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 broke his arm playing basketball and was taken to the ER.
    • Licensing follow-up on 6/2/22: Per nursing note, client returned from ER with splint and prescribed Oxycodone 5mg. Client has a follow-up appointment with Orthopedic Clinic on 6/2/22.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client allegedly had a plan to run and encouraged other peers to run with her. After client was placed on House Restriction and Run Risk, she became upset and barricaded herself in her room and tied clothing around her neck. Staff intervened, and client was placed on Eyeball and Front of House in addition to HR and RR.
    • Licensing follow-up on 6/2/22: Per email from facility, client is no longer on eyeball and reportedly doing better.

PRLU or OLTC

Notice of Incident

  • ER Visit (Allergic Reaction)
    • Client complained of itching throat after eating a cookie and thought it was an allergic reaction. The kitchen was certain the meal contained no nuts. Client was given Benadryl, and after client stated it was worse, was given an Epi pen and sent to ER.
    • Licensing follow-up on 5/27/22: Client returned to facility on 5/25/22 and is reportedly doing fine.

PRLU or OLTC

Notice of Incident

  • ER Visit (Facial Cellulitis)
    • Client presented to nurses station with facial pain and moderate swelling. Client was sent to Urgent Care for evaluation. Client was diagnosed with left-sided facial cellulitis and prescribed antibiotics. If the problem does not resolve after antibiotics, another visit will need to be scheduled.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client went to staff asking to be moved to a different room because her roommate made her feel uncomfortable. Client reported that while in their room, peer was trying to touch her, kiss her, and gave her a lap dance because peer wanted them to be girlfriends. Peer admitted to staff what happened but said she didn’t realize she was making client uncomfortable. The girls have been moved away from each other and should not be in close contact any longer.
    • Child Abuse Hotline was called and accepted, unsubstantiated. Per email from facility on 5/23/22, client slept in the front of the house for safety until room changes can be discussed.

PRLU or OLTC

Notice of Incident

  • ER Visit (Dermoid Cyst)
    • Client complained of having issues with her eye and was transported to ER due to continued complaints. Client has been to multiple appointments to evaluate her eye.
    • Licensing follow-up on 5/19/22: Client returned from ER with diagnosis of dermoid cyst of left orbit, and instructions to return if pain increases, or if any symptoms worsen after starting antibiotics.

PRLU or OLTC

Notice of Incident

  • ER Visit (Healing Sutures)
    • Client reported pain to arm where he had 49 stitches in 3 separate placements (due to falling through a glass table prior to admission). Stitches around lateral epicondyle appear to begin to show wound dehiscence. Client was transported to ER.
    • Licensing follow-up on 5/19/22: Results of ER exam were healing sutures, with instructions to wash daily, apply antibiotic ointment to wound, and return in 8-10 days for suture removal.

Police Report

Battery

Staff stated that during lunch, a peer took juveniles Ensure and juvenile became irate. Due to juvenile wanting to fight, staff took the Ensure and put it in his pocket. Juvenile pushed staff’s chest area, so staff called for assistance and put juvenile in a hold in which he broke free and was able to strike staff on his face. Shortly after, juvenile calmed down.

Police Report

Disturbance

Staff advised juvenile was upset due to rules of the facility and took the bathroom door off the hinges, damaged the cover of a light fixture, and punched a fire extinguisher. Juvenile kicked staff member in the groin and attempted to bite him while in restraint hold, and spit on another staff member. Juvenile stated staff member punched him; Another staff stated they did not observe staff punching juvenile and reviewed video footage, in which she didn’t observe the incident on camera. Officer did not observe any injuries to juvenile.

Medicaid Inspection of Care

Inspection of Care Report

  • Included: IOC Report, CAP
  • Multiple deficiencies noted. Plan of Correction required to be completed within 30 days.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Two clients reported to staff that a peer had been touching them on the buttocks. Clients were placed on peer limit with the accused peer. Peer was also placed on “Front of Line”, meaning he walks at the front of the line anywhere residents go.
    • Child Abuse Hotline was called and accepted. Investigation pending. No follow-up details.

Police Report

Disturbance

QRTP – Staff stated juvenile became upset because he thought his grounding period was starting over, but it wasn’t. Staff stated juvenile flipped over furniture and a plant and also took the plastic covering off a light switch. Juvenile confirmed the details provided by staff.

PRLU or OLTC

Notice of Incident

  • Suicidal
    • Client entered decompression zone, stating he was having suicidal thoughts. Later, client appeared to be hanging his head down and using his arms to hold up his body. He then appeared to be shaking, and staff discovered he was squeezing the arteries in his neck to make himself pass out. Staff intervened, and client was seen by nurse. No noted injuries. Client was already on eyeball for suicide ideation as of 5/5/22. Client remains on eyeball for safety precaution, front of house, and supportive status.
    • Per email from facility on 5/9/22, client was removed from eyeball status.

PRLU or OLTC

Notice of Incident

  • Maltreatment
    • Client reported to staff that on the way to lunch, her and a peer were in the back of the line and the peer began touching and grabbing her butt, then grabbed her hand and made her touch him on his penis over his clothes.
    • Child Abuse Hotline was called and accepted, unsubstantiated. The alleged offender was moved classes immediately upon hearing of the incident. An investigator came to the campus to interview both clients. Licensing follow-up on 5/9/22: No evidence to support or refute claim.

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.