summary: Staff 1 was approaching Resident 1 in a threatening manner, when Staff 2 intercepted. Resident 2 ran over and began hitting Staff 1. Staff 3 attempted to separated Resident 2 and Staff 1, when Staff 1 was seen attempting to strike Resident 2 and appeared to have pulled her hair. Staff 1 was terminated as a result of this incident. The facility was cited 109.1.g and 905.4.g. The complaint was FOUNDED by Licensing.

raw_content:
Division of Childcare & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 017973
Date of Incident: 11/26/2023
Date Received by DCCECE: 12/11/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Dual
Report Description: On 11/26/23 Staff member was approaching one of
the residents in a threatening manner when another staff member intercepted
Simultaneously another resident ( ) ran and began hitting A third staff member
attempts to separate from is seen reaching over the staff members
attempting to strike resident s head and appears to have pulled her hair. Unable to
determine if the strikes made contact. Resident did not sustain any physical injuries.
was removed from the facility immediately following this incident and
termed the following day on 11/27/23. *This incident was reviewed in greater detail via
camera footage 12/7/23 Prior to this date it was not discovered that was attempting
to strike the resident report was made and this incident is currently
under investigation with the .
Interim Action Narrative: Resident was separated from staff. Staff member keys were taken
and she was removed from the facility.
Maltreatment Narrative: A/V is . A/O is
(former staff at Perimeter of West Memphis). PRFC is . (A/V is in
foster care per history.) On 11/26/23 Staff member was approaching one of
the residents in a threatening manner when another staff member intercepted
Simultaneously a different resident ( ) ran and began hitting A
third staff member attempts to separate from is seen reaching over the
staff members to strike resident head and appears to pull her hair. Unable to
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

determine if the strikes were inflicted using an open or closed fist. did not sustain any
physical injuries and is safely located at Perimeter of West Memphis. was
removed from the facility immediately following this incident and terminated on 11/26/23.
This incident was reviewed in greater detail via camera footage 12/7/23 Prior to this date it
was not discovered that did strike the resident
Licensing Narrative: Licensing Specialist informed of complaint via telephone and email.
Licensing Specialist inquired about camera footage and requested for footage to be saved.
12/11/2023, Licensing Specialist will inquire about the referral number and assigned
investigator. Licensing Specialist will request permission to contact the facility. Licensing
Specialist reviewed camera footage and received documentation. 12/14/2023, Licensing
Specialist reached back out to the investigator requesting permission to contact the facility.
12/28/2023, Program Coordinator contacted investigator for permission to contact the
facility. 1/11/2024, Program Coordinator requested an update from the investigator.
1/16/2024, Program Coordinator contacted investigator for an update and asked Program
Manager if case was still pending. Program Coordinator informed that case is still pending.
1/25/2024, Program Coordinator inquired if case was still pending. 1/30/2024, CHRIS
indicated case found TRUE.

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301
Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 1/30/2024
Home Visit Date: 1/30/2024
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 was completed on 1/30/2024.
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Licensing received a complaint on 11/26/2023 for ELS Case #017973.
This complaint has been FOUNDED by Licensing.
The facility was cited on 12/21/2023 for standards 109.1.g and 905.4.g.
Provider Comments:
CCL Staff Signature : Date: 1/30/2024
Provider Signature : Date: 1/30/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


state: AR

facility_name: Perimeter Behavioral of West Memphis

summary: An x-ray was ordered after a resident injured her wrist while playing volleyball.

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: 11/18/2023
Date Received by DCCECE:11/20/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB: (Guardian: ,
grandparent) Resident was playing volleyball in the gym with a large exercise ball when she
collided with another resident bouncing her back. Resident hurt her wrist and an x-ray was
taken to assess injuries. X- results showed artifact but no fracture. Our Nurse practitioner
completed a physical exam and the resident had full ROM and denies any pain or
discomfort as of 11/20/23.
Interim Action Narrative: Resident was assessed by the nurse and a mobile x-ray was
completed.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

doc_type: Notice of Incident


summary: A resident was sent to the ER after complaining of shortness of breath and cough.

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: 11/4/2023
Date Received by DCCECE:11/6/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB (Guardian: Mother,
Resident was sent to the emergency room for complaints of Shortness of breath
and cough. Resident states she has a history of Asthma. Discharge medications were take 4
puffs of albuterol every 4 hours for 2 days (use spacer). Take
for 7 days. Resident returned safely to Perimeter of West
Memphis.
Interim Action Narrative: Resident was referred to the emergency room 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: An x-ray was ordered after a resident punched a door following a verbal 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: 10/28/2023
Date Received by DCCECE: 10/30/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB: (Guardian: DHS Brittany Sloan)
had verbal altercation with peer and was brought to the hallway and started punching a
door. Minor swelling noted on both hands. Order received for bilateral hand X-rays. Results
pending as of 10/30/23 1632. Swelling has gone down and resident is not complaining of
any pain or discomfort at this time.
Interim Action Narrative: Resident received bilateral hand x-ray.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns. 10/31/2023, Licensing Specialist will follow up with facility regarding x-ray
results. Licensing Specialist informed resident's x-ray showed old fractures of the right 4th
and 5th metacarpal and soft tissue swelling. Left hand normal.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched in response to a resident walking away from the facility.

raw_content:
Dispatch Call Detail
Call #: C676633 - Emotionally Disturbed Person
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 2

doc_type: Police Report


summary: Licensing visited the facility to conduct a buildings and grounds walkthrough and review personnel files. 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

Perimeter Behavioral of West Memphis Kendra Rice
600 NORTH 7TH STREET Donaghey Plaza
WEST MEMPHIS AR 72301 P.O. Box 1437

Little Rock, AR. 72203
Facility Visit Compliance Notice

Facility#: 231

Date of Visit: 10/24/2023

Visit Type(s): Subsequent Building and Grounds
Time: 11:45 AM - 12:46 AM

Visit Comment :
Time of visit: 11:45 am to 12:30 pm

Census: 18

Licensing Specialist completed buildings and grounds. The following areas were observed: grounds, dining
room area, butterfly room, nurse’s station, lobby, and dayroom.

Licensing Specialist was escorted by Ms. fF fF Director of Quality and Risk Management. Ms.
WE informed Licensing Specialist that the facility is in the process of being renovated. The floors will be
stripped and waxed. Carpet in the dayrooms and quiet rooms will be pulled and replaced with vinyl flooring.

Licensing Specialist observed staff outside sitting at a picnic table and throwing away trash near the building.
Entering the building, the lobby was clean, and the monthly (October) activity calendar was on an easel for
display. Some acute male residents were eating lunch in the dining room.

The PRTF residents were on reset due to displaying negative behavior on Monday (10/23/2023) night.
Licensing Specialist observed the residents in the dayroom sitting on the floor and on furniture. It appeared
that the residents were working on some worksheets (school work). Staff were sitting in the milieu.

Page 1 of 2

Licensing Specialist observed Halloween decorations throughout the building. Ms. J) informed
Licensing Specialist of the Halloween festivities for the residents that begins on tomorrow. Licensing
Specialist requested a copy of the Halloween festivities.

Licensing Specialist reviewed the MAR’s on the residents listed below:

All initialed and up to date.

CCL Staff Signature : Date: 10/24/2023
hi

| Hig y Oy)

Provider Signature : Date: 10/24/2023

|
Yn
Nu lé pl Aw

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

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

Page 2 of 2

Perimeter Behavioral of West Memphis
600 NORTH 7TH STREET
WEST MEMPHIS AR 72301

ARKANSAS

I rey FET OF

WARS) <>; HUMAN
all »-¢ services

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Kendra Rice
Donaghey Plaza

P.O. Box 1437

Little Rock, AR. 72203

Facility Visit Compliance Notice

Facility#: 231

Date of Visit: 10/24/2023

Visit Type(s): Personnel Records
Time: 12:45 AM - 1:24 PM

Visit Comment :
Time of Visit: 12:45 pm to 1:20 pm

Census: 18

Licensing Specialists reviewed three (3) personnel files:

i ER (8/28/2023) PRN Mental Health Technician
Tt (2/6/2023) Mental Health Technician

Wl ME (8/23/2021) RN Partime

Personnel files reviewed complied with the minimum licensing standards.

