summary: Officers were dispatched to the facility a second time in response to a resident assaulting staff members.

raw_content:
Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:45
Agency #: AR0720200
General Information
Incident Number: 2024-00039594 Incident Type: Disturbance Call Date/Time: 06/22/2024 13:13
Location 2466 S 48TH ST B, Location PERIMETER OF THE OZARKS Originating Call (479) 644-0711
Formatted: SPRINGDALE, 72762 Common Name: Number:
Nature Of Call: Status: In Progress Priority: 1
Source: Admin Phone Line
Units/Personnel
Unit: 368 Primary Unit: No Call Date/Time: 06/22/2024 13:16
Personnel: 178 - Shirrel, Christopher Primary: Yes
Unit: 318 Primary Unit: No Call Date/Time: 06/22/2024 13:14
Personnel: 10 - Baker, David Primary: Yes
Unit: 402 Primary Unit: Yes Call Date/Time: 06/22/2024 13:14
Personnel: 11 - Baker, Ricky Primary: No
Unit: 402 Primary Unit: Yes Call Date/Time: 06/22/2024 13:14
Personnel: 9713 - Townley, Anthony Primary: Yes
Vehicles
Subjects
Role: Caller Primary Caller: Yes Non-Disclosure: No
Subject Type: Adult Name Formatted: Unknown, RENEE Location
Formatted:
Primary Contact (479) 644-0711 Date of Birth:
Information: Local Id Number:
License State:
License Number: License Expiration
Weight Range
Date:
Height Range Lower:
Lower: Race:
Ethnic Origin:
Sex: Hair Color:
Eye Color:
Disposition
Disposition: Complaint Only Count: 1 Unit:
Date/Time: 06/22/2024 13:58
Evidence
Call Log
Date/Time: 06/22/2024 13:13 User: monicade Action: Call Created
Description: New call created. Call Type:
>New Call<, Location:
<UNKNOWN>
Date/Time: 06/22/2024 13:13 User: monicade Action: Address Verified
Description: Call Location Changed from
Unverified To Verified
Login Id: SPRD\baileyjo Page 1 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:45
Agency #: AR0720200
Date/Time: 06/22/2024 13:13 User: monicade Action: Location
Description: Call Location Changed from
<UNKNOWN> to 2466 S
48TH ST, SPRINGDALE
Date/Time: 06/22/2024 13:13 User: testing, cad - system Action: Alerts Retrieval
Description: Alerts Were Successfully
Gathered For Location At
Address 2466 S 48TH ST
Date/Time: 06/22/2024 13:13 User: monicade Action: Location
Description: Cross streets updated,
SPRINGHOUSE DR / PRIVATE
DR, ATCHISON AVE
Date/Time: 06/22/2024 13:13 User: monicade Action: Location
Description: Call Location Changed from
2466 S 48TH ST,
SPRINGDALE to 2466 S 48TH
ST, SPRINGDALE, B
(PERIMETER OF THE OZARKS)
Date/Time: 06/22/2024 13:13 User: testing, cad - system Action: Alerts Retrieval
Description: Alerts Were Successfully
Gathered For Location At
Address 2466 S 48TH ST
Date/Time: 06/22/2024 13:13 User: monicade Action: Location
Description: Cross streets updated,
PRIVATE DR, ATCHISON AVE /
SPRINGHOUSE DR
Date/Time: 06/22/2024 13:13 User: monicade Action: Agency Context Added
Description: Police Call Type Added. Call
Type: Disturbance, Status: In
Progress, Priority: 1
Date/Time: 06/22/2024 13:14 User: monicade Action: Narrative Added
Description: ADV THAT THE SAME
FEMALE FROM EARLIER WAS
ASSAULTING EVERYONE
PHYSICALLY
Date/Time: 06/22/2024 13:14 User: monicade Action: Narrative Added
Description: HAVE HER IN THE
SECLUSION ROOM
Date/Time: 06/22/2024 13:14 User: monicade Action: Call Updated
Description: Caller Added: First Name -
RENEE; Role - Caller;
Date/Time: 06/22/2024 13:14 User: monicade Action: Narrative Added
Description: NO LONGER PHYSICALL
User: gingerev Action: Call Ready for Dispatch
Login Id: SPRD\baileyjo Page 2 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:45
Agency #: AR0720200
Date/Time: 06/22/2024 13:14
Description: Call marked ready for
dispatch
Date/Time: 06/22/2024 13:14 User: gingerev Action: Incident Created
Description: Added Incident Number, ORI:
AR0720200, Number: 2024-
00039594
Date/Time: 06/22/2024 13:14 User: gingerev Action: Unit Status Action
Description: Unit 402 Dispatched
Date/Time: 06/22/2024 13:14 User: gingerev Action: Unit Location
Description: Unit 402 Secondary Location:
Secondary Location Cleared
Date/Time: 06/22/2024 13:14 User: monicade Action: Call Updated
Description: Caller Phone Changed to
(479) 644-0711
Date/Time: 06/22/2024 13:14 User: gingerev Action: Unit Location
Description: Unit 318 Secondary Location:
Secondary Location Cleared
Date/Time: 06/22/2024 13:14 User: gingerev Action: Unit Status Action
Description: Unit 318 Dispatched
Date/Time: 06/22/2024 13:14 User: monicade Action: Narrative Added
Description: ADV THAT OFFICERS JUST
LEFT AND SHE STARTED
AGAIN
Date/Time: 06/22/2024 13:14 User: monicade Action: Narrative Added
Description: NO ONE INJURED
Date/Time: 06/22/2024 13:14 User: gingerev Action: Unit Status Action
Description: Unit 402 Responding
Date/Time: 06/22/2024 13:14 User: gingerev Action: Unit Status Action
Description: Unit 318 Responding
Date/Time: 06/22/2024 13:15 User: monicade Action: Narrative Added
Description: WAS TOLD TO CALL BACK
AND OFFICERS COULD TAKE
HER TO JDC IF SHE DID IT
AGAIN
Date/Time: 06/22/2024 13:16 User: gingerev Action: Unit Status Action
Description: Unit 318 exchanged with 368
Date/Time: 06/22/2024 13:16 User: gingerev Action: Unit Status Action
Description: Unit 368 Dispatched
Date/Time: 06/22/2024 13:16 User: gingerev Action: Unit Status Action
Description: Unit 318 Available
User: gingerev Action: Unit Status Action
Login Id: SPRD\baileyjo Page 3 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:45
Agency #: AR0720200
Date/Time: 06/22/2024 13:16
Description: Unit 368 Responding
Date/Time: 06/22/2024 13:27 User: gingerev Action: Unit Status Action
Description: Unit 402 On Scene
Date/Time: 06/22/2024 13:30 User: gingerev Action: Unit Status Action
Description: Unit 368 On Scene
Date/Time: 06/22/2024 13:45 User: gingerev Action: Unit Status Action
Description: Unit 402 T15
Date/Time: 06/22/2024 13:45 User: gingerev Action: Unit Status Action
Description: Unit 402 T19
Date/Time: 06/22/2024 13:46 User: gingerev Action: Narrative Added
Description: 402/ T15 T19 WITH XRAY JUV
Date/Time: 06/22/2024 13:46 User: gingerev Action: Unit Status Action
Description: Unit 368 Available
Date/Time: 06/22/2024 13:58 User: roxxanaan Action: Unit Status Action
Description: Unit 402 T81
Date/Time: 06/22/2024 13:58 User: gingerev Action: Unit Status Action
Description: Unit 402 Available
Date/Time: 06/22/2024 13:58 User: gingerev Action: Disposition Changed
Description: Added: Complaint Only
Count 1
Date/Time: 06/22/2024 13:58 User: gingerev Action: Call Cleared
Description: Close Call
Unit Log
Date/Time: 06/22/2024 13:14 Unit Number: 402 Action: Unit Location
Description: Assigned Location: 2466 S
48TH ST B, SPRINGDALE
Date/Time: 06/22/2024 13:14 Unit Number: 402 Action: Unit Status Change
Description: Dispatched Call Number:
260, Assigned Location: 2466
S 48TH ST B, SPRINGDALE,
Call Type: Disturbance
Date/Time: 06/22/2024 13:14 Unit Number: 402 Action: Unit Location
Description: Secondary Location Cleared
Date/Time: 06/22/2024 13:14 Unit Number: 318 Action: Unit Location
Description: Assigned Location: 2466 S
48TH ST B, SPRINGDALE
Unit Number: 318 Action: Unit Status Change
Login Id: SPRD\baileyjo Page 4 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:45
Agency #: AR0720200
Date/Time: 06/22/2024 13:14
Description: Dispatched Call Number:
260, Assigned Location: 2466
S 48TH ST B, SPRINGDALE,
Call Type: Disturbance
Date/Time: 06/22/2024 13:14 Unit Number: 318 Action: Unit Location
Description: Secondary Location Cleared
Date/Time: 06/22/2024 13:14 Unit Number: 402 Action: Unit Status Change
Description: Responding
Date/Time: 06/22/2024 13:14 Unit Number: 318 Action: Unit Status Change
Description: Responding
Date/Time: 06/22/2024 13:16 Unit Number: 318 Action: Exchanged Units
Description: 368
Date/Time: 06/22/2024 13:16 Unit Number: 318 Action: Unit Cleared
Description: Unit Cleared From Call
Date/Time: 06/22/2024 13:16 Unit Number: 318 Action: Unit Status Change
Description: Available
Date/Time: 06/22/2024 13:16 Unit Number: 368 Action: Unit Status Change
Description: Dispatched Call Number:
260, Assigned Location: 2466
S 48TH ST B, SPRINGDALE,
Call Type: Disturbance
Date/Time: 06/22/2024 13:16 Unit Number: 368 Action: Unit Status Change
Description: Responding
Date/Time: 06/22/2024 13:27 Unit Number: 402 Action: Unit Status Change
Description: On Scene
Date/Time: 06/22/2024 13:30 Unit Number: 368 Action: Unit Status Change
Description: On Scene
Date/Time: 06/22/2024 13:45 Unit Number: 402 Action: Unit Status Change
Description: T15
Date/Time: 06/22/2024 13:45 Unit Number: 402 Action: Unit Status Change
Description: T19
Date/Time: 06/22/2024 13:46 Unit Number: 368 Action: Unit Cleared
Description: Unit Cleared From Call
Date/Time: 06/22/2024 13:46 Unit Number: 368 Action: Unit Status Change
Description: Available
Date/Time: 06/22/2024 13:58 Unit Number: 402 Action: Unit Status Change
Description: T81
Date/Time: 06/22/2024 13:58 Unit Number: 402 Action: Unit Cleared
Description: Unit Cleared From Call
Unit Number: 402 Action: Unit Status Change
Login Id: SPRD\baileyjo Page 5 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:45
Agency #: AR0720200
Date/Time: 06/22/2024 13:58
Description: Available
Contributing Officers
Report Narratives
Narratives
Entered By: monicade Date Entered: 06/22/2024 13:14
ADV THAT THE SAME FEMALE FROM EARLIER WAS ASSAULTING EVERYONE PHYSICALLY
Entered By: monicade Date Entered: 06/22/2024 13:14
HAVE HER IN THE SECLUSION ROOM
Entered By: monicade Date Entered: 06/22/2024 13:14
NO LONGER PHYSICALL
Entered By: monicade Date Entered: 06/22/2024 13:14
ADV THAT OFFICERS JUST LEFT AND SHE STARTED AGAIN
Entered By: monicade Date Entered: 06/22/2024 13:14
NO ONE INJURED
Entered By: monicade Date Entered: 06/22/2024 13:15
WAS TOLD TO CALL BACK AND OFFICERS COULD TAKE HER TO JDC IF SHE DID IT AGAIN
Entered By: gingerev Date Entered: 06/22/2024 13:46
402/ T15 T19 WITH XRAY JUV
Login Id: SPRD\baileyjo Page 6 of 6


