

*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 rstanford@disabilityrightsar.org

Location: Monticello, AR

Population Served: Youth ages 5-17

# of residents per unit: 8 Residents per room: 1 Capacity: 26

Contact with family (Calls and visit schedule): Daily calls, Visits Tuesday and Thursday in the evening and Saturday and Sunday during the day. Additional times available when set up with therapist.

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? No

Treatment Components

Clinical Director – LCSW

Therapists: 2 full-time therapists (1 LAC & 1 LMFT, LPC)

Treatment modalities offered: CBT, TF-CBT, Sand tray

# of individual therapy sessions/week: 1x/week

# of group therapy sessions led by a licensed mental health professional/week: 1-2x/week

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PRLU or OLTC

Visit Compliance Report

Buildings and grounds conducted. Clients are out of school for the summer but were engaged in activities inside the facility due to extreme heat. All areas observed in appropriate staff/Client ratios. Cafeteria area observed to be clean and sanitary. Kitchen clean and sanitary with fire extinguisher. 3 halls observed to be clean, safe, and in good repair. Bathrooms clean and sanitary. One of the six bathrooms had slightly tattered shower curtain as if it is being pulled too hard off the rings which was replaced during visit. Grounds observed to be clean and free of safety hazards. Clients rights posted. Electronic MAR (Credible) check for: [REDACTED] all entries up to date.

PRLU or OLTC

Acute Placement, Notice of Incident

Client was placed in Rivendell acute on 5/17/23 due to an increase in emergency safety interventions and inability to stabilize. Client admitted to Centers Monticello on 3/27/23 and will return to Centers Monticello when discharged from acute. Father agreed with acute placement. Arkansas total care was notified of acute placement. Phone call made 5/18/23 for further clarity of client’s behavior. [REDACTED] stated that client was aggressive towards staff and turned over chairs and tables.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds conducted 5 pm-6 pm. Client seen lining up to go to dinner. Staff client ratio: 2:11. Hall 1 observed. Staff/Client ratio 1:5. Tattered blinds observed previous visit had been removed and new ones have been ordered. All areas observed to be furnished, safe, clean, and in good repair except for one bathroom had a torn shower curtain. The shower curtain looked relatively new and was clean but had about a 4-Foot tear in it. Staff were notified and observed replacing shower curtain with a new one. Staff indicated this tear was relatively new, as they had not noticed it earlier. Hall 2 observed. Staff/Client ratio: 1:3. All areas observed to be furnished, safe, clean, and in good repair. Bathrooms observed to be clean and sanitary. Hall 3 observed. No clients present. All areas observed to be furnished, safe, clean, and in good repair except for one bathroom had a torn curtain. The shower curtain looked relatively new and was clean but had about a 3-Foot tear in in. Staff were notified and were to replace shower curtain with a new one. Outside grounds area observed to be clean and free of safety hazards. MAR checked for [REDACTED]. All entries up to date. Regulations needing technical assistance: 911.6 – shower curtains were being replaced during today’s visit. Licensing Specialist: Clayton DeBoer.

PRLU or OLTC

Acute Placement, Notice of Incident

Client was placed in Rivendell acute on 04.20.2023 due to extensive emergency saftery interventions and inability to stabilize. Client admitted to Centers Monticello on 03.20.23 and will return to Centers Monticello when dischraged froma cute. Guardian is DCFS, [REDACTED]. DCFS agreed to acute placement.

PRLU or OLTC

Technical Assistance, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Review of the agency’s current mandated reporter policy revealed a concern with the Licensing Unit. Please ensure facility policy is updated to reflect the need of all staff to report directly to the child abuse hotline without delay. The updated policy shall be submitted to the Licensing Unit by 04/14/23 and all applicable staff shall be retrained on the updated policy within 2 weeks of the enactment of the updated policy at the agency.
  • TA –
    • 110.9 – Any owner/operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being subjected to conditions or circumstances that would reasonably result in child maltreatment.
    • 102.3.h -Child Maltreatment/Mandated Reporter policy; according to Arkansas law, including, procedures to ensure that alleged, suspected, or witnessed incidents of maltreatment are reported to the Child Maltreatment Hotline, and documented as required by these or other applicable rule or laws.

