Client had an X-ray on finger after complaining of pain. There was no findings of dislocation or fracture.
PRLU or OLTC
Medical, Notice of Incident
*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 |
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.
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.
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.
Medicaid Inspection of Care
Corrective Action Plan, Inspection of Care Report
Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the facility.
PRLU or OLTC
Visit Compliance Report
Monitor visit conducted today to review timely night supervision checks. Halls A,B,C,D reviewed for the early morning hours of 7/16/23 and 7/17/23.
7/16/23: Hall A checks conducted at 1:08 AM, 1:14 AM and 1:28 AM. Hall B checks conducted at 1:15 AM, 1:30 AM and 1:34 AM. Hall C checks conducted at 1:02 AM, 1:20 AM and 1:32 AM. Hall D checks conducted at 1:00 AM, 1:15 AM and 1:30 AM.
7/17/23:Hall A checks conducted at 1:27 AM, 1:43 AM and 1:57 AM. Hall B checks conducted at 1:18 AM, 1:30 AM and 1:45 AM. Hall C checks conducted at 1:00 AM, 1:16 AM and 1:31 AM. Hall D checks conducted at 1:15 AM, 1:31 AM and 1:45 AM. All night supervision checks done within 30 minutes. Licensing Specialist: Clayton DeBoer.
PRLU or OLTC
Accidental Injury, Notice of Incident
On July 11th, client was in the gym playing in rt where client “Twisted” his ankle. An x-ray was ordered and performed and the results are “No acute fracture”. Licensing narrative: no licensing concerns noted from this incident.
PRLU or OLTC
Notice of Incident, Staff Neglect, Suicide Attempt, Visit Compliance Report
On June 30 2023, about 6:45 am, client was on the unit in active tantrum, yelling, screaming, attacking staff. Staff removed other clients from the hallway, and during this client went into her bedroom and grabbed a pair of pants and wrapped them around her neck, stating “I want to kill myself”, staff intervened and removed the pants from the clients neck. Client was assessed by the nurse and no markings were found. Client, later in the morning, was transported by MEMs to the behavioral hospital in Maumelle.
Licensing narrative: Facility visited 7/5/23 in response to self-report incident of client demonstrating suicidal behavior. Video reviewed of incident. Around 3 minutes go by with ligature wrapped around client’s neck before staff enter the hallway and remove ligature. Staff can be seen from hallway camera sitting, not looking in on client. Regulations out of compliance: 907.2 – staff failed to supervise an escalated client for 3 minutes while client made suicidal gesture. 907.3 – no staff were present nor supervising an escalated client for 3 minutes. Licensing Specialist: Clayton DeBoer.
PRLU or OLTC
Visit Compliance Report
Buildings & grounds conducted. 2 day rooms observed. Staff/Client ratio 4:17 and 2:9. Milieu observed staff client ratio 1:2. Halls a, b, c, and d observed to be clean, safe, and in good repair. Bathrooms were clean with functioning sinks, toilets, and showers. One bathroom was closed due to having a clogged toilet and staff report that maintenance had been notified. The bathroom/Client ratio was still within licensing limits. Hall b, room 2218, one client was laying down in her bed. No staff were present on the hall b. Staff was immediately notified who reported that the client was ill and being checked on every 15 minutes. Staff were advised that client needed to be supervised within ratio. Client was immediately moved from the bedroom to the dayroom for direct staff supervision. Cafeteria and gym observed to be clean, safe, and in good repair. Two fire extinguishers observed in the kitchen which was clean and sanitary. MAR checked for: [REDACTED]. All initialed and up to date. Regulations out of compliance: 907.3 – a client was laying down in her bed in hall b, room 2218. No staff were present on hall b. Licensing Specialist: Clayton DeBoer.
Police Report
Runaway
Officers responded to the listed location for a runaway report. Upon arrival officer made contact with staff, who advised that a juvenile ran away from this location. Officer entered juvenile into ACIC entries and deletions as a runaway/Missing person.
Police Report
Non Police Incident
Officers were advised that the accident happened on the highway. Officers called ASP to assist. No further action was taken.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Client was in the classroom refusing to go sit at his desk. Staff began using the teaching family model to teach to the youth behavior, but continue to ignore her instructions. [REDACTED] sat in the chair in front of [REDACTED] and [REDACTED] began going back and forth with each other. One client ([REDACTED] involved himself attempting to take up for [REDACTED] getting in [REDACTED] face and [REDACTED] hit him in the face. Staff got between [REDACTED] and [REDACTED] to separate the clients. [REDACTED] took [REDACTED] out of the room, while [REDACTED] is separating that incident [REDACTED] and [REDACTED] is still going back and forth. Client gets involved trying to attack [REDACTED] and [REDACTED] intervene by stepping in front of the client. Client gets up a second time walks in [REDACTED] personal space and [REDACTED] kicks him. As [REDACTED] and [REDACTED] is separating the [REDACTED] and [REDACTED] charge toward [REDACTED] and kicks him. The staff goes to break the two clients the client goes over to [REDACTED] and spits on him. [REDACTED] intervene by guiding out of the room. [REDACTED] walks over to the bookshelf, staff runs over stating “Don’t touch”, [REDACTED] grabs the clients from the back pushing him against the shelf making him hit his head. [REDACTED] then slung over on the desk, [REDACTED] then punches her in the face. [REDACTED] is now trying to prevent client from hitting her, staff comes over to help separate the [REDACTED] from [REDACTED] still have a hold of shirt while staff is trying to place him in a hold. [REDACTED] then grabs one of legs, at this time [REDACTED] is on the floor. [REDACTED] release his leg yelling “Calm down”. Client runs up kicks [REDACTED] and pour water on him. A report was called in and accepted. The report number is [REDACTED]. Licensing narrative: licensing received complaint 6/23/23 that on 6/22/23 staff shoved client during an incident. Child abuse hotline was called, ref#[REDACTED]. Corrective action plan: staff was terminated. We will do an in-Service with and other staff members on tantrum management and the crisis development model. 6/26/23- program coordinator emailed the investigator for permission to contact the agency. Facility visited 6/27/23 in response to complaint that staff had inflicted physical harm to a client during an altercation. Video reviewed of classroom where incident took place.
Staff was given in-Service retraining from UMCH staff sherika williams on 6/23/23. Staff was terminated from employment at UMCH following this incident. 8/3/2023- maltreatment case is still open and pending. 9/5/23-Maltreatment case unfounded. Regulations out of compliance: 905.4.D – client called staff a b*Tch and staff responded “It takes one to know one”. 905.4.G – staff seen pushing client into a metal bookshelf, putting her hand on the back of client’s neck and pulling their leg during an altercation. 109.1.G – staff shoved client into a metal bookshelf, grabbed him by the back of the neck and grabbed and pulled at his foot during an altercation. 907.2 – staff does not prevent a peer from kicking client. Licensing Specialist: Clayton DeBoer.