state: AR

facility_name: Perimeter Behavioral of the Ozarks

summary: A resident was escorted to JDC by Springdale Police Department after assaulting a nurse.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 022202
Date of Incident: 6/22/2024
Date Received:6/24/2024
Facility Name: Perimeter of the Ozarks
Facility Number:237
Incident Type: Licensing
Report Description: ? Serious injury requiring outside medical attention ? Resident?s
attempted suicide ? Allegation of abuse/neglect related to a restraint ? Resident?s death ?
AWOL/Elopement ? Allegation of sexual/physical abuse ? Sexual Misconduct X Other;
escorted to JDC Patient/Resident Name/DOB: Date/Time of
incident: 06/22/2024 at 13:52 Patient Insurance: Agency Name of Perimeter
Staff Making Notification Date Time Name of Person Notified DHS
Director of Risk Management 24 Jun 24 14:00
Disability Rights Center, Inc. , Director of Risk Management 24
Jun 24 14:00 incidentreporting@disabilityrightsar.org Perimeter Director of
Risk Management 24Jun 24 14:00
Guardian/Caseworker Director of Risk Management 22
Jun 24 14:01 Director of Risk Management 24 Jun 24
Signature and title of staff completing this form Date: Name of Facility: Perimeter
Behavioral of the Ozarks Phone Number: 479-957-9857 ext. 108 Street Address, City, State,
Zip: 2466 S. 48th Street Suite B. Springdale, AR 72762 Please describe the incident: Resident
was escorted to the Juvenile Detention Center by Springdale Police
Department for assaulting Nurse. Earlier that day, was uncooperative and
aggressive during a transition back to her unit. Once on unit, she tried to elope off the unit
and attacked punching her with a closed fist in the face, back and chest.
went to the Springdale Police Department and pressed charges. Three officers
from the Police Department arrived and issued a warning to stating they would return if
she assaulted staff and peers again. Shortly after they left, assaulted staff again. Actions
Taken: ? Verified Resident is on Assault and Elope Precautions and is Restricted to Unit ?
Reported assault to Springdale Police Department
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 6/24/2024 - The provider reported incident and facility implement
was reviewed by the licensing specialist. 6/27/2024, Program Coordinator requested police
documentation. 7/1/2024, Program Coordinator uploaded police documentation and
informed Licensing Specialist. 7/22/2024 - Licensing specialist followed up with the facility
in regards to the reported incident. The resident was placed on assault precautions after she
returned from JDC.

doc_type: Notice of Incident


summary: Licensing received a complaint regarding the facility using police as behavior management and using chemical restraints on calm residents. The facility was cited 905.10, 905.12, and 905.17 as a result of this complaint. The complaint was FOUNDED by Licensing.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 023406
Date of Incident: 6/22/2024
Date Received: 8/21/2024
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Incident Type: Licensing
Report Description: We wanted to forward some concerns about an incident at Perimeter
Ozarks. received Serious Occurrence Report about a resident being arrested and
charged with second degree battery for hitting a staff member. We reviewed video of the
incident and the police report. After video review we realized the description of the events
was misleading and did not match the events described in the Serious Occurrence Report.
The situation could have been prevented if they had left the client in the seclusion room
instead of dragging her to the unit. The staff failed to de-escalate the situation and used
police as a behavior management tool. The facility is a Psychiatric Residential Facility
which should be able to handle a child with behavioral issues, we are seeing too many
facilities using police as behavior management, resulting in children being charged with
crimes. Most parents feeling their child needs a PRTF are doing so because the child is not
safe enough to be in the home and community, how horrible it is that they are being
charged in a facility that should be helping them. Another issue observed in the video was
the child getting a chemical restraint after she was calm for 10 Minutes. After requesting her
Diagnosis, it was also found that which only
makes the situation worse. In summary: 1. Before the assault on the nurse occurs, resident
is sitting calmly in the seclusion room. She does not become dysregulated until staff pick
her up and drag her out of the room and back to the unit. 2. In between the time that the
resident hit staff and was separated from her peers around 9:36 AM until the nurses
entered at 9:52 to give a shot, she sat still and didn?t move. 3. The serious occurrence
form says that after police left, assaulted staff again. We did not see any kind of Second
?assault? when we watched the video. We did zoom call with the risk manager and she
stated that the second ?assault? was not cooperating when staff tried to remove her from
the seclusion room back to the unit, She was sitting calmly in the seclusion room.
Considering the details we have listed above; we do not feel this incident should?ve resulted
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

in a second call to the police and the arrest of We have attached the video for your
review.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 8/21/2024- Licensing reviewed the camera footage
Licensing met with OLTC and AFMC to discuss coordinating entry to the facility.
8/26/2024- Licensing and OLTC visited the facility. A review of the facility restraint policy,
video footage, restraint log, physician restraint orders, and restraint justification packets
occurred. The facility could not produce the documents noted on the 521 that were missing
from the resident's file.


summary: Officers were called to Perimeter Ozarks on a report of sexual assault/forcible fondling. A resident reported that she awoke to her roommate assaulting her. The roommate reported that the incident did happen, but she was the one who had been assaulted.

raw_content:
Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:24
Agency #: AR0720200
General Information
Case Number: 2024-00038790 Reporting 131 - Moreno, Maria Reported 06/19/2024 09:52
Officer: Date/Time:
Location 2466 S 48TH ST,
Location County:
Formatted: SPRINGDALE, 72762
Common Name:
Status: Closed Disposition: Inactive
Status Date: 06/21/2024
Disposition Date: 06/21/2024 Occurred From 06/19/2024 09:51
Occurred Incident Sex Offenses
Date/Time:
Occurred To 06/19/2024 09:51 Type:
Significant Event:
Date/Time:
Scene Processed
Campus Code: By: Exceptional
Clearance Date:
Exceptional
Clearance:
Assigned Personnel
Assigned Personnel: 68 - Gibbs, Patrick Assigned By: 139 - Niccum, Chad
Assignment Type: Lead Investigator Assignment 06/19/2024 12:37
Date/Time:
Assignment End
Date/Time: Assignment Notes:
Solvability Factors
Solvability Factor: Total Solvability
Factor:
Modus Operandi
Offenses
# Statute Group Group Agency Crime Code Statute Description Offense Date
1 State 11D - Forcible Fondling 5-14-125(a)(1) SEXUAL ASSAULT 2ND / FORCIBLE 06/19/2024
FONDLING
Subjects
Number Type Name Address Contact Information Race Sex DOB
1 Suspect 2466 S 48th ST, Springdale, AR White Female
72762
2 Suspect 2466 S 48th ST, Springdale, AR White Female
72762
3 Victim 2466 S 48th ST, Springdale, AR White Female
72762
4 Victim 2466 S 48th ST, Springdale, AR White Female
72762
Properties
# Date Type Property Loss Type Description Name Subject Role
Vehicles
Contributing Officers
Officer: 131 - Moreno, Maria Supervisor: 139 - Niccum, Chad Report 06/19/2024 12:23
Date/Time:
Report Type: Primary Approving User: TaylorJo
Evidence
Login Id: SPRD\baileyjo Page 1 of 4

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:24
Agency #: AR0720200
Status History
Case Status: In Field Status Date: 06/19/2024 Changed By: System
Date/Time 06/19/2024 10:06
Changed:
Case Status: Open Status Date: 06/19/2024 Changed By: TaylorJo
Date/Time 06/19/2024 12:33
Changed:
Case Status: Closed Status Date: 06/21/2024 Changed By: patrickgi
Date/Time 06/21/2024 08:30
Changed:
Disposition History
Disposition: Inactive Disposition Date: 06/21/2024 Disposition patrickgi
Changed By:
Date/Time 06/21/2024 08:30
Changed:
Supplemental Information
Action Taken: Reasons For No Purge Type:
Arrest:
Purge Date: Non-Fatal
Purge Review Shooting:
Date:
Associated Arrest Records
Summary Narrative
Login Id: SPRD\baileyjo Page 2 of 4

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:24
Agency #: AR0720200
Name: Labeling Inactive Author: 68 - Gibbs, Patrick Supervisor: 139 - Niccum, Chad Date Created: 06/21/2024 08:29
Description:
On June 20, 2024 I went to Perimeter Behavioral Health with CACD Investigator Uselton to interview (W/F, ) about an
incident that she reported involving her roommate advised she woke up to on top of her "fingering her".
CACD Investigator Uselton lead the interview by gaining rapport with and asked her about the incident. began by saying she put
her mattress on the floor due to not liking sleeping next to the window. said she was wearing a tank top, sports bra, shorts, and no
underwear. said she was asleep and woke up "she was on top of me and fingering me. I felt uncomfortable." Uselton then asked what
believed fingering means and said "she was touching my lower parts", and then demonstrated an up and down motion with her
fingers. went on to say " she was touching my lower parts inside of my clothes, and her fingers were going in the hole." Uselton then asked
what made stop? said " I said stop stop stop and she never stopped until I pushed her off and she fell into her bed." Uselton asked
who she told. said she could not remember the staff that she told the incident happened because " I have a bad memory". I took note of this
statement because while gaining rapport it was impressive how many details was able to describe about her family, friends, and incidents that
have happened in the past. I also noted there were several bruises, cuts, and scabs all over the legs of then pointed to some of the
bruises on her knees and lower legs and said had given her those bruises by holding her down while she was fingering her.
Uselton continued to let speak and this is when the story became more elaborate. then advised Uselton that had touched
her head, neck, chest, and behind. demonstrated a caressing motion on her ear and neck. went on to say had used her
hands to move her shirt and shorts and began to lick her. described tounge as licking her neck, chest, and lower, and butt.
said that when this was going on she was asleep and began to wake up, but could not. When she tried to wake up, said she did not think
much of it because she thought it was just a dream. then went on to say she had a scratch on her lower and was bleeding a little bit.
also said this was the second of two events and the first time she told staff and again could not remember who she told. Uselton then concluded the
interview.
Once was turned over to staff the new director of the facility came and spoke with Uselton and myself. The director wanted to clarify
information that she had originally gave to Uselton about reviewing security footage and advising had came out of the room and spoke to
staff on the day of the incident. The director advised and have a very similar body type and hair color. The director advised on the
16th did not come out of her room. The 16th being the night the incident was said to happen. The director did advise came in and
out of the room until lights out time and there was no movement after lights out. The director also advised she knew to be a bit of a story
teller. Uselton and myself advised during the interview did ask Uselton to check with the staff to see if she could have her own room. The
director advised the clients will do many things to try and change their room accommodations.
At the conclusion of the discussion Investigator Uselton advised she did not feel comfortable pursuing the report any further.
I also spoke with juvenile prosecutor Claire who advised charges would not be filed. At this time I am labeling this case as inactive. (END NARRATIVE
D387)
Login Id: SPRD\baileyjo Page 4 of 4

doc_type: Police Report


summary: A resident reported that two residents were engaging in sexual activity in their bedroom while another resident watched out for staff. The complaint was UNFOUNDED by Licensing.

raw_content:
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 6/19/2024 - The provider reported incident and facility implement
was reviewed by the Licensing specialist. Licensing specialist will follow up with the facility
in regards to the report and inquire what date the alleged incident occurred. A visit was
conducted at the facility to follow up with the facility for the provider reported incident. Q-
15 bed check logs were requested and provided by the facility. There were no dates of the
incident mentioned in the report for video footage review. The report was made from a
verbal resident grievance which was given same day the report was made. 6/21/2024-
Licensing specialist followed up with the facility in regards to the reported incident and
received the following correspondence: "Both residents denied the incident occurred, so
they did not provide a date. The two peers who stated it did occur supplied dates that were
drastically different (2 weeks apart) and neither were confident in their answer. However,
apparently during her interview with the PD Investigator yesterday, AC said the incident
occurred. I plan on interviewing her today to see if she?ll provide additional information. "
Licensing specialist requested facility to follow up if the resident specifies a timeframe for
the incident in order to review video footage. Licensing specialist received correspondence
from the facility after speaking with the alleged victim in order to confirm a specified date
and time: ?last week I think.? was the response of the resident.


