Buildings and grounds visit was conducted. MARs reviewed for 5 girls and 3 boys; No concerns noted. Gathering room and common areas clean. Census 14.
PRLU or OLTC
Visit Compliance Report
Police Report
Assault Third Degree
Staff stated while trying to break up a fight between J1 and J2, J1 pushed staff into a door. J1 stated J2 came into his face and swung at him so they began fighting. J2 stated J1 had been talking about him and he got tired of it so he swung at him.
PRLU or OLTC
Visit Compliance Report
- Girl census 12, boys census 3. MARs were reviewed for 5 girls and all boys, no deficiencies noted. All areas in ratio.
- Regs out of compliance –
- R911.15.f – Draw string was found in room 2239; String was removed at visit.
Police Report
Information Report
Staff stated 3 Juveniles had returned to the facility after being gone unknowingly. Staff stated they noticed the Juveniles gone at 0115 hours. Staff stated the Juveniles were caught at 0220 hours coming back.
PRLU or OLTC
Notice of Incident
- Fight
- Client and peer started fighting, and client was kicked in the knee a few times before staff were able to intervene. Client and peer calmed down and client was assessed by a nurse. An X-ray was done on client with no issues found. No follow-up details.
Medicaid Inspection of Care
On-Site Inspection
- Included: IOC, CAP
- Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.
Police Report
Assault Second Degree, Terroristic Threatening Second Degree
Staff advised Juvenile1 had been throwing a tantrum all day and throwing objects at staff; Staff stated J1 had said he will damage vehicles. Another staff verified, and said J1 hit him in the leg with a broom. J2 stated J1 threw CDs at him. No injuries noted. Staff stated J1 be transported to ACH; MEMS responded.
Police Report
Battery Third Degree, Runaway, Theft of Property
Staff advised Juvenile ran away from facility after attacking staff and stealing keys. Staff stated Juvenile became upset when he asked her to sit down, threw her shoes at him, stole his keys, and used them to leave the building. Officers circulated the area with negative results. On 11/17/21, Conway PD advised they have the Juvenile and are contacting DHS to pick up Juvenile.
PRLU or OLTC
Visit Compliance Report
Specialist reviewed resident/staff ratios, halls, MARs, and 3 residents records with no concerns found. Required training that has been done has been sent via email today.
Police Report
Non Police Incident
Staff advised 2 Juveniles were fighting. Upon arrival, staff advised they had worked it out and did not need a report.
Police Report
Battery Third Degree
Staff advised Juvenile1 and Juvenile2 were in physical altercation; J1 and J2 stated they were throwing rubber bands at each other and began fighting. No injuries observed.
Medicaid Inspection of Care
Notice of Sanction
- 10.01.21 Actions: DMS hereby issues the following sanctions to United Methodist Children’s Home until deficiencies identified in the IOC are resolved, and an acceptable CAP is provided and been put into place:
- DMS/DPSQA review and possible revision of the Corrective Action Plan which must be submitted to AFMC by close of business on October 6, 2021.
- Suspension of provider referrals to your facility
- Placement on high-priority monitoring
- Referral of the matter to the Arkansas Office of Medicaid Inspector General for review
- Recoupment of payments made for services determined not to be medically necessary or that fail to meet professionally recognized standards for healthcare
PRLU or OLTC
Corrective Action Agreement
- The following non-compliance areas have been cited during the past six months:
- 907.2 Ratio & Supervision – Facility was cited for not providing care and treatment necessary to ensure the safety and well-being of each child multiple times since 1/1/2021.
- 905.4 (g) – Facility was cited for the use of physical injury or threat of bodily harm as a form of behavior management multiple times since 1/1/2021.
- 905.4 (h) – The following actions shall not be used, including as discipline: h. Humiliating or degrading action.
- 905.9 – Facility cited for staff failing to use minimal force and time necessary during restraints performed on residents.
- 905.11 – Facility cited for nursing staff administering chemical restraints to children that did not require emergency behavioral intervention on video footage or photos.
PRLU or OLTC
Visit Compliance Report
- Census: 21 total with 1 female out at an acute facility. Ratios reviewed. Milieu, sleeping quarters, and classrooms were in good order.
- Specialist checked med logs for 4 residents with no regs out of compliance.
