summary: Officers were dispatched to the facility in response to a property check call. Upon arrival, police made contact with a staff member who reported that her ex-boyfriend has been circling the parking lot and making threats, stating he would shoot her and the kids inside.

raw_content:
SUSPECT #1
SUSPECT # AKA:
1
ARRESTEE # ADDRESS:
6501 W 12TH ST LITTLE ROCK AR
SEX: (M) Male ETHNICITY: (H)Hispanic RACE: (W) White (B) Black (I) American Indian DATE OF BIRTH
(F) Female (U) Unk. (N) Non-Hispanic (U) Unk. (A) Asian / Pacific Islander (U) Unknown
RES. STATUS: (R) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:
(N) Nonresident (U) Unknown (Y) Yes (N) No (U) Unk.
SUSPECTS ACTIONS RELATED TO: NIC: HEIGHT: WEAPONS AT ARREST:
V1 V2 V3 V4 Ft
V5 V6 V7 V8 In
(11) Firearm (Unk)
(99) Over 98 Years Old DISPOSITION OF JUVENILE: D.L. / ID No. (STATE) WEIGHT: (12) Handgun
(H) Handled within Department
(00) Unknown (R) Referred outside Department Lbs (13) Rifle
(14) Shotgun
THIS SUSPECT RELATES TO WHICH OFFENSES? ARREST TYPE: (O) On View Arrest
(15) Other Firearm
1 2 3 4 5 6 7 8 (S) Summons / Cited (T) Taken Into Custody
ARREST LOCATION: ARREST DATE:
CHARGE: 5-13-301F
(A--
automatic)
INCIDENT NUMBER 2023-067975 JUVENILE INFORMATION Report generated: 7/9/2023 10:25 AM
NAME (Last, First, Middle)
HOME PHONE: WORK PHONE: MOBILE PHONE: OTHER PHONE:
AGE:
Exact Age: 21 (01) Unarmed
Range: -
(16) Illegal Cutting Instrument
(17) Club/Blackjack/Brass
ARRESTING OFFICERS
OFFICER 1: MVR OFFICER 5: MVR
OFFICER 2: MVR OFFICER 6: MVR
OFFICER 3: MVR OFFICER 7: MVR
OFFICER 4: MVR OFFICER 8: MVR
Suspect information continued on next page.
Page 3 of 7

INCIDENT NUMBER 2023-067975 JUVENILE INFORMATION Report generated: 7/9/2023 10:25 AM
SUSPECT #1
SUSPECT # NAME (Last, First, Middle) AKA:
1
COMPLEXION: HAIR STYLE: HAIR COLOR: FACIAL HAIR: DEMEANOR: SCAR / MARK: TATTOO:
(1) Light (01) Afro (1) Black (01) Clean Shaven (01) Angry (01) Head (1) Designs
(2) Medium (02) Wavy (2) Blonde (02) Unshaven (02) Apologetic (02) Neck (2) Initials
(3) Dark (03) Straight (3) Brown (03) Full Beard (03) Calm (03) Hand (rt) (3) Names
(4) Acne (04) Curly (4) Grey (04) Must. (hvy) (04) Irrational (04) Hand (lft) (4) Pictures
(5) Freckled (05) Braided (5) Red (05) Must. (thin) (05) Nervous (05) Arm (rt) (5) Words
(6) Ruddy (06) Ponytail (6) Sandy (06) Brows (hvy) (06) Polite (06) Arm (lft) (6) Numbers
(7) Other (07) Military (7) Other (07) Brows (thin) (07) Professional (07) Body (7) Insignia
(8) Unknown (08) Processed (8) Unknown (08) Side Burns (08) Stupor (08) Leg (rt) (8) None
(09) Wig/Toupee (09) Goatee (09) Violent (09) Leg (lft) (9) Unknown
HAIR LENGTH: (10) Other EYE COLOR: (10) Other (10) Drunk / High (10) Other
(1) Long (11) Unknown (1) Blue (11) Unknown (11) Other (11) None TATTOO LOC:
(2) Medium (2) Brown (12) Unknown (12) Unknown (01) Arm (lft)
BUILD:
(3) Short (3) Grey (02) Arm (rt)
(4) Bald(ing) (1) Light (4) Green (03) Leg (lft)
CLOTHING DESCRIPTION:
(5) Other (2) Medium (5) Hazel (04) Leg (rt)
HAT
(6) Unknown (3) Heavy (6) Other (05) Hand (lft)
(4) Muscular (7) Unknown COAT (06) Hand (rt)
(5) Unknown SHIRT (07) Face
PANTS/DRESS (08) Neck
SHOES (09) Finger(s)
(10) Chest
(11) Back
ADDED DESCRIPTION:
n/a
Page 4 of 7

INCIDENT NUMBER 2023-067975 JUVENILE INFORMATION Report generated: 7/9/2023 10:25 AM
NARRATIVE
OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A PROPERTY CHECK CALL. UPON ARRIVAL,
OFFICERS MADE CONTACT WITH THE CALLER ( ).
ADVISED SHE HAS A PROTECTION ORDER AGAINST HER EX-BOYFRIEND ( ).
ADVISED SHE IS NOT SURE IF THE SUBJECT HAS BEEN SERVED WITH THE PROTECTION ORDER OR NOT.
ADVISED HAS BEEN COMING TO HER JOB, CIRCLING THE PARKING LOT, AND MAKING THREATS TO
HER OVER THE PHONE. ADVISED ADVISED HER TO COME OUTSIDE. ADVISED
STATED HE WOULD SHOOT HER AND THE KIDS INSIDE, WHILE ON THE PHONE WITH HIM.
ADVISED LEFT THE LOCATION BEFORE POLICE ARRIVAL.
OFFICERS WAS UNABLE TO MAKE CONTACT WITH DUE TO HIM NO LONGER BEING ON SCENE.
OFFICERS PROVIDED WITH THE INCIDENT NUMBER. OFFICERS ADVISED TO CALL POLICE IF
RETURNS. OFFICERS CIRCULATED THE SURROUNDING PARKING LOTS FOR WITH
NEGATIVE RESULTS. MVR AND BWC IN USE.
Page 6 of 7


state: AR

facility_name: Centers for Youth and Families - Little Rock

summary: Officers were dispatched to the facility in response to a 911 hang up call. False alarm.

raw_content:
INCIDENT NUMBER 2023-066746 JUVENILE INFORMATION Report generated: 6/13/2023 9:22 PM
NARRATIVE
MS. BREANNA PEEBLES ADVISED THE 911 HANG UP WAS FALSE. PEEBLES ADVISED POLICE WERE NOT NEEDED.
MVR AND BWC WERE IN USE.
Page 3 of 4

doc_type: Police Report


summary: A resident was transported to Arkansas Children’s Hospital after he was hit in the head with a rock by his 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: 6/4/2023
Date Received by DCCECE: 6/5/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 6/04/2023. On 6/04/2023, client , ) was
playing outside on the playground when he hit one of his peers with his hand. After being
hit by , the peer picked up a rock and struck in the left side of the
head. The two clients were separated by staff, and was taken to the nurses?
station to be assessed. The nurse noted had sustained a small cut to the left
side of his head. The cut was bleeding and had a small amount of swelling surrounding the
area. Dr. Thomas was notified and made the decision to send to Arkansas
Children?s Hospital for further evaluation. Centers? staff transported to ACH.
Once at ACH, medical personnel there treated for a laceration of the scalp and
closed the wound with a single staple. After ?s treatment at ACH, he was
transported back to EMCC by Centers? staff. will have a follow-up
appointment in eight to ten days with his PCP to remove the staple. Centers? staff will
continue to monitor . ?s guardian was notified about this incident.
is a private placement at The Centers. and his peer were placed
on Assaultive Precautions due to this incident. As always, please do not hesitate to contact
me if you need any additional information.
Interim Action Narrative: Resident was assessed by nursing and referred to ACH for further
evaluation. Residents involved were placed on assaultive precautions.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns. Licensing Specialist will follow-up with facility for residents scheduled follow-up
appointment with PCP. Licensing Specialist informed that Center's medical personnel
would remove the staple from the resident's scalp.

doc_type: Notice of Incident


summary: A resident was transported for acute care after exhibiting labile mood and aggression.

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: 6/2/2023
Date Received by DCCECE: 6/5/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 6/02/2023. On 6/02/2023, client DOB: )
became dysregulated and displayed the following behaviors: labile mood, not eating, and
aggression. The decision was made to seek an acute placement for so she could
receive a higher level of care. On 6/02/2023, at approximately 2015 hours, was
transported to Bridgeway Behavioral Health by MEMS. ?s guardian was notified
about this incident. is DCFS placement at The Centers. After her treatment at
Bridgeway, will return to EMAC. As always, please do not hesitate to contact me
if you need any additional information.
Interim Action Narrative: Resident was transported to Bridgeway Behavioral Health for
higher level of care.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident for licensing
concerns. Licensing Specialist will follow-up with facility if resident will be returning.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Specialist informed that resident would be returning to the facility once
discharged.


summary: A resident was transported to Arkansas Children’s Hospital after experiencing shortness of breath and asthma induced wheezing.

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: 5/29/2023
Date Received by DCCECE: 5/30/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 5/29/2023. On 5/29/2023, client DOB: ) began
to experience a mild case of asthma induced wheezing. Centers? medical personnel treated
with two puffs of Albuterol. After approximately one hour, was still
experiencing some shortness of breath. The Centers? medical team made the decision to
send to Arkansas Children?s Hospital (ACH) for further evaluation. Centers?
staff transported to ACH. Once at ACH, medical personnel there diagnosed
with moderate persistent asthma with exacerbation. The attending physician at
ACH ordered to continue taking her daily inhaler and take Albuterol every four
hours during the daytime for the next two days. After ?s evaluation at ACH, she
was transported back to EMAC by Centers? staff. Centers? medical staff will continue to
monitor . ?s guardian was notified about this incident. is
a Texas DHS placement at The Centers. As always, please do not hesitate to contact me if
you need any additional information.
Interim Action Narrative: Resident was assessed by medical personnel and transported to
ACH for further evaluation by Centers staff.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident. No licensing
concerns noted.


summary: A resident reported to staff that a peer touched her inappropriately.

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: 5/22/2023
Date Received by DCCECE: 5/23/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC). On 5/22/2023, client told a Centers? staff
member that one of her peers, tried to force her
( ) hand down her ( ) pants. said she told to ?stop? and
left the dorm room. said touched her inappropriately
approximately two weeks ago, but she did not report it to staff out of fear would
harm her. This incident was reported to the , and the reported
allegations were accepted (Referral # ). The guardians for and were
notified about this incident. is an Alaska DCFS placement at The Centers.
is a private placement at The Centers. was placed on sexual precautions
due to this incident. and will not be allowed on the same dorm
moving forward. As always, please do not hesitate to contact me if you need any additional
information.
Interim Action Narrative: was called and call was accepted. The
AO was placed on sexual precautions. Residents will not be allowed on the same dorm
moving forward.
Maltreatment Narrative: Found unsubstantiated.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 5/26/2023, Licensing informed that residents were separated on
different dorms. Documentation provided on sexual acting out precautions and line of sight
precautions. 5/31/2023, Licensing Specialist informed that permission was received to
contact the facility. Licensing Specialist will follow-up with facility. 6/1/2023, Licensing
Specialist informed no witness statements were taken but nurse's note would be provided.
6/9/2023, Licensing Specialist informed by Program Coordinator case is still pending.
6/23/2023, Licensing Specialist emailed Investigator Johnson for an update. 7/3/2023,
Licensing Specialist emailed Program Coordinator for an update. 7/5/2023, Licensing
Specialist informed that case is pending. 7/24/2023, Licensing Specialist reached out to
investigator for an update. Licensing Specialist informed referral found unsubstantiated.


summary: A pregnant resident was transported to UAMS after she became dysregulated and exhibited high risk behaviors.

