summary: A resident reported that a staff member pushed him to the ground, punched him in the shoulder when he wouldn’t put his shoulder on the ground, then held him to the ground by his throat. 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
R
Notice of Serious Incident
Date of Incident: 8/3/2023
Date Received by DCCECE:8/4/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 8/03/2023. On 8/03/23, DCFS investigator Tamera Walker informed Centers
she was working an investigation involving client
Investigator Walker said the investigation is regarding an accepted report
to the Arkansas Hotline. Investigator Walker said made allegations
against Centers? staff member . has been suspended pending
the outcome of the DCFS investigation. guardian was notified about this
incident. is an DHS placement at The Centers. As always, please do not
hesitate to contact me if you need any additional information.
Interim Action Narrative: Staff was suspended pending investigation.
Maltreatment Narrative: The AV is The AO unknown staff member at
The Centers in Little Rock where is currently residing. Foster parent of
contacted hotline to report physical abuse of by
staff at The Centers in Little Rock Arkansas. resides at The Centers. Staff members
name is unknown. was escalated yesterday and he reports that staff pushed him to
the ground, punched him in the shoulder when he wouldn't put his shoulder on the ground.
Staff then held him to the ground by his throat. reports this is not the type of hold that
is typically used by staff at The Centers. reports pain the next day and foster parent
described as upset, sulky, and sadder than usual when talking about this incident. Is
of note that is a foster child in
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist informed of complaint. 8/7/2023, Licensing
Specialist reviewed complaint for licensing concerns. Licensing Specialist will request
permission to contact facility. Licensing Specialist received permission to contact the
facility. Licensing Specialist informed that investigator was made aware of the report on
7/28/2023. 8/8/2023, Licensing Specialist requested staff member's work schedule from
7/23/2023 to the date he was suspended. Licensing Specialist informed that camera footage
would not be available for this incident. Camera footage is kept for five (5) days and is
deleted to have more space for new recordings. Resident was last restrained on 7/10/2023.
8/10/2023, Licensing Specialist attempted to call investigator. Unable to leave a voicemail
due to mailbox being full. Licensing Specialist emailed investigator. 8/16/2023, Licensing
Specialist interviewed resident and inquired about a statement from staff member
8/17/2023, Licensing Specialist received witness statement. 9/5/2023, Licensing Specialist
contacted investigator for an update. 9/6/2023, Licensing Specialist informed by
Investigator Walker that staff member was not named as the AO. No AO was
named in this complaint.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 8/16/2023
Home Visit Date: 8/16/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 8:30 am to 9:45 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 42
Licensing received a complaint on 8/3/2023 for ELS Case #015379.
Licensing Specialist tried to speak with resident about Case #015379. Resident was hesitant at first but
eventually agreed to speak with Licensing Specialist.
Resident reported that he was upset with staff member and he (resident) hit staff member. Resident
informed Licensing Specialist that staff member put his arm on his neck and chest. Resident reported that
the incident took place on the hallway by the cafeteria. Resident informed Licensing Specialist that he told his
parents, and his parents told his therapist.
When asked if anyone else was around, resident reported that staff members and were
present. Resident did not report being in a restraint.
Staff member was terminated on 8/7/2023. HIs termination was not regards to this incident.
Licensing Specialist is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511
Licensing Specialist: Kendra Rice
Person In Charge: Paul Hofstad
Record Visit Date: 9/25/2023
Home Visit Date: 9/25/2023
Purpose of Visit: Revisit Complaint
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 9/25/2023.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing Specialist received a complaint on 8/3/2023 for ELS Case #015379.
This complaint has been UNFOUNDED by licensing.
Licensing informed that there was not an alleged offender named in this complaint.
Provider Comments:
CCL Staff Signature : Date: 9/25/2023
Provider Signature : Date: 9/25/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


state: AR

facility_name: Centers for Youth and Families - Little Rock

summary: A resident reported that a staff member hit him in the left eye with his fist. The staff member was terminated as a result of this incident. The facility was cited 109.1.g, 905.4.g, and 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
R
Notice of Serious Incident
Date of Incident: 8/3/2023
Date Received by DCCECE:8/4/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 8/03/2023. On 8/04/2023, client
reported Centers? staff member, , hit him ( in the left eye with his
( fist. said the incident took place in his dorm on the evening of
8/03/2023. Centers? medical personnel assessed and noted he had an
approximate one-inch-wide purple bruise under his left eye. ?s pupils were
reactive to light, and he did not complain of pain. This incident was reported to the
Arkansas Hotline and the reported allegation was accepted (Referral
# As a result of this incident, was suspended pending his termination.
?s guardian was notified about this incident. is a private placement
at The Centers. As always, please do not hesitate to contact me if you need any additional
information.
Interim Action Narrative: Staff member accused of punching the resident was placed on
suspension pending investigation.
Maltreatment Narrative: Resident reported that a staff member punched him in the eye.
Licensing Narrative: Licensing Specialist was informed of the complaint. 8/7/2023,
Licensing Specialist reviewed complaint for licensing concerns. Licensing Specialist will
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

inquire about camera footage and request permission to contact the facility. Licensing
Specialist received permission to contact the facility. Licensing Specialist informed no
camera footage of staff hitting resident as it allegedly occurred in the bathroom. Licensing
Specialist will schedule day and time to review camera footage prior to incident. 8/8/2023,
Licensing Specialist reviewed camera footage. Licensing Specialist informed that resident
discharged from the facility late 8/3/2023. Licensing Specialist saw a picture of the
resident's face and neck. Licensing Specialist observed a bruised eye and scratches on his
neck. The guardian requested the for LRPD to come to the facility so that she could get a
police report. Licensing Specialist requested nursing note. 8/11/2023, Licensing Specialist
inquired about nursing note and clarification of staff member's status. 8/14/2023, Licensing
Specialist confirmed that staff member was terminated on 8/7/2023. Licensing Specialist
will inquire about witness statements from staff that were present during the reported
incident. 9/1/2023, Licensing Specialist received witness statements. 9/5/2023, Licensing
Specialist contacted investigator for an update, found true. 11/6/2023, Licensing Specialist
requested a copy of termination letter for staff member.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 8/8/2023
Home Visit Date: 8/8/2023
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 member engaged in behavior that could be viewed as physically harmful to children.
Action Due Date:
Action Due Description:
Comply Date:
Sub Regulation Description:
Regulation Number: 9. 905. 4 .g
Regulation Description: The following actions shall not be used, including as discipline:
Findings Description: Staff member used disciplinary actions that could cause physical injury or threat to bodily
harm.
Action Due Date:
Action Due Description:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 4

Comply Date:
Sub Regulation Description:
Regulation Number: 9. 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.
Findings Description: Residents were left unsupervised while two (2) staff members were in the bathroom with a
resident.
Action Due Date:
Action Due Description:
Comply Date:
Sub Regulation Description:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 2:30 pm to 4:00 pm
Census: 43
Licensing received a complaint on 8/4/2023 for ELS Case #015380.
Licensing Specialist reviewed camera footage for reported complaint on 8/8/2023 for ELS Case #015380. The
incident took place at EMCC on the North Dorm. The timeframe of the incident was 19:59 to 20:52.
Licensing Specialist observed resident standing in the hallway on the wall between the two bathrooms until a
peer exited the bathroom. Resident then entered the bathroom, ratio 2:2. Licensing Specialist observed two
other residents at the end of the hall, ratio 2:4. Resident walked out of the bathroom and into the day
area/common area.
Ratio 2:2, there was a peer sitting in the day area/common area. Licensing Specialist observed a male staff
member talking with the resident with a peer sitting at the opposite end. Licensing Specialist observed the
peer walk over to the resident and swung at him several times in what appeared to be from shoulder up.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 4

