summary: Officers responded to the facility in reference to a Battery complaint. Officers spoke to a juvenile resident who reported she had been punched in the face by another resident.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2024-088117 JUVENILE INFORMATION Report generated: 7/2/2024 2:59 PM
Redact Before Release
NARRATIVE
I RESPONDED TO THE REFERENCED LOCATION FOR A BATTERY REPORT. I MADE CONTACT WITH JUVENILE 2.
JUVENILE 2 ADVISED ON 06/30/2024 IN THE AFTERNOON, SHE HAD A VERBAL ALTERCATION WITH JUVENILE 1.
JUVENILE 2 ADVISED JUVENILE 1 WAS ACCUSING HER OF BULLYING A FRIEND OF HERS. JUVENILE 2 ADVISED
JUVENILE 1 THEN PUNCHED HER IN THE FACE. THERE WAS NO VISIBLE INJURY ON JUVENILE 2 AT THIS TIME. I
ASKED JUVENILE 2 IF THERE WAS ANY ADDITIONAL INFORMATION SHE WANTED TO ADD TO THE REPORT.
JUVENILE 2 DID NOT PROVIDE ANY FURTHER INFORMATION. I PROVIDED JUVENILE 2 AN INCIDENT NUMBER. BODY
CAM IN USE.
Page 5 of 6


state: AR

facility_name: Centers for Youth and Families - Little Rock

summary: Officers responded to the facility in reference to a Battery complaint. A staff member advised that a resident struck her in the head three times with a closed fist.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2024-087465 JUVENILE INFORMATION Report generated: 7/1/2024 9:59 AM
Redact Before Release
NARRATIVE
I RESPONDED TO THE REFERENCED LOCATION FOR REPORTS OF A BATTERY. I MADE CONTACT WITH SANDRA
WILLIAMS-OMWEMADO. MS. WILLIAMS-OMWEMADO ADVISED SHE FOUND CONTRABAND ON ONE OF THE
SUBJECTS LIVING AT THE FACILITY. MS. WILLIAMS-OMWEMADO ADVISED SHE TOOK EYE AND NAIL GLUE FROM
JUVENILE 1. MS. WILLIAMS-OMWEMADO ADVISED JUVENILE 1 KEPT GETTING IN HER "PERSONAL SPACE"
AFTERWARD. MS. WILLIAMS-OMWEMADO ADVISED JUVENILE 1 THEN STRUCK HER WITH A CLOSED FIST ON THE
RIGHT SIDE OF HER FOREHEAD 3 TIMES. MS. WILLIAMS-OMWEMADO DECLINED MEDICAL. NO VISIBLE INJURIES
WERE SEEN ON MS. WILLIAMS-OMWEMADO. THE FACILITY DIRECTOR AND MS. WILLIAMS-OMWEMADO ADVISED
JUVENILE 1 HAD GONE TO HER DORM ROOM AND WAS UNAVAILABLE FOR CONTACT. I PROVIDED MS. WILLIAMS-
OMWEMADO AN INCIDENT NUMBER. MVR AND BODY CAM IN USE.
Page 5 of 6

doc_type: Police Report


summary: A resident was transported to Arkansas Children’s Hospital after being hit in the head several times during an altercation with a peer.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 022285
Date of Incident: 6/27/2024
Date Received:6/28/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number:157
Incident Type: Licensing
Report Description: On 6/27/2024 client was involved
in a physical altercation with another peer. During the altercation was hit in the head
several times by the other peer. Several staff intervened and broke up the altercation.
began complaining of dizziness after the altercation and was transported to Arkansas
Children's Hospital to be checked out. was
was released from ACH and transported back to The Centers.
Interim Action Narrative: Staff intervened and resident was sent to ACH for an evaluation.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing conerns. Program Coordinator will inquire about camera footage, nursing note,
and discharge paperwork from ACH. Program Coordinator scheduled to review camera
footage on 7/1/2024. 7/1/2024, Program Coordinator reviewed camera footage. Facility
reported that peer was already on precautions (assault & elopement) and was also placed on
10-foot restriction. Program Coordinator followed up with the facility on their plan to
reorganized the layout of the classrooms. 7/2/2024, facility reported that classrooms will be
rearranged to have staff's desks more visible on camera and not put staff in a position of
being trapped behind a desk. Staff members will be retrained on awareness of surrounding
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

and response to incidents. Progam Coordinator requested training documentation.
7/12/2024, Program Coordinator followed up on training documentation.