Page 1 of 2

CCL Staff Signature : Date: 10/24/2023

an
Ii |
Wl YALA
rahi
| H\/) WV
/ i] wv
yi@

Provider Signature : Date: 10/24/2023

a

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

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

Page 2 of 2

doc_type: Compliance Report


summary: An x-ray was ordered after a resident complained of her pinky finger hurting.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 10/18/2023
Date Received by DCCECE: 10/20/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB Guardian: Ward of State
On 10/18/23 Resident started complaining of her left pinky finger
hurting. Resident states she doesn't remember bumping it and states it started hurting. The
Nurse assessed her finger and noted minor swelling and some redness. The Nurse obtained
an order for an x-ray. X-Ray results: No acute fracture or dislocation. Normal exam of the
left hand.
Interim Action Narrative: Resident was assessed by the nurse and x-ray completed.
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 report that a resident assaulted staff members.

raw_content:
Incident # 23-03946 West Memphis Police Report Date 10/07/23
Page 1 of 3 Incident Report Report Time 2:49 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 245 Williams, Anquion AR0180100
Active
Assigned Officer Entered By Approving Officer
Anderson, Nicholas williamsa Forthman, Blake
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
M Nonresident
Race White Ethnicity DL (#, ST) Email
Not Hispanic/Latino
Home Phone Work Phone Other Phone Personal Cell Work Cell
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
Perimeter Behavioral Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Laborer
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
10/07/2023 14:14 10/07/2023 14:18
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-13-202A(4)E Felony Completed 9 88 99
BATTERY - 2ND DEGREE / INJURES EMERGENCY MEDICAL TECHNICIAN OR OTHER MEDIC
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 11/2/2023 4:06:25 PM

Incident # 23-03946 West Memphis Police Report Date 10/07/23
Page 3 of 3 Incident Report Report Time 2:49 PM
Narrative & Statements
Narrative - Williams, Anquion - 10/7/2023 3:29:59 PM (Initial)
(suspect), a patient, refused to return to unit. stated that was warned multiple times
by staff that would be physically escorted back to pod if did not comply. When refused to comply, the
staff escorted back to the unit. stated that became verbally aggressive at this point. then
charged a nurse at the facility; the team was able to restrain physically, but while secured, started kicking
the staff. At this point, they had to garb legs to prevent injury to and the staff. While staff members were
down on legs, freed arm and punched three times in the back of the head with a closed fist.
The suffered minor injuries, a scratch behind the nurse's right ear. Officers took photos of the injuries,
which are attached to this report.
Unit# 2212
Narrative - Byard, Janet - 10/9/2023 9:01:39 AM (Initial)
CASE FILE 2303946
Narrative - Anderson, Nicholas - 10/18/2023 2:05:18 PM (Investigative)
Wednesday 10/18/23 at 2:05 PM
Attempted to reach at the listed phone number, did not get an answer. I left a voice message.
2:10 PM
Received a call back from . He advised he doesn't wish to prosecute.
2:13 PM
Attempted to reach Did not get an answer.
Complainant Statement C0: - 10/7/2023 2:33:00 PM Taken by 271 - Kimbrough, Amber and
approved by - ,
See Attached
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 11/2/2023 4:06:25 PM

Dispatch Call Detail
Call #: C674516 - Battery Complaint
Received Date/Time: 10/07/2023 14:11:33 Taken By: Warren, Mandi
Initial Call Type: Battery Complaint Caller Name
Cleared Date/Time: 10/07/2023 14:36:00 Phone:
Cleared By: Field, Monieka Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
260 - Little, Devonte - 2276 (WMPD) 10/07/2023 10/07/2023 10/07/2023
14:14:27 14:15:05 14:36:17
274 - Martinez, Kaleb - 2256 10/07/2023 10/07/2023
(WMPD) 14:15:13 14:15:32
271 - Kimbrough, Amber - 2265 10/07/2023 10/07/2023 10/07/2023 10/07/2023
(WMPD) 14:15:36 14:15:38 14:18:25 14:36:15
287 - Thompson, Darius - 2273 10/07/2023 10/07/2023
(WMPD) 14:15:43 14:15:51
233 - Anderson, Nicholas - 2254 10/07/2023 10/07/2023 10/07/2023 10/07/2023
(WMPD) 14:15:56 14:15:59 14:22:00 14:36:00
Narrative
Date/Time Dispatcher Narrative
10/07/2023 14:11:40 Warren, Mandi MAKE CONT WITH IN THE OFFICE AT THE FRONT IN REF TO A
PT BATTERING HIM. WANTS TO FILE A REPORT. DECLINED EMS.....THE PT IS
IN THE UNIT WITH RESTRAINTS AND A CHEMICAL RESTRAINT AS WELL
10/07/2023 14:46:56 Briggs, Deangela TN/
Dispositions
Incident Report,
Incidents
Agency Incident Officer
WMPD 23-03946 Williams, Anquion
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Officers were dispatched to the facility in response to a suicide attempt by a resident.

raw_content:
Incident # 23-03926 West Memphis Police Report Date 10/06/23
Page 1 of 2 Incident Report Report Time 5:39 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 271 Kimbrough, Amber AR0180100
Closed
Assigned Officer Entered By Approving Officer
kimbrougha Forthman, Blake
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
F Unknown
Race Black / African Ethnicity DL (#, ST) Email
American Not Hispanic/Latino ,
Home Phone Work Phone Other Phone Personal Cell Work Cell
(870)394-7100
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
Perimeter Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
10/06/2023 16:20 10/06/2023 17:39
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 SUICIDE SUICIDE Misd Attempted 9 88 99
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 11/2/2023 4:04:04 PM

Dispatch Call Detail
Call #: C674392 - EMS Assist
Received Date/Time: 10/06/2023 16:28:46 Taken By: Babski, Susan
Initial Call Type: EMS Assist Caller Name Amb Run#: AM23-04761
Cleared Date/Time: 10/06/2023 17:54:06 Phone: (901) 438 - 9109 Fire Run#: FM23-01747
Cleared By: Rogers, Ashely Caller Loc.:
Controlled:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
L1 - Ladder 1 (West Memphis Fire 10/06/2023 10/06/2023 10/06/2023 10/06/2023
Dept) 16:33:20 16:34:31 16:35:35 16:59:46
U15 - Unit 15 (West Memphis Fire 10/06/2023 10/06/2023 10/06/2023 10/06/2023 10/06/2023 10/06/2023 0.1-9.3 LEBONHEUR
Dept Medical) 16:34:27 16:35:18 16:40:47 17:02:57 17:16:27 17:54:04
R1 - Rescue 1 (West Memphis Fire 10/06/2023 10/06/2023 10/06/2023
Dept) 16:36:45 16:36:47 16:59:49
Narrative
Date/Time Dispatcher Narrative
10/06/2023 16:28:57 Babski, Susan SUICIDE ATTEMPT.. NO MX
10/06/2023 16:34:32 Field, Monieka L1- ALLENSWORTH/ D.HOLT/ THORNE
10/06/2023 16:40:49 Field, Monieka L1- ON SCENE WILL HAVE 7TH ST COMMAND WILL BE OUT INVESTIGATING
10/06/2023 16:42:57 Field, Monieka U15- CURRY/ELLIS
10/06/2023 16:59:15 Field, Monieka COMMAND ADV ASSITED U15 TERMINATING COMMAND BACK IN SERVICE
Dispositions
Incident Report, Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1

Dispatch Call Detail
Call #: C674393 - Emotionally Disturbed Person
Received Date/Time: 10/06/2023 16:30:17 Taken By: Babski, Susan
Initial Call Type: Emotionally Disturbed P Conaller Name
Cleared Date/Time: 10/06/2023 16:48:17 Phone: (901) 438 - 9109
Cleared By: Field, Monieka Caller Loc.:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
221 - Forthman, Blake - 2183 10/06/2023 10/06/2023 10/06/2023 10/06/2023
(WMPD) 16:32:57 16:33:07 16:34:45 16:48:17
271 - Kimbrough, Amber - 2265 10/06/2023 10/06/2023 10/06/2023 10/06/2023
(WMPD) 16:33:00 16:33:05 16:35:32 16:48:17
297 - James, Yolanda (WMPD) 10/06/2023 10/06/2023 10/06/2023 10/06/2023
16:33:01 16:33:03 16:35:35 16:48:17
232 - Johnson, Eric - 2282 (WMPD) 10/06/2023 10/06/2023 10/06/2023 10/06/2023
16:34:47 16:34:49 16:34:50 16:48:17
Narrative
Date/Time Dispatcher Narrative
10/06/2023 16:30:32 Babski, Susan REC A CALL FROM THE BEHAVIORAL HEALTH FACILITY ADV THEY HAD A
ATTEMPT SUICIDE BY HANGING HERSELF WITH A JACKET
Dispositions
Incident Report,
Incidents
Agency Incident Officer
WMPD 23-03926 Kimbrough, Amber
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A resident reported that a staff member called her a vulgar name. The staff member was terminated. The facility was cited 905.4 as a result of this incident.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 10/2/2023
Date Received by DCCECE: 10/19/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Resident DOB On 10/5/23 alleged Staff
member called her a B****. was Suspended pending investigation
on 10/06/23. This incident was submitted to but
did not meet criteria for investigation. However internal investigation was completed and
statement from staff member who witnessed this did confirm that the resident was called
out of her name by . Due to violating our Policy and Patients rights to be free from
abuse in any form, we have decided to terminate effective 10/17/23.
Interim Action Narrative: Incident was called into the hotline. Staff member was suspended
pending investigation.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns. Licensing Specialist spoke with facility regarding this incident, inquired about
guardianship, and requested documentation. 10/20/2023, Licensing Specialist emailed
facility to confirm resident's guardianship.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to an attempted suicide.

