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

Battery Third Degree

Officer dispatched in response to juvenile abuse report from CAC; Caller advised that on 5/11/21, Juvenile started to bite and hit Staff member, when Staff (being alone with no help) restrained Juvenile by pinning him down on the floor and placed one of her arms across Juveniles back when Juvenile yelled he couldn’t breathe. Staff member released Juvenile and more staff arrived to assist.

PRLU or OLTC

Notice of Incident

  • Improper Restraint
    • Staff was redirecting client to unit when client started to hit staff. Other staff intervened to assist. Staff used improper techniques to break up the fight. No one was injured or had any bruises. Staff members were placed on administrative leave due to improper
      techniques.
    • Child Abuse Hotline was called and accepted. Video footage was reviewed, and licensing complaint is found true on violation of regulation 907.2. Agency cited for violation of regulation 907.2.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R911.15.f – Found drawstrings in clothing in room 221. Corrected 5.21.21.
    • R911.6 – Observed walls in showers 154/155 cracking and in need of repair. Due date 6.11.21.
    • R913.5 – Observed room 148, Dorm C, and room 206, Unit B1 without mattress covers and sheets. Due date 4.21.21.
  • Regs not correctable –
    • R908.9.d – Client’s morning meds for 4.21.21 were not initialed at time of visit.

PRLU or OLTC

Notice of Incident

  • Maltreatment – Bullying, Uncleanliness, Lack of Structure
    • Client is bullied and beat up by other children daily and staff allow it to happen. Clienthas had injuries in the past from being bullied. Staff let the children do whatever they want. There had been only 1 janitor for the whole facility, but they resigned on 4.15.21.Over the last couple of months, the facility has been unclean and rapidly declining. Clear coat on showers is chipping & water is getting behind walls, resulting in mold and mildew. There is hair and feces on the walls and urine in the bathrooms everywhere, including the walls, which is left there for days. Staff do not make sure the childrenshower.
    • Child Abuse Hotline was called and accepted. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Resident Suicide Attempt. Resident did not respond after staff heard coughing from behind her closed bedroom door. Resident ran in room and attempted to take clothing items from around her peer’s neck.

Police Report

Suspicious Vehicle

Staff reported that there was a vehicle on facility property with no one in it, and it looked like there were gun cases in the vehicle. Staff reported they found the owner of the vehicle in the bushes at facility, and the owner was about to move the vehicle. Staff stated the reason they were in the bushes was because they were cutting down trees.

Police Report

Sexual Assault Third Degree

Caller with Arizona Child Abuse Hotline wanted to report an incident that happened between 2 minors. Caller advised she received a call from Juvenile1s Parent stating that while Juvenile1 was at facility, Juvenile1 told Parent that between Oct. 29, 2019-Oct.29,2020, Juvenile2 started touching Juvenile1 (no other info). Juvenile1 stated that as time progressed, Juvenile2 got to the point where he penetrated her vagina with his penis. Parent only knew the first name of Juvenile2.

PRLU or OLTC

Visit Compliance Report

  • All children’s units and bedrooms were inspected.
  • Regs out of compliance –
    • R911.15.f – scarf, drawstrings, earbud strings, broken headphones, head wraps, stringed romper, and belted robe were found in children’s rooms. Items found by licensing removed. Rooms are to be inspected for further items and items removed – no correction date listed.
    • R911.6 – ensure storm shelter, which leads to maintenance shop is locked. Corrected on site.
  • TA-
    • R912.4 – ensure sinks are cleaned in D2. Epoxy is coming off shower in 154. Bottom of shower door in 204 needs to be cleaned.

Police Report

General Request for Information

Caller advised no one will give her any details about her child located at facility. Caller advised they were not happy with police services or the facility.

PRLU or OLTC

Notice of Incident

  • Resident held down on bed by two staff members after being aggressive. Staff placed on admin leave.

Police Report

General Information Report

Staff advised they confiscated a cell phone from Juvenile that had nude photographs of Juvenile on it. Staff stated Juvenile had been sending nude photographs through social media. Staff advised Officers of the individual on Instagram receiving the photographs and messages, and Individual spoke of hiring Juvenile when Juvenile leaves the facility. Staff wanted report made if something came up when Juvenile left facility.

PRLU or OLTC

Notice of Incident

  • Deaf resident hit with pen by staff to get their attention.

PRLU or OLTC

Notice of Incident

  • Resident to ER and then hospitalized for being lethargic and hypotensive. Diagnosis was severe constipation and resident was still hospitalized on 02/26/21 with a possible discharge date of 03/01/21.

PRLU or OLTC

Notice of Incident

  • Resident discovered with cellular device. Investigation revealed staff member bought resident under garments.
  • Staff member terminated as of 2/25/21. Child Abuse Hotline was called but not accepted.

Police Report

Medical

Juvenile male blood pressure is off. MEMS transported Juvenile to Conway Regional.

PRLU or OLTC

Notice of Incident

• Resident transported to ER and spent 2 days in hospital for lithium toxicity

PRLU or OLTC

Visit Compliance Report

  • Out of Compliance – 914.8 – weather drills, 907.3 – staff ratios, 911.15 – drawstrings in clothing
  • Technical assistance – 912.6- ensure all bathrooms have soap, 913.5 – ensure all beds are properly fitted with required supplies.

PRLU or OLTC

PRLU System Information

  • LCBH received a verbal tip of physical abuse on 01.19.21. Staff member stated she heard spanking noise coming from IC room while he and Nurse Anita were in his room, could not give date or time. When speaking to IC about the incident he signed (S2), shower, and spanked.
  • Called into hotline – not accepted – 2071722.
  • Interim Corrective Action – S1 will not be left alone with IC pending the outcome of the licensing investigation.

PRLU or OLTC

PRLU System Information

  • Resident suffered a closed fracture on his clavicle and shaft (left side) after running into pole while playing football. Taken to ER the day following injury.
  • Date of most recent visit and deficiencies cited: “unknown at this time by specialist. No visit entered PRLS. Reportedly, Cathleen visited the facility last.”

PRLU or OLTC

PRLU System Information

  • Resident had bruise on arm on 01/18/21 from restraint on 01/12/21.
  • Accepted by hotline. Referral #: 2071369. “Since there was no proof of how the bruise came about the offender was ruled unknown with Ark. Child abuse hotline.”
    • “At the time of the incident IC1 was assessed by nursing, and there were no injuries. Later that day, IC1 complained of shoulder pain and received Tylenol. During his therapy session he showed a bruise on his arm.”
  • Interim Corrective Action – No licensing standards were violated.

PRLU or OLTC

Notice of Incident

Staff pushed patient to the floor in C1. Staff was terminated. Not accepted by hotline.

PRLU or OLTC

Incident Report

Undated Little Creek Incident Report. Staff pushed patient to the floor in B2. Staff was terminated. Accepted by hotline.

Police Report

Fire Alarm

Fire alarm pulled at nurses station; alarm company advised to cancel.

Police Report

Battery Third Degree, Juvenile Abuse

see 11/7/2020 and 11/23/2020