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: 5/22/2023
Date Received by DCCECE: 5/23/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC). On 5/22/2023, client became
dysregulated, which resulted in staff having to place her in several Emergency Safety
Interventions (ESI) to keep her and others safe. is approximately ten weeks
pregnant. Due to high risk behaviors, the medical team made the decision
to send her to Arkansas Children?s Hospital (ACH) for further evaluation. MEMS was
called to transport to ACH. When MEMS contacted ACH to give them a
radio report of transport, ACH denied transport to their
ER. MEMS then transported to the UAMS Medical Center. Once at UAMS,
was observed and evaluated for several hours by medical personnel.
was determined to be stable by UAMS medical personnel and was transported
back to EMAC. guardian was notified about this incident. is
a DCFS placement at The Centers. did not sustain any injuries because of
this incident. Centers? medical personnel will continue to monitor . As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was placed in several safety interventions. She was
transported to UAMS by MEMS to be evaluated due to her high risk behaviors and returned
to the facility.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident. No licensing
concerns noted.


summary: Officers made contact with a staff member who reported that a juvenile resident punched her in the stomach and attempted to bite her.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2023-056781 JUVENILE INFORMATION Report generated: 5/25/2023 11:48 AM
Redact Before Release
NARRATIVE
OFFICERS MADE CONTACT WITH MICHELLE REYNOLDS (VICTIM 1) WHO ADVISED THAT ON 05/21/2023, AT
APPROXIMATLEY 1345 HOURS, JUVENILE 1 PUNCHED HER IN THE STOMACH AND ATTEMPTED TO BITE HER ARM.
VICTIM 1 STATED THIS OCCURRED DUE TO JUVENILE 1 BEING ON A STAFF CHAIR AND ASKING JUVENILE 1 TO GET
OFF THE CHAIR. VICTIM 1 WAS GIVEN AN INCIDENT NUMBER. OFFICERS DID NOT OBSERVE ANY VISIBLE INJURIES
AT THIS TIME. BWC IN USE.
Page 5 of 6


summary: A resident reported that a peer grabbed her hand and placed it on the peer’s ‘private part’. The complaint was UNFOUNDED by Licensing.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 5/20/2023
Date Received by DCCECE: 5/22/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 5/20/2023. On 5/20/2023, client told a
Centers? nurse that one of her peers grabbed her ( ) hand and placed it on the peer?s
?private part.? said she was in the classroom earlier in the day doing activities
when client grabbed her ( ) hand and placed it
on s ?private part.? said there was no conversation between the two
prior to s actions. Both and were fully clothed when the alleged
incident occurred. reported that staff was present but did not see the alleged
incident take place. This incident was reported to the , and
the reported allegation was accepted (Referral ). The guardians for and
were notified about this incident. is a private placement at The Centers.
is a DCFS placement at The Centers. was placed on sexual
precautions due to this incident. and will not be allowed in the same
dorm or classroom for the foreseeable future. As always, please do not hesitate to contact me
if you need any additional information.
Interim Action Narrative: was called and call accepted. The
alleged AV was placed on sexual precautions. Residents will not be allowed in the same
dorm or classroom.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative: Client told a Centers?
nurse that one of her peers grabbed her ( ) hand and placed it on the peer?s ?private
part.? said she was in the classroom earlier in the day doing activities when client
grabbed her ( ) hand and placed it on
s ?private part.? said there was no conversation between the two prior to
s actions. Both and were fully clothed when the alleged incident
occurred. reported that staff was present but did not see the alleged incident take
place.
Licensing Narrative: 5/26/2023, Licensing provided with documentation for sexual acting
out precautions and line of sight protocol. 5/31/2023, Licensing Specialist followed-up with
facility. 6/1/2023, Licensing Specialist informed no witness statements were taken and
nurse's note would be provided. Nursing notes received. 6/9/2023, Licensing Specialist
informed by Program Coordinator case is still pending. 6/23/2023, Licensing Specialist
emailed Investigator Johnson for an update. Licensing Specialist informed referral/case is
still pending. 7/3/2023, Licensing Specialist emailed Program Coordinator for an update.
7/5/2023, Licensing Specialist informed case found unsubstantiated.


summary: Officers responded to the facility for a battery call. Upon arrival, a staff member reported that a resident hit her in the head with a telephone.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2023-056405 JUVENILE INFORMATION Report generated: 5/20/2023 7:20 PM
Redact Before Release
NARRATIVE
OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A BATTERY CALL. UPON ARRIVAL, OFFICERS
MADE CONTACT WITH MS. REYNOLDS (V1), WHO ADVISED JUVENILE 1 (S1) BECAME IRATE IN REFERENCE TO A
PHONE CALL. MS. REYNOLDS ADVISED JUVENILE 1 WAS UPSET BECAUSE SHE COULD NOT FINISH A PHONE CALL.
MS. REYNOLDS ADVISED JUVENILE 1 STOOD UP AND HIT HER WITH THE TELEPHONE ON THE LEFT SIDE OF HER
HEAD. OFFICERS OBSERVED A KNOT ON MS. REYNOLDS HEAD. MS. REYNOLDS ALSO ADVISED JUVENILE 1
ATTEMPTED TO WRAP THE TELEPHONE CORD AROUND HER NECK, BUT STAFF WAS ABLE TO STOP HER. OFFICERS
TOOK PHOTOGRAPHS AND UPLOADED THE PHOTOS TO RMS. OFFICERS PROVIDED MS. REYNOLDS WITH THE
INCIDENT NUMBER TO FOLLOW UP WITH THE INCIDENT. NO FURTHER POLICE ACTION TAKEN. MVR AND BWC IN
USE.
Page 5 of 6


summary: Officers were dispatched to the facility in response to a report of criminal mischief. Upon arrival, a staff member told officers that one of the juvenile residents grabbed her phone and threw it, cracking the screen.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2023-056509 JUVENILE INFORMATION Report generated: 5/20/2023 9:59 PM
Redact Before Release
PROPERTY DRUG INFORMATION
P.LOSS P.DES QTY Description (ser#, color, make, model) PROP TAG VALUE TYPE QUANTITY MEASURE
4 77 1.00 UNKNOWN APPLE BLK 0 700 0.00
IPHONE XR IPHONE XR
TYPE PROPERTY LOSS: (0) Stored (1) None (2) Burned (3) Counterfeited/Forged (4) Damaged/Destroyed/Vandalized (5) Recovered (6) Seized (7) Stolen, etc (8) Unknown
PROPERTY DESCRIPTION: (10) Drugs/Narcotics (21) Negotiable Instruments (32) Structures-Industrial/Manufacture
(11) Drug/Narcotic Equipment (22) Nonnegotiable Instruments (33) Structures-Public/Community
(01) Aircraft (12) Farm Equipment (23) Office-Type Equipment (34) Structures-Storage
(02) Alcohol (13) Firearms (24) Other Motor Vehicles (35) Structures-Other
(03) Automobiles (14) Gambling Equipment (25) Purses/Handbags/Wallets (36) Tools-Power/Hand/Lawnmower
(04) Bicycles (15) Heavy Equipment Construction/ (26) Radios/TVs/VCR (37) Trucks
(05) Buses Industry (27) Recordings-Audio/Visual (38) Vehicle Parts/Accessories
(06) Clothes/Furs (16) Household Good (28) Recreational Vehicles (39) Watercraft
(07) Computer Hardware/ (17) Jewelry/Precious Metal (29) Structures-Single Occupancy (77) Other
Software (18) Livestock (30) Structures-Other Dwellings (88) Pending Inventory (of Property)
(08) Consumable Goods (19) Merchandise (31) Structures-Commercial/Business
(09) Credit Cards/Debit Cards (20) Money
TYPE DRUG MEASUREMENT:
DRUG TYPE: (D) Heroin (H) Other Narcotics (L) Amphetamines/ (O) Other Depressants
Units Weight
(A) Crack Cocaine (E) Marijuana (I) LSD Methamphetamines (P) Other Drugs
(DU) Dosage Unit (GM) Gram (OZ) Ounce
(B) Cocaine (F) Morphine (J) PCP (M) Other Stimulants (U) Unknown Type
(Pills, etc) (KG) Kilogram (LB) Pound
(C) Hashish (G) Opium (K) Other Hallucino. (N) Barbituates (NP) Number of Plants
Capacity
FOR BURGLARIES: Point of Entry: (ML) Milliliter (GL) Gallon
(LT) Liter (FO) Fluid Ounce
Tools Apparently Used:
Page 5 of 7

Report Contains Juvenile Information
INCIDENT NUMBER 2023-056509 JUVENILE INFORMATION Report generated: 5/20/2023 9:59 PM
Redact Before Release
NARRATIVE
OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A CRIMINAL MISCHIEF CALL. UPON ARRIVAL,
OFFICERS MADE CONTACT WITH MS. REYNOLDS (V1), WHO ADVISED JUVENILE 1 (S1), BECAME IRATE AND THREW
HER CELL PHONE. MS. REYNOLDS ADVISED JUVENILE 1 WAS ATTEMPTING TO MAKE ANOTHER PHONE CALL AFTER
HOURS AND WAS NOT GIVEN PERMISSION TO. MS. REYNOLDS ADVISE JUVENILE 1 GRABBED HER CELL PHONE
OFF THE TABLE AND RAN TO HER ROOM WITH IT. MS. REYNOLDS ADVISED JUVENILE 1 WAS ATTEMPTING TO
UNLOCK THE PASS CODE AND THREW HER CELL PHONE ACROSS THE ROOM. OFFICERS OBSERVED CRACKS ON
THE SCREEN. OFFICES PROVIDED MS. REYNOLDS WITH THE INCIDENT NUMBER TO FOLLOW UP WITH THE
INCIDENT. NO FURTHER POLICE ACTION TAKEN. MVR AND BWC IN USE.
Page 6 of 7


summary: Officers were dispatched to the facility in response to a battery call. Upon arrival a staff member reported that a resident approached her from behind and aggressively pulled her hair for no reason.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2023-055145 JUVENILE INFORMATION Report generated: 5/19/2023 9:43 PM
Redact Before Release
NARRATIVE
OFFICERS RESPONDED TO A BATTERY AT THE LISTED LOCATION. UPON ARRIVAL, OFFICERS MADE CONTACT WITH
V1 (GRETCHEN). GRETCHEN STATED J1 APPROACHED HER FROM THE REAR AND AGGRESSIVELY PULLED HER
HAIR FOR NO REASON. OFFICERS OBSERVED NO VISIBLE INJURY AND SHE WAS OFFERED MEDICAL ATTENTION
BUT REFUSED. OFFICERS ADVISED GRETCHEN TO SEEK WARRANTS AND TO CALL BACK IF ANYTHING ELSE
OCCURS. BWC IN USE.
Page 5 of 6


summary: Officers were dispatched to the facility. False call.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

INCIDENT Report generated: 5/13/2023 10:28 PM
INCIDENT NUMBER UNIT ASSIGNED | CALL DATE CALL TIME TYPE OF CALL
2023-053526 2X62 05/13/2023 20:53:00 UNK

INCIDENT DATE

5/13/2023 8:53:49 PM

LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6601 W 12TH ST
61

FALSE OR UNFOUNDED CALL

FALSE CALL, OFFICERS WAS UNABLE TO MAKE CONTACT WITH ANY SUBJECTS AT THE LOCATION. MVR AND BWC
IN USE.

ENTRY DATE
05/14/2023 03:25:01

REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR JIMVR ij
CHRISTOPHER JACKSON mi CHRISTOPHER JACKSON lana

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


summary: Officers were dispatched to the facility in response to a sexual abuse call.

raw_content:
LITTLE ROCK POLICE DEPARTMENT INCIDENT REPORT

(_]JUVENILE INFORMATION

INCIDENT NUMBER

2023-052556

INCIDENT DATE

5/11/2023 4:03:39 PM

UNIT ASSIGNED

INCIDENT

CALL DATE

05/11/2023

LOCATION OF [INCIDENT (ADDRESS / BUSINESS NAME)

Report generated; 5/11/2023 8:35 PM
TYPE OF CALL

SEXABU

DISTRICT

61

CALL TIME

16:03:00

6501 W 12TH ST

OFFENSE

INCIDENT OFFENSE TYPE

1, INFORMATION REPORT

SUSPECTS USED:

[(A) Alcohol (0) Drugs

me) Computer Equip wale Not Applicable /
Unknown

C1) Buying / Receiving
Ole) Exploiting Children

[]() Distributing / Selling

LOCATION CODE:
([](01) Air/ Bus / Train Terminal
[](02) Bank / Savings & Loan

[_](03) Bar / Night Club

[_](04) Church / Synagogue / Temple
[_](05) Commercial / Office Building
[_](06) Construction Site

C107) Convenience Store

(08) Department / Discount Store
(](09) Drug Store / DR Office / Hospital
([](10) Field / Woods

(-](11) Government / Public Building
Oo (12) Grocery / Supermarket

(3) Highway / Road / Alley

(]14) Hotel / Motel / Etc

(15) Jail / Penitentiary

CO (16) Lake / Waterway

Cc] (17) Liquor Store

(J18) Parking Lot / Garage

(119) Rental / Storage Facility

oO (20) Residence / House

(21) Restaurant

[-](22) School / College

[] (23) Service / Gas Station

O (24) Specialty Store (TV, Fur, Etc)
[7] (25) Other / Unknown

17) Abandoned/Condemned Structure
oO (38) Amusement Park

(169) Arena / Stadium / Fairgrounds
(140) ATM Separate from Bank
(141) Auto Dealership New / Used
[-](42) Camp / Campground

(FOR BURGLARY ONLY) METHOD OF ENTRY:

