Licensing Specialist: Clayton DeBoer.
Facility visited and video reviewed for the late-night hours of 9/15/23 and 9/16/23. All night visual checks were conducted within 30 minutes.
PRLU or OLTC
Visit Compliance Report
Police Report
Information Report
Staff advised officers that a juvenile pushed a door in his face while being escorted through the facility. In an effort to stop the door from hitting his face, he used his hand to stop the door and his hand was injured. Juvenile was transported by MEMS to acute care for her behavior issues.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Visit conducted and video reviewed from the early morning hours of 9/10/23, 9/11/23 and 9/12/23. All checks were conducted within 30 minutes.
PRLU or OLTC
Notice of Incident, Self-Harm
Client was upset about having to leave the gym and punched a hallway door. He was assessed by the nurse due to swelling and bruising of his right hand. In-house x-ray results: No findings of a fracture. No licensing concerns noted from this report.
PRLU or OLTC
Accidental Injury, Notice of Incident
Client was playing a game in recreational therapy when she fell and hurt her left foot. She was assessed by the nurse for pain in the left ankle and joints of the left foot. In-house x-ray results were normal with no indications of a fracture. No licensing concerns noted from this report.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited 9/6/23 and video reviewed of the early morning hours of 9/3/23 and 9/4/23.
Facility cited 907.6: 46 minutes in between night visual checks in video viewed.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Buildings & Grounds was conducted and the following areas were observed: Group rooms 1 & 2, dayroom, milieu, therapist office, rec therapy room, sleeping areas, bathrooms, grounds. MARs checked for 5 residents. No licensing concerns noted during visit.
Video review was conducted for the early morning hours of 8/20 and 8/21 of Halls A, B, C, & D. All checks conducted within 30 minutes of each other.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Monitor visit conducted 8/16/23 and video reviewed of random areas of UMCH to check ratios for 8/14/23 and 8/15/23 (Classrooms, Cafeteria, and Boy’s Dayroom viewed). No licensing concerns noted.
Police Report
Battery
Officers responded in reference to a battery report.
- Staff 1 reported that on 7/7/23, Juvenile 1 struck him and pulled his hair repeatedly, requiring physical therapy for his neck.
- Staff 1 reported that on 8/15/23, Juvenile 2 attacked him with a chair and kicked him on the “privates” after he corrected juvenile for exposing his genitals and making sexual comments/gestures towards staff.
- Juvenile 1 attacked Staff 1 again on 8/15/23 by stabbing him on the arm with a pen. Staff 2 stated she attempted to take the pen away from the juvenile, who then struck her in the face and then bit her leg.
Staff 1 advised that there have been several other incidents between 7/7/23 and 8/15/23 and felt it was needed to file a police report for staff safety. Officers advised Staff 1 and Staff 2 on how to obtain a warrant.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited 8/9/23 and video reviewed of the early morning hours of 8/6/23 and 8/7/23 (Halls A, B, C, and D viewed). All nightly visual checks conducted within 30 minutes.
PRLU or OLTC
Visit Compliance Report
Licensing Specialist: Clayton DeBoer.
Facility visited from 10:45AM-12:00PM and random video review conducted for the early morning hours of 7/29/23 and 7/30/23 (Halls A, B, C, and D viewed). All night visual checks conducted within 30 minutes.
PRLU or OLTC
Visit Compliance Report
Facility visited 7/27/23 and camera footage reviewed for the late night/Early morning hours of 7/24/23 and 7/25/23.
7/24/23:Hall A checks conducted at 12:01 AM, 12:17 AM and 12:29 AM. Hall B checks conducted at 12:04 AM, 12:17 AM and 12:28 AM. Hall C checks conducted at 12:00 AM, 12:15 AM and 12:31 AM. Hall D checks conducted at 12:01 AM, 12:16 AM and 12:31 AM.
7/25/23. Hall A checks conducted at 12:02 AM, 12:17 AM and 12:32 AM. Hall B checks conducted at 12:00 AM, 12:15 AM and 12:28 AM. Hall C checks conducted at 12:00 AM, 12:04 AM and 12:15 AM. Hall D checks conducted at 12:00 AM, 12:04 AM and 12:14 AM. All night supervision checks conducted within less that 30 minutes.
PRLU or OLTC
Notice of Incident, Peer Altercation, Visit Compliance Report
On July 26, client was sitting in the dayroom playing cards with her peers. Another client got up, picked up a chair and threw it across the room hitting client in the nose. Client was taken to Arkansas Children’s Hospital for an x-ray to the face. There was no findings of anything broken or fractured. Client’s guardian is pressing charges on the other client, incident number for this is [REDACTED].
Licensing narrative: 7/27/2023- Program Coordinator submitted a FOIA request to the Little Rock PD for the incident report mentioned in this case. Facility visited 7/27/23 and camera footage reviewed of incident involving client getting hit in the nose by a chair thrown by another client. Staff/Client ratio 3:13 in day area. Peer who throws chair is calmly playing cards with another client. Peer calmly stands up, grabs a plastic chair off a stack of chairs, and throws it in the middle of the day area. The chair bounces and hits client who is laying in the floor. It appears as if looked up right as the chair bounced in her direction. Staff immediately respond to peer who threw the chair and client police report obtained regarding guardian pressing charges on client who threw the chair. Email sent 7/28/23 to inquire if client was arrested for charges.