raw_content:
Incident # 23-03748 West Memphis Police Report Date 09/25/23
Page 1 of 2 Incident Report Report Time 3:02 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 270 Huff, Myles AR0180100
Active
Assigned Officer Entered By Approving Officer
huffm Bracey, Thomas
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
Everrtte, Kimberly Lynn 51 F Nonresident
Race White Ethnicity DL (#, ST) Email
Not Hispanic/Latino
Home Phone Work Phone Other Phone Personal Cell Work Cell
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
Perimeter Healthcare
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Registered Nurse
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
09/25/2023 13:40 09/25/2023 14:05
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 SUICIDE SUICIDE Misd Attempted 9 88 99
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 11/2/2023 4:01:03 PM

Dispatch Call Detail
Call #: C673103 - Medical
Received Date/Time: 09/25/2023 13:59:40 Taken By: Burnett, Amiyah
Initial Call Type: Medical Caller Name Amb Run#: AM23-04584
Cleared Date/Time: 09/25/2023 15:44:56 Phone: Fire Run#: FM23-01673
Cleared By: Babski, Susan Caller Loc.:
Controlled:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
L1 - Ladder 1 (West Memphis Fire 09/25/2023 09/25/2023 09/25/2023 09/25/2023
Dept) 14:04:37 14:04:50 14:06:27 14:16:44
U15 - Unit 15 (West Memphis Fire 09/25/2023 09/25/2023 09/25/2023 09/25/2023 09/25/2023 09/25/2023 -9.4 LEBONHEUR
Dept Medical) 14:04:48 14:04:52 14:07:54 14:32:12 14:47:22 15:44:56
Narrative
Date/Time Dispatcher Narrative
09/25/2023 13:59:50 Burnett, Amiyah DRANK TOILET BOWL CLEANER CHEST PAIN AND NAUSIOUS ...GHOST
WIDE SPECTRUM BATHROOM CLEANER... GO TO BACK DOOR
09/25/2023 14:06:28 Burnett, Amiyah L1 COMMAND...OUT INVESTIGATING WILL HAVE 7TH STREET COMMAND
09/25/2023 14:16:46 Burnett, Amiyah L1- BEING RELEASED BY U15 BACK IN SERVICE
Dispositions
Incident Report, Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1

Dispatch Call Detail
Call #: C673104 - Attempted Suicide
Received Date/Time: 09/25/2023 14:02:05 Taken By: Hopkins, Tiara
Initial Call Type: Attempted Suicide Caller Name
Cleared Date/Time: 09/25/2023 14:56:04 Phone:
Cleared By: Rogers, Ashely Caller Loc.:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
270 - Huff, Myles - 2265 (WMPD) 09/25/2023 09/25/2023 09/25/2023 09/25/2023
14:03:31 14:04:08 14:07:39 14:56:04
259 - Strayhorn, Lillian - 2212 09/25/2023 09/25/2023 09/25/2023 09/25/2023
(WMPD) 14:04:11 14:04:13 14:06:19 14:13:58
281 - Pegues, Christopher - 2254 09/25/2023 09/25/2023 09/25/2023 09/25/2023
(WMPD) 14:04:45 14:04:47 14:06:21 14:15:27
Narrative
Date/Time Dispatcher Narrative
09/25/2023 14:02:12 Hopkins, Tiara REC A CALL FROM THE STAFF REQ EMS FOR A WHO ATTEMPTED TO HARM
BY DRINKING GHOST WATER SPECTRUM BATHROOM CLEANER. IS
CONSCIOUS
Dispositions
No Report Required,
Incidents
Agency Incident Officer
WMPD 23-03748 Huff, Myles
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A complainant reported that the facility’s focus is on keeping beds full, with no concerns for patients. Patients beg for therapist sessions. Doctors cannot restrict sexual offenders and violent patients from having roommates. 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
Case Number: 016751
Date of Incident: 9/24/2023
Date Received by DCCECE: 10/12/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: This facility is solely focused on keeping beds full and bleeding every
bit of insurance they can get from pts visits and for the first in my four yrs, Drs cannot
restrict sexual offenders and violent pts from having roommates. Focus is on keeping all
beds full, no concerns for patients. Pts beg for therapist sessions, lucky if they get the initial
therapist assessment
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed complaint for licensing concerns. No
specific timeframe or which part of the facility were provided by the reporter. Due to caller
being anonymous, Licensing Specialist is unable to inquire if the concerns were on the
acute (hospital) or PRTF side. 11/3/2023, Licensing Specialist will schedule a day and time
to review children records to assure the children are being seen according to their treatment
plan goals and objectives. 11/8/2023, Licensing Specialist reviewed children records
regarding the complaint concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301
Licensing Specialist: Kendra Rice
Person In Charge: Summer Berryhill
Record Visit Date: 11/8/2023
Home Visit Date: 11/8/2023
Purpose of Visit: Complaint Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 12:45 pm to 2:45 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 16
Licensing received a complaint on 10/12/2023 for ELS Case #016751.
Licensing Specialist reviewed six (6) children files with focus on the treatment plans, individual therapy
sessions, and group sessions.
Licensing Specialist reviewed the following children files:
Therapy services are being provided to residents according to their treatment plans.
This complaint is UNFOUNDED by Licensing.
Provider Comments:
CCL Staff Signature : Date: 11/9/2023
Provider Signature : Date: 11/9/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A complaint received reported: a resident drank toilet water with chemicals while unsupervised; patients are sleeping in boats on floors in the main areas; patients and staff are fighting; patients attack other patients, and nothing is being done about it. The facility was cited 911.15 as a result of a review of this complaint. The facility was also provided technical assistance for 907.6 and 110.17. The complaint was UNFOUNDED by Licensing.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 016423
Date of Incident: 9/23/2023
Date Received by PRLU: 9/27/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: Patient drunk toilet water with chemicals while not being supervised by
anyone. Patient sleeping in boats on floors in main areas by nurses station. Ask for camera footage if
they are working but they are. Patient and staff fighting and cellphone is used in front of patient and
not enough rooms for patient to placed cause patient just placed on top of each other. Patient
attacks other patients all the time and nothing be done about it. Make unannounced visits during day
evenings and nights
Interim Action Narrative:
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: 9/27/2023- Program Coordinator received and reviewed the complaint.
9/28/22023- Program Coordinator visited the facility viewed the PRTF sleeping areas, reviewed
camera footage, received a copy of the incident log for the past 30 days, and requested information
on any resident who had drank toilet water/chemicals.
We Care. We Act. We Change Lives.
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

Perimeter Behavioral of West Memphis Kendra Rice
600 NORTH 7TH STREET Donaghey Plaza
WEST MEMPHIS AR 72301 P.O. Box 1437

Little Rock, AR. 72203
Facility Visit Compliance Notice

Facility#: 231

Date of Visit: 9/19/2023

Visit Type(s): Subsequent Building and Grounds
Time: 7:45 PM - 11:49 PM

Visit Comment :
Time of visit: 7:45 pm to 8:30 pm

Census: 16

Licensing Specialist completed buildings and grounds. The following areas were observed: bedrooms,
bathroom, cafeteria, nurse’s station, quiet room, laundry room, common area, and front entrance.

Licensing Specialist was escorted by Nurse ma.

Walking to the building, Licensing Specialist observed parked cars on the parking lot and the grass was nicely
cut. Walking to Unit 4, Licensing Specialist observed the cafeteria. The cafeteria was clean and dark. Staff

members were observed cleaning up the common area and doing laundry. The bathroom by the common area
was sanitary.

Licensing Specialist observed the residents in their bedrooms resting or asleep on their beds. Licensing
Specialist did not observe the bathrooms in the resident’s bedroom due to residents resting or asleep.
Licensing Specialist could observe wall decorations in the resident's bedrooms from the hallway.

Page 1 of 2

Nurse informed Licensing Specialist that the seclusion rooms were not being used due to repairs being
made to the ceiling. Licensing Specialist observed signs on the doors stating, “Do Not Enter.” Licensing
Specialist will follow-up with facility regarding repairs.

Licensing Specialist reviewed the MAR’s on the residents listed below:

All initialed and up to date.