NUMBER OF PREMISES ENTERED Ce) Forcible [ayy No Force

(No [other

NARCAN USED: []Yes

ENTRY DATE REPORTING OFFICER
05/12/2023 01:06:11 | KAMRIE GILMORE

TYPE OF CRIMINAL ACTIVITY:

On Transport / Transmit / Import Cw) Using / Consuming

OFFENSE STATUS

|

@ oOo
HH ‘H "A ‘A
GANG RELATED INFO:

Oo (J) Juvenile Gang
(1(G) Other Gang
(J) None / Unknown

Attempted
Completed

Attempted
Completed

Owo Cultivate / Manufacture / Publish
mI) Operating / Promoting / Assisting

Oo (P) Possessing / Concealing

(1) (44) Daycare Facility (J51) Rest Area

mc) Dock / Wharf / Freight Terminal (s2) School - College / University
[([](46) Farm Facility (£163) School - Elementary / Secondary
(7) Gambling / Casino / Racetrack O14) Shelter - Mission / Homeless
([](48) Industrial Site (21655) Shopping Mall

(149) Military Installation (21656) Tribal Lands

(160) Park / Playground C167) Community Center

(on 11-15, an "A" denotes Automatic or Semi-Automatic)

[-](50) Poison

[](60) Explosives

[-](65) Fire / Incendiary Device

WEAPON FORCE:
(1) Firearm (Unknown)

—_ a2) Handgun
~~ (a3) Rifle
~~ [J04) Shotgun
~~ (JUS) Other Firearm
(20) Knife / Cutting Instr (Axe, etc)
(160) Blunt Object (Club, etc)
[1@5) Motor Vehicle (as weapon)
(140) Personal Weapons (hands, etc)

ma Narcotics / Drugs /
Sleeping Pills

[1(85) Asphyxiation
[_](90) Other
[](95) Unknown
CO (99) None

ORIGINAL APPROVING SUPERVISOR
HARMON TOBLEA

LRPD Form 5501-01 Rev, RMS-2019-01-23

VIMVR in use

Page | of 4

INCIDENT NUMBER 2023-052556 Report generated: 5/11/2023 8:35 PM

(_JJUVENILE INFORMATION

OTHER PERSONS - CONTACT

OTHER PERSON # | NAME (Last, First, Middle)
1 MANURIN,ANNA

ADDRESS:
6501 W 12TH ST LITTLE ROCK AR 72204

HOME PHONE: WORK PHONE: MOBILE PHONE: OTHER PHONE:

5016668686

RACE; [¥](W) White [[](B) Black [[](1) American Indian
(J(A) Asian / Pacific Islander Ow) Unknown

DATE OF BIRTH
03/26/1999

SEX: [[](M) Male
[Z](F) Female [_](U) Unk.

ETHNICITY: [_](H)Hispanic
Min) Non-Hispanic im (U) Unk.

RES. STATUS: — [_](R) Resident
[](N) Nonresident Cw) Unknown

MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:

(1) Yes [VJ(N) No [](u) unk.

AGE: HEIGHT;
Exact Age: 24

a ee Ft
(-] (Bp) 7-364 Days Old
LJ9) Over 98 Years Old
[_](00) Unknown

Range:
[Nn) Under 24 Hrs. Old
[JenB) 1-6 Days Old

D.L. / ID No. (STATE) WEIGHT:

SCAR / MARK:

(01) Head
(02) Neck
(03) Hand (rt)
(04) Hand (Ift)

COMPLEXION: DEMEANOR: TATTOO:

(1) Light
(2) Medium
(3) Dark

HAIR STYLE:
[_](01) Afro
(02) Wavy
(03) Straight

HAIRCOLOR:  FACAIL HAIR:
(1) Black [[](01) Clean Shaven — [[](01) Angry
(2) Blonde Hes Unshaven [_] (02) Apologetic

(1) Designs
(2) Initials
(3) Names
(4) Pictures

[_]@) Brown

[_](4) Grey (04) Must. (hvy) (04) Irrational

{_](7) Other
mG) Unknown

HAIR LENGTH

(1) Long

(2) Medium
(3) Short

(4) Bald(ing)
(5) Other

(6) Unknown

(4) Acne (04) Curly
(5) Freckled (05) Braided (5) Red
(6) Ruddy (06) Ponytail (6) Sandy

(07) Military
(08) Processed

(09) Wig/Toupee
; (10) Other
(11) Unknown

(7) Other
[_](8) Unknown

EYE COLOR:
(1) Blue
(2) Brown

BUILD; (3) Grey
(1) Light (4) Green
(2) Medium (5) Hazel
(3) Heavy (6) Other
(4) Muscular (7) Unknown

[J (5) Unknown

(05) Nervous
[_] (06) Polite
(07) Professional
(08) Stupor
(09) Violent
(10) Drunk / High
(11) Other
(12) Unknown

(03) Full Beard Flos Calm

[](05) Must. (thin)

[_](06) Brows (hvy)
(07) Brows (thin)
(08) Side Burns
(09) Goatee

[_](10) Other
[_](11) Unknown

CLOTHING DESCRIPTION
HAT

COAT

SHIRT

PANTS/DRESS

SHOES

(05) Arm (rt)
(06) Arm (Ift)
(07) Body
(08) Leg (rt)
(09) Leg (lft)
(10) Other

[_J(11) None
[a2 Unknown

(5) Words
(6) Numbers
(7) Insignia
(8) None

(9) Unknown

TATTOO LOC:

(01) Arm (lft)
(02) Arm (rt)
(03) Leg (Ift)
[_] (04) Leg (rt)
(05) Hand (ft)
(06) Hand (rt)
(07) Face
(08) Neck
(09) Finger(s)
(10) Chest
(11) Back

Page 2 of 4

INCIDENT NUMBER 2023-052556 [JUVENILE INFORMATION Report generated; 5/11/2023 8:35 PM

NARRATIVE

OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A SEXUAL ABUSE CALL. UPON ARRIVAL,
OFFICERS MADE CONTACT WITH MS. ANNA MANURIN (C1), WHO ADVISED THEY REPORTED THE INCIDENT WITH
DHS AND NO LONGER NEEDED POLICE ASSISTANCE. NO FURTHER POLICE ACTION TAKEN. MVR AND BWC IN USE.

Page 3 of 4

INCIDENT NUMBER 2023-052556 (JUVENILE INFORMATION Report generated: 5/11/2023 8:35 PM

ADDITIONAL HOMICIDE CIRCUMSTANCES Oe Criminal attacked a civilian Ole) Criminal resisted arrest

LIA) Criminal attacked police officer, that officer killed criminal im (D) Criminal attempted flight from a crime Ooo Unable to determine /
(J (8) Criminal attacked police officer, criminal killed by other officer (](E) Criminal killed in commission of a crime not enough information

RELATED CASE NUMBER(S)
CAR JACKING? [_]YES [(¥]NO DRIVE-BY? [_]YES [¥]NO GANG RELATED? [_]YES [¥]NO

HATE/BIAS RELATIONSHIP: (88) None [JYES, SEE BELOW
RACIAL (Anti-) RELIGIOUS (Anti-) ETHNICITY / NATIONAL ORIGIN (Anti-) SEXUAL (Anti-)

[J(11) White (2b) Jewish (12) Hispanic [1(41) Male Homosexual (Gay)
[_]12) Black [_](22) Catholic [_](33) Other Ethnicity (_](42) Female Homosexual (Lesbian)
(13) American Indian / {J023) Protestant . mcs) Homosexual (Gay and Lesbian)
CO Alaskan Native [](24) Islamic (Muslim) sinisieniieiai ies (_](44) Heterosexual
[_](14) Asian / Pacific Islander [_](25) Other Religion (1(51) Physical Disability [J (45) Bisexual
[] (15) Multi-Racial Group [_](26) Multi-Religious Group [_](52) Mental Disability
[_](27) Atheist/Agnostic

Pawe 4 of 4


summary: Resident was transported to Arkansas Children’s Hospital for a blood test.

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: 5/9/2023
Date Received by DCCECE: 5/10/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 5/09/2023. Due to an existing , client ,
DOB: ) must have periodic lab work (blood draw) for a . On
5/09/2023, Ms refused to allow Centers? medical personnel to draw blood for the
necessary testing. Centers? staff transported to LabCorp, but
refused to allow medical personnel there to draw blood. Centers? staff transported
to Arkansas Children?s Hospital (ACH) so medical personnel there could conduct a
blood draw. Once at ACH, medical personnel were able to draw blood from
without further incident. After the blood draw at ACH, was transported back to
EMAC. ?s guardian was notified about this incident. is an
DHS placement at The Centers. As always, please do not hesitate to contact me if you need
any additional information.
Interim Action Narrative:
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: 5/11/2023- Licensing reviewed the report for any licensing concerns.


summary: A resident was pushed and grabbed around the neck area by a staff member during an incident where the resident was dysregulated. The staff member was terminated as a result of the incident. The facility was cited 109.1.g and 905.4.g.

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: 4/28/2023
Date Received by DCCECE: 5/1/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 4/28/2023. On 4/28/2023, client became
dysregulated and was being aggressive towards staff. Staff member, , was
attempting to verbally deescalate when she ( ) pushed and
attempted to punch her. pushed back and grabbed her up around the
neck area. A staff member immediately separated and . was
assessed by Centers? medical personnel and no injuries were noted. reported she
had no pain or complaints because of this incident. This incident was reported to the
, and the reported allegation was accepted (Referral
). was suspended (On 4/28) pending her termination.
guardian was notified about this incident. is a DCFS placement at The Centers. As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by medical personnel. Hotline called and
call accepted, but later determined to be screened out. Staff member involved was
suspended.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist was informed of incident. 5/2/2023, Licensing
Specialist reviewed the complaint. Licensing Specialist will inquire about the assigned
investigator. 5/4/2023, Program Manager visited the facility. 5/30/2023, Licensing
Specialist inquired about the assigned investigator. Licensing Specialist informed that
referral was screened out. 5/31/2023, Licensing Specialist followed-up with facility.
6/1/2023, Licensing Specialist informed staff member was terminated on 5/2/2023.


summary: A resident was transported to Arkansas Children’s Hospital for evaluation after a physical altercation with a peer.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 4/24/2023
Date Received by DCCECE: 4/25/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 4/24/2023. On 4/24/2023, client , DOB:
) and client ( , DOB: became involved in a
verbal argument while playing outside on the playground. Centers? staff immediately
separated the two and attempted to verbally calm the situation. was calm,
but continued to escalate. was able to run past staff and kick
in the head. was taken inside the building where Centers?
medical personnel assessed him. The RN noted a bruise/bump to the back (right side) of
head. Dr. Thomas was notified and made the decision to send
to Arkansas Children?s Hospital for further evaluation. Centers? staff transported
to ACH. Once at ACH, medical personnel there evaluated and
determined he could be sent back to The Centers. ? diagnosis was as
follows: . was transported back to EMCC
with instructions to monitor him for any changes. Centers? medical staff will continue to
monitor . The Little Rock Police Department was called and completed an
Incident Report regarding this incident. On 4/25/2023, was
placed in acute care at Rivendell Behavioral Health so he could receive a higher level of
care. and ?s guardians were notified about this incident.
is a DCFS placement at The Centers. is a private placement
at The Centers. As always, please do not hesitate to contact me if you need any additional
information.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Interim Action Narrative: Residents were separated. Resident was assessed by the nurse
and referred to AR Children's Hospital for further evaluation. LRPD were called. Resident
BR was transported to Rivendell for higher level of care.
Maltreatment Narrative:
Licensing Narrative: Licensing Specialist received notification of provider reported incident
on 4/25/2023 via email. 5/1/2023, Licensing Specialist reviewed provider reported incident.


summary: Officers were dispatched to the facility in response to a battery call. Upon arrival, staff advised that two juvenile residents were in a physical altercation.

raw_content:
LITTLE ROCK POLICE DEPARTMENT INCIDENT REPORT

[JUVENILE INFORMAT; ON Report.generated: 5/1/2023 9:25 AM

INCIDENT NUMBER JO 8 AS 5 “ [ l Y PE OF CALL

2023-045729 5 BATTERY

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6601 W 12TH ST

4124/2023 5:43:52 PM 61

OFFENSE

INCIDENT OFFENSE TYPE OFFENSE STATUS

Attempted a

|, BATTERY 3RO DEGREE Completed 1 2 Z 3 — 4 H
Attempted 5
Completed i [| s : A ‘H

GANG RELATED INFO;

SUSPECTS USED:

TYPE OF CRIMINAL ACTIVITY;

i? (A) Alcohol Cw) Drugs Oe) Buying / Receiving Oe) Cultivate / Manufacture / Publish Oa) Juvenile Gang
oO (C) Computer Equip rae Not Applicable / Oe) Exploiting Children oO (O) Operating / Promoting / Assisting CG) Other Gang
Unknown