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511
Licensing Specialist: Kendra Rice
Person In Charge: Paul Hofstad
Record Visit Date: 7/1/2024
Home Visit Date: 7/1/2024
Purpose of Visit: Self Report Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 8:30 am to 10:00 am
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 3

Census: 38
Licensing received a provider reported incident on 6/28/2024 for ELS Case #022285.
Program Coordinator reviewed camera footage with Ms. Barbara McCrory. This incident happened at EMAC
in a classroom.
Program Coordinator observed residents sitting at desks and standing up communicating with one another.
The resident named in this provider reported incident was standing up communicating with a peer. The peer
that attacked the resident was observed standing in front of a desk talking with a peer. The ratio was 2:8, one
staff member was sitting at a desk in front of the classroom and the other staff member was out of view of the
camera toward the back of the classroom.
The peer was observed walking up to the resident and started punching her with closed fists in the resident’s
shoulder up area. Program Coordinator observed peer punching the resident eleven (11) times before staff was
observed intervening between the two residents. From the angle of the camera, it appeared that both staff
members were not able to separate the residents due to being blocked by residents and chairs being near the
area where they were sitting.
Once the staff member from the back of the classroom separated the two residents the staff member in the
front of the classroom was observed on a walkie talkie while helping to assist. The resident was walked to the
classroom door by the staff members with the peer following close behind the staff members. The peer was
observed punching in the direction of the staff members and the resident.
Other staff members were observed at the classroom door. Staff were able to get the resident out of the
classroom. The other residents that were in the classroom were escorted out and the peer remained in the
classroom, ratio 5:1. Program Coordinator observed staff communicating with the peer.
Before this incident, peer was on assault and elopement precautions. After this incident, peer was also placed
on 10-foot restriction. Ms. McCrory informed Program Coordinator that the classroom would be rearranged to
assure that staff members are able to respond to situations accordingly.
Provider Comments:
CCL Staff Signature : Date: 7/2/2024
Provider Signature : Date: 7/2/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 3

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3

doc_type: Notice of Incident


summary: Officers responded to the facility in regards to a burglar alarm. Officers made contact with staff who advised that it was a false alarm.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 6/24/2024 9:00 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-083931 2X62 06/24/2024 15:28:00 ALMBRG

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

6/24/2024 3:28:52 PM

6501 W 12TH ST

OFFENSE

FALSE ALARM

OFFICERS RESPONDED TO THE LISTED LOCATION IN REGARDS TO A BURGLAR ALARM. UPON ARRIVAL, OFFICERS
MADE CONTACT WITH THE FRONT DESK WHO ADVISED EVERYONE WAS FINE. 23C748 IS MVR EQUIPPED AND WAS
IN USE.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
06/25/2024 01:59:31 | CALVIN LIU - CALVIN LIU - MVR in use

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


summary: A resident was transported to Arkansas Children’s Hospital after falling on his face while horseplaying with a peer.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 022196
Date of Incident: 6/21/2024
Date Received: 6/24/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On June 20, 2024, EMCC client
was horseplaying with another client. The other client picked up while
horseplaying and dropped him. landed on his face. face began to swell and
was monitored by the nursing staff. On June 21,2024 the swelling became more noticeable,
so was sent to Arkansas Children's Hospital for an Xray. The results showed
. was transported back to The Centers.
is in and his guardian was notified of the incident.
Interim Action Narrative: Resident was assessed by nursing and sent to ACH on 6/21/2024
for x-ray.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator inquired about ratio, camera footage, and
discharge summary. Facility reported staff was in the room and responded quickly. There is
video of the incident. Program Coordinator will schedule a day and time to review camera
footage. Requested documentation received and uploaded. 6/25/2024, Program
Coordinator reviewed camera footage. Facility cited 405.5, staff member did not intervene
when residents were horseplaying.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident eloped from the facility by climbing a fence in the courtyard. The resident was found near the facility and returned to campus with staff.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021977
Date of Incident: 6/13/2024
Date Received:6/14/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number:157
Incident Type: Licensing
Report Description: On Thursday June 13, 2024, client, :
eloped from the facility with assistance from another client to get over the fence
while residents were outside in the courtyard. Resident was found near the facility and
returned to the campus with staff. The resident is , and her
guardian was notified. Police were not called. Client was assessed by nurse upon return to
the facility.
Interim Action Narrative: Facility found resident near the facility and returned to the
campus with staff. The resident is and her guardian was
notified. Police were not called. Resident was assessed by nurse upon return to the facility.
Maltreatment Narrative:
Licensing Narrative: 6/14/24, Licensing Specialist reviewed provider reported incident for
licensing concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: An officer was dispatched to the facility to assist with an involuntary commitment.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 6/10/2024 1:03 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-076608 1X71 06/10/2024 12:24:00 STNDBY

