*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 rstanford@disabilityrightsar.org
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
Police Report
Police Report, Sex Offence
Officers were called to Perimeter Ozarks on a report of sexual assault/forcible fondling.
A resident reported that she awoke to her roommate assaulting her. The roommate reported that the incident did happen, but she was the one who had been assaulted.
The report was investigated and closed as inactive. No charges were filed.
Police Report
911 Hang Up, Police Report
Abandoned 911 call from Perimeter Ozarks. No signs of distress. False Alarm
Police Report
911 Hang Up, Police Report
Abandoned 911 call from Perimeter Ozarks. No signs of distress. False Alarm
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
A resident reported that two residents were fingering each other in their bedroom while another resident watched out for staff. Both residents were interviewed, and each denied the incident occurred. Residents have been separated with each sleeping in a different unit.
Licensing Specialist: Jarred Parnell
A visit to the facility was conducted. Video footage was not reviewed because both residents denied the incident happened, and a time and location could not be determined. Q15 bed check information and video footage were reviewed for supervision and bed check compliance.
PRLU or OLTC
Forced Sexual Contact, Notice of Incident, Visit Compliance Report
Client reported that her roommate woke her up in the middle of the night and allegedly fingered her while sitting on top of her.
An interview with the accused peer provided the following details. The peer stated that the incident did occur, but she was the victim. She reported that she woke up in the middle of the night with the client on top of her, touching her breast and trying to touch her butt. The peer stated she did not tell anyone out of fear. Both individuals alleged they told the other resident to stop, and neither did.
Licensing Specialist: Jarred Parnell
A visit to the facility was conducted to review camera footage for nightly bed checks for the date provided in the report.
This complaint has been UNFOUNDED by Licensing.
PRLU or OLTC
Medical, Notice of Incident
6/14/24: Resident told the nursing staff that her heart was racing and she felt pressure on her chest. After a consultation with her provider, an order was made to have her assessed at the Arkansas Children’s Hospital Emergency Room. An EKG, chest x-ray and lab work were ordered.
Diagnosis: Anxiety attack. EKG, chest x-ray, and lab work came back within normal limits.
Police Report
Peer Sexual Contact, Police Report
6/12/24: A Child Abuse report was received from the Arkansas State Police. Officers met with investigators at Perimeter of the Ozarks, where the alleged victim was interviewed. Officers reviewed video footage of the incidents. There was nothing visible in the videos to corroborate the victim’s statement.
There is insufficient evidence to develop probable cause to arrest for either incident.
PRLU or OLTC
Forced Sexual Contact, Notice of Incident, Visit Compliance Report
Grievance Form #1: Resident reports that a peer forced her to touch his private areas and kiss him.
Grievance Form #2: Resident reports that a peer forced the resident to kiss her. The report also states the the peer touches the resident despite being asked to stop.
Licensing Specialist (LS): Jarred Parnell
6/12/24 – LS Parnell visited the facility to review video footage. Footage was reviewed for both reported incidents. In each video, the resident is off camera in her bedroom. Both peers are viewed in the doorway of the resident’s bedroom. It is unclear from the footage if either peer engaged in non-consensual physical contact with the resident.
The process for grievances was discussed with facility staff. The director of risk was out of the office for several days and the grievances were not addressed until they returned.
Technical Assistance for 901.4 was provided to the facility. The facility will designated a back up staff member to review resident grievances when the director of risk is unavailable.
This complaint has been UNFOUNDED by Licensing.
PRLU or OLTC
Notice of Incident, Self-Harm, Visit Compliance Report
5/31/2024 – Resident reported that she had swallowed a battery. The battery was taken from a clock on the unit.
Actions Taken: The resident was assessed by nursing, and then evaluated at the local Emergency Room, where she received an x-ray. The medical staff at the ER instructed the resident to return if she did not pass the battery in 48 hours.
On 6/2/2024, the resident returned to the ER, because the battery had not passed. There she received bloodwork and imaging. She returned to the facility instructed to continue monitoring. Resident was placed on suicide precautions.
Licensing Specialist: Jarred Parnell
6/13/24 – LS Parnell visited the facility to review the incident with facility staff. All items with batteries have been removed from the units. TV remotes will be handled only by staff.
Police Report
Fire Alarm, Police Report
Fire alarm. Facility is performing a fire drill.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
5/26/24 – Resident reported to staff that she had sex with a peer in their bedroom. The resident stated that she had reported the incident to her therapist mid-month. The residents were moved to separate units and an investigation was opened.
Licensing Specialist: Jarred Parnell
6/18/24 – Q15 bed check logs were reviewed by Licensing. Facility reported that the therapist the resident initially told about the incident is no longer employed by the facility.
7/10/24 – LS Parnell visited the facility to review information about the incident.
Facility cited 110.9A: Any owner, operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if they have reasonable cause to suspect that a child has been subjected to child maltreatment
This complaint has been determined to be UNFOUNDED by Licensing.
Police Report
Police Report, Self-Harm
Called to Perimeter Ozarks for a child that ate some laundry detergent with bleach.
Squad took her to children hospital. She said she wanted to hurt herself. She is in in-house treatment.
PRLU or OLTC
Notice of Incident, Self-Harm, Visit Compliance Report
5/22/24 – A visit was conducted at the facility to review video footage for the incident on 5/21/2024 – 7:49 am – 8:12 am. Video footage observed during visit showed a resident was left unsupervised in the milieu and was able to access the laundry room where she was able to hide and remain unsupervised for 14 minutes.
Resident may have ingested laundry detergent. It is not clear whether she did, as the toxicology report did not show abnormalities. Medical report uploaded to ELS.
Incident was staffed with program coordinator K. Rice.
The facility was cited for 907.2 for not supervising the resident and ensuring she returned to the unit. 521 inspection report sent to facility for signature.
5/23/2024 – 521 inspection report signed and returned. Staff will be retrained for supervision, follow up with facility 5/29/2024 for proof of training.
6/13/2024 – Proof of training request from facility
Police Report
911 Hang Up, Police Report
Hang up call from Perimeter Ozarks. Caller advised it was a pocket dial.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
During class, resident did an unprompted assault on her peer. Resident was immediately separated from peer but continued to be assaultive and uncooperative. Resident was put in a physical restraint.
Additionally, when staff separated the two residents, another peer ran over and attacked the assaulted resident, repeatedly hitting her in the face, causing a large hematoma above the right eye. When staff intervened, resident continued to attack peer and staff.
After the incident, resident was observed to have swollen knuckles but refused ice. Resident was treated with Tylenol and an icepack and escorted to the ER for evaluation; returned with no further orders or care.
Licensing Specialist: Jarred Parnell
5/22/2024- A visit was conducted to review video footage of the incident. Staff intervene and restrain residents during the altercation. No citations.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact
On 04/26/24, a resident reported to the lead Mental Health Technician that on 04/25/24 at 21:00 pm while in a resident room with two others, she was held down by peer and kissed against her will. Corrective Action: Residents were separated. Residents were placed on Sexual Misconduct Precautions, which includes increased observation.
Licensing Specialist spoke to facility staff who stated the alleged incident occurred in a bedroom where there is no video footage available. The report was not accepted by the hotline. Licensing specialist will follow up with facility and request bed check logs for the date of the alleged incident.
The facility substantiated their investigation due to statements from the residents involved.
Police Report
Assault
Officers were dispatched to Perimeter of the Ozarks in response to a disturbance. The caller was a staff member advising of a juvenile female who was being aggressive and hitting staff. The caller advised they were physically restraining the juvenile. Officers arrived on scene and were escorted into the facility by one of the nurses. Officers observed the juvenile female being physically restrained by a staff member. Staff was sitting on the ground against the wall with the resident in a double arm lock but released her as police entered. The resident appeared to be very agitated and upset but was no longer aggressive.
Officers spoke to the medical staff who advised that the resident had anger issues. Staff stated that the resident began attacking the medical staff. They advised she kicked one of the nurses in the stomach hard enough that the nurse was having vaginal bleeding. The nurse who was kicked did not wish to pursue any charges. The staff member restraining the resident as officers entered stated that the resident began scratching him during the restraint. The staff member showed me the left side his body, near the hip. I observed several small and long lacerations that would match scratch marks. The staff member advised he did wish to pursue charges.
The resident was cited or Battery 3rd (m).
Police Report
Disturbance
Caller stated a kid had jumped the fence at Perimeter Ozarks. White female is headed towards I49. Staff is not being very helpful. Missing juvenile walked herself back inside the facility. Staff at Ozark was not aware.
Police Report
Assault
Officers were dispatched to a battery report at Perimeter of the Ozarks. Dispatch advised that there was an employee that wanted to make a report about an incident. Upon arrival, officers made contact with a female later identified as Mia Velasquez. Mia stated that she was watching over patients and one of them got a towel. The patient started wrapping it around her neck in an attempt to harm herself. Mia and other employees tried to get the towel away from the patient. The patient punched and kicked Mia in the face. Mia was able to get the towel away from patient and restrained her. While the patient was restrained, she kicked Mia again causing her to stumble backwards. She heard a pop in her upper neck. Ambulance responded to assess the staff member.
Mia stated that she wished to press charges. Officers issued citation and JDC provided a court date for juvenile.
Police Report
Assault
Officers responded to a battery call at Perimeter of the Ozarks. The caller stated she was a nurse at the facility and had been attacked by a patient and wished to file a report. Upon my arrival I made contact with Hannah Dyer. Dyer stated she is a nurse and a resident in their care was causing issues in the main room of the ward. The resident was throwing cocktail hot dogs at one of the other residents there. She was throwing other bits of trash around the room and banging on the windows. Another staff member attempted to restrain the resident, but she fought back. Dyer joined in and staff were able to get the resident pinned on the floor on her back. Dyer stated she was holding the right arm, but the resident broke free from her grip and punched her in the throat with a closed fist. Dyer again restrained her as the resident used her finger nails to scratch at Dyer’s left hand, breaking the skin and causing injury to the outside of Dyers palm. Other staff members joined, and they were able to restrain the resident and place her back in her room.
As officers were speaking with Dyer, another nurse stated she was also injured. Rebecca Robinson stated that she responded to help Dyer and other staff members as they were struggling with the resident on the floor. Robinson stated she held down one of the resident’s hands, but the resident grabbed hold of Robinson’s middle finger and twisted it hard to one side. Robinson’s finger was swollen and starting to show bruising. Robinson stated she felt her finger was fractured.
Officers reviewed camera footage of the incident. Based on the video evidence and the statements from both Dyer and Robinson, officers have probable cause to charge with Battery 2nd Degree x2. This is enhanced from Battery 3rd Degree since Dyer and Robinson are both nurses. Officers issued citation and JDC provided a court date for juvenile.
Police Report
Assault
Officers responded to an Assault call at Perimeter of the Ozarks. The caller stated she was a nurse at the live-in facility for juvenile females. She stated she was attacked by a patient and wanted to file a report. Officers made contact with the caller (Mclellan), who stated she was assaulted by a juvenile female. Mclellan stated during time for group activity, the resident refused to exit her room. Staff spoke with her, and she initially came out, but then ran back into her room and slammed the door. Staff unlocked the door, but the resident pushed against the door to prevent it from opening. Other staff arrived to assist and eventually went into the room. Mclellan was standing outside the doorway as the resident was escorted out of the room. The resident accelerated towards Mclellan and kicked her in her chest, then grabbed Mclellan by the hair and pulled her to the ground. Other staff intervened, and the resident was placed back into her room. Mclellan stated that this was not the first time the resident has acted this way towards her or other staff.
Officer viewed the attack on the security cameras. Officer provided JDC with the necessary information and issued a citation for the charges. JDC provided a court date for the juvenile.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
During the treatment team meeting on 4/3/2024, client presented with a chief complaint of a sore arm. Client reported that 2 or 3 nights ago, she was attempting to close a door when a staff member aggressively closed the door on her arm. Client alleged that after the incident, the staff member said, “That’s what you get”. Corrective Action: Management notified. Staff member placed on suspension. The resident was taken to a walk-in clinic for an X-ray of her arm on the same day; Diagnosis: contusion of the arm. A follow-up appointment with a specialist was scheduled for 4/11/24 for further consultation. A report was made to the Child Abuse Hotline (accepted for investigation).
Licensing Specialist: Jarred Parnell
4/8/2024 – A complaint visit was conducted at the facility to review the provider reported incident. At the time of the visit there was no footage available of the alleged incident, and they were in the process of reviewing several days worth of footage. 4/12/2024 – A visit was conducted at the facility to review video footage. Video footage reviewed was 3/30/3034 19:00 – 4/1/2024 21:00. Video was reviewed for each day around bedtime which the resident stated was the time period in which the incident happened. There was one instance in which the staff person was on the unit with the resident for approximately 3 minutes and the resident and staff did not interact.
CACD investigation unsubstantiated. Complaint UNFOUNDED by Licensing.
Police Report
Battery
Officers responded to a disturbance call at Perimeter of the Ozarks. Officers made contact with staff who led them through the facility to the back courtyard. A female juvenile was being restrained on the ground by four staff members. Staff stated that the resident was trying to escape the facility by climbing the fence. Staff tried to stop her, and the resident jumped off the fence and punched staff in the left eye, breaking her glasses.
Resident was handcuffed and detained. She was moved to an isolation holding room so she could change out of her ripped clothing. Staff injuries were documented. Resident was charged with Battery 3rd and transported to Washington County JDC.
PRLU or OLTC
JDC, Notice of Incident
While outside for recreational time, resident began to try and climb fence to elope. Staff intervened and several were assaulted. Staff tried to escort resident back into the building but were unable to. Resident was restrained outside in grass area at 17:45. Staff member called Springdale Police and resident remained restrained until they arrived. Once police arrived they assisted staff in escorting resident into the building. Resident was placed in the seclusion room area for privacy due to her paper scrubs ripping and her refusing to change. At one point door had to be closed and patient was in seclusion due to trying to assault officers. Resident was escorted out of the building and taken to the local JDC at 19:35.
Resident was placed on elopement precautions (this includes paper scrubs and increased observation), assault precautions (this includes line of sight observation while awake), and has been placed temporarily in our high acuity room (this room only has one bed) due to reported feelings of feeling unsafe and also for safety.
Licensing Specialist: Jarred Parnell.
Police report was received and Licensing Specialist informed. Facility visited on 4/12/24 and video footage was reviewed for 3/28/2024 at 17:39-18:25. The video reviewed showed 5 staff persons involved with the restraint and staff can be seen struggling with the resident until police arrive. The facility utilized extra support during the restraint due to the resident being larger in stature.
Police Report
911 Hang Up
911 hang up at facility address. Accidental.