(cr) Transport / Transmit / Import [7](U) Using / Consuming [Z](N) None / Unknown

mt) Distributing / Selling Oe) Possessing / Concealing

LOCATION CODE: (16) Lake / Waterway (J (44) Daycare Facility (G1) Rest Area

(1001) Air / Bus / Train Terminal (07) Liquor Store (1145) Dock / Wharf / Freight Terminal [_](52) School - College / University
C2) Bank / Savings & Loan Ooas) Parking Lot / Garage Os) Farm Facility (63) School - Elementary / Secondary
(1) (03) Bar / Night Club (119) Rental / Storage Facility (147) Gambling / Casino / Racetrack (21654) Shelter - Mission / Homeless
(1 (04) Church / Synagogue / Temple [1(20) Residence / House [J (48) Industrial Site (2165) Shopping Mall

(1005) Commercial / Office Building [[](21) Restaurant (149) Military Installation (21(56) Tribal Lands

(2106) Construction Site (122) School / College (1(50) Park / Playground (157) Community Center

C07) Convenience Store O03) Service / Gas Station

[21(08) Department / Discount Store (1(24) Specialty Store (TV, Fur, Etc)
(£109) Drug Store / DR Office / Hospital [7](25) Other / Unknown

(on 11-15, an "A" denotes Automatic or Semi-Automatic)

WEAPON FORCE;

(C10) Field / Woods (137) Abandoned/Condemned Structure (J 1) Firearm (Unknown) (150) Poison
(11(11) Government / Public Building (1038) Amusement Park ~~ []Ja2) Handgun (](60) Explosives
(1(12) Grocery / Supermarket [1(39) Arena / Stadium / Fairgrounds ~ (J(13) Rifle (](65) Fire / Incendiary Device
((1(13) Highway / Road / Alley (140) ATM Separate from Bank _ (J(14) Shotgun om Narcotics / Drugs /
(114) Hotel / Motel / Ete (141) Auto Dealership New / Used ([J(15) Other Firearm Sleeping Pills
([1(15) Jail / Penitentiary (142) Camp / Campground Deo) Knife / Cutting Instr (Axe, ete) (1(85) Asphyxiation
(2130) Blunt Object (Club, ete) (190) Other
(FOR BURGLARY ONLY) METHOD OF ENTRY: (135) Motor Vehicle (as weapon) (195) Unknown
[7] (40) Personal Weapons (hands, ete) es) None

NUMBER OF PREMISES ENTERED Cr) Forcible Ow) No Force

NARCAN USED: []Yes [[JNo [[JOther

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR

04/24/2023 23:31:37 | KAMRIE GILMORE RYAN CUNNINGS YJMVR in use

LRPD Form 5501-01 Rev. RMS-2019-01-23 Page | of 9

INCIDENT NUMBER 2023-045729

VICTIM
VICTIM # NAME (Last, First, Middle) or BUSINESS
1 pO
ADDRESS:
6601 W 12TH ST LITTLE ROCK AR 72204

HOME PHONE: WORK PHONE: MOBILE PHONE: OTHER PHONE:
0000000000

SEX: [¥](M) Male ETHNICITY: [_](H)Hispanic RACE; [[](W) White [7](B) Black [_](1) American Indian | DATE OF BIRTH
CU) Female =[[](U) Unk. | (ZJ(N) Non-Hispanic [[](U) Unk. (cA) Asian / Pacific Islander [](U) Unknown

RES, STATUS: [Z](R) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:
(UN) Nonresident [[](U) Unknown | [](¥) Yes [J(N)No [[](U) Unk.

AGE: RELATIONSHIP OF THIS VICTIM TO SUSPECTS
Exact Age: 10 SUSPECT(S) VICTIM WAS: (by Suspect Number)
Range; 0s Oces) 7-364 Days Old (SE) Spouse (AQ) Acquaintance

CONN) Under 24 Hrs. Old [7](99) Over 98 Years Old DibndID Nov (State) he aaa (FR) Friend

oO (NB) I-6 Days Old O00) Unknown (PA) Parent (NE) Neighbor

(SB) Sibling (BE) Babysitter (baby)
THIS VICTIM RELATED TO WHICH OFFENSES? (CH) Child (BG) Boy/Girl Friend

Vi C2 C3 C4 Os Oe O Os (GP) Grandparents (CF) Child of BF / GF

VICTIM TYPE: [YZ] (1) Individual Ce) Business (J () Financial Inst. [-](U) Unknown CSG) Crain fy Homionbieaal Rel

(A) Government me) Religious (_](S) Society / Public [](0) Other (ib )unlay CS Epi
(SP) Stepparent (EE) Employee

(SC) Stepchild (ER) Employer
(SS) Stepsibling (OK) Otherwise Known

VICTIM INJURY:
Cw) None [V](my Apparent Minor Injury me) Apparent Broken Bones
Ow Possible Internal Injury Cr) Loss of Teeth Oa) Severe Laceration

(OF) Other Family (RU) Relationship Unknown!
oO (O) Other Major Injury Cw) Unconsciousness

(ST) Stranger (VO) Victim Was Suspect

AGGRAVATED ASSAULT / HOMICIDE: Oo Argument (2) Assault on Law Enf Officer (003) Drug Deal

[1] (04) Gangland (105) Juvenile Gang (106) Lover's Quarrel ([](07) Merey Killings

(108) Other Felony Involved [-](09) Other Circumstances [](10) Unknown Circumstances (120) Criminal Killed by Private Citizen
Oe 1) Criminal Killed by Police Officer (30) Child Playing w/ Weapon ime 1) Gun-Cleaning Accident (12) Hunting Accident

(163) Other Negligent Weapon Handling C1034) Other Negligent Killings

CLOTHING DESCRIPTION

HAT SHIRT SHOES
COAT. PANTS/DRESS

Page 2 of 9

INCIDENT NUMBER 2023-045729 eport OBAAMIS: WY SIMAPicLOFMALION — Report generated: 5/1/2023 9:25 AM

SUSPECT #1

SUSPECT # NAME (Last, First, Middle)

’ pT

ARRESTEE #

HOME PHONE: WORK PHONE: MOBILE PHONE, OTHER PHONE

SEX: [¥](M) Male ETHNICITY: [[](H)Hispanic RACE: [Z](W) White [[](B) Black [[](1) American Indian | DATE OF BIRTH
[J(F) Female Cv) unk. [Z](N) Non-Hispanic (Cu) unk [J(A) Asian / Pacific Islander [1(v) Unknown

RES. STATUS: [Z](R) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER
CAN) Nonresident (AU) Unknown C1) Yes [Z](N) No Cy) unk,

AGE: SUSPECTS ACTIONS RELATED TO: ; HEIGHT: WEAPONS AT ARREST:

Exact Age: 12 a Hy. Hy; Hy —_— (Ot) Unarmed
—— 5 I
Range: - Lvs V6 v7 V8 ‘ Ca 1) Firearm (Unk)
(£1(99) Over 98 Years Old | DISPOSITION OF JUVENILE: D.L. / ID No, (STATE) WEIGHT (12) Handgun
(H) Handled within Department —
Ci(00) Unknown (R) Referred outside Department Lbs ——— | Ci 13) Rifle
Ci 14) Shotgun

Cas) Other Firearm

(onauone --y)

THIS SUSPECT RELATES TO WHICH OFFENSES? ARREST TYPE: Ow) On View Arrest —

WM O2 03 O4 Os Ge 7 [Cs | Lis)Summons / Cited (1(7) Taken Into Custody

ARREST LOCATION: ARREST DATE:

Ci 16) [egal Cutting Instrument
(17) Club/Biackjack/Brass

CHARGE: 5§-13-203

ARRESTING OFFICERS

OFFICER 1: OFFICER 5:
OFFICER 2: OFFICER 6:
OFFICER 3: OFFICER 7;
OFFICER 4 OFFICER 8:

Suspect information continued on next page.

Page 3 of 9

INCIDENT NUMBER 2023-045729

SUSPECT #1
SUSPECT # NAME (Last, First, Middle)
1
COMPLEXION HAIR STYLE; HAIR COLOR: FACIAL HAIR: DEMEANOR: SCAR/ MARK:
(1) Light | _}(01) Afro (1) Black (01) Clean Shaven (01) Angry (01) Head | |(t) Designs
| }|(2) Medium (02) Wavy | _|(2) Blonde | _}(02) Unshaven (02) Apologetic (02) Neck |_|(2) Initials
[_](3) Dark | _}(03) Straight [_](3) Browa | ](03) Full Beard (03) Calm (03) Hand (rt) |_](3) Names
(4) Acne (04) Curly (4) Grey |_](04) Must. (hvy) (04) Irrational (04) Hand (If) |_}(4) Pictures
(5) Freckled (05) Braided (5) Red [ }(05) Must. (thin) (05) Nervous [_](05) Arm (rt) | ](5) Words
(6) Ruddy (06) Ponytail (6) Sandy (06) Brows (hvy) (06) Polite (06) Arm (Ift) |_|(6) Numbers
(7) Other (07) Military (7) Other (07) Brows (thin) (07) Professional (07) Body igni
(8) Unknown (08) Processed (8) Unknown (08) Side Burns (08) Stupor (08) Leg (rt)
(09) Wig/Toupee (09) Goatee (09) Violent (09) Leg (Ift) (9) Unknown
HAIR LENGTE: (10) Other EYE COLOR: (10) Other (110) Drunk /High = E]10) Other
Ao Long (11) Unknown [](1) Blue (11) Unknown [ (11) Other [ ](11) None TATTOO LOC
(2) Medium BUILD: |\/](2) Brown (12) Unknown (12) Unknown (001) Arm (Ift)
(3) Short (3) Grey (02) Arm (rt)
(4) Bald(ing) mh 1) Light (4) Green CLOTHING DESCRIPTION: (03) Leg (Ift)
(5) Other (2) Medium (5) Hazel (04) Leg (rt)
(6) Unknown [_]@) Heavy (6) Other HAT TO (05) Hand (1ft)
(4) Muscular (7) Unknown | COAT | [4 (06) Hand (ty
(5) Unknown SHIRT (07) Face
PANTS/DRESS ot (08) Neck
SHOES (09) Finger(s)
ee (10) Chest
(11) Back
ADDED DESCRIPTION:
wa

Page 4 of 9

INCIDENT NUMBER 2023-045729 WITOTMALION — Report generated: 5/1/2023 9:25 AM

OTHER PERSONS - CONTACT
OTHER PERSON # | NAME (Last, First, Middle)
1 ROSS,REBECCA
ADDRESS:
1 UNKNOWN AR

HOME PHONE: MOBILE PHONE:

8709410138

WORK PHONE;

RACE: [[](W) White [[](B) Black [(](1) American Indian
(A) Asian / Pacific Islander [Z](U) Unknown

SEX: [_](M) Male
CF) Female [Y](U) Unk.

ETHNICITY: [_](H)Hispanic
[VJN) Non-Hispanic [[](U) Unk.