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

6/10/2024 12:24:50 PM

6425 W 12TH ST

OFFENSE

NON POLICE INCIDENT

MS SINA DOCTOR WAS SERVED A MENTAL COMMIT ON 06/10/24..REQUESTED BY STAFF THERAPOST JUDYI
EUBANKS

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
06/10/2024 17:58:21 | GLADINA HARRIS - GLADINA HARRIS - iG) MVR in use

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


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

raw_content:
521 Visit Compliance Report

Licensee: Elizabeth Mitchell Centers

Facility Number: 157

Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511

Licensing Specialist: Tara Norton
Person In Charge: Paul Hofstad
Record Visit Date: 6/5/2024
Home Visit Date: 6/5/2024

Purpose of Visit: Subsequent Building and Grounds

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of visit: 12:00 pm to 12:45 pm

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

ARKANSAS
DEPARTMENT OF

y HUMAN
~a\ SERVICES

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

Page 1 of 2

Census: 25

Licensing Specialist Norton and Program Coordinator Rice completed buildings and grounds for Elizabeth
Mitchell Cn‘ers: EMAC Acc

escorted Licensing throughout the buildings and grounds.

The following areas were observed: administration building, therapy hallways, kitchen/dining area, laundry
rooms, “Cozy Corner”, classrooms, bathrooms, and Dorms 1, 2, 3, and 4.

The grounds at EMAC were well maintained, clean, and free of safety hazards. Licensing observed the
classrooms, which residents were not present since the school year has ended. Per staff, the classrooms are
currently being cleaned out to set up activity stations for summer activities. All bathrooms observed were
clean and sanitary, with functional sinks, water, and toilets. The therapy hallway, bathrooms, and classrooms
smelled of cleaning supplies.

Bedrooms were clean and fairly organized in dorms 1, 2, 3, and 4. All dorms were within ratio. Dorm 1 Ratio
was 1:6, Dorm 2 Ratio was 2:8, Dorm 3 Ratio was 1:6, and Dorm 4 Ratio was 1:6. Residents were observed in
the bedrooms and dayroom areas, preparing to eat lunch. Emergency escape plans were observed throughout
the dorms. All furnishings in the building were safe and in good repair.

The kitchen, dining areas, and laundry rooms were observed. Kitchen and dining areas appeared to be clean
and sanitary, and staff was observed preparing food to pass out to residents. No issues noted in the laundry
room.

Provider Comments:

CCL Staff Signature : Date: 6/5/2024

NhiNli\sy
WMA) AY
| i}

Provider Signature : 22,,f Nepatad Date: 6/5/2024

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

doc_type: Compliance Report


summary: Licensing reviewed the buildings and grounds of Elizabeth Mitchell Children’s Center (EMCC). No deficiencies were cited.

raw_content:
521 Visit Compliance Report

Licensee: Elizabeth Mitchell Centers

Facility Number: 157

Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511

Licensing Specialist: Tara Norton
Person In Charge: Paul Hofstad
Record Visit Date: 6/4/2024
Home Visit Date: 6/4/2024

Purpose of Visit: Subsequent Building and Grounds

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of visit: 2:30 pm to 3:15 pm

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

— ARKANSAS
\ DEPARTMENT OF

‘U7 HUMAN
[al SERVICES
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Page 1 of 2

Census: 37

Licensing Specialist Norton and Program Coordinator Rice completed buildings and grounds for Elizabeth
Mitchell Centers: EMCC. Mr. Paul Hofstad, Director of Risk Management; Mr. Cole Mitchell, Chief Strategy
Officer; and Mr. Mason, Program Manager; escorted licensing throughout the buildings and grounds.

The following areas were observed: therapy hallway, laundry room, dining room, New Dorm, East Dorm,
South Dorm, bathrooms, “cozy corner”, game room, and playground.

The grounds of EMCC were well maintained, clean, and free of safety hazards. Program Coordinator and
Licensing Specialist observed employees walking to and from buildings.

No residents were observed in the dorms of EMCC. North Dorm was not observed due to a therapy session
being conducted with two residents. (Ratio 1:2) All bedrooms in New Dorm, East Dorm, and South Dorm
were clean and organized. All dorms smelled of cleaning products and were free of safety hazards. The
bathroom in East Dorm was clean and sanitary, with an adequate supply of hot and cold water.