summary: Abandoned 911 call from Perimeter Ozarks. False Alarm

raw_content:
Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:22
Agency #: AR0720200
General Information
Incident Number: 2024-00038615 Incident Type: Hangup Call Date/Time: 06/18/2024 15:06
Location 2466 S 48TH ST, Location Originating Call (479) 957-9857
Formatted: SPRINGDALE, 72762 Common Name: Number:
Nature Of Call: Status: In Progress Priority: 2
Source: 911
Units/Personnel
Unit: 318 Primary Unit: Yes Call Date/Time: 06/18/2024 15:09
Personnel: 10 - Baker, David Primary: Yes
Unit: 350 Primary Unit: No Call Date/Time: 06/18/2024 15:09
Personnel: 213 - Wright, Danny Primary: Yes
Vehicles
Subjects
Role: Caller Primary Caller: Yes Non-Disclosure: No
Subject Type: Adult Name Formatted: Unknown Location
Formatted:
Primary Contact (479) 957-9857 Date of Birth:
Information: Local Id Number:
License State:
License Number: License Expiration
Weight Range
Date:
Height Range Lower:
Lower: Race:
Ethnic Origin:
Sex: Hair Color:
Eye Color:
Disposition
Disposition: Complaint Only Count: 1 Unit:
Date/Time: 06/18/2024 15:27
Evidence
Call Log
Date/Time: 06/18/2024 15:06 User: briannapr Action: Call Created
Description: New call created. Call Type:
>New Call<, Location:
<UNKNOWN>
Date/Time: 06/18/2024 15:06 User: briannapr Action: Location
Description: Call Location Changed from
<UNKNOWN> to 2466 S
48TH ST, SPRINGDALE
Date/Time: 06/18/2024 15:06 User: briannapr Action: Address Verified
Description: Call Location Changed from
Unverified To Verified
User: testing, cad - system Action: Alerts Retrieval
Login Id: SPRD\baileyjo Page 1 of 4

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:22
Agency #: AR0720200
Date/Time: 06/18/2024 15:06
Description: Alerts Were Successfully
Gathered For Location At
Address 2466 S 48TH ST
Date/Time: 06/18/2024 15:06 User: briannapr Action: Location
Description: Cross streets updated,
SPRINGHOUSE DR / PRIVATE
DR, ATCHISON AVE
Date/Time: 06/18/2024 15:07 User: briannapr Action: Call Updated
Description: Caller Phone Changed to
(479) 957-9857
Date/Time: 06/18/2024 15:07 User: briannapr Action: Call Updated
Description: Caller Added: Role - Caller;
Date/Time: 06/18/2024 15:07 User: briannapr Action: Call Updated
Description: Call Source Changed From
Admin Phone Line To 911
Date/Time: 06/18/2024 15:07 User: briannapr Action: Agency Context Added
Description: Police Call Type Added. Call
Type: Hangup, Status: In
Progress, Priority: 2
Date/Time: 06/18/2024 15:07 User: briannapr Action: Narrative Added
Description: ABANDONED CALL
PLOTTING AT PERIMETER
Date/Time: 06/18/2024 15:07 User: briannapr Action: Narrative Added
Description: FROM LANDLINE
Date/Time: 06/18/2024 15:07 User: briannapr Action: Narrative Added
Description: NO ANSWER ON CALL BACK
Date/Time: 06/18/2024 15:09 User: stacyel Action: Unit Status Action
Description: Unit 318 Dispatched
Date/Time: 06/18/2024 15:09 User: stacyel Action: Unit Location
Description: Unit 318 Secondary Location:
Secondary Location Cleared
Date/Time: 06/18/2024 15:09 User: stacyel Action: Incident Created
Description: Added Incident Number, ORI:
AR0720200, Number: 2024-
00038615
Date/Time: 06/18/2024 15:09 User: stacyel Action: Call Ready for Dispatch
Description: Call marked ready for
dispatch
Date/Time: 06/18/2024 15:09 User: stacyel Action: Unit Location
Description: Unit 350 Secondary Location:
Secondary Location Cleared
User: stacyel Action: Unit Status Action
Login Id: SPRD\baileyjo Page 2 of 4

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:22
Agency #: AR0720200
Date/Time: 06/18/2024 15:09
Description: Unit 350 Dispatched
Date/Time: 06/18/2024 15:09 User: stacyel Action: Unit Status Action
Description: Unit 318 Responding
Date/Time: 06/18/2024 15:09 User: stacyel Action: Unit Status Action
Description: Unit 350 Available
Date/Time: 06/18/2024 15:20 User: stacyel Action: Unit Status Action
Description: Unit 318 On Scene
Date/Time: 06/18/2024 15:27 User: monicade Action: Narrative Added
Description: 318/ NO EMERGENCY
Date/Time: 06/18/2024 15:27 User: monicade Action: Disposition Changed
Description: Added: Complaint Only
Count 1
Date/Time: 06/18/2024 15:27 User: monicade Action: Unit Status Action
Description: Unit 318 Available
Date/Time: 06/18/2024 15:27 User: monicade Action: Call Cleared
Description: Close Call
Unit Log
Date/Time: 06/18/2024 15:09 Unit Number: 318 Action: Unit Location
Description: Assigned Location: 2466 S
48TH ST, SPRINGDALE
Date/Time: 06/18/2024 15:09 Unit Number: 318 Action: Unit Status Change
Description: Dispatched Call Number: 21,
Assigned Location: 2466 S
48TH ST, SPRINGDALE, Call
Type: Hangup
Date/Time: 06/18/2024 15:09 Unit Number: 318 Action: Unit Location
Description: Secondary Location Cleared
Date/Time: 06/18/2024 15:09 Unit Number: 350 Action: Unit Location
Description: Assigned Location: 2466 S
48TH ST, SPRINGDALE
Date/Time: 06/18/2024 15:09 Unit Number: 350 Action: Unit Status Change
Description: Dispatched Call Number: 21,
Assigned Location: 2466 S
48TH ST, SPRINGDALE, Call
Type: Hangup
Date/Time: 06/18/2024 15:09 Unit Number: 350 Action: Unit Location
Description: Secondary Location Cleared
Date/Time: 06/18/2024 15:09 Unit Number: 318 Action: Unit Status Change
Description: Responding
Unit Number: 350 Action: Unit Cleared
Login Id: SPRD\baileyjo Page 3 of 4

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:22
Agency #: AR0720200
Date/Time: 06/18/2024 15:09
Description: Unit Cleared From Call
Date/Time: 06/18/2024 15:09 Unit Number: 350 Action: Unit Status Change
Description: Available
Date/Time: 06/18/2024 15:20 Unit Number: 318 Action: Unit Status Change
Description: On Scene
Date/Time: 06/18/2024 15:27 Unit Number: 318 Action: Unit Cleared
Description: Unit Cleared From Call
Date/Time: 06/18/2024 15:27 Unit Number: 318 Action: Unit Status Change
Description: Available
Contributing Officers
Report Narratives
Narratives
Entered By: briannapr Date Entered: 06/18/2024 15:07
ABANDONED CALL PLOTTING AT PERIMETER
Entered By: briannapr Date Entered: 06/18/2024 15:07
FROM LANDLINE
Entered By: briannapr Date Entered: 06/18/2024 15:07
NO ANSWER ON CALL BACK
Entered By: monicade Date Entered: 06/18/2024 15:27
318/ NO EMERGENCY
Login Id: SPRD\baileyjo Page 4 of 4


raw_content:
Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:07
Agency #: AR0720200
General Information
Incident Number: 2024-00038588 Incident Type: Hangup Call Date/Time: 06/18/2024 12:52
Location 2466 S 48TH ST, Location Originating Call (479) 957-9857
Formatted: SPRINGDALE, 72762 Common Name: Number:
Nature Of Call: Status: In Progress Priority: 2
Source: Admin Phone Line
Units/Personnel
Unit: 368 Primary Unit: No Call Date/Time: 06/18/2024 12:55
Personnel: 178 - Shirrel, Christopher Primary: Yes
Unit: 336 Primary Unit: Yes Call Date/Time: 06/18/2024 12:55
Personnel: 4853 - Jackson, Ryler Primary: Yes
Vehicles
Subjects
Role: Caller Primary Caller: Yes Non-Disclosure: No
Subject Type: Adult Name Formatted: Unknown Location
Formatted:
Primary Contact (479) 957-9857 Date of Birth:
Information: Local Id Number:
License State:
License Number: License Expiration
Weight Range
Date:
Height Range Lower:
Lower: Race:
Ethnic Origin:
Sex: Hair Color:
Eye Color:
Disposition
Disposition: Complaint Only Count: 1 Unit:
Date/Time: 06/18/2024 13:11
Evidence
Call Log
Date/Time: 06/18/2024 12:52 User: briannapr Action: Call Created
Description: New call created. Call Type:
>New Call<, Location:
<UNKNOWN>
Date/Time: 06/18/2024 12:52 User: briannapr Action: Address Verified
Description: Call Location Changed from
Unverified To Verified
Date/Time: 06/18/2024 12:52 User: briannapr Action: Location
Description: Call Location Changed from
<UNKNOWN> to 2466 S
48TH ST, SPRINGDALE
User: testing, cad - system Action: Alerts Retrieval
Login Id: SPRD\baileyjo Page 1 of 4

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:07
Agency #: AR0720200
Date/Time: 06/18/2024 12:52
Description: Alerts Were Successfully
Gathered For Location At
Address 2466 S 48TH ST
Date/Time: 06/18/2024 12:52 User: briannapr Action: Location
Description: Cross streets updated,
SPRINGHOUSE DR / PRIVATE
DR, ATCHISON AVE
Date/Time: 06/18/2024 12:52 User: briannapr Action: Call Updated
Description: Caller Phone Changed to
(479) 957-9857
Date/Time: 06/18/2024 12:52 User: briannapr Action: Call Updated
Description: Caller Added: Role - Caller;
Date/Time: 06/18/2024 12:52 User: briannapr Action: Agency Context Added
Description: Police Call Type Added. Call
Type: Hangup, Status: In
Progress, Priority: 2
Date/Time: 06/18/2024 12:52 User: briannapr Action: Narrative Added
Description: ABANDONED CALL
PLOTTING AT PERIMETER
HEALTH
Date/Time: 06/18/2024 12:53 User: briannapr Action: Narrative Added
Description: NO ANSWER ON CALL BACK
Date/Time: 06/18/2024 12:53 User: briannapr Action: Narrative Added
Description: CAME FROM LANDLINE
Date/Time: 06/18/2024 12:55 User: stacyel Action: Unit Status Action
Description: Unit 336 Dispatched
Date/Time: 06/18/2024 12:55 User: stacyel Action: Unit Location
Description: Unit 336 Secondary Location:
Secondary Location Cleared
Date/Time: 06/18/2024 12:55 User: stacyel Action: Incident Created
Description: Added Incident Number, ORI:
AR0720200, Number: 2024-
00038588
Date/Time: 06/18/2024 12:55 User: stacyel Action: Call Ready for Dispatch
Description: Call marked ready for
dispatch
Date/Time: 06/18/2024 12:55 User: stacyel Action: Unit Location
Description: Unit 368 Secondary Location:
Secondary Location Cleared
Date/Time: 06/18/2024 12:55 User: stacyel Action: Unit Status Action
Description: Unit 368 Dispatched
User: stacyel Action: Unit Status Action
Login Id: SPRD\baileyjo Page 2 of 4

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:07
Agency #: AR0720200
Date/Time: 06/18/2024 12:55
Description: Unit 336 Responding
Date/Time: 06/18/2024 12:55 User: stacyel Action: Unit Status Action
Description: Unit 368 Responding
Date/Time: 06/18/2024 12:56 User: stacyel Action: Unit Status Action
Description: Unit 368 Available
Date/Time: 06/18/2024 13:11 User: stacyel Action: Unit Status Action
Description: Unit 336 On Scene
Date/Time: 06/18/2024 13:11 User: stacyel Action: Narrative Added
Description: 336/ NO SIGNS OF DISTRES
Date/Time: 06/18/2024 13:11 User: stacyel Action: Disposition Changed
Description: Added: Complaint Only
Count 1
Date/Time: 06/18/2024 13:11 User: stacyel Action: Narrative Added
Description: 336
Date/Time: 06/18/2024 13:11 User: stacyel Action: Unit Status Action
Description: Unit 336 Available
Date/Time: 06/18/2024 13:11 User: stacyel Action: Call Cleared
Description: Close Call
Unit Log
Date/Time: 06/18/2024 12:55 Unit Number: 336 Action: Unit Location
Description: Assigned Location: 2466 S
48TH ST, SPRINGDALE
Date/Time: 06/18/2024 12:55 Unit Number: 336 Action: Unit Status Change
Description: Dispatched Call Number:
977, Assigned Location: 2466
S 48TH ST, SPRINGDALE, Call
Type: Hangup
Date/Time: 06/18/2024 12:55 Unit Number: 336 Action: Unit Location
Description: Secondary Location Cleared
Date/Time: 06/18/2024 12:55 Unit Number: 368 Action: Unit Location
Description: Assigned Location: 2466 S
48TH ST, SPRINGDALE
Date/Time: 06/18/2024 12:55 Unit Number: 368 Action: Unit Status Change
Description: Dispatched Call Number:
977, Assigned Location: 2466
S 48TH ST, SPRINGDALE, Call
Type: Hangup
Date/Time: 06/18/2024 12:55 Unit Number: 368 Action: Unit Location
Description: Secondary Location Cleared
Unit Number: 336 Action: Unit Status Change
Login Id: SPRD\baileyjo Page 3 of 4

