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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 |
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
Police Report
Caller reported his granddaughter went on a visitation with her father over the weekend and upon returning to the facility, the juvenile tested positive for THC. Caller complained there was no report of the drug screen completed by Youth Home staff. Officer provided details of report to DHS Hotline.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Licensing reviewed 12 children files from 10:30am – 2:00pm. All complied with the minimum licensing standards.
PRLU or OLTC
Elopement, Notice of Incident, Peer Altercation
Peer (1) gave client a threatening quote on whiteboard saying “If you don’t stop you will not enjoy the consequences”. Staff encouraged client to allow them to de-escalate the situation. Client seemed accepting to the information. While staff was helping de-escalate another peer (2), the client went behind staff’s back and immediately started fighting peer (1). Additional staff were called due to the increased aggressiveness. Staff had to remove pt’s arms from peer’s neck. After staff was standing between client and peer, he quickly calmed down and walked out of the class with staff.
Staff discussed patient going to Chestnut House for the afternoon to separate the residents, and patient refused and stated they would have to restrain him to get him there. As staff went to get help, patient ran out of the D-Zone and out the side door and eloped. Staff pursued patient but lost sight of him. Run protocol was initiated and the Pulaski County Sheriff’s Office was notified. At approximately 10:20 am, patient arrived back to campus via the police.
Client was placed on house restriction and “freeze” for aggression. Nurse assessment: Erythema noted to posterior neck and (L) ear. He endorsed some soreness of bottom tooth, #24 as he reported hitting his head on the wall while striking his peer. He reports 6/10 pain and requested orajel. Orajel administered. This tooth appears pushed back and not aligned with others. Client reports this is WNL for him except the sensitivity.
PRLU or OLTC
Complaint, Notice of Incident, Visit Compliance Report
Licensing received complaint: Reporter stated resident returned home from a weekend pass with her non-custodial parent and was reportedly acting “strange”. RN reportedly drug tested the resident and she came back positive for marijuana. The reporter suspected that the non-custodial parent provided the resident with the marijuana as he has a known history of substance abuse. The reporter states that the facility failed to call the Child Abuse Hotline and instead stated that they will be doing their own investigation internally. The family has filed a police report with the Pulaski Co. Sheriff’s Office. The incident occurred on 10/1/23 and it is reported that no call to the hotline has been made by the facility as of 10/6/23.
Licensing Specialist: Kendra Rice.
Licensing requested nursing notes for 10/1/23 and inquired of lab results. Lab results received. Resident tested negative for marijuana and positive for nicotine.
This complaint has been unfounded by Licensing.
PRLU or OLTC
Medical, Notice of Incident
Resident was transported by staff to Baptist Urgent Care for them to examine her bruised tailbone as she was experiencing leaking from the area, which was also producing an odor. Baptist Urgent Care advised staff that resident needed to be taken to the ER to ensure proper drainage and further assessment. Resident was then taken to Arkansas Children’s Hospital ER and diagnosed with Pilonidal Cyst.
Orders: Dressing applied to tailbone to collect drainage (will need to be changed frequently), [REDACTED] by mouth 3x a day for 10 days, and follow-up with Surgery Clinic.
Licensing Specialist inquired about follow-up appointment for resident. Licensing Specialist informed resident is scheduled to discharge on 8/5/23. A call was made to expedite the resident’s surgery appointment. No call had been returned to the nurse charge.
Police Report
Welfare Check
Officer responded to the facility in reference to a welfare concern. Caller advised he wants to know his son is alive (resident at the facility).
Upon arrival, staff informed officer that resident’s father had been calling to speak with his son for his birthday, but that his parental rights were taken away and he can receive no information regarding his son and his well-being. Officer informed caller that he can no longer call the group home demanding to talk to his son.
Police Report
Assist Ambulance
Officer was dispatched to facility in reference to an assist MEMS with a juvenile. Prior to arrival, I was advised that the juvenile was actively being restrained. Upon arrival, juvenile was located asleep in his bed unrestrained. Officer was advised he was restrained several hours ago and had since been unrestrained. MEMS responded to the scene and transported the juvenile without incident.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Kendra Rice.
Licensing completed building and grounds at Chestnut House from 9:30am – 10:15am. Areas observed: Comfort room, seclusion room, staff bathroom, bedrooms, bathrooms, storage closet, game room, visitation/therapy room, laundry room, library, and dining area.
The Chestnut House flooring had been repaired, baseboards replaced, and walls were painted. A date has not been determined when residents will move back into the house.
Police Report
Elopement
Officer was dispatched to facility in regards to a runaway juvenile. Officer canvassed the area and located the missing juvenile walking through a field. Upon making contact with the juvenile, she stated she ran away from the youth home because she has felt trapped and just needed to get away. Staff arrived on scene and transported the juvenile back to the facility.
PRLU or OLTC
Elopement, Notice of Incident
Resident returned to the house with staff after dinner, and once staff attempted to open the door, client sprinted into the woods. Staff attempted to pursue resident but was unsuccessful. Pulaski County Sheriff’s Office was contacted and located the resident. Resident stated she ran b/c she has been having ‘unwanted thoughts to harm self’ and ‘impulsive thoughts’, but denies plan to harm self at this time. Resident was assessed and the nurse noted superficial cuts on R shoulder and on L shin. Resident stated these are from running through the woods. Denies any other pain/injuries.
Licensing Specialist informed resident was placed on close observation, run risk, freeze, and house restriction.
PRLU or OLTC
Notice of Incident, Peer Sexual Contact, Visit Compliance Report
Two residents accused peer of going into their room and touching them inappropriately. A hotline report was filed and residents were placed on 6 ft. peer limit from the accused. On 9/7/23, facility was informed the call was accepted for investigation.
Facility informed licensing that 1 resident attempted to tell staff but staff did not understand that it was touching. This staff member received disciplinary action. It was reported that there were no witness statements. Licensing inquired about late reporting, and received an email with correspondence on when the hotline was submitted and accepted.
This complaint was unsubstantiated by Crimes Against Children Division (CACD) and Licensing.
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.