Disability Rights Arkansas

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*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

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client fell while walking down the outside stairs, hurting her ankle. Client was transferred to the ER. Client returned from ER with recommendations to wear boot and use crutches. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client voiced that she was suicidal. After staff informed client she would be placed on “eyeball” (suicide precaution), client reached for leggings so she could strangle herself.
    • Licensing follow-up on 4/14/22: When asked, facility indicated that they lost power on 4/13/22 due to weather and were unable to send report timely. 

PRLU or OLTC

Notice of Incident

  • Urgent Care Visit (Spider Bites)
    • Client complained of itching red rashes on her lower left leg during day shift. Nurses evaluated and suspected it may be spider bites. Client had reportedly found a dead spider in her room. Client was taken to Urgent Care to have her leg evaluated. No follow-up details.

Police Report

Terroristic Threatening Second Degree

QRTP – Staff stated juvenile refused to return remote control (due to watching inappropriate videos) and threatened to spit in staff’s face and hit him in the head with a rock. Juvenile then knocked staff’s hat off his head. Juvenile was cited for Terroristic Threatening 2nd.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings and grounds conducted from 11:00am – 1:00pm and MARs checked for 5 clients.
  • TA –
    • R911.15.f – One bedroom had two pairs of shorts that had strings in the waist long enough to inflict harm to a client. Staff consulted whom advised that house staff would inspect all rooms for overlooked strings in bedrooms.

Police Report

Battery Second Degree

QRTP – Staff stated juvenile had received a discipline for bad behavior and became angry and began to physically fight staff, stating juvenile punched, kicked, scratched, and tried to bite staff. Officer observed multiple scratches, marks, and swelling to staff. Juvenile was arrested & issued citation for 3 counts of Battery 2nd, then released back to custody of staff.

Police Report

Disturbance

Staff stated juvenile got upset because she wanted McDonalds, and acted as if she was going to fight staff. Client then went outside and started to throw rocks at staff’s vehicle and kicked the back bumper. Juvenile’s clinical therapist requested MEMS assess juvenile as her behavior has been alarming. Juvenile was transported to ACH for further assessment.

Police Report

Battery Second Degree

Staff stated juvenile came home from school upset, and began to tear things up and cause a disturbance. After an attempted restraint, juvenile struck a staff member (who wants to press charges). No injuries reported. Juvenile was issued citation.

PRLU or OLTC

Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Facility visited from 12:00pm – 2:00pm. Staff records reviewed with no licensing concerns. No new hires or concerns with background checks reported by HR at this time.

Police Report

Battery Second Degree

Staff stated juvenile got upset because he thought he was grounded. Staff stated after entering medical room, juvenile entered the room (not permitted to do so) and resisted when staff attempted to remove him. Juvenile bit staff member on her hand, officer confirmed bite marks. Juvenile was cited and officer collected witness statements/photographs.

Police Report

Battery Third Degree

Staff stated juvenile got upset because he couldn’t get on YouTube and threw chair at staff member. Staff stated a peer handed a game to juvenile and sucker punched him in the face. Juvenile then picked up a broom and began swinging it in an attempt to hit peer, but hit staff in the process. No injuries reported. Juvenile was issued citation.

PRLU or OLTC

Notice of Incident

  • Suicidal/Threatening Behavior
    • Client was upset about peers no longer communicating with her since she came back from acute and wrapped her leggings around her throat in an attempt to harm herself. PRN Hydroxyzine administered per request at approximately 6:30pm. Client placed on FOH/Eyeball, further upsetting client. Client attempted to tie clothing around her neck, requiring restraint. After an upsetting call with her guardian, client tried to tie clothing around her neck again, requiring another restraint. The next morning (3/16), client expressed being suicidal to staff and tried to tie shirt and jeans around her neck. Items were taken and client placed in a restraint. Client processed with staff and remains on eyeball.
    • Specialist followed up on 3/18: Client was placed on front of house, supportive status, eyeball, and restricted status. Client continues to reside at facility with no further incidents as of 3/18.

PRLU or OLTC

Complaint Survey

Complaint #AR00027902 was substantiated, all or in part, without deficiency. Complaint #AR00027918 was unsubstantiated.

Police Report

Suicide Threat

Officer was dispatched to assist MEMS with juvenile that had threatened suicide. Staff stated juvenile had been acting out and had to be restrained a total of 7 times between 0830 and 1208 hours. Staff stated at one point juvenile placed a sheet around his body and said “I’m going to kill myself”. Juvenile was calm on his bed and complied when staff told him to get up. Juvenile was transported to Methodist Behavioral Hospital in Maumelle.