Incident Details
Agency: Springdale Police Department Print Date/Time: 08/02/2024 10:07
Agency #: AR0720200
Date/Time: 06/18/2024 12:55
Description: Responding
Date/Time: 06/18/2024 12:55 Unit Number: 368 Action: Unit Status Change
Description: Responding
Date/Time: 06/18/2024 12:56 Unit Number: 368 Action: Unit Cleared
Description: Unit Cleared From Call
Date/Time: 06/18/2024 12:56 Unit Number: 368 Action: Unit Status Change
Description: Available
Date/Time: 06/18/2024 13:11 Unit Number: 336 Action: Unit Status Change
Description: On Scene
Date/Time: 06/18/2024 13:11 Unit Number: 336 Action: Unit Cleared
Description: Unit Cleared From Call
Date/Time: 06/18/2024 13:11 Unit Number: 336 Action: Unit Status Change
Description: Available
Contributing Officers
Report Narratives
Narratives
Entered By: briannapr Date Entered: 06/18/2024 12:52
ABANDONED CALL PLOTTING AT PERIMETER HEALTH
Entered By: briannapr Date Entered: 06/18/2024 12:53
NO ANSWER ON CALL BACK
Entered By: briannapr Date Entered: 06/18/2024 12:53
CAME FROM LANDLINE
Entered By: stacyel Date Entered: 06/18/2024 13:11
336/ NO SIGNS OF DISTRES
Entered By: stacyel Date Entered: 06/18/2024 13:11
336
Login Id: SPRD\baileyjo Page 4 of 4


summary: A resident reported that she had been sexually assaulted by her roommate at the facility.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 022098
Date of Incident: 6/16/2024
Date Received:6/19/2024
Facility Name: Perimeter of the Ozarks
Facility Number:237
Incident Type: Dual
Report Description: ? Serious injury requiring outside medical attention ? Resident?s
attempted suicide ? Allegation of abuse/neglect related to a restraint ? Resident?s death ?
AWOL/Elopement ? Allegation of sexual/physical abuse X Sexual Misconduct ? Other
Patient/Resident Name/DOB:
Date/Time of incident: 06/16/24 in the evening Patient Insurance:
Agency Name of Perimeter Staff Making Notification Date
Time Name of Person Notified DHS , Director of Risk Management 19 Jun 24
12:00 Disability Rights Center,
Inc. , Director of Risk Management 19 Jun 24 12:00
incidentreporting@disabilityrightsar.org Perimeter of Risk
Management 19 Jun 24 12:00
Guardian/Caseworker Director of Risk Management 19
Jun 24 11:30 Director of Risk
Management 19 Jun 24 Signature and title of staff completing this form Date: Name of
Facility: Perimeter Behavioral of the Ozarks? Phone Number: 479-957-9857 ext. 108 Street
Address, City, State, Zip: 2466 S. 48th Street Suite B. Springdale, AR 72762?? Please describe
the incident: On 06/18/24, the Director of Risk was questioning
regarding an unrelated topic, when reported she had been assaulted two nights
earlier. She stated her roommate, woke her up in the middle of the night and
allegedly fingered her while sitting on top of her. reportedly told staff that night.
An interview with on 06/18/24 provided the following details. stated
the incident did occur, but was the victim. She reported she woke up in the middle
of the night with on top of her, touching her breast and trying to touch her butt.
stated she did not tell anyone out of fear. Both individuals alleged they told the other
resident to stop, which they didn?t. Actions Taken:
on 06/19/24 at 07:21. ?
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Submitted a Serious Incident ? Opened investigation (ongoing). ?
Residents moved to separate units while investigation is ongoing.
Interim Action Narrative: Residents moved to separate units while investigation is ongoing.
Licensing Narrative: 6/19/2024 - The provider reported incident was reviewed by the
Licensing Specialist. A visit was conducted at the facility to review video footage for nightly
bed checks and supervision. Timestamp reviewed 6/16/2024 - 9:00 PM - 6/17/2024 5:00AM
Bed checks observed - 9:12PM, 9:40PM, 10:00PM, 10:11PM, 10:29PM, 10:57PM, 11:12PM,
11:27PM, 11:41PM, 11:56PM, 12:11AM, 12:26 AM, 12:39AM 12:54AM, 1:07AM, 1:19AM 1:41AM,
1:56AM, 2:14AM, 2:39AM, 2:59AM, 3:29AM, 3:38AM, 3:54AM, 4:09AM, 4:24AM, 4:39AM,
4:53AM 6/19/2024 - Q15 bed checks log received from facility. 6/20/2024 - Q15 bed check
log uploaded to ELS.


summary: A resident was transported to Arkansas Children’s Hospital after reporting a racing heart and pressure on her chest.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021998
Date of Incident: 6/14/2024
Date Received:6/15/2024
Facility Name: Perimeter of the Ozarks
Facility Number:237
Incident Type: Licensing
Report Description: ? Serious injury requiring outside medical attention ? Resident?s
attempted suicide ? Allegation of abuse/neglect related to a restraint ? Resident?s death ?
AWOL/Elopement ? Allegation of sexual/physical abuse ? Sexual Misconduct X Other, ER
Treatment Patient/Resident Name/DOB: Date/Time of incident:
06/14/24 at 0900 Patient Insurance: Name of Perimeter Staff Making
Notification Date Time Name of Person Notified DHS , Director of Risk
Management 06/15/24 11:00
Disability Rights Center, Inc. Director of Risk Management 06/15/24 11:00
incidentreporting@disabilityrightsar.org Perimeter , Director of Risk
Management 06/15/24 11:00
Guardian/Caseworker , Director of Risk Management
06/14/24 08:51 , Director of Risk Management
06/15/24 Signature and title of staff completing this form Date: Name of Facility: Perimeter
Behavioral of the Ozarks Phone Number: 479-957-9857 ext. 108 Street Address, City, State,
Zip: 2466 S. 48th Street Suite B. Springdale, AR 72762? Please describe the incident: On
06/14/24, told nursing staff ?my heart is racing and there?s pressure on my chest.? After
consultation with her provider, an order was made to have her assessed at the Arkansas
Children's Hospital Emergency Room. An EKG, chest x-ray and lab work were ordered,
The physician diagnosed advised
her to seek medical care or return to the emergency department for worsening symptoms.
Actions Taken: Resident taken to the Emergency Room
Interim Action Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: 6/17/2024 - The provider reported incident and facility implement
was reviewed by the Licensing Specialist.


summary: A Child Abuse report was received from the Arkansas State Police. Officers met with investigators at Perimeter of the Ozarks, where the alleged victim was interviewed.

raw_content:
Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:26
Agency #: AR0720200
General Information
Case Number: 2024-00037207 Reporting Officer: 279 - Baker, Jaida
Occurred 2466 S 48TH ST B, SPRINGDALE, 72762 Reported Date: 06/12/2024 09:12
Location:
Incident Type: Sex Offenses
Status: Closed Occurred From: 05/31/2024 00:00
Status Date: 06/14/2024 Occurred Through: 06/11/2024 00:00
Disposition: Inactive Exceptional Clearance:
Disposition Date: 06/14/2024 Exceptional Clearance
Date:
Scene Processed
By: Significant Event
Campus Code: County: Washington
Assignments
Assigned Personnel: 166 - Samuelson, Scott Assigned By: 139 - Niccum, Chad
Assignment Type: Lead Investigator Assigned Date/Time: 06/13/2024 09:08
End Date:
Solvability Factors
Description: Weight:
Modus Operandi
Offenses
# Statute Group Group Agency Crime Code Statute Description Offense Date
1 State 11D - Forcible Fondling 5-14-125(a)(1) SEXUAL ASSAULT 2ND / FORCIBLE 05/31/2024
FONDLING
Subjects
Number Type Name Address Contact Information Race Sex DOB
1 Suspect White Female
2 Victim White Female
3 Other White Female
4 Other White Female
Properties
# Date Type Property Loss Type Description Name Subject Role
Vehicles
Number Role Type Make/Model Color Plate/Registration Year State
Contributing Officers
Number Report Date/Time Officer Supervisor Approving User Report Type
1 06/13/2024 07:43 279 - Baker, Jaida 139 - Niccum, Chad TaylorJo Case Report
Login Id: sprd\baileyjo Page 1 of 6

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:26
Agency #: AR0720200
Evidence
Counter Evidence Type Code Description Current Location Date Received Make/Model
Status History
Case Status Status Date Changed By Date/Time Changed
In Field 06/12/2024 System 06/12/2024 09:25
Open 06/12/2024 TaylorJo 06/13/2024 09:07
Closed 06/14/2024 scottsa 06/14/2024 14:13
Disposition History
Disposition Disposition Date Changed By Date/Time Changed
Inactive 06/14/2024 scottsa 06/14/2024 14:13
Supplemental Information
Actions Taken Reasons For No Arrest Purge Type Purge Date Purge Review Date Non-Fatal Shooting
Narratives
Name: Narrative Author: 279 - Baker, Jaida Supervisor: 139 - Niccum, Chad Date Created: 06/12/2024 09:25
Description:
**Sex Offense reported Hotline**
On 06/12/24 a Child Abuse report was received from Arkansas State Police Investigator, Trace Eike, in
regards to a new report. Both suspect and victim, are currently residing at the Perimeter Behavioral of
the Ozarks. Referrral # 2274077
The following is a summary of the DHS Snapshot report:
Alleged Victim is 16-year-old, . The PRFC is .
Alleged Offender is 15-year-old, . The other person mentioned is 13-year-old,
are residents at Perimeter
Behavioral of the Ozarks and live in the same unit, which is where the alleged events occurred.
On 06/11/2024, the Patient Advocate collected two grievance forms for . The first was filled
out on 06/06/2024 and detailed an incident that allegedly occurred on 05/31/2024. The form stated,
“ forced me to touch him and I did not like it and it made me uncomfortable and he made
me kiss him too.” The second was also filled out on 06/06/2024 and detailed an incident that occurred
that day; it stated, forced me to kiss her and she keeps touching me when I asked her to
stop, she wouldn’t. She makes me uncomfortable.” An interview with on
06/11/2024 provided the following details regarding the 05/31/2024 incident:
"I was in my bedroom and came to the door and asked to talk. When I came over, he grabbed
my hand and forced me to touch his privates (chest and genital area). He then grabbed the back of my
head and forced me to kiss him.
Login Id: sprd\baileyjo Page 2 of 6

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:26
Agency #: AR0720200
Regarding the 06/06/2024 incident:
"I was in my room and told me to come to the door. When I got there, she took my head and
kissed me."
This original hotline is attached under the documents section.
No further information at this time.
**END JB633**
Name: Victim Interview Author: 166 - Samuelson, Scott Supervisor: Date Created: 06/14/2024 08:24
Login Id: sprd\baileyjo Page 3 of 6

