summary: A resident reported a staff member had physically harmed him, bruising his upper lip and right knee during a physical hold. The resident was seen to be disoriented and have slurred speech from a new medication, when consent for the medication had not been given. The 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: 019973
Date of Incident: 3/10/2024
Date Received: 3/20/2024
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: On March 19th, Risk received a new complaint from for
, stating that an unknown
offender physically harmed him. He received the left upper lip and right knee bruise from a
physical hold. was seen with slurred speech, which was not coherent enough for his
visit. did not consent to the medication. The report was turned in through a
caseworker? . visited on 03.10.24 and
turned in a complaint on 03.19.24.
Interim Action Narrative:
Maltreatment Narrative: The alleged victim is , who is in
state custody; he is currently a client at Little Creek Behavioral Health Center. The
alleged offender(s) are staff members at the facility, names and ages unknown. It was
reported that on 03/10/24, was seen by DHS staff, and he was
observed to have a bruised upper lip and right knee, the bruise on the knee was yellow and
brown, indicating that it had been there a couple of days. He said that both of the injuries
had been caused when he was placed in physical restraint by staff members. He was also
noted to have slurred speech and he was disoriented, as to what time it was, and where he
was. He said he had been placed on a new medication, by a doctor at the facility. According
to the contract with ; they are required to make a request before placing him
on medication and is to be notified when placed in physical restraints, they
didn?t do either of those things. indicated that he had been placed in multiple
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

physical restraints; he was so out of it that he couldn?t indicate when he had been placed in
any of the restraints.
Licensing Narrative: Program Coordinator reviewed complaint for licensing concerns.
Program Coordinator will inquire about more information. Program Coordinator requested
permission from investigator to contact facility. Program Coordinator & Licensing
Specialist Norton visited the facility and received documentation for this complaint.
4/5/2024, Program Coordinator checked CHRIS case still pending. 4/24/2024, still pending
per CHRIS.


state: AR

facility_name: Little Creek Behavioral Health

summary: Kitchen Smoke Detector. False Alarm.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 03/06/2024 11:31 Dispatch Date: 03/06/2024 11:34 EnRotue Date: 03/06/2024 11:34
Arrived Date: 03/06/2024 11:42 Completed Date: 03/06/2024 11:45 Call Canceled:
Disposition: HANDLED BY FIRE DEPT
CFS #: 24030679 Case #: Priority:
Nature: FIRE ALARM How Received:
Initial Nature: Alarm:
Call Taken By: BUTLER, TWYLA Dispatched By: BUTLER, TWYLA Fire Type:
Completed By: BUTLER, TWYLA ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: 03/06/2024 11:33 Permit #:
Business:
KITCHEN SMOKE DETECTOR.
MATT WILSHIRE. 501-249-7731
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: SUMMITT ALARMS, JAMES Address:
Phone #: (800) 687-0668 CSZ:
Notes
Entry Date Entry By Note Type Notes
03/06/2024 11:33:00 BUTLER, TWYLA 286E toned out.
03/06/2024 11:34:20 BUTLER, TWYLA 286E acknowledged toneout.
03/06/2024 11:42:43 STARK, CARRIE
03/06/2024 11:45:00 BUTLER, TWYLA Complete all units. FALSE ALARM
03/06/2024 12:18:04 STARK, CARRIE TIMES SENT
Total Notes: 5
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
286E1 286 E 1 286E 0 0 YES
Dispatched Date: 03/06/2024 11:34 EnRoute Date: 03/06/2024 11:34 Arrived Date: 03/06/2024 11:42
Transport Start: Transport End: Completed Date: 03/06/2024 11:45
Disposition Date: Call Canceled: Back At Station:
Total Units:1
Print Date: Mar 18 2024 - 15:49:30 Faulkner County Sheriffs Office, CFS: 24030679 10-67A
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Faulkner County Sheriffs Office
Call for Service Card
Page 2 of 2
Radio Traffic
Traffic Date Unit # Unit Name Traffic
03/06/2024 11:34 286E1 286 E 1 UNIT DISPATCHED
03/06/2024 11:34 286E1 286 E 1 UNIT ENROUTE
Total Radio Traffic:2
Toneouts
Dispatched Date Unit # Unit Name Department
286E
Toneout 1: 03/06/2024 11:33 Toneout 2: 03/06/2024 11:33 Toneout 3:
Ack. Date: 03/06/2024 11:34 Cancel Date: Toneout 1 By: BUTLER, TWYLA
Total Toneouts: 1
Case Numbers
Entry Date Case Number Department Unit Narcan Used
03/06/2024 11:34:21 286 EAST FIRE DEPARTMENT 286E1 No
Print Date: Mar 18 2024 - 15:49:30 Faulkner County Sheriffs Office, CFS: 24030679 10-67A
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doc_type: Police Report


summary: A complaint received states that staff threw a resident on the ground when she attempted to run off the unit. The resident said that children at the facility have placed each other in the clothes dryers and that staff do not monitor the laundry room. 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: 019972
Date of Incident: 3/3/2024
Date Received: 3/20/2024
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: On March 18th, Risk received a new complaint from for
, stating threw her on the ground when
attempted to run off the unit on 03.03.24. The report was turned in through a
caseworker? . visited on 03.10.24 and turned in
a complaint on 03.18.24.
Interim Action Narrative: .
Maltreatment Narrative: Av is , who is at the Little Creek Behavioral
Health facility in Conway. She is in the custody of CPS. Ao is a Little Creek
staff member called ? (last name unknown). said that
threw her across the room during a physical restraint. This took place, reporter thinks,
within the past 30 days (exact date unknown). said that the other children at the
facility have placed each other in the clothes dryers in the laundry and that staff do not
monitor the laundry room. She said the children put each other in the dryers when they get
mad at each other. She said that she feels uncomfortable because only male staff members
put her in restraint. has been at Little Creek for three months. A typical stay for a
child like her is 6 to 10 months.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Program Coordinator reviewed complaint for licensing concerns.
Facility contacted Program Coordinator via telelphone on 3/19/2024. Program Coordinator
will request permission to contact the facility. Facility reported that staff member involved
was on vacation. Program Coordinator will request ICA and DOB of resident. Program
Coordinator and Licensing Specialist Norton visited the facility and reviewed the restraint
packet and other documentation. Facility submitted ICA for staff member and it was
approved by licensing. 3/27/2024, facility provided training documentation for staff
member involved in incident. 4/5/2024, Program Coordinator inquired if there was another
referral number for this maltreatment. 4/9/2024, facility provided Licensing with referral
number. 4/23/2024, Program Coordinator checked CHRIS case is still pending.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Kendra Rice
Person In Charge: Jlynn Price
Record Visit Date: 3/21/2024
Home Visit Date: 3/21/2024
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 12:15 pm to 1:45 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 64
Licensing received a complaint on 3/20/2024 for ELS Case #019972.
Program Coordinator Rice and Licensing Specialist Norton spoke with Jlynn Price, Compliance Officer
regarding complaint.
Program Coordinator requested documentation for this complaint. Ms. Price provided the ICA for the staff
member involved. Licensing reviewed nursing notes and restraint packets.
Per documentation, staff member placed resident in a one person hold and escorted resident back to the unit.
The timeframe was from 15:23 to 15:26. Program Coordinator requested a witness statement from staff
member mentioned in the complaint.
Licensing is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 3/21/2024
Provider Signature : Date: 3/21/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

doc_type: Notice of Incident


summary: A resident reported that she was choked by a staff member during a physical restraint. 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: 019713
Date of Incident: 2/27/2024
Date Received: 3/8/2024
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description:
reported during her physical hold on 2.27.24, that she was choke by in the
education hallway. has been placed on admin leave.
Interim Action Narrative: was called staff placed on administrative leave.
Maltreatment Narrative:
restrained due to her being aggressive, after restraining her he choked her resulting
in her breathing being restricted, her face turning red, and him leaving marks on her neck.
This happened on Wednesday or Thursday so it?s unknown if she has these injuries now.
Licensing Narrative: Progam Coordinator reviewed complaint for licensing concerns.
Program Coordinator will inquire about investigator and restraint information. Facility
reported that resident reported the incident while on a phone call. Facility also reported
there is no camera footage of the incident due to camera footage is not available after 72
hours. Facility submitted an ICA for staff member involved. Facility reported that
Investigator Linda Powell came to the facility on 3/7/2024. Program Coordinator requested
permission to contact the facility. Permissin granted and Program Coordinator asked for the
ICA approved by Licensing. 3/12/2024, Program Coordinator received
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

restraint packet during a facility visit. 3/13/2024, facility provided retraining documentation
for staff member named in complaint. 3/14/2024, Program Coordinator reviewed restraint
packet and received documentation. 4/2/2024, Program Coordinator checked case
still pending. 4/23/2024, case found unsubstantiated per


