*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: Conway, AR Population Served: Non-Arkansas residents ages 6-21. Deaf and hard of hearing unit.
| # of residents per unit: up to 8 | Residents per room: 1-2 | Capacity: 64 |
Contact with family (Calls and visit schedule): Weekly to Bi-weekly calls. Visits with families are scheduled (no additional details were provided).
| Restraint utilized? Yes | Chemical Restraint utilized? Yes | Seclusion utilized? No |
Clinical Director: LPC-S Therapists:4 full-time therapists (2 LMSW, 1 LCSW, 1 LAC)
Treatment modalities offered: “Trauma-informed Care, Cognitive Behavior Therapy (CBT), Eye movement desensitization and reprocessing (EMDR) and Reality Therapy, Person-Centered and Deaf Mental Health.”*
# of individual therapy sessions/week: 1-2
# of group therapy sessions led by a licensed mental health professional/week: 2-3
|
PRLU or OLTC
Complaint, Notice of Incident
A complaint was received requesting that Licensing review a report concerning an oversight gap related to the facility that has led to compliance issues that affect the safety and well-being of the children residing there. Licensing is reviewing the case internally with management.
PRLU or OLTC
Fire Alarm, Police Call for Service
Officers were dispatched to the facility in reference to a fire alarm. The officers were advised that it was a false alarm.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Arlene Horton
LS Horton performed a Buildings and Grounds walkthrough of the facility. In the Educational Wing, the following ratios were observed: 12:3, 7:2, 13:3, and 12:3. Units C Wing, Trout, and Brim were observed. Areas were clean and met minimum licensing standards.
Police Report
Police Report, Sex Crime
Officers took a report of a sexual offense that occurred at the facility. The allegation states that two residents entered another resident’s room, placed him in multiple positions, spanked him on the rear end, pulled down his pants and underwear, and one of the residents inserted his finger through the resident’s underwear and into his anus.
PRLU or OLTC
Notice of Incident, Suicide Attempt
On 11.23.24, a resident stated that she had ingested half of her 3oz facewash while in the shower and was feeling nauseous. Poison control was notified, and the resident was transported to Baptist Health Hospital for monitoring. The resident returned to Little Creek on 11.24.24. A suicide risk assessment was completed, and the resident was placed on close observation.
Police Report
Police Report, Welfare Check
Officers were dispatched to complete a welfare check on a resident at the facility. The complainant stated that there was a conflict between her and the facility, and she was not receiving answers related to her daughter’s welfare.
Police Report
Police Report, Sexual Assault
Officer received a call for service from the Crimes Against Children in reference to a sexual offense that occurred at Little C reek. Complainant stated that JV1 (Juvenile Victim) was roommates with JV2 (Juvenile Victim) and alleged that JV2 came over to her bed and stuck her hand under her clothing to touch her naked person. JV1 alleged that JV2 put her hand over her mouth when she tried to say something and left. Officer provided the report number.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact
Resident reported her roommate touched her private area under her shirt while she was sleeping. The facility contacted Licensing regarding the complaint.
Licensing requested witness statements and a safety plan from the facility. Facility reports the safety plan is already in place and residents have been moved to separate units. The facility provided witness statements.
Licensing Specialist: Kendra Slade – This complaint has been Unfounded by Licensing.
PRLU or OLTC
Complaint Over Medication, Notice of Incident
A complaint was received alleging that multiple residents were overmedicated. According to the complaint, weight gain, sleepiness, slurred speech, visible shaking, and trembling were observed among the residents listed.
Licensing Specialist: Kendra Slade
Program Coordinator Slade visited the facility to review chemical restraint records and medication lists for all residents named in the complaint. MARs, restraint logs for September 2024 and October 2024, and physician orders were also reviewed. Licensing conducted a walkthrough of the facility. The facility provided documentation on nursing documentation, emergency medication usage, staff training requirements, physical escort policy, personal restraint, and other items.