The laundry areas, dining areas, and therapy hallways were clean and free of safety hazards. The playground
area was mostly clean, but a few pieces of trash were observed in the grass. Maintenance was contacted
on-site to remove the trash and arrived before licensing left the facility.

Provider Comments:

CCL Staff Signature : Date: 6/4/2024

Provider Signature : Paul Negetad Date: 6/4/2024

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


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

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021674
Date of Incident: 6/2/2024
Date Received:6/3/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number:157
Incident Type: Licensing
Report Description: On 6/2/2024 client was in a
physical altercation with another peer, during the altercation left thumb was
hit and began to swell. An x-ray was ordered for which
is in and his guardian was
notified of the incident. was transported to Arkansas Children's Hospital and
seen by and was diagnosed . There will be
a follow-up appointment within the next two weeks at ACH.
Interim Action Narrative: An x-ray was ordered for resident which
Resident is in and his guardian was notified
of the incident. Resident was transported to Arkansas Children's Hospital and seen by
and was diagnosed . There will be a follow-up
appointment within the next two weeks at ACH.
Maltreatment Narrative:
Licensing Narrative: 6/4/24, Licensing Specialist reviewed provider reported incident for
licensing concerns. Sent email to facility to inquire if the residents were put on any type of
safety precautions. 6/5/24, According to facility, Resident was placed on Assaultive
Precautions on 05/21/2024, and Supportive precautions for Assaultive behavior was
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

discontinued today, Tuesday, 06/04/2024. The peer is currently on the following supportive
precautions (continued since 04/18/2024): Assaultive, (Sexual), Line of Sight (LOS),
Sleep in Day Area (SIDA), Bathroom Protocol (BP), 10 ft. Restrictions with the following
peers: On 04/26/2024: place on NSSH B precautions.


summary: A female resident was involved in an incident with two male peers in which one peer pushed her onto the bed and laid across her chest and head, while another peer laid on top of both residents and touched the female peer in the vaginal area over the clothes. The facility was cited 405.5 for failing to provide supervision necessary to ensure safety.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021327
Date of Incident: 5/16/2024
Date Received: 5/17/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: On Thursday May 16, 2024, an incident occurred at EMCC involving
two male clients and one female client. Client was in
a bedroom on the East Dorm and a male client, walked into the bedroom and
pushed onto the bed and laid across her chest and head area. A second male client,
then walked into the bedroom and laid on top of both clients.
appeared to be touching over the clothes in the vaginal area. Staff responded to the
room and intervened immediately.
and are in , and is
an out of state client from , all guardians were notified of the incident.
Interim Action Narrative: . Female was moved to
another dorm. Both male residents were placed on precautions.
.
Licensing Narrative: Spoke with provider via telephone requested the and
for camera footage to be saved. Program Coordinator reviewed complaint for licensing
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

concerns. Program Coordinator requested permission from to contact the
facility. 5/20/2024, Program Coordinator & Licensing Specialist Norton reviewed camera
footage. Program Coordinator requested safety plan, nursing note, and precautions.
Program Coordinator followed up with for permission to contact the facility.
Permission received from Facility reported that the bedroom the female
resident entered was a co-ed dorm and it was not her bedroom. Since the incident, the
female resident has been moved to another dorm.Per nursing note, male resident #2 was
already on precautions (LOS & SAO). 5/21/2024, Program Coordinator reviewed nursing
note and talked with regarding this incident. 5/22/2024, Program Coordinator
inquired about coed dorm. Facility reported having one (1) coed dorm with eight (8)
residents four (4) female residents and four (4) male residents currently. 5/23/2024,
Licensing completed a walkthrough of coed dorm. 5/24/2024, Spoke with regarding
the 521 from 5/22/2024. reported that no documentation was found that resident was
on LOS precautions at the time of the incident. Progam Coordinator inquired about the
SAO precautions and will follow up with facility on 5/28/2024. 5/28/2024, Program
Coordinator reached out to the facility regarding SAO precautions and documentation.
Faciltiy provided documentation indicating resident was not on any precautions on
5/14/2024. Program Coordinator inquired if resident was on any precautions on 5/16/2024.,
Facility reported resident was not on any precautions at the time of the incident. Program
Coordinator inquired about the day between 5/14/2024 and 5/16/2024. 5/31/2024, Program
Coordinator reached to facility regarding any disciplinary actions on the staff member
present. 6/3/2024, facility reported they spoke with staff member involved and discussed
maintaining client safety and reviewed knowledge of precautions. 6/20/2024, Program
Coordinator checked . 6/28/2024,
7/1/2024, Approved by Program Coordinator. Case complete.