PRLU or OLTC

Technical Assistance, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Review of the agency’s current mandated reporter policy revealed a concern with the Licensing Unit. Please ensure facility policy is updated to reflect the need of all staff to report directly to the child abuse hotline without delay. The updated policy shall be submitted to the Licensing Unit by 04/13/23 and all applicable staff shall be retrained on the updated policy within 2 weeks of the enactment of the updated policy.
  • TA –
    • 110.9 – Any owner/operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being subjected to conditions or circumstances that would reasonably result in child maltreatment.
    • 102.3.h -Child Maltreatment/Mandated Reporter policy; according to Arkansas law, including, procedures to ensure that alleged, suspected, or witnessed incidents of maltreatment are reported to the Child Maltreatment Hotline, and documented as required by these or other applicable rule or laws.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 11am – 12:30pm. Census: 23. Areas observed: 2 classrooms, Hall 1, Hall 2, Hall 3, and outside play area. MARs checked for 5 residents. Maintenance and staff will address citations.
  • Regs out of compliance –
    • 910.1 – Broken foam cup debris on the ground outside in the play area.
    • 911.6 – Tattered window blinds (Hall 1, bedroom 1).
    • 912.4 – Waste basket had grime build up at the bottom (Hall 3). Paint chips from the wall have begun to stick to bathroom floor (Hall 3).

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client was eating an apple and started showing signs of distress and difficulty breathing. Staff initiated back blows and abdominal thrusts until object (apple core) was dislodged.
    • Licensing follow-up: Client remains at the facility, will continue to monitor.

PRLU or OLTC

Children's Records Review, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Licensing reviewed records for 10 clients using Credible software. All items per minimum licensing standards were accounted for.

PRLU or OLTC

Personnel Record Review, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Personnel Records Check from 10am – 12pm for 10 employees. No licensing concerns noted.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 10am – 11:30am. Census: 23. Classroom, outdoor area, Units 1 & 2, and residential sleeping area observed. MARs checked for 5 residents. No licensing concerns noted.

PRLU or OLTC

Complaint, Notice of Incident, Visit Compliance Report

  • Complaint
    • A parent reported child abuse (molestation) at facility. Parent reported her son was not abused that she was aware of, but she would be taking him to the doctor to make sure.
    • Licensing follow-up: Licensing contacted complainant who reported medication issues, complained of a staff member at an acute facility, stated a child was molested at Centers, complained about a lady telling her child how to wash his butt, and requested help regarding a Medicaid waiver. Licensing informed complainant that the licensing unit does not handle Medicaid waivers. The hotline report was screened out due to the complainant not having any details regarding the molestation complaint. The complainant’s concern is with her child’s current school, which is not connected to the facility directly. Due to lack of evidence, no names of witnesses, dates, or descriptions of the incident, this complaint is unfounded.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC
  • No deficiencies noted

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 10:30am – 11:30am. Census: 22. Classroom, outdoor area, and 2 areas with clients observed. MARs checked for 5 residents. No licensing concerns noted.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 1pm – 2pm. Census: 23. Sleeping areas, day areas, cafeteria, bathrooms and grounds observed. MARs reviewed for 5 residents. No licensing concerns noted.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Facility visited from 7:00pm – 8:00pm. Staff/client ratio: 5:22. MARs checked for 5 residents.
  • Regs out of compliance –
    • 9.911.15.f – Unit 1 (Boys Hall) had one pair of shorts with tie-string sewn in. The string could be pulled out over a foot in length. Staff acknowledged this was not allowed and the shorts were removed.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Not listed.
  • Facility visited from 11:30am – 1:00pm. Census: 20. MARs checked for multiple residents. No licensing concerns noted during visit.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client fell while playing on monkey bars and complained of pain to her right arm. Client was evaluated by medical staff after incident, and again that evening. The next morning, client was sent to ER for an x-ray. ER x-ray results: Buckle fracture to left wrist. Client’s left arm was placed in a partial cast, and follow-up appt. scheduled. Client’s guardian reported client had sustained the same fracture, to the same wrist, while playing at school the previous month.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Census: 23. Buildings and grounds conducted from 12:00pm – 1:30pm: Hall 1 bathroom motion sensor battery out for sink faucet. Maintenance addressed this during visit. MARs checked for 5 clients; No licensing concerns noted.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC, CAP
  • Deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Visit Compliance Report

Census: 22. Buildings and grounds conducted, and MARs checked for 5 clients. No licensing concerns noted. The cafeteria is getting new windows tomorrow.

PRLU or OLTC

Visit Compliance Report

Census: 23. Buildings and grounds conducted, and MARs checked for 5 clients. No licensing concerns noted.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds visit; Issues from last visit have been corrected. MARs were checked and no issues were found. The facility was clean and well kept.

Medicaid Inspection of Care

On-Site Inspection

  • Included: IOC (revised), Reconsideration Determination Letter
  • Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Revisit Survey, Validation Survey with POC

  • 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.
  • Plan of Correction – EP plan will be developed by 11.19.21 and will be reviewed every 2 years or sooner if any changes are needed.
  • During the Revisit Survey conducted on 11/29/21, the facility was found to be in compliance with program requirements.