Staff reported 3 juveniles ran from property. Officer entered all juveniles into ACIC.
Police Report
Runaway
Police Report
Fire Alarm
Officer responded due to smoke alarm going off in facility. No further issues.
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.
Police Report
Battery Third Degree
Officer was dispatched for an assault report. Upon arrival, staff stated that a resident became irate and tried to escape the facility. Staff stated when she tried to stop the resident, he struck her in the chest and head with a closed fist. Staff was advised of the affidavit process.
Police Report
Fire Unknown
Fire alarm at facility; Alarm company advised they made contact with facility who had maintenance checking it. No further issues.
Police Report
Escape
At 1332 hours, facility reported juvenile walked off from facility. Officer responded to facility. At 1346 hours, officer was advised the juvenile was back at the facility.
Police Report
Fire Alarm
Officer responded to alarm. Smoke detector is broken, maintenance on scene to get it repaired or will call alarm company if unable to repair.
PRLU or OLTC
Personnel Record Review, Visit Compliance Report
- Licensing Specialist: Kendra Rice.
- Facility visited from 10am – 1pm; Census: 56. Licensing reviewed 10 personnel files with no licensing concerns noted.
PRLU or OLTC
Buildings and Grounds, Visit Compliance Report
- Licensing Specialist: Kendra Rice.
- Facility visited from 12:30pm – 1:30pm; Census: 58. Walkthrough completed of the following areas: Education building, stations 1 & 2, gym and the cafeteria. Licensing spoke with staff regarding repairs made to the building. Windows have been replaced and the exterior doors have double magnets.
PRLU or OLTC
Complaint Survey with POC
- Complaint #AR000029294 was in compliance.
- Regs out of compliance –
- N134 – Failed to ensure that a physician’s order for a physical restraint was obtained and documented for 1 client.
- POC – All nursing employees will be re-educated by the DON on ESI documentation standards, ESI packets will be reviewed daily, facility will report ongoing compliance rates during daily leadership meeting, and a physician’s order was obtained and documented on 12/19/22 for client 1.
PRLU or OLTC
Personnel Record Review, Visit Compliance Report
- Licensing Specialist: Kendra Rice.
- Facility visited from 12:45pm – 2pm; Census: 57. Licensing was informed by HR that the facility has 4 staff members going through orientation. Licensing reviewed background checks and all were approved. No licensing concerns noted.
Medicaid Inspection of Care
Inspection of Care Report
- Included: IOC (Revised), CAP
- Multiple deficiencies noted. CAP must be completed within 30 calendar days (CAP submitted and approved).
PRLU or OLTC
Elopement, Licensing, Notice of Incident
- Licensing (Elopement)
- Client became upset and kicked the school door open, then eloped from the facility at 2:23pm. Staff followed the client and attempted to process until he was off the premises, and the police were notified. Client returned to the facility on his own at 2:50pm. No injuries were noted upon assessment, and client was placed on elopement precautions. No follow-up details.
PRLU or OLTC
Licensing, Neck Pain, Notice of Incident
- Licensing (Neck Pain)
- Client complained of neck pain, stating he doesn’t know the cause of pain. Client was taken to the ER for an x-ray.
- Licensing follow-up: Specialist was informed on 11/15/22 that a follow-up appointment had not been scheduled for client’s neck pain. Staff will follow-up with nursing.
PRLU or OLTC
Licensing Follow Up, Notice of Incident, Seizure-Like Activity
- Licensing (Seizure-like Activity)
- Client was taken to the ER via ambulance due to seizure-like activity.
- Licensing follow-up: Specialist received a copy of client’s discharge plan from ER. No licensing concerns noted.
Police Report
Battery Third Degree
Staff reported that juvenile attacked a peer and after staff broke up the fight, juvenile attacked staff, then broke away and ran out the door and attempted to climb the fence. Staff then restrained the juvenile until he broke free and punched a glass cover on a light, causing it to break. Juvenile then grabbed a piece of glass as a weapon, and was restrained again by staff to remove the glass. After juvenile was placed inside the quiet room, he was restrained once again for hitting the windows and walls.
Police Report
Battery Third Degree
Staff member reported that a juvenile was seen climbing on a gate, and once staff removed him from the gate, he began attacking staff. Staff member stated that while assisting other staff, juvenile kicked her in the mid torso.
PRLU or OLTC
Children's Records Review, Visit Compliance Report
- Licensing Specialist: Kendra Rice.
- Facility visited from 10:55am – 2:45pm; Census: 52. Licensing viewed 3 children files.
- Regs out of compliance –
- R903.7 – Treatment plan was not reviewed monthly for 1 resident. Corrected on-site.
- R1003.13 – Treatment plan was not reviewed quarterly for 1 resident. Corrected on-site.
PRLU or OLTC
Licensing Follow Up, Notice of Incident, Self-Injury
- Licensing (Self-inflicted Injury)
- Client complained of head pain from a self-inflicted injury and left posturer neck pain from hitting his head on the fence. Client was taken to the ER. Client was placed on self-harm precautions and a safety plan.
- Licensing follow-up: Specialist observed client upset due to a room change, and client became aggressive with staff. Client was placed in a restraint, and once released, client began to hit his head on the wall of the SRU hallway. He then walked by the door and began to hit, kick, and bang his head on the door, during which staff appeared to be talking with him. No licensing concerns noted.
PRLU or OLTC
Maltreatment, Notice of Incident
- Dual (Maltreatment)
- Client reported that on 11/3/22, staff member put him in a restraint hold and bent his arm, trying to break it. Staff member was placed on suspension pending the investigation.
- Child Abuse Hotline called and accepted. Licensing follow-up: Specialist informed staff that when the investigator contacted the agency on 11/8/22 to conduct interviews, the agency should have notified licensing the next business day that there had been an accepted hotline call made against staff. Further review showed an assigned specialist reviewed camera footage on 11/8/22 and did not note any concerns with the restraint hold but does mention the client can be seen holding his wrist when the restraint ended. Licensing requested information regarding client’s ER visit on 11/3/22.
PRLU or OLTC
Licensing, Notice of Incident, Peer Altercation
- Licensing (Peer Altercation)
- Client was involved in a physical altercation with a peer, and afterwards complained of pain and swelling to his thumb. Client was taken to the ER for an x-ray. Client was placed on assault precautions and peer restriction.
- Licensing follow-up: No licensing concerns noted.
PRLU or OLTC
Licensing Follow Up, Notice of Incident, Peer Altercation, Restraint Injury
- Licensing (Peer Altercation, Restraint Injury)
- Client was involved in a physical altercation with a peer, then walked outside. Client began to fight staff and client was placed in a physical containment, during which he was aggressive and resistant. Client stated his wrist was injured during the containment, and he was taken to the ER for an x-ray. Client was placed on assault precautions. On 11/10/22, client complained of pain from his wrist injury and had removed his previous brace and utilized the metal piece as a weapon. Client was taken to the ER for an x-ray.
- Licensing follow-up: Specialist viewed camera footage and observed the physical restraint and client holding his wrist afterwards. Staff were not observed using inappropriate restraint techniques. No licensing concerns noted. On 11/15/22, Specialist was informed the client has a follow-up appointment in Jonesboro, AR for his wrist.
PRLU or OLTC
Licensing, Notice of Incident, Sore Throat/Fever
- Licensing (Sore Throat, Fever)
- Client was taken to the ER after complaining of a sore throat and fever.
- Licensing follow-up: No licensing concerns noted