CCL Staff Signature : Date: 9/19/2023
! im / |
Provider Signature : Date: 9/19/2023

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

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

Page 2 of 2


raw_content:
Incident # 23-03517 West Memphis Police Report Date 09/10/23
Page 1 of 3 Incident Report Report Time 2:55 AM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 275 Clark, Justin AR0180100
Active
Assigned Officer Entered By Approving Officer
clarkj Mckee, Matthew
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
27 M Resident
Race Black / African Ethnicity DL (#, ST) Email
American Not Hispanic/Latino
Home Phone Work Phone Other Phone Personal Cell Work Cell
(870)394-7100
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
Perimeter Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Orderly
Offenses
Incident Location Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
09/10/2023 02:00 09/10/2023 02:15
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 SUICIDE SUICIDE Misd Attempted 25 88 99
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 11/2/2023 3:57:41 PM

Incident # 23-03517 West Memphis Police Report Date 09/10/23
Page 3 of 3 Incident Report Report Time 2:55 AM
Narrative & Statements
Complainant Statement C0: - 9/10/2023 Taken by 274 - Martinez, Kaleb and
approved by 229 - Mckee, Matthew
See attached.
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 11/2/2023 3:57:41 PM

Dispatch Call Detail
Call #: C671467 - Medical
Received Date/Time: 09/10/2023 02:27:13 Taken By: Jeffords, Sarah
Initial Call Type: Medical Caller Name Amb Run#: AM23-04341
Cleared Date/Time: 09/10/2023 03:22:56 Phone: (870) 559 - 1829
Cleared By: Jeffords, Sarah Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
U13 - Unit 13 (West Memphis Fire 09/10/2023 09/10/2023 09/10/2023 09/10/2023 09/10/2023 09/10/2023 -9.3 LEBONHEUR
Dept Medical) 02:29:38 02:32:34 02:35:58 02:43:02 02:52:12 03:22:54
Narrative
Date/Time Dispatcher Narrative
09/10/2023 02:27:21 Jeffords, Sarah ....ATTEMPTED SUICIDE..PT IS BREATHING
09/10/2023 02:43:14 Jeffords, Sarah U13--HASTINGS/HAYNIE
Dispositions
Incident Report, Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1

Dispatch Call Detail
Call #: C671468 - Suicide
Received Date/Time: 09/10/2023 02:29:54 Taken By: Jeffords, Sarah
Initial Call Type: Suicide Caller Name
Cleared Date/Time: 09/10/2023 02:54:28 Phone: (870) 559 - 1829
Cleared By: Love, Roshanda Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
299 - Gilliam, Tylan - 2212 (WMPD) 09/10/2023 09/10/2023 09/10/2023 09/10/2023
02:31:39 02:32:07 02:35:52 02:54:28
275 - Clark, Justin - 2256 (WMPD) 09/10/2023 09/10/2023 09/10/2023 09/10/2023
02:31:50 02:32:04 02:34:40 02:54:28
229 - Mckee, Matthew - 2183 09/10/2023 09/10/2023 09/10/2023
(WMPD) 02:34:23 02:34:30 02:54:28
274 - Martinez, Kaleb - 2256 09/10/2023 09/10/2023 09/10/2023
(WMPD) 02:34:35 02:34:38 02:54:28
Narrative
Date/Time Dispatcher Narrative
09/10/2023 02:30:09 Jeffords, Sarah OLD ATTEMPTED SUICIDE PT IS BREATHING ....EMS IS ENROUTE
09/10/2023 02:37:59 Jeffords, Sarah 229--
09/10/2023 02:43:24 Jeffords, Sarah 299--- 10-17-95
Dispositions
Incident Report,
Incidents
Agency Incident Officer
WMPD 23-03517 Clark, Justin
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Officers were dispatched in response to a report of a juvenile who escaped from the facility.

raw_content:
Dispatch Call Detail
Call #: C670863 - Juvenile Complaint
Received Date/Time: 09/04/2023 16:10:48 Taken By: Warren, Mandi
Initial Call Type: Juvenile Complaint Caller Name
Cleared Date/Time: 09/04/2023 16:38:06 Phone: (901) 659 - 8277
Cleared By: Johnson, Centerial Caller Loc.:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
262 - Shaw, Reginald - 2237 09/04/2023 09/04/2023 09/04/2023 09/04/2023
(WMPD) 16:12:38 16:13:14 16:18:24 16:23:48
221 - Forthman, Blake - 2290 09/04/2023 09/04/2023 09/04/2023 09/04/2023
(WMPD) 16:13:23 16:13:31 16:14:21 16:38:06
271 - Kimbrough, Amber - 2265 09/04/2023 09/04/2023 09/04/2023 09/04/2023 09/04/2023 71.0-71.0 COURTESY
(WMPD) 16:18:19 16:18:29 16:21:24 16:22:50 16:33:32 TRANSPORT
Narrative
Date/Time Dispatcher Narrative
09/04/2023 16:10:57 Warren, Mandi PERIMETER HEALTH----MAKE CONT LATASHA DAVIS IN RF TO A JUVENILE
BLACK SHIRT AND GRAY JOGGING PANTS ESCAPED FROM FACILITIES.
POSSIBLY IN THE WOODS....CALLER NO LONGER HAS EYES ON HIM
09/04/2023 16:12:06 Rogers, Ashely CALLER STATED THEY ARE CURRENTLY WALKING SB ON N 6TH ST.
09/04/2023 16:13:06 Rogers, Ashely CALLER STATED IS WALKING THROUGH THE OLD XFINITY PARKING LOT
TOWARD THE TRAIN TRACKS.
09/04/2023 16:16:24 Warren, Mandi 251---JUST TOOK OFF PANTS BLUE SHORTS AND WHITE SHIRT
09/04/2023 16:17:00 Johnson, Centerial 251--I'VE GOT ...305 N 5TH
09/04/2023 16:17:17 Johnson, Centerial 251--WE'RE GOING TO RELOCATE TO THE FACILITY.
09/04/2023 16:20:54 Johnson, Centerial 271--I'M GOING TO BE TRANSPORTING THAT BACK TO PERIMETER. 071
09/04/2023 16:21:43 Johnson, Centerial 251--IM ENROUTE TO PERIMETER
09/04/2023 16:33:41 Johnson, Centerial 271--IM GOING TO BE BACK IN. 251 WILL BE OUT A LITTLE LONGER.
09/04/2023 16:37:51 Johnson, Centerial 251--BACK IN WI A REPORT
Dispositions
Incident Report,
Incidents
Agency Incident Officer
WMPD 23-03425 Forthman, Blake
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Licensing visited the facility to conduct a buildings and grounds walkthrough and to review personnel files. 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

Perimeter Behavioral of West Memphis Kendra Rice
600 NORTH 7TH STREET Donaghey Plaza
WEST MEMPHIS AR 72301 P.O. Box 1437

Little Rock, AR. 72203

Facility Visit Compliance Notice

Facility#: 231

Date of Visit: 8/31/2023

Visit Type(s): Subsequent Building and Grounds
Time: 11:45 AM - 2:15 PM

Visit Comment :
Time of visit: 11:45 am to 1:30 pm

Census: 18

Licensing Specialist completed buildings and grounds and observed the following areas: butterfly room,
seclusion rooms, quiet room, nurse’s station, storage rooms, bedrooms, dining room, courtyard, staff
breakroom, and bathrooms.

Licensing Specialist was escorted by Ms. . Director of Quality and Risk Managemetnt..

Walking to the building, Licensing Specialist observed the grounds. Licensing Specialist observed parked cars
on the lot, the grass was nicely cut, and the shrubs were cut. Licensing Specialist observed a picnic table and
trash cans on the grounds. In the lobby, Licensing Specialist observed the August activity calendar for the
residents. Licensing Specialist requested the September calendar.

Walking to the PRTF unit, Licensing Specialist saw residents (acute) eating lunch in the dining room. On the
PRTF unit, the butterfly room is located by the therapist office it was clean. Licensing Specialist observed a
water pitcher at the nurse’s action for drinking water. The two seclusion rooms had sufficient lighting and
shatterproof light fixture.

Page 1 of 2

The furniture in the day area was clean and in good repair. Bedrooms and bathrooms were neat and clean.
Licensing Specialist could smell the aromas of cleaning supplies, housekeeping had recently cleaned the unit.
Residents keep their rooms organized. Laundry room has new shelves to store the residents’ extra belongings.
Clients’ rights and the emergency plan were posted by the nurse’s station. Stress/Fear Response System is
posted on the wall leading to the bedrooms.

Licensing Specialist reviewed the MAR’s on the residents listed below:

All initialed and up to date.

CCL Staff Signature : Date: 8/31/2023
Provider Signature : Date: 8/31/2023

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

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

Page 2 of 2

Perimeter Behavioral of West Memphis
600 NORTH 7TH STREET
WEST MEMPHIS AR 72301

ARKANSAS
DEPARTMENT OF

7 V4 services

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Kendra Rice
Donaghey Plaza

P.O. Box 1437

Little Rock, AR. 72203

Facility Visit Compliance Notice

Facility#: 231

Date of Visit: 8/31/2023

Visit Type(s): Personnel Records
Time: 11:45 AM - 2:17 PM

Visit Comment :
Time of Visit: 11:45 am to 2:00 pm

Census: 18

Licensing Specialists reviewed six (6) personnel files:

EE Mental Health Tech
Po Mental Health Tech
EE Youth Care Coordinator
Po Mental Health Tech
Rouse Supervisor
Po Special Education Teacher

Personnel files reviewed complied with the minimum licensing standards.