DATE OF BIRTH

RES, STATUS: mC) Resident OCCUPATION / EMPLOYER:

Ow) Nonresident Vu) Unknown

MENTALLY AFFLICTED?
Cy) Yes (J(N) No [7](U) Unk,

AGE: HEIGHT:
Exact Age:

Ft
(-](BB) 7-364 Days Old
[[](99) Over 98 Years Old
(2100) Unknown

Range:
Cnn) Under 24 Hrs, Old
Cas) 1-6 Days Old

D.L. / 1D No. (STATE) WEIGHT:

SCAR / MARK:

(01) Head
(02) Neck
(03) Hand (rt)
(04) Hand (lft)
(05) Arm (rt) (5) Words
(06) Arm (Ift) (6) Numbers
(07) Body He Insignia
(08) Leg (rt) (8) None
(09) Leg (Ift) [J9) Unknown

se TATTOO LOC:
(01) Arm (lft)

TATTOO;

(1) Designs
(2) Initials
(3) Names
(4) Pictures

DEMEANOR:
(OL) Angry
(02) Apologetic
(03) Calm
(04) Irrational

COMPLEXION:
(1) Light
(2) Medium
(3) Dark
(4) Acne
(5) Freckled
(6) Ruddy
[_](7) Other
im (8) Unknown

HAIR STYLE:

(01) Afro
(02) Wavy
(03) Straight
(04) Curly
(05) Braided
(06) Ponytail

L_]©7) Military
(08) Processed
(09) Wig/Toupee
(10) Other
(11) Unknown

HAIR COLOR:
(1) Black
(2) Blonde
(3) Brown
(4) Grey
(5) Red
(6) Sandy
(7) Other
(8) Unknown

FACAIL HAIR:

(01) Clean Shaven
(02) Unshaven
(03) Full Beard
(04) Must, (hvy)
(05) Must. (thin) (05) Nervous

(06) Brows (hvy) (06) Polite

(07) Brows (thin) mi Professional
(08) Side Burns (08) Stupor

(09) Goatee (09) Violent

(10) Other (10) Drunk / High
(11) Unknown (11) Other

HAIR LENGTH:
(1) Long

EYE COLOR:
(1) Blue

(2) Medium
(3) Short
(4) Bald(ing)

(5) Other
(6) Unknown

BUILD:
(1) Light

(2) Medium
(3) Heavy
(4) Muscular
(5) Unknown

(2) Brown

(3) Grey

(4) Green

(5) Hazel

(6) Other
[](7) Unknown

(12) Unknown

CLOTHING DESCRIPTION
HAT

COAT

SHIRT

PANTS/DRESS

SHOES

(12) Unknown

(02) Arm (rt)
(03) Leg (Ift)
(04) Leg (rt)
(105) Hand (ift)
(06) Hand (rt)
(07) Face
(08) Neck
(09) Finger(s)
(10) Chest
(11) Back

Page 5 of 9

INCIDENT NUMBER 2023-04572 : G ATOFMATION — Report generated: 5/1/2023 9:25 AM
5729

OTHER PERSONS - CONTACT
OTHER PERSON # | NAME (Last, First, Middle)
2 BOYD,NICOLE

ADDRESS:
1 UNKNOWN AR

HOME PHONE: WORK PHONE: MOBILE PHONE: OTHER PHONE:
8705010942

sex: [](M) Male ETHNICITY: [[](H)Hispanic RACE; [[](W) White [[](B) Black [[](1) American Indian | DATE OF BIRTH
(\(F) Female [¥](U) Unk. | [](N) Non-Hispanic [7](U) Unk [1(A) Asian / Pacific Islander [Z](U) Unknown

RES. STATUS: C1) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:

C0) Nonresident [¥](U) Unknown | ](Y) Yes MN) No [](u) unk.

AGE: : HEIGHT:
Exact Age: Ft In
Range: ; (cep) 7-364 Days Old ———— —=

Cow) Under 24 Hrs, Old Ole») Over 98 Years Old D.L./ ID No, (STATE) WEIGHT:
CNB) 1-6 Days Old (1 (00) Unknown Lbs

COMPLEXION: HAIR STYLE: HAIRCOLOR: — FACAIL HAIR: DEMEANOR: SCAR / MARK: TATTOO:

(1) Light (01) Afro (1) Black (01) Clean Shaven (01) Angry (01) Head (1) Designs
(2) Medium (02) Wavy (2) Blonde He, Unshaven (02) Apologetic (02) Neck (2) Initials
(3) Dark (03) Straight (3) Brown (03) Full Beard (03) Calm (03) Hand (rt) (3) Names

(4) Acne (04) Curly (4) Grey (04) Must. (hyy) (04) Irrational (04) Hand (Ift) (4) Pictures
(5) Freckled (05) Braided (5) Red (05) Must. (thin) (05) Nervous (05) Arm (rt) (5) Words
(6) Ruddy (06) Ponytail (6) Sandy (06) Brows (hvy) (06) Polite (06) Arm (lft) (6) Numbers
(7) Other (07) Military (7) Other (07) Brows (thin) (07) Professional (07) Body (7) Insignia
(8) Unknown (08) Processed (8) Unknown (08) Side Burns (08) Stupor (08) Leg (rt) (8) None
(09) Wig/Toupee (09) Goatee (09) Violent (09) Leg (Ift) (9) Unknown
HAIRLENGTH: [7)(10) Other EYE COLOR: (10) Other (10) Drunk / High (10) Other een
(1) Long {_](11) Unknown (1) Blue Hi 11) Unknown (11) Other (11) None ‘

(3) Short BUILD: (3) Grey (02) Arm (rt)
(4) Bald(ing) [7](1) Light (4) Green (03) Leg (ft)
(5) Other (2) Medium He Hazel (04) Leg (rt)

(2) Medium (2) Brown (12) Unknown (12) Unknown Hs Arm (Ift)

(6) Unknown (3) Heavy (6) Other CLOTHING DESCRIPTION (Jos) Hand (ft)
(4) Muscular (7) Unknown (06) Hand (rt)
(5) Unknown HAT (07) Face
GOAT: ae (08) Neck
SHIRT ———S (09) Finger(s)
PANTS/DRESS ———————————————— (10) Chest
SHOES i | Bake

Page 6 of 9

INCIDENT NUMBER 2023-045729

OTHER PERSONS - PERSON REPORTING
OTHER PERSON # | NAME (Last, First, Middle)
3 IKILIAGWU, MICHAEL

ADDRESS:
6601 W 12TH ST LITTLE ROCK AR 72204

HOME PHONE; WORK PHONE; MOBILE PHONE: OTHER PHONE:
5016668686

SEX: [¥](M) Male ETHNICITY: [[](H)Hispanic RACE: [[](W) White [¥](B) Black [[](1) American Indian | DATE OF BIRTH
Clr) Female ((u) unk. [Z](N) Non-Hispanic (Au) unk. (A) Asian / Pacific Islander Ow) Unknown 11/27/1987

RES. STATUS: [1(8) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:
[V](N) Nonresident (1(v) Unknown (C1) Yes [V](N) No Cv) unk.

AGE; { HEIGHT;
Exact Age: 35

es Ft
Range: = (](BB) 7-364 Days Old

Own) Under 24 Hrs. Old 99) Over 98 Years Old D.L./ 1D No. (STATE) WEIGHT:
CNB) 1-6 Days Old [J (00) Unknown

COMPLEXION: HAIRSTYLE: HAIR COLOR; FACAIL HAIR: DEMEANOR: SCAR/ MARK: TATTOO;

(1) Light (Ol) Afro (1) Black (01) Clean Shaven (01) Angry (O01) Head H° Designs
(2) Medium (02) Wavy (2) Blonde (02) Unshaven (02) Apologetic (02) Neck (2) Initials
(3) Dark (03) Straight (3) Brown (03) Full Beard (03) Calm (03) Hand (rt) (3) Names
(4) Acne (04) Curly (4) Grey (04) Must, (hvy) (04) Irrational (04) Hand (Ift) (4) Pictures
(5) Freckled (05) Braided (5) Red (05) Must, (thin) (05) Nervous (05) Arm (rt) (5) Words
(6) Ruddy (06) Ponytail (6) Sandy (06) Brows (hvy) (06) Polite (06) Arm (Ift) (6) Numbers
(7) Other (07) Military (7) Other [_](07) Brows (thin) (07) Professional (07) Body (7) Insignia
(8) Unknown (08) Processed (8) Unknown (08) Side Burns (08) Stupor (08) Leg (rt) (8) None

(09) Wig/Toupee (09) Goatee (09) Violent (09) Leg (lft) (9) Unknown

HAIR LENGTH: [77(10) Other EYE COLOR: (10) Other (10) Drunk / High (10) Other =e

He Long (11) Unknown (1) Blue (11) Unknown (11) Other (11) None ;
(2) Medium (2) Brown (12) Unknown [_]12) Unknown (OL) Arm (Ift)
(3) Short BUILD: (3) Grey (02) Arm (rt)
(4) Bald(ing) [[](1) Light (4) Green (03) Leg (Ift)
(5) Other (2) Medium (5) Hazel Fos Leg (rt)
(6) Unknown (3) Heavy (6) Other . (05) Hand (lft)

(4) Muscular (7) Unknown en entail (06) Hand (rt)

(5) Unknown SS ee (07) Face
COAT (08) Neck
SHIRT ———— (09) Finger(s)
1g 8 1S )\4- |: (10) Chest
SHOES SSS (11) Back

Page 7 of 9

INCIDENT NUMBER 2023-045729 f OBAARS ie IVSEMAP dN UOLFMALION — Report generated: 5/1/2023 9:25 AM

NARRATIVE

OFFICERS RESPONDED TO THE LISTED LOCATION (CHILDCARE BEHAVIORAL FACILITY) IN REFERENCE TO A
BATTERY CALL. UPON ARRIVAL, OFFICERS MADE CONTACT WITH, COORDINATOR OF THE FACILITY, MICHAEL
IKILIAGWU (C3), WHO ADVISED JUVENILE 1 (V1) AND JUVENILE 2 (S1), WERE IN A PHYSICAL ALTERCATION.
OFFICERS MADE CONTACT WITH J1.

OFFICERS OBSERVED A KNOT OF THE BACK OF JUVENILE 1 HEAD. STAFF ADVISED JUVENILE 1 FAINTED. J1
STATED HE WAS PLAYING BASKETBALL AND J2 TOOK THE BALL. J1 STATED HE ASKED J2 FOR THE BALL BACK BUT
J2 THREW THE BALL AT HIM AND J1 THREW IT BACK. J1 STATED J2 PUSHED HIM TO THE GROUND AND KICKED HIM
IN HIS HEAD.

J2 STATED HE WAS PLAYING BASKETBALL AND J1 TRIED TO GET THE BALL AND HE THREW THE BALL TO THE
GROUND AND BOUNCED WHICH CAUSED THE BALL TO HIT J1. J2 STATED J1 GRABBED HIS LEG AN BEGAN TO BITE
HIM ON THE LEG AND J2 KICKED J1 IN THE HEAD TO GET HIM OFF OF HIM.

OFFICERS DID NOT OBSERVE ANY INJURIES ON J2.

OFFICERS NOTIFIED NORTHWEST SUPERVISOR SGT. CUNNINGS. HE ADVISED OFFICERS HE NOTIFIED MAJOR
CRIMES. OFFICERS UPLOADED PHOTOS TO RMS. NO FURTHER POLICE ACTION TAKEN. MVR AND BWC IN USE.

Page 8 of 9

INCIDENT NUMBER 2023-045729

ADDITIONAL HOMICIDE CIRCUMSTANCES oOo© Criminal attacked a civilian Oe) Criminal resisted arrest

CW) Criminal attacked police officer, that officer killed criminal Ow) Criminal attempted flight from a crime oo Unable to determine /
(1(8) Criminal attacked police officer, criminal killed by other officer (J) Criminal killed in commission of a crime not enough information

RELATED CASE NUMBER(S)
CAR JACKING? [[]YES [¥JNO DRIVE-BY? [_]YES [¥VJNO GANG RELATED? []YES [¥]NO

HATE/BIAS RELATIONSHIP: [¥](88) None [_]YES, SEE BELOW
RACIAL (Anti-) RELIGIOUS (Anti-) ETHNICITY / NATIONAL ORIGIN (Anti-) SEXUAL (Anti-)

(](11) White (1) Jewish [_] (32) Hispanic (1(41) Male Homosexual (Gay)
(](12) Black (](22) Catholic (_](33) Other Ethnicity [_](42) Female Homosexual (Lesbian)
(13) American Indian / (23) Protestant ‘ LJ3) Homosexual (Gay and Lesbian)
Cl siaskan Native Has Islamic (Muslim) sasesemneniaith, anil (](44) Heterosexual
C4) Asian / Pacific Islander (](25) Other Religion O16) Physical Disability mcs) Bisexual
Las) Multi-Racial Group LJ) Multi-Religious Group (62) Mental Disability
(Jen Atheist/Agnostic

Page 9 of 9


summary: A resident was transported to Arkansas Children’s Hospital after accidently getting nail polish remover in her eye.

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: 4/21/2023
Date Received by DCCECE: 4/24/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 4/21/2023. On 4/21/2023, client , DOB: ) and a
peer were attempting to remove nail polish from when accidentally
got some nail polish remover (Acetone) in her left eye. Centers? medical personnel treated
?s left eye with an Emergency Eye Wash Solution. Out of an abundance of
caution, Centers? staff transported to Arkansas Children?s Hospital (ACH) for
further evaluation. Once at ACH, medical personnel there examined ?s left eye,
and determined the eye did not sustain any vision impairment. The eye did not require any
additional treatment. After ?s evaluation, she was transported back to EMAC.
Centers? medical personnel will continue to monitor s guardian
was notified about this incident. is a DCFS placement at The Centers. As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by nursing and referred to ACH for further
evaluation.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident. Licensing
Specialist will inquire is residents are supervised when using finger nail polish remover.
Licensing Specialist informed this incident took place during a self-care activity with staff
present.


summary: A resident was transported to Arkansas Children’s Hospital after injuring her wrist when she hit a wall.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Date of Incident: 4/19/2023
Date Received by DCCECE: 4/20/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type:
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 4/19/2023. On 4/19/2023, client , DOB: ) told
staff she became angry and hit a wall. said she was not trying to harm herself
when she hit the wall, but she hurt her left wrist as a result. Centers? medical staff assessed
?s left wrist but did not observe any redness or swelling to the area; however,
continued to complain of pain. Out of an abundance of caution, was
transported to Arkansas Children?s Hospital (ACH) by Centers? staff for further evaluation.
Once at ACH, medical personnel there conducted an X-ray of ?s left wrist, and it
was determined there were NO fractures present. After s medical evaluation, she
was transported back to EMAC. Centers? medical personnel will continue to monitor
?s guardian was notified about this incident. is a private
placement at The Centers. As always, please do not hesitate to contact me if you need any
additional information.
Interim Action Narrative: Resident was assessed by nursing and referred to ACH for further
evaluation.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident. No licensing
concerns noted.