Received email from Craig Gammon of UMCH 7/28/23 as follows: I do not believe she was arrested. She was admitted to acute hospitalization at after the incident. She has or will be discharged from our program at UMCH. The guardian of the injured client has contacted the LRPD and is in the process of pressing charges, but we do not know the current status of that action. Licensing Specialist: Clayton DeBoer.
Police Report
Battery
Grandmother of juvenile called to report that juvenile was in the hospital for an injury sustained in a fight at the facility. Officer made contact with the juvenile at the hospital, who stated a peer threw a chair at her and it hit her in the nose. Juvenile stated she didn’t know if it was broken or not, but she was being discharged upon officer’s arrival. Officer advised staff member present that it would be considered a Battery 3rd degree and warrants could be obtained. The grandmother was notified as well.
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
Visit Compliance Report
Monitor visit conducted today to review timely night supervision checks. Halls A,B,C,D reviewed for the early morning hours of 7/16/23 and 7/17/23.
7/16/23: Hall A checks conducted at 1:08 AM, 1:14 AM and 1:28 AM. Hall B checks conducted at 1:15 AM, 1:30 AM and 1:34 AM. Hall C checks conducted at 1:02 AM, 1:20 AM and 1:32 AM. Hall D checks conducted at 1:00 AM, 1:15 AM and 1:30 AM.
7/17/23:Hall A checks conducted at 1:27 AM, 1:43 AM and 1:57 AM. Hall B checks conducted at 1:18 AM, 1:30 AM and 1:45 AM. Hall C checks conducted at 1:00 AM, 1:16 AM and 1:31 AM. Hall D checks conducted at 1:15 AM, 1:31 AM and 1:45 AM. All night supervision checks done within 30 minutes. Licensing Specialist: Clayton DeBoer.
PRLU or OLTC
Accidental Injury, Notice of Incident
On July 11th, client was in the gym playing in rt where client “Twisted” his ankle. An x-ray was ordered and performed and the results are “No acute fracture”. Licensing narrative: no licensing concerns noted from this incident.
PRLU or OLTC
Notice of Incident, Staff Neglect, Suicide Attempt, Visit Compliance Report
On June 30 2023, about 6:45 am, client was on the unit in active tantrum, yelling, screaming, attacking staff. Staff removed other clients from the hallway, and during this client went into her bedroom and grabbed a pair of pants and wrapped them around her neck, stating “I want to kill myself”, staff intervened and removed the pants from the clients neck. Client was assessed by the nurse and no markings were found. Client, later in the morning, was transported by MEMs to the behavioral hospital in Maumelle.
Licensing narrative: Facility visited 7/5/23 in response to self-report incident of client demonstrating suicidal behavior. Video reviewed of incident. Around 3 minutes go by with ligature wrapped around client’s neck before staff enter the hallway and remove ligature. Staff can be seen from hallway camera sitting, not looking in on client. Regulations out of compliance: 907.2 – staff failed to supervise an escalated client for 3 minutes while client made suicidal gesture. 907.3 – no staff were present nor supervising an escalated client for 3 minutes. Licensing Specialist: Clayton DeBoer.
PRLU or OLTC
Visit Compliance Report
Buildings & grounds conducted. 2 day rooms observed. Staff/Client ratio 4:17 and 2:9. Milieu observed staff client ratio 1:2. Halls a, b, c, and d observed to be clean, safe, and in good repair. Bathrooms were clean with functioning sinks, toilets, and showers. One bathroom was closed due to having a clogged toilet and staff report that maintenance had been notified. The bathroom/Client ratio was still within licensing limits. Hall b, room 2218, one client was laying down in her bed. No staff were present on the hall b. Staff was immediately notified who reported that the client was ill and being checked on every 15 minutes. Staff were advised that client needed to be supervised within ratio. Client was immediately moved from the bedroom to the dayroom for direct staff supervision. Cafeteria and gym observed to be clean, safe, and in good repair. Two fire extinguishers observed in the kitchen which was clean and sanitary. MAR checked for: [REDACTED]. All initialed and up to date. Regulations out of compliance: 907.3 – a client was laying down in her bed in hall b, room 2218. No staff were present on hall b. Licensing Specialist: Clayton DeBoer.
Police Report
Runaway
Officers responded to the listed location for a runaway report. Upon arrival officer made contact with staff, who advised that a juvenile ran away from this location. Officer entered juvenile into ACIC entries and deletions as a runaway/Missing person.
Police Report
Non Police Incident
Officers were advised that the accident happened on the highway. Officers called ASP to assist. No further action was taken.