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:26
Agency #: AR0720200
Description:
At 1:30 P.M. on 12 June 2024 I met with Sarah King and Trace Eike, both employees of Arkansas State Police Crimes Against Children at Perimeter of
the Ozarks where was interviewed. The interview was audio recorded and uploaded to Axon.
foster family is in Dover, Ohio. She was staying in the blue wing at Perimeter, but has now been moved to the green wing to separate her.
has only been at Perimeter for a few months.
spoke about first. They became friends for a little bit, but then "she became too touchy" and didn't like that. Recently, was
in her own room and came to her doorway. She asked to talk, and asked to come there. She forced to kiss her and she wrote a
grievance. is 13 years old.
was asked what she meant by touchy, she said it was not inappropriate but just touching her in general.
At the time of the incident, was alone in her room, her roommate was in the day room. Nothing was said by . was pushed toward
lips by her hands, she used two hands. asked why she did that, and said "I like you." said she doesn't like that, and
said she doesn't care so wrote a grievance.
then explained the incident with ). were best friends at one point for about three or four weeks was
in her room putting pictures on her wall. Earlier in the day was mad at for calling her a "purple bitch" because she turns purple when
cold.
approached and asked to talk. sat in the doorway and sat next to her. grabbed hand and forced her to touch her
breasts and vagina under the clothes. said " " but didn't stop, so tried to pull away. forced hand to continue.
forced to kiss her the same way that did.
had said "I'm going to kiss you" and replied "No your not", then said "wanna bet?" before forcing to kiss her. After, she
said don't tell anyone or I would have someone beat you up.
SS372
Login Id: sprd\baileyjo Page 4 of 6

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:26
Agency #: AR0720200
Name: Contact with Perimeter Author: 166 - Samuelson, Scott Supervisor: 139 - Niccum, Chad Date Created: 06/14/2024 13:49
Description:
I received two video files from Charriot Sales, Director of Risk Management, on 13 June 2024. One is for May 31 during the time the offense with
is alleged, and the other for June 6 when the offense with is alleged. Charriot said that claimed that forced her to kiss,
and wanted to be girlfriend. denied all claims made by . Charriot also explained that the girls are seen in the doorway because
they are not allowed to enter another resident's room.
In the video's room is the second on the left. is wearing the blue scrubs. approaches doorway and stands there at 3:45
into the video. There are two staff members and multiple residents in the hallway that continually walk past and For the duration of the
video is seen standing in the doorway, only the back of her head, her back, and legs are visible. She leaves at 26:29 in the video. Staff interacted
with multiple, there are no abrupt or odd body movements to made by during this time. There was no visible evidence to corroborate
statements.
In the June 6 video approaches doorway at 2:02 into the video. She is wearing black, and sits down. At one point gets up and
gets a blanket and sits down again. She gets up at 16:35 and walks away. There are staff and residents continually walking through the hallway. There
was no visible evidence of forcibly kissing .
Charriot said the victim and suspects were to remain separated.
SS372
Name: Case Status Author: 166 - Samuelson, Scott Supervisor: 139 - Niccum, Chad Date Created: 06/14/2024 14:11
Description:
There were two separate incidents alleged by the victim. Video evidence from the days and times given cannot see the victim in frame, and can only
partially view the suspect. Staff and residents are continuously walking past the suspect and victim during both videos. In the video there is no
evidence to support the victim's statements. Both suspects denied any inappropriate touching or kissing occurred when asked by staff. Due to the
suspect's custodial status with DHS they cannot be interviewed. There is insufficient evidence to develop probable cause to arrest for either incident.
Perimeter of the Ozarks has separated the victim from both offenders and states they will not cohabitate again.
SS372
Login Id: sprd\baileyjo Page 5 of 6

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:26
Agency #: AR0720200
Name: O'Neal Interview Author: 166 - Samuelson, Scott Supervisor: Date Created: 06/18/2024 17:19
Description:
On 17 June 2024 Trace Eike and Sara King interviewed at Perimeter of the Ozarks. They were able to get permission from
custodian. denied there was any physical contact in a sexual nature with another resident, and then requested a lawyer. The audio was
uploaded to Axon.
SS372
Login Id: sprd\baileyjo Page 6 of 6


summary: A resident reported that she forced to touch and kiss another peer. The resident made a second report that she was forced to kiss and touched by a second peer. The complaint has been UNFOUNDED by Licensing.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021907
Date of Incident: 6/6/2024
Date Received:6/12/2024
Facility Name: Perimeter of the Ozarks
Facility Number:237
Incident Type: Dual
Report Description:
/Resident Name/DOB:
Date/Time of incident:
5/31/24 (evening) and 6/6/24 (evening) Patient Insurance:
Agency Name of Perimeter Staff Making Notification Date
Time Name of Person Notified DHS Director of Risk Management 12 Jun 24
09:30
12 Jun 24 09:30
incidentreporting@disabilityrightsar.org Perimeter
agement 12
Jun 24 08:30
Director of Risk Management 12 Jun 24 Signature and title of staff
completing this form Date: Name of Facility: Perimeter Behavioral of the Ozarks? Phone
Number: 479-957-9857 ext. 108 Street Address, City, State, Zip: 2466 S. 48th Street Suite B.
Springdale, AR 72762?? Please describe the incident: On 11 Jun 24, the Patient Advocate
collected two grievance forms for . The first was filled out on 6 Jun 24 and
detailed an incident that allegedly occurred on 31 May 24. The form stated,
forced me to touch him and I did not like it and it made me uncomfortable and he made me
kiss him to.? The second was also filled out on 6 Jun 24 and detailed an incident that
occurred that day; it stated, forced me to kiss her and she keeps touching
me when I asked her to stop she wouldn't. She makes me uncomfortable.? An interview
with on 11 Jun 24 provided the following details. Regarding the 31 May 24
incident, "I was in my bedroom and came to the door and asked to talk. When I
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

came over, he grabbed my hand and forced me to touch his privates (chest and genital
area). He then grabbed the back of my head and forced me to kiss him.? Regarding the 6
Jun 24 incident, "I was in my room and told me to come to the door. When I got
there she took my head and kissed me. " Actions Taken:
11 Jun 24 at 1754.
Spoke to: 12
Jun 24 at 0742. ? Opened investigation (ongoing). ? Residents moved to separate units while
investigation is ongoing.
Interim Action Narrative:
Licensing Narrative: 6/12/2024 - The provider reported complaint was reviewed by the
Licensing specialist. Permission requested from Permission received
from . Licensing specialist conducted visit at the facility for the complaint report.
Spoke with staff regarding the resident grievance reporting process and late reporting.
DIrector of risk who processes resident concerns was out of town and the grievances were
not reviewed until she returned. The facility will establish a back up staff member to process
resident concerns if the director of risk is out of the office. Video footage was reviewed for
the incident - Time stamps reviewed 5/31/2024 ? 7:19 PM - 7:42 PM and 6/6/2024 7:48 PM -
8:05 PM TA was provided for the reporting process. Licensing specialist will follow up with
facility for a documented process of resident grievances with a due date of 6/21/24
6/20/2024 - Licensing specialist received correspondence from the facility regarding the
resident grievance process "We discussed who will take on the role of the Alternate Patient
Advocate and decided it will be the new Office Manager we are currently hiring for. In the
interim, either the CEO or DON will backfill as needed 6/28/2024 - Findings 521 inspection
report generated and sent to facility for signature. 7/5/2024, Approved by Program
Coordinator. Case complete.

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter of the Ozarks
Facility Number: 237
Licensee Address: 2466 SOUTH 48TH STREET
SPRINGDALE AR 72766
Licensing Specialist: Jarred Parnell
Person In Charge:
Record Visit Date: 6/28/2024
Home Visit Date: 6/28/2024
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 6/28/2024.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing Specialist received a complaint on 6/12/2024 for ELS Case #021907.
This complaint has been UNFOUNDED by licensing.
Provider Comments:
CCL Staff Signature : Date: 6/28/2024
Provider Signature : Date: 6/28/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was taken to the emergency room after swallowing a battery.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021652
Date of Incident: 5/31/2024
Date Received:6/3/2024
Facility Name: Perimeter of the Ozarks
Facility Number:237
Incident Type: Licensing
Report Description: SERIOUS OCCURRENCE REPORTING FORM
Resident Name/DOB:
Date/Time of incident: 5/31/2024; 8:50pm Name of Perimeter Staff Making
Notification Date Time Name of Person Notified Agency Rep Director of
Nursing 6/3/2024 See below , Chief executive Officer 6/3/2024 Signature and
title of staff completing this form Date: Name of Facility: Perimeter Behavioral of the
Ozarks Phone Number: 479-957-9857 ext. 108 Street Address, City, State, Zip: 2466 S. 48th
Street Suite B. Springdale, AR 72762? Please describe the incident: At 8:50 pm on 5/31/2024,
it was reported that had swallowed a battery. The battery was identified to have been
taken from a clock on the unit. Actions Taken: was assessed by nursing and determined
needed to be evaluated at the ER. returned from the ER around 11:30pm. She
received an x-ray . ER instructed to
return if she did not pass the battery in 48 hours. On 6/2/2024, returned to the ER as
instructed as battery had not passed. received bloodwork and imaging. returned to
the facility instructed to continue monitoring. was placed on suicide precautions.
Parties notified of event:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 6/3/2024 - The provider reported incident and facility implement was
reviewed by the Licensing Specialist. 6/13/2024 - A visit was conducted at the facility to
review supervision and discuss the incident with facility staff. All units were checked for
objects containing batteries. Clocks were removed and remotes were already being kept at
the nurses station. The resident was administered a laxative and monitored. The resident
will be taken for another x-ray should the battery not pass within a day or so.


summary: Fire alarm. Facility is performing a fire drill.

raw_content:
Incident Details
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:25
Agency #: AR0720200
General Information
Incident #: 2024-00033855 Incident Type: GNFO Call Date/Time: 05/29/2024 09:55
Location: 2466 S 48TH ST, SPRINGDALE, 72762 Status: Not In Progress Priority: 4
Primary Caller: Unknown, - Caller Caller Contact #: (479) 725-5218 Originating Call #: (479) 725-5218
Case Number: Nature of Call: Source: Admin Phone Line
Units/Personnel
Unit # Unit Type Personnel Time on Call
656 Dispatch 285 - Scoggins, Ashley 05/29/2024 10:32
Vehicles
Role Type Year Make Model Color License State VIN
Subjects
Role Name Address Contact Information Race Sex DOB
Caller Unknown (479) 725-5218
Disposition
Disposition Count Unit Date/Time
Complaint Only 1 05/29/2024 10:32
Evidence
Counter Evidence Type Codes Description Current Location Received Date Make/Model
Report Narratives
Narratives
Entered By: jessicaar Date Entered: 05/29/2024 09:55
THEY ARE DOING A FIRE DRILL
Entered By: ashleysc Date Entered: 05/29/2024 10:32
THEY ARE DONE
Call Log
Date/Time User Action Description
05/29/2024 09:55 jessicaar Call Created New call created. Call Type: >New Call<, Location:
<UNKNOWN>
05/29/2024 09:55 jessicaar Address Verified Call Location Changed from Unverified To Verified
05/29/2024 09:55 jessicaar Location Call Location Changed from <UNKNOWN> to 2466 S 48TH
ST, SPRINGDALE
05/29/2024 09:55 testing, cad - system Alerts Retrieval Alerts Were Successfully Gathered For Location At Address
2466 S 48TH ST
Login Id: sprd\baileyjo Page 1 of 2