Licensing Specialist received documentation of staff member J termination.

CCL Staff Signature : Date: 8/31/2023
IVT RY
yy)

Provider Signature : Date: 8/31/2023

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

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

Page 2 of 2


summary: Licensing conducted an annual review of policies and procedures at the facility.

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: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301
Licensing Specialist: Kendra Rice
Person In Charge: Rebecca Thomas
Record Visit Date: 7/18/2023
Home Visit Date: 7/18/2023
Purpose of Visit: Special Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 12:15 pm to 1:15 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 18
Licensing Specialist conducted an annual review of policies and procedures for Perimeter of West Memphis.
Ms. Summer Berryhill, Director of Quality and Risk Management, assisted Licensing Specialist with the
review.
Policies and procedures for Perimeter of West Memphis complied with minimum licensing standards.
Provider Comments:
CCL Staff Signature : Date: 8/18/2023
Provider Signature : Date: 8/18/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: Officers were dispatched to the facility in response to a report that a juvenile was attempting to run away.

raw_content:
Dispatch Call Detail
Call #: C664138 - Juvenile Complaint
Received Date/Time: 07/14/2023 15:33:32 Taken By: Field, Monieka
Initial Call Type: Juvenile Complaint Caller Name
Cleared Date/Time: 07/14/2023 16:15:52 Phone: (469) 910 - 1914
Cleared By: Warren, Mandi Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
251 - Forthman, Blake - 2256 07/14/2023 07/14/2023 07/14/2023 07/14/2023
(WMPD) 15:37:26 15:37:28 15:41:41 16:15:52
287 - Thompson, Darius - 2273 07/14/2023 07/14/2023 07/14/2023 07/14/2023
(WMPD) 15:38:01 15:38:03 15:41:44 16:15:52
Narrative
Date/Time Dispatcher Narrative
07/14/2023 15:33:42 Field, Monieka MAKE CONTACT WITH KANECIA MCFARLIN IN REF TO ATTEMPTING
TO RUNAWAY .... WEARING A ORANGE HOODIE AND YELLOW BOTTOMS
WALKING TOWARDS THE GATE... SUS STILL ON PROPERTY
Dispositions
No Action Taken,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: Officers were dispatched in response to a shooting investigation. Officers made contact with the arrestee. Upon attempting to place the arrestee in handcuffs, the arrestee pulled away and struck the officer in the face.

raw_content:
Arrest # 23-A01303 West Memphis Police Arrest Date 6/30/2023
Arrest Report Arrest Time 7:37 PM
Arrestee
SSN/ID/TIN Title Name (last, first middle initial) DOB Age Sex Residency
22 M Nonresident
Race Ethnicity Home Phone Work Phone Other Phone DL (number, state)
Black / African Not Hispanic/Latino
American
Us Citizen Legal Alien Doc Type Imigration Doc # Nationality
Yes Unknown
Home Address City State Zip Code Work Address City State Zip Code
600 N 7Th ST West Memphis AR 72301-
Employer Occupation
Perimeter Health Caretaker
Height Weight Eyes Build AKA
6' 0" 208 lbs Brown Medium
Scars, Marks and Tattos
Appearance Hair Color Hair Style Complexion Facial Hair
Black Medium Fuzz
Dexterity Hair Length Teeth Demeanor Speech Voice
Arresting Officer Arrest Type Juv Disposition Disp Date
275 - Clark, Justin On-View Arrest Not Reported
Multiple Clearance Indicator BAC Arrest Location
Arrest Cleared Incident 0 2050 E Broadway AVE
West Memphis, AR 72301
Weapons At Arrest Arrest Location Type Arrest Zone
Firearm Grocery/Supermarket North East
Court Date Court Name Bond Amount Emergency Contact Emergency Contact Phone
7/3/2023 Crittenden County District
Court/West Memphis Division
Offense
# Statute/Code Description Fel/Misd Att/Comp Loc Bia Wpn CATypes
1 5-54-103A(1) Misd Comp. 12 88,88,88,88,88 40
RESISTING ARREST - REFUSAL TO SUBMIT TO ARREST / USES FORCE
2 5-13-202A(4)A Felony Comp. 12 88,88,88,88,88 40
BATTERY - 2ND DEGREE / INJURE POLICE, FIRE, CODE ENFORCE, CORRECTIONAL IN LINE OF DUTY
MO Method Of Entry # Prems
No Entry
Location Types 13 Hway/Road/Alley 37Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Anti-Lesbian, Gay,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 2 5 6 7 8 9 0 1 2 3 4 5 a c J L L P R R R S S S U i a l a i a c e p e e e n i q t i k h r r e y n s s k l u / k v e o i t c n P t o d i a i a / o i n c o W r r a e u l e i l g w s S / l n S r t C / a a o y n G L c t t t o n o n o / e o e S a O r t l r / t r l e s a t H / e w t o G h g g S o r a e a e e e m t y r a ra e ti g o e n 3 3 d 4 B 4 N 4 4 4 T 4 4 8 9 s 0 1 2 4 5 6 7 e a e / A C D r n w C m A A A D F G r k a o / o e a U m T u i a m c a n l n r i t k M y m s s a u o m a p / c e e W l s / / b a D S d S C u e F l r i h m e e t m a e n a a a p a m g c d e F r a l i e f i l n p a / u r i r t F a t g c y m s r t P r i h e l e o / i a i t F i u p y g f r r a n k h o i d r t m / g M ro o u d n al 5 5 5 C 5 E 5 M 5 5 5 0 1 2 3 4 5 6 7 l o i e s l m l s P R S S S S T C e i r e o g a c c h h e o i h h b n n e r e o s m k o o a t / / t l p t a H U / m o o e l A P p r o n L l l r i y u r l n a m i e - - a / - n v g S y a n e i e g t e d M y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r 1 1 A 1 I 1 1 1 H P 2 2 n 1 2 3 4 5 6 1 2 m a a d A c w W M J C A A A i e a A i N e f a n n n r a n u i n h i w c i t t t c T t l i t i i i i h o t a t - - - a i i I i - e s I B A A o s - r n n N - r h l l l m s A a a i a o a c i c n l a c e r t a i i d k n a v r O s i e e l c k o t r g a h a r r n e A o N r u f a r p i t c iv a e n 2 2 2 2 2 3 3 L 3 L 4 4 3 4 5 6 7 1 2 a 3 a 1 2 t t P M O M A A G L A A i i n n e r t r n n t a o o o u h o a h s t t y s l e i i t b e b t - - e l i i H N ( e - r i s s a m r m R i o t e t n s / a a A t l e p i n g l H g l e a i t i g n o i ) n s i o u i o p c s s n a t o n i g c r i r c o u o p r B M 4 4 5 5 6 6 7 7 C 8 9 4 5 1 2 1 2 1 2 8 9 i o i s x n H B P M A A A N U e e A f x i h n n n e o n o d e s n u y t t t t n k r n e t i i i e G m a s - - - i n e t x - M F G r l a T o r , o u i D e o n l e w a r o s a i m u g a D n s l e r l n e p n a d i x a T s s b e u ( l r a e g L i a r a l b e G i n N l t i n y l s B i o t d g y T n e e - ) r nder,
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
B Buying/Receiving C Cultivating/Manuf/Publishing 11 Firearm (Auto) 30 Blunt Object 70 Drugs/Narc./Sleeping Pills
P Possessing/Concealing O Operating/Promoting/Assisting 12 Handgun (Auto) 35 Motor Vehicle 85 Asphyxiation
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 2
Printed: 7/20/2023 2:25:53 PM

Arrest # 23-A01303 West Memphis Police Arrest Date 6/30/2023
Arrest Report Arrest Time 7:37 PM
Statements
Arrest Notes - 23-A01303
Assisting Officers: Sgt. M. McKee #229, Ofc. D. Little #290, Ofc Z. Jones #253,
On June 30. 2023 at approximately 7:26 PM, I, Officer J. Clark #275, made scene at 2050 East Broadway Avenue (Big Star
East) to assist other officers with a shooting investigation.
While on scene, I made contact with (arrestee). While interacting with I observed him to make several
furtive movements towards his waistband and I noticed a slight bulge in that area. Officer D. Little #260 asked if he
had a firearm on him and stated that he had multiple. The firearm was then removed from and I attempted to
detain him in handcuffs so that Officers could safely check the rest of his person. Upon attempting to place in
handcuffs, he stated that he was not going to comply and pulled away from me and started to assume a fighting stance. I
then pushed chest against of the front of a marked patrol unit and struggled with him, at which time he threw back
his left elbow and struck me in the face causing my lip to bleed. Officer Z. Jones #253, Officer D. Little #290, Sgt. M. McKee
#229, and myself were then able to safely secure in handcuffs.
was then transported to the West Memphis Police Department where he was interviewed by CID in relation to the
shooting incident, and then I transported him to the Crittenden County Detention Center where he was advised of his court
date and time.
Arrest Tracking #:CRT003720761
Unit #2276
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 2
Printed: 7/20/2023 2:25:53 PM

