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

  • Specialist visited facility to review videos regarding an incident. Complaint found true. Cited for 907.2 and 907.6.
    • 907.2 – Provider reported incident dated 6/27/21 regarding an incident that took place on 5/11/21.  Staff was off hall for a minimum of 1 hour and children were left unattended.
    • 907.6—Staff failed to provide 30-minute checks during sleeping hours
  • Specialist reviewed records for 3 children with no regs out of compliance.

Police Report

Disturbance

Staff advised that Juvenile stated he wanted to hit everybody and himself, holding part of a broken chair. Juvenile stated he was mad after being accused of something he didn’t do. MEMS transported Juvenile to Children’s Hospital.

PRLU or OLTC

Visit Compliance Report

  • Specialist reviewed meds for 2 residents; Resident missed AM dosage on 7/5/21 and PM dose on 7/12/21. Facility staff could not explain why the med log showed the dosage was not given.
  • Regs out of compliance, not correctable –
    • R406.4.d – Ensure Med Logs are initialed by the staff giving the meds going forward.
  • TA –
    • R409.6 – Window in room 507 will not open. Ensure window will open before a child is placed in that room.

Medicaid Inspection of Care

On-Site Inspection

  • Included: IOC, Notice of Sanctions, CAP
  • Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Visit Compliance Report

  • No regs noted out of compliance.
  • TA –
    • R911.6 – Windows in both Day Rooms are broken and awaiting repairs and the window in room 1238 in the boy’s unit is also broken. Staff stated parts have been ordered; The rooms are currently locked and not accessible to anybody but maintenance staff.

PRLU or OLTC

Notice of Incident

  • Other – Peer Altercation
    • Resident instigated a verbal altercation with peer and slapped peer. Staff intervened and resident went back to his seat.
    • Child Abuse Hotline was called, not accepted. Specialist requested video footage and conducted follow up visit at the facility.

Police Report

Missing Person

Staff reported that Juvenile 1&2 kicked open a door at facility and left. Both Juveniles were found and returned to facility.

Police Report

Rape

Officers received referral from Child Abuse Hotline. Juvenile 1 disclosed that Juvenile 2 entered his room and penetrated him. Investigation is ongoing.

Police Report

Sexual Assault Second Degree

Officers received referral from Child Abuse Hotline. Juvenile 1 disclosed that Juvenile 2 came into his room while he was sleeping and attempted to have sex with him. Juvenile 1 stated he pushed Juvenile 2 off him and Juvenile 2 exposed his penis and left.

PRLU or OLTC

Notice of Incident

  • Other – Swallowed Object
    • Client became non-compliant, refused to leave foyer area, and began to use a marker to color before breaking it in half. After client was instructed by staff to hand the marker over, client asked “what do you think would happen if I swallow this”. The client then placed it in her mouth, showed it to staff on her tongue and swallowed it. Staff then took the client to bathroom for a full body search to make sure she didn’t have other items. Nursing assessed the client and gave her Bisacodyl so she could use the bathroom to release the item. X-ray was ordered and item was not found during the x-ray.
    • Staff were informed that the involved client is to not be allowed access to the following: markers, pens, pencils, or sharp instruments. The client is also monitored during meals to ensure she does not bring back utensils with her.

Police Report

Information Report

Officers received 911 hang up call; Upon arrival, Staff stated no one in the building had called 911. Staff also stated everyone was fine.

PRLU or OLTC

Visit Compliance Report

  • Specialist viewed video footage from 5 incident reports. (Video footage from five incident reports involving IC including two reports from 2/28/21, 3/12/21, 3/18/21, and 3/20/21).
  • The 1st incident showed staff went into a hold without appropriate de-escalation attempts; Appropriateness of hold was questionable. One of the staff members involved in the hold has been terminated regarding a different matter. The 2nd incident showed a staff member pushing a client against a wall to separate from another client. The 3rd incident showed a staff member using an improper hold, client had injury
    to his shoulder; This incident was reported to the Child Abuse Hotline but was unfounded. However, this is a true Licensing Complaint for inappropriate behavior.
  • Regs out of compliance –
    • R905.9 – 3 staff members shall have training on behavior management including deescalation, appropriate restraints, and proper documentation of incidents.
    • R907.2 – 3 staff members shall have training on behavior management including deescalation, appropriate restraints, and proper documentation of incidents.
    • R905.4.g – 3 staff members shall have training on behavior management including deescalation, appropriate restraints, and proper documentation of incidents.

Police Report

Information Report

Staff stated Juvenile was cutting his arm. Juvenile told Officers he cut his arm because he misses his family. Staff stated he also made suicidal statements. Juvenile was transported to ACH by MEMS. Juvenile was admitted to Bridgeway after ER visit.

PRLU or OLTC

Notice of Incident

  • Injury – Accidental
    • Client injured his middle finger while playing basketball with peers.
    • X-ray results: Fracture; Client is being treated with a finger splint.

Police Report

Runaway

Staff stated Juvenile ran away from facility sometime between 6/6/21 at 0800 hours and 6/7/21 at 0800 hours. On 7/14/21, Officers were informed that Juvenile had been located by Grandview PD in Missouri; Contact was made with Missouri PD and case worker to get Juvenile back in DHS custody.

Police Report

Runaway

Staff advised she saw Juvenile at approximately 0945 hours but could not find him at approximately 1000 hours. Staff stated Juvenile had ran away the day before but was returned. Staff advised officers on 6/4/21 that Juvenile was returned the night before by NLRPD; Officers verified.

Police Report

Information Report

Staff stated Juvenile fled from facility in unknown direction. While completing report, Juvenile returned. Officers verified that Juvenile had returned.

Police Report

Criminal Mischief First Degree

Juvenile was upset because he didn’t want to take a shower; Staff stated he began to act aggressively after telling him to take a shower. Staff stated they locked him outside and he beat on the door until he broke the handle. Juvenile calmed down in patrol vehicle and was brought back inside.

Police Report

Battery Third Degree, Disturbance, Runaway

QRTP – Staff stated Juvenile had ran away at approximately 2030 hours after being brought back by police after running away the first time. Juvenile returned to the scene while officer was making report. Juvenile caused a disturbance and pushed staff member after staff searched his items he brought back (piece of glass); Juvenile was transported to ACH for evaluation.

Police Report

Runaway

QRTP – Staff stated Juvenile ran away due to not wanting to take a shower. Juvenile was located on 5/23/21 and returned to facility.

PRLU or OLTC

Notice of Incident

  • Elopement
    • Client was being non-compliant and not following orders; Client started kicking the doors near the exit and was able to kick through the unit and gym door. Client eloped from facility however was returned around 10:05pm. No follow-up details.

PRLU or OLTC

Visit Compliance Report

  • Regs out of compliance –
    • R907.6 – Viewed overnight video footage related to complaint allegations. Staff was observed walking down the halls regularly, but not checking in the rooms. Staff were also not staying on the halls during sleeping hours on 3/16 & 3/17.
    • “No action was taken by DCFS. Visit tied to 3/31/21 incident.”

Police Report

Information Report

Officers responded to a disturbance call; Upon arrival, Staff advised that police were not needed and they did not need a report.