Incident Details
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:25
Agency #: AR0720200
Call Log
Date/Time User Action Description
05/29/2024 09:55 jessicaar Location Cross streets updated, SPRINGHOUSE DR / PRIVATE DR,
ATCHISON AVE
05/29/2024 09:55 jessicaar Location Call Location Changed from 2466 S 48TH ST, SPRINGDALE
to 2466 S 48TH ST, SPRINGDALE (OZARK GUIDANCE
CENTER)
05/29/2024 09:55 jessicaar Location Cross streets updated, SPRINGHOUSE DR / PRIVATE DR,
ATCHISON AVE
05/29/2024 09:55 testing, cad - system Alerts Retrieval Alerts Were Successfully Gathered For Location At Address
2466 S 48TH ST
05/29/2024 09:55 jessicaar Agency Context Added Police Call Type Added. Call Type: GNFO, Status: Not In
Progress, Priority: 4
05/29/2024 09:55 jessicaar Narrative Added THEY ARE DOING A FIRE DRILL
05/29/2024 09:55 jessicaar Call Updated Caller Phone Changed to (479) 725-5218
05/29/2024 09:55 jessicaar Call Updated Caller Added: Role - Caller;
05/29/2024 10:32 ashleysc Narrative Added THEY ARE DONE
05/29/2024 10:32 ashleysc Call Ready for Dispatch Call marked ready for dispatch
05/29/2024 10:32 ashleysc Incident Created Added Incident Number, ORI: AR0720200, Number: 2024-
00033855
05/29/2024 10:32 ashleysc Unit Status Action Unit 656 On Scene
05/29/2024 10:32 ashleysc Unit Location Unit 656 Secondary Location: Secondary Location Cleared
05/29/2024 10:32 ashleysc Disposition Changed Added: Complaint Only Count 1
05/29/2024 10:32 ashleysc Unit Status Action Unit 656 Available
05/29/2024 10:32 ashleysc Call Cleared Close Call
Unit Log
Date/Time Unit Number Action Description
05/29/2024 10:32 656 Unit Location Assigned Location: 2466 S 48TH ST, SPRINGDALE
05/29/2024 10:32 656 Unit Location 2466 S 48TH ST, SPRINGDALE
05/29/2024 10:32 656 Unit Status Change Dispatched Call Number: 43, Assigned Location: 2466 S
48TH ST, SPRINGDALE, Call Type: GNFO
05/29/2024 10:32 656 Unit Status Change On Scene
05/29/2024 10:32 656 Unit Location Secondary Location Cleared
05/29/2024 10:32 656 Unit Cleared Unit Cleared From Call
05/29/2024 10:32 656 Unit Status Change Available
Contributing Officers
Officer Supervisor Report Date/Time Report Type Approving User
Login Id: sprd\baileyjo Page 2 of 2


summary: A resident reported to staff that she had sex with a peer in their bedroom. The facility was cited 110.9.a as a result of this incident.

raw_content:
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 5/29/2024 - The provider reported incident and facility implement
was reviewed by the licensing specialist. Licensing specialist will inquire further if the report
was accepted by the hotline and the referral number. 5/31/2024 - Licensing Specialist
inquired to facility if the hotline accepted the report and if they have a referral. The report
was not accepted by the hotline. 6/18/2024 - Q15 bed check logs were reviewed by the
Licensing Specialist and uploaded to ELS. Facility reported that the therapist the resident
allegedly told "mid-month' about this incident is no longer employed at the agency.
6/27/2024- Consequences and Personal Responsibility Intervention Form received and
reviewed by licensing. 7/10/2024 - Licensing specialist visited the to follow up in regards to
the provider reported incident and discuss the reporting time line which was documented.
Facility staff was made known of an alleged peer to peer sexual incident on 5/26/2024 but
was not reported to licensing until 5/29/2024. The facility was cited for standard 110.9A
7/10/2024 - 521 inspection report was sent to the facility for signature. 7/17/2024 -
Licensing specialist received and reviewed documentation for the facility implementation
enacted for the incident. The documentation has been uploaded to ELS. 7/22/2024-
Program manager spoke to Sarah Whorton to determine if the therapy notes from
were ever received. Ms. Whorton could not answer and stated she would call back
once she determined if the therapy notes were ever mailed in by the previous therapist for
the resident. 7/23/2024- The agency reports that they will send the therapy notes by the end
of the week when their CEO returns to the office as she is the only one who has access to
those records.


summary: A resident was transported to the emergency room after admitting that she ingested laundry detergent with bleach. The facility was cited 907.2 as a result of this incident.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021406
Date of Incident: 5/21/2024
Date Received: 5/21/2024
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Incident Type: Licensing
Report Description: X Serious injury requiring outside medical attention X Resident?s
attempted suicide ? Allegation of abuse/neglect related to a restraint ? Resident?s death ?
AWOL/Elopement ? Allegation of sexual/physical abuse Resident Name/DOB:
Date/Time of incident: 05/21/2024 at 0752 Name of
Perimeter Staff Making Notification Date Time Name of Person Notified Agency Rep
Charriot Sales, Director of Risk Management 05/21/24 14:00 See Below Charriot Sales,
Director of Risk Management 05/21/2024 Name and title of staff completing this form
Date: Name of Facility: Perimeter Behavioral of the Ozarks Phone Number: 479-957-9857
ext. 108 Street Address, City, State, Zip: 2466 S. 48th Street Suite B. Springdale, AR 72762?
Please give a description of the incident: During medication pass on the Milieu, hid in
an open laundry room. During the next Q15 rounds, it was determined he was missing. A
brief search identified his location. During discussion with the Nurse and Mental Health
Technician, admitted to ingesting some block laundry detergent that contained bleach.
A call to Poison Control advised he should be taken to the ER.
Corrective Action:
placed on self-harm precautions. Parties notified of event: , Guardian
Caseworker CEO Art Hickman, Regional CEO Rebecca Thomas, VP
Clinical Training Chris Perry, VP Risk Compliance/Quality Sarah Whorton, Director of
Nursing Shawna Stover, Director of Clinical Services Kris Stewart, Reagan Stanford, and
Ashlyn Whelchel (Disability Rights of AR) Chelsea Vardell, Kendra Rice, Jarred Parnell and
Felicia Harris (DHS)
Interim Action Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: 5/21/2024 - The provider reported incident and facility implement
was reviewed by the Licensing Specialist. Licensing Specialist will visit the facility to review
camera footage of the incident and review supervision. 5/22/2024 - A visit was conducted at
the facility to review video footage for the incident on 5/21/2024 - 7:49 am - 8:12 am. video
footage observed during visit showed a resident was left unsupervised in the milieu and was
able to access the laundry room where she was able to hide and remain unsupervised for 14
minutes. Resident may have ingested laundry detergent. It is not clear whether she did as
the toxicology report did not show abnormalities. Medical report uploaded to ELS. Incident
was staffed with program coordinator K. Rice The facility was cited for 907.2 for not
supervising the resident and ensuring she returned to the unit. 521 inspection report sent to
facility for signature. 5/23/2024 - 521 inspection report signed and returned. Staff will be
retrained for supervision, follow up with facility 5/29/2024 for proof of training. 6/13/2024 -
Proof of training request from facility


summary: Officers were called to Perimeter Ozarks for a child that ate some laundry detergent with bleach.

raw_content:
Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:24
Agency #: AR0720200
General Information
Case Number: 2024-00031831 Reporting Officer: 213 - Wright, Danny
Occurred 2466 S 48TH ST B, SPRINGDALE, 72762 Reported Date: 05/21/2024 08:46
Location:
Incident Type: All Others
Status: Closed Occurred From: 05/21/2024 08:30
Status Date: 06/19/2024 Occurred Through: 05/21/2024 08:46
Disposition: Inactive Exceptional Clearance:
Disposition Date: 05/21/2024 Exceptional Clearance
Date:
Scene Processed
By: Significant Event
Campus Code: County: Washington
Assignments
Solvability Factors
Description: Weight:
Modus Operandi
Offenses
# Statute Group Group Agency Crime Code Statute Description Offense Date
1 State 90Z - All Other Offenses SUICIDE - SUICIDE - ATTEMPTED OR COMPLETED 05/21/2024
(Except Traffic or ATTEMPTED OR
Warrants) COMPLETED
Subjects
Number Type Name Address Contact Information Race Sex DOB
1 Suspect White Female
Properties
# Date Type Property Loss Type Description Name Subject Role
Vehicles
Number Role Type Make/Model Color Plate/Registration Year State
Contributing Officers
Number Report Date/Time Officer Supervisor Approving User Report Type
1 05/21/2024 12:27 213 - Wright, Danny 146 - Pena, Jared lucyes Case Report
Evidence
Counter Evidence Type Code Description Current Location Date Received Make/Model
Status History
Case Status Status Date Changed By Date/Time Changed
In Field 05/21/2024 System 05/21/2024 09:25
Open 05/21/2024 lucyes 05/21/2024 14:46
Closed 06/19/2024 baileyjo 06/19/2024 12:24
Login Id: sprd\baileyjo Page 1 of 2

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 06/19/2024 12:24
Agency #: AR0720200
Disposition History
Disposition Disposition Date Changed By Date/Time Changed
Active 05/21/2024 lucyes 05/21/2024 14:47
Inactive 05/21/2024 chadni 05/21/2024 14:51
Supplemental Information
Actions Taken Reasons For No Arrest Purge Type Purge Date Purge Review Date Non-Fatal Shooting
Narratives
Name: Narrative Author: 213 - Wright, Danny Supervisor: 146 - Pena, Jared Date Created: 05/21/2024 09:25
Description:
Called to OGC for a child that eat some laundry detergent with bleach. Squad took her to children
hospital. She said she wanted to hurt herself. She is in in-house treatment. Her mother is
.
Login Id: sprd\baileyjo Page 2 of 2


summary: A resident was transported to the emergency room after an altercation with a peer.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021208
Date of Incident: 5/10/2024
Date Received: 5/13/2024
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Incident Type: Licensing
Report Description: During class, did an unprompted assault on was
immediately separated from peer but continued to be assaultive and uncooperative.
Resident was put in a physical restraint. Additionally, when staff separated and
ran over and attacked repeatedly hitting in the face, causing a large hematoma
above the right eye. When staff intervened, continued to attack peer and staff; was
also physically restrained. After the incident, was observed to have swollen knuckles;
resident refused ice. did not have any apparent injuries. was treated with Tylenol
and an icepack and escorted to the ER for evaluation; returned with no further orders or
care.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 5/14/2024 - The provider reported incident and facility implement
was reviewed by the Licensing Specialist. Licensing Specialist will contact the facility for
residents name, date of birth and guardianship status 5/15/2024- Facility correspondence
received Victim: Perpetrator: :
and Date/Time of incident: 05/10/2024 at 1315
Name of Perimeter Staff Making Notification Date Time Name of Person Notified Agency
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Rep Charriot Sales, Director of Risk Management 05/13/24 14:00 See Below Charriot Sales,
Director of Risk Management 05/13/24 Name and title of staff completing this form Date:
Name of Facility: Perimeter Behavioral of the Ozarks Phone Number: 479-957-9857 Street
Address, City, State, Zip: 2466 S. 48th Street Suite B. Springdale, AR 72762 Please give a
description of the incident: During class, did an unprompted assault on was
immediately separated from peer but continued to be assaultive and uncooperative.
Resident was put in a physical restraint. Additionally, when staff separated and
ran over and attacked repeatedly hitting in the face, causing a large hematoma
above the right eye. When staff intervened, continued to attack peer and staff; was
also physically restrained. After the incident, was observed to have swollen knuckles;
resident refused ice. did not have any apparent injuries. was treated with Tylenol
and an icepack and escorted to the ER for evaluation; returned with no further orders or
care. Corrective Action: and placed on assault precautions. 5/21/2024 - Licensing
Specialist followed up with the facility inquiring if there was video footage available for
review. Facility staff said there is footage of the incident. Licensing specialist will visit the
facility to review the footage of the incident and review supervision. 5/22/2024- A visit was
conducted to review video footage of the incident. Video timestamp is 5/10/2024 - 13:11 -
13:15,


summary: A resident reported that she was held down by a peer and kissed against her will.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020922
Date of Incident: 4/25/2024
Date Received: 4/29/2024
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Incident Type: Licensing
Report Description: SERIOUS OCCURRENCE REPORTING FORM ? Serious injury
requiring outside medical attention ? Resident?s attempted suicide ?Allegation of
abuse/neglect ? Resident?s death ? AWOL/Elopement ? Allegation of sexual/physical
abuse Resident:
Date/Time of incident: 04/25/24 @21:00 Name of Perimeter
Staff Making Notification Date Time Name of Person Notified Agency Rep Sarah Whorton,
RN, Director of Nursing 04/29/24 2:30 pm See Below Sarah Whorton, RN, Director of
Nursing 04/29/2024 Name and title of staff completing this form Date: Name of Facility:
Perimeter Behavioral of the Ozarks Phone Number: 479-957-9857 Street Address, City, State,
Zip: 2466 S. 48th Street Suite B. Springdale, AR 72762 Please give a description of the
incident: On 04/26/24, reported to the lead Mental Health Technician,
Tyrell Wall, that on 04/25/24 at 21:00 pm while in a resident room with two others, she was
held down by and kissed against her will. Corrective Action: ? Residents were
separated ? Residents were placed Sexual Misconduct Precautions, which includes
increased observation ?
Parties notified of event: , Guardian , Guardian
Skyler Barnes, CEO Art Hickman, Regional CEO Rebecca Thomas, VP Clinical
Training Chris Perry, VP Risk Compliance/Quality Shyanne Anthony ? Clinical Director
Heather Harper, VP Nursing Sarah Whorton -Director of Nursing Kris Stewart, Reagan
Stanford, and Ashlyn Whelchel (Disability Rights of AR) Chelsea Vardell, Kendra Rice,
Jarred Parnell and Felicia Harris (DHS)
Interim Action Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: 4/29/2024 - The provider reported incident and facility response was
reviewed by the Licensing Specialist. Licensing Specialist spoke to facility staff who stated
the alleged incident occurred in a bedroom where there is no video footage available. The
report was not accepted by the hotline. Licensing specialist will follow up with facility and
request bed check logs for the date of the alleged incident.