Incident # 23-02471 West Memphis Police Report Date 06/30/23
Page 1 of 3 Incident Report Report Time 11:17 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 275 Clark, Justin AR0180100
Closed
Assigned Officer Entered By Approving Officer
clarkj Mckee, Matthew
Assisting Officers
Complainant
Name Contact Name
West Memphis Police Departmnet Ofc. J. Clark #275
Business Address Business Phone
626 E Broadway AVE,West Memphis, AR 72301 8707351210
Offenses
Incident Location Zone
2050 E Broadway AVE West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
06/30/2023 19:33 06/30/2023 19:35
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-54-103A(1) Misd Completed 12 88 40
RESISTING ARREST - REFUSAL TO SUBMIT TO ARREST / USES FORCE
2 5-13-202A(4)A Felony Completed 12 88 40
BATTERY - 2ND DEGREE / INJURE POLICE, FIRE, CODE ENFORCE, CORRECTIONAL IN LINE OF DUTY
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / h s r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m i S T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 7/20/2023 2:25:34 PM

Incident # 23-02471 West Memphis Police Report Date 06/30/23
Page 2 of 3 Incident Report Report Time 11:17 PM
Victim #1 Event #s Related 1,2
SSN/ID/TIN Title Name DOB Age Sex Resident Status
Clark, Michael Justin U Unknown
Race Unknown Ethnicity DL (#, ST) Email
Unknown ,
Home Phone Work Phone Other Phone Personal Cell Work Cell
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
West Memphis Police Department
Work Address Occupation
626 E Broadway AVE,West Memphis, AR 72301 Patrol Officer
Victim Type Injury Type Aggravated Assault/Homicide Circumstances Relationship To Suspect
Law Enforcement Officer Minor Injury, Other Circumstances
Justifiable Homicide Circumstances Taken to: (Hospital Name)
None
Injury Description
Laceration to lip
Arrestee #23-A01303
SSN/ID/TIN Title Name DOB Age Sex Resident Status
22 M Nonresident
Race Black / African Ethnicity DL (#, ST) Email
American Not Hispanic/Latino
Home Phone Work Phone Other Phone Personal Cell Work Cell
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
Perimeter Health
Work Address Occupation
600 N 7Th ST,West Memphis, AR 72301 Caretaker
Height Weight Eyes Build AKA
6' 0" 208 Brown Medium
Appearance HairColor Hair Style Teeth Beard/Facial Hair Demeanor Speech Voice
Fuzz
Black
Dexterity Hair Length Complexion
Medium
Arresting Officer Arrest Date Time Arrest Type Warrant Number Juv Disp Disposition Date
275 - Clark, Justin 6/30/2023 19:37 On-View Arrest
Multiple Clearance Indicator BAC BAC Operator Arrest Location Zone
Arrest Cleared Incident Grocery/Supermarket North East
Weapons At Arrest Court Date Court Name Time
11 - Firearm
7/3/2023 Crittenden County 08:30
District Court/West
Memphis Division
Property
Involvement Category
15 Hvy Construct/Industrial 29 Structure-Single Occ 43 Building Materials 68 Lawn/Yard/Garden Equip 70 Medical / Lab Equipment
1 None 02 Alcohol 16 Household Goods 30 Structure-OtherDwelling 44 Camping/Hunting/Fishing 69 Logging Equipment 71 Metals, Non-Precious
2 3 B C u o r u n n e t d erfeit/Forge 4 0 0 6 7 B C C ic l o y o m c th le p e s u s t / e F r u H r dwr/Sftwr 1 1 1 7 8 9 J L M e Iv e w e rc e s h l t r o a y c n /P k d r i e se cious Metals 3 3 3 1 2 3 S S S t t t r r r u u u c c c t t t u u u r r r e e e - - - C I P n u o d b m u l s i m c tr e ia rc l ial 4 4 4 5 6 7 C C C h o ro e ll p e m s c i t c io a n ls s/Collectibles 4 4 4 7 8 9 C D Ex r o o p c p l u o s m si e v n e t s s / Pers or Bus. 7 7 7 2 3 4 M P P e h u t o s s t i o c g a r l a In p s h t i r c u / m Op e t n ic ts al
4 Destroyed/Damaged 08 Consumable Goods 20 Money 34 Structure-Storage 48 Documents / Pers or Bus. 59 Firearm Accessories 75 Portable Electronic Comm
5 Recovered 09 Credit/Debit Cards 21 Negotiable Instruments 35 Structure-Other 49 Explosives 64 Fuel 76 Recreational/Sports Equip
6 Seized 10 Drugs/Narcotics 22 Non-neg. Instrument 36 Tools-Power/Hand 59 Firearm Accessories 65 Identity Documents 77 Other
7 Stolen 11 Drug/Narc Equipment 23 Office-Type Equip 38 Vehicle Parts 64 Fuel 66 Identity - Intangible 78 Trailers
8 Unknown 12 Farm Equipment 25 Purses/Handbags/Wallets 39 Watercraft 65 Identity Documents 67 Law Enforcement Equip. 79 Watercraft Parts/Access
13 Firearms 26 Radio/TV/VCR 41 Aircraft Parts/Access 66 Identity - Intangible 68 Lawn/Yard/Garden Equip 80 Weapons - Other
14 Gambling Equipment 27 Recordings-Audio/Visual 42 Artistic Supplies 67 Law Enforcement Equip. 69 Logging Equip 88 Pending Inventory
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 7/20/2023 2:25:34 PM

Incident # 23-02471 West Memphis Police Report Date 06/30/23
Page 3 of 3 Incident Report Report Time 11:17 PM
Property
Involvement Category
15 Hvy Construct/Industrial 29 Structure-Single Occ 43 Building Materials 68 Lawn/Yard/Garden Equip 70 Medical / Lab Equipment
1 None 02 Alcohol 16 Household Goods 30 Structure-OtherDwelling 44 Camping/Hunting/Fishing 69 Logging Equipment 71 Metals, Non-Precious
2 3 B C u o r u n n e t d erfeit/Forge 4 0 0 6 7 B C C ic l o y o m c th le p e s u s t / e F r u H r dwr/Sftwr 1 1 1 7 8 9 J L M e Iv e w e rc e s h l t r o a y c n /P k d r i e se cious Metals 3 3 3 1 2 3 S S S t t t r r r u u u c c c t t t u u u r r r e e e - - - C I P n u o d b m u l s i m c tr e ia rc l ial 4 4 4 5 6 7 C C C h o ro e ll p e m s c i t c io a n ls s/Collectibles 4 4 4 7 8 9 C D Ex r o o p c p l u o s m si e v n e t s s / Pers or Bus. 7 7 7 2 3 4 M P P e h u t o s s t i o c g a r l a In p s h t i r c u / m Op e t n ic ts al
4 Destroyed/Damaged 08 Consumable Goods 20 Money 34 Structure-Storage 48 Documents / Pers or Bus. 59 Firearm Accessories 75 Portable Electronic Comm
5 Recovered 09 Credit/Debit Cards 21 Negotiable Instruments 35 Structure-Other 49 Explosives 64 Fuel 76 Recreational/Sports Equip
6 Seized 10 Drugs/Narcotics 22 Non-neg. Instrument 36 Tools-Power/Hand 59 Firearm Accessories 65 Identity Documents 77 Other
7 Stolen 11 Drug/Narc Equipment 23 Office-Type Equip 38 Vehicle Parts 64 Fuel 66 Identity - Intangible 78 Trailers
8 Unknown 12 Farm Equipment 25 Purses/Handbags/Wallets 39 Watercraft 65 Identity Documents 67 Law Enforcement Equip. 79 Watercraft Parts/Access
13 Firearms 26 Radio/TV/VCR 41 Aircraft Parts/Access 66 Identity - Intangible 68 Lawn/Yard/Garden Equip 80 Weapons - Other
14 Gambling Equipment 27 Recordings-Audio/Visual 42 Artistic Supplies 67 Law Enforcement Equip. 69 Logging Equip 88 Pending Inventory
Involvement Category Qty/Wt Brand/Make Model Style CAL/GA
1 27 1
Description
CD w/ evidence photographs
Owner Serial# / Owner Applied# NCIC Ref # Evidence # Value
West Memphis Police $0.00
Department
Narrative & Statements
Arrest Notes - 23-A01303
Assisting Officers: Sgt. M. McKee #229, Ofc. D. Little #290, Ofc Z. Jones #253,
On June 30. 2023 at approximately 7:26 PM, I, Officer J. Clark #275, made scene at 2050 East Broadway Avenue
(Big Star East) to assist other officers with a shooting investigation.
While on scene, I made contact with (arrestee). While interacting with I observed him to make
several furtive movements towards his waistband and I noticed a slight bulge in that area. Officer D. Little #260
asked if he had a firearm on him and stated that he had multiple. The firearm was then removed from
and I attempted to detain him in handcuffs so that Officers could safely check the rest of his person. Upon
attempting to place in handcuffs, he stated that he was not going to comply and pulled away from me and
started to assume a fighting stance. I then pushed chest against of the front of a marked patrol unit and
struggled with him, at which time he threw back his left elbow and struck me in the face causing my lip to bleed.
Officer Z. Jones #253, Officer D. Little #290, Sgt. M. McKee #229, and myself were then able to safely secure
in handcuffs.
was then transported to the West Memphis Police Department where he was interviewed by CID in relation to
the shooting incident, and then I transported him to the Crittenden County Detention Center where he was advised of
his court date and time.
Arrest Tracking #:CRT003720761
Unit #2276
Narrative - Dykes, Dana - 7/3/2023 11:04:59 AM (Initial)
CASE FILE 2302471
See Grouped Items – Supplemental Report
Incidents 23-02471, Incidents 23-02469
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 7/20/2023 2:25:34 PM


