Disability Rights Arkansas

Little Creek Behavioral Health

*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

Treatment Components:

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

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Police Report

Call Card, Runaway

Staff advised officers that 3 juveniles ran out of the back of the facility and into the woods at approx. 2338 hours. Officer located all juveniles at approx. 0429 and transported back to facility. Juveniles stated they left out the front of the building and never entered any woods.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Staff entered client’s room to wake up client for dinner. Client woke up, lost his balance, fell forward, and hit his head on the nightstand. Nursing staff conducted Q15 checks until around 10pm when client was transported to ER. Nursing assessment: Client had an approx. 2-inch scrape on the left side of the head with hair missing and a small area that required cleaning due to a gash. Client also had a large golf ball lump in front of his head. No follow-up details.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Facility visited from 9:30am – 10:30am. Census: 52. MARs reviewed for 5 residents. No licensing concerns noted during visit.

PRLU or OLTC

Maltreatment, Notice of Incident

  • Maltreatment
    • Licensing received complaint reporting that a client stated a staff member “pops” kids in the mouth when they cuss and shoves/drags clients by the arm to make them sit down. Complainant stated the Tennessee Child Abuse Hotline was called, but the agency has not reported it.
    • Licensing follow-up: Licensing called the Child Abuse Hotline on 5/24/22 and it was accepted but screened out. Licensing visited facility on 5/25/22 and discussed the complaint with staff. Staff stated they have not reported it to the hotline. Due to the nature of the complaint and a previous Technical Assistance given to the agency on 8/18/21 regarding regulation R110.9, the agency shall provide re-education to all staff on mandated reporting and provide the Licensing Unit with a sign-in sheet showing all staff have been re-trained. Staff reported the client was questioned and stated there was no physical abuse from this staff member. Client also stated this incident reflected lack of training for trauma. An internal investigation was conducted with staff and clients which deemed maltreatment unfounded. Staff reported Trauma Informed Training is scheduled for 06/09/22 and Mandated Reporter Training will be held within the next month.
  • Facility cited for R110.9: The agency failed to report suspected child abuse to the Arkansas Child Abuse Hotline.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client opened the side yard fence to the basketball court and ran into the woods (the basketball court is under construction with an open panel to the parking lot). Due to client immediately not returning, the Sheriff’s Department was called.
    • Licensing follow-up on 5/11/22: Facility visited, and area of elopement viewed. The side fence client eloped from is missing a bolt that secures the latch to open and close gate. Risk Management ensured maintenance would install the bolt and weld it (on 5/11/22). No clients will be allowed in the area until the bolt is installed.

Police Report

Call Card, Runaway

Upon officers arrival, staff advised juvenile had ran out of a door at the facility and exited the property through a gate that had been taken down due to construction. Officers attempted to locate juvenile but were unsuccessful. On 5/9/22, juvenile was located on a bus going into Austin, TX by Texas PD. CPS took custody of the juvenile, and officer was advised juvenile had charges from a neighboring agency and would most likely be held by that agency as well.

Police Report

Call Card, General Information

Officer was dispatched in reference to runaway juvenile, who left on foot and was located at provided address. Juvenile advised officer he ran away from facility because he didn’t feel safe due to there being a lot of fighting and it made him uncomfortable, as well as gave him flashbacks to memories of his parents. Juvenile also stated staff have made him feel unsafe by yelling at him and threatening to put him in restraints when he gets in trouble. Juvenile was returned to facility.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client and peer were coming from the rec yard when client ran towards the fence and climbed over it, ignoring staff directives. Staff began to follow client and the Sheriff’s Department was called. Client was located a couple of blocks away (approx. 30 minutes later).

PRLU or OLTC

Notice of Incident

  • Complaint
    • Licensing received complaint stating resident, whom may be in danger to himself or others, was being discharged from the facility without a discharge plan. No follow-up details.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Census: 52. Buildings and grounds conducted, and MARs reviewed for 5 clients.
  • TA –
    • R911.15.f – A coat with approx. 2-2.5 ft long string found on client’s belongings. The string was cut and removed. Staff are to conduct a thorough search of all client belongings.

PRLU or OLTC

Visit Compliance Report

Census: 49. Buildings and grounds conducted, and MARs reviewed for 5 clients. No licensing concerns noted.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Staff member reported to the nursing department that she might have hit a resident at the facility. Client stated he was in a physical altercation with a peer when staff member intervened and separated them, telling client to keep his hands to himself. Client then physically assaulted the staff, and staff retaliated by physically attacking client. Client stated that staff apologized to him later that night, and he apologized as well.
    • Child Abuse Hotline was called and accepted. Staff member was terminated immediately. Specialist visited facility on 3/16/22 and reviewed video of incident. The video showed staff separated clients, then client slapped at torso of staff. Staff member then threw a flurry of punches at client, the last one hitting client in the face. Facility cited.