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

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 4/14/2023
Home Visit Date: 4/14/2023
Purpose of Visit: Subsequent Building and Grounds
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Visit conducted from: 9:30 am to 10:45 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 49
Licensing Specialist completed buildings and grounds. Licensing Specialist observed the lawn service
contractor mowing, blowing, and removing debris from the grounds. Ms. Kenleigh Bennett (Program
Director) informed Licensing Specialist that Destiny House is no longer being used for residents.
Licensing Specialist observed the following areas: EMAC, EMCC, and classrooms. Licensing Specialist
observed the emergency escape plan, facility’s menu, and the clients’ rights on the wall of each dorm.
EMAC – Licensing Specialist observed the following areas: bathrooms, bedrooms, day area, classrooms, and
dining room area. Licensing Specialist observed the clinicians in their morning huddle in the hallway. All
bedrooms were organized, and no debris was observed on the floor in the dorms (1, 2, 3, and 4).
Housekeeping was on the dorm doing daily cleaning. The dining room area was clean, and Licensing
Specialist could smell the aroma of a cleaning product.
Classrooms: Ms. Gretchen’s class, ratio 3:9. Ms. Karin’s class, ratio 2:9. Ms. Sheena’s class, ratio 2:8. Rage
rooms and cozy corners, were neat and organized.
EMCC – On dorms (New, East, North, and South) all bedrooms were organized, and bathrooms were clean.
The day area and dining area were free of debris.
Ms. Bennett informed Licensing Specialist that the facility’s last tornado drill was on 3/31/2023.
Provider Comments:
CCL Staff Signature : Date: 6/15/2023
Provider Signature : Date: 6/15/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

doc_type: Compliance Report


summary: A resident was transported to Arkansas Children’s Hospital for nausea and vomiting.

raw_content:
Licensing Narrative: Licensing Specialist reviewed provider reported incident. Licensing
Specialist inquired about resident's diagnosis and follow-up appointment. 4/12/2023,
Licensing Specialist informed resident was diagnosed with nausea and vomiting,
unspecified vomiting type. Facility advised if symptoms get worse for resident to follow-up
with his AR Children's Hospital PCP.


summary: A resident was transported to Arkansas Children’s Hospital for evaluation after he was punched in the eye by 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: 4/6/2023
Date Received by DCCECE: 4/7/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type: Residential
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 4/06/2023. On 04/06/2023, client ( , DOB: ) was in
his dorm, sitting in a chair when one of his peers walked up and hit him ( ) in the right
eye with his fist. Staff members immediately separated and his peer. A second peer
attempted to hit and staff removed him ( ) from the dorm. Centers? medical
personnel assessed and noted a small laceration (approximately 0.75? in length)
above his right eye. The laceration was bleeding. Dr. Thomas was notified and gave the
order to send to Arkansas Children?s Hospital for further evaluation. Centers? staff
transported to ACH. Once at ACH, medical personnel there conducted Imaging
Tests and Visual Acuity Screening, and all returned normal. After ?s medical
evaluation at ACH, he was transported back to EMCC. Centers? medical staff will continue
to monitor ?s guardian was notified about this incident. is a
private placement at The Centers. The Little Rock Police Department (LRPD) was called
and completed an Incident Report regarding this incident. As always, please
do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Residents were separated by staff. He was assessed by Center's
medical personnel. Dr. Thomas ordered for resident to have further evaluation at ACH.
Resident evaluated at ACH, all testing were normal.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident. 4/10/2023,
Licensing Specialist will inquire about the ratio. Licensing Specialist informed ratio was 2:8
with another staff member walking on the dorm during the incident. Two additional staff
members responded after the incident. 4/11/23- Program Coordinator requested a copy of
the police report from the Little Rock Police Department.

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Sharra Singleton-Litzsey
Person In Charge:
Record Visit Date: 5/4/2023
Home Visit Date: 5/4/2023
Purpose of Visit: Self Report Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
On 5/4/23 Program Manager Litzsey reviewed camera footage involving AV, 2 other residents, and 3 staff.
AV is viewed sitting in a chair. According to E Knowles, Staff 2 is sitting in a chair next to AV but is not
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

visible to the camera until after the fight begins. Staff 1 can be seen standing speaking to AV and she walks
down the hall to help other residents with chores. A resident comes from his bedroom and stands over the AV
talking. As Staff 1 moves over towards the boys, AV is hit directly in the face with a closed fist. Before Staff
2 and 3 could respond, a second resident hits AV in the face. Staff 2 that is sitting next to AV stands up and
Staff 3 appears on the cameras standing over AV to ensure his safety. AV appears to be holding his right
eye/side of his face crying. Staff 3 escorts AV away from the area (according to E. Knowles, AV is taken to
the nurse station.)
Provider Comments:
CCL Staff Signature : Date: 6/15/2023
Provider Signature : Date: 6/15/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


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

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: 4/6/2023
Date Received by DCCECE: 4/7/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type: Residential
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 4/06/2023. On 4/06/2023, client , DOB: 1 became
dysregulated when another peer was using the ?N? word. attacked the peer and
staff immediately separated the two. While staff was separating and his peer, the
peer bit on the left forearm. The Centers? medical team assessed and
noted the skin was broken due to the bite. Out of an abundance of caution, was
transported to Arkansas Children?s Hospital (ACH) by Centers? staff for further evaluation.
Once at ACH, medical personnel there examined the bite and prescribed Augmentin as a
preventative measure against infection. After his evaluation at ACH, was
transported back to EMCC. s guardian was notified about this incident.
is a private placement at The Centers. As always, please do not hesitate to contact me if you
need any additional information.
Interim Action Narrative: Residents were separated by staff. Resident was assessed by
Center's medical team and transported to ACH for further evaluation. He was prescribed
Augmentin and transported back to the facility.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident. 4/10/2023,
Licensing Specialist will inquire if a safety plan will be implemented for the residents
involved. 4/13/2023, Licensing Specialist followed-up with facility. Residents were placed in
separate dorms and there is only one dorm at a time on the playground.


summary: Officers responded to the facility for a battery report. Upon arrival, a staff member advised the officers that a resident jumped his peer, punching the peer in the eyes and causing injury.

raw_content:
LITTLE ROCK POLICE DEPARTMENT INCIDENT REPORT

[ZJJUVENILE INFORMAT, ON .

INCIDENT NUMBER VO 8 s 5 5

2023-038456

INCIDENT DATE

4/6/2023 7:58:19 PM

INCIDENT .
V = 1

LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

Report,generated: 4/6/2023 9:58 PM

DISTRICT

6601 W 12TH ST
61

OFFENSE

INCIDENT OFFENSE TYPE

1, BATTERY 3RD DEGREE

SUSPECTS USED:

((A) Alcohol [1(D) Drugs

(](C) Computer Equip (N) Not Applicable /
Unknown

(108) Buying / Receiving
C1) Exploiting Children

[1() Distributing / Selling

LOCATION CODE

(01) Air/ Bus / Train Terminal
(2) (02) Bank / Savings & Loan
([J(03) Bar / Night Club

mar) Church / Synagogue / Temple
[](05) Commercial / Office Building
(Jos) Construction Site

[[](07) Convenience Store

[](08) Department / Discount Store
[-](09) Drug Store / DR Office / Hospital
(10) Field / Woods

Oa 1) Government / Public Building
(10:2) Grocery / Supermarket
(1:3) Highway / Road / Alley
(114) Hotel / Motel / Ete

(105) Jail / Penitentiary

(J(16) Lake / Waterway

(17) Liquor Store

(118) Parking Lot / Garage

(119) Rental / Storage Facility

[7] (20) Residence / House

Oe Restaurant

(122) School / College

[1(23) Service / Gas Station

C024) Specialty Store (TV, Fur, Etc)
Oes) Other / Unknown

O17 Abandoned/Condemned Structure
C038) Amusement Park

C039) Arena / Stadium / Fairgrounds
(140) ATM Separate from Bank
(£141) Auto Dealership New / Used
| (42) Camp / Campground

(FOR BURGLARY ONLY) METHOD OF ENTRY:

NUMBER OF PREMISES ENTERED Oe) Forcible Ow) No Force

[No [[JOther

NARCAN USED: []yes

ENTRY DATE REPORTING OFFICER
04/07/2023 02:16:33 | JA'KARI LOTT HENDERSON , |

TYPE OF CRIMINAL ACTIVITY:

On Transport / Transmit / Import Cw) Using / Consuming

OFFENSE STATUS

a
‘8-8-8
ey
GANG RELATED INFO:
Ow Juvenile Gang
((G) Other Gang
Vin) None / Unknown

Attempted

Completed

Attempted
Completed

Oe) Cultivate / Manufacture / Publish
Oo) Operating / Promoting / Assisting

Oe) Possessing / Concealing

(](44) Daycare Facility (051) Rest Area

(45) Dock / Wharf / Freight Terminal (52) School - College / University
(1146) Farm Facility (21(53) School - Elementary / Secondary
(1147) Gambling / Casino / Racetrack — [[](54) Shelter - Mission / Homeless
Os) Industrial Site (ss) Shopping Mall

Olas) Military Installation C56) Tribal Lands

C150) Park / Playground O67) Community Center

(on 11-15, an *A" denotes Automatic or Semi-Automatic)

(](50) Poison

(2) 60) Explosives

(165) Fire / Incendiary Device

WEAPON FORCE:
Ola 1) Firearm (Unknown)

an ([](12) Handgun
~~ (13) Rifle
~~ (14) Shotgun
~~ [](15) Other Firearm
Deo) Knife / Cutting Instr (Axe, etc)
[J (30) Blunt Object (Club, etc)
O65) Motor Vehicle (as weapon)
[7] (40) Personal Weapons (hands, etc)

oO” Narcotics / Drugs /
Sleeping Pills

(-1(85) Asphyxiation
(1) (90) Other
(1095) Unknown
(199) None

ORIGINAL APPROVING SUPERVISOR

RYAN CUNNINGS ;

LRPD Form 5501-01 Rev. RMS-2019-01-23

MIMVR in use

Page | of 7

INCIDENT NUMBER 2023-038456  /xeport OBJAN ASI UMGRMAP ATOFMALION — Report generated: 4/6/2023 9:58 PM

VICTIM

VICTIM # NAME (Last, First, Middle) or BUSINESS
' po

ADDRESS:
6601 W 12TH ST LITTLE ROCK AR 72204

HOME PHONE: WORK PHONE: MOBILE PHONE: OTHER PHONE:
0000000000

SEX: [¥](M) Male ETHNICITY: [[](H)Hispanic RACE: [[](W) White [[](B) Black [_](1) American Indian | DATE OF BIRTH

CF) Female = [[](U) Unk, | [[)(N) Non-Hispanic [7](U) Unk. (10a) Asian / Pacific Islander [7] (U) Unknown P|

RES, STATUS: Mr) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:
CAN) Nonresident [[](U) Unknown Cy) Yes ((N)No [[](U) Unk,

AGE; F RELATIONSHIP OF THIS VICTIM TO SUSPECTS
Exact Age: 12 SUSPECT(S) VICTIM WAS: (by Suspect Number)
Range: (8) 7-364 Days Old (SE) Spouse (AQ) Acquaintance
CANN) Under 24 Hrs, Old [[](99) Over 98 Years Old D.L. / 1D No. (STATE) ee (FR) Friend
Cdcns) 1-6 Days Old (00) Unknown (PA) Parent (NE) Neighbor

(SB) Sibling (BE) Babysitter (baby)
THIS VICTIM RELATED TO WHICH OFFENSES? (CH) Child (BG) Boy/Girl Friend

M C2 03 Of Os Ob 7 Ds (GP) Grandparents (CF) Child of BF / GF

VICTIM TYPE: [Z]() Individual (8) Business. [](F) Financial Inst. [[](U) Unknown ee ee ae

(-(G) Government [[](R) Religious [-\(S) Society / Public [](O) Other (IL) Inlaw (XS) Ex-Spouse
(SP) Stepparent (EE) Employee

VICTIM INJURY: (SC) Stepchild (ER) Employer
[Z](N) None (1M) Apparent Minor Injury (108) Apparent Broken Bones

Ow Possible Internal Injury Ch Loss of Teeth Oa) Severe Laceration
C0) Other Major Injury Cw) Unconsciousness

(SS) Stepsibling (OK) Otherwise Known
(OF) Other Family (RU) Relationship Unknown)

(ST) Stranger (VO) Victim Was Suspect

AGGRAVATED ASSAULT / HOMICIDE: Qo Argument ma) Assault on Law Enf Officer (03) Drug Deal

(04) Gangland " (10s) Juvenile Gang (](06) Lover's Quarrel (07) Mercy Killings

ma) Other Felony Involved 109) Other Circumstances [](10) Unknown Circumstances me) Criminal Killed by Private Citizen
(121) Criminal Killed by Police Officer — [[](30) Child Playing w/ Weapon (11) Gun-Cleaning Accident (1(32) Hunting Accident

(3) Other Negligent Weapon Handling 4) Other Negligent Killings

CLOTHING DESCRIPTION

HAT SHIRT
COAT. PANTS/DRESS

Page 2 of 7

INCIDENT NUMBER 2023-038456 eport

SUSPECT #1

SUSPECT # NAME (Last, First, Middle)
1

ARRESTEE # ADDRESS
HOME PHONE; WORK PHONE: MOBILE PHONE: OTHER PHONE

SEX: [Z](M) Male ETHNICITY: [_](H)Hispanic RACE: [[](W) White [[](B) Black [[](1) American Indian | DATE OF BIRTH
(U(r) Female §=[[](U) Unk. | (CN) Non-Hispanic [7](U) Unk (tA) Asian / Pacific Islander [¥](U) Unknown

RES, STATUS: [¥](R) Resident MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:
CJ(N) Nonresident. [](U) Unknown } [](Y) Yes [J(N)No [[](U) Unk.