summary: A complaint received reported that the facility houses young girls and boys in the same dorm. An 8-year-old girl was molested by two male peers. Facility runs understaffed, and staff are verbally and emotionally abusive to clients.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021643
Date of Incident: 5/13/2024
Date Received: 6/2/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: Facility houses young girls and boys in the same dorm. 8 year old girl
was sexually molested by two male peers. Facility runs incredibly understaffed; putting both
clients and staff in danger. Staff frequently refuse to let clients call their families for
extended periods of time. Facility does not maintain proper hygiene boxes or products on a
regular basis. Roaches and ants can be found in the kitchen and laundry rooms. Staff are
verbally and emotionally abusive to young clients.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed complaint for licensing concerns.
Program Coordinator and Licensing Specialist are scheduled to the facility on 6/4/2024.
Case is tied to case number 021327 that is being investigated separately. 6/4/2024, Program
Coordinator and Licensing Specialist completed a buildings and grounds. Program
Coordinator observed the laundry and dining area at EMCC. Facility reported pest control
comes weekly. 6/5/24, Licensing Specialist and Program Coordinator completed a
buildings and grounds of EMAC. Licensing Specialist observed the two laundry rooms,
kitchen, and dining area. No evidence of pests or insects. 6/11/2024, Program Coordinator
interviewed residents at EMAC and EMCC. 6/21/2024, Program Coordinator observed
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

hygiene containters for the residents and ratio at EMCC. 6/25/2024, Program Coordinator
observed ratio at EMAC and hygiene containers. 6/28/2024, Program Coordinator inquired
about a safety plan for the coed dorm and an increase in staff for supervision reasons.
Facility reported the coed dorm now has two staff on it, one staff is for the boys and the
second staff is for the girls. Staff are also required to have a visual of the hallway and the day
room. 7/1/2024, Approved by Program Coordinator. Case complete.


summary: Licensing met with facility staff to discuss recent complaints and citations regarding staff/child ratio. Facility staff recognized difficulty in maintaining staff.

raw_content:
521 Visit Compliance Report

Licensee: Elizabeth Mitchell Centers

Facility Number: 157

Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511

Licensing Specialist: Chelsea Vardell
Person In Charge:

Record Visit Date: 5/9/2024

Home Visit Date: 5/9/2024

Purpose of Visit: Special Visit

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

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

ARKANSAS
DEPARTMENT OF

) > HUMAN
“= SERVICES

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

-,

Page 1 of 2

Program Manager and Program Coordinator met with the facility staff to include Rachel Howard, Paul
Hofstad, and Barbra McCrory. During the meeting, licensing discussed recent complaints and citations
regarding staff/child ratio.

The facility staff recognized that they were struggling to maintain staff and experiencing a high level of call
in's particularly on the 3pm-11pm shift. In response, the facility has already implemented a 60-day plan that is
set to end on 6/2/2024. The internal plan for the agency was to implement a bonus/overtime plan for staff,
implementing a new hire bonus, Rachel Howard is also now assisting with some of the hiring duties, two
recreational staff now work over to assist with the 3pm-11pm staff to provide activities for the children, The
facility anticipates being fully staffed by the end of 5/2024. The facility reports they have had no issues with
staff/child ratio on the units since mid April.

Licensing explained that we will continue to work with the agency and monitor their progress with hiring and
maintaining staff to ensure staff/child ratio is kept on all shifts.

Provider Comments:

CCL Staff Signature: Che4or Vardkel Date: 5/13/2024
Provider Signature : Paul Negetad Date: 5/13/2024