summary: A report states that a juvenile who ran away from the facility was also reported missing in Texas.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 02/07/2024 14:40 Dispatch Date: 02/07/2024 14:44 EnRotue Date: 02/07/2024 14:44
Arrived Date: 02/07/2024 14:44 Completed Date: 02/07/2024 15:13 Call Canceled:
Disposition: INC REPORT TAKEN
CFS #: 24020642 Case #: Priority:
Nature: REPORT-SUPPLEMENT How Received: AGENCY REQUESTED
Initial Nature: Alarm:
Call Taken By: ALARCON, PEARLY Dispatched By: ALARCON, PEARLY Fire Type:
Completed By: ALARCON, PEARLY ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: Permit #:
Business:
AN AGENCY IN TEXAS IS REPORTING AS MISSING, BUT WE HAD HIM AS REPORTED MISSING FROM LITTLE CREEK
BEHAVIOURAL / 4/3/23, ORIGINAL REPORT: 23000141. H:501/W:187 HAIR:BLACK/EYES:BROWN, W/M
MISC: SUBJ RAN AWAY FROM LITTLE CREEK BEHAVAIOURAL HOSPITAL
PER CID1, NIC:M727323258 FOR THE MISSING PERSON ENTRY FOR CAN BE DELETED, THE AGENCY IN TEXAS WILL
ENTER HIM. CD1 WILL NOTIFY LITTLE CREEK BEHAVIOURAL.
THIS CALLCARD IS THE LOG FOR THE DELETION.
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: , CD1 Address:
Phone #: CSZ:
Notes
Entry Date Entry By Note Type Notes
02/07/2024 14:44:24 ALARCON, PEARLY
02/07/2024 14:49:11 ALARCON, PEARLY CHECK *** ATTACHMENT *** TAB FOR DELETION
INFORMATION. IT HAS BEEN CLEARED FROM ACIC/NCIC. THE
OTHER JUVENILE INVOLVED IN THIS REPORT NUMBER IS
*STILL* ENTERED A MISSING.
02/07/2024 15:00:39 ALARCON, PEARLY
02/07/2024 15:00:46 ALARCON, PEARLY
02/07/2024 15:13:31 ALARCON, PEARLY
Total Notes: 5
Print Date: Mar 05 2024 - 06:35:47 Faulkner County Sheriffs Office, 24020642
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Faulkner County Sheriffs Office
Call for Service Card
Page 2 of 2
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
R2 ALARCON,PEARLY FCSO 0 0 NO
Dispatched Date: 02/07/2024 14:44 EnRoute Date: 02/07/2024 14:44 Arrived Date: 02/07/2024 14:44
Transport Start: Transport End: Completed Date: 02/07/2024 15:00
Disposition Date: Call Canceled: Back At Station:
F15 DEGOOD, CRAIG FCSO 0 0 YES
Dispatched Date: 02/07/2024 14:55 EnRoute Date: 02/07/2024 14:55 Arrived Date: 02/07/2024 15:00
Transport Start: Transport End: Completed Date: 02/07/2024 15:13
Disposition Date: Call Canceled: Back At Station:
Total Units:2
Radio Traffic
Traffic Date Unit # Unit Name Traffic
02/07/2024 14:44 R2 ALARCON,PEARLY UNIT DISPATCHED
02/07/2024 14:44 R2 ALARCON,PEARLY UNIT ENROUTE
02/07/2024 14:55 F15 DEGOOD, CRAIG UNIT DISPATCHED
02/07/2024 14:55 F15 DEGOOD, CRAIG BACKUP-TO-PRIMARY-TEN-CODE
F15 made primary.
02/07/2024 14:55 F15 DEGOOD, CRAIG UNIT ENROUTE
Total Radio Traffic:5
Attachments
Entry Date Entry By Category SubCategory File Name
02/07/2024 ALARCON, PEARLY IMG_0001.pdf
Total Attachments: 1
Case Numbers
Entry Date Case Number Department Unit Narcan Used
02/07/2024 14:44:24 FAULKNER COUNTY SO R2 No
02/07/2024 14:59:30 24000289 FAULKNER COUNTY SO F15 No
Print Date: Mar 05 2024 - 06:35:47 Faulkner County Sheriffs Office, 24020642
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summary: Licensing received a report of a suicide attempt at the facility that was identified through record review for an unrelated 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: 022070
Date of Incident: 1/28/2024
Date Received:6/17/2024
Facility Name: Little Creek Behavioral Health
Facility Number:255
Incident Type: Licensing
Report Description: Licensing received the following email "Attached is documentation of a
suicide attempt that occurred at Little Creek Behavioral Health on 01/28/24. This incident
was identified through record review for an unrelated incident.
. Based on the documentation we have received it was also not reported to
PRLU. We are aware that OLTC does not provide oversight of this facility but have copied
OLTC in hopes that assistance will be provided in identifying how the facility can be held
accountable for failing to report serious occurrences to
" This information will be accepted as a complaint and investigated.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 6/18/2024 Program Coordinator reviewed complaint for licensing
concerns. Program Manager emailed facility requesting a copy of the incident report,
nursing notes, and/or corrective actions taken. Facility reported no corrective action was
taken. That all chemicals at facility are non-toxic. 6/20/2024, facility provided MDS paper
work. 7/1/2024, Program Coordinator contacted facility with additional questions.
7/3/2024, facility reported that resident's behavior was considered a self-harm attempt.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Resident's vital signs were checked every 15 minutes for 2 hours. 7/8/2024, Program
Coordinator inquired about plan implemented to assure that residents do not access to
chemicals. 7/15/2024, Program Coordinator inquired if resident was still at the facility.
Program Coordinator will scheduled a day and time to review resident's chart. 7/17/2024,
Program Coordinator visited facility, reviewed resident's file, and spoke with resident.
Facility provided a copy of their cleaning cart protocol. 7/22/2024-Program manager
emailed the facility for additional follow up. 7/23/2024- Program manager received an email
from Jlynn Perkins that staff were re-educated on the cleaning cart protocol 7/18/2024.


summary: A resident reported that a peer walked in on her in the shower and began to help her bathe. The resident stated the peer touched her inappropriately in the vaginal area and would not leave when told to do so. The facility was cited 907.2 as a result of this incident, and one staff member was terminated.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
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: 018769
Date of Incident: 1/24/2024
Date Received by PRLU: 1/26/2024
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: disclosed to her
therapist on 01.25.24 that there was a boundary issue with a peer on 01.24.24. was taking a
shower on the unit, and a peer walked in on her and began to help her bathe. screamed and
told the peer, "I do not need help." Reported:
Interim Action Narrative: The was called.
______________________________________________________________________________
Maltreatment Narrative: The av is . She lives with guardian . The
ao is . They are both placed at Little Creek Behavioral Health residentially.
was in the shower Unknown entered the shower. helped her take a shower and
touched her inappropriately. was touched her in vaginal area by told
that she helped her wash other body parts also. There was no penetration. indicated that this
was unwanted contact. They were in the shower for about 5 minutes together. said she told
to get out. would not leave when she was told to leave. This happened on 1-24-24
@ 1230 pm.
Licensing Narrative: Program Coordinator reviewed complaint for licensing concerns. Program
Coordinator reached out to the investigator for permission to contact the facility. Investigator
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Powell gave permission to contact the facility. 1/29/24-Facility visited in response to complaint that
client walked in on client while showering. Jlynn Perkins unavailable today for video review. Per
Jlynn Perkins of Little Creek, camera footage previously reviewed which revealed staff
clearly allow client to enter shower area where was showering. Clients and have
been separated and assigned different living units. Staff will be terminated subsequent
current administrative leave. Facility cited 907.2: Childcare staff shall be responsible for providing
the level of supervision and care necessary to ensure the safety and well-being of each child at the
facility, taking into account the child's age, individual differences and abilities, surrounding
circumstances, hazards, and risks. Licensing complaint is founded. 1/30/2024, Program Coordinator
inquired about training for staff on showering procedures. 2/5/2024, Program Coordinator
followed-up with facility to see if training has been completed and requested documentation. Facility
reported that staff members were informed of the shower policy and provided a copy of the policy.
3/1/2024, Program Coordinator checked CHRIS case is still pending.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge:
Record Visit Date: 1/29/2024
Home Visit Date: 1/29/2024
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Regulation Number: 900.907.2
Regulation Description: Child caring staff shall be responsible for providing the level of supervision, care, and
treatment necessary to ensure the safety and well-being of each child at the facility, taking into account the child’s
age, individual differences and abilities, surrounding circumstances, hazards and risks.
Finding Description: Staff allowed client to enter shower area with client
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Action Due Date: 2024-01-29
Action Due Description: Staff will be terminated subsequent current suspension. Clients and
have been separated and assigned separate living units.
Comply Date:
Action Due Description: Staff will be terminated subsequent current suspension. Clients and
have been separated and assigned separate living units.
Narrative:
1/29/24-Facility visited in response to complaint that client walked in on client while showering. Jlynn Perkins
unavailable today for video review. Per Jlynn Perkins of Little Creek, camera footage previously reviewed which revealed
staff clearly allow client to enter shower area where was showering. Clients and have been
separated and assigned different living units. Staff will be terminated subsequent current administrative leave.
Facility cited 907.2: Childcare staff shall be responsible for providing the level of supervision and care necessary to ensure the
safety and well-being of each child at the facility, taking into account the child's age, individual differences and abilities,
surrounding circumstances, hazards, and risks. Licensing complaint is founded.
Provider Comments:
CCL Staff Signature : Date: 1/29/2024
Provider Signature : Date: 1/29/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: An officer took a report from Arkansas State Police in reference to a sexual assault involving two juveniles which occurred at the facility.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 01/30/2024 08:37 Dispatch Date: 01/30/2024 08:40 EnRotue Date: 01/30/2024 08:40
Arrived Date: 01/30/2024 09:11 Completed Date: 01/30/2024 09:13 Call Canceled:
Disposition: INC REPORT TAKEN
CFS #: 24013280 Case #: Priority:
Nature: SEXUAL OFFENSE How Received: ADMIN LINE
Initial Nature: Alarm:
Call Taken By: BEVER, BRITTANY Dispatched By: BEVER, BRITTANY Fire Type:
Completed By: MILLER, ROBYN ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: Permit #:
Business:
SEXUAL OFFENSE TWO JUVENILES: TOOK PLACE 01 24 2024 // NAMES OF JUVENILES IS VICTIM IS //
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: POWELL, LINDA - ASP CAC Address:
Phone #: (501) 804-2384 CSZ:
Notes
Entry Date Entry By Note Type Notes
01/30/2024 09:11:50 BEVER, BRITTANY
01/30/2024 09:13:51 MILLER, ROBYN Complete all units.
Total Notes: 2
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
F40 PFRENGER, JAMES FCSO 0 0 YES
Dispatched Date: 01/30/2024 08:40 EnRoute Date: 01/30/2024 08:40 Arrived Date: 01/30/2024 09:11
Transport Start: Transport End: Completed Date: 01/30/2024 09:13
Disposition Date: Call Canceled: Back At Station:
Total Units:1
Radio Traffic
Traffic Date Unit # Unit Name Traffic
01/30/2024 08:40 F40 PFRENGER, JAMES UNIT DISPATCHED
01/30/2024 08:40 F40 PFRENGER, JAMES UNIT ENROUTE
Total Radio Traffic:2
Print Date: Mar 05 2024 - 06:36:46 Faulkner County Sheriffs Office, 24013280
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Faulkner County Sheriffs Office
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Page 2 of 2
Case Numbers
Entry Date Case Number Department Unit Narcan Used
01/30/2024 08:40:05 FAULKNER COUNTY SO F40 No
01/30/2024 09:11:59 24000234 FAULKNER COUNTY SO F40 No
Print Date: Mar 05 2024 - 06:36:46 Faulkner County Sheriffs Office, 24013280
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Faulkner County Sheriffs Office
Incident Report Report Status:
Case Number: 24000234 Case Status:
Page 1 of 3
Case#: 24000234 Report Date: 01/30/2024 09:11
Report By: Deputy. James Pfrenger - (F40) Arrival Time: 09:11
Case Type: SEX CRIME UNDER 18 Reporting Zone: D
Business: Occurred From: 01/30/2024 09:11
Address: 161 SKUNK HOLLOW RD Occurred Through: 01/30/2024 09:11
Intersection: Reportable IBRS: Yes
City/State/Zip: CONWAY, AR 72032 School:
Lat/Long: Lat: 35.0682283 / Long: -92.3841968 Case Status:
Case Type: SEX CRIME UNDER 18 File / Cad ID:
Assigned To: Investigator. Brittany Harmon - (Cd6) Assigned Date: 01/30/2024
UCR / Offenses
UCR: Forcible Fondling - [11D] Status:Completed
Charge: GENERAL INFORMATION REPORTS
Statute: Charge Code:GEN INFO
Location: Commercial / Office Building
Weapon: Unknown
Possibly Using: Not Applicable Criminal Activity:None/unknown
Bias: None Method Of Entry:
Gang Name: Home Invasion:
Victims
Victim Type: Individual
Name: DOB: Race/Sex: U/F
Address: Current Age:14 Height:
City/State: Age:14 Weight:
Email: Hair Color: Eyes:
Home Phone: Work: Cell: DL#:
Resident: RESIDENT Ethnicity:UNKNOWN
Occupation: Military:
Email: Narcan Dose: 0 SSN:
Employer:
Offender / Suspect
Name DOB: Race/Sex: U/F
Address: Current Age:14 Height:
City/State: Age:14 Weight:
Resident: RESIDENT Hair Color: Eyes:

Faulkner County Sheriffs Office
Incident Report Report Status:
Case Number: 24000234 Case Status:
Page 2 of 3
Offender / Suspect
Ethnicity: UNKNOWN Cell Phone: SSN:
Home Phone: Work Phone: DL#:
Occupation: Narcan Dose: 0
Employer:
Name DOB: Race/Sex: B/F
Address: Current Age: Height:
City/State: Age:0 Weight:
Resident: RESIDENT Hair Color: Eyes:
Ethnicity: NOT HISPANIC OR LATINO Cell Phone: SSN:
Home Phone: Work Phone: DL#:
Occupation: Narcan Dose: 0
Employer:
Complainant
Name: POWELL, LINDA - ASP CAC DOB: Race/Sex:
Address: Current Age: Height:
City/State: Age: 0 Weight:
Email: Hair Color: Eyes:
Home: (501) 804-2384 Cell Phone: DL#:
Occupation: Work Phone:
Employer:
Narrative
On January 30, 2024, I took a report by phone from ASP in reference to a sexual assault involving two juveniles,
which occurred at Little Creek Behavioral.
I spoke with a female, Linda Powell (complainant), who informed me the incident occurred on January 24, 2024.
Powell stated the showers at Little Creek Behavioral are for one individual at a time, and a staff member is supposed
to stay outside during their shower time. Powell stated JV1 (victim) was taking a shower at the time of the incident.
Powell stated a staff member, identified as (offender), was standing outside the shower while JV1
was showering. Powell did not have a date of birth for , and I was not able to positively identify
through a search in ATLAS due to no one matching the address provided by Powell.
Powell stated stood outside the shower door while JV2 (offender) went into the shower with JV1. Powell
stated stood outside the door while JV1 began screaming for help. Powell stated JV2 was touching the
exterior of JV1’s vagina, and there was no penetration.
Powell stated was fired immediately after completing the internal investigation.

Faulkner County Sheriffs Office
Incident Report Report Status:
Case Number: 24000234 Case Status:
Page 3 of 3
Narrative
Powell provided me with their report number, 2250374.
PFRENGER, JAMES 2/4/2024, 10:22:30 AM
Reporting Officer Approved By Officer
Deputy. James Pfrenger - (F40) Corporal. Brian Moody - (F9)
Reported On: 01/30/2024 09:11 Approved On: 02/13/2024 08:33
Case Status:
Administrative Use Only - IBRS Date
140500


raw_content:
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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 1/12/2024
Home Visit Date: 1/12/2024
Purpose of Visit: Agency Checklist
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Annual Review/Policies PRTF checklist completed. All items accounted for.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Provider Comments:
CCL Staff Signature : Date: 1/12/2024
Provider Signature : Date: 1/12/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

doc_type: Compliance Report


summary: The facility reported that two residents had a sexual encounter in the bathroom.

raw_content:
Division of Child Care & Early Childhood Education
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: 018492
Date of Incident: 1/10/2024
Date Received by DCCECE: 1/10/2024
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: Around Christmas of 2023,
and
had a conversation about oral sex and a hoodie being exchange. Later that evening,
went into the restroom, and also asked the staff to use the bathroom.
While was in the bathroom, walked in and asked if could give
a fellatio. agreed and stopped and slapped once he licked
his penis. As of 01.10.24, no longer share a unit. Reporter name:
Interim Action Narrative: Client's are separated.
Maltreatment Narrative:
Licensing Narrative: 1/10/24-Phone call made to Jlynn Perkins of Little Creek. Clients have
been separated. No exact time except for "around Christmas" was given. One of the clients
reported this to his therapist 1/10/24 who reported this to the 1/10/24.
Ref#2248352 was not accepted. Visit scheduled for 1/12/24 for follow up. 1/12/24-Facility
visited in response to provider reported incident that clients had a sexual
encounter in a bathroom. No timeframe given for this report from clients except before
Christmas. Without a timeframe, and since video does not save for more than 72 hours,
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

there is no way to view video regarding this alleged incident. Print out of 15-minute check
electronic monitoring system reviewed for December which yield no supervision issues.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 1/12/2024
Home Visit Date: 1/12/2024
Purpose of Visit: Self Report Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
1/12/24-Facility visited in response to provider reported incident that clients and had a sexual encounter in a bathroom.
This incident was reported to be consensual. No timeframe given for this report from clients except before Christmas. Without
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

