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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Police Report

Assault

Staff advised officer that after juvenile was told to go to his room, he began to take pictures and nails off the wall. While staff was attempting to get the nail from juvenile, juvenile kick and bit him. Staff had to restrain him until he calmed down. Juvenile advised officer that staff member held him down and choked him. No visible injuries were observed on both parties.

PRLU or OLTC

Notice of Incident

  • Suicidal (1)
    • Client used an eraser at school to aggressively rub her skin, causing an abrasion. Later that day at the facility, client continued to self-harm, and a personal restraint was implemented. Staff working toward finding placement for client. Client was informed she would have restrictions on her belongings and would have to shower with the door cracked for threat of self-harm. This upset client, and she began picking at her scabs, making them bleed. Personal and chemical restraint utilized. The next morning at school, client began to self-harm again and banged her head on the floor. Client was transported by MEMS to ER. No follow-up details.

PRLU or OLTC

Notice of Incident

  • Suicidal (2)
    • Upon entering the decompression zone within school, client began to bang her head on the wall and punched another wall repeatedly. She then began expressing suicidal feelings and feelings of worthlessness to staff. Client was assessed and placed on close observation and supportive status.
    • Licensing follow-up on 5/4/22: Email from facility states that client has not had any additional issues or concerns.

PRLU or OLTC

Notice of Incident

  • ER Visit (Allergic Reaction)
    • Client ate a cookie and had an allergic reaction. Client was sent to the ER. Facility received orders from the hospital to return to the allergy clinic for follow-up.
    • Licensing follow-up on 5/1/22: Client seems to have ongoing allergic reactions to food. Client to go to allergy clinic in one week for follow-up.

Police Report

Assault

Staff advised officers that juvenile got upset when he was told that he was losing a point and when he was being restrained, he kicked both staff members. Juvenile confirmed this, and stated he was going to contact his caseworker so he could be moved to acute placement. Medical was refused and there were no visible marks.

PRLU or OLTC

Notice of Incident

  • ER Visit (Allergic Reaction)
    • Client presented to nurse with labored breathing due to possible food allergy. Client stated she felt funny with a lump in her chest. Client received EPI pen and was transported to the ER. Client returned from the ER with no new orders.
    • Licensing follow-up on 4/28/22: It is noted in the chart that client is allergic to shellfish, seeds, and nuts.

PRLU or OLTC

Notice of Incident

  • Self-Harm
    • Client reported to staff that she used string from a Covid mask to cut into her neck area. Client had a barely visible red mark (about 4 inches) on the supine side of neck. Client denied thoughts of self-harm currently. Orders were received for increased observation status. No follow-up details.

PRLU or OLTC

Notice of Incident

  • ER Visit (Enlarged Lacrimal Gland)
    • Client complained of severe eye pain, and nurse noted lacrimal gland protruding and clear fluid leaking out. Client was taken to the ER. Client returned from ER in stable condition and was prescribed eye drops.
    • Licensing follow-up on 4/28/22: Specialist sent email to facility to check the status of client. Facility reported a follow-up appointment with the eye doctor on 4/26, however the consult sheet from that visit has not been turned in to medical records. A consult sheet was sent via email which states that client had enlarged lacrimal gland. Prescription eye drops ordered.

PRLU or OLTC

Notice of Incident

  • Urgent Care Visit (Self-inflicted Injury)
    • Client complained of hand pain after reportedly hitting the wall sometime the week before. During medication checks on 4/15/22, staff decided it did not warrant an Urgent Care visit. This week, client reportedly hit the wall again. Client was taken to Urgent Care due to swelling. Client was diagnosed with a right-hand sprain; RICE treatment prescribed, and Ibuprofen/Tylenol as needed for pain. No follow-up details.

Police Report

Runaway Juvenile

Staff stated while outside for recreation at around 1530 hours, 2 juveniles ran away and did not return (officer dispatched at approximately 1656 hours). Staff stated he went looking for them but could not locate them. On 4/17 at around 0012 hours, officer responded to a welfare concern and located both juveniles. Officers returned juveniles to facility where MEMS checked them for injuries (none).

PRLU or OLTC

Notice of Incident

  • Elopement
    • During a walk with staff, 2 clients ran into the woods. Both clients returned, 1 of them “via sheriff’s office and ambulance”. Client was treated by nurse for minor scratches. Report states that after elopement, staff returned to the house and followed AWOL procedures.

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.