Residents were observed watching the two (2) residents in a physical altercation and staff members separating
the two (2).
Once separated, the female staff member was observed escorting the peer off the dorm. The resident and male
staff member was observed in the day area/common area. Licensing Specialist was unable to observe what
took place due to the angle of the camera and the dark glare while resident and male staff member were in the
day area/common area. Licensing Specialist observed the male staff member move to the other side of the day
area/common by the wall near the bathroom.
While the male staff member was standing by the wall, resident was observed running toward the staff
member. Licensing Specialist observed the male staff member grab the resident in a choke hold position. The
male staff member had his arm around the resident’s neck. The resident’s neck was in the inside of the male
staff’s elbow. Licensing Specialist observed the male staff member release the resident and pushed him into
the bathroom.
Licensing Specialist observed another male staff member enter the dorm and stand in front of the bathroom
door where the resident was. The first male resident left off the dorm and returned to the dorm, ratio 2:1. The
first male staff was observed walking to the end of the hallway (two (2) residents were observed looking out
their bedroom door) and walk into the bathroom where the resident remained. Licensing Specialist observed
the other male staff member walk into the bathroom. The door of the bathroom was cracked and then closed
completely.
While the two (2) male staff members were in the bathroom where the resident was located. Licensing
Specialist did not observe any other staff members in the dorm. Possibly 7 minutes later, the female staff
member was observed escorting the peer back on the dorm. The female staff member was observed unlocking
the other bathroom door for the peer who walked into the bathroom. Another male staff member (3rd) was
observed entering the dorm and the peer was escorted off the dorm again with his mattress.
Licensing Specialist observed another female staff enter the dorm. The two (2) male staff members were still
in the bathroom with the resident. Possibly 1 minute and 30 seconds after the other female staff member
arrived, Licensing Specialist observed the male staff members come out of the bathroom. The first male staff
walked to the end of the hallway to the bedroom of the two (2) residents. Both residents were observed
walking out of their bedroom with the male staff member. The other male staff member left the dorm. One (1)
resident returned to his bedroom and the other resident followed the male staff member into the bathroom
where the resident remained. The door was cracked and then closed. The male staff member and second
resident were in the bathroom possibly 5 minutes.
There were two (2) staff female members sitting in the day area/common area. Licensing Specialist observed
the 1stmale staff member and resident exit the bathroom; resident remained. The 1stmale staff member was
observed enter the other bathroom and exit back out. The 1st male staff member is observed walking back in
the bathroom with the resident (ratio 1:1) the door was cracked and then closed.
A female staff member was observed on her phone with no residents in the day area/common area and the
other female staff was sitting on the opposite side of the room. Due to the darkness, Licensing Specialist was
unable to observe what she was doing. The peer was brought back on the dorm to the day area/common area
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 4

by the 3rdmale staff member. The 3rdmale staff member was observed walking to the bathroom where the
1stmale staff member and resident were.
The 3rdmale staff member stood in the doorway and walked back to the day area/common area. The door was
observed cracked and then closed. A few minutes later, Licensing Specialist observed the 1stmale staff
member walk out of the bathroom and then the resident. Once out the bathroom, resident was observed
walking into his bedroom. Licensing Specialist observed resident sit on his bed, walk around his bedroom,
then back to his bed, and sat down. The resident was in the bathroom for possibly 52 minutes.
Facility will be cited for R109.1.g – Staff member engaged in behavior that could be viewed as dangerous or
physically harmful to children. R905.4.g – Disciplinary actions used by staff could cause physical injury or
threat of bodily harm. R907.2 – Residents were left unsupervised while two male staff members were behind
a closed door.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 4 of 4

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511
Licensing Specialist: Kendra Rice
Person In Charge: Paul Hofstad
Record Visit Date: 9/25/2023
Home Visit Date: 9/25/2023
Purpose of Visit: Revisit Complaint
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 9/25/2023.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing Specialist received a complaint on 8/3/2023 for ELS Case #015380.
This complaint has been FOUNDED by licensing.
Facility was cited for regulations 109.1.g, 905.4.g, and 907.2 for this complaint on 8/8/2023.
Provider Comments:
CCL Staff Signature : Date: 9/25/2023
Provider Signature : Date: 9/25/2023
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 he was involved in a relationship with a staff member outside the facility. 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
R
Notice of Serious Incident
Date of Incident: 7/31/2023
Date Received by DCCECE: Elizabeth Mitchell Centers
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: On 7/31/2023, informed
Centers of a Notice of against Centers? employee,
is employed at The Centers as a QBHP and is assigned to
EMAC.
involving has been suspended pending the outcome of
the investigation. As always, please do not hesitate to contact me if you need any
additional information.
Interim Action Narrative: Staff member was suspended pending investigation.
Maltreatment Narrative: AV
informed staff today that she "knew one of the employees from outside of Centers."
Staff asked if they had sex before;
shook her head yes and stated "Yeah, we used to be together."
he easily gets mad about
things and had thrown things at her in the past.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed complaint. Licensing received
permission to contact the facility. 8/2/2023, Licensing Specialist informed no other
complaints were made on staff member. Licensing Specialist inquired about documentation
of staff member's suspension. 8/7/2023, Licensing checked that appropriate checks were
ran and approved. Due to the sensitive nature of the report and discrepancy in names given
by the AV, licensing will follow up with investigator for information disclosed during
interviews. 9/1/2023, Licensing Specialist contacted investigator for an update. Licensing
Specialist spoke with Investigator who informed Licensing Specialist that the case
was found unsubstantiated. Paperwork for closure will be submitted on 9/5/2023.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511
Licensing Specialist: Kendra Rice
Person In Charge: Paul Hofstad
Record Visit Date:
Home Visit Date: 9/25/2023
Purpose of Visit: Revisit Complaint
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 9/25/2023.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing Specialist received a complaint on 7/31/2023 for ELS Case #015323.
This complaint has been UNFOUNDED by licensing.
Program Coordinator discussed standard 110.10 with facility. The facility was encouraged that when an interim corrective
action has been approved by Licensing for a staff member, to contact Licensing when a staff member is scheduled to return to
work.
Provider Comments:
CCL Staff Signature : Date: 9/25/2023
Provider Signature : Date: 9/25/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was sent to Arkansas Children’s Hospital for evaluation after reporting pain from chipping her tooth while eating chicken strips.

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: 7/29/2023
Date Received by DCCECE: 7/31/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 7/29/2023. On 7/29/2023, client , DOB: )
chipped her tooth while eating chicken strips. Although there was no swelling to her mouth,
reported she was in extreme pain. Centers? medical personnel assessed
and made the decision to send her to Arkansas Children?s Hospital (ACH) for further
evaluation. Once at ACH, medical personnel there examined and determined she
had sustained a broken tooth and would need to follow up with a dentist on Monday. After
s evaluation, she was transported back to EMAC. Centers? medical personnel
continued to monitor until she was taken to a dentist (Leap Kids) today,
7/31/2023. guardian was notified about this incident. is a DCFS
placement at The Centers. As always, please do not hesitate to contact me if you need any
additional information.
Interim Action Narrative: Resident was assessed and referred to ACH for further evaluation.
ACH suggested for resident to see a dentist.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist notified of provider reported incident. 8/1/2023,
Licensing Specialist reviewed provider reported incident for licensing concerns. Licensing
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Specialist will follow-up with facility on resident's dentist appointment. 8/2/2023, Licensing
Specialist informed resident is scheduled for a root canal on 8/25/2023.


summary: A resident was sent to Ortho Arkansas for evaluation after tripping and hitting her hand on the wall.

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: 7/28/2023
Date Received by DCCECE: Elizabeth Mitchell Centers
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 7/28/2023. On 7/27/2023, client , DOB: )
tripped and hit her right hand/wrist on the wall. Centers? medical personnel assessed
and observed she had minimal bruising and swelling to the right wrist area.
was treated with frequent ice packs to her right hand and given
Ibuprofen\Tylenol for any pain. guardian was notified about this incident.
On 7/28/2023, continued to complain about the pain in her right wrist, so out
of an abundance of caution, she was transported to Ortho Arkansas for further evaluation.
Once at Ortho Arkansas, medical personnel there examined and diagnosed
her with contusions to the 3rd, 4th, and 5th metacarpals of the right hand. After
evaluation at Ortho Arkansas, she was transported back to EMAC by Centers?
staff. Centers? medical personnel will continue to monitor .
guardian was notified about this incident. is a DCFS placement at The
Centers. As always, please do not hesitate to contact me if you need any additional
information.
Interim Action Narrative: Resident was assessed, treated with frequent ice packs, and given
Ibuprofen/Tylenol pain. On 7/28/2023, resident was referred to Ortho AR.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist was informed of provider reported incident.
8/1/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.
Licensing Specialist will inquire about what the resident tripped over. 8/2/2023, Licensing
Specialist informed that resident tripped over her feet while trying to get away from an
altercation.


summary: A resident was sent to Ortho Arkansas for evaluation after intentionally punching a wall to harm her hand.