a timeframe, and since video does not save for more than 72 hours, there is no way to view video regarding this alleged
incident. Print out of 15-minute check electronic monitoring system reviewed for December which yield no supervision
issues.
Provider Comments:
CCL Staff Signature : Date: 1/12/2024
Provider Signature : Date: 1/12/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Fire alarm. False alarm.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 01/05/2024 12:52 Dispatch Date: 01/05/2024 12:55 EnRotue Date: 01/05/2024 12:55
Arrived Date: 01/05/2024 12:57 Completed Date: 01/05/2024 12:58 Call Canceled:
Disposition: HANDLED BY FIRE DEPT
CFS #: 24010491 Case #: Priority:
Nature: FIRE ALARM How Received: ADMIN LINE
Initial Nature: Alarm:
Call Taken By: BEVER, BRITTANY Dispatched By: MILLER, ROBYN Fire Type:
Completed By: BEVER, BRITTANY ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: 01/05/2024 12:54 Permit #:
Business:
KEYHOLDER: MATT WILSHIRE // NO CONTACT MADE:
Incident Information
Common Name: LKITTLE CREEK BEHAVIOR Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: , MIKE W SUMMITT FIRE Address:
Phone #: (800) 687-0668 CSZ:
Notes
Entry Date Entry By Note Type Notes
01/05/2024 12:54:42 BEVER, BRITTANY 286E toned out.
01/05/2024 12:55:23 MILLER, ROBYN 286E acknowledged toneout.
01/05/2024 12:57:11 MILLER, ROBYN caller called back - can cancel - made contact / late with code
01/05/2024 12:57:27 BEVER, BRITTANY
01/05/2024 12:58:10 BEVER, BRITTANY Complete all units. PER NOTES
Total Notes: 5
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
286E1 286 E 1 286E 0 0 YES
Dispatched Date: 01/05/2024 12:55 EnRoute Date: 01/05/2024 12:55 Arrived Date: 01/05/2024 12:57
Transport Start: Transport End: Completed Date: 01/05/2024 12:58
Disposition Date: Call Canceled: Back At Station:
Total Units:1
Radio Traffic
Traffic Date Unit # Unit Name Traffic
01/05/2024 12:55 286E1 286 E 1 UNIT DISPATCHED
6
Print Date: Jan 19 2024 - 07:21:46 Faulkner County Sheriffs Office, 24010491
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Faulkner County Sheriffs Office
Call for Service Card
Page 2 of 2
Radio Traffic
Traffic Date Unit # Unit Name Traffic
01/05/2024 12:55 286E1 286 E 1 UNIT ENROUTE
6
Total Radio Traffic:2
Toneouts
Dispatched Date Unit # Unit Name Department
286E
Toneout 1: 01/05/2024 12:54 Toneout 2: 01/05/2024 12:54 Toneout 3:
Ack. Date: 01/05/2024 12:55 Cancel Date: Toneout 1 By: BEVER, BRITTANY
Total Toneouts: 1
Case Numbers
Entry Date Case Number Department Unit Narcan Used
01/05/2024 12:55:36 286 EAST FIRE DEPARTMENT 286E1 No
Print Date: Jan 19 2024 - 07:21:46 Faulkner County Sheriffs Office, 24010491
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summary: Fire Alarm. False Alarm.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 1
Call Information
Received Date: 01/05/2024 15:50 Dispatch Date: EnRotue Date:
Arrived Date: Completed Date: Call Canceled: 01/05/2024 15:53
Disposition: DISREGARD CALL
CFS #: 24010510 Case #: Priority:
Nature: FIRE ALARM How Received: ADMIN LINE
Initial Nature: Alarm:
Call Taken By: BEVER, BRITTANY Dispatched By: Fire Type:
Completed By: ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: 01/05/2024 15:52 Permit #:
Business:
NO CONTACT WITH KEYHOLDER; MATT WILSHIRE
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: , MARK WITH SUMMITT Address:
Phone #: (800) 687-0668 CSZ:
Notes
Entry Date Entry By Note Type Notes
01/05/2024 15:52:29 BEVER, BRITTANY 286E toned out.
01/05/2024 15:52:36 BEVER, BRITTANY UPDATE TO CANCEL :
01/05/2024 15:52:53 BEVER, BRITTANY THE ALARM COMPANY CALLED BACK AND ADVISED TO
CANCEL
01/05/2024 15:53:02 BEVER, BRITTANY 286E toneout canceled.
01/05/2024 15:53:35 BEVER, BRITTANY Call cancelled. THE ALARM COMPANY CALLED BACK AND
ADVISED THAT WE CAN CANCEL THE FIRE DEPARTMENT FOR
THIS
Total Notes: 5
Toneouts
Dispatched Date Unit # Unit Name Department
286E
Toneout 1: 01/05/2024 15:52 Toneout 2: 01/05/2024 15:52 Toneout 3:
Ack. Date: Cancel Date: 01/05/2024 15:53 Toneout 1 By: BEVER, BRITTANY
Total Toneouts: 1
Print Date: Jan 19 2024 - 07:22:17 Faulkner County Sheriffs Office, 24010510
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summary: Fire alarm. False alarm.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 01/03/2024 18:34 Dispatch Date: 01/03/2024 18:38 EnRotue Date: 01/03/2024 18:38
Arrived Date: 01/03/2024 18:44 Completed Date: 01/03/2024 18:44 Call Canceled:
Disposition: HANDLED BY FIRE DEPT
CFS #: 24010288 Case #: Priority:
Nature: FIRE ALARM How Received: ADMIN LINE
Initial Nature: Alarm:
Call Taken By: NORRIS, EMILY Dispatched By: NORRIS, EMILY Fire Type:
Completed By: NORRIS, EMILY ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: 01/03/2024 18:36 Permit #:
Business:
aa / main riser water flow
kh / matt wilschire
neg contact at this time
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: OPER 769, SUMMIT Address:
Phone #: (800) 687-0668 CSZ:
Notes
Entry Date Entry By Note Type Notes
01/03/2024 18:36:31 NORRIS, EMILY 286E toned out.
01/03/2024 18:38:02 NORRIS, EMILY 286E acknowledged toneout.
01/03/2024 18:44:38 NORRIS, EMILY
01/03/2024 18:44:50 NORRIS, EMILY Complete all units. accidental
01/03/2024 18:46:00 NORRIS, EMILY times sent
Total Notes: 5
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
286E1 286 E 1 286E 0 0 YES
Dispatched Date: 01/03/2024 18:38 EnRoute Date: 01/03/2024 18:38 Arrived Date: 01/03/2024 18:44
Transport Start: Transport End: Completed Date: 01/03/2024 18:44
Disposition Date: Call Canceled: Back At Station:
Total Units:1
Print Date: Jan 19 2024 - 07:21:11 Faulkner County Sheriffs Office, 24010288
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Faulkner County Sheriffs Office
Call for Service Card
Page 2 of 2
Radio Traffic
Traffic Date Unit # Unit Name Traffic
01/03/2024 18:38 286E1 286 E 1 UNIT DISPATCHED
01/03/2024 18:38 286E1 286 E 1 UNIT ENROUTE
Total Radio Traffic:2
Toneouts
Dispatched Date Unit # Unit Name Department
286E
Toneout 1: 01/03/2024 18:36 Toneout 2: 01/03/2024 18:36 Toneout 3:
Ack. Date: 01/03/2024 18:38 Cancel Date: Toneout 1 By: NORRIS, EMILY
Total Toneouts: 1
Case Numbers
Entry Date Case Number Department Unit Narcan Used
01/03/2024 18:38:13 286 EAST FIRE DEPARTMENT 286E1 No
Print Date: Jan 19 2024 - 07:21:11 Faulkner County Sheriffs Office, 24010288
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summary: Fire alarm. No contact with anyone on scene. Alarm cancelled.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 12/31/2023 19:43 Dispatch Date: EnRotue Date:
Arrived Date: Completed Date: 12/31/2023 19:52 Call Canceled:
Disposition: DISREGARD CALL
CFS #: 23121524 Case #: Priority:
Nature: FIRE ALARM How Received:
Initial Nature: Alarm:
Call Taken By: BROWN, PAIGE Dispatched By: Fire Type:
Completed By: BROWN, PAIGE ReOpened By: ReOpened Reason:
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: 12/31/2023 19:45 Permit #:
Business:
Fire alarm.
Contact: Matt .
No contact with anyone on scene.
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: SUMMIT FIRE PROTECTION, MIKE Address:
Phone #: (800) 687-0668 CSZ:
Notes
Entry Date Entry By Note Type Notes
12/31/2023 19:45:35 BROWN, PAIGE 286E toned out.
12/31/2023 19:51:55 BROWN, PAIGE Mike called back and cancelled alarm.
12/31/2023 19:52:17 BROWN, PAIGE 286E acknowledged toneout.
12/31/2023 19:52:34 BROWN, PAIGE Complete all units.
Total Notes: 4
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
286E1 286 E 1 286E 0 0 NO
Dispatched Date: 12/31/2023 19:52 EnRoute Date: 12/31/2023 19:52 Arrived Date:
Transport Start: Transport End: Completed Date:
Disposition Date: Call Canceled: 12/31/2023 19:52 Back At Station:
Total Units:1
Print Date: Jan 19 2024 - 07:17:50 Faulkner County Sheriffs Office, 23121524
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Faulkner County Sheriffs Office
Call for Service Card
Page 2 of 2
Radio Traffic
Traffic Date Unit # Unit Name Traffic
12/31/2023 19:52 286E1 286 E 1 UNIT DISPATCHED
12/31/2023 19:52 286E1 286 E 1 UNIT ENROUTE
Total Radio Traffic:2
Toneouts
Dispatched Date Unit # Unit Name Department
286E
Toneout 1: 12/31/2023 19:45 Toneout 2: 12/31/2023 19:45 Toneout 3:
Ack. Date: 12/31/2023 19:52 Cancel Date: Toneout 1 By: BROWN, PAIGE
Total Toneouts: 1
Case Numbers
Entry Date Case Number Department Unit Narcan Used
12/31/2023 19:52:17 286 EAST FIRE DEPARTMENT 286E1 No
Print Date: Jan 19 2024 - 07:17:50 Faulkner County Sheriffs Office, 23121524
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summary: Main riser water flow/ Fire alarm. False alarm.

raw_content:
Faulkner County Sheriffs Office
Call for Service Card
Page 1 of 2
Call Information
Received Date: 12/25/2023 17:56 Dispatch Date: 12/25/2023 17:59 EnRotue Date: 12/25/2023 17:59
Arrived Date: 12/25/2023 18:02 Completed Date: 12/25/2023 18:03 Call Canceled:
Disposition: HANDLED BY FIRE DEPT
CFS #: 23120849 Case #: Priority:
Nature: How Received:
Initial Nature: Alarm:
Call Taken By: HUMPHREY, Dispatched By: HUMPHREY, CHRISTOPHER Fire Type:
CHRISTOPHER
Completed By: HUMPHREY, ReOpened By: ReOpened Reason:
CHRISTOPHER
Site Dangers: NO K9 Used: NO Bill For Call: NO
Business Check: NO Toneout: 12/25/2023 17:57 Permit #:
Business:
MAIN RISER WATER FLOW / FIRE ALARM
Incident Information
Common Name: Zone:
Address: 161 SKUNK HOLLOW RD SubDivision:
CSZ: CONWAY, AR 72032 Intersection:
ESN: 316 Lat/Lon: 35.0682283,
Caller Information
Name: Address:
Phone #: (800) 687-0668 CSZ:
Notes
Entry Date Entry By Note Type Notes
12/25/2023 17:57:58 HUMPHREY, 286E toned out.
CHRISTOPHER
12/25/2023 17:59:38 HUMPHREY, LITTLE CREEK BEHAVIORAL HEALTH
CHRISTOPHER
12/25/2023 17:59:46 HUMPHREY, 286E acknowledged toneout.
CHRISTOPHER
12/25/2023 18:02:13 HUMPHREY, FIRE ALARM CAN CANCEL / FALSE ALARM WITH PROPER
CHRISTOPHER CODE GIVEN
12/25/2023 18:02:43 HUMPHREY,
CHRISTOPHER
12/25/2023 18:03:02 HUMPHREY, Complete all units. FALSE ALARM
CHRISTOPHER
Total Notes: 6
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
286E1 286 E 1 286E 0 0 YES
Dispatched Date: 12/25/2023 17:59 EnRoute Date: 12/25/2023 17:59 Arrived Date: 12/25/2023 18:02
Transport Start: Transport End: Completed Date: 12/25/2023 18:03
Disposition Date: Call Canceled: Back At Station:
Print Date: Jan 19 2024 - 07:17:01 Faulkner County Sheriffs Office, 23120849
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Faulkner County Sheriffs Office
Call for Service Card
Page 2 of 2
Units
Unit Number Unit Name Department Mileage Start Mileage End Primary Unit
Total Units:1
Radio Traffic
Traffic Date Unit # Unit Name Traffic
12/25/2023 17:59 286E1 286 E 1 UNIT DISPATCHED
12/25/2023 17:59 286E1 286 E 1 UNIT ENROUTE
Total Radio Traffic:2
Toneouts
Dispatched Date Unit # Unit Name Department
286E
Toneout 1: 12/25/2023 17:57 Toneout 2: 12/25/2023 17:57 Toneout 3:
Ack. Date: 12/25/2023 17:59 Cancel Date: Toneout 1 By: HUMPHREY,
CHRISTOPHER
Total Toneouts: 1
Case Numbers
Entry Date Case Number Department Unit Narcan Used
12/25/2023 17:59:57 286 EAST FIRE DEPARTMENT 286E1 No
Print Date: Jan 19 2024 - 07:17:01 Faulkner County Sheriffs Office, 23120849
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summary: A resident complained that when a staff member lifted her off the ground, her shirt raised exposing her chest. The staff member continued to escort her. The resident could pull her shirt down and cover herself when on the unit. During video review of the incident, the staff member is observed dragging the resident on the floor during the escort. The facility was cited 109.1.g as a result of the incident.

