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

Notice of Incident, Peer Sexual Contact, Visit Compliance Report

Resident reported that while waiting to enter her classroom, a peer touched her inappropriately. Child Abuse Hotline was called and accepted for investigation. Residents were placed on peer limit and resident was moved to a different classroom.

Licensing Specialist: Kendra Rice.
Licensing visited facility and reviewed camera footage on 9/6/23. Licensing Specialist observed what appeared to be a peer touching resident on her back area in the hallway. Staff member was present at the classroom door as the group then entered the classroom.
9/29/23 – Complaint was unfounded by Licensing. Crimes Against Children Division (CACD) case was closed unsubstantiated.

PRLU or OLTC

Visit Compliance Report

Licensing Specialist: Kendra Rice.
Time of visit: 11:00 am to 12:30 pm. Census: 35. Licensing Specialist completed buildings and grounds and observed the following houses: Hickory/Chestnut, Sturgis, Rose, and Mabee. The following areas were observed: bedrooms, bathrooms, common area, kitchen area for staff, laundry rooms, family rooms, seclusion rooms, game rooms, and milieus.
Licensing observed that the gazebo has been painted and picnic tables have been added to the outside area, new game tables in all the houses, grievance boxes were located for the residents in the houses, and water fountains were observed for residents to have drinking water. Clients’ rights, escape plans, and fire extinguishers, and smoke detectors were observed.
Licensing observed contractors working on Chestnut house. The flooring was pulled up, baseboards were removed, and toilets were not in the bathrooms. Plumbing was repaired on the outside of the building.

PRLU or OLTC

Accidental Injury, Notice of Incident, Visit Compliance Report

Client fell off her bed on Saturday and was taken to Urgent Care on 7/27. The physician stated the coccyx area was swollen, bruised, and needed to be x-rayed. X-rays were not able to be conducted at Urgent Care, so client was taken to the ER the following day. An x-ray at the ER determined there was no fracture, but the area was badly bruised. ER instructions: Apply ice or heat therapy for 15 minutes 3-4x day, use a donut pillow while sitting, and alternate Tylenol and Ibuprofen for pain as needed. Client is to follow up with PCP if area has not improved after 1 week. Client was instructed to reduce activity and rest injury as needed.
Licensing received provider reported incident on 8/2/23. Licensing inquired about late entry, and facility reported it was an oversight. Facility cited 110.17 (Facility failed to notify Licensing by the next business day of a provider reported incident).

PRLU or OLTC

Visit Compliance Report

Licensing Specialist conducted an annual review of policies and procedures. Census: 40. Policies and procedures for Youth Home PRTF complied with minimum licensing standards.

PRLU or OLTC

Visit Compliance Report

Licensing Specialist Kendra Rice completed buildings and grounds. Census: 42. Observed residents playing basketball and in the game rooms and day areas watching tv. The grounds were well-Kept with no debris. All bedrooms were clean and organized. The bathrooms were clean with running water.

Licensing Specialist reviewed five (5) personnel files. Personnel files reviewed complied with the minimum licensing standards. Licensing Specialist reviewed the following minimum licensing standards: 103 central registry and criminal record checks and part of 105 staff qualifications. Licensing Specialist reviewed eight (8) children files: all children’S files reviewed complied with the minimum licensing standards.

Police Report

Disturbance

Juvenile caused disturbance on van. She ripped the plexiglass light fixture off of the ceiling, threatened to assault another student, and threatened to jump out of the van into oncoming traffic. Juvenile transported to ER by MEMS for evaluation for acute placement.

PRLU or OLTC

Notice of Incident, Peer Altercation

Medical emergency (Trip to er/Urgent care). After incident on 5/29 (See Incident Report), including a face to face assessment from nursing that concluded she was not concussed, client convinced her mother that she had a concussion. Pt has voiced multiple times to peers, staff, and mother that she feels like she has a concussion from altercation on Monday were she received head injury. Pt states she has felt “Nauseous at times” but no actual vomiting. APRN ordered client to be seen by the emergency department. Client returned from ACH ER with diagnosis of no concussion detected. Sent to ACH ER instead of urgent care for evaluation in case of the need for a cat scan, that procedure would only be available at the ER. Licensing narrative: 6/2/2023, Licensing Specialist received documentation for provider reported incident. 6/6/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.

