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

Complaint Visit, Self Report Visit, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Facility visited from 9am – 1pm and viewed video footage of multiple incidents (7/27/22, 7/29/22, 8/1/22, 8/2/22. Facility made hotline call 8/2/22 for alleged maltreatment. For another incident, the nurse reported scratch client sustained from hold was reasonable for a hold.
  • Regs out of compliance –
    • 9.907.2 – Child caring staff shall be responsible for providing the level of supervision, care, and treatment necessary to ensure the safety and well-being of each child at the facility, taking into account the child’s age, individual differences and abilities, surrounding circumstances, hazards and risks. (8/2/22 incident)

PRLU or OLTC

  • Suicidal, Threatening Behavior (1)
    • At 1:09pm, client began threatening staff after being redirected, and refused to stay in room during quiet time. When client saw staff restrain a peer, client ran into the peer’s room and began to hit and kick staff. Client was restrained. At 1:50pm, client began self-harming by using fingernails to make wrist bleed. Client was restrained, during which client fought staff and tried to bang head on floor. At 2:20pm, a chemical restraint was administered.
    • Licensing follow-up on 8/3/22: Facility visited, and video reviewed. No inappropriate holds nor licensing concerns observed regarding this incident. Youth Home made this hotline call 8/2/22 for alleged maltreatment.

Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior (2)
    • On 8/1/22, client was placed in a restraint due to self-harming and was placed on Eyeball (suicide watch). On 8/2/22, client was observed by staff reading a book, and when staff went to attend to other residents, a peer alerted staff that client was strangling themself with a shirt. Staff initiated a restraint, and client was transported via MEMS for acute placement.
    • Licensing follow-up on 8/3/22: Facility visited, and video reviewed. Staff reported that on 8/1/22 while off camera, client wrapped a shirt around their neck.

PRLU or OLTC

Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior
    • Client was upset they could not be relieved of precautions and pulled a reflective metal mirror off the wall in their room. Client then attempted to obtain screws from the mirror, and staff intervened and initiated a restraint. Eyeball was added to other precautions (Run Risk, Supportive Status, House Restriction). Later that day, client became upset due to Eyeball status and barricaded a bathroom door. Staff forced the door open and initiated a restraint. Client was transported to acute placement via MEMS.
    • Licensing follow-up: Client estimated to discharge from acute placement on 8/4/22. Facility visited on 8/3/22 and video reviewed from 7/29/22. No visible nor audible licensing concerns observed in the video regarding this incident.

PRLU or OLTC

Elopement, Notice of Incident, Suicidal, Threatening Behavior

  • Suicidal, Threatening Behavior, Elopement
    • During Rec Group, client became anxious and asked to go back inside. On the way back, client became agitated and took off running. Staff followed, and client was placed in a personal restraint on the side of the road. After struggling with staff, a facility van arrived and transported client back to facility. Client stated they wanted to die. Upon entering facility, client was released from the restraint. Client went into room to change clothes and began hitting their head on the wall and hitting the door. Client was placed in another restraint until they calmed down. Client denied pain or injury and declined medication both during and after the restraint. Client placed on house restriction and run risk.
    • Licensing follow-up on 8/3/22: Facility visited, and video reviewed from 7/27/22, after elopement/restraint incident. Banging heard in audio at which point staff enter client’s room and initiate hold off camera. No licensing concerns visible or audible in video regarding incident.

PRLU or OLTC

Buildings and Grounds, Visit Compliance Report

  • Licensing Specialist: Clayton DeBoer.
  • Buildings & Grounds conducted from 9:30am – 11:00am for Rose and Mabee House. Census: 41. Outdoor recreation area observed. MARs checked for 5 clients.
  • TA –
    • R901.3 – When asked, a copy of client rights could not be provided. Staff obtained a copy of client rights to post in Mabee House before conclusion of today’s visit.
  • Regs not correctable –
    • R911.15.f – One bedroom had jacket in the closet with tie string in-seamed at least 3ft long. Staff immediately removed jacket and will remove string before returning jacket to room (Rose House).

Police Report

Suicide Attempt

QRTP – Staff stated juvenile was attempting to harm himself and possibly commit suicide. Juvenile was assessed by MEMS and transported to hospital at the request of facility.

PRLU or OLTC

Notice of Incident, Self-Harm, Threatening Behavior

  • Self-harm, Threat to Staff
    • Client became upset after receiving a consequence and began self-harming by picking at healing scabs on arms. After staff attempted to talk with client, client began hitting the wall. Client was restrained, during which client banged their head on the floor and head butted, punched, and bit staff. Client was offered oral medication but refused, stating they wanted a shot. Nurse obtained order for medication.
    • Licensing followed up on 7/28/22 via email (redacted).

Police Report

Battery

Staff stated that after juvenile received consequence, he went to his room and began punching the wall until his fist became bloody. When staff went to assist, staff stated juvenile became violent and struck both staff several times, and bit one staff on the forearm. Juvenile was placed in seclusion and administered sedation medication. Juvenile issued court date and charged with 2 counts of Batttery in the second degree.

Police Report

Disturbance

QRTP – Staff stated that juvenile ran away but returned a short time later. When staff asked juvenile to move to another couch once in facility, juvenile became irate and staff initiated a restraint. While staff were trying to gain control of juvenile, juvenile kicked a staff in the leg, spat at 2 staff, struck a staff in the back, and scratched a staff’s arm. MEMS arrived on scene and transported juvenile to ER.

PRLU or OLTC

Notice of Incident, Self-Injury

  • ER Visit (Self-inflicted Injury)
    • Client punched the floor and complained of pain. Client was sent to ER and returned with a splint applied to left wrist (metal pieces removed for safety). Nurse assessed and Ibuprofen provided.
    • Licensing follow-up on 7/5/22: Client has splint on left wrist.

PRLU or OLTC

ER Visit, Notice of Incident

  • ER Visit (Hand Pain)
    • Client complained of pain to right hand and was sent to Urgent Care to rule out fracture.
    • Licensing follow-up on 7/5/22: Client has a follow-up appointment at Urgent Care on 7/5/22.

PRLU or OLTC

ER Visit, Notice of Incident

  • ER Visit (Accidental Injury)
    • Client reported they tripped in the gym while playing basketball. Nurse assessment: Moderate amount of bleeding present and a fairly deep laceration to chin. The area was cleansed, and client was sent to Urgent Care.
    • Licensing follow-up on 6/29/22: Client returned from Urgent Care with 4 stitches placed in chin. Instructions: Apply antibiotic ointment to wound and clean twice daily, return in 5 days to have stitches removed.

PRLU or OLTC

ER Visit, Notice of Incident, Self-Injury

  • ER Visit (Self-inflicted Injury)
    • Client reported they hurt their right hand while punching pillow up against the wall to release aggression. The nurse noted redness to knuckles and skin abrasion. Client was reassessed later in the day and sent to the ER. After returning from the ER, it was noted that the client had removed splint from their hand.
    • Licensing follow-up on 6/27/22: Per Nursing Note, client was diagnosed with hand injury and instructed to take Ibuprofen or Tylenol as needed for pain. Client received a splint to wear for the next 3-5 days. It was noted “Patient currently do not have splint on and no pain meds requested.”

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.