raw_content:
Division of Childcare & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 018175
Date of Incident: 12/19/2023
Date Received by DCCECE: 12/20/2023
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Licensing
Report Description: On 05.19.23, walked off the unit to say "hey to her
teacher. attempted to guide back to the unit, and said, "Not to
touch me. " then he continued to guide her, and she fell to the floor and sat there. Then
attempted to help off the ground by picking her up, and when lifted off the
ground, her shirt raised, stated her "boobs are out," and continued to
escort her. could pull her shirt down and cover herself when on the unit. She then
attempted to leave the unit again and was escorted back; while being escorted,
physically attacked the staff by kicking . He then left the unit to assist in other
areas of the building. No injuries noted Called into the
not accepted. Staff will be retrained in escort through handle with care instructor.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 12/21-Phone call made to Jlynn Perkins of Little Creek to ascertain
correct date of incident (12/19/23). Visit scheduled for 12/21/23 to review video. 12/21/23-
Facility visited and video reviewed of incident. Staff observed standing/walking
one on one with client towards Starfish living unit, staff's arms under client arms.
Client drops to the floor. Staff then, still having his arms under client's arms,
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

drags client on the floor into her living unit. Other staff viewed standing within arm's length
of this incident and did not assist. Client was on Unit Restriction, and had left her unit,
thus resulting in staff initiating escort. Escort was viewed as inappropriate and possibly
physically harmful, as client was dragged on the floor. Facility cited 109.1g: Engaging in
behavior that could be viewed as sexual, dangerous, exploitative, or physically harmful to
children. 905.4g: The following disciplinary actions shall not be used: g) Physical injury or
threat of bodily harm. 12/21/23-Licensing Specialist Clayton DeBoer re-reported this
incident to the and it was not accepted for investigation.
Email was sent to Jlynn Perkins of Little Creek indicating that the staff seen in video
( ) that witnessed this incident other than will need to be retrained on
proper escorts. Phone call made to Jlynn Perkins who stated that staff and
will receive retraining from on-site trainer today, 12/21/23. A sign in sheet will be provided
to licensing before COB 12/22/23. Training sign-in sheets for staff and provided to
licensing 12/27/23.


summary: Licensing visited the facility to conduct a buildings and grounds walkthrough. No deficiencies cited.

raw_content:
521 Visit Compliance Report

Licensee: Little Creek Behavioral Health

Facility Number: 255

Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032

Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 12/19/2023

Home Visit Date: 12/19/2023

Purpose of Visit: Monitor Visit

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

ARKANSAS
) DEPARTMENT OF

> HUMAN
~=a' SERVICES
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

Buildings & Grounds conducted from 10:00AM-11:00AM. Census: 61

www.arkansas.gov/dhs
Serving more than one million Arkansans each year

Page 1 of 2

Classroom 1 staff/client ratio: 3:14
Classroom 2 staff/client ratio: 2:10
Classroom 3 staff/client ratio: 3:14
Art Room staff/client ratio: 2:8
Gym staff/client ratio: 2:6

Angelfish and Starfish areas observed to be clean, safe and in good repair. Bathrooms sanitary with
functioning sinks, showers and toilets. Sleeping areas observed to be furnished and in good repair. Gym
observed to be clean and free of safety hazards. Cafeteria observed to be clean and sanitary.

MAR checked for:

All initialed and up to date.

Provider Comments:

CCL Staff Signature :

ry
(Py
ty i
POU A \
iy

Provider Signature :
fh) /\ F} /
f}) MA

¥ /
V

www.arkansas.gov/dhs
Serving more than one million Arkansans each year

Date: 12/19/2023

Date: 12/19/2023

Page 2 of 2


summary: A resident was found with a vape pen and claimed the pen was bought by a staff member who she also claimed to be dating. The complaint was UNFOUNDED by Licensing.

raw_content:
Division of Childcare & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 018026
Date of Incident: 12/12/2023
Date Received by DCCECE: 12/13/2023
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: On 12.12.23,
) was found to have contraband on her. The contraband was a vape pen that she
claimed to have been bought by a staff member, , to be dating as well.
has denied all allegations of providing the resident with contraband and being in a
relationship with the resident as well. The staff has been placed on administrative leave
pending external investigation. The incident was called to the
twice, once by the risk manager: and the other by therapist: , both
accepted and assigned to a DCFS worker. The incident has been turned into the
as well
Interim Action Narrative: Staff placed on administrative leave pending
investigation.
Maltreatment Narrative: On
was found to have contraband on her. The contraband was a vape
pen that she claimed to have been bought by a staff member, , to be dating
as well. has denied all allegations of providing the resident with contraband and
being in a relationship with the resident as well. The staff has been placed on administrative
leave pending external investigation. The incident was called to the
twice, once by the risk manager: and the other by therapist: ,
both accepted and assigned to a DCFS worker. The incident has been turned into the
as well
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 12/14/23-Email sent to Faulkner Co DCFS Investigators DeShunte
Pointer and Cashawna Whitaker asking permission to contact facility and A/V. 12/14/23-
Received phone call from DeShunte Pointer that Supervisor Cashawna Whitaker gave
licensing permission to contact facility and would send an email indicating so and who
investigator was. Visit scheduled for 12/14/23. 12/14/23-Facility visited regarding
complaint. No definitive evidence this visit to support contraband on campus nor support
inappropriate relationship between A/V and A/O. Licensing is not prepared to make a
finding at this time. 2/6/2024, Program Coordinator checked CHRIS, case found
unsubstantiated.


summary: Licensing visited the facility to conduct an annual review/policies PRTF checklist.

raw_content:
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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 11/29/2023
Home Visit Date: 11/29/2023
Purpose of Visit: Agency Checklist
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Annual Review/Policies PRTF checklist completed. Facility visited 11/29/23. All items on checklist
accounted for.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Provider Comments:
CCL Staff Signature : Date: 11/29/2023
Provider Signature : Date: 11/29/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


raw_content:
ARKANSAS
DEPARTMENT OF

> HUMAN
~=a' SERVICES
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: Little Creek Behavioral Health

Facility Number: 255

Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032

Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 11/3/2023

Home Visit Date: 11/3/2023

Purpose of Visit: Monitor Visit

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Buildings & Grounds conducted from 9:30AM-11:00AM. Census: 63. Trout and Brim areas inspected.

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

All sleeping areas observed to be furnished, clean and in good repair. Bathrooms clean and sanitary with
functioning sinks, showers and toilets. Cafeteria and kitchen area observed to be clean and sanitary. Gym
observed to be clean and free of safety hazards.

Classroom | staff/client ratio: 3:12
Classroom 2 staff/client ratio: 4:14
Classroom 3 staff/client ratio: 3:10

Classroom 4 staff/client ratio: 3:14

MAR checked for:

All initialed and up to date.

Also confirmed during today's visit is that LPN [J did not work between the dates of
10/20/23-10/22/23. Nursing staff rosters/payroll provided by Little Creek DON Nedra-Allen Jones for the
dates of 10/20/23 thru 10/22/23.

Provider Comments:

CCL Staff Signature : Date: 11/3/2023

HA

Provider Signature : Date: 11/3/2023
/ V IY WW

|

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Licensing received a complaint stating a client had a medication error on 10/15/23 when she took another resident’s medication. The guardian requested that the resident be seen by a physician outside of the facility for follow up and the facility reportedly denied this request. The report stated the resident had felt “high” after taking the medications and the facility reported they monitored her vitals which remained within normal limits. Licensing provided the facility with technical assistance for 907.2.

raw_content:
Division of Child Care & Early Childhood Education
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
Date of Incident: 10/15/2023
Date Received by DCCECE: 10/19/2023
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: On 10.18.23 at 1730, A DHS investigator conducted a wellness check on
pt e, DOB: , custody -caseworker.
had a medication error on 10.15.23 when she took another resident's medication. was
monitored throughout the night, and all vitals were within normal limits. No injury was
noted. Pt given
Interim Action Narrative:
Maltreatment Narrative: . It was reported that on Sunday 10/15/2023 at about
8pm, resident was given the wrong medications. The medications given to her were
.
These medications are not currently or have they ever been prescribed to the resident. The
out of state guardian was allegedly notified on 10/16/2023 and the guardian requested that
the resident be seen by a physician outside of the facility for follow up. The facility
reportedly denied this request. The report stated the resident had felt ?high? after taking the
medications and the facility reported they monitored her vitals which remained within
normal limits.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing received report 10/19/23 that a report had
been made as follows: On 10.18.23 at 1730, A DHS investigator conducted a wellness check
on pt , DOB: custody -caseworker.
had a medication error on 10.15.23 when she took another resident's medication.
was monitored throughout the night, and all vitals were within normal limits. No
injury was noted. Pt given
Licensing obtained permission 10/19/23 via email from DCFS
Investigator DeShunte' Pointer for licensing to contact the facility. 10/19/23-Little Creed
DON Nedra-Allen Jones provided additional information 10/19/23 that the LPN who
administered the incorrect medication was and that roughly 20 minutes after
administration it was discovered that client had taken the wrong medication. In response to
wrong medication being administered, Psychiatric NP called and DON notified. Orders
given for monitoring. Nursing notes, collateral contact correspondence between facility and
guardian and MAR for client provided to licensing via email.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 11/30/2023
Home Visit Date: 11/30/2023
Purpose of Visit: Revisit Complaint
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Number: 900.907.2
Regulation Description: Child caring staff shall be responsible for providing the level of supervision, care, and
treatment necessary to ensure the safety and well-being of each child at the facility, taking into account the child’s
age, individual differences and abilities, surrounding circumstances, hazards and risks.
Finding Description: The nurse did not provide the level of supervision necessary to ensure the safety of a
resident during a medication pass when she failed to follow the agency's two patient identifier requirement. This
led to a resident receiving the wrong medications.
Action Due Date:
Action Due Description: The nurse was retrained on the medication pass procedures and received disciplinary
coaching.
Comply Date:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Action Due Description: The nurse was retrained on the medication pass procedures and received disciplinary
coaching.
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Licensing complaint Case#016911 is unfounded.
Amended to include T/A provided- 907.2-Staff shall provide the level of care and supervision to ensure the
safety and well-being of the residents. The facility took action byretraining the nurse on the medication pass
procedure and providing her disciplinary coaching due to her failure to use the two-patient identifier required
by the agency.
Provider Comments:
CCL Staff Signature : Date: 1/24/2024
Provider Signature : Date: 1/24/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident asked to contact the Child Abuse Hotline with neglect complaints. The resident stated staff are breaking confidentiality, the nursing department sits on their phones and does not help residents when in need, and a therapist told one of the residents to “kill herself.” Child Abuse Hotline was called, not accepted. The complaint was UNFOUNDED by Licensing.

