Disability Rights Arkansas

Perimeter Behavioral of Forrest City / Woodridge of Forrest City

Location: Forrest City, AR

Population Served: Males ages 12-17 and a specialized sexual rehabilitative unit for males ages 12-17

# of residents per unit: Up to 21 Residents per room: 1-3 (SRU has 1 or 3, never 2) Capacity: 66

Contact with family (Calls and visit schedule): Calls 2x/week.

Restraint utilized? Yes Chemical Restraint utilized?  Yes Seclusion utilized? Yes 

Treatment Components:

Clinical Director - LPC-TA

Therapists: 3 full-time therapists (1 LCSW, 1 LPC, 1 LMSW); 2 part-time/contract therapists (1 LCSW ACSW, 1 LAC)

Treatment modalities offered: DBT, CBT, TF-CBT, Person-Centered, Narrative, Reality, Anger Replacement Therapy

# of individual therapy sessions/week: 1x/week

# of group therapy sessions led by a licensed mental health professional/week: 3x/week

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Police Report

Runaway, Runaway Juvenile

At 1152, staff reported that a juvenile ran away into woods. Juvenile returned at approximately 1300.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Chelsea Vardell.
  • Facility visited from 12:30pm – 3:15pm. Census: 51. Licensing reviewed educational records for 3 residents, including records showing the update to IEPs occurring every 9 weeks.
  • Licensing and the Education Director discussed the facility’s process to ensure each child’s IEPs are met and how they provide these documents after the child is discharged. Licensing and staff also discussed the current license and capacity for their programs: Facility currently accepts 52 PRTF children (15 out of state only), and they can admit up to 14 children in the SRU program. The CEO will discuss the desired capacity for each program with upper management and respond to licensing by 04/19/23.

PRLU or OLTC

Technical Assistance, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Review of the agency’s current mandated reporter policy revealed a concern with the Licensing Unit. Please ensure facility policy is updated to reflect the need of all staff to report directly to the child abuse hotline without delay. The updated policy shall be submitted to the Licensing Unit by 04/13/23 and all applicable staff shall be retrained on the updated policy within 2 weeks of the enactment of the updated policy.
  • TA –
    • 110.9 – Any owner/operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being subjected to conditions or circumstances that would reasonably result in child maltreatment.
    • 102.3.h -Child Maltreatment/Mandated Reporter policy; according to Arkansas law, including, procedures to ensure that alleged, suspected, or witnessed incidents of maltreatment are reported to the Child Maltreatment Hotline, and documented as required by these or other applicable rule or laws.

Police Report

Runaway

Staff reported 3 juveniles ran from property. Officer entered all juveniles into ACIC.

PRLU or OLTC

Children's Records Review, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 2:15pm – 2:30pm. Census: 56. Licensing reviewed 2 resident files.
  • Regs out of compliance –
    • 902.3 – No copy of social security card or documentation of request for 1 resident.

Police Report

Runaway, Runaway Juvenile

Facility reported runaway juvenile at 0848. Call completed at 0900.

PRLU or OLTC

Special Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 10am – 11:15am. Census: 58. Licensing attended SAMA training at facility to ensure staff are being trained according to facility’s policy on physical restraints, and to ensure the policy complies with the minimum licensing standards.

PRLU or OLTC

Accidental Injury, Notice of Incident

  • Accidental Injury
    • Client stated he jammed his finger playing basketball and hurt his hand/finger. Client was referred to FCMC. Diagnosis: Buckle fracture of the proximal metaphysis of the proximal and distal phalanx of the 5th digit.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client complained of feeling dizzy, fuzzy, and sleepy. Client was referred to FCMC due to a possible adverse medication reaction. Diagnosis: Encounter for screening, unspecified. Client’s medication was discontinued by the psychiatrist on 3/3/23. Client did not return with new orders or prescriptions.
    • Licensing follow-up: No licensing concerns noted.

PRLU or OLTC

Children's Records Review, Staff Record Review, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 12:00pm – 1:45pm. Census: 58. Licensing reviewed 4 resident files and 4 personnel files. No licensing concerns noted.

PRLU or OLTC

Notice of Incident, Self-Injury, Visit Compliance Report

  • Self-inflicted Injury
    • Client reported he was chewing on some staples found in the school and accidentally swallowed them. Client was sent to FCMC. ER Diagnosis: A staple was noted in the mid transverse colon and another in the proximal descending colon; There is no free air or evidence of obstruction. Client will continue follow-up x-rays until the staples have exited the body. As of 2/18/23, the staples descended from client’s body. Client was placed on line of sight until deemed safe by his assigned therapist.
    • Licensing follow-up: Staff reported the client found the staples in the wall from artwork that was hanging in the classroom. Teachers have been instructed to use alternative methods for hanging items. Licensing completed a walkthrough of classrooms on 02/27/23 and discussed precautions with staff. Classroom 1 had staples around the border of the bulletin board (removed by staff immediately).

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 11:15 am – 12:30 pm; Census: 54. Licensing completed walkthrough and observed the following areas: Courtyard and SRU (200 Hall). A bathroom in 200 Hall had toilet paper on the floor (housekeeping corrected). MARs checked for 5 residents. All staff completed Conscious Discipline training.

Police Report

Fire Alarm

Officer responded due to smoke alarm going off in facility. No further issues.

PRLU or OLTC

Medical, Notice of Incident

  • Medical
    • Client was sent to the ER after complaining of stabbing stomach pains and vomiting. Diagnosis: Viral Gastroenteritis (stomach virus). Client was placed on 24-hour quarantine to prevent spreading.
    • Licensing follow-up: No licensing concerns noted.

Police Report

Escape

At 1255 hours, staff reported a juvenile escaped the facility. Juvenile returned to the facility at 1301 hours.

Police Report

Fire Alarm

At 0820 hours, the facility advised a juvenile pulled the fire alarm. At 0825 hours, the facility called back and advised a juvenile ran off the property. Officer located and transported juvenile back to facility at 0830 hours.

Police Report

Medical Call

Caller (staff) advised a resident had swallowed glass and they are having to wrestle glass away from him. Juvenile was transported to the ER by EMS.