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: 7/28/2023
Date Received by DCCECE: 7/31/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC). On 7/28/2023, client , DOB: ) intentionally punched
the wall to harm her hand. Centers? medical personnel assessed s hand and
made the decision to send her to Ortho Arkansas for further evaluation. Once at Ortho
Arkansas, medical personnel there examined and diagnosed her with
There were NO fractures present. After
s evaluation at Ortho Arkansas, she was transported back to EMAC. Centers?
medical personnel will continue to monitor ?s guardian was notified
about this incident. is a DCFS client. As always, please do not hesitate to
contact me if you need any additional information.
Interim Action Narrative: Resident was assessed and referred to Ortho AR for further
evaluation.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist notified of provider reported incident. 8/1/2023,
Licensing Specialist reviewed provider reported for licensing concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers made contact with a staff member who advised that a juvenile resident punched her in the stomach and slapped her on the head.

raw_content:
INCIDENT NUMBER 2023-086363 JUVENILE INFORMATION Report generated: 8/17/2023 6:43 PM
NARRATIVE
OFFICERS MADE CONTACT WITH THE COUNSELOR MS. GREEN (VICTIM) AT THE CENTERS FOR YOUTH AND
FAMILIES. SHE STATED WHILE DOING HER REGULAR COUNSELING WITH THE JUVENILE SUSPECT, THE JUVENILE
GOT MAD AT HER AND PUNCHED HER IN HER STOMACH, SHE SAID SHE PREVENTED THE JUVENILE SUSPECT
FROM BITING HER, BUT THE JUVENILE SLAPPED HER ON HER HEAD. SHE SAID THE SUSPECT WAS OUT OF
CONTROL AND SHE HAD TO GET SECURITY TO SUBDUE HER AND PUT HER INTO CONFINEMENT. SHE SAID DUE TO
HEPA LAWS, SHE CANNOT GIVE ANY DATE OF BIRTH AND THE MEDICAL DIAGNOSE. I ADVISED MS. GREEN TO
SPEAK WITH THE JUVENILE PROSECUTING ATTORNEY'S OFFICE. THERE WERE NO VISIBLE INJURIES AND MEDICAL
WAS REFUSED. ADDITIONALLY, MS. GREEN SAID THE SAME SUSPECT PUNCHED HER IN EYE ON MONDAY BUT, DID
NOT WANT TO REPORT THE INCIDENT. BWC WAS IN USE.
Page 5 of 6

doc_type: Police Report


summary: A resident was transported to Ortho Arkansas for evaluation after injuring her foot during a physical altercation with a peer.

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: 7/27/2023
Date Received by DCCECE: 7/28/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 07/27/2023. On 7/27/2023, client , ) became
involved in a physical altercation with one of her peers. Staff immediately reacted to the
incident and separated and her peer. During the altercation, ?s right
foot was injured. Centers? medical personnel assessed ?s right foot and noted the
foot was swollen. Out of an abundance of caution, Centers? staff transported to
Ortho Arkansas for further evaluation. Once at Ortho Arkansas, medical personnel there
conducted X-rays of ?s right foot and determined there was a
was directed to wear a walking boot on
her right foot for three to four weeks. will have a follow-up appointment at Ortho
Arkansas in seven to ten days. After s evaluation at Ortho Arkansas, she was
transported back to EMAC. Centers? medical staff will continue to monitor .
?s guardian was notified about this incident. is a private placement at The
Centers. and the peer involved in this incident will not be housed in the same
dorm moving forward. reported that a staff member stepped on her foot during
the altercation; however, after video review of the incident, it is unclear how
injured her foot (Did staff or client step on it or did she hit it on something). was
the clear aggressor in this incident. As always, please do not hesitate to contact me if you
need any additional information.
Interim Action Narrative: Resident was assessed by medical personnel and referred to Ortho
AR for further evaluation. Residents were separated and placed on separate dorms.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns. Licensing Specialist will schedule a day and time to review camera footage.
Resident was placed on Assaultive Level B precautions. 8/2/2023, Licensing Specialist
reviewed camera footage.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 8/2/2023
Home Visit Date: 8/2/2023
Purpose of Visit: Self Report Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 3:30 pm to 4:30 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 44 Centers
Licensing Specialist spoke with Mr. Eric Knowles, Director of Risk Management, regarding ELS Case
#015275.
Licensing Specialist reviewed camera footage of provider reported incident. Licensing Specialist observed
residents and staff members in a classroom, ratio 2:6. Two (2) residents were sitting on the floor, three (3)
residents were sitting at desks, and two (2) residents were sitting around a desk where staff were sitting. The
two (2) residents around the staff’s desk appeared to be watching something on a screen. Due to the hot
temperatures outside, the residents were participating in free time.
Resident that injured her foot was observed walking around the classroom and walked toward the classroom
doorway. She walked toward a peer that was sitting on the floor and was observed communicating with her.
Licensing Specialist observed resident popping her knuckles while communicating with a peer.
Minutes later, Licensing Specialist observed resident get off the floor and walked toward where the staff and
two (2) residents were sitting. Resident was observed walking behind a peer near staff and slapped her peer in
the back of her head. Staff was observed getting up from their chairs and separated the two (2) residents.
During the altercation, Licensing Specialist was unable to determined how resident injured her foot due to
staff and peers surrounded around the residents.
In the process of staff separating the two (2) residents, Licensing Specialist observed residents pulling each
other’s hair and swinging. Once separated, Licensing Specialist observed a male staff member (support staff)
enter to the classroom and a female staff member escorting the peer that was attacked out of the classroom.
Resident was observed looking at her foot and limping around the classroom. Licensing Specialist observed
resident limp toward the doorway of the classroom and kick the wall. Resident then limped to a desk where
she sat down. A peer was observed pouring some water on what appeared to be a napkin/paper towel and
place it on the resident’s foot. Licensing Specialist observed the nurse enter the classroom and assess the
resident's foot.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Licensing visited the facility to conduct an annual review of policies and procedures.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 7/25/2023
Home Visit Date: 7/25/2023
Purpose of Visit: Special Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 2:30 pm to 3:45 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 43
Licensing Specialist conducted an annual review of policies and procedures for The Centers. Ms. Abby
Jenkins assisted Licensing Specialist with the review.
Policies and procedures for The Centers complied with minimum licensing standards.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

doc_type: Compliance Report


summary: Deficiencies were noted during the Inspection of Care (IOC) review. A Corrective Action Plan (CAP) was submitted and approved.

raw_content:
July 24, 2023
The Division of Provider Services and Quality Assurance of the Arkansas Department of Human Services
has contracted with Arkansas Foundation for Medical Care (AFMC) to perform Inspections of Care (IOC)
for Inpatient Psychiatric for Under 21. The Medicaid Manual for Inpatient Psychiatric Services for Under
Age 21 was used in the completion of this report.
Deficiencies were noted during the Inpatient Psychiatric Inspection of Care (IOC) conducted at the
following service site on the specified dates:
Centers for Youth and Families, Inc.
6501 West 12th Street
Little Rock, Arkansas 72225
Facility Provider ID: 115662125
Onsite Inspection Date: July 18, 2023
Onsite Inspection Time: 10:52 a.m.
A summary of the inspection and deficiencies noted are outlined below. The provider must submit a
Corrective Action Plan (CAP) designed to correct any deficiency notes in the written report of the IOC.
Accordingly, you must complete and submit to AFMC a Corrective Action Plan for each deficiency noted.
The Corrective Action Plan must state with the specificity the:
(a) Corrective action to be taken.
(b) Person(s) responsible for implementing and maintaining the corrective action; and
(c) Completion date or anticipated completion date for each corrective action.
The CAP must be completed within 30 calendar days of the date of the email notice of the IOC report at
the link provided.
The contractor (AFMC) will:
(a) Review the Corrective Action Plan.
(b) Determine whether the Corrective Action Plan is sufficient to credibly assure future compliance; and
(c) Provide the Corrective Action Plan to the Division of Provider Services and Quality Assurance
(DPSQA).
Please see § 160 of the Medicaid Manual for an explanation of your rights to administrative reconsideration
and appeal. Additionally, the imposition of this Corrective Action Plan does not prevent the Department of
Human Services from prescribing additional remedial actions as may be necessary.