Police Report

Battery, Fight Call

Police responded to call for an active fight in progress. Caller advised there were four female juveniles fighting in two different locations and staff were not able to get them under control. Staff advised two juveniles were in a minor altercation and one kicked a staff member in the groin when he attempted to physically separate them. The altercations involved juveniles tearing up each others items, throwing water and ice cubes, and pushing each other. All juveniles admitted to hitting someone, however, only 1 juvenile suffered from minor injuries and was cleared by the on staff nurse. Staff kicked in groin wished to press charges. Juvenile was issued citation.

Police Report

Medical Emergency

Medical emergency. Dispatch advised that a 17 year old female had been hitting her head on the wall and was going in and out of consciousness. ​Patient taken to children’s hospital by MEMs for seizure prior to law enforcement arrival.

Police Report

EMS Assist, Runaway, Runaway Juvenile, Self-Harm

QRTP – At approximately 1304 hours, officers responded to facility in reference to a runaway juvenile; Staff made contact with the juvenile, who then punched a staff member. Staff took the juvenile to the ground and officer placed cuffs on juvenile due to aggression. Juvenile attempted to self-harm with the cuffs, and while officer tried to reposition cuffs, juvenile began trying to choke and bite herself, and began banging her head on the ground. Juvenile continued aggression and self-harm attempts but finally complied after feeling faint because of the heat. MEMS responded and transported juvenile to ACH.

Police Report

Battery, EMS Assist, Staff Attacked

Upon arrival, staff advised officer that after juvenile heard she was going to be put on special status that wouldn’t allow her to play games with her peers, juvenile attempted to leave the facility. Staff blocked the exit, and when juvenile tried to bite staff, a staff member grabbed juvenile to try and restrain her. Juvenile turned and punched the staff member in the face multiple times, attempted to bite her, and scratched her in the eye. MEMS transported juvenile to acute care. Officer cited juvenile and provided a court date.

Police Report

Disturbance, EMS Assist, Juvenile

QRTP – Upon arrival, staff stated juvenile was still agitated from an incident that happened last night. Staff attempted to deescalate juvenile but were unsuccessful. After trying to fight staff, juvenile was restrained until officer arrived. MEMS transported juvenile to ACH.

Police Report

EMS Assist, Resisting Arrest, Runaway, Runaway Juvenile

QRTP – At approximately 1820 hours, officers responded to facility in reference to a runaway juvenile and assisted staff in searching the area. Officers located juvenile at approximately 1927 hours; Juvenile was placed in handcuffs due to resisting officers and not cooperating. MEMS transported juvenile to ACH at facility’s request (no injuries).

Police Report

Disturbance, EMS Assist

Upon arrival, staff advised officer that he was attempting to calm down an angry student when he was struck on the side of his face with a closed fist. Staff advised facility has made arrangements to have juvenile transported to acute facility and requested officer stand by. Facility did not wish to press charges. MEMS transported juvenile.

Police Report

EMS Assist, Juvenile Complaint, Suicide Attempt

QRTP – Upon arrival, juvenile told officer that some of the other kids were bullying her. Juvenile stated she told on her roommate for having a vape and pliers, and that her roommate was telling other kids that juvenile was a snitch and cuts herself. Juvenile had bandages on both arms and was seen by the nurse. When asked if she notified school or facility staff about this, she stated they did not do anything. Staff reported juvenile and her roommate were separated. Juvenile was transported to ACH by MEMS.

Police Report

EMS Assist, Medical, Medical Emergency

Officer stood by while MEMS spoke with a patient they believed would be combative. The patient left with MEMS without issue.

Police Report

Missing Person, Runaway, Runaway Juvenile

QRTP – Staff advised officers that juvenile attended her high school prom and was supposed to be picked up at 2300 hours. Juvenile was not answering her cell phone and had not returned to the facility. Officer completed Missing Persons form.

Medicaid Inspection of Care

Corrective Action Plan, Inspection of Care Report

Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the facility.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 12:30pm – 1:45pm. Census: 40. Walkthrough completed of Sturgis, Rose, Mabee, and Chestnut houses. Areas observed: milieu, bedrooms, bathrooms, and day areas. Clients’ rights and evacuation plans were not visible at Chestnut and Mabee houses; Staff reported that when maintenance touched up the paint, neither were put back in place. Staff requested those to be placed back on the walls.