PRLU or OLTC

Visit Compliance Report

Census: 52. Buildings and grounds conducted, and MARs reviewed for 5 clients. No licensing concerns noted.

PRLU or OLTC

Maltreatment, Notice of Incident

  • Maltreatment
    • Staff member reported to Risk Management that upon entering client’s room on 3/6/22, he saw another staff member shove client towards the bed. Client reported to Risk Management that the staff member shoved her to the bed, but stated it was a different staff member.
    • Child Abuse Hotline was called, not accepted. Risk Management received witness statements and reviewed camera footage of the incident. The incident was outside of camera view (client’s room). There were no injuries or bruises to either party involved. Both staff were placed on administrative leave until completing Handle with Care training. Specialist followed up on 3/18/22: Both staff accused are still employed at facility and have been retrained on the physical portion of Handle With Care, completion 3/9/22.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client reported to staff that a peer had been inappropriately touching her butt and making inappropriate comments during bible study. Client stated on 2/26, the peer had sat in her lap (staff did not see this due to dealing with another situation). Client asked the peer to get off her, and the peer complied. Client stated there had been no sexual activity between the two, and she is keeping her distance.
    • Child Abuse Hotline was called, screened out. Staff were notified to keep the two clients on separate ends of the unit and to monitor interactions. Both clients have spoken with their therapist to process the interaction and expectation moving forward. Client has agreed to inform staff of any interaction between her and peer if she feels interaction is crossing boundaries. The recreational therapist has been notified of the behaviors in bible study and will continue to keep the two separated. Specialist visited facility on 3/1/22: It was indicated the facility did not have the Child Abuse Hotline # at this time but would get it to licensing in the near future. Staff ratios reported to be within licensing standards.

PRLU or OLTC

Maltreatment, Notice of Incident

  • Maltreatment
    • Licensing received phone call on 2/25/22 stating that a “little” had complained of another “little” touching him in the “penile” area. Report sent by the facility regarding this incident: Client stated when he and his peers play Hide and Seek, one of his peers touch the genital area on top of his clothing. Client stated he told the peer to stop, and the peer stopped and laughed. Client stated the peer touches his genital area only when playing Hide and Seek. When asked if anything other than inappropriate touch has been displayed on the unit, the client said no.
    • Child Abuse Hotline was called, screened out. Risk Management has reminded staff that no horseplaying is allowed on the units and reminded staff to monitor the resident’s interaction closely and keep all doors locked when not accompanied by a resident. Client and peers have been reminded to hold hands and feet to themselves to know the difference between good and bad. Client has been advised not to play Hide and Seek. Specialist visited facility on 3/1/22; Staff ratios and interim corrective action within licensing standards. It was indicated the facility did not have the Child Abuse Hotline # at this time but would get it to licensing in the near future.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds conducted, and MARs reviewed for 5 clients. No licensing concerns noted.

PRLU or OLTC

Visit Compliance Report

Census: 50. Buildings and grounds conducted, and MARs reviewed for 5 clients. No licensing concerns noted.

PRLU or OLTC

Visit Compliance Report

Census: 49. Buildings and grounds conducted, and MARs reviewed for 5 clients. No licensing concerns noted.

PRLU or OLTC

Notice of Incident

  • ER Visit (Dizzy, Sprained Ankle)
    • Client reported he felt dizzy and fell to the floor while waiting to be seen by nurse practitioner. Nurse assessed and client was transferred to the ER. EKG was performed with normal findings, and doctor stated client had a sprained ankle from falling. Client was brought back to facility and will be monitored closely. No follow-up details.

PRLU or OLTC

Visit Compliance Report

Census: 51. Buildings and Grounds conducted; No regs out of compliance. MARs checked for 5 residents.

PRLU or OLTC

Children's Records Review, Visit Compliance Report

Records reviewed for 10 residents: No regs out of compliance.

PRLU or OLTC

Notice of Incident

  • ER Visit (Head Wound)
    • Client became aggravated due to missing phone call with a relative. Client threw water in staff’s face and physically attacked staff. While attempting to de-escalate, the client backed into a wall and hit her head (assumption). Incident not in camera view. The client had a 4cm vertical wound on head. Client was taken to hospital and received 5 staples. Investigation was conducted and will be undetermined.
    • Child Abuse Hotline was called and not accepted. No follow-up details.