Disability Rights Arkansas

United Methodist Children's Home Dacus / United Methodist Children's Home (Bono)

Location: Bono, Arkansas

Population Served: Children and adolescents in need of out of home psychiatric care in a residential setting

# of residents per unit: 25 Residents per room: 3-4 Capacity: 25

Contact with family (Calls and visit schedule): Clients have regularly scheduled phone call opportunities. The number of actual calls depends on the clients wish to utilize these opportunities. In person visitation (assuming no quarantine precautions) is available every weekend and can be scheduled at other times as needed by the family or guardian.

Restraint utilized? Yes Chemical Restraint utilized? Yes Seclusion utilized? Yes

Treatment Components:

Clinical Director - In process of hiring.

Therapists: 2 full-time therapists (1 LCSW, 1 LPC)

Treatment modalities offered: Facility declined to identify any specific modalities available

# of individual therapy sessions/week: Minimum 1 per week scheduled. May vary upon the treatment plan of the client.

# of group therapy sessions led by a licensed mental health professional/week: minimum of 1 with 2 preferred.

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Police Report

Criminal Mischief First Degree

Officer was dispatched for a large fight between staff and clients. Upon arrival, staff advised that 2 juveniles had been destroying property and fighting staff. Juveniles were semi combative upon officers arrival. Juveniles were arrested and transported to JDC.

Police Report

Disorderly Conduct

Officer was dispatched for a juvenile trying to fight employees. Upon arrival, staff stated her boss advised her not to call the police, but she had already done so. Staff stated the juvenile did not hit or strike anyone, he was just running up and down the hall.

Police Report

Runaway Juvenile

Officer was dispatched for 2 runaway juveniles at approx. 11:24pm. Staff stated the juveniles had gotten the keys from another worker and left the facility. On 8/27 at approx. 6:15pm, both juveniles had been located and were being taken back to the facility.

Police Report

Disorderly Conduct

Officer was dispatched for an assault; Upon arrival, staff stated juvenile was pushing him around trying to get his keys and radio, and juvenile did not actually assault him. Officer spoke with juvenile, who stated he didn’t care and the officer could take him to juvenile detention because his friends are there. No further action taken.

PRLU or OLTC

Notice of Incident

  • Fracture (Self-inflicted Injury)
    • Resident reported hurting their hand the previous week after hitting a wall. X-ray was ordered and showed a mildly displaced intra-articular fracture of the fourth distal phalanx base. Negative for dislocation.
    • Licensing follow-up on 8/5/22: Resident’s finger placed in a metal splint and a referral was made for resident to see an orthopedic surgeon. As of 8/8/22, provider waiting on notification for appointment date and time.

PRLU or OLTC

Monitor Visit, Self Report Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Licensing completed full buildings and grounds walkthrough. Dayroom, bedrooms 118 and 128, and Classroom 2 were all under construction and are not being utilized by residents. MARs reviewed for 5 residents.
  • Regs out of compliance –
    • 1.110.17 – Facility reports they will retrain staff, conduct meeting/send email to remind staff the steps to follow when completing a CIR as well as whom to email and where to place the completed CIR. CIR binder will be checked daily and anytime a CIR is completed, all members of the administration will be notified via email. Administrative case manager will ensure CIR’s are uploaded and sent within the allotted time.

Police Report

Assault Third Degree

Staff member reported that she tried to get the juvenile to leave the dayroom and when he got to the door where she was, he hit her with a closed fist in the chest area leaving a red mark. Officer advised Juvenile Officer that juvenile was in solitary confinement away from the others. Staff involved stated the juvenile is leaving the facility tomorrow to go to a different facility, and she was just wanting him gone today.

PRLU or OLTC

Notice of Incident

  • Suicidal Behavior, Injury, & Disturbance
    • Resident attempted to choke themselves with a sweatshirt. After the sweatshirt and all clothing were removed from the resident’s room, resident became upset and hit staff several times.
    • Licensing follow-up on 8/4/22: Facility visited.

Police Report

Assault Second Degree

Staff member reported an assault that occurred on 07/16/22. Staff stated while working at facility, juvenile tried to break a sprinkler with his shoe. When staff took his shoe, juvenile grabbed staff by the arm leaving scratches on him.

PRLU or OLTC

Disturbance, Notice of Incident

  • Disturbance
    • Resident became combative with staff after attempting to get into an office that is off limits to residents. Resident used socks to choke themselves in which staff removed from resident’s neck. Resident then took the socks and came behind staff and choked staff with the socks. Resident was assessed by nurse, and no bruising was noted.
    • Licensing: Incident report received on 7/19/22.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 9:45am – 11:15am. Licensing discussed 06/21/22 incident received regarding resident and peer sexual contact. Facility reported the residents are on a 10-foot restriction and received room reassignments. Younger residents have been educated and informed to report sexual harassment. Licensing Complaint is unfounded.
  • Licensing discussed 7/3/22 incident received regarding maltreatment by staff. Camera footage was reviewed and showed resident swinging at staff, then staff in return grabbed resident and shoved them to the floor with staff’s hand around resident’s neck. It appeared that staff was pushing resident’s head to the floor. Resident was assisted by other employees while staff member walked towards the door.

