Client complained of pinky toe pain on 10/30/23 due to kicking a soccer ball on 10/29/23. An x-ray was ordered and he has an acute nondisplaced proximal phalanx fracture.
PRLU or OLTC
Accidental Injury, Notice of Incident
PRLU or OLTC
Complaint, Medical, Notice of Incident
Licensing received a complaint on 11/1/2023 regarding a child who was picked up from the facility on 10/28/2023 by her guardian for a visit. The child was complaining of ongoing pain in her stomach, so the guardian took her to the emergency room and was then transported to ACH for further treatment of pancreatitis, a blood clot in her spleen, and sepsis. The child reported she was complaining to the nurses about the pain since Wednesday 10/25/2023 and they gave her ibuprofen on Thursday 10/26/2023. The child reported that when she continued to complain of pain, the staff told her to quit faking it. Child Abuse Hotline was called and accepted.
Nursing notes gathered from the facility do show the resident received 800mg of Ibuprofen on 10/26/2023, but there were no other nursing notes for the resident after that time.
11/9/2023 – Licensing spoke with guardian who stated the resident was discharged from the hospital on 11/7/23 and is now home and recovering. There was no identified cause for the medical issues the resident experienced. Guardian provided email attachments showing the resident’s diagnosis from her 10 day stay at Arkansas Children’s Hospital along with a timeline of events.
Email sent to UMCH 11/14/23 to ascertain what the plan of action is for UMCH’s nursing department to correct any issues (if they have identified any) to prevent incidents like what happened with resident.
Facility reported that client did begin complaining of stomach pain on 10/25/23 with no other significant symptoms, and continued to participate in facility activities. Facility stated the medical staff would not have reasonably suspected pancreatitis in the timeframe prior to her leaving on pass due to her symptoms and the short period of time between the onset of symptoms and when she experienced severe abdominal pain on 10/28/23 when she was taken to the ER. Therefore, there does not seem to be a need for change or improvement in the performance of nursing staff.
CACD investigation was unsubstantiated. This complaint was unfounded by Licensing. No visit conducted for this case and no licensing citations issued.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client fell while in the gym playing and twisted her ankle. An x-ray was completed Saturday 10/28/23. Findings: No acute fractures or dislocations that could be identified.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client fell while in the gym playing and stated she twisted her ankle. An X-ray was ordered. Findings: Normal x-ray examination of the ankle.
PRLU or OLTC
Complaint, Notice of Incident
Licensing received complaint: Reporter stated that her son and another resident tested positive for THC while in the care of United Methodist Children’s Home. Due to him testing positive for THC, he lost privileges to the outing which lead to an aggressive outburst. Reporter stated she is concerned how drugs entered the facility and for the safety of the residents.
The incident the complaint is regarding was previously reported to the PRLU and investigated (case combined with 10/10/23 report).
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Buildings and grounds conducted from 9:00am – 11:30am. Halls A, B, C, and D observed. MARs checked for 5 residents. No licensing concerns noted during visit.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Client reported to staff that 2 peers had a cannabis pin inside of the building. Client also reported that a staff member gave the residents the marijuana pin. Both residents were drug tested. Resident 1 tested positive for marijuana and Resident 2 tested negative. When asked, Resident 2 confirmed Resident 1 got the marijuana pin from staff. The staff member was informed of the allegations and stated she would never do anything like that. The staff member was sent to conduct a drug test at AEL and was suspended pending the investigation/drug screen results. Child Abuse Hotline was called, not accepted.
Licensing Specialist: Clayton DeBoer.
Facility visited 10/12/23. Resident 1 reported to staff that he snuck the vape in in his privates and flushed the vape pen down the toilet whilst at UMCH.
Facility cited 109.1.g: Client tested negative for marijuana upon admission to UMCH 8/23/23 and tested positive for marijuana 10/10/23. Client has not been on any gate passes since admission. Client was given access to marijuana whilst at UMCH. There is no definitive evidence at this time to support specified staff provided the marijuana, but it is evident client had access to marijuana whilst at this facility.
Staff member has been drug tested which was inconclusive. Staff will be suspended pending additional drug test results and pending facility investigation.
10/19/23 – Facility reported that the staff member’s subsequent drug screen was negative, and that the internal investigation did not support allegation. Staff member was approved to return to work.
No findings as this was not a licensing complaint investigation.
Police Report
Assault
Staff advised officer he wanted to make an assault report. Staff stated that on 10/5/23, a juvenile became combative and grabbed an aluminum stick-type object. When staff tried to take the object from juvenile, he stated she struck him in the head with it. Staff advised he took possession of the object after the altercation and did not have any injuries. Officer provided incident report and instructed staff to contact the prosecuting attorney’s office if he wanted to press charges.
PRLU or OLTC
Medical, Notice of Incident
Client had an X-ray on finger after complaining of pain. There was no findings of dislocation or fracture.
PRLU or OLTC
Notice of Incident, Self-Harm
Client became upset and punched the cafeteria window with his right hand. Client complained of pain and an x-ray was ordered. In-house x-ray results: Fracture of the neck of the fifth metacarpal with angulations, acute (Boxer’s fracture). Client was transported to Arkansas Children’s Hospital ER for further evaluation on 9/28/2023.
Email sent to facility 9/28/23 to notify licensing of any follow-up results when received. No licensing concerns noted in this report.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited 9/26/23 and video reviewed of the early morning hours of 9/24/23 and 9/25/23. No issues noted.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited and video reviewed for the late-night hours of 9/15/23 and 9/16/23. All night visual checks were conducted within 30 minutes.