summary: Licensing visited the facility to conduct a buildings and grounds walkthrough and review children’s records. 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: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301
Licensing Specialist: Kendra Rice
Person In Charge: Rebecca Thomas
Record Visit Date: 6/27/2023
Home Visit Date: 6/27/2023
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: 12:00 pm to 1:00 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 3

Census: 17
Licensing Specialist completed buildings and grounds and observed the following areas: comfort room,
laundry room, butterfly room, day area, bedrooms, bathrooms, and nurse’s station. The grounds were clean
with no debris observed as Licensing Specialist walked to the building. The grounds leading to the gym were
well kept. Licensing Specialist observed a picnic table and two (2) benches.
Licensing Specialist was escorted by Summer Berryhill, Director of Quality and Risk Management. Residents
were not present during the walkthrough. Ms. Berryhill informed Licensing Specialist that the residents were
in the educational building. However, the butterfly room was occupied, ratio 1:1.
Licensing Specialist observed the following bedrooms and bathrooms: B131, B132, and B133. All bedrooms
were organized, and the bathrooms were recently cleaned. Licensing Specialist smelled the aroma of cleaning
products. No plastic bags were observed on the unit. B131 had three (3) residents, B132 had two (2) residents,
and B133 had three (3) residents.
Licensing Specialist observed the following documentation on the walls: evacuation plan, gym time schedule,
educational calendar, clients’ rights, grievance, and stress/fear response system poster. This documentation
was located by the milieu and day area.
Licensing Specialist reviewed the MAR’s on the residents listed below:
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: 8/18/2023
Provider Signature : Date: 8/18/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301
Licensing Specialist: Kendra Rice
Person In Charge: Rebecca Thomas
Record Visit Date: 6/27/2023
Home Visit Date: 6/27/2023
Purpose of Visit: Child Record Review Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of Visit: 1:00 pm to 2:30 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 17
Licensing Specialist reviewed five (5) children files:
All children’s files reviewed complied with the minimum licensing standards.
Provider Comments:
CCL Staff Signature : Date: 8/18/2023
Provider Signature : Date: 8/18/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


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

raw_content:
Dispatch Call Detail
Call #: C661579 - EMS Assist
Received Date/Time: 06/21/2023 11:56:32 Taken By: Jeffords, Sarah
Initial Call Type: EMS Assist Caller Name Amb Run#: AM23-02966
Cleared Date/Time: 06/21/2023 15:47:16 Phone: Fire Run#: FM23-01089
Cleared By: Warren, Mandi Caller Loc.:
Controlled:
Location: 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
L1 - Ladder 1 (West Memphis Fire 06/21/2023 06/21/2023 06/21/2023 06/21/2023
Dept) 11:59:39 12:01:42 12:03:30 12:14:00
U13 - Unit 13 (West Memphis Fire 06/21/2023 06/21/2023 06/21/2023 06/21/2023 06/21/2023 06/21/2023 0.1-9.4 LEBONHEUR
Dept Medical) 11:59:47 12:01:33 12:07:12 12:15:29 12:30:12 15:45:59
Narrative
Date/Time Dispatcher Narrative
06/21/2023 11:56:48 Jeffords, Sarah ADV DRUNK BLEACH. CURRENTLY RESTRAINED.
06/21/2023 12:20:32 Jeffords, Sarah U13 BEBOUT/ WOOSLEY
LADDER 1 BAILEY/HOLLOWAY/ SHARP
06/21/2023 12:24:20 Johnson, Kymara U13 ADV THE PATIENT IS ATTEMPTING TO OPEN THE DOOR ON THE BRIDGE... ADV
TO CONTACT LEBONHEUR TO HAVE THEM ON STANDBY
06/21/2023 12:24:53 Johnson, Kymara U13 DECLINED PD, ADV THEY CAN MAKE IT TO THE HOSPITAL
06/21/2023 12:25:30 Johnson, Kymara LEBONHEUR HAS BEEN NOTIFIED
Dispositions
Incident Report, Transported,
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 1


summary: A resident was sent to the ER after choking on a piece of plastic she had ripped from a trash bag and swallowed.

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: 6/21/2023
Date Received by DCCECE: 6/22/2023
Facility Name: Perimeter Behavioral of West Memphis
Facility Number: 231
Incident Type: Licensing
Report Description: DOB: On 6/21/23 was on the
unit upset attempting to find things to cause harm to herself. Resident ripped piece of
plastic from trash bag and swallowed it. Resident appeared to be choking when our medical
nurse practitioner intervened immediately. Actions Taken: Resident was assessed by the
nurse and vitals obtained, our Nurse Practitioner ordered the resident to be sent to the ER
for further evaluation. After visit summary states the resident had intentionally ingested
foreign object and to continue regular diet and monitor bowel movement for object to be
expelled. Resident has returned to our facility and been stepped up to inpatient acute unit
for higher level of care and acuity.
Interim Action Narrative: Nurse Practitioner intervened, assessed resident, and ordered for
resident to be evaluated at the ER. Resident was admitted to acute for higher level of care.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident. for licensing
concerns. Licensing Specialist will inquire about resident's guardianship. Licensing
Specialist informed resident obtained the piece of the garbage bag while on the unit and the
issue has been corrected.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched in response to a report that a juvenile had run away from the facility.

raw_content:
Dispatch Call Detail
Call #: C660585 - Juvenile Complaint
Received Date/Time: 06/12/2023 14:30:06 Taken By: Rogers, Ashely
Initial Call Type: Juvenile Complaint Caller Name
Cleared Date/Time: 06/12/2023 15:09:02 Phone: (901) 590 - 7590
Cleared By: Hopkins, Tiara Caller Loc.:
Location: PERIMETER BEHAVIORIAL HEALTH, 600 N 7Th ST
West Memphis, AR 72301
Units Dispatched
Dispatched Enroute Arrived Transport Trans Dest Cleared At Station Mileage Trns To
234 - Gbson, Mallory - 2269 06/12/2023 06/12/2023 06/12/2023 06/12/2023
(WMPD) 14:30:14 14:30:19 14:32:13 14:37:40
243 - Clay, Ishmael - 2269 (WMPD) 06/12/2023 06/12/2023 06/12/2023 06/12/2023
14:30:15 14:30:24 14:32:19 14:37:37
271 - Kimbrough, Amber - 2274 06/12/2023 06/12/2023 06/12/2023 06/12/2023
(WMPD) 14:30:16 14:30:21 14:32:10 15:09:02
289 - Odom, Cohshun - 2254 06/12/2023 06/12/2023 06/12/2023
(WMPD) 14:32:17 14:32:18 14:38:20
215 - Skaggs, Carl - 2184 (WMPD) 06/12/2023 06/12/2023 06/12/2023
14:36:55 14:36:57 15:09:02
Narrative
Date/Time Dispatcher Narrative
06/12/2023 14:30:30 Rogers, Ashely MAKE CONT WITH CLENTARY STOKES IN REF TO A JUVENILE,
, RUNNING OFF, GOING TO BE WEARING A TURQUOISE
SHIRT, POSS IN THE AREA OF 7/BROADWAY, CALLER ADV SHE IS NOT PURSUING
HIM
06/12/2023 14:35:47 Rogers, Ashely 215- OUT WITH HIM IN THE AREA OF 4/THOMPSON
06/12/2023 14:36:08 Rogers, Ashely 243- WE'RE OUT WITH 215
06/12/2023 14:37:05 Rogers, Ashely 234- THATS NOT GOING TO BE THAT JUVENILE SUBJECT
06/12/2023 14:38:22 Rogers, Ashely 271- DIRECT TO PERIMETER
06/12/2023 14:39:51 Rogers, Ashely 271- OUT AT PERIMETER
06/12/2023 14:43:47 Field, Monieka 271- DID THAT HAVE A BLONDE SPOT IN HAIR
06/12/2023 14:44:00 Field, Monieka 243- CHECK
06/12/2023 14:44:08 Field, Monieka 271- THAT GOING TO BE THAT JUV
06/12/2023 14:54:59 Briggs, Deangela 271- BACK OUT AT PERIMETER
Dispositions
Incident Report,
Incidents
Agency Incident Officer
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 1 of 2