raw_content:
Division of Child Care & Early Childhood Education
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
Date of Incident: 10/9/2023
Date Received by DCCECE: 10/10/2023
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Licensing
Report Description: , DOB: , Custody- ,
caseworker, asked to contact the child abuse hotline with neglect complaints via request to
speak on 10.09.23. stated the staff members are breaking confidentiality, the nursing
department sits on their phones and does not help the residents when in need, and a
therapist told one of the residents to "kill herself." The complaint was called to the
Arkansas child abuse hotline, referral number 223744, on 10.09.23.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Licensing received facility reported complaint that on 10/9/23 client
asked to contact the child abuse hotline with neglect complaints. stated
the staff members are breaking confidentiality, the nursing department sits on their phones
and does not help the residents when in need, and a therapist told one of the residents to
"kill herself." The complaint was called to the
, on 10.09.23. Phone call made 10/10/23 to Jlynn Perkins of Little Creek to obtain
correct and correct DOB for client which is .
Ms. Perkins stated the . Facility visited 10/11/23 in response to
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

complaint from client . resides in Minnows area. Clients and
from Minnows area interviewed today. stated about staff "all they do is smoke and get
high". She stated that she had been sick for three weeks due to taking a new medicine,
, and that the nurses will not help her. She stated she tried to refuse taking the
medication but was afraid it would make the nurses mad. When asked about the
confidentiality issue mentioned in her complaint, she shrugged her shoulders. stated her
therapist was and that she ( ) was "ok". When asked which therapist
told a client to kill herself, stated it was . She stated told client
to kill herself. She stated this happened about "4 months ago". stated
that client was no longer at the facility. interviewed. When asked about
nursing stated "some are really nice...they just sit at the nurse's station". When asked if
she had ever witnessed a nurse not being confidential with client information, she stated she
had not. stated that her therapist was and that she loved her. interviewed.
stated that she is friends with adding "I'm an advocate...I consider them my girls so
they come to me when they have a problem and I say something about it". stated that
the nurses are not taking care of her friend who has been having stomach problems for
three weeks due to new medication. stated that she had an accident one early morning
in which she urinated on herself, and that " " started the nickname
stated that her therapist was who was "really sweet". also stated
that therapist told client to kill herself. She stated this
happened about a month ago. interviewed. stated that the nurses were "good".
stated her therapist was " " and that she liked her. When given the opportunity
did not mention any other concerns except that clients keep pulling the fire alarm.
interviewed. stated that she was not happy with nursing services. When asked why,
"they don't take care of us". When asked to provide an example "they don't make sure
we're ok". interviewed. stated that staff are disrespectful. stated that a staff
called her a "retard" a "few months ago". stated she did not remember the staff's name
and had not seen that staff in "about two weeks". stated her therapist is
who was nice. stated that a therapist, told client to kill
herself. 3 clients state that therapist " told client to kill herself. When
asked, the 3 clients said they came into this information by telling them. Four of the six
clients interviewed today referenced therapist unfavorably. Jlynn Perkins of
Little Creek will schedule an in-service for with Clinical Director. Discussion
was had with DON Nedra-Allen Jones. MAR and Nurse Practitioner notes for reviewed.
The MAR noted no refusals for . Nursing notes indicate was given medication
for stomach relief once PRN, and a new prescription which started 10/8/23. Follow up visit
scheduled for 10/13/23 to gather more information about staff " " and to
interview remaining 2 clients of Minnows area. Licensing is not prepared to make a finding
on this complaint at this time. Facility visited 10/13/23 in response to complaint from client
. Clients and , also from Minnows at the time of the complaint, interviewed and
asked questions about nursing staff, staff in general and their therapists. Client reported
that the nurses were "fine", the staff was "fine" and that her therapist was
and she was "nice". was given the opportunity to express any additional issues or
concerns which she declined. Client interviewed. reported nursing staff as "good",

staff in general as "good" and stated that her therapist was " " who was "good".
Client was given the opportunity to express any additional issues or concerns which she
declined. No definitive evidence presented that would indicate specified staff
has said or is responsible for the derogatory nickname mentioned. As a precautionary
measure, all staff will complete in-service training 10/26/23 called "Do's and Don'ts"
section of BHA. A sign in sheet of this training will be provided to licensing.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 10/11/2023
Home Visit Date: 10/11/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Facility visited 10/11/23 in response to complaint from client resides in Minnows area. Clients
and from Minnows area interviewed today. More than one client referenced a therapist, , being too blunt.
Jlynn Perkins of Little Creek will schedule an in-service for with Clinical Director.
Licensing is not prepared to make a finding on this complaint at this time.
Provider Comments:
CCL Staff Signature : Date: 10/11/2023
Provider Signature : Date: 10/11/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge:
Record Visit Date: 10/13/2023
Home Visit Date: 10/13/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Facility visited 10/13/23 in response to complaint from client Clients and also from Minnows at the time of the
complaint, interviewed and asked questions about nursing staff, staff in general and their therapists.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Client reported that the nurses were "fine", the staff was "fine" and that her therapist was , and she was
"nice". was given the opportunity to express any additional issues or concerns which she declined.
Client interviewed. reported nursing staff as "good", staff in general as "good" and stated that her therapist was "
" who was "good". Client was given the opportunity to express any additional issues or concerns which she declined.
No definitive evidence presented that would indicate specified staff has said or is responsible for the
derogatory nickname mentioned. As a precautionary measure, all staff will complete in-service training 10/26/23 called
"Do's and Don'ts" section of BHA. A sign in sheet of this training will be provided to licensing.
Provider Comments:
CCL Staff Signature : Date: 10/13/2023
Provider Signature : Date: 10/13/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 11/30/2023
Home Visit Date: 11/30/2023
Purpose of Visit: Revisit Complaint
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Licensing complaint Case#016702 is unfounded.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Provider Comments:
CCL Staff Signature : Date: 11/30/2023
Provider Signature : Date: 11/30/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Investigator from Arkansas State Police advised officer of a report of sexual activity involving a staff member and resident at Little Creek. Report: Staff member stated to resident “why is your butt so big”, then proceeded to grab her butt when the resident walked by him. Officer provided incident report number to the investigator.

raw_content:
FAULKNER COUNTY SHERIFF’S OFFICE
Incident Report Form

Administration / Complainant Information

, Deputy Name and Badge # ; Date Incident Date and Time | Incident # | Zone | Supplement :

"A. Reeder F30 | 10/04/23 a 16/202 asaM | FC23-1317 oD ‘Oy on
~~ Report Date and Time | Rated incident # ees

161 Skunk Hollow Rd Conway AR 72032 | Seen 10:52 AM |

i Complainar it Name (Last, First, “Middle) : Complainant Address (Street, City, ,

_ Investigator Sutter i __ASP Crimes sek,

| Ibs | | (501)472-7990

\ DL4 i DL State i DL Expiration i DL Class ~ Employer eee eee EE Cell Phone Number : i
1 i t t |

) Victim Information

! Victim Name (Last, First, Middle) ! Victim Address (Street, City, State, Zip)

e as Complaina i
| (Jseme:as Complainant iss | 161 Skunk Hollow Rd Conway. AR 72032

i

, DOB + Social Security # ! Height | Weight | Eye Ca “TY Home Phone Number
DL# | DLState { DL Expiration » DL Class > Employer : Cell Phone Number :
| ‘Gender 7 Race i Victim Type — V Aggravated / Assmult/liomieide Circumstances : | Victim Injury Type i
| &X] Female i CD Asian » individual Lsociety | (01 Argument [06 Lover's Quarrel i none Onin. Injuries i
| [] Male CJ Black ' [1] Business C] Unknown (02 Assault on LEQ) = (Jo? Mercy Killing i broken Bones [CJm@j. Injuries}
+ [1] Unknown ! OHispanic ; [Financial + [103 Drug Dealing (Jos other Felony Involved} [Poss Int Injuries LLoss of Teeth i
+ Dlindian =} Cleo (04 Gangland??? ~—— [[Jo9 other Circumstances Disevere Laceration (unconscious:
; Ed white ' Dicovt © [05 Juvenile Gang [10 Unknown DFatal i

(101 spouse [10 step child Liz6 | (01 Air/Bus/Train Terminal [[]10 Field/Woods (119 Rental/Storage Facility
| [02 common-law — [[]11 Step Sibling (127 Ex-Spouse | (Jo2 Bank [x]11 Govt/Public Building (2120 Residence/Home
‘ [103 Parent (12 Other Family _[]28 Employee | (()03 Bar/Night Club (1112 Grocery Store (121 Restaurant
+ [04 sibling (120 Acquaintance [[]29 Employer + [04 church (1113 Highway/Road/Alley [22 school/College
: [0s child (121 Friend (30 Otherwise? [Jos Comm/Office Building []14 Hotel/Motel/Lodge (2223 Gas/Service Station
i [06 Grandparent — ]22 Neighbor (21 Victim (06 Construction Site (15 Jail/Prison (124 Specialty Store
[07 Grandchild (123 Babysitter (196 Stranger (1107 convenience Store (1116 Lake/River/Waterway [25 Other/Unknown
| Eos in-taw (124 Boy/Girl Friend [K]99 Unknown : [08 Department Store (1117 Liquor Store (158 Cyber/Electronic i
H (09 step-Parent Qs Child of #24 ' [09 Drug Store/Dr/Hosp (1118 Parking Lot/Garage i
| Vietim Connected to to Offense » Number (if more t than o1 one offense} i Photographs Taken : ; - i » Fingerprints Taken es |
i