Police Report
Information Report
Staff advised officers that a juvenile pushed a door in his face while being escorted through the facility. In an effort to stop the door from hitting his face, he used his hand to stop the door and his hand was injured. Juvenile was transported by MEMS to acute care for her behavior issues.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Visit conducted and video reviewed from the early morning hours of 9/10/23, 9/11/23 and 9/12/23. All checks were conducted within 30 minutes.
PRLU or OLTC
Notice of Incident, Self-Harm
Client was upset about having to leave the gym and punched a hallway door. He was assessed by the nurse due to swelling and bruising of his right hand. In-house x-ray results: No findings of a fracture. No licensing concerns noted from this report.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was playing a game in recreational therapy when she fell and hurt her left foot. She was assessed by the nurse for pain in the left ankle and joints of the left foot. In-house x-ray results were normal with no indications of a fracture. No licensing concerns noted from this report.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited 9/6/23 and video reviewed of the early morning hours of 9/3/23 and 9/4/23.
Facility cited 907.6: 46 minutes in between night visual checks in video viewed.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Buildings & Grounds was conducted and the following areas were observed: Group rooms 1 & 2, dayroom, milieu, therapist office, rec therapy room, sleeping areas, bathrooms, grounds. MARs checked for 5 residents. No licensing concerns noted during visit.
Video review was conducted for the early morning hours of 8/20 and 8/21 of Halls A, B, C, & D. All checks conducted within 30 minutes of each other.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Monitor visit conducted 8/16/23 and video reviewed of random areas of UMCH to check ratios for 8/14/23 and 8/15/23 (Classrooms, Cafeteria, and Boy’s Dayroom viewed). No licensing concerns noted.
Police Report
Battery
Officers responded in reference to a battery report.
- Staff 1 reported that on 7/7/23, Juvenile 1 struck him and pulled his hair repeatedly, requiring physical therapy for his neck.
- Staff 1 reported that on 8/15/23, Juvenile 2 attacked him with a chair and kicked him on the “privates” after he corrected juvenile for exposing his genitals and making sexual comments/gestures towards staff.
- Juvenile 1 attacked Staff 1 again on 8/15/23 by stabbing him on the arm with a pen. Staff 2 stated she attempted to take the pen away from the juvenile, who then struck her in the face and then bit her leg.
Staff 1 advised that there have been several other incidents between 7/7/23 and 8/15/23 and felt it was needed to file a police report for staff safety. Officers advised Staff 1 and Staff 2 on how to obtain a warrant.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited 8/9/23 and video reviewed of the early morning hours of 8/6/23 and 8/7/23 (Halls A, B, C, and D viewed). All nightly visual checks conducted within 30 minutes.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited from 10:45AM-12:00PM and random video review conducted for the early morning hours of 7/29/23 and 7/30/23 (Halls A, B, C, and D viewed). All night visual checks conducted within 30 minutes.
PRLU or OLTC
Visit Compliance Report
Facility visited 7/27/23 and camera footage reviewed for the late night/Early morning hours of 7/24/23 and 7/25/23.
7/24/23:Hall A checks conducted at 12:01 AM, 12:17 AM and 12:29 AM. Hall B checks conducted at 12:04 AM, 12:17 AM and 12:28 AM. Hall C checks conducted at 12:00 AM, 12:15 AM and 12:31 AM. Hall D checks conducted at 12:01 AM, 12:16 AM and 12:31 AM.
7/25/23. Hall A checks conducted at 12:02 AM, 12:17 AM and 12:32 AM. Hall B checks conducted at 12:00 AM, 12:15 AM and 12:28 AM. Hall C checks conducted at 12:00 AM, 12:04 AM and 12:15 AM. Hall D checks conducted at 12:00 AM, 12:04 AM and 12:14 AM. All night supervision checks conducted within less that 30 minutes.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
On July 26, client was sitting in the dayroom playing cards with her peers. Another client got up, picked up a chair and threw it across the room hitting client in the nose. Client was taken to Arkansas Children’s Hospital for an x-ray to the face. There was no findings of anything broken or fractured. Client’s guardian is pressing charges on the other client, incident number for this is [REDACTED].
Licensing narrative: 7/27/2023- Program Coordinator submitted a FOIA request to the Little Rock PD for the incident report mentioned in this case. Facility visited 7/27/23 and camera footage reviewed of incident involving client getting hit in the nose by a chair thrown by another client. Staff/Client ratio 3:13 in day area. Peer who throws chair is calmly playing cards with another client. Peer calmly stands up, grabs a plastic chair off a stack of chairs, and throws it in the middle of the day area. The chair bounces and hits client who is laying in the floor. It appears as if looked up right as the chair bounced in her direction. Staff immediately respond to peer who threw the chair and client police report obtained regarding guardian pressing charges on client who threw the chair. Email sent 7/28/23 to inquire if client was arrested for charges.
Received email from Craig Gammon of UMCH 7/28/23 as follows: I do not believe she was arrested. She was admitted to acute hospitalization at after the incident. She has or will be discharged from our program at UMCH. The guardian of the injured client has contacted the LRPD and is in the process of pressing charges, but we do not know the current status of that action. Licensing Specialist: Clayton DeBoer.
Police Report
Battery
Grandmother of juvenile called to report that juvenile was in the hospital for an injury sustained in a fight at the facility. Officer made contact with the juvenile at the hospital, who stated a peer threw a chair at her and it hit her in the nose. Juvenile stated she didn’t know if it was broken or not, but she was being discharged upon officer’s arrival. Officer advised staff member present that it would be considered a Battery 3rd degree and warrants could be obtained. The grandmother was notified as well.