Dispatch Call Detail
Call #: C660585 - Juvenile Complaint
WMPD 23-02192 Kimbrough, Amber
Copyright Relativity Inc.© - RPS(Relativity Public Safety) 2 of 2

Incident # 23-02192 West Memphis Police Report Date 06/12/23
Page 1 of 3 Incident Report Report Time 3:29 PM
Status Exception Clearance Date Reporting Officer ORI/Agency
Not Applicable 271 Kimbrough, Amber AR0180100
Closed
Assigned Officer Entered By Approving Officer
kimbrougha Mckee, Matthew
Assisting Officers
Complainant
SSN/ID/TIN Title Name DOB Age Sex Resident Status
** MASKED ** Stokes, Clentary A ** MASKED ** 45 F Nonresident
Race Black / African Ethnicity DL (#, ST) Email
American Not Hispanic/Latino ** MASKED ** ** MASKED **
Home Phone Work Phone Other Phone Personal Cell Work Cell
** MASKED ** ** MASKED ** ** MASKED ** ** MASKED ** ** MASKED **
US Citizen Legal Alien Doc Type Immig Doc # Nationality
Yes
Home Address Employer
806 Bayou Vista DR,Marion, AR 72364 Dhs
Work Address Occupation
Case Worker
Offenses
Incident Location: PERIMETER BEHAVIORIAL HEALTH Zone
600 N 7Th ST West Memphis, AR 72301 North East
Earliest Possible Date Time Latest Possible Date Time
06/12/2023 14:25 06/12/2023 15:29
# Statute/Code Description Fel/Misd Att/Comp Loc Bias Wpn CATypes
1 5-71-207 Misd Completed 9 88 99
DISORDERLY CONDUCT
2 5-54-102A(1) Misd Completed 25 88 99
OBSTRUCTING GOVERNMENTAL OPERATIONS / OBSTRUCTS, MPAIRS, HINDERS, THE PER
MO Method Of Entry # Prems
n/a 0
Location Types 13 Hway/Road/Alley 37 Abandoned/Condemned 48 Industrial Site Bias Motivation Codes
14 Hotel/Motel Structure 49 Military Installation 43Lesbian, Gay, Bisexual,
0 0 0 0 0 0 0 0 0 1 1 1 1 2 3 4 5 6 7 8 9 0 1 2 A B B C C C C D D F G G i i a a h o o o e r o r e r u o n r / u m n n p v l B / g d c k N t r s v t / m / e c u / / t e P D S W i S r h r s g n e u u y t i & / / s h r o i S r c T / b e / S c c L t o D t r l y n i i o i C a u o d a c n r c u i p n s l l a n e O / u B n e O g S b t T l f S r d / f f m S i T / e f t t g H o e t r B e a o m r o m l r e r d s k e i p n g p e l a t e l 1 1 1 1 1 F 2 2 2 2 2 5 6 7 8 9 0 1 3 4 5 a c J L L P R R R S S U i a l a i a e p e e e n i q t i k r r e y n s s k l u / k v e i t c n P t o d i a i a / i n c o W r r a e u l e i g w s S l n S r t / a a o y n G L c t t t o n n o / e o e S a O r t r / t r e s a t H / w t o G h g S o r a e a e e m t y r a ra e ti g o e n 3 3 g 4 4 N 4 4 4 M 4 4 8 9 r 0 1 2 4 5 6 7 e o o w A A A C D D F G d u A a a / n r T u a a o a U m e l r d t M m y c m o m n T s s u c k a p e b e / a / s D S C W F / / d l r e r S C i e e m e n a o m h p a t a g c l a i F i a a l n e m s i e d l a r r i a e n r f t i a p c / y u s l u t F t g i h m m P e l r i r i t e o a p y / f F r i u r g o k a n h m i d r t/ Bank 5 5 5 C 5 E 5 M 5 5 5 5 0 1 2 3 4 5 6 7 8 l o i e s l C m l s P R S S S S T C e i y r e o g a c c h h e o i b h h b n n e r e o s m e k o o a t / / t l p t a H U / r m o o e l A P p s r o n L l l r i p y u r l n a m i e - - a / - a n v g S y a n c e i e g t e d M e y r l r c e s s o C a o i s t u l y n s e l n d n d a te ry r A 1 1 A 1 A 1 1 1 O 2 2 N 1 2 3 4 5 6 1 2 m l t a h T W M J C B A A s e e N e k I l m s r a r u a h - a i w a i c t P l a c i e t h t t a i i N i k n e s v a r o - n i r h e c a c l o a i i a c t r f c H i i n v c e A a e s I f I w n r s , i d a c l G a a i i a i n r a n o n d n u e o p o r r r 2 2 2 2 2 3 3 3 L 4 4 3 4 5 6 7 1 2 3 a 1 2 t P I O M A A G L H N in s e r t r i o l t a o u h s o a a h s t y l p e t b m e b t H e i a i ( - r i s s i a m r i n c R s t e t n / i a a p A l c ( e i M n g l a g l e o i t i n g u n o ) r i i s o u c L o l s s a i n o m t t i g r i c n ) ro o up o G 4 4 5 5 6 6 7 7 8 9 r 4 5 1 2 1 2 1 2 8 9 r o T H B P M M F T G N U u r e r i h a e o n e e a p s a m y n t n k n n l e n e e ( s n s e d t x L a s r a g o o e u D G l g l e e w s r a e i D B s n e l N n n a i T d x s d o b e u ) a e n i r a l b r - , i l t C i M y li o ty i n xe fo d rming
Facility/Casino/Race Track
Suspected Of Using Criminal Activity Types Weapon Type(s) 20 Knife/Cutting Instr 65 Fire/Incendiary Device
None B P B P u o y s i s n e g s / s R in e g ce /C iv o in n g cealing C O C O u p l e ti r v a a t t in in g g / / P M ro a m nu o f t / i P n u g b /A li s s s h i i s n t g ing 1 1 1 2 F H i a re n a d r g m u n (A (A ut u o t ) o) 3 3 0 5 B M l o u t n o t r O V b e j h e i c c t le 7 8 0 5 D As ru p g h s y / x N ia a t r i c o . n /Sleeping Pills
D Distributing/Selling T Transport/Import/Transmit 13 Rifle (Auto) 40 Personal Weapons 90 Other
E Exploiting Children U Using/Consuming 14 Shotgun (Auto) 50 Poison 95 Unknown
15 Other Firearm 60 Explosives 99 None
A Simple/Gross Neglect I Intentional Abuse & Torment
F Organized Abuse S Sexual Animal Abuse
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 6/21/2023 10:28:04 AM

Incident # 23-02192 West Memphis Police Report Date 06/12/23
Page 3 of 3 Incident Report Report Time 3:29 PM
Narrative & Statements
Narrative - Kimbrough, Amber - 6/12/2023 3:35:20 PM (Initial)
did. Officers checked that location again and had negative contact with at this point.
was entered into NCIC (M177426565)
Unit 2274
Copyright Relativity Inc.© - RPS(Relativity Public Safety)
Printed : 6/21/2023 10:28:04 AM


summary: Licensing visited the facility to review personnel files. The facility was cited 105.15.h for an issue identified during the review.

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: Perimeter Behavioral of West Memphis
Facility Number: 231
Licensee Address: 600 NORTH 7TH STREET
WEST MEMPHIS AR 72301
Licensing Specialist: Clayton DeBoer
Person In Charge:
Record Visit Date: 5/24/2023
Home Visit Date: 5/24/2023
Purpose of Visit: Personnel Records
Regulations Out of Compliance:
Regulation Number: 1. 105. 15 .h
Regulation Description: The agency shall maintain a personnel file for each employee, which shall include:
Findings Description: and did not have 3 positive references in their file.
Action Due Date: 6/14/2023
Action Due Description: 3 positive refences will be filed in and file. Carla Lewis emailed
licensing 3 positive references 5/24/23 for and
Comply Date: 5/24/2023
Sub Regulation Description:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Regulations Not Correctable:
Narrative:
Personnel Record Review conducted for staff:
and were missing 3 reference checks. Facility cited 105.15h.
Provider Comments:
CCL Staff Signature : Date: 6/7/2023
Provider Signature : Date: 6/7/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2