This complaint has been FOUNDED by Licensing and Unsubstantiated by CACD. The facility was cited for 908.8, 905.11, 905.12, 905.16, 905.17, and 908.11 for missing restraint documentation issues.
Police Report
Police Report, Sexual Assault
Officer made contact with complainant who stated she was an investigator with the Arkansas State Police. Complainant stated that on 9/22/24, JO1 (Juvenile Offender) forcefully put her fingers in JV1s (Juvenile Victim) vagina. Complainant stated the incident was said to occur in JV1’s room at the facility. This was reported to staff and then staff reported it.
Complainant stated all patients from the facility are from out of state and there was limited information given about them. Complainant and officer exchanged report numbers.
Police Report
Police Report, Sexual Assault
Officer took a call for service regarding a sexual offense that occurred at Little Creek Behavioral Health. Complainant with AR State Police Crimes Against Children informed officer that JV (Juvenile Victim) said that JO (Juvenile Offender) raped him from behind, sometime in mid-August. Complainant stated the boys had clothes on, but JO “humped” JV from behind.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
Client reported her peer forcibly placed her fingers into her vagina while in their bedroom. Both residents admitted to this incident occurring; however, the peer stated they were horseplaying, and client did ask her to stop, but she was laughing and joking, so she did not take her statement seriously. Accepted by Arkansas Child Abuse Hotline. Client was moved to another unit.
Licensing Specialist: Kendra Slade
9/26/2024: Program Coordinator reviewed provided documentation and interview reports. The A/O does admit to this incident occurring but believed the A/V was joking when she kept saying to stop. This occurred in the middle of the day in a bedroom the two residents share. No video footage of the dayroom or the bedroom were available for review. The incident reportedly happened very quickly between supervision checks.
CACD case found TRUE. Program Coordinator will request a safety plan for peer to be in a single room for the remainder of her stay at facility. Per facility, the peer was discharged on 9/30/2024.
The case has been closed as unfounded by licensing as a lack of supervision could not be determined.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Client took his peers’ snacks during classroom snack time and became combative when staff attempted to retrieve the snacks. Client threw all the extra snacks toward the wall and staff, took off his shoes, and began to charge toward the supervisor in the hallway. For safety reasons, the client was placed in a physical restraint. During the restraint, the client was injured due to the continued combativeness on the floor with the staff. Facility reported resident was diagnosed with a closed fracture.
Licensing Specialist: Kendra Slade
Licensing Specialist visited facility and reviewed camera footage on 9/6/24. Per camera footage review, it could not be determined how the resident injured his wrist. Staff member mentioned will be working with maintenance and will not have any interactions with the residents.
CACD case found unsubstantiated. This complaint has been unfounded by Licensing. ICA for staff was lifted on 10/17/24.
Police Report
Fire Alarm, Police Report
Fire alarm. False alarm.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
A staff member reported to the Risk Manager that they overheard a unit conversation regarding a sexual assault that took place around a month ago between residents. A report was made to the AR Child Abuse Hotline and accepted.The staff member could only state that AO (alleged offender) raped AV (alleged victim) while AV was attempting to go to sleep based off of what kids on the unit were stating, and that once the kids brought it up, the AV became distant and started keeping to himself. When asked if he was sexually assaulted, the AV stated yes.
Licensing Specialist: Kendra Slade
Program Coordinator inquired about safety plan and if residents were separated. Facility reported residents are on separate units for safety.
CACD case unsubstantiated. This complaint has been unfounded by Licensing.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
Complaint stated that complainant received two separate emails containing personal information about another child at the Little Creek facility.
Licensing Specialist: Kendra Slade
Program Coordinator requested and received a copy of the emails from the complainant. PC Slade visited the facility and reviewed the residents MAR.
This complaint was Founded by Licensing. Facility was cited 108.1.a, Code of Ethics/Standards for Practice violation due to the nurse emailing the resident’s information to the wrong guardian.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
The facility was informed of an outside complaint regarding a resident. The complaint stated that the resident was overly medicated, lying in her own vomit, and unresponsive, and received no help from nursing or other staff members at Little Creek.