PRLU or OLTC
Maltreatment, Notice of Incident, Visit Compliance Report
Client was in the classroom refusing to go sit at his desk. Staff began using the teaching family model to teach to the youth behavior, but continue to ignore her instructions. [REDACTED] sat in the chair in front of [REDACTED] and [REDACTED] began going back and forth with each other. One client ([REDACTED] involved himself attempting to take up for [REDACTED] getting in [REDACTED] face and [REDACTED] hit him in the face. Staff got between [REDACTED] and [REDACTED] to separate the clients. [REDACTED] took [REDACTED] out of the room, while [REDACTED] is separating that incident [REDACTED] and [REDACTED] is still going back and forth. Client gets involved trying to attack [REDACTED] and [REDACTED] intervene by stepping in front of the client. Client gets up a second time walks in [REDACTED] personal space and [REDACTED] kicks him. As [REDACTED] and [REDACTED] is separating the [REDACTED] and [REDACTED] charge toward [REDACTED] and kicks him. The staff goes to break the two clients the client goes over to [REDACTED] and spits on him. [REDACTED] intervene by guiding out of the room. [REDACTED] walks over to the bookshelf, staff runs over stating “Don’t touch”, [REDACTED] grabs the clients from the back pushing him against the shelf making him hit his head. [REDACTED] then slung over on the desk, [REDACTED] then punches her in the face. [REDACTED] is now trying to prevent client from hitting her, staff comes over to help separate the [REDACTED] from [REDACTED] still have a hold of shirt while staff is trying to place him in a hold. [REDACTED] then grabs one of legs, at this time [REDACTED] is on the floor. [REDACTED] release his leg yelling “Calm down”. Client runs up kicks [REDACTED] and pour water on him. A report was called in and accepted. The report number is [REDACTED]. Licensing narrative: licensing received complaint 6/23/23 that on 6/22/23 staff shoved client during an incident. Child abuse hotline was called, ref#[REDACTED]. Corrective action plan: staff was terminated. We will do an in-Service with and other staff members on tantrum management and the crisis development model. 6/26/23- program coordinator emailed the investigator for permission to contact the agency. Facility visited 6/27/23 in response to complaint that staff had inflicted physical harm to a client during an altercation. Video reviewed of classroom where incident took place.
Staff was given in-Service retraining from UMCH staff sherika williams on 6/23/23. Staff was terminated from employment at UMCH following this incident. 8/3/2023- maltreatment case is still open and pending. 9/5/23-Maltreatment case unfounded. Regulations out of compliance: 905.4.D – client called staff a b*Tch and staff responded “It takes one to know one”. 905.4.G – staff seen pushing client into a metal bookshelf, putting her hand on the back of client’s neck and pulling their leg during an altercation. 109.1.G – staff shoved client into a metal bookshelf, grabbed him by the back of the neck and grabbed and pulled at his foot during an altercation. 907.2 – staff does not prevent a peer from kicking client. Licensing Specialist: Clayton DeBoer.
Police Report
Runaway
Officers responded to a runaway juvenile report at 2002 Filmore St. Upon arrival officers made contact with Methodist Children Home manager. Manager advised at approximately 1 PM, a juvenile exited the back door of the facility and fled west toward university. Manager advised the juvenile told one of the residents that they were going back to [REDACTED]. Officers notified supervisor and broadcast juvenile’s description and last known direction of travel. Officers circulated the area with negative results. Officers completed supplement form after completing search of the area. On June 2, 2023 officers located juvenile as a part of a separate disturbance and returned juvenile back to methodist children home.
PRLU or OLTC
Elopement, Notice of Incident, Visit Compliance Report
Client was on the unit with staff having conversations. Client mentions that she likes staff’s keychain and complements it. Shortly after client grabs the keychain and runs off with it through the unit, into the courtyard. Another client runs after the first. First client jumps fence and throws keys back over to the second client. The second client returns the keys one minute later. Local police were notified immediately, and are still looking for client. Licensing narrative: facility visited 6/20/23 and video reviewed of elopement. Staff/Client ratio in video 1:3. Client is seen and heard having conversation with staff about her keys, when grabs keys from staff and use key fob to exit area, another peer following behind him. The other peer had grabbed staff’s radio and pushed door closed behind him when exiting area. Staff immediately tried to chase clients but was unable to exit door to pursue them. Clients are seen in video exiting the hallway then into the courtyard where a key fob would have granted them access out of the courtyard. The peer with is then seen using the key fob to re-Enter facility and giving the keys back to staff. Staff did not fail to supervise clients until clients eloped during video reviewed. Staff did not properly secure keys/Key fob while supervising clients. Staff will complete in-Service on importance of key/Key fob control.
Staff in-Service training emailed to licensing 6/21/23. Received email from Justin King 6/26/23 of UMCH that client was located and brought to UMCH on 6/25/23. Email received 6/26/23 from UMCH as follows: good afternoon, we don’t have a written safety plan. We have a doctor’s order that we are abiding by. The doctors order are elopement precaution, building restriction, unit restriction and 60K focus. Licensing Specialist: Clayton DeBoer.
Police Report
Runaway
Officers responded to the location and made contact with staff member who advised juvenile 1 ran away from the location. Staff stated that juvenile 1 was inside watching tv and when she went back to check on him he was gone. Staff stated juvenile 1 has a history of running away and was located approximately two hours away the last time. Staff provided a photo of juvenile 1 from just before he left. Officers attached photo to NCIC form.