summary: Officers were dispatched to the facility in response to a juvenile who was being aggressive and hitting staff.

raw_content:
Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:32
Agency #: AR0720200
Disposition History
Disposition Disposition Date Changed By Date/Time Changed
Cleared by Arrest 04/22/2024 fabiolama 04/29/2024 13:07
Supplemental Information
Actions Taken Reasons For No Arrest Purge Type Purge Date Purge Review Date Non-Fatal Shooting
Login Id: sprd\baileyjo Page 2 of 3

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:32
Agency #: AR0720200
Narratives
Name: Narrative Author: 87 - Howard, Austin Supervisor: 47 - Drake, Joshua Date Created: 04/23/2024 04:21
Description:
On April 22, 2024 at approximately 18:16, officers were dispatched to Perimeter of the Ozarks (2466 S 48th
St) in response to a disturbance. The caller was a staff member advising of a juvenile female who was being
aggressive and hitting staff. The caller advised they were physically restraining the juvenile.
I arrived on scene and was escorted into the facility by one of the nurses. As we entered the unit where the
juvenile was, I observed the juvenile female, later identified as (DOB: W/F), being
physically restrained by a staff member, identified as Shawn Brown (DOB: W/M). Shawn was
siting against the wall on the ground with in an double arm lock.
Shawn let go of as I walked into the room. appeared to be very agitated and upset, but was no
longer aggressive. was yelling that she didn’t want to go to jail, but hated it there.
I spoke to the medical staff who advised had anger issues. They stated
had an outburst and began attacking the medical staff. They advised she kicked one of the nurses in the
stomach hard enough to the point where the nurse was having vaginal bleeding. The nurse who was kicked
did not wish to pursue any charges.
During her outburst, Shawn stepped into to attempt to restrain . He got behind her and placed bother
her arms in a lock behind him. Shawn stated as arms were behind him, she began scratching him.
Shawn showed me he let side his body, near the hip. I observed several small and long lacerations that would
match scratch marks. Shawn advised he did wish to pursue charges. Shawn was not a medical professional,
but he was an aid to assist with the children.
I contacted the Washington County Juvenile Intake Officer and provided her with the incident information. She
advised to cite and release . The Intake Officer advised court date will be on July 19, 2024 at
11:0am. She advised it would be in Division 8 with Judge Warren, located at 123 N College Ave.
was cited or Battery 3rd (m). I created an ecite with the Washington County JDC court date.
citation was given to the medical staff and contact was ended.
Corporal Burns #339 obtained photos of Shawn’s injuries.
Noting further to report at this time.
***AH#421***
Login Id: sprd\baileyjo Page 3 of 3


summary: Officers were dispatched for a juvenile who left the facility through a fence. The juvenile returned to the facility on her own.

raw_content:
Incident Details
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:31
Agency #: AR0720200
General Information
Incident #: 2024-00022811 Incident Type: Disturbance Call Date/Time: 04/15/2024 13:45
Location: 2466 S 48TH ST, SPRINGDALE, 72762 Status: In Progress Priority: 1
Primary Caller: Unknown, - Caller Caller Contact #: (817) 680-5929 Originating Call #: (817) 680-5929
Case Number: Nature of Call: Source: 911
Units/Personnel
Unit # Unit Type Personnel Time on Call
332 Patrol 206 - Whorton, Jake 04/15/2024 13:46
340 Patrol 112 - Lawrence, John 04/15/2024 13:46
107 Sergeant 64 - Frisby, Richard 04/15/2024 13:47
Vehicles
Role Type Year Make Model Color License State VIN
Subjects
Role Name Address Contact Information Race Sex DOB
Caller Unknown (817) 680-5929
Disposition
Disposition Count Unit Date/Time
Complaint Only 1 04/15/2024 13:56
Evidence
Counter Evidence Type Codes Description Current Location Received Date Make/Model
Report Narratives
Narratives
Entered By: jessicaar Date Entered: 04/15/2024 13:46
SCREAMING
Entered By: jessicaar Date Entered: 04/15/2024 13:46
CALLER SAID A KID JUMPED A FENCE
Entered By: jessicaar Date Entered: 04/15/2024 13:46
CALLER IS NOT TALKING TO ME ANYMORE
Entered By: jessicaar Date Entered: 04/15/2024 13:46
SCREAMING
Login Id: sprd\baileyjo Page 1 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:31
Agency #: AR0720200
Narratives
Entered By: jessicaar Date Entered: 04/15/2024 13:46
"HE IS AROUND THE CORNER|
Entered By: jessicaar Date Entered: 04/15/2024 13:46
W/M
Entered By: jessicaar Date Entered: 04/15/2024 13:46
W/F
Entered By: jessicaar Date Entered: 04/15/2024 13:46
**W/F** NOT MALE
Entered By: jessicaar Date Entered: 04/15/2024 13:47
WEARING WHITE SHIRT
Entered By: jessicaar Date Entered: 04/15/2024 13:47
NOT INTOX OR DRUGS
Entered By: jessicaar Date Entered: 04/15/2024 13:47
NO WEAPONS
Entered By: jessicaar Date Entered: 04/15/2024 13:47
"WE FOUND HER"
Entered By: jessicaar Date Entered: 04/15/2024 13:47
"WE GOT HER"
Entered By: stacyel Date Entered: 04/15/2024 13:48
107/ I THINK I'VE GOT A PERSON SCREAMING HERE, NE ON THE S/W END HERRE
Login Id: sprd\baileyjo Page 2 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:31
Agency #: AR0720200
Narratives
Entered By: stacyel Date Entered: 04/15/2024 13:49
107/ W/F IN A PLE SHIRT, HEADED TOWARDS I49, STAFF IS NOT BEING VERY HELPFUL
Entered By: stacyel Date Entered: 04/15/2024 13:53
340/ CHECKING N/B ON I49
Entered By: stacyel Date Entered: 04/15/2024 13:53
107...340/ DON'T KNOW MUCH OTHER THAN A HEAVY SET FEMALE, JUST WENT THRU A HOLD IN THE FENCE
Entered By: stacyel Date Entered: 04/15/2024 13:55
340/ ALL JUVS HAVE BEEN RECOVERED, BE T98 COMPLAINT ONLY
Entered By: stacyel Date Entered: 04/15/2024 13:56
107/ JUST LOG THAT THE MISSING JUV HAD ALREADY WALKED HERSELF BACK INSIDE THE BUILDING, THE STAFF AT OGC WAS NOT
AWARE
Entered By: stacyel Date Entered: 04/15/2024 13:56
3400
Call Log
Date/Time User Action Description
04/15/2024 13:45 jessicaar Call Created New call created. Call Type: >New Call<, Location:
<UNKNOWN>
04/15/2024 13:45 jessicaar Location Call Location Changed from <UNKNOWN> to 2466 S 43RD
ST, SPRINGDALE
04/15/2024 13:45 jessicaar Address Verified Call Location Changed from Unverified To Verified
04/15/2024 13:45 testing, cad - system Alerts Retrieval Alerts Were Successfully Gathered For Location At Address
2466 S 43RD ST
04/15/2024 13:45 jessicaar Location Cross streets updated, KENDRA AVE / CHAPMAN AVE
04/15/2024 13:45 jessicaar Location Call Location Changed from 2466 S 43RD ST, SPRINGDALE
to 2466 S 48TH ST, SPRINGDALE
04/15/2024 13:45 jessicaar Location Cross streets updated, SPRINGHOUSE DR / PRIVATE DR,
ATCHISON AVE
04/15/2024 13:45 testing, cad - system Alerts Retrieval Alerts Were Successfully Gathered For Location At Address
2466 S 48TH ST
04/15/2024 13:45 jessicaar Agency Context Added Police Call Type Added. Call Type: Disturbance, Status: In
Progress, Priority: 1
Login Id: sprd\baileyjo Page 3 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:31
Agency #: AR0720200
Call Log
Date/Time User Action Description
04/15/2024 13:46 jessicaar Narrative Added SCREAMING
04/15/2024 13:46 jessicaar Narrative Added CALLER SAID A KID JUMPED A FENCE
04/15/2024 13:46 jessicaar Narrative Added CALLER IS NOT TALKING TO ME ANYMORE
04/15/2024 13:46 jessicaar Narrative Added SCREAMING
04/15/2024 13:46 jessicaar Narrative Added "HE IS AROUND THE CORNER|
04/15/2024 13:46 stacyel Call Ready for Dispatch Call marked ready for dispatch
04/15/2024 13:46 stacyel Incident Created Added Incident Number, ORI: AR0720200, Number: 2024-
00022811
04/15/2024 13:46 stacyel Unit Location Unit 340 Secondary Location: Secondary Location Cleared
04/15/2024 13:46 stacyel Unit Status Action Unit 340 Dispatched
04/15/2024 13:46 stacyel Unit Location Unit 332 Secondary Location: Secondary Location Cleared
04/15/2024 13:46 stacyel Unit Status Action Unit 332 Dispatched
04/15/2024 13:46 jessicaar Narrative Added W/M
04/15/2024 13:46 jessicaar Narrative Added W/F
04/15/2024 13:46 jessicaar Narrative Added **W/F** NOT MALE
04/15/2024 13:47 briannapr Call Updated Call Source Changed From Admin Phone Line To 911
04/15/2024 13:47 stacyel Unit Status Action Unit 340 Responding
04/15/2024 13:47 stacyel Unit Status Action Unit 332 Responding
04/15/2024 13:47 jessicaar Narrative Added WEARING WHITE SHIRT
04/15/2024 13:47 jessicaar Narrative Added NOT INTOX OR DRUGS
04/15/2024 13:47 stacyel Unit Status Action Unit 107 Dispatched
04/15/2024 13:47 stacyel Unit Location Unit 107 Secondary Location: Secondary Location Cleared
04/15/2024 13:47 jessicaar Narrative Added NO WEAPONS
04/15/2024 13:47 stacyel Unit Status Action Unit 107 On Scene
04/15/2024 13:47 jessicaar Narrative Added "WE FOUND HER"
04/15/2024 13:47 jessicaar Narrative Added "WE GOT HER"
04/15/2024 13:48 jessicaar Call Updated Caller Phone Changed to (817) 680-5929
04/15/2024 13:48 jessicaar Call Updated Caller Added: Role - Caller;
04/15/2024 13:48 stacyel Narrative Added 107/ I THINK I'VE GOT A PERSON SCREAMING HERE, NE
ON THE S/W END HERRE
04/15/2024 13:49 stacyel Narrative Added 107/ W/F IN A PLE SHIRT, HEADED TOWARDS I49, STAFF IS
NOT BEING VERY HELPFUL
04/15/2024 13:52 stacyel Unit Status Action Unit 340 On Scene
04/15/2024 13:53 stacyel Narrative Added 340/ CHECKING N/B ON I49
04/15/2024 13:53 stacyel Narrative Added 107...340/ DON'T KNOW MUCH OTHER THAN A HEAVY SET
FEMALE, JUST WENT THRU A HOLD IN THE FENCE
Login Id: sprd\baileyjo Page 4 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:31
Agency #: AR0720200
Call Log
Date/Time User Action Description
04/15/2024 13:55 stacyel Narrative Added 340/ ALL JUVS HAVE BEEN RECOVERED, BE T98
COMPLAINT ONLY
04/15/2024 13:56 stacyel Narrative Added 107/ JUST LOG THAT THE MISSING JUV HAD ALREADY
WALKED HERSELF BACK INSIDE THE BUILDING, THE STAFF
AT OGC WAS NOT AWARE
04/15/2024 13:56 stacyel Disposition Changed Added: Complaint Only Count 1
04/15/2024 13:56 stacyel Narrative Added 3400
04/15/2024 13:56 stacyel Unit Status Action Unit 107 Available
04/15/2024 13:56 stacyel Unit Status Action Unit 340 Available
04/15/2024 13:56 stacyel Unit Status Action Unit 332 Available
04/15/2024 13:56 stacyel Call Cleared Close Call
Unit Log
Date/Time Unit Number Action Description
04/15/2024 13:46 340 Unit Location Assigned Location: 2466 S 48TH ST, SPRINGDALE
04/15/2024 13:46 340 Unit Status Change Dispatched Call Number: 211, Assigned Location: 2466 S
48TH ST, SPRINGDALE, Call Type: Disturbance
04/15/2024 13:46 340 Unit Location Secondary Location Cleared
04/15/2024 13:46 332 Unit Location Assigned Location: 2466 S 48TH ST, SPRINGDALE
04/15/2024 13:46 332 Unit Status Change Dispatched Call Number: 211, Assigned Location: 2466 S
48TH ST, SPRINGDALE, Call Type: Disturbance
04/15/2024 13:46 332 Unit Location Secondary Location Cleared
04/15/2024 13:47 340 Unit Status Change Responding
04/15/2024 13:47 332 Unit Status Change Responding
04/15/2024 13:47 107 Unit Location Assigned Location: 2466 S 48TH ST, SPRINGDALE
04/15/2024 13:47 107 Unit Status Change Dispatched Call Number: 211, Assigned Location: 2466 S
48TH ST, SPRINGDALE, Call Type: Disturbance
04/15/2024 13:47 107 Unit Location Secondary Location Cleared
04/15/2024 13:47 107 Unit Status Change On Scene
04/15/2024 13:52 340 Unit Status Change On Scene
04/15/2024 13:56 340 Unit Cleared Unit Cleared From Call
04/15/2024 13:56 340 Unit Status Change Available
04/15/2024 13:56 332 Unit Cleared Unit Cleared From Call
04/15/2024 13:56 332 Unit Status Change Available
04/15/2024 13:56 107 Unit Cleared Unit Cleared From Call
04/15/2024 13:56 107 Unit Status Change Available
Contributing Officers
Login Id: sprd\baileyjo Page 5 of 6