Police Report
Battery Third Degree
QRTP – Juvenile1 stated that Juvenile2 bullies him; J1 stated J2 asked him to get cigarettes and when he did, staff asked where the smoke smell came from. J1 stated he told on J2 so he wouldn’t get in trouble. J1 stated J2 followed him outside and began punching him; No injuries observed. J2 stated J1 was bullying other kids so he decided to “handle it.”
Police Report
Disturbance
Staff stated Juvenile1 was acting out and threatening to drink hand sanitizer to harm himself. MEMS was called and responded to scene. Staff and MEMS agreed J1 would stay at facility and speak to counselor.
Police Report
Assault Third Degree
QRTP – Staff stated Juvenile1 started a fight with Juvenile2. No injuries observed. Staff stated Juvenile3 broke the fight up and J1 continued to get in J3s face. J1 stated J2 was talking about how he could beat up certain people at facility, and attempted to shut the refrigerator door on him while he was getting milk. J1 stated J2 pushed him first and that’s when the fight started. J2 stated he was protecting himself and J1 approached and hit him first.
PRLU or OLTC
Visit Compliance Report
- Census: 6 boys and 17 girls, total 22. Ratios reviewed. No issues found during walk-through.
- Specialist checked med logs for 4 residents with no regs out of compliance.
Police Report
Assault First Degree
Staff stated Juvenile had been kicking several individuals at facility. Staff advised when he told Juvenile to stop, Juvenile kicked him 3 times in the leg. Staff stated when he placed Juvenile in office, Juvenile began kicking at the door trying to leave. Juvenile stated to Officers that he was only playing.
PRLU or OLTC
Incident Report
- Incident-Founded-incident involving child IC and another child getting into a verbal altercation:
- 905.4.c- IS made derogatory comments toward the child.
- 905.4.d- The following actions shall not be used, including as discipline: d. Derogatory comments about the child, the child’s family, race, or gender. (IS used obscene language).
- 905.4.h-telling the child that staff member was glad he didn’t care if he went to jail.
PRLU or OLTC
Visit Compliance Report
Specialist and Program Coordinator conducted inspection and reviewed med logs with no regs out of compliance. Girl’s group room had 3 staff and 16 kids (1 girl at dentist); Boy’s milieu had 1 staff to 4 kids. No issues found during walk-through.
Police Report
Missing Person
QRTP – Staff stated Juveniles roommate advised her he ran away. At 0700 hours, Staff were informed by DHS that Juvenile was at hospital. Juvenile stated he took what he believed to be Zanex and attempted to kill himself by cutting. Juvenile stated he ran away because he wanted to be with his sister and mother, and felt like killing his father who left him when he was little. Social worker stated he was going to put Juvenile in Pinnacle Point and then to an acute long time care facility.
Police Report
Information Report
QRTP – Staff advised Juvenile returned and there was no need to file a missing persons report. Officers made contact with Juvenile, who stated he did not runaway but was going to the gate to get his door dash order.
Police Report
Complainant Not Located
Officers could not locate complainant; No answer on call back.
PRLU or OLTC
Buildings and Grounds, Incident Follow Up
Building and Grounds and follow up on incidents dated 8/16/21 and 8/6/21 both found true and cited for 905.4.g – The following actions shall not be used, including as discipline: g. Physical injury or threat of bodily harm. 907.3 – Staff/child ratio shall be at least 1:6 during waking hours and 1:8 during sleeping hours. and 908.9.d – The medication log shall include: d. Initials of the person administering the medication.
- Cited for 907.3—I reviewed video of an incident/fight that took place between two 15-Year-Old males. The staff to child ratio at the time of the fight was out of compliance and was 1 staff to 8 children.
- Cited for 905.4.g—video reviewed of an incident that took place on 8/6/21 involving IS (Involved Staff)— and IC (Involved Child). While reviewing the video, IS was observed striking the IC in the face when the child grabbed IS’s arm. IS did not attempt to get away but stepped forward and struck the child. Another IS2 intervened and separated the two. Corrective Action was requested by PRLU and the staff was terminated that day. This was called back into the hotline by PRLU staff member Steven Pitts and as accepted.
- Cited for 908.9.d—Med logs were improperly filled out.
- Cited for 905.4.c – The following actions shall not be used, including as discipline: c. Lewd or obscene language. (Laughing at IC was degrading, derogatory comments were made).
- Cited for 905.4.h The following actions shall not be used, including as discipline: h. Humiliating or degrading action. (Patient was told by staff that they were glad he didn’t care if he went to jail).