AGE: SUSPECTS ACTIONS RELATED TO: : HEIGHT WEAPONS AT ARREST:

Exact Age: 12 Ay: Hy? Ay Aye ~* _ 11001) Unarmed
———_ v6 v7 Vv
Range: : t Ci 11) Firearm (Unk)

C9) Over 98 Years Old DISPOSITION OF JUVENILE: D.L. /ID No. (STATE) WEIGHT Ci 12) Handgun
Coo) Unknown Ha Handled within Department Lbs a cK 13) Rifle

(R) Referred outside Department
e = Ck 14) Shotgun
THIS SUSPECT RELATES TO WHICH OFFENSES? ARREST TYPE: [](O) On View Arrest —
([](15) Other Firearm
1 C2 03 04 Os Cle (7 Cs | Li)summons/cited — (](T) Taken Into Custody a

ARREST LOCATION: ARREST DATE:

(onauone --y)

Ci 16) Illegal Cutting Instrument
mi 17) Club/Blackjack/Brass

CHARGE: 5-13-203

ARRESTING OFFICERS
OFFICER 1: OFFICER 5:
OFFICER?) OFFICER 6
OFFICER 3: OFFICER 7
OFFICER 4; OFFICER 8:

Suspect information continued on next page.

Page 3 of 7

INCIDENT NUMBER 2023-038456

SUSPECT # NAME (Last, First, Middle)
1

COMPLEXION HAIR STYLE: HAIR COLOR:
He (01) Afro (1) Black
(2) Medium (02) Wavy (2) Blonde
(3) Dark (03) Straight (3) Brown
(04) Curly (4) Grey
| |(5) Freckled (05) Braided (5) Red
| _|(6) Ruddy (06) Ponytail (6) Sandy
(07) Military (7) Other
(8) Unknown (08) Processed [¥](8) Unknown
(09) Wig/Toupee
HAIR LENGTH. ](10) Other EYE COLOR
(1) Long [/}(11) Unknown (1) Blue
(2) Medium BUILD Hs) Brown

| _|(4) Bald(ing)

| |(5) Other |_|(2) Medium

(6) Unknown (3) Heavy
| _}(4) Muscular (7) Unknown
(5) Unknown

ADDED DESCRIPTION:
n/a

SUSPECT #1

FACIAL HAIR: DEMEANOR:

(01) Clean Shaven (01) Angry

(02) Unshaven (02) Apologetic

(03) Full Beard (03) Calm

(04) Must. (hvy) (04) Irrational

(OS) Must, (thin) (05) Nervous

(06) Brows (hvy) (06) Polite

(07) Brows (thin) (07) Professional

(08) Side Burns (08) Stupor

(09) Goatee (09) Violent
|_}(10) Other |_}(10) Drunk / High
[V7] (11) Unknown [_](11) Other

(12) Unknown

CLOTHING DESCRIPTION;

HAT

COAT

SHIRT
PANTS/DRESS
SHOES

SCAR / MARK:

(01) Head
(02) Neck
(03) Hand (rt)
(04) Hand (Ift)
(05) Arm (rt)
(06) Arm (ft)
(07) Body
(08) Leg (rt)
(09) Leg (Ift)

[](10) Other

| _|(11) None

(12) Unknown

TATTOO:
(L) Designs
(2) Initials
(3) Names
(4) Pictures
(5) Words

| _|(6) Numbers

|_}(7) Insignia
(8) None

(9) Unknown

TATTOO LOC

(01) Arm (Ift)
(02) Arm (rt)
(03) Leg (lft)
(04) Leg (rt)
(05) Hand (Ift)
(06) Hand (rt)
(07) Face
(08) Neck
(09) Finger(s)
(10) Chest
(11) Back

Page 4 of 7

INCIDENT NUMBER 2023-038456

OTHER PERSONS - PERSON REPORTING

OTHER PERSON # | NAME (Last, First, Middle)
|

ADDRESS:

IKILIAGWU,MICHAEL

6601 W 12TH ST LITTLE ROCK AR 72204

WORK PHONE: MOBILE PHONE: OTHER PHONE;

RACE: [[](W) White [7](B) Black [[](1) American Indian
(tA) Asian / Pacific Islander [1(U) Unknown

HOME PHONE:
5014544807

SEX: [¥Z](M) Male
[](F) Female [[](U) Unk.

ETHNICITY: [[](H)Hispanic
[Z](N) Non-Hispanic [[](U) Unk.

RES. STATUS: [V](R) Resident
CN) Nonresident [[](U) Unknown

AGE:
Exact Age:
Range:

(Nn) Under 24 Hrs, Old
Cn) 1-6 Days Old

COMPLEXION:
(1) Light
(2) Medium
(3) Dark
(4) Acne
(5) Freckled
(6) Ruddy
(7) Other
[_](8) Unknown

HAIR LENGTH:

(1) Long

(2) Medium
(3) Short

(4) Bald(ing)
(5) Other

(6) Unknown

35

MENTALLY AFFLICTED? OCCUPATION / EMPLOYER:
Cy) Yes [VJ(N) No [[](U) Unk.

(-](BB) 7-364 Days Old

HAIR STYLE:
(1001) Afro

(02) Wavy
(03) Straight
(04) Curly
(05) Braided
(06) Ponytail
(07) Military
(08) Processed
(09) Wig/Toupee
(10) Other
(11) Unknown

BUILD:

(1) Light
(2) Medium
(3) Heavy

(4) Muscular

O09) Over 98 Years Old
[](00) Unknown

HAIR COLOR:
(11) Black
(2) Blonde
(3) Brown
(4) Grey
(5) Red
(6) Sandy
(7) Other
[](8) Unknown

EYE COLOR:

(J(1) Blue
(2) Brown
(3) Grey
(4) Green
(5) Hazel
(6) Other
[_](7) Unknown

HEIGHT:

Ft

D.L. / ID No. (STATE)

DEMEANOR:

(01) Angry

(02) Apologetic

(03) Calm

(04) Irrational

(05) Nervous

(06) Polite
He) Professional

(08) Stupor

(09) Violent

(10) Drunk / High

(11) Other

(12) Unknown

FACAIL HAIR:
(01) Clean Shaven
(02) Unshaven
(03) Full Beard
(04) Must. (hvy)
(05) Must. (thin)
(06) Brows (hvy)

Hes) Brows (thin)
(08) Side Burns

(09) Goatee
(10) Other
(11) Unknown

CLOTHING DESCRIPTION

WEIGHT:

SCAR/ MARK;

(101) Head
(02) Neck
(03) Hand (rt)

[_](04) Hand (Ift)
(05) Anm (rt)
(06) Arm (Ift)
(07) Body
(08) Leg (rt)
(09) Leg (Ift)
(10) Other
(11) None
(12) Unknown

(5) Unknown

PANTS/DRESS
SHOES

DATE OF BIRTH
11/27/1987

TATTOO;

(1) Designs
(2) Initials
(3) Names
(4) Pictures
(5) Words
(6) Numbers

(7) Insignia
(8) None
(9) Unknown

TATTOO LOC;

(OL) Arm (Ift)
(02) Arm (rt)
(03) Leg (Ift)
[_](04) Leg (rt)
[](05) Hand (ift)
(06) Hand (rt)
(07) Face
(08) Neck
[_](09) Finger(s)
(10) Chest
(11) Back

Page 5 of 7

INCIDENT NUMBER 2023-038456 a EMAC GMLOFIMATION — Report generated: 4/6/2023 9:58 PM

NARRATIVE

OFFICERS RESPONDED TO A BATTERY AT THE LISTED ADDRESS.

UPON ARRIVAL, OFFICERS MADE CONTACT WITH MICHAEL IKILIAGWU. HE ADVISED J1 (SUS-1) JUMPED ON J2 (VIC-
1) FOR UNKNOWN REASONS, HE ADVISED J1 PUNCHED J2 IN THE EYES CAUSING INJURY. HE ADVISED BOTH OF
J2'S EYES WERE BLEEDING AND HE WAS TRANSPORTED TO CHILDREN'S' HOSPITAL PRIOR TO OFFICERS ARRIVAL.
HE ADVISED HE NEEDED A REPORT NUMBER TO PROVIDE J1 WITH AN INCIDENT NUMBER.

OFFICERS PROVIDED IKILIAGWU WITH AN INCIDENT NUMBER. OFFICERS ADVISED IKILIAGWU PROVIDE J1'S
PROBATION OFFICER WITH THE INCIDENT NUMBER.

MVR/BWC IN USE

Page 6 of 7

INCIDENT NUMBER 2023-038456

ADDITIONAL HOMICIDE CIRCUMSTANCES Oo Criminal attacked a civilian Ow) Criminal resisted arrest

Ow) Criminal attacked police officer, that officer killed criminal me) Criminal attempted flight from a crime o® Unable to determine /
Oe) Criminal attacked police officer, criminal killed by other officer Oe) Criminal killed in commission of a crime not enough information

RELATED CASE NUMBER(S)
CAR JACKING? [[]YES [¥]NO DRIVE-BY? []YES [¥]NO GANG RELATED? [_]YES [¥]NO

HATE/BIAS RELATIONSHIP: — [¥](88) None [J YES, SEE BELOW
RACIAL (Anti-) RELIGIOUS (Anti-) ETHNICITY / NATIONAL ORIGIN (Anti-) SEXUAL (Anti-)
[-](11) White (021) Jewish (132) Hispanic (141) Male Homosexual (Gay)
(J(12) Black [_](22) Catholic (13) Other Ethnicity [](42) Female Homosexual (Lesbian)
(13) American Indian / me 23) Protestant i (443) Homosexual (Gay and Lesbian)
C0 aiaskan Native (124) Islamic (Muslim) DIES DILTET ate) (1(44) Heterosexual
(114) Asian / Pacific Islander [](25) Other Religion (1(51) Physical Disability (1045) Bisexual
(_J(15) Multi-Racial Group [_] (26) Multi-Religious Group (](52) Mental Disability
[](27) Atheist/A gnostic

Page 7 of 7


summary: A resident was left on the dorm unattended as her peers transitioned from the dorms to the classroom. A staff member was terminated as a result of this incident. The facility was cited 907.2 and 907.3 for supervision issues.

