Licensing Specialist: Jarred Parnell A visited was conducted to review Handle With Care training and retraining certificates. |
PRLU or OLTC
Visit Compliance Report
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Location: Springdale, AR Population Served: Adolescent girls ages 7-17
# of residents per unit: Up to 12 | Residents per room: 2 | Capacity: 32 |
Contact with family (Calls and visit schedule): Weekly calls up to 3x/week for 10 minutes, intervention call available 1x/week for 10 minutes. Visitation available 2x/week for 30 minutes if previously scheduled. Zoom available if in person is not possible.
Restraint utilized? Yes | Chemical Restraint utilized? Yes | Seclusion utilized? Yes |
Clinical Director: LCSW Therapists: 2 full-time therapists (1 LMSW, 1 LAC)
Treatment modalities offered: Facility declined to identify any specific modalities available.
# of individual therapy sessions/week: Varies by client, most clients receive one individual therapy session per month
# of group therapy sessions led by a licensed mental health professional/week: 3
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell A visited was conducted to review Handle With Care training and retraining certificates. |
Police Report
911 Hang Up, Police Report
Officers were dispatched to the facility in response to a 911 hang up call. False Alarm. |
PRLU or OLTC
Medical, Notice of Incident
A resident began to show signs of respiratory distress and had a pulse ox reading of 92. The resident was evaluated then transported by the facility to Arkansas Children’s Hospital (ACH), where they were admitted for observation. |
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
A complaint received stated that the complainant received medical information for another patient who was not her daughter. The complaint also stated that the facility was not following the plan of care, and the resident is on several medications without consent. Licensing Specialist: Jarred Parnell LS Parnell visited the facility to review the resident’s file. All medication consent forms were signed by the guardian. This complaint has been UNFOUNDED by Licensing. |
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell Licensing visited the facility to review restraint logs for January 2025, 3 resident files with a high number of restraints, 2 resident files for residents that were admitted between October-December, physician orders for restraints, MAR for chemical restraints, and restraint packets. The facility was cited for 905.13: Each written order for seclusion or physical restraint is limited to two hours for children ages 9-17, and a face-to-face assessment of the child shall be conducted within 1 hour of the initiation of the ordered intervention. |
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell Licensing visited the facility to review the facility restraint log for December 2024. In the month of December there were 101 orders given for seclusion, physical restraints, and chemical restraints according to the log. The facility was cited for 109.1.f: Failure to comply with any stipulation or agreement with the board involving probation or a settlement of any disciplinary matters. |
Police Report
Missing Person, Police Report
Officers responded to the facility in response to a runaway call. Officers located the resident and transported her back to the facility.
PRLU or OLTC
Elopement, Notice of Incident, Visit Compliance Report
A resident eloped off the grounds of the facility. Springdale Police located the resident and transported her back to the facility. The resident was placed on elopement precautions. Staff present during the incident received remedial elopement prevention training.
Licensing Specialist: Chelsea Vardell
LS Vardell reviewed video footage of the incident.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to perform a Corrective Action Visit.
Police Report
Assault, Police Report
Officers responded to the facility after receiving a report from a parent that her child had been assaulted by another resident at the facility.
Police Report
Alarm, Police Report
Officers responded to the facility in reference to an alarm. False alarm.
PRLU or OLTC
Medical, Notice of Incident
A resident was transported to Arkansas Children’s Hospital after having difficulty breathing.
Police Report
Missing Person, Police Report
Officers responded to the facility in response to a missing person. Officers located the resident and transported her back to the facility.
PRLU or OLTC
Elopement, Notice of Incident, Visit Compliance Report
A resident eloped off the grounds of the facility. Police located the resident and transported them back to the facility. The resident was placed on elopement precautions and restricted to the facility.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to review video footage of this incident. In response to the incident, the facility has spoken to the Fire Department on allowing the gym door to be locked. The door leading outside will be supervised more during gym time.
PRLU or OLTC
Notice of Incident, Physical Maltreatment, Visit Compliance Report
A resident reported that they did not feel safe after being restrained during an elopement attempt.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to this incident. Video of the incident was reviewed.
This complaint was UNFOUNDED by Licensing and UNSUBSTANTIATED by CACD. The employee involved in the incident received retraining in Handle With Care.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to review restraint information for November 2024. All restraints reviewed contained required documentation and physician approval and were signed within the required time frame.
PRLU or OLTC
CAP, IOC Report
Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the facility. A Corrective Action Plan was submitted by the facility and approved.
Police Report
Police Report, Sex Offence
Officers received a child abuse report related to the facility from the Arkansas State Police. Officers sat in as the ASP investigator interviewed the related parties.
This report is related to the 11/17/2024 Notice of Incident from the facility.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
A resident reported that she and her roommate had engaged in inappropriate touching after lights out. The residents were separated upon notification and placed on peer restriction, sexual acting out precautions, and Line of Sight precautions.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to the incident. Video from 11/17/24 – 11/19/24 around lights out was reviewed for bed check compliance. Review showed required checks were performed per minimum licensing standards.
This complaint has been UNFOUNDED by Licensing and UNSUBSTANTIATED by CACD.
Police Report
Assault, Police Report
Officers responded to the facility in response to a report of a child who was kicked in the stomach and was spitting up blood. The resident was transported to Arkansas Children’s Hospital for evaluation.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
A resident began throwing up and reported intense pain after being kicked in the stomach during a peer altercation. The resident was transported to the Emergency Room for evaluation and returned to the facility later that evening. Both residents were placed on assault precautions.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility to review chemical restraint administration policies and procedures. Medical administration records for three recent restraints were reviewed to ensure restraint documentation was up-to-date and approved by a physician before administration.
The facility records for the restraints were found to be in compliance of minimum licensing standards.
Police Report
Police Report, Sex Offence
Officers received a child abuse report related to the facility from the Arkansas State Police. The report states that a resident complained that another resident touched her and digitally penetrated her vagina without her consent.
This report is related to the 11/5/2024 Notice of Incident from the facility.
PRLU or OLTC
Notice of Incident, Peer Forced Sexual Contact, Visit Compliance Report
A resident reported that her peer came to her bed during the night and kissed and touched her without consent, digitally penetrating her vagina. The resident stated that she told her peer to stop and that the peer’s actions hurt her. The two residents were placed on peer restriction and moved to different units.
Licensing Specialist: Jarred Parnell
LS Parnell visited the facility in response to this complaint. Q15 report logs were reviewed. Witness statements from supervising staff and the two residents involved were requested and reviewed. Video of the incident was not available, because it occurred in a private area. Licensing reviewed video footage of bed checks for the date of the incident and found that bed checks conducted at 22:02 and 22:47 did not meet minimum standards for bed checks, which are required every 30 minutes. The facility was cited for 906.7. The facility will provide retraining documentation for bed checks for the staff involved.
This complaint has been UNFOUNDED by Licensing.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Jarred Parnell
11/7/2024 – A corrective action inspection was completed at the facility to review restraint logs, restraint packets, ensuring packets were signed by a doctor within two business days, camera audit logs for the month of October, and UAMS training logs. Documentation for the reviewed information was sent to licensing.