A juvenile resident reported pain after an altercation with four of his peers. The resident was evaluated, and an x-ray of his right hand was ordered.
PRLU or OLTC
Notice of Incident, Peer Altercation
PRLU or OLTC
Notice of Incident, Peer Altercation
Three juvenile residents were involved in a physical altercation. One resident received an injury to his thumb. The resident was assessed, and an x-ray was ordered.
Police Report
Assault, JDC, Police Report
Officers were dispatched to the facility in response to an assault and battery. One resident was arrested and transported to Juvenile Detention.
PRLU or OLTC
Accidental Injury, Notice of Incident
A resident injured his foot while playing basketball in the gym. The resident was assessed, and an x-ray was ordered.
Police Report
Assault, Police Report
| Officers were dispatched to the facility in response to a disturbance. A resident was threatening other residents and staff. The resident was transported to Craighead County Juvenile Detention Center. |
PRLU or OLTC
Aggressive Behavior, JDC, Notice of Incident
| A resident approached a staff member and made racial comments. The resident began to damage property and tried to break into a phone box. Bono Police Department was called and arrested the resident. He was transported to Juvenile Detention and discharged from the facility. |
Police Report
Arrest, JDC, Police Report
| Officers were dispatched to the facility in reference to a resident that was out of control and threatening staff. The staff member in charge at the facility stated that they wanted the resident to be arrested for the incident. The resident was placed in handcuffs and transported to Craighead County Detention Center for processing. |
PRLU or OLTC
JDC, Notice of Incident, Peer Altercation
| A resident exhibited aggressive behavior, then got into an altercation with 3 peers. The resident destroyed property, spit on a door and window, and tore a thermostat from the wall. Then, the resident put the screws from the thermostat in his knuckles and threatened staff. Staff called Bono Police Department. BPD arrested the resident and transported him to juvenile detention. |
PRLU or OLTC
Visit Compliance Report
| Licensing Specialist: Andrea Adamson LS Adamson visited the facility to review children’s records. All records reviewed were organized and well maintained. |
PRLU or OLTC
Visit Compliance Report
| Licensing Specialist: Andrea Adamson LS Adamson visited the facility to conduct a Buildings and Grounds review. The following areas were reviewed: Boys Hall, Little Hall, Cafeteria, Indoor/Outdoor Gym, Classrooms. The grounds looked well maintained and free of debris or trash. |
PRLU or OLTC
Accidental Injury, Notice of Incident
| A resident complained of pain to the right ankle. The resident stated that he had rolled his ankle while on pass at the trampoline park. An x-ray was ordered to rule out a fracture. |
PRLU or OLTC
Notice of Incident, Peer Altercation
| Resident was struck in the head and face by Peer 1 while sitting at a desk. Staff intervened and separated the residents. A few moments later, Peer 2 stood up and struck the resident multiple times in the head and face. Staff intervened again. All residents were placed on 10ft restriction from each other and assault precautions. Peers were placed on Unit Restriction and 60k focus. A resident was sent to urgent care for evaluation of a laceration received during the incident. |
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Slade
Program Coordinator Slade visited the facility to perform a Buildings and Grounds walkthrough. Census: 14.
The following areas were observed: grounds, administration, day room, dining hall, nurse’s station, classrooms, bedrooms, and bathrooms. All areas were clean and organized. PC Slade reviewed MARs. All were initialed and up to date.
Police Report
Elopement, JDC, Police Report
Officers were dispatched to the facility regarding a missing resident. Officers located the resident and returned him to the facility. After leaving the facility, officers were called back due to the resident vandalizing the property. Officers placed the resident under arrest and transported him to Craighead County Detention Center.
PRLU or OLTC
Elopement, Notice of Incident, Peer Altercation, Visit Compliance Report
A resident eloped from the facility by pushing past a nurse and out the exit door of the kitchen. Police were notified. The resident was located by officers and returned to the facility. After the officers left the facility, the resident began vandalizing the property. The officers returned and arrested the resident for criminal mischief. The resident was taken to Craighead County Detention Center for processing.
Police Report
Overdose, Police Report
On 10/5/24, officer responded to facility in regards to a juvenile overdose from taking pills. Upon entering the facility, there were already 1-2 first responders on scene. Officer was told to bring Narcan to the juvenile, and the officer administered 4mg of Narcan to the juvenile. The juvenile opened his eyes and began talking to officers. EMS arrived on scene and transported juvenile to the hospital. The officer collected witness statements on 10/6/24.