Incident Details
Agency: Springdale Police Department Print Date/Time: 05/24/2024 08:31
Agency #: AR0720200
Officer Supervisor Report Date/Time Report Type Approving User
Login Id: sprd\baileyjo Page 6 of 6


summary: An officer was dispatched to the facility in response to a battery.

raw_content:
Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 04/23/2024 15:23
Agency #: AR0720200
General Information
Case Number: 2024-00021960 Reporting Officer: 208 - Wills, Kirby
Occurred 2466 S 48TH ST B, SPRINGDALE, 72762 Reported Date: 04/11/2024 21:03
Location:
Incident Type: Assault - Simple
Status: Closed Occurred From: 04/11/2024 21:03
Status Date: 04/12/2024 Occurred Through: 04/11/2024 21:03
Disposition: Cleared by Arrest Exceptional Clearance:
Disposition Date: 04/12/2024 Exceptional Clearance
Date:
Scene Processed
By: Significant Event
Campus Code: County: Washington
Assignments
Solvability Factors
Description: Weight:
Modus Operandi
Offenses
# Statute Group Group Agency Crime Code Statute Description Offense Date
1 State 13B - Simple Assault 5-13-203a(1) BATTERY - 3RD DEGREE / PURPOSE OF 04/11/2024
CAUSING INJURY, CAUSES INJURY
Subjects
Number Type Name Address Contact Information Race Sex DOB
1 Suspect White Female
2 Victim VELASQUEZ, MIA P White Female
3 Witness Pierson, James White Male
Properties
# Date Type Property Loss Type Description Name Subject Role
Vehicles
Number Role Type Make/Model Color Plate/Registration Year State
Contributing Officers
Number Report Date/Time Officer Supervisor Approving User Report Type
1 04/12/2024 04:52 208 - Wills, Kirby 196 - Treat, Dustin fabiolama Case Report
Evidence
Counter Evidence Type Code Description Current Location Date Received Make/Model
Status History
Case Status Status Date Changed By Date/Time Changed
In Field 04/12/2024 System 04/12/2024 04:16
Login Id: sprd\baileyjo Page 1 of 3

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 04/23/2024 15:23
Agency #: AR0720200
Closed 04/12/2024 fabiolama 04/12/2024 12:59
Disposition History
Disposition Disposition Date Changed By Date/Time Changed
Cleared by Arrest 04/11/2024 fabiolama 04/12/2024 12:59
Cleared by Arrest 04/12/2024 fabiolama 04/12/2024 12:59
Supplemental Information
Actions Taken Reasons For No Arrest Purge Type Purge Date Purge Review Date Non-Fatal Shooting
Narratives
Name: Narrative Author: 208 - Wills, Kirby Supervisor: 196 - Treat, Dustin Date Created: 04/12/2024 04:14
Description:
On Thursday April 11, 2024 at approximately 21:03 hours I (Wills) was dispatched to a battery report
at Perimeter of the Ozarks located at 2466 S 48th St. Dispatch advised that there was an employee that
wanted to make a report about an incident.
When I arrived I made contact with a female later identified as Mia Velasquez (H/F DOB: .)
I asked Mia to tell me what happened. Mia stated that she was watching over the patient and one of them got
a towel. The patient then started wrapping it around her neck in an attempt to harm herself. Mia said that
along with a couple other employees they tried to get the towel away from the patient. While getting the towel
the patient punched and kicked her in the face. Mia was able to get the towel away from patient and
restrained her. While the patient was restrained, she kicked Mia again causing her to stumble backwards and
heard a pop in her upper neck.
I asked Mia if she wanted to press charges and she said yes. I then asked if she wanted an
ambulance to check her out and she said yes. I radioed dispatch and requested an ambulance for her. While
they were responding I began gathering Mia’s information for the report. The ambulance arrived and Mia
decided to go to the hospital. Another officer followed Mia to the hospital while I remained on scene to get the
suspects information.
I went inside the building and spoke with the manager. I asked the manager if she saw what
happened and she said no. I asked if they could provide me with information for the patient. The manager
said yes and printed a copy of face sheet. The face sheet identified the suspect as (W/F
DOB: ) I asked the manager if there was any camera footage of the incident and she checked her
computer. After searching for a few minutes she was able to find the recording.
Login Id: sprd\baileyjo Page 2 of 3

Case Report
Detail
Agency: Springdale Police Department Print Date/Time: 04/23/2024 15:23
Agency #: AR0720200
In the recording I observed Mia and the other staff members in the hallway. On another angle you can
see a towel being whipped toward Mia. Mia was able to get ahold of it but then it loses sight of her. With
another angle you can see that there is someone on the ground kicking at Mia. I asked the manager if she
could provide me a copy of the footage and she said no. The manager advised that I would have to subpoena
the company. I advised that would be something that could be handled at another time. I then asked the
manager if there was anybody still working that witnessed the event. The manager then went further into the
facility to find another worker. A male came out and said he was with Mia when the incident happened. I
asked if he would provide me with a written statement and he said yes. I returned to my patrol vehicle and got
a witness statement form. I asked him to fill it out while I contacted the Washington County Juvenile intake
officer.
I contacted the officer and informed them of the situation. She provided me with the court date of
07/19/2024 at 1100 am at 123 N College Ave. I then contacted the name listed for guardian. A
female that identified herself as (W/F DOB: ) I informed her of the situation and
advised her of the court date. She had a few questions which I tried to answer. Any questions that I was not
able to answer I referred her to the Washington County Sheriff’s office.
The other officer returned with Mia’s statement and I went inside to speak with the witness. I collected
his statement and provided him with a copy of the citation. I then returned to the station to complete the
report. I completed the required paperwork and turned the statements into the complete box. I do not have
any more information at this time.
End of narrative KW366
Login Id: sprd\baileyjo Page 3 of 3


summary: A resident reported that a staff member aggressively closed the door on her arm. This complaint was UNFOUNDED by Licensing.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020322
Date of Incident: 4/4/2024
Date Received: 4/4/2024
Facility Name: Perimeter of the Ozarks
Facility Number: 237
Incident Type: Dual
Report Description: SERIOUS OCCURRENCE REPORTING FORM ? *x* Serious injury
requiring outside medical attention ? Resident?s attempted suicide ? Allegation of
abuse/neglect related to a restraint ? Resident?s death ? AWOL/Elopement/Arrest ? *X*
Allegation of sexual/physical abuse Resident: Date/Time of
incident: 3/28/24 @ 17:45 Name of Perimeter Staff Making Notification Date Time Name
of Person Notified AR DHS Sarah Whorton, RN, Risk and Quality Manager 04/4/24 19:30
ELS# Sarah Whorton, RN, Risk and Quality Manager 04/04/2024 Name and title of staff
completing this form Date: Name of Facility: Perimeter Behavioral of the Ozarks Phone
Number: 479-957-9857 Street Address, City, State, Zip: 2466 S. 48th Street Suite B.
Springdale, AR 72762 Please give a description of the incident: During the treatment team
meeting on April 3rd, 2024, client presented with a chief complaint of a sore arm.
When asked further about the issue, reported that 2 or 3 nights ago, she was
attempting to close a door when a staff member, identified as aggressively closed the
door on her arm. alleged that after the incident, she was told "that's what you get" by
the staff member. Corrective Action: Immediately following the disclosure of this incident,
the Interim Clinical Director notified the CEO and VP of Risk regarding the situation. The
Interim Clinical Director also informed the alleged staff member, supervisor, Director
of Nursing (DON) Sarah Whorton, about the incident and indicated suspension pending
further investigation needed to take place. Furthermore, the Interim Clinical Director
arranged with the DON for to be taken to a walk-in clinic for an X-ray of her arm on
the same day. was seen at the clinic and had the necessary X-rays completed. A
follow-up appointment with a specialist was scheduled for Thursday, April 11, 2024, at 10:30
for further consultation. Additionally,
. The incident will be thoroughly
investigated to ensure the safety and well-being of our clients. Any necessary actions will be
taken based on the findings of the investigation. Parties notified of event: Art Hickman,
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Regional CEO Rebecca Thomas, VP Clinical Training Chris Perry, VP Risk
Compliance/Quality Shyanne Anthony ? Clinical Director Sarah Whorton- Director of
Nursing Kris Stewart, Reagan Stanford, and Ashlyn Whelchel (Disability Rights of AR)
Chelsea Vardell and Kendra Rice, and Felicia Harris
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 4/5/2024 - The provider reported incident was reviewed by Licensing
Specialist Jarred Parnell. Licensing specialist contacted the facility to inquire about the
incident. The correct resident is The name given in the report
is incorrect. Licensing Specialist asked if there was footage of the
incident. Facility staff states they are currently going through the footage at this time and
have not found any incident which pertains to the report.
The staff alleged in the incident is currently on
leave pending the investigation. 4/8/2024, Program Coordinator followed up with facility
regarding the referral # and requested permissiont from investigator to contact facility.
4/8/2024 - A complaint visit was conducted at the facility to review the provider reported
incident. Facility was asked about the incident. At the time of the visit there was no footage
available of the alleged incident and they were in the process of reviewing several days
worth of footage. A secondary visit will be conducted at the facility to review the footage of
when the incident could have possibly taken place. 4/9/2024 - Licensing Specialist received
medical consultation documentation for the orthopedic visit the resident received.
4/12/2024 - A visit was conducted at the facility review video footage for the provider
reported incident. Video footage reviewed was 3/30/3034 19:00 - 4/1/2024 21:00. Video was
reviewed for each day around bedtime which the resident stated was the time period in
which the incident happened. There was one instance in which the staff person was on the
unit with the resident for approximately 3 minutes and the resident and staff did not
interact.