Disability Rights Arkansas

Youth Home

*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]

Location: Little Rock, AR

Population Served: Adolescents 12-17 years of age in need of mental health services on a 24 hour a day basis.

# of residents per unit: 12 Residents per room: 1-2 Capacity: 54

Contact with family (Calls and visit schedule): Kids have daily contact with their family either via zoom, face time calls, or phone calls. In the evening they are given time to call families and their families are welcome to call anytime during the day. Outside of Covid-19 Restrictions families can visit on the weekends and once during the week.

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

Treatment Components:

Clinical Director – LPC

Therapists: 8 full-time therapists (4 LAC, 3 LCSW, 1 LPE-1); 1 part-time/contract therapists (1 LCSW)

Treatment modalities offered: EMDR, TF-CBT, ARC, Brain Spotting, Trauma-Focused Family Therapy, Reactive Attachment Multi-Family Group

# of individual therapy sessions/week: 2-3x/week

# of group therapy sessions led by a licensed mental health professional/week: 2-4x/week

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

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PRLU or OLTC

ER Visit, Notice of Incident

  • ER Visit (Passed Out, Concussion)
    • Client was upset about a rumor and was crying in the cafeteria. Staff attempted to counsel client and began to walk client across the hall where the nurses were. Client stated he didn’t feel good, then passed out and hit his head. CPR was performed and client regained consciousness. Client was transported to the ER and diagnosed with a concussion. No follow-up details.

PRLU or OLTC

ER Visit, Notice of Incident, Peer Altercation, Self-Injury

  • ER Visit (Peer Altercation, Self-inflicted Injury)
    • Client was upset about an issue between peers and punched the tile and sheet rock in the bathroom. Client then entered the milieu to find the peer involved in the issue, and client yelled at peer before striking them. Client was transported to the ER.
    • Licensing follow-up on 6/21/22: Physician’s note indicates left hand fracture and will apply a splint.

PRLU or OLTC

ER Visit, Notice of Incident

  • ER Visit (Possible Allergic Reaction)
    • Client complained of an itchy throat after dinner. Client was sent to the ER to rule out an allergic reaction. No follow-up details.

PRLU or OLTC

Monitor Visit, Visit Compliance Report

  • Licensing Specialist: Not listed.
  • Self-report from Youth Home: Client woke up feeling sad and wrapped clothing around neck in attempt to cut off oxygen. Staff immediately intervened, and client asked to call their mother. After phone call, client grabbed a belt and wrapped it around their neck. Staff immediately intervened and nurse assessed client; No injuries noted. Client placed on front of house and eyeball precautions.
  • Facility visited and video reviewed from 6/11/22; Client is seen having a Facetime video with their mother, and afterwards grabs a belt off the counter in the recreation room. Client puts the belt around their neck but doesn’t tighten it. One staff is seen and heard counseling the client, then three other staff show up towards the end of the video. Client gives the belt to staff without incident.

PRLU or OLTC

Notice of Incident

  • Self-Harm
    • Client attended staffing group within the hour of being admitted to facility and became disrespectful and noncompliant. Client returned to bedroom and attempted to use the metal from a 3-ring binder he received from admissions to self-harm. Client was restrained and placed in locked seclusion where he began hitting his head on the wall and rubbing a fidget toy on his wrist. Staff removed object and client agreed to a chemical restraint to calm down. Client was transferred to ER to rule out drug toxicity. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Injury (Accidental)
    • Client slipped in shower and banged her head. Client was assessed by nurse and placed on eyeball due to history of self-harm. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client wrapped clothing around her neck and staff intervened. After a phone call with her guardian, client grabbed a belt and wrapped it around her neck. Staff intervened and client was placed on Front of House and Eyeball precautions.
    • Per email from facility on 6/13/22, client remains on Eyeball.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client injured left ankle while playing outside. After continued complaints of pain, client was transported to the ER.
    • Licensing follow-up on 6/10/22: Client diagnosed with fracture to left foot. Client does not have a walking boot.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 11:00am – 12:30pm. Census: 39. Sturgis, Chestnut, and indoor gymnasium observed. MARs checked for 5 clients. No licensing concerns noted.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • During recreation, client was running and fell, slid on her knees, and hit her head on the wall. Client complained of a headache and was taken to the ER. Client was diagnosed with a head injury and left knee injury, and was given crutches to wear for 24 hours. No concussion noted. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client was upset with peer for breaking up with her and took of running towards the street when residents were going back inside for lunch. Staff later caught up with her and restrained her. Client stated she wanted to kill herself and tried multiple times to get hit by a car. Client calmed down after being transported back to the facility by van. Client and peer were placed on peer limit.
    • Per email from facility on 6/9/22, client is on eyeball, front of house, and run risk but may come off after med checks. Client was taken off eyeball on 6/9/22.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client broke his arm playing basketball and was taken to the ER.
    • Licensing follow-up on 6/2/22: Per nursing note, client returned from ER with splint and prescribed Oxycodone 5mg. Client has a follow-up appointment with Orthopedic Clinic on 6/2/22.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client allegedly had a plan to run and encouraged other peers to run with her. After client was placed on House Restriction and Run Risk, she became upset and barricaded herself in her room and tied clothing around her neck. Staff intervened, and client was placed on Eyeball and Front of House in addition to HR and RR.
    • Licensing follow-up on 6/2/22: Per email from facility, client is no longer on eyeball and reportedly doing better.