Inspection of Care Summary
Facility Tour:
Upon arrival to facility, AFMC staff was promptly greeted at the entrance by a Centers for Youth and
Families staff member. AFMC was immediately taken to a conference room where they were met by the
Chief Strategy Officer. AFMC staff was given the completed and signed consent form listing approval
for access to the AFMC portal.
A tour of the facility was completed with the Chief Strategy Officer. Several staff members were
observed interacting calmly with clients throughout the facility. Staff were able to answer questions
regarding the facility.
There are two buildings that house the under 21 years of age population. The first building toured houses
the older adolescent girls. This building has four units that include the clients’ rooms and bathrooms.
AFMC staff noted that housekeeping was finishing cleaning and mopping the units during the tour. One
unit’s floor was noted to still be wet from housekeeping mopping and there was trash and fingernail
clippings noted in the floor after being mopped. New paint was noted on the walls in all units. Other areas
toured included the common area that is used for group activities and meals, bathrooms, outside area, and
the medication room. No other issues were noted.
The second building toured houses the younger male and female children. This building mimics the same
set up as the first building with four units, one girls’ unit and three boys’ units. Areas toured included the
units, the common area that is used for group activities and meals, bathrooms, outside area, and the
medication room. This building was extremely clean and well organized. No issues were noted.
Facility Review-Policies and Procedures:
Upon review of the site’s policies and procedures, the following deficiencies were noted:
Rule Deficiency Statement Reviewer Notes
Medicaid IP HR records did not indicate training in the The provider's HR records did not
Sec. 2: use of nonphysical intervention skills, such identify training in the use of
221.804; CFR as de-escalation on an annual basis. nonphysical intervention skills, such
42 482.130, as de-escalation, mediation conflict
483.376 resolution, active listening, and
verbal and observational methods, to
prevent emergency safety situations
on an a
Medicaid IP HR records did not indicate that all direct The provider's HR records did not
Sec. 2: care personnel have ongoing education, identify that all direct care personnel
221.804; CFR training, and demonstrated knowledge of have ongoing education, training,
42 482.130, techniques to identify staff and resident and demonstrated knowledge of
483.376 behaviors that may trigger an emergency techniques to identify staff and
safety situation semi-annually. resident behaviors, events and
environmental factors that may
trigger emergency safe
Medicaid IP There is no documentation in the HR The provider's HR records did not
Sec. 2; CFR records that all direct care personnel are identify that all direct care personnel
42 482.130, trained in facility's Restraint and Seclusion are trained, as well as demonstrate
483.376 policy. competency, in facility's Restraint
and Seclusion policy and appropriate
procedures to be used in Restraint
and Seclusion interventions.
Centers for Youth and Families, Inc., Little Rock – IOC Report 2 | P ag e

Personnel Records- Licenses, Certifications, Training:
There were 32 personnel records requested, six (25%) professional staff and 26 (28%) paraprofessional
staff. During the review of the personnel records, the following deficiencies were noted:
Personnel Rule Credential Outcome Reviewer Notes
Record Validated
Number
SR014388 Medicaid IP Sec. 2: Restraint and Failed No file received.
221.804; Seclusion
42 CFR 482.130, Training (CPI)
483.376
Clinical Summary
As a part of the Quality of Care survey of the IOC, an active Fee for Service (FFS) Medicaid client list
was requested, client and/or guardian interviews were conducted, and a clinical record review was
completed. The following is a summary of findings and noted deficiencies.
Client/Guardian Interviews:
There was no active FFS Medicaid clients currently admitted at the time of IOC. Therefore, there were
no client interviews were conducted.
Clinical Record Review Deficiencies:
There was no active FFS Medicaid clients currently admitted at the time of IOC. Therefore, there were
no clinical records reviews conducted.
Program Activity/Service Milieu Observation:
Clients were observed on the units and in the common areas in group activity sessions and eating. Staff
were engaged with the clients and were providing a therapeutic environment that was conducive to
learning.
Medication Pass:
No Medicaid clients received medications during medication pass. Due to the observation of non-
Medicaid clients not being complaint with the HIPAA minimal necessary rule, no medication pass was
observed. AFMC RN visited with the medication nurse who was able to show AFMC RN the facility
policies and procedures regarding medication administration, narcotic count/reconciliation/handling, and
medication discrepancies. Tour of medication room completed with the medication nurse. The only
discrepancy found during the tour of the medication room was an expired multi-dose vial of TB skin test
in medication refrigerator in medication room in the older girls’ building.
Corrective Action Plan:
The CAP must be completed within 30 calendar days of the date of the email notice of the IOC report
available for review. The IOC Report and Request for Corrective Action can be accessed through the link
to AccessPoint, provided via email.
*For more details on the individual related deficiencies, please log into the portal.
Centers for Youth and Families, Inc., Little Rock – IOC Report 3 | P ag e

Respectfully,
AFMC Inspection Team
InspectionTeam@afmc.org
1020 W. 4TH ST., SUITE 300
LITTLE ROCK, AR 72201 • afmc.org
Centers for Youth and Families, Inc., Little Rock – IOC Report 4 | P ag e

doc_type: IOC Report


summary: Officers responded to the facility for an assist medical call. Upon arrival, officers were advised that a juvenile opened the back doors of the ambulance and ran away.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2023-084531 JUVENILE INFORMATION Report generated: 7/26/2023 9:20 AM
Redact Before Release
NARRATIVE
OFFICERS RESPONDED TO THIS LOCATION FOR AN ASSIST MEDICAL CALL. UPON ARRIVAL, OFFICERS WERE
INFORMED THAT JUVENILE 1 WAS SENT HERE TO BE HOUSED. C1 ADVISED JUVENILE 1 WAS TAKEN FROM HER
HOME AND PLACED INTO THE CUSTODY OF THE STATE OF ARKANSAS. OFFICERS WERE ADVISED ON SCENE THAT
AS SOON AS MEMS STOPPED THEIR AMBULANCE, JUVENILE 1 OPENED THE BACK DOORS AND SPRINTED
EASTBOUND, ON FOOT, TOWARD UNIVERSITY. A BROADCAST WAS ISSUED AND OFFICERS CIRCULATED THE AREA
WITH NEGATIVE RESULTS. C1 ADVISED JUVENILE 1 WAS ORIGINALLY FROM LITTLE ROCK AND COULD BE HEADED
ANYWHERE. C1 ALSO ADVISED THAT JUVENILE 1 HAS RUN AWAY NUMEROUS TIMES IN THE PAST. BWC IN USE.
Page 4 of 5


summary: A resident was sent to Arkansas Children’s Hospital after developing a rash that spread across his chest.

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: 7/21/2023
Date Received by DCCECE: 7/24/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 7/21/2023. On 7/21/2023, client , DOB: )
developed a rash on the left side of his chest area that spread to the right side. Centers
medical personnel were unsure what caused the rash, so the decision was made to send
to Arkansas Children?s Hospital (ACH) for further evaluation. Centers? staff
transported to ACH. Once at ACH, medical personnel there diagnosed .
was prescribed to treat his rash.
After s medical evaluation at ACH, he was transported back to EMCC. Centers
medical personnel will continue to monitor . ?s guardian was notified
about this incident. is a private placement at The Centers. As always, please do
not hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed and referred to ACH for further evaluation.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist was informed of provider reported incident via
email. 7/25/2023, Licensing Specialist reviewed provider reported incident for licensing
concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported to Arkansas Children’s Hospital for evaluation after she was bitten by a peer during an altercation.

raw_content:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns. Licensing Specialist will inquire about camera footage. 7/21/2023, Licensing
Specialist informed that camera footage was available. Licensing Specialist will schedule a
day and time to review camera footage. 7/25/2023, Licensing Specialist reviewed camera
footage.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 7/25/2023
Home Visit Date: 7/25/2023
Purpose of Visit: Self Report Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 2:00 pm to 2:30 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 43
Licensing Specialist spoke with Mr. Eric Knowles, Director of Risk Management, regarding ELS Case
#015176.
Licensing Specialist observed camera footage of provider reported incident. Licensing Specialist observed
residents and staff in the common/living area of Dorm #4 at EMAC. Licensing Specialist observed a resident
doing a peer’s hair, a resident sitting in a chair, a resident standing in the doorway of a bedroom, a resident
was in a bedroom, and a resident by the staff’s working station, ratio 2:5.
Licensing Specialist observed the resident in the bedroom doorway blocking the resident at the staff’s
working station. Resident from the bedroom charged at the resident and bypassed the resident standing in the
bedroom doorway. Once resident charged at her peer, Licensing Specialist observed staff intervened between
the two residents.
Licensing Specialist observed the resident lean into her peer, and she was bit by the peer. Staff was observed
trying to separate the two residents, but the resident had the peer’s hair. Licensing Specialist observed support
staff enter the dorm to assist with the altercation due to the code being called. Licensing Specialist observed a
male staff member place the resident in a child control restraint when she pushed a female staff member.
Licensing Specialist observed residents being escorted out of the dorm so that staff could calm resident down.
Resident was observed looking at her arm and pointed out that she had been bitten. Licensing Specialist
observed staff escorting resident off the dorm. Licensing Specialist was informed that resident was escorted to
the nurse’s station for medical treatment.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was transported for acute care after becoming aggressive and making statements about harming herself and others.

raw_content:
AR KAN S A S&S
DEPARTMENT OF

+4 HUMAN
<a¥ SERVICES

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot $140, Little Rock, AR 72203-1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550

Notice of Serious Incident

Date of Incident: 7/13/2023

Date Received by DCCECE: 7/14/2023

Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing

Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 7/13/2023. On 7/13/2023, client TT, Dob: i)
became dysregulated and began making verbal statements about harming herself and
others. P| also began to become aggressive with her peers and staff. The Centers?
Medical Team determined to keep safe, she would need a higher level of care
that an acute facility could provide. Acute placement was located for i at Conway
Behavioral Health and MEMS ambulance service transported her to the facility. yj
BE guardian was notified about this incident. JJ is a private placement at The
Centers. After her treatment at Conway Behavioral, Fs will return to EMAC. As
always, please do not hesitate to contact me if you need any additional information.