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: 3/31/2023
Date Received by DCCECE: 4/3/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type: Residential
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 3/31/2023. On 03/29/2023, it was reported client , DOB:
) was left on the dorm unattended. was left in bed as the clients
transitioned from the dorm to the classroom. The staff member believed to be responsible
for leaving on the dorm, was suspended on 3/29/2023. On 3/31/2023, the
Program Director was able to determine was left on the dorm unattended for
several minutes, and the identity of the staff member responsible. The staff member
responsible for leaving on the dorm, who had already been suspended, was
terminated on 3/31/2023 due to this incident. On 3/31/2023, this incident was reported to
the and the call was accepted ).
was not injured as a result of this incident. ?s guardian was notified
about this incident. is an Alaska DHS placement at The Centers. As always,
please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Staff member was suspended on 3/29/2023 and terminated on
3/31/2023. was called on 3/31/2023 and call was accepted.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed complaint. Licensing Specialist will find
out the assigned investigator. 4/4/2023, Licensing Specialist informed the referral was
screened out. Licensing Specialist informed that facility was out of ratio (1:8) at the time of
the incident.


summary: Licensing provided the facility with technical assistance for 110.9 and 102.3.h due to a concern with the facility’s mandated reporter policy.

raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge:
Record Visit Date: 3/30/2023
Home Visit Date: 3/30/2023
Purpose of Visit: Technical Assistance Request Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Number: 1. 110. 9
Regulation Description: Any owner/operator, employee, foster parent, or volunteer in a child welfare agency
shall immediately notify the Child Abuse Hotline if he or she has reasonable cause to suspect that a child has
been subjected to child maltreatment, died as a result of child maltreatment or if they observe a child being
subjected to conditions or circumstances that would reasonably result in child maltreatment.
Findings Description:
Action Due Date:
Action Due Description:
Comply Date:
Sub Regulation Description:
Regulation Number: 1. 102. 3 .h
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Regulation Description: The following policies of the agency shall be current and available to all employees of
the agency and the Licensing Specialist:
Findings Description:
Action Due Date:
Action Due Description:
Comply Date:
Sub Regulation Description:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Review of your agency's current mandated reporter policy has revealed a concern with the Licensing Unit.
Technical assistance was provided to the agency on Arkansas mandated reporting, R102.3.h and 110.9.
Please ensure that your current policy is updated to reflect the need of all staff to report directly to the child
abuse hotline without delay. All reports will be screened by the Child Abuse Hotline to determine if they meet
criteria for investigation. The updated policy shall be submitted to the Licensing Unit by 4/13/23 and all
applicable staff should be retrained on the updated policy within two weeks of the enactment of the updated
policy at the agency.
Provider Comments:
CCL Staff Signature : Date: 3/30/2023
Provider Signature : Date: 3/30/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was sent to Arkansas Children’s Hospital after she was unable to remove several rubber bands she placed in her ear.

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: 3/29/2023
Date Received by DCCECE: 3/30/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type: Residential
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 3/29/2023. On 3/29/2023, client ( DOB: ) told
staff she had placed several rubber bands in her right ear and was unable to remove them.
Centers medical personnel examined ?s right ear but were unable to remove the
foreign object from her ear. Out of an abundance of caution, Dr. Perkins ordered
to be sent to Arkansas Children?s Hospital (ACH) for further evaluation. Centers?
staff transported to ACH. Medical personnel at ACH removed two rubber
bands from ?s right ear. After the rubber bands were removed from
?s ear, she was transported back to EMCC by Centers? staff. ?s guardian
was notified about this incident. is a DCFS placement at The Centers. As
always, please do not hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by medical personnel and ordered to be
evaluated at ACH. Medical personnel at ACH removed two rubber bands for the resident's
ear.
Maltreatment Narrative:
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Licensing Narrative: Licensing Specialist reviewed provider reported incident. Licensing
Specialist followed-up with facility on how the resident obtained the rubber bands.
Licensing Specialist informed that this incident happened in the classroom and there is no
camera footage. The camera in this classroom is not working and a repair ticket has been
made. 4/4/2023, Licensing Specialist inquired about a corrective action plan. 4/5/2023,
Licensing Specialist informed of ratio during the time of incident 3:14 and informed of the
corrective action plan. No other licensing concerns noted.


summary: A resident was transported to Ortho Arkansas for evaluation of his thumb after injuring it while playing basketball.

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: 3/24/2023
Date Received by DCCECE: 3/27/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type: Residential
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMCC) on 3/24/2023. On 3/23/2023, client , DOB: ) was
observed biting and bending his left thumb backwards. Staff intervened and stopped
from harming himself any further. Medical personnel assessed and did
not note any visible injury to his left hand. On 3/24/2023, medical personnel assessed
once again and noted he had a slight amount of swelling to his left thumb.
told staff he ?really? injured his thumb on 3/23/23 while playing basketball but did
not report it to anyone. Out of an abundance of caution, Centers? staff transported
to Ortho Arkansas for further evaluation. Once at Ortho Arkansas, ?s left
hand was x-rayed. It was determined he had sustained a of his
left thumb. The left hand/thumb was placed in a cast, and a follow-up appointment at
Ortho Arkansas was scheduled for 3/31/2023. After ?s medical treatment at
Ortho Arkansas, he was transported back to EMCC by Centers? staff. Centers? medical
personnel will continue to monitor ?s guardian was notified about
this incident. is a private placement at The Centers. As always, please do not
hesitate to contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by medical personnel on 3/23/2023 no
visible injury noted. 3/24/2023, medical personnel noted swelling to his left thumb.
Resident sent to Ortho AR for further evaluation. Follow-up appointment scheduled for
3/31/2023.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident. Licensing
Specialist followed-up with facility. Licensing Specialist informed that resident was assessed
again this morning with no complaints. Resident scheduled for follow-up appointment with
Ortho Arkansas on 3/31/2023. 4/3/2023, Licensing Specialist followed-up with facility on
the outcome of resident's appointment. 4/4/2023, Licensing Specialist informed that
resident refused to keep soft cast on he was placed in a thumb spica cast to prevent him
from removing it. No licensing concerns noted.


summary: A resident was sent to Urgent Care and Arkansas Children’s Hospital after refusing food and reporting she was dizzy and weak.

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: 3/17/2023
Date Received by DCCECE: 3/19/2023
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Facility Type: Residential
Incident Type: Licensing
Report Description: I wanted to inform you of an incident that occurred at The Centers
(EMAC) on 3/17/2023. On 3/17/2023, client , DOB: )
reported she was feeling dizzy and weak. said she had not eaten much.
was offered all her favorite foods, nutritional shakes and Gatorade but refused them all.
Centers medical personnel assessed and Dr. Perkins made the decision to send
to Urgent Care for further evaluation. Centers staff transported to
Urgent Care. UC medical personnel conducted numerous tests (CBC, metabolic panel, liver
panel and EKG) all of which were interpreted as normal. was receiving IV fluids,
but she began to refuse the treatment and care was stopped. was then transported
to Arkansas Children?s Hospital (ACH) to continue her treatment. Once at ACH,
was treated for by ACH medical personnel. was admitted and
remained at ACH until she was discharged to her guardian on 3/19/2023. is a
private placement at The Centers. ?s guardian, who lives out of the state, will be
moving out of the state with her (guardian). As always, please do not hesitate to
contact me if you need any additional information.
Interim Action Narrative: Resident was assessed by the nurse. She was transported to
Urgent Care and AR Children's Hospital for further evaluation. Resident was admitted to
AR Children's Hospital and discharged to her guardian.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Maltreatment Narrative:
Licensing Narrative: Licensing Specialist reviewed provider reported incident. No licensing
concerns noted.


summary: Non-police incident. A juvenile dialed 911.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

INCIDENT Report generated; 3/17/2023 2:31 PM

INCIDENT NUMBER UNIT ASSIGNED | CALL DATE CALL TIME TYPE OF CALL
2023-030173 1X61 03/17/2023 12:28:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6601 W 12TH ST

3/17/2023 12:28:52 PM 61

OFFENSE

NON POLICE INCIDENT

CHILD HAD CALLED 911.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING R MVR i
03/17/2023 19:29:44 | EMANUEL ESTRADA EMANUEL —— In Use

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


summary: Officers were dispatched to the facility in response to unknown trouble. Staff advised officers that one of the residents dialed 911.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

INCIDENT Report generated: 3/11/2023 7:15 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL
2023-027916 2x61 03/11/2023 | 18:23:00 UNK
INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
3/11/2023 6:23:44 PM Were: UAB 61

NON POLICE INCIDENT

OFFICERS RESPONDED TO THE LISTED LOCATION IN REFERENCE TO A UNKNOWN TROUBLE CALL. UPON
ARRIVAL, OFFICERS MADE CONTACT WITH STAFF WHO ADVISED ONE OF THEIR TENANTS DIAL 911. NO FURTHER
POLICE ACTION TAKEN. MVR AND BWC IN USE.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR MVR i
03/12/2023 01:10:01 | KAMRIE GILMORE | KAMRIE GILMORE R in use

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


raw_content:
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 3/10/2023
Home Visit Date: 3/10/2023
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: 11:00 am to 12:00 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 47
Licensing Specialist completed a walkthrough of Centers/Destiny House with Eric Knowles, Compliance
Officer. Licensing Specials observed the following areas: grounds, dining room, kitchen, bedrooms hallway,
administration hall, and bathrooms.
The grounds were clean, and no debris observed. Licensing Specialist observed a picnic area for the residents
to sit outside when the weather permits. The flooring on the administration hall was being replaced. Licensing
Specialist informed that residents are not allowed on the hall while the flooring is being replaced. The dining
area was clean, and the smell of cleaning products was detected.
No residents were in the bedrooms or in the area. The residents were in class during the walkthrough.
Bedrooms and bathrooms were clean and organized. The bathrooms had hot and cold running water.
Licensing Specialist observed the client rights and emergency escape plan on the walls or by the doors.
Licensing Specialist did not observe any licensing concerns during the walkthrough of the Destiny House.
Provider Comments:
CCL Staff Signature : Date: 3/10/2023
Provider Signature : Date: 3/10/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 WEST 12TH STREET
LITTLE ROCK AR 72204
Licensing Specialist: Kendra Rice
Person In Charge: Eric Knowles
Record Visit Date: 3/10/2023
Home Visit Date: 3/10/2023
Purpose of Visit: Special Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 11:00 am to 11:45 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 47
Licensing Specialist completed a walkthrough of EMCC.
EMCC incurred a leak on 12/24/2022 causing water damage to parts of the building. The day area and North
Dorm sustained major damage. Licensing Specialist observed the following areas, day area, nurse’s station,
North, South, and East Dorms. Flooring and based boards were replaced in all dorms, nurse’s station, and the
day area including the hall.
North, South, and East Dorms, the bedrooms and bathrooms were clean. No debris observed from the
reconstruction. The bathrooms had running hot and cold water. On the North Dorm, the sign on the girls’
bathroom door was slightly lifted. Maintenance corrected on site. The ceiling has been replaced in the day
area and the North Dorm. No wires were observed hanging from the ceiling.
The reconstruction of EMCC meets the minimum licensing standards. The Little Rock Fire Department
completed the fire inspection at EMCC on 3/9/2023. Licensing Specialist received a copy of the fire
inspection.
Licensing Specialist and Mr. Knowles, Compliance Officer, discussed the process of the alternative
compliance being removed. Licensing Specialist will notify Licensing Managers of the reconstruction
completion of EMCC.
Provider Comments:
CCL Staff Signature : Date: 3/10/2023
Provider Signature : Date: 3/10/2023
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was transported to Arkansas Children’s Hospital for evaluation after reporting that a peer bit and scratched him.

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Licensing Narrative:Licensing Specialist was informed of incident and reviewed
documentation. Licensing Specialist observed the scratch mark on resident's neck (via
photo) that appeared to be a long scratch in size and not a bite mark. 3/15/2022, Licensing
Specialist informed the peer was placed on assaultive Level B precautions. No licensing
concerns noted.


summary: Licensing attended CPI training at the facility to ensure staff members are trained according to the facility’s policy on physical restraints and that the facility’s policy on physical restraints complies with minimum licensing standards.

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Arkansas Department of Human Services
Division of Child Care & Early Childhood Education
Placement & Residential Licensing Unit
Licensing Compliance Record
PRTF Name: Elizabeth Mitchell Centers Person in Charge: Eric Knowles
Address: 6501 West 12th Street, Little Rock, AR 72204 Phone: 501-666-8686
Licensing Specialist: Kendra Rice
Date of Visit: 3/7/2023 Purpose of Visit: Special Visit
STANDARD COMPLIANCE DATE
DISCUSSION/OBSERVATION
REVIEWED DATE CORRECTED
Visit conducted from: 1:00 pm to 3:00 pm
Census: 49
Licensing Specialist attended CPI training at the facility to ensure that
staff members are being trained according to the facility’s policy on
physical restraints. Also, to ensure that the facility’s policy on physical
restraints complies with the minimum licensing standards.
COMMENTS of Person receiving form:
PERSON SIGNING AS RECEIVING DATE LICENSING SPECIALIST DATE
DCCECE 521 PR


summary: A resident was transported to Arkansas Children’s Hospital to be evaluated for acute care after he began verbalizing homicidal and suicidal thoughts, kicking doors, and hitting windows.

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Licensing Narrative:Licensing Specialist reviewed provider reported incident. Licensing
Specialist inquired about if resident verbalized a plan and camera footage. Licensing
Specialist reviewed camera footage and documentation of restraints and nursing notes. No
licensing concerns noted.