Disability Rights Arkansas

United Methodist Children's Home Little Rock

*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]

Methodist Children’s Home operates multiple programs on a single campus. Police responses to this campus often do not identify the program they are responding to. All reports plausibly related to the PRTF or Qualified Residential Treatment Program/Group Home (QRTP) have been included here. Where we can be certain the response was to the QRTP it is noted.

Location: Little Rock, AR                   Population Served: Children and adolescents in need of out of home psychiatric care in a residential setting

# of residents per unit: 20 Residents per room: 1 Capacity: 40

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: LCSW                    Therapists: 1 full-time therapist (LCSW)

Treatment modalities offered: Facility declined to identify any specific treatment 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.

UMCH LR Report (combined)

Photo Appendix to report

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PRLU or OLTC

Visit Compliance Report

  • Buildings and grounds conducted; MARs reviewed for 3 clients.
  • Regs not correctable –
    • R908.9.d – One medication sign-off was missing on January 3rd.

PRLU or OLTC

Notice of Incident

  • Suicidal/Threatening Behavior
    • After altercation with peer, client grabbed staff keys and ran through doors to the front of facility. Client then stopped and gave keys back to staff. Client slapped staff across face, and then came inside where she tried to choke herself with a cord. Client then attacked other staff members in foyer area. Client was sent to acute.
    • Specialist visited facility on 1/24 and viewed video of incident (6:15 – 8:00pm). No licensing concerns regarding this incident.

Police Report

Battery Third Degree

QRTP – Officers responded for battery between 2 residents. The residents got in 2 fist fights, staff intervened both times. J2 had marks on his arms/neck but staff could not could not differentiate if the injuries were caused from yesterday’s incident. J1 had possible injury on his arms. Both Juveniles are housed on separate ends of the dorm. Staff advised J2 is a continual bully to J2.

Police Report

Battery Third Degree

QRTP – Officers responded for a missing person report but Juvenile had returned upon arrival. Staff advised J1 harmed J2 prior to leaving. J2 advised J1 dug a broken tooth brush into his skin because he would not give up his chair for him. Multiple scratches observed on J2.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Facility reported an improper hold was placed on client by staff member; Facility reported no injuries occurred. Staff member was placed no leave pending investigation and client was transported to Methodist Acute in Maumelle due to ongoing behavioral concerns.
    • Child Abuse Hotline was called, pending. Specialist followed up on 12/27/21 and reviewed video footage. At no time was staff member seen using physical injury or threat of bodily harm as a form of discipline. Staff is seen initiating a restraint hold to retrieve plastic bag from client which could potentially harm client, after client had made aggressive movements towards staff, including spitting on staff. Facility stated they had not received a confirmation if the hotline call was accepted or not, and stated they are reviewing video footage to see if the staff involved followed facility protocol.

Police Report

Assault Third Degree

QRTP – Staff advised Juveniles 1 & 2 got into a fist fight, but staff was able to separate them both. J1 stated J2 was making fun of him, and J2 confirmed. Neither had injuries.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds visit; Census 10. MARs checked with no issues noted.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds visit; Census 10. MARs checked with no issues noted.

Medicaid Inspection of Care

On-Site Inspection

  • Included: IOC (revised)
  • Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Client fell while chasing peer during a game (concept of game) and stated her right index finger was hurting. Client was assessed by nurse and an x-ray was completed; Results were normal.
    • Specialist followed up on 12/17, and staff indicated that client was okay.

PRLU or OLTC

Notice of Incident

  • Fight
    • Peer thought client was talking about her and began to curse at client. Peer got up and began to punch at client. Staff intervened and separated clients. Investigation will follow plan/action. No follow-up details.

Police Report

Theft of Property

QRTP – Caller (staff) stated Juvenile 1 took her keys/fob from her desk in the office. She said she didn’t see him take them, but she was in a verbal disturbance with him earlier. Caller recovered the keys outside on the ground before officers arrived. Caller stated she would have the video footage reviewed.

Police Report

Battery Third Degree

QRTP – Officers made contact with both juveniles who stated the other juvenile started the physical altercation. Officers observed J1 had a busted lip but they did not want medical attention.

PRLU or OLTC

Visit Compliance Report

Phone call for weekly visit; Staff reported no recent incidents nor concerns. PRTF census: 7; QRTP census: 11.

Police Report

Runaway

QRTP – Staff advised J1 ran away from school sometime around 1000 hours. J1 reported missing through communications.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC
  • Deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds visit; MARs reviewed with no issues noted.

Police Report

Assault Third Degree

QRTP – Staff stated J1 hit J2 with belt. J2 stated J1 started hitting him with a belt, and when he tried to get the belt away, J1 began to hit him in his ribs. Staff stated they have had issues with J1 lately.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds visit; MARs reviewed with no issues noted. Overall, the facility was of clean and orderly standards.

PRLU or OLTC

Notice of Incident

  • Suicidal/Disturbance
    • Client attempted to scratch arm with container lid, and then started picking at sores. Client then started banging head on door and tried to take strings from her mask and tie them together. Client became physically aggressive when staff intervened and scratched/hit staff; Client punched doors/walls. Client knocked a screw out of the door and placed it in her mouth; Staff was able to get screw from her mouth. Client then placed a bag over her head, swung at staff, and was then placed in a physical hold and received a chemical restraint.
    • Video was watched and everything was done correctly except staff was heard on video stating that she would take away food as a punishment. Agency was cited and staff will be retrained.

PRLU or OLTC

Visit Compliance Report

Buildings and grounds visit; Currently no male clients at facility. All clients were on outing except for 1 client with illness; Census 9. Reviewed 3 MARs with no concerns noted.