Interim Action Narrative: Resident was transported via MEMS to acute care for treatment.

Maltreatment Narrative:

Licensing Narrative: Licensing Specialist informed of incident on 7/14/2023. 7/17/2023,
Licensing Specialist reviewed provider reported incident of licensing concerns.

We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility to assist EMS with a patient.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 7/14/2023 8:12 AM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2023-079854 1X61 07/13/2023 11:50:00 ASTMED

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

7/13/2023 11:50:57 AM

6601 W 12TH ST

OFFENSE

NON POLICE INCIDENT

MEMS TRANSPORTED TO HOSPITAL

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
07/14/2023 13:07:01 | EMANUEL ESTRADA - EMANUEL ESTRADA - MVR in use

LRPD Form 5501-01 Rev. RMS-2019-01-23 Page 1 of 1


summary: Officers were dispatched to the facility for a battery report. A staff member reported that a juvenile hit her and pulled her hair.

raw_content:
INCIDENT NUMBER 2023-079552 JUVENILE INFORMATION Report generated: 7/20/2023 8:07 AM
NARRATIVE
OFFICERS RESPONDED TO A BATTERY AT THE LISTED ADDRESS. OFFICERS MADE CONTACT WITH KATRENA
FINLEY. MS. FINLEY ADVISED J1 HAD BEEN ASSAULTING HER YESTERDAY AND TODAY. MS. FINLEY ADVISED SHE
COULD NOT GIVE OUT THE JUVENILES INFORMATION AND ONLY WANTED A PAPER TRAIL. MS. FINLEY ADVISED J1
WOULD HIT HER AND PULL HER HAIR WHENEVER ASKED TO DO SOMETHING SHE DID NOT WANT TO DO. MS.
FINLEY ADVISED SHE HAS NO INJURIES. OFFICERS PROVIDED AN INCIDENT NUMBER. NO FURTHER POLICE
ACTIONS TAKEN. MVR AND BWC WERE IN USE.
Page 5 of 6


summary: Licensing visited the facility to review personnel files. All files reviewed complied with minimum licensing standards.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 7/10/2023
Home Visit Date: 7/10/2023
Purpose of Visit: Personnel Records
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 11:30 am to 1:45 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 46
Licensing Specialists reviewed ten (10) personnel files:
D. Miller (Mental Health Technician/QBHP) 1/17/2023
W. Davis (Mental Health Technician/QBHP) 3/13/2023
K. Lowe (Mental Health Technician/QBHP) 6/19/2023
T. Davis (Mental Health Technician/QBHP) 1/3/2023
A. Sims (Licensed Practical Nurse) 1/30/2022
N. Jacobs (Mental Health Technician/QBHP) 2/27/2023
J. Gassaway (Case Manager) 4/5/2023
J. Summerville (Mental Health Technician/QBHP) 7/18/2022
M. Hathaway (Registered Nurse) 3/13/2023
C. Henderson (Mental Health Technician/QBHP) 6/19/2023 – Is currently going through orientation.
Licensing Specialist checked R103 General Registry & Criminal Record Checks and R105 Staff
Qualifications & Training.
All personnel files reviewed complied with the minimum licensing standards.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was transported to Arkansas Children’s Hospital for evaluation of her shoulder after an altercation with two peers.

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: 7/9/2023
Date Received by DCCECE: 7/10/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that took place at The Centers
(EMAC) on 7/09/2023. On 07/08/2023, client , DOB: )
engaged in a fight with two of her peers. Staff intervened in the fight and separated the
clients from each other. was assessed by Centers? medical personnel, and she
complained of pain in her right shoulder. The nurse noted that did not
have any discoloration or swelling to the shoulder area. The doctor was contacted and
advised to continue to monitor and notify her of worsening symptoms. On
7/09/2023, continued to complain about pain in her right shoulder. Out of an
abundance of caution, Centers? staff transported to Arkansas Children?s
Hospital (ACH) for further evaluation. Once at ACH, medical personnel there conducted X-
rays of ?s right shoulder and determined there was NO dislocation or fracture.
After ?s medical evaluation at ACH, she was transported back to EMAC. Centers?
medical staff will continue to monitor s guardian was notified about
this incident. is a private placement at The Centers. and her two peers
were placed on Assaultive Precautions because of this incident. will not be placed
in a dorm with either of the two peers involved in this incident. As always, please do not
hesitate to contact me if you need any additional information.
Interim Action Narrative: Residents were separated and placed assaultive precautions.
Resident was moved to another dorm.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist received incident via email. 7/11/2023, Licensing
Specialist reviewed provider reported incident for licensing concerns. Licensing Specialist
will require about guardianship and camera footage. Licensing Specialist will schedule day
and time to review camera footage. 7/13/2023, Licensing Specialist reviewed camera
footage.


summary: Officers were dispatched to the facility in response to a disturbance. Upon arrival, a staff member advised that she wanted officers present to scare juveniles. The staff member advised that she did not want a report made.

raw_content:
INCIDENT NUMBER 2023-078233 JUVENILE INFORMATION Report generated: 7/9/2023 11:21 PM
NARRATIVE
OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A DISTURBANCE CALL. UPON ARRIVAL,
OFFICES MADE CONTACT WITH TAMIKA JOHNSON (C1), WHO ADVISED SHE WANTED OFFICERS PRESENT TO
SCARE JUVENILES. MS. JOHNSON ADVISED SHE DID NOT WANT A REPORT MADE.
OFFICERS WALKED THROUGH THE BUILDING AND OBSERVED MULTIPLE DISTURBANCES BETWEEN JUVENILES.
MS. JOHNSON ADVISED MULTIPLE JUVENILES WERE IN AN ALTERCATION PRIOR TO OFFICERS' ARRIVAL. MS.
JOHNSON ADVISED SHE WANTED OFFICERS PRESENT TO SCARE THE JUVENILES.
OFFICERS MADE CONTACT WITH JUVENILE 1, WHO ADVISED SHE AND JUVENILE 2 WERE IN AN ALTERCATION.
JUVENILE 1 ADVISED SHE WAS TRYING TO WATCH TV, BUT THE OTHER GIRLS WERE BEING TOO LOUD, AND SHE
TOLD THEM TO BE QUIET. JUVENILE 1 ADVISED JUVENILE 2 STATED, "I'M GOING TO BEAT OUR ASS" AND RUSHED
AT HER. JUVENILE 1 ADVISED SHE DEFENDED HERSELF BY BITING JUVENILE 2 ON THE FOOT.
OFFICERS MADE CONTACT WITH JUVENILE 2, WHO ADVISED THAT JUVENILE 1 BIT HER ON THE FOOT. JUVENILE 2
WAS BEING IRATE. OFFICERS ASSISTED STAFF BY ESCORTING JUVENILE 2 TO HER ROOM.
MISS JOHNSON ADVISED NO POLICE ACTION WAS NEEDED. THE JUVENILES LIVE IN SEPARTE LIVING QUARTERS.
OFFICERS ADVISED NORTHWEST SERGEANT GLOVER OF THE INCIDENT. NO FRUTHER POLICE ACTION TAKEN.
MVR AND BWC IN USE.
Page 5 of 6


summary: Officers were dispatched to the facility. Upon arrival, a staff member advised she had been assaulted by a juvenile resident.