PRLU or OLTC
Notice of Incident, Suicide Attempt, Visit Compliance Report
Staff was informed by facility residents that client swallowed an unknown number of pills. At approximately 7:42pm, staff called the nurse who was assisting another resident in the facility’s cafeteria at the time. At approximately 7:47pm, as behavioral instructor was checking on client in the bedroom, client fell to the floor. Emergency services (911) were immediately called. Behavioral instructor then moved client to the RTC hallway. At 7:50pm, the nurse assessed client and remained with him until Emergency services arrived. Emergency serves arrived at approximately 7:55pm and transported client to St Bernard’s Hospital in Jonesboro, AR.
Licensing Specialist: Andrea Adamson
Licensing Specialist emailed Facility with follow up questions, how did resident obtain pills, safety plan moving forward, nursing notes, hospital discharge paperwork. Facility reported that client was sent to Pinnacle Pointe on 10/06/24 where he is currently. Client did not return to Dacus, RTC after being transferred to St. Bernards hospital on 10/05/24. St. Bernards hospital informed RTC nurse that client’s vitals and levels were all normal. However, per hospital (St Bernards) policy, the client is not allowed to return to the same facility after an alleged or reported overdose. The client obtained the meds from the medication he “cheeked” earlier in the day. Safety plan- Nurse will continue to ask each client for name and D.O.B before handing client medication and water. After client swallows’ the medication, nurse will complete an oral check to ensure medication has been swallowed.
Licensing visited facility on 10/8/24 and reviewed camera footage. Program Manager provided TA on improving staff procedure, nurse staying with a client in distress, not allowing other children to be hands on during medical emergencies. Also spoke with CEO about having floater staff on the floor during 7pm to 11pm. The Facility was given 7 days to retrain staff. 10.15.24- Facility emailed Licensing Specialist copies of the retraining for staff and nurse.
PRLU or OLTC
IOC Report
No deficiencies were noted during the Inspection of Care (IOC) conducted on 10/03/24.
PRLU or OLTC
Accidental Injury, Notice of Incident
While playing basketball, Client rolled onto right ankle. Client was taken to nurse. Moderate edema present. No open wounds noted. X-ray ordered. X-ray findings questionable. Client taken to NEA Baptist emergency department and was diagnosed with avulsion fracture of right ankle, closed.
Police Report
Assault, Police Report
Officers were dispatched to the facility on 8/19/24 in response to an assault on a staff member. The resident who assaulted the staff member was arrested and transported to Craighead County Juvenile Detention Center on the charge of Assault 3rd and released to jail staff.
PRLU or OLTC
Arrest, Notice of Incident
Resident committed an unprovoked assault on a staff member by ramming his elbow into staff and slamming him into the wall. EMS was called and the staff member was transported to Northeast Arkansas Baptist Hospital. Bono Police Department was called. The resident was arrested and taken to Craighead County Detention Center.
PRLU or OLTC
Notice of Incident, Self-Harm
Resident reported pain in his hand and stated he had hit a wall the previous weekend. The resident did not verbalize this discomfort until 8/9/2024. He was taken to the nurse for evaluation. His right hand was slightly edematous with no broken skin. X-rays were ordered. No fracture or dislocation was noted.
PRLU or OLTC
Elopement, Notice of Incident
A resident eloped out of the front office door by pushing past staff when she opened the door leading to the front office. The resident was apprehended by the Bono Police Department and taken to Craighead County Juvenile Detention Center.
Licensing discussed the elopement with facility staff during a visit to the facility. Ratio at the time of the elopement was 2:5. The resident was returned with no issues or injuries. Staff involved was retrained on elopement precautions when opening doors. the resident was placed on close observations and elopement precautions.
PRLU or OLTC
Notice of Incident, Verbal Maltreatment, Visit Compliance Report
A resident reported to his therapist that a staff member made a threatening statement toward him stating, “Don’t touch my chair before I punch you in the mouth.” The resident reported he told the staff member, “Go ahead and do it,” and the staff member replied, “I don’t hit little girls.” The staff member was suspended pending the outcome of the internal investigation.
Licensing Specialist: Chelsea Vardell
Licensing interviewed three residents at the facility, including the child named in this incident. Two of the residents reported that they did not have any concerns with staff and had not witnessed staff being physically or verbally abusive with any of the residents. One of the resident reported that the staff member listed in this incident has been rude and disrespectful to him on several occasions. The resident reported that the staff member threatened to punch him in the face after the resident bumped into his chair. The resident reported no other issues with any staff members.
Licensing informed the facility that licensing is not requiring staff to be on suspension and that he can return to work once he has been retrained on appropriate communication and behavior management with residents. The facility will provide a copy of the retraining prior to the staff returning to work.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Chelsea Vardell
Licensing visited the facility for an unannounced buildings and grounds walkthrough. Bedrooms were very clean and tidy. One bedroom was found to have a pair of pajama pants with strings. Facility will be cited for 911.15.f.
MARS were reviewed. No initials or documentation related to scheduled medication was found for one resident. Facility will be cited for 908.9.d.