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 accidently running into a doorframe.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
R
Notice of Serious Incident
Case Number: 021134
Date of Incident: 5/8/2024
Date Received: 5/9/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 5/8/2024 EMCC client was
playing with another client and ran down the hallway. The other client accidentally hit
pushed and she ran into a bedroom doorframe. was seen by the nurse,
and the nurse observed a bump on her forehead and knee. The provider gave orders for
to be taken to ACH. was diagnosed with
was given Tylenol and released back to the Centers. is an out
of state client . guardian was notified
of the incident.
Interim Action Narrative: Resident was assessed by nurse after another client accidentally
pushed her into a door frame. Resident was transported to ACH for further assessment. was
diagnosed with Acute knee pain and a closed head injury. Resident was given Tylenol and
released back to the Centers. Guardian was notified.
Maltreatment Narrative:
Licensing Narrative: 5/9/24, Licensing Specialist reviewed Provider Reported Incident for
licensing concerns. Sent email to facility requesting any available video of incident. 5/9/24,
Scheduled visit to review video on 5/14/24 at 10:00 a.m. 5/14/24, Reviewed video in
response to incident. No citations given.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437
P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550
521 Visit Compliance Report
Licensee: Elizabeth Mitchell Centers
Facility Number: 157
Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511
Licensing Specialist: Tara Norton
Person In Charge: Paul Hofstad
Record Visit Date: 5/14/2024
Home Visit Date: 5/14/2024
Purpose of Visit: Self Report Visit
Regulations Out of Compliance:
Regulations Needing Technical Assistance:
Regulation Not Applicable:
Regulations Not Correctable:
Narrative:
Time of visit: 10:00 am to 11:00 pm
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 1 of 2

Census: 40
Licensing received a Provider Reported Incident on 5/9/24 for ELS Case #021134.
Licensing Specialist Norton visited the facility to review video footage from 5/8/24 related to the
above-referenced ELS case. In the video, staff members and residents are observed in East Dorm. (Ratio 2:5)
Resident is observed sitting on a bed, while peers are either sitting on other beds or interacting with staff.
Resident is observed standing up from the bed and starts running down the hall to the door. A peer is observed
playfully running after her and is seen reaching out and pushing the resident, accidentally resulting in her
running into the door frame. Staff is observed immediately tending to the resident to assess any injuries.
Provider Comments:
CCL Staff Signature : Date: 5/14/2024
Provider Signature : Date: 5/14/2024
www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 2


summary: A resident was transported for acute care after becoming dysregulated.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 021143
Date of Incident: 5/8/2024
Date Received: 5/9/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 5/8/2024 EMAC client
became dysregulated. was transported to Arkansas Children's Hospital by EMS and
was later accepted for acute treatment at Pinnacle Point. is an
and her guardian was notified. will not be returning to the Centers.
Interim Action Narrative: After resident became dysregulated, resident was transported to
Arkansas Children's Hospital by EMS and was later accepted for acute treatment at
Pinnacle Point.
Maltreatment Narrative:
Licensing Narrative: 5/9/24, Licensing Specialist reviewed provider reported incident for
licensing concerns. Sent email to facility to inquire what caused the resident to become
dysregulated. 5/10/24, Facility reported that the resident became dysregulated because she
was not allowed to go on an outing due to behaviors.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A report to Licensing stated that a staff member puts her hands on residents and targets them. It was also reported that the staff member threw a food tray at a resident, pinned a resident up against a wall, got in the face of a resident, and used profanity toward the resident. The complaint was UNFOUNDED by Licensing.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020998
Date of Incident: 5/1/2024
Date Received: 5/1/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: It was reported to Licensing that staff member put her
hands on residents and targets them. It was also reported that staff member
threw a food tray at a resident, pinned a resident up against a wall, got in the face of a
resident, and used profanity toward the resident.
Interim Action Narrative: Facility reported that they were doing an internal investigation.
Maltreatment Narrative:
Licensing Narrative: 5/1/2024, Program Coordinator Rice and Licensing Specialist Norton
interviewed 12 residents regarding a complaint. Resident disclosed allegations of staff
member mistreating residents. 5/2/2024,
Program Coordinator requested the names of residents for EMAC and
staff member's full name. . 5/9/2024, Licensing spoke with
Centers staff regarding complaint. Facility reorted that they were completing an internal
investigation. 5/14/2024, Progam Coordinator visited facility and inquired about the
internal investigation. Facility reported no evidence was found of staff member being
abusive in any form. Documentation was provided.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident reported that a staff member was spraying female residents in the face with Lysol for coughing while on quarantine.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020950
Date of Incident: 4/27/2024
Date Received: 4/30/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Dual
Report Description: Youth advised her case worker that staff was spraying female
adolescents in the face with Lysol due to coughing while on quarantine. Staff instructed
youth not to cough on them and youth verbalized that if staff kept spraying her in the face,
she was going to cough on them. Staff sprayed youth in face again and youth attempted to
remove the can of Lysol from staff's possession. It is alleged that two youth were sprayed
during this time.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Program Manager will contact DCFS and inquire about the
caseworker and residents. 5/1/23, Licensing Specialist reviewed complaint. Program
Coordinator Rice and Licensing Specialist Norton visited the facility. 12