raw_content:
INCIDENT NUMBER 2023-076787 JUVENILE INFORMATION Report generated: 7/6/2023 5:12 PM
NARRATIVE
UPON ARRIVAL ON SCENE, OFFICER ESTRADA AND I MADE CONTACT WITH THE CALLER MS SANDRA ONWEMADU.
ONWEMADU STATED SHE HAD BEEN ASSALTED BY JUV1 WHILE CHECKING FOR CONTRABAND IN HER ROOM.
ONWEMADU SAID SHE WAS LOOKING IN JUV1'S CUBBY UNDER HER BED WHEN JUV1 BEGAN REPEATEDLY
PUNCHING HER IN THE HEAD. ONWEMADU ALSO STATED JUV1 HAD ALSO ATTACKED HER EARLIER AND
SCRATCHED HER ON HER LEFT ARM. ONWEMADU HAD A SMALL VISIBLE SCRATCH ON HER LEFT FOREARM.
ONWEMADU WAS GIVEN THE INCDENT NUMBER AND ADVISED WARRANTS. MVR IN USE.
Page 5 of 6


summary: A resident reported that a staff member pinched his arm. 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
R
Notice of Serious Incident
Date of Incident: 6/29/2023
Date Received by DCCECE: Elizabeth Mitchell Centers
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: I wanted to inform you of an incident that took place at The Centers
(EMCC) on 6/29/2023. On 6/29/2023, client , DOB: )
reported a staff member, , had pinched his arm. Centers? medical personnel
assessed and noted a bruise to his right upper arm. There was no skin broken
and did not require any medical treatment because of this incident. Centers?
staff reported this incident to the , and the alleged allegations
were accepted (Referral # guardian was notified about this
incident. is a private placement at The Centers. was suspended
and will remain suspended until the completion of the investigation. As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: was suspended pending the investigation
outcome.
Maltreatment Narrative: Resident reported that staff member pinched his arm. 8/14/2023,
Licensing Specialist informed case found unsubstantiated.
Licensing Narrative: Licensing Specialist reviewed complaint for licensing concerns.
7/5/2023, Licensing Specialist will inquire on who the investigator is for this incident.
Licensing Specialist will schedule to review camera footage. Licensing Specialist will reach
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humanservices.arkansas.gov

out to Investigator Harp for permission to contact the facility. Licensing Specialist reviewed
camera footage. 7/7/2023, Licensing Specialist followed-up with Investigator Harp for
permission to contact the facility. Licensing Specialist received permission to contact the
facility. 7/31/2023, Licensing Specialist contacted investigator via email for an update.
Licensing Specialist informed investigator to contact Director of Risk Management to
obtain contact information on the staff member involved. Case is still pending. 8/14/2023,
Licensing Specialist reached to Investigator Harp for an update. Investigator Harp
informed Licensing Specialist case was closed. Licensing Specialist inquired if staff member
would be returning to work.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 7/5/2023
Home Visit Date: 7/5/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 1:30 pm to 3:00 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 29
Licensing Specialist received a complaint on 6/29/2023, ELS Case #014974.
Licensing Specialist reviewed camera footage for ELS Case #014974 at EMCC. Licensing Specialist observed
ratio 2:1. Resident was observed throwing pillows at staff and walking around South Dorm common area.
Licensing Specialist observed staff members ( and ) blocking pillows that the resident
was throwing. Licensing Specialist observed on her cell phone what appeared to be texting and
smiling while the resident was throwing pillows.
The camera view was dark so Licensing Specialist could not review when and resident was in the
corner on the furniture in the common area. Licensing Specialist observed walk away from the
resident and him rubbing his arm. Licensing Specialist observed another staff member enter the South Dorm
and escorted the resident off the dorm.
Resident was observed sitting in the common area of all the dorms, ratio 3:1. Licensing Specialist observed
resident rubbing and picking at his arm. The nurse was observed taking pictures of the resident’s arm, ratio
2:1.
Licensing Specialist is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 8/14/2023
Home Visit Date: 8/14/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 8/14/2023.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing received a complaint on 7/3/2023 for ELS Case #014974.
This complaint has been unfounded by licensing.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A report of supervision, treatment, and medical concerns at the facility was submitted to the child abuse hotline. 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
R
Notice of Serious Incident
Date of Incident: 6/27/2023
Date Received by DCCECE: Elizabeth Mitchell Centers
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/27/2023. On 6/27/2023, DCFS Investigator, Fiera Stewart, came to EMAC to
investigate an accepted call involving Centers? client, , DOB:
). To Centers? knowledge, the allegations from the call are as follows:
supervision, treatment, and medical concerns regarding . The Centers was not
aware of the call until Investigator Stewart arrived on campus. As always, please do
not hesitate to contact me if you need any additional information.
Interim Action Narrative:
Maltreatment Narrative: The alleged offenders are staff members at Centers;
, therapist, early ? mid 40?s and other staff, names and ages unknown. is
therapist, but she doesn?t appear to have any set boundaries and seems to have more
than a doctor/patient relationship. wanted the parents to take off her birth
control, as had gained about 30 pounds since being there and had been told it
could be due to the birth control. said that didn?t want to be on it, and she
tried to get mom to send her to job corp. The parents refused to take her off the birth control
or send her to job corp, as they believed the weight gain was from being given the various
medications she had been prescribed while at Centers; that seemed to upset She
was prescribed medications for sleep; they were asked to document everything; however
they aren?t doing so; didn?t document any sleep issues she had, just prescribed medication
to her and gave it to her. She was prescribed
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and and didn?t document why she needed the medications. The head nurse was
spoken with and they were able to stop all the medications; unknown what doctor
prescribed the medications or anything, but from what is understood, they were prescribed
to her. Also back in May, several of the girls at the facility were piercing their noses; mom
went to get for a dental appointment and her nose was infected from the piercing. The
parents tried to find out how she got the piercing from staff; staff had to go back and watch
the tape; went to her cubby, picked up a brush and went to the bathroom and came out
hiding her nose. There were staff members present when this was going on, but none of
them went to check on the girls to see what was going on, or anything; didn?t make them
take it out or anything. went to the bathroom, hiding in the bathroom and then came
out, hiding her nose. Staff allegedly figured out what they were doing but didn?t stop them.
When the facility was contacted, no one had documented anything and they didn?t contact
the parents; there is video of staff just sitting there, not getting up to see what was
happening or anything. The parents contacted staff at Centers, but the person that was
trying to figure everything out, was let go. said she was cleaning it with alcohol, but
from what is understood, they don?t have access to alcohol or anything. Staff isn?t checking
the girls after they?ve been on outings; they?re bring in various things when they?re on
outings. Staff also isn?t documenting what they?re saying. One staff member was trying to
coax into letting them adopt her and stuff like that.
Licensing Narrative: 6/29/2023-Program Coordinator spoke to the assigned investigators
supervisor as the investigator is out of the office for the next several days. The supervisor
granted permission for licensing to contact the agency and reported that the alleged
offender is who is a therapist at the facility. The program coordinator
reached out to the facility to request an ICA for this staff. Further information was received
and the ICA is being placed on hold for this time. Communication with DCFS and the
facility are ongoing with a planned visit to the facility tomorrow 6/30/2023. 6/30/2023,
Licensing Specialist spoke with DON and Compliance Officer in regards to the nose
piercings. Licensing Specialist requested a copy of the nurse's notes. 7/6/2023, Licensing
Specialist received the nursing note regarding the nose piercing. 7/28/2023, Licensing
Specialist contacted investigator via email for an update. Licensing Specialist informed case
unfounded/unsubstantiated.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 6/30/2023
Home Visit Date: 6/30/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 9:45 am to 10:00 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 32
Licensing Specialist received a complaint on 6/27/2023, ELS Case #014931.
Licensing Specialist spoke with Mr. Eric, Compliance Officer and Ms. Victoria, Director of Nursing.
Licensing Specialist inquired about the residents involved in the reported nose piercings. Ms. Victoria
informed Licensing Specialist it was reported that the residents were using teeth from their combs to pierce
their noses. Ms. Victoria also reported that it was three (3) to four (4) residents involved in the nose piercings.
Ms. Victoria informed Licensing Specialist that all residents were assessed, no infection was reported, the
provider/doctor was notified, and triple antibiotic ointment was administered. Licensing Specialist was
informed that the triple antibiotic ointment is on the standing order medication list.
Licensing Specialist is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 7/28/2023
Home Visit Date: 7/28/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 7/28/2023.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing received a complaint on 6/29/2023 for ELS Case #014931.
This complaint has been unfounded by licensing.
Provider Comments:
CCL Staff Signature : Date: 9/18/2023
Provider Signature : Date: 9/18/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was transported for acute care after becoming aggressive and making statements about harming herself.