Licensing Specialist: Kendra Rice
Program Coordinator visited the facility in response to the complaint. Per staff, the resident was placed in 20 restraints in July 2024, and her medication was increased per doctor’s orders due to her aggression.
During Program Coordinator’s visit, the resident was observed sleeping on a cot in the dayroom while the other residents walked around, watched TV, or talked to staff. Staff woke the resident up and the group moved to a classroom for privacy. When asked about her medication, the resident was unsure what medication she took but stated that she was given too much. The resident asked to see the nurse due to not feeling well. Program Coordinator requested nursing notes for 8/1/24-8/7/24.
This complaint was Unfounded by Licensing.
PRLU or OLTC
Accidental Injury, Notice of Incident
Resident was transported to the local Emergency Department due to a possible broken ankle. The resident received the injury while running in a circle around a table, being chased by two of his peers. The resident’s shoe slipped off his foot, and he fell. He was then transported to Children’s Hospital in Little Rock, AR for treatment. Resident is receiving physical therapy. He is on activity restriction and currently using a wheelchair.
PRLU or OLTC
Notice of Incident, Suicide Attempt
Client was sitting by the wall under a T.V. on the unit. He got the cord from the T.V. and wrapped it around his neck, and began chewing on the portion that went into the wall. Client stated he no longer wanted to be at Little Creek or be around his peers.
Facility reported a Columbia Suicide Screening was completed on the resident and resident is currently on close observation. The screening was completed by the therapist and the resident was assessed by the nurse. Program coordinator inquired about the facility’s policy on placing a resident in acute care. The facility confirmed that resident’s behavior was considered a suicide attempt, and facility policy is that a resident is sent to acute care per doctor’s order.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A complaint of physical abuse was received by the facility. A resident reported that she was injured during a restraint, receiving bruises to her inner arm. The restraint packet completed after the restraint does not note any bruises or redness, however, the resident showed her peers and the floor supervisor a bruise.
Licensing Specialist: Kendra Rice
Program Coordinator visited the facility to interview the resident. The resident said she was pinched during the restraint and admitted to pinching the staff member as well.
This complaint has been Unfounded by Licensing.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A resident reported that she received a bruise while horseplaying with a staff member. The resident stated she punched the staff member in the arm and he punched her back. The resident stated that there was no ill intention. They had been playing.
Licensing Specialist: Kendra Rice
Program Coordinator visited the facility to discuss the complaint with staff and review the camera footage. Footage showed the resident and staff member poking one another at a rapid pace.
Program Coordinator sat in on interviews with 7 residents. The residents stated that the staff member is playful toward them but not harmful.
The facility will be cited for 907.3; Staff to child ratio was 1:9 during waking hours and 109.1.g; Staff member was observed poking a resident.
This complaint has been Founded by Licensing. Staff was retrained on boundaries.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice
Census: 63
Licensing Specialist reviewed the children’s files. All files reviewed complied with the minimum licensing standards.
Police Report
Police Report, Suspicious Person
Officers were dispatched regarding a suspicious person at the facility. The male, who is with the Department of Child and Family Services (DCFS), was at the facility to visit a resident. False or unfounded call.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice
Program Coordinator (PC) completed an after visit of the facility.
Trout Dorm: Ratio 2:8, Residents were observed signing with staff and peers. Other residents were sitting in chairs facing the television.
Brim Dorm: Ratio 2:7, Residents were observed watching television and talking with staff.
Bass Dorm: Rato 2:8, Residents were standing around the common area before dinner.
Snapper Dorm: Ratio 2:8, Residents and staff were playing a game in the common area.
Police Report
Suicide Attempt
Caller requested Emergency Medical Services (EMS) assistance for Juvenile. Juvenile is awake and conscious.