Police Report

Assault Third Degree

Two staff members advised that juvenile lost control of temper and began throwing shoes and pushing on staff members. Officer observed no injuries. No charges requested.

PRLU or OLTC

Maltreatment, Notice of Incident

  • Maltreatment
    • Staff members completed critical incident/hotline reports due to incident in which resident and peer were in an altercation and resident became aggressive with staff. It was reported that a staff member shoved resident to the ground and put their hand on resident’s neck, bouncing their head 3-4 times against the floor. Staff member then used obscene language and grabbed resident by the neck, shoving them towards the wall. Facility reported the staff member will not return to the facility until the investigation is complete.
    • Child Abuse Hotline was called and accepted. Investigation pending. Licensing follow-up on 7/11/22: In-person visit conducted, and camera footage reviewed. Licensing complaint is founded. On 7/18/22, Licensing received notification that staff was terminated from employment on 7/14/22.

PRLU or OLTC

Maltreatment, Notice of Incident

  • Maltreatment
    • Resident reported peer was inappropriately touching resident in bedroom away from staff observation. Resident reported peer has touched their buttocks repeatedly and pulled down their pants. Resident stated peer has verbally threatened resident if they report it. Facility reported both residents are on a 10-foot distance precaution.
    • Child Abuse Hotline was called and accepted. Investigation pending. Licensing follow-up on 6/22/22: Requested the referral number, assigned investigator, and corrective action plan. Licensing visited facility on 7/11/22 and discussed the incident; No licensing concerns noted.

PRLU or OLTC

ER Visit, Notice of Incident

  • ER Visit (Peer Altercation)
    • Client reported pain in right hand after punching a peer in the back of the head. Resident was taken to the ER for x-ray.
    • Licensing follow-up on 6/20/22: Program Coordinator emailed the facility to determine what safety precautions were put in place for residents. The facility reported the residents will be on a ten-foot assault precaution.

Police Report

Assault Third Degree

Staff advised officer that juvenile woke up and started cussing/yelling, then grabbed a sock and went toward staff member to choke him. Juvenile then tried to do the same with a blanket after the sock was taken away. Juvenile struck staff member with a sock that had been rolled up with knots in it. No injuries reported.

Police Report

Disorderly Conduct

Officer responded to facility for possible poisoning from a fire extinguisher that some juveniles opened and sprayed each other with. Upon arrival, facility nurse stated the kids were acting fine and their blood pressure was good. Nurse stated she needed dispatch to call Poison Control to see if there was anything she needed to do for the juveniles. Dispatch advised nurse would need to contact Poison Control.

Police Report

Disorderly Conduct

Officer dispatched for juvenile acting up and threatening to hit everyone. Upon arrival, the teacher stated he had spit on her and charged her with a stick. Officer spoke with juvenile who stated he wanted to kill himself and did not want to hurt anyone. Teacher advised officer they would evaluate him there at the facility. Juvenile calmed down.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Chelsea Vardell.
  • Facility visited from 10:20am – 11:15am. Census: 14. MARs reviewed for 3 residents. Licensing Specialist viewed staff attempting to de-escalate a resident in which staff was responding appropriately to the resident in attempt to keep him and other resident’s safe.
  • Regs out of compliance –
    • R912.4 – Bathroom on the resident unit was visibly clogged with toilet paper. Maintenance was called to unclog the toilet on site. Corrected 5/17/22.
    • R911.15.d – Bedroom 119 was viewed to have a pair of shorts with strings still attached. Staff removed the clothing item on site. Corrected 5/17/22.

PRLU or OLTC

Notice of Incident

  • ER Visit (Swallowed Foreign Object)
    • Client swallowed a Lego and was taken to the ER due to throat pain. No further details.

PRLU or OLTC

Non-Standard Review, Visit Compliance Report

  • Licensing Specialist: Chelsea Vardell.
  • No site visit conducted. Licensing received a late incident report notification on 5/3/22.
  • Regs not correctable –
    • R110.17 – The incident report was not sent to Licensing by the next business day following the event.

PRLU or OLTC

Notice of Incident

  • ER Visit (Self-inflicted Injury)
    • Client was in a verbal altercation with a peer when he punched a door. Client was taken to ER for an x-ray due to his hand being red and painful. No further details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Peer Altercation)
    • Client was in an altercation with peer in which he injured his hand. Client was taken to ER for further evaluation. No further details.
    • Agency was cited for R110.17 due to reporting the incident 12 days after the event occurred.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC
  • No deficiencies noted.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client was playing basketball when a peer threw him the ball and hit him in his genital area. Client was taken to ER for further evaluation. No further details.