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: 6/26/2023
Date Received by DCCECE: 6/27/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/26/2023. On 6/26/2023, client , DOB: )
became dysregulated and started making verbal statements about harming herself.
also began to become aggressive with her peers and staff. The Centers? Medical
Team determined, to keep safe, she would need a higher level of care that an
acute facility could provide. Acute placement was located for at Perimeter
Healthcare (West Memphis) and MEMS ambulance service transported her to the facility.
After her treatment at Perimeter, will return to EMAC. ?s guardian
was notified about this incident. is a DCFS placement at The Centers. As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Medical team found acute placement for resident. She will be able
to return to the facility.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist informed of incident. 6/28/2023, Licensing
Specialist reviewed provider reported incident for licensing concerns.
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humanservices.arkansas.gov


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

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 6/26/2023
Home Visit Date: 6/26/2023
Purpose of Visit: Subsequent Building and Grounds
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 2:15 pm to 2:45 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 32
Licensing Specialist observed the following areas in EMAC: therapy hallway, exercise room, classrooms,
dining area, rage room, cozy room, hygiene closet, exercise room, and all dorms (one (1), two (2), three (3)
and four (4). The grounds leading into the building were clean and free of debris. The parking lot was full of
parked cars. There was an ACH dental trailer on the grounds that provided dental hygiene to the residents.
Licensing Specialist was escorted by Ms. Jade, Program Manager. Walking down the therapy hallway,
Licensing Specialist observed closed and opened doors with staff sitting in their offices. In Ms. Gretchen’s
classroom, speech therapy was taking place. Ms. Karin’s classroom was empty. Ms. Jade informed Licensing
Specialist that residents are participating in the following activities during this summer: real teen talk, arts and
crafts, and yoga. If the residents do not have any precautions on Wednesday, they are able to volunteer at the
zoo.
In the dorms, Licensing Specialist observed the clients' rights on the walls, the evacuation plan, and the menu
(breakfast, lunch, and dinner) on the walls. The rage room ratio, 1:1. Exercise room ratio, 1:1.
Dorm 1, ratio 2:8. Licensing Specialist observed residents laying down in their bedrooms, watching television,
or playing a game with staff observing. Dorm 2, ratio 2:8. Residents were sitting in the day area with staff.
Dorm 3, ratio 1:3. Residents were playing tricks with UNO cards. Dorm 4. Ratio 2:7. Residents were resting
in their bedrooms or watching television with staff. All bathrooms were cleaned and sanitary.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was transported to Arkansas Children’s Hospital after complaining of stomach pain.

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: 6/25/2023
Date Received by DCCECE: 6/26/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/25/2023. On 6/25/2023, client , DOB: )
complained to Centers? medical personnel that her stomach was hurting. It should be noted
that on 6/22/2023, was transported to Arkansas Children?s Hospital (ACH)
where she was diagnosed with a cyst of the right ovary. Out of an abundance of caution,
Centers? staff transported to ACH. Once at ACH, medical personnel there
conducted several tests. The attending provider noted was bleeding from her
uterus and increased the dosage of medication she was prescribed on 6/22/2023. The cause
of the bleeding was from the cyst on the right ovary. After ?s medical
evaluation, she was transported back to EMAC. Centers? medical staff will continue to
monitor . ?s guardian was notified about this incident.
is a DCFS placement at The Centers. As always, please do not hesitate to contact
me if you need any additional information.
Interim Action Narrative: Resident was transported to ACH for further evaluation.
Maltreatment Narrative:
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humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist received incident via email. 6/17/2023, Licensing
Specialist reviewed provider reported incident for licensing concerns.


summary: A resident was transported to Arkansas Children’s Hospital for evaluation of her hand after closing a door on it.

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: 6/24/2023
Date Received by DCCECE: 6/26/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/24/2023. On 6/24/2023, client , DOB: )
reported she closed the bathroom door on her left hand. Centers? medical staff assessed
left hand and noted the area was red and the hand was slightly swollen.
left hand was treated with an ice pack, and was given Ibuprofen.
continued to complain about pain in her left hand so out of an abundance of caution,
Centers? staff transported her to Arkansas Children?s Hospital (ACH). Once at ACH,
medical personnel there conducted X-rays of left hand and determined there
were NO fractures present. After Ms. Timm?s medical evaluation, she was transported back
to EMAC. Centers? medical staff will continue to monitor . s guardian
was notified about this incident. is a private placement at The Centers. As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by Centers' medical personnel and
transported to ACH for further evaluation.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist was informed of this incident via email.
6/27/2023, Licensing Specialist reviewed provider reported incident for licensing concerns.


summary: A resident was transported to Arkansas Children’s Hospital for evaluation after injuring her hand by hitting a plexiglass window.

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: 6/24/2023
Date Received by DCCECE: 6/26/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/24/2023. On 6/24/2023, client , DOB: ) became
dysregulated and hit the plexiglass window in her dorm with her ( ) right hand.
Centers? medical staff assessed ?s right hand and noted some swelling in the
right little finger and right ring finger. reported she was unable to make a fist.
Out of an abundance of caution, Centers? staff transported to Arkansas
Children?s Hospital (ACH). Once at ACH, medical personnel there conducted X-rays of
s right hand and determined there were NO fractures present. After
?s medical evaluation, she was transported back to EMAC. Centers? medical staff will
continue to monitor ?s guardian was notified about this incident.
is an DCFS client. As always, please do not hesitate to contact me if you need
any additional information.
Interim Action Narrative: Resident was assessed by medical staff and transported to ACH
for further evaluation.
Maltreatment Narrative:
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humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist received incident via email. 6/27/2023, Licensing
Specialist reviewed provider reported incident for licensing concerns.


summary: A resident was transported to Arkansas Children’s Hospital for evaluation after complaining of severe abdominal pain.

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: 6/22/2023
Date Received by DCCECE: 6/23/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/22/2023. On 6/22/2023, client DOB:
was in the bathroom when she reported experiencing severe abdominal pain. The nurse was
called and conducted an abdominal assessment of . The assessment showed
rebound tenderness and wincing and screaming to the touch. Out of an
abundance of caution, MEMS ambulance service was called and transported
to Arkansas Children?s Hospital (ACH) for further evaluation. Once at ACH, medical
personnel there conducted several tests on , one of which revealed a cyst of
the right ovary. The attending provider ordered to take two tablets of
Aygestin every day for the next ten days to help relieve her condition. After ?s
medical evaluation, she was transported back to EMAC. Centers? medical personnel will
continue to monitor . ?s guardian was notified about this
incident. is a DCFS placement at The Centers. As always, please do not
hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by the nurse and transported by MEMS to
ACH ER for further evaluation.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns.


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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 6/22/2023
Home Visit Date: 6/22/2023
Purpose of Visit: Subsequent Building and Grounds
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 9:00 am to 10:00 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 3

Census: 26
Licensing Specialist completed buildings and grounds at EMCC on the following areas: the dorms (North,
South, New, and East, administration hall, dining room area, playground, and nurse’s station. Licensing
Specialist observed two (2) vans on the grounds. The lawn was well kept with no debris. There were staff
members walking on the grounds between the two (2) buildings.
Licensing Specialist was escorted by Mr. Mike (Lead Program Manager). The administration hall was clean.
Licensing Specialist observed different staff members walking in the hall or in their offices. Licensing
Specialist observed housekeeping cleaning the dining room area.
Licensing Specialist observed the playground area. Day Treatment residents were outside on the playground
during this visit.
There were no residents present during the walkthrough of the dorms. EMCC residents were in the
classrooms. Licensing Specialist observed the cozy corner, bedrooms, laundry room, recreational closet,
storage cabinets (hygiene products, games, movies, and cleaning products), bathrooms, the rage room, and
day areas of the dorms.
All bathrooms were clean with a fresh smell of cleaning products. The bedrooms were organized, and some
beds were without bedding due to it being laundry day for those residents. Licensing Specialist observed wall
decorations (fat heads) on the walls of the dorms and zone regulations. Each dorm has their own pitcher to
supply water for the residents. Mr. Mike informed Licensing Specialist that each resident has their own water
bottle and are cleaned daily.
Licensing Specialist observed the following documentation on the walls: residents’ rights, emergency escape
plan, menu, weekend incentives, summer and weekend schedules.
Licensing Specialist reviewed MARs for the following residents:
LB 4/10/2012
IR 12/15/2022
EE 7/12/2011
AA 3/8/2015
AC 7/3/2012
All initialed and up to date.
Provider Comments:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 3

CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3


summary: A complaint received by Licensing reported that a staff member was giving kids melatonin that she brought from home. The staff member was terminated and reported to the Licensing Board as a result of this complaint. The facility was cited 109.1.g and 908.8.