Bh Ce C3 oo BBN

Other Notes

‘suspect #1/fArrestee #1
; Suspect Connected to Offense #

Suspect #1 Name (Last, First, Middle) i Suspect #1 Address (Street, City, State, Zip)

i Home Phone Number
H
“} Work Phone Number

i.
:

i

i

)

t =
j

_(

| Arrestee Armed With (Only If A

i : Arrest Charge(s)
‘C1 Female —; [Asian (01 Unarmed C2 20 Lethal Cutting Instrument » Don-view
| male + Bil Black - [11 Firearm (Other) [DJ 30 Club/Brass Knuckles Lsummoned/Cited

‘
i
i
i
:

+ DHispanic [Taken into Custody

Drelony

| Dl unknown » (12 Handgun

Incident Report Form Page 1 of 4 August 2023

| Dwhite
[1] Unknown

Incident Report Form

i
i
|
i
i

C0 14 Shotgun
(15 Other Firearm

Page 2 of 4

- Lmisdemeanor

August 2023

Incident Report Number: FC 23-1317

Suspect #2/Arrestee #2

| Suspect Connected to Offense # | Suspect #1 Name (Last, First, Middle) | Suspect #1 Address (Street, City, State, Zip)
o Arrestee |

O suspect = (1 =

Race Arrestee Armed With (Only If Arrested) ~ ~ Type of Arrest Arrest Charge(s)
~ Dasian - (101 unarmed (0 20 Lethal Cutting Instrument Don-view :

0 unknown i Hispanic | [12 Handgun © Dtaken into Custody
© Dindian LD 13 Rifle LFelony
Cwhite CJ 14 shotgun | Cina

© DJ unknown ‘Oo 15 Other Firearm

i others involved

i Name _

Incident Report Form Page 3 of 4 August 2023

Incident Report Number: FC 23-1317

Property
| Serial #

Color | Caliber | Size

t i
i i
i |

r
'

a a oe
!

ee tect te en

Hi
i
i
i
:
4

i
is
i
t
+
i
i
|
i

Total Valu

e of Property:

__lype of Property Loss :_ Property Description Code Table (enter number in Code column above}

| | ITEMS STRUCTURES
/ (C0 None O1 Aircraft 11 Drugs/Narc Equipment 21 Negotiable Instr 29 Single Family 39 Watercraft ;
' (11 Stolen/Recovered i 02 Alcohol 12 Farm Equipment 22 Non-Negotiable Instr 30 Other Dwellings 77 Other '
(2 Burned i 03 Automobiles 13 Firearms 23 Office Equipment 31 Other Comm/Business 88 Pending Inventory
(13 Counterfeit/Forged 04 Bicycles 14 Gambling Equipment 24 Other Motor Vehicles 32. Industrial/Mfg 99 Special
C4 Damaged/Destroyed } OS Buses 15 Heavy Const/Industrial 25 Purse/Handbag/Wallet 33 Public/Community
i Cs Recovered ! 06 Clothes/Furs 16 Household Goods 26 Radio/TV 34 Storage
: re Seized ; 07 Comp Hard/Software 17 Jewelry/Precious Material 27 Audio/Visual Equip 35 Other Structures
(7 Stolen i O08 Consumable Goods = 18 Livestock 28 Recreational Vehicle 36 Tools-Power/Hand
H Os Unknewe i 09 Credit/Debit Cards 19 Merchandise 37 Trucks
i ; i210 Drugs/Narcotics 20 Money 38 Vehicle Parts/Accessories_

' For Burglary Only — Number of Premises Entered Method of Entry: O Forcible oO No Force

i sa
;
i

Offense #1 | Offense #2 ! Offense #3

poate

Forcible Fondling

' On Wednesday October 4, 2023 at approximately 10:52 AM, | was dispatched to a call for service in reference to
' sexual activity. | made contact with complainant Investigator Sutter from Arkansas State Police via telephone.

_ Investigator Sutter stated she got a report from September 16" about (Offender) making a

_ statement and action to victim JV1. Investigator Sutter stated (Mis an employee at Little Creek Behavioral and
_ stated that JV1 is one of the patients there. Investigator Sutter stated her report says that {gg Was standing in

_ the doorway to the laundry room and stated to JV1 "why is your butt so big", then proceeded to grab her butt when
_JV1 walked by him.

Investigator Sutter stated this is all the information she has at this time and stated that she is getting video footage of
_ the incident from the facility. | requestd a incident report number from dispatch and provided a copy of the number
_ to Investigator Sutter.

'
i
i
i
|
i
i
|
i
1
i
i

Incident Report Form Page 4 of 4 August 2023

Incident Report Number: FC 23-1317

Austin Reeder F30 wwe fl ip (H 10/04/23 12:05 PM

Deputy’s Name and Badge ID Deputy’s Signature Date
Reviewing Supervisor's Name and Badge ID Reviewing Supervisor's Signature Date

jsIncident Status

- Dunfounded [Death of Offender C1 Extradition Declined (J Juvenile — No Custody
(cleared by Arrest [prosecution Declined LJ Refused to Cooperate (J Not Applicable

—J0-AI-AZB

Investigator’s Name and Badge ID Investigator’s Signature a Date

Incident Report Form Page 5 of 4 August 2023


summary: A staff member failed to use a proper PRT single-man restraint to transition a resident to the floor. No injuries noted. The facility was cited 905.10 as a result of this incident.

raw_content:
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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 9/27/2023
Home Visit Date: 9/27/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulation Number: 9.905.10
Regulation Description: Physical restraint shall be initiated only by staff trained by a certified instructor in a
nationally recognized curriculum, and only to prevent injury to the child, other people or property, and shall not be
initiated solely as a form of discipline. The agency shall maintain documentation that staff is deemed competent in
physical restraint.
Finding Description: Staff initiated hold without client being a threat to self, others or property.
Action Due Date: 2023-10-27
Action Due Description: Staff will complete in-service training on initiating holds.
Comply Date:
Action Due Description: Staff will complete in-service training on initiating holds.
Regulations Needing Technical Assistance:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 3

Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Facility visited 9/27/23 and video reviewed of incident in which staff initiated a restraint on client
Video seen of client sitting in a chair with his feet propped up in another chair. Staff
removed the chair feet were propped up on, along with other chairs and tables in the area. It appears as
though doesn't like this and obtains a table to prop his feet on. Staff removes the table which
appears to aggravate stands up and abruptly walks towards staff Staff initiates a
hold, grabbing client by his arms and quickly, but gently, takes to the ground. Video audio did not
yield any inappropriate or unprofessional language or tone of voice by staff Video shows that staff
did not use unnecessary force when taking client to the ground. However, although client
approached staff rapidly, client was not causing injury to himself, peers, staff or property when this hold
was initiated. Facility cited 905.10: Physical restraint shall be initiated only by staff trained by a certified
instructor in a nationally recognized curriculum, and only to prevent injury to the child, other people or
property, and shall not be initiated solely as a form of discipline. The agency shall maintain documentation
that the staff is deemed competent in a physical restraint.
Staff has been placed on administrative leave pending the results of the investigation. Facility
reported child abuse hotline call was screened out. Licensing must approve Interim Corrective Action
measures before staff can return to work. Staff will need to complete in-service training on
initiating holds by 10/27/23.
Provider Comments:
The staff at Little Creek used the handle with care restraint as a preventative measure from the resident's physical
attack upon the staff member. He proceeded to attack the staff while in the physical hold and then choose to
attack two other staff members after the physical hold. The resident has a history of sucker punching or charging
at the staff with his hands down. To prevent a physical attack, the staff immediately goes into a handle with care
physical hold.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 3

CCL Staff Signature : Date: 11/28/2023
Provider Signature : Date: 11/28/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3


summary: A resident complained of chest pain during recreational therapy. The nurse noted the resident had an increased heart rate. The resident was sent to the hospital for further testing.

raw_content:
Division of Child Care & Early Childhood Education
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
Date of Incident: 9/21/2023
Date Received by DCCECE:9/21/2023
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Licensing
Report Description: was in rec therapy throwing a ball and complained of chest pain.
The nurse was called, and pt was assessed and had an increased heart rate. She was brought
to the nurse station to be evaluated more and called the doctor. Her heart rate was still tachy
after several minutes. The doctor on call ordered pt to be sent to the hospital for further
testing. A nurse was sent with pt. verbalized pain of 8/10 for chest pain. Transfer to
Emergency ED-Baptist Health Hospital
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Licensing received facility report 9/21/23 that on 9/21/23 client
(no last name, DOB or guardianship provided) was in rec therapy throwing a ball
and complained of chest pain. The nurse was called, and pt was assessed and had an
increased heart rate. She was brought to the nurse station to be evaluated more and called
the doctor. Her heart rate was still tachy after several minutes. The doctor on call ordered pt
to be sent to the hospital for further testing. A nurse was sent with pt. verbalized pain
of 8/10 for chest pain. Transfer to Emergency ED-Baptist Health Hospital. Email sent to
Jlynn Perkins of Little Creek 9/22/23 to ascertain client's last name, DOB and guardianship
and any follow up information on client. Received email from Little Creek 9/22/23. Client
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Foster Care. Follow up email from facility 9/22/23: All test were
negative, and naproxen was ordered for chest pain. They diagnosed . She
has had no further issues or problems. No follow up appointment needed. Return to Little
Creek at 2:15pm.


summary: Licensing visited the facility to conduct a buildings and grounds walkthrough. No licensing concerns noted during visit.

raw_content:
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

Little Creek Behavioral Health Clayton DeBoer
161 SKUNK HOLLOW Donaghey Plaza
CONWAY AR 72032 P.O. Box 1437

Little Rock, AR. 72203
Facility Visit Compliance Notice

Facility#: 255

Date of Visit: 9/19/2023
Visit Type(s): Monitor Visit
Time: 9:00 AM - 11:06 AM

Visit Comment :
Buildings & Grounds conducted from 9:00AM-11:00AM. Census: 61

Classroom | staff/client ratio 2:12
Classroom 2 staff/client ratio 2:12
Classroom 3 staff/client ratio 3:13
Gym staff/client ratio 3:7

Art room staff/client ratio 1:6

Facility grounds clean and free of safety hazards. Facility classrooms, gym, cafeteria, kitchen and art area
clean, safe and in good repair. fF living area clean, safe and in good repair. FY bathrooms clean
and sanitary with functioning sinks, toilets and showers. Client rights and emergency diagrams posted.