PRLU or OLTC

Notice of Incident

  • Suicidal/Threatening Behavior
    • Client became upset after breaking a watch which staff took and indicated they would try to fix. Client screamed and started flailing around on the ground. Client was placed in seclusion and indicated he wanted to kill himself, putting his hands around his throat as to choke himself. Client continued to fight staff at which point a chemical restraint was implemented, during which client punched staff in the face multiple times and spit on staff. Client was placed on eyeball and remains at facility.
    • Specialist followed up on 3/8 and reviewed video of incident. No licensing concerns or improper holds viewed during seclusion, restraint, or chemical restraint.

PRLU or OLTC

Notice of Incident

  • Suicidal/Threatening Behavior
    • Client had been upset and processed with 4 different staff regarding the issue. Client tried to choke herself in which staff intervened. Nurse assessment: Client complained of slight pain to neck area. Staff debriefed with client about what happened and what caused her to try and choke herself. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Self-inflicted Injury)
    • Client became angry due to receiving a consequence for being sexually inappropriate. Client went to her room and punched the wall, causing immediate swelling/bruising to the left 5th digit knuckle. Client was given Ibuprofen and ice pack. FOH and eyeball status ordered. Client taken to Urgent Care (3/4) for x-ray. Client’s hands were bruised and swollen, no fractures; Ice and Tylenol recommended.
    • Follow-up: Urgent Care Note – No fractures to either hands contusion/bruising of both hands. Recommendations: ice hands. Can wear ace wraps for comfort. Take over the counter Tylenol/Ibuprofen.

PRLU or OLTC

Notice of Incident

  • Urgent Care (Accidental Injury)
    • Client was in a hurry going back into game room and tripped on the bumper between the gym and game room, spraining her ankle. Client was sent to Urgent Care for x-ray.

Police Report

Battery Second Degree

Staff stated J1 became disrespectful/upset while in group therapy and was kicked out. J1 began cursing at staff and swinging a chain around, in which he hit staff on the forehead and lip. Staff restrained J1 until he calmed down. J1 charged with Battery Second Degree. While on scene, J2 started acting out, threatening to kill staff, and spit on staff. Pulaski County Juvenile Intake approved the intake of both juveniles. J2 charged with Terroristic Threatening 1st Degree. Both taken to JDC.

PRLU or OLTC

Notice of Incident

  • Threatening Behavior
    • Client asked staff if he could get client because she was being rude to clients/staff. Staff member went to check on client, who was banging her head on shelves. Client went to her room and continued to bang her head on the wall, kick things, and cuss out staff. Client entered seclusion room. After exiting seclusion, client stated she wanted to be placed on eyeball because her peers had been placed on this precaution and she felt like she was being treated differently. Staff explained eyeball status to client. Client was cooperative for the rest of the night.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client stated he hurt his right thumb while playing flag football and didn’t feel any pain until the next day. Client was taken to Urgent Care to receive x-ray. It was stated he had a sprain, and a prescription was called in. The radiologist called later and stated he had a small chip in his right ligament injury in which they are referring him to ACH on Monday for recommendations. It was advised to let his hand rest until the appointment.
    • Specialist followed up: Client appears physically/mentally stable. Splint reapplied to right thumb.

PRLU or OLTC

Notice of Incident

  • ER Visit (Accidental Injury)
    • Client slipped and fell on pine gumballs that were on ground while walking outside. Client was assessed and transported to ER.
    • Specialist followed up on 2/17: Client returned from ACH in stable condition and was diagnosed with right ankle sprain. A walking boot was provided for support for 1 – 2 weeks. Tylenol and Ibuprofen can be alternated for pain.

PRLU or OLTC

Notice of Incident

  • Restraint/Assault on Staff
    • Client became upset in classroom and attempted to hit teacher with his fist. Client was then restrained, and the momentum landed client and staff on floor. Client then purposefully hit his head on floor during restraint and continued to struggle. Client calmed down and returned to house. Nurse’s note: Client has abrasion above and below right eye from carpet burn, triple antibiotic ointment applied.
    • Specialist visited facility on 2/16 and viewed video. At no time during video are licensing concerns observed.

Police Report

Battery

Staff stated after juvenile’s peer had received a punishment for violating rules, juvenile got angry and got into a physical altercation with staff. Juvenile caused 2 minor lacerations to staff’s forehead and nose. Juvenile was cited for Battery 2nd and received court date of 3/1/22.