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: 6/21/2023
Date Received by DCCECE: Elizabeth Mitchell Centers
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: Reported that staff is giving kids melatonin with their medications that
she brings from home and sprays the kids with melatonin. Name listed is .
Interim Action Narrative: Staff members were suspended pending outcome of investigation.
Maltreatment Narrative: Staff/Nurse was giving residents melatonin with their
medications that she brings from home and sprays the residents.
Licensing Narrative: Licensing Specialist reviewed the complaint for licensing concerns.
Licensing Specialist visited the facility and reviewed the MARs. 6/23/2023, Licensing
Specialist spoke with the DON (Victoria) and inquired about the standing order process
and the pre-approved list of medication. Licensing Specialist was informed that Melatonin
was not on the pre-approved list and the nurse would have to consult with the medical
provider before administering the medication. Licensing Specialist requested a copy of the
pre-approved list, consent form, and other documentation regarding standing order.
6/26/2023, Licensing Specialist spoke with three (3) residents at EMCC regarding their
medications. 6/30/2023, Licensing Specialist spoke with nine (9) residents at EMCC
regarding their medications. Investigator Gossett contacted Licensing Specialist via
telephone. 7/12/2023, Licensing Specialist contacted Human Resources and inquired about
the LPN's probation requirements. 7/31/2023, Licensing Specialist reached out to the
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humanservices.arkansas.gov

investigator for an update. 8/8/2023, Investigator Gossett informed Licensing Specialist
that case is still pending. 8/14/2023, Licensing Specialist informed by facility that Referral
# was found true and staff members involved will be terminated. Licensing
Specialist will follow-up with Investigator Gossett. 8/18/2023, Licensing Specialist followed-
up with Investigator Gossett. Licensing Specialist informed case was closed, founded.
8/21/2023, Licensing Specialist followed-up with Program Coordinator. 8/29/2023,
Licensing Specialist received approval to complete the 521.

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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 6/26/2023
Home Visit Date: 6/26/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 3:00 pm to 3:45 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 32
Licensing Specialist received a complaint on 6/21/2003, ELS Case #014860.
Licensing Specialist inquired about speaking with residents whose MAR’s was reviewed on 6/22/2023.
Licensing Specialist was informed by Mr. Mike that residents and discharged on 6/22/2023.
Licensing Specialist spoke with residents , and . informed Licensing Specialist that his
medications are pills. informed Licensing Specialist that his medications are pills and a nasal spray.
informed Licensing Specialist that his medications are pills.
Licensing Specialist is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 6/30/2023
Home Visit Date: 6/30/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 8:45 am to 9:45 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 27
Licensing Specialist received a complaint on 6/21/2003, ELS Case #014860.
Licensing Specialist spoke with the following residents at EMCC regarding their medication: , , , ,
, , , and . All residents reported taking medication pills orally.
Resident reported mixing a powder (MiraLAX) with water or juice and drinking it daily. Resident
reported using body spray to smell good. Residents and reported using nasal spray. Resident
reported using spray sunscreen.
Licensing Specialist is not prepared to leave a finding at this time.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
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: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge:
Record Visit Date: 8/21/2023
Home Visit Date: 8/21/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
No in-person licensing visit completed on 8/21/2023.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing received a complaint on 6/21/2023 for ELS Case #014860.
This complaint has been founded by licensing. R908.8, medication was administered and was not logged by the person
administering the medication.
Provider Comments:
CCL Staff Signature : Date: 8/22/2023
Provider Signature : Date: 8/22/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A pregnant resident was transported to UAMS after reporting significant cramping and severe abdominal pain.

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: 6/20/2023
Date Received by DCCECE: 6/21/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/20/2023. On 6/20/23, client , DOB: )
reported she was having significant cramping and severe abdominal pain. is
approximately 15 weeks pregnant. Out of an abundance of caution, MEMS ambulance
service was called and transported to the UAMS Medical Center Emergency
Room. Once at UAMS, medical personnel there conducted several lab tests and imaging
scans, all of which returned normal. was given Zofran and Tylenol to help
with her abdominal pain. After ?s medical evaluation at UAMS, she was
transported back to EMAC. Centers? medical staff will continue to monitor .
?s guardian was notified about this incident. is a DCFS
placement at The Centers. As always, please do not hesitate to contact me if you need any
additional information.
Interim Action Narrative: Resident was transported by MEMS to UAMS ER for further
evaluation.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns.


summary: A resident was transported to Arkansas Children’s Hospital after reporting abdominal pain in her right lower quadrant.

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: 6/19/2023
Date Received by DCCECE: 6/20/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/19/2023. On 6/19/2023, client DOB: ) was at
an appointment with her Gynecologist for a routine exam when she began to experience
abdominal pain in her right lower quadrant. Out of an abundance of caution, was
transported to Arkansas Children?s Hospital (ACH) by Centers? staff for further evaluation.
Once at ACH, medical personnel there conducted several tests (Urinalysis, Numerous
Imaging Scans) all of which returned normal. The attending physician advised
should take Tylenol and Motrin for any discomfort. After medical evaluation at
ACH, she was transported back to EMAC. Centers? medical staff will continue to monitor
?s guardian was notified about this incident. is a private
placement at The Centers. As always, please do not hesitate to contact me if you need any
additional information.
Interim Action Narrative: Resident was transported to ACH for further evaluation.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to a suspicious person sitting in the parking lot.

raw_content:
INCIDENT NUMBER 2023-068252 JUVENILE INFORMATION Report generated: 7/9/2023 12:58 PM
NARRATIVE
OFFICERS RESPONDED TO THE LISTED ADDRESS, THE CENTERS FOR YOUTH AND FAMILIES, IN REFERENCE TO A
SUSPICIOUS PERSON. AFTER RESPONDING, OFFICERS MADE CONTACT WITH DEPUTY TRIPP A CLEBURNE
COUNTY DEPUTY WORKING IN AN OFF-DUTY CAPACITY AT THIS LOCATION. DEPUTY TRIPP ADVISED EMPLOYEES
OF THE BUSINESS TOLD HIM THERE WAS A BLACK VOLKSWAGEN OCCUPIED BY A BLACK MALE SITTING IN THE
PARKING LOT. DEPUTY TRIPP ADVISED THE EMPLOYEES TOLD HIM THE MALE SUBJECT, LATER IDENTIFIED AS
, HAS BEEN KNOWN TO BE ARMED WITH A PISTOL. DEPUTY TRIPP ADVISED HE DID NOT APPROACH
THE VEHICLE AND CALLED "911" FOR POLICE ASSISTANCE. DEPUTY ADVISED THE BUSINESS ADVISED HIM THAT A
FEMALE EMPLOYEE DOES HAVE AN ORDER OF PROTECTION AGAINST .
AFTER SPEAKING WITH DEPUTY TRIPP, OFFICERS MADE CONTACT WITH .
ADVISED HE WAS WAITING IN THE PARKING LOT BECAUSE A FEMALE SUBJECT THAT WORKS AT THIS LOCATION
ASKED HIM TO MEET HER.
AFTER SPEAKING WITH , OFFICERS MADE CONTACT WITH MS. DAWSON THE CEO OF THE
CENTER OF YOUTH AND FAMILIES BY PHONE. MS. DAWSON ADVISED SHE DID WANT BANNED
FROM THE PROPERTY.
AFTER SPEAKING WITH MS. DAWSON, OFFICERS CONDUCTED A RECORD CHECK ON , VIA
NCIC/ACIC, AND HE DID HAVE AN ACTIVE ORDER OF PROTECTION AGAINST HIM BUT IT HAS NOT BEEN SERVED TO
HIM AT THIS TIME. OFFICERS THEN ATTEMPTED TO CONTACT THE PROTECTED PARTY ON THE ORDER OF
PROTECTION, BY PHONE, WITH NEGATIVE RESULTS.
AFTER CONDUCTING THE RECORD CHECK ON , OFFICERS ADVISED HIM THE BUSINESS WANTS
HIM BANNED FROM THE PROPERTY AND IF HE RETURNS WOULD BE CHARGED WITH CRIMINAL TRESPASS.
OFFICERS THEN STOOD-BY WHILE LEFT THE PROPERTY WITHOUT INCIDENT.
MVR IN USE.
Page 5 of 6


summary: Officers were dispatched to the facility in response to a suspicious person. Upon arrival, officers made contact with a staff member who advised she observed individuals outside with a handgun, causing a disturbance.

raw_content:
INCIDENT NUMBER 2023-067935 JUVENILE INFORMATION Report generated: 7/9/2023 12:58 PM
NARRATIVE
OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A SUSPICIOUS PERSON CALL. UPON
ARRIVAL, OFFICERS MADE CONTACT WITH MS. ANNA (C1), WHO ADVISED SHE OBSERVED SUBJECTS OUTSIDE THE
LOCATION CAUSING A DISTURBANCE. MS. ANNA ADVISED HER EMPLOYEES OBSERVED A BLACK HANDGUN. MS.
ANNA THE SUSPICIOUS PERSONS WERE DRIVING A BLACK VOLKSWAGEN; LICENSE PLATE NUMBER AFL16A.
OFFICERS PROVIDED MS. ANNA WITH THE INCIDENT NUMBER TO FOLLOW UP WITH THE INCIDENT. NO FURTHER
POLICE ACTION TAKEN. MVR AND BWC IN USE.
Page 3 of 4