PRLU or OLTC

Notice of Incident, Peer Sexual Contact, Sexual Contact, Visit Compliance Report

Incident Report for placement client in our PRTF program and resides in Mabee House Incident Report date/time: 04/04/2023 9:30am Location of Incident: Siebert School. Incident Description: Pt is alleged offender for report put in that she forcefully touched a peer twice on one occasion and once on another occasion during the weekend and on Friday during tornado. The report was done via AR mandate reporter portal. The state police accepted the report. Licensing Specialist spoke with [REDACTED] (Unit Manager for Mabee House). [REDACTED] informed Licensing Specialist that there is no camera footage of these reported incidents. The allegation of residentbeing touched at the house happened on 3/31/2023 when the residents had to take shelter because of thetornado. The allegation of being touched while on an outing, there are no cameras on the vans. Licensing Specialist: Kendra Rice.

Police Report

Combative and Suicidal Youth, EMS Assist, Juvenile, Suicide Threat

Upon officer’s arrival, staff stated that juvenile had become irate and began to destroy items. Staff restrained juvenile and placed her inside the seclusion room, and stated juvenile was suicidal and should be sent to the hospital. MEMS arrived and transported juvenile to the hospital.

PRLU or OLTC

Notice of Incident, Self-Harm

Client from in our PRTF program and resides in Sturgis House Incident Report date/time: 04/02/2023 2:10pm Location of Incident: Outdoors off Youth Home campus Incident Description: Self Injury(Not Suicidal), Medical Emergency (Trip to ER/Urgent Care). We arrived at our location for community outing and staff noticed there was a lot of people at the park. We informed the PTs that staff will assess the situation before we exit the van. PT begin to tell staff what he thought was best for us so. PT would not listen to staff information and immediately became visibly upset and verbally aggressive. I used CPI de-escalation procedures and PT did not calm down. PT wanted to leave but his peers were already engaged in activities. PT became more aggressive and threaten to harm staff. Pt then begin to punch the panel on the inside of the van and visible harmed his right hand. PT walked off and I continued to de-escalate and get him calm. After more conversation he finally calmed down and got in the van so that we could get him medical attention. The shift was informed of the situation and prepped the nurse for our arrival back to the house. Nursing assessment date/time: 04/02/2023 2:15pm: Patient presents at Sturgis outside main entry door with staff sitting on bench chair. Patient reported by staff to have punched the van dashboard while coming back from outing event. Pt reports pain 8/10 to right hand at Digit 5 and 4 knuckle area. Abrasions, redness, and edema noted at metacarpophalangeal joints at 4 and 5. Patient able to slightly perform some range of movement with pain noted. Cap refill is brisk at distal fingers of right hand. Orders received for transport to ACH for evaluation. 2nd Nursing assessment date/time: 04/02/2023 6:10pm: Patient returned from ACH on 4/2/23 at 4:45pm and no FX on xray. Patient is cooperative and calm.

PRLU or OLTC

Medical, Notice of Incident

Patient was having breathing problem and rapid breathing. Patient presents in his bed supine position upon assessment with rapid breathes. Patient endorses tightness in chest and throat. Patient was disoriented upon assessment to age and city that they live. On call was notified and ordered to have the patient transferred to ACH for evaluation.

PRLU or OLTC

Special Visit, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Facility visited from 9am – 11:30am. Census: 41. Licensing attended CPI Training at facility to ensure staff are being trained according to the facility’s policy on physical restraints, and to ensure the policy complies with minimum licensing standards.

PRLU or OLTC

Technical Assistance, Visit Compliance Report

  • Licensing Specialist: Kendra Rice.
  • Review of the agency’s current mandated reporter policy determined it does not comply with A.C.A. 12-18-402 nor the Minimum Licensing Standards. Please ensure facility policy is updated to reflect the need of all staff to report directly to the child abuse hotline without delay. The updated policy shall be submitted to the Licensing Unit by 04/12/23 and all applicable staff shall be retrained on the updated policy within 2 weeks of the enactment of the updated policy.
  • TA –
    • 110.9 – Any owner/operator, employee, foster parent, or volunteer in a child welfare agency shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being subjected to conditions or circumstances that would reasonably result in child maltreatment.
    • 102.3.h -Child Maltreatment/Mandated Reporter policy; according to Arkansas law, including, procedures to ensure that alleged, suspected, or witnessed incidents of maltreatment are reported to the Child Maltreatment Hotline, and documented as required by these or other applicable rule or laws.