Kitchen area observed to be clean, safe and in good repair. Areas behind ice machine, counters and walk-in
freezer all observed to be clean. Fire extinguisher observed.

MAR checked for:

Page 1 of 2

All initialed and up to date including today's AM meds.

CCL Staff Signature : Date: 9/19/2023

Provider Signature : Date: 9/19/2023

Your Signature indicates that this form has been reviewed with you; it does not imply your agreement with
it.

Right to Appeal: For more information on how to appeal these findings, refer to the minimum Licensing
Requirements or contact your Licensing Specialist.

Page 2 of 2


summary: A resident reported that a staff member asked her an inappropriate question regarding her body and then touched her on the butt. The complaint was UNFOUNDED by CACD and Licensing.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Date of Incident: 9/16/2023
Date Received by DCCECE: Little Creek Behavioral Health
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: On Saturday 16th, around 630am,
-caseworker) reported that staff member asked
her an inappropriate question regarding her body and then proceeded to touch her on the
butt when the resident returned from the bathroom. has been placed on
administrative leave and called into the hotline, reference number and
assigned to a CACD investigator.
Interim Action Narrative: Staff placed on administrative leave pending
investigation.
Maltreatment Narrative: Ref#
Licensing Narrative: Licensing received complaint 9/18/23 that on 9/16/23
reported that staff member asked her an inappropriate question
regarding her body and then proceeded to touch her on the butt when the resident returned
from the bathroom. has been placed on administrative leave and called into the
hotline, reference number and assigned to a CACD investigator. Email
sent 9/18/23 to CACD Investigator Tollece Sutter asking permission to visit facility. No
return correspondence received as of 9/18/23. Email sent to facility 9/18/23 to inquire
about video of alleged incident. Return correspondence from Jlynn Perkins of Little Creek
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

indicated that there is video of alleged incident. Facility visited 9/19/23 in response to
complaint that staff had made inappropriate advances towards client FBI and
Central Registry checks observed for staff in file. Video reviewed of the morning of
9/15/23 between around 6-6:15AM. Staff can be seen walking to client room 4
times but does not enter room. Staff told facility staff Jlynn Perkins he was doing this
for med pass. Staff and are seen walking from room to the front door of the
living area, then walking back. At one point client is seen entering the restroom area.
was not on any increased precaution. Staff stands in the doorway (not the door to
the bathroom) but door to the bathroom area. Staff is not seen looking into bathroom area.
Staff remains in the doorway to the bathroom area until is seen exiting bathroom
area and going back to her room. Audio was functioning for video, but nothing was nor
appeared as if it should be making noise. No conversation seems to take place nor is heard.
Staff is not seen touching client inappropriately. No evidence from video observed
shows something definitively was inappropriate. However, both client and staff
observed movements were not indicative of normal interactions and/or behavior. Licensing
is not prepared to make a finding as of 9/19/23. 12/7/23-Received notification that
maltreatment was unfounded. 521 issued to facility indicating that licensing complaint was
unfounded. Staff was immediately suspended after incident and terminated on
11/20/23.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 9/19/2023
Home Visit Date: 9/19/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Facility visited 9/19/23 in response to complaint that staff had made inappropriate advances towards client FBI
and Central Registry checks observed for staff in file. Video reviewed of the morning of 9/16/23 between around
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

6-6:15AM. Staff can be seen walking to client room 4 times but does not enter room. Staff told facility staff
Jlynn Perkins he was doing this for med pass. Staff and are seen walking from room to the front door of the
living area, then walking back. At one point client is seen entering the restroom area. was not on any increased
precaution. Staff stands in the doorway (not the door to the bathroom) but door to the bathroom area. Staff is not seen
looking into bathroom area. Staff remains in the doorway to the bathroom area until is seen exiting bathroom area
and going back to her room. Audio was functioning for video, but nothing was nor appeared as if it should be making noise.
No conversation seems to take place nor is heard. Staff is not seen touching client inappropriately. No evidence
from video observed shows something definitively was inappropriate. However, both client and staff observed
movements were not indicative of normal interactions and/or behavior. Staff has been placed on administrative leave
starting immediately after this was reported and will remain on administrative leave pending results of investigation.
Licensing is not prepared to make a finding as of 9/19/23.
Provider Comments:
CCL Staff Signature : Date: 9/19/2023
Provider Signature : Date: 9/19/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Licensing visited facility to review incident report logs, hotline reporting log, fire drill, and severe weather log. Licensing discussed standard 110.17 (what incidents are considered reportable to licensing) with facility staff. The facility explained the reports Licensing was reviewing were not part of the medical record and instead part of the internal document written directly by the staff involved. The final report is then written and stored separately. Licensing requested copies of these reports. Due to facility concerns about what is considered a suicide attempt vs a suicide gesture, Licensing Specialist will seek guidance from upper management and the Child Welfare Agency Review Board regarding suicide attempts.

raw_content:
ARKANSAS
DEPARTMENT OF

DN HUMAN
—=a\ SERVICES
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

Little Creek Behavioral Health Chelsea Vardell
161 SKUNK HOLLOW Donaghey Plaza
CONWAY AR 72032 P.O. Box 1437

Little Rock, AR. 72203
Facility Visit Compliance Notice

Facility#: 255

Date of Visit: 9/7/2023
Visit Type(s): Monitor Visit
Time:

Visit Comment :

9/7/2023 - Licensing Specialist J and Program Coordinator J conducted a visit at
the facility to review incident report logs, hotline reporting log, fire drill and severe weather log.

Licensing discussed standard 110.17 (what incidents are considered reportable to licensing)with the facility
staff including . E. 20; I « The facility explained that the reports
we were reviewing were not part of the medical record and instead part of an internal document written
directly by the staff involved in the incidents. The final report is then written and stored separately. Licensing
requested copies of those reports.

The facility has concerns about what is considered a suicide attempt vs a suicide gesture. The Program
Coordinator will seek guidance from upper management and the Child Welfare Agency Review Board on
standard 110.17, specifically regarding suicide attempts.

CCL Staff Signature : Date: 9/7/2023
Provider Signature : Date: 9/7/2023

Your Signature indicates that this form has been reviewed with you; it does not imply your agreement with
it.

Page 1 of 2

Right to Appeal: For more information on how to appeal these findings, refer to the minimum Licensing
Requirements or contact your Licensing Specialist.

Page 2 of 2


summary: A resident reported that a staff member showed the resident two videos of the staff member and his girlfriend having oral and sexual intercourse. The staff member was terminated. The facility was cited 109.1.g as a result of this incident.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
8/21/2023R
Notice of Serious Incident
Date of Incident: 8/21/2023
Date Received by DCCECE: 8/21/2023
Facility Name: Little Creek Behavioral Health
Facility Number: 255
Incident Type: Dual
Report Description: On 08.21.23 at 1130am, (DOB: , Nebraska
DFPS) gave a verbal report to a staff member here at Little Creek. She was shown two
videos of a staff member and his girlfriend having oral and sexual intercourse on his phone.
The staff member admitted to showing the resident the videos. Little Creek has terminated
the staff and turned him in to the Arkansas hotline.
Interim Action Narrative: Staff was terminated from the facility 8/21/2023.
Licensing Narrative: Licensing received facility report 8/21/23 that on 8/21/23 at 11:30AM
client gave a verbal report to a staff member here at Little Creek. She was
shown two videos of a staff member and his girlfriend having oral and sexual intercourse on
his phone. The staff member admitted to showing the resident the videos. Little Creek has
terminated the staff and turned him in to the Arkansas hotline. 8/21/2023-
Program Coordinator obtained the name of the alleged offender. . No
investigator has been assigned to the case at this time. Facility visited 8/22/23 and cited
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

109.1g: Unprofessional conduct in the practice of child welfare activities shall include
without limitation: g: Engaging in behavior that could be viewed as sexual, dangerous,
exploitative, or physically harmful to children. Correspondence confirming staff
termination provided to licensing. Conversation had with Jlynn Perkins of Little Creek that
all staff will be retrained on appropriate boundaries with clients by 9/22/23. Ms. Perkins
stated that this training, Zero Tolerance, is scheduled for 8/24/23 and a sign in sheet will be
provided to licensing. Received email from CACD Investigator Suzie Roberts 8/24/23:
Thanks, Suzie Facility visited 9/27/23 for follow up with complaint involving
client Jlynn Perkins of Little Creek informed licensing that client no longer resides
at Little Creek. Received email 11/10/23 that maltreatment report was founded.

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: Little Creek Behavioral Health
Facility Number: 255
Licensee Address: 161 SKUNK HOLLOW
CONWAY AR 72032
Licensing Specialist: Clayton DeBoer
Person In Charge: Jlynn Price
Record Visit Date: 8/22/2023
Home Visit Date: 8/22/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulation Number: 1. 109. 1 .g
Regulation Description: Unprofessional conduct in the practice of child welfare activities shall include, but not
limited to the following:
Findings Description: Staff admitted to showing inappropriate material to a client on his phone.
Action Due Date: 9/22/2023
Action Due Description: All Little Creek staff will be retrained on appropriate boundaries with clients.
Comply Date:
Sub Regulation Description:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Regulations Not Correctable:
Narrative:
Licensing received facility report 8/21/23 that on 8/21/23 at 11:30AM client gave a verbal report to a staff member here
at Little Creek. She was shown two videos of a staff member, and his girlfriend having oral and sexual intercourse
on his phone. The staff member admitted to showing the resident the videos. Little Creek has terminated the staff and turned
him in to the Arkansas hotline.
Facility visited 8/22/23 and cited 109.1g: Unprofessional conduct in the practice of child welfare activities shall include
without limitation: g: Engaging in behavior that could be viewed as sexual, dangerous, exploitative, or physically harmful to
children. Correspondence confirming staff termination provided to licensing. Conversation had with Jlynn Perkins
of Little Creek that all staff will be retrained on appropriate boundaries with clients by 9/22/23. Ms. Perkins stated that this
training, Zero Tolerance, is scheduled for 8/24/23 and a sign in sheet will be provided to licensing.
Provider Comments:
CCL Staff Signature : Date: 9/6/2023
Provider Signature : Date: 9/6/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2