PRLU or OLTC

Notice of Incident

  • ER Visit (Allergic Reaction)
    • Client complained of itching throat after eating a cookie and thought it was an allergic reaction. The kitchen was certain the meal contained no nuts. Client was given Benadryl, and after client stated it was worse, was given an Epi pen and sent to ER.
    • Licensing follow-up on 5/27/22: Client returned to facility on 5/25/22 and is reportedly doing fine.

PRLU or OLTC

Notice of Incident

  • ER Visit (Facial Cellulitis)
    • Client presented to nurses station with facial pain and moderate swelling. Client was sent to Urgent Care for evaluation. Client was diagnosed with left-sided facial cellulitis and prescribed antibiotics. If the problem does not resolve after antibiotics, another visit will need to be scheduled.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client went to staff asking to be moved to a different room because her roommate made her feel uncomfortable. Client reported that while in their room, peer was trying to touch her, kiss her, and gave her a lap dance because peer wanted them to be girlfriends. Peer admitted to staff what happened but said she didn’t realize she was making client uncomfortable. The girls have been moved away from each other and should not be in close contact any longer.
    • Child Abuse Hotline was called and accepted, unsubstantiated. Per email from facility on 5/23/22, client slept in the front of the house for safety until room changes can be discussed.

PRLU or OLTC

Notice of Incident

  • ER Visit (Dermoid Cyst)
    • Client complained of having issues with her eye and was transported to ER due to continued complaints. Client has been to multiple appointments to evaluate her eye.
    • Licensing follow-up on 5/19/22: Client returned from ER with diagnosis of dermoid cyst of left orbit, and instructions to return if pain increases, or if any symptoms worsen after starting antibiotics.

PRLU or OLTC

Notice of Incident

  • ER Visit (Healing Sutures)
    • Client reported pain to arm where he had 49 stitches in 3 separate placements (due to falling through a glass table prior to admission). Stitches around lateral epicondyle appear to begin to show wound dehiscence. Client was transported to ER.
    • Licensing follow-up on 5/19/22: Results of ER exam were healing sutures, with instructions to wash daily, apply antibiotic ointment to wound, and return in 8-10 days for suture removal.

Police Report

Battery

Staff stated that during lunch, a peer took juveniles Ensure and juvenile became irate. Due to juvenile wanting to fight, staff took the Ensure and put it in his pocket. Juvenile pushed staff’s chest area, so staff called for assistance and put juvenile in a hold in which he broke free and was able to strike staff on his face. Shortly after, juvenile calmed down.

Police Report

Disturbance

Staff advised juvenile was upset due to rules of the facility and took the bathroom door off the hinges, damaged the cover of a light fixture, and punched a fire extinguisher. Juvenile kicked staff member in the groin and attempted to bite him while in restraint hold, and spit on another staff member. Juvenile stated staff member punched him; Another staff stated they did not observe staff punching juvenile and reviewed video footage, in which she didn’t observe the incident on camera. Officer did not observe any injuries to juvenile.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC Report, CAP
  • Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Two clients reported to staff that a peer had been touching them on the buttocks. Clients were placed on peer limit with the accused peer. Peer was also placed on “Front of Line”, meaning he walks at the front of the line anywhere residents go.
    • Child Abuse Hotline was called and accepted. Investigation pending. No follow-up details.

Police Report

Disturbance

QRTP – Staff stated juvenile became upset because he thought his grounding period was starting over, but it wasn’t. Staff stated juvenile flipped over furniture and a plant and also took the plastic covering off a light switch. Juvenile confirmed the details provided by staff.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client entered decompression zone, stating he was having suicidal thoughts. Later, client appeared to be hanging his head down and using his arms to hold up his body. He then appeared to be shaking, and staff discovered he was squeezing the arteries in his neck to make himself pass out. Staff intervened, and client was seen by nurse. No noted injuries. Client was already on eyeball for suicide ideation as of 5/5/22. Client remains on eyeball for safety precaution, front of house, and supportive status.
    • Per email from facility on 5/9/22, client was removed from eyeball status.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client reported to staff that on the way to lunch, her and a peer were in the back of the line and the peer began touching and grabbing her butt, then grabbed her hand and made her touch him on his penis over his clothes.
    • Child Abuse Hotline was called and accepted, unsubstantiated. The alleged offender was moved classes immediately upon hearing of the incident. An investigator came to the campus to interview both clients. Licensing follow-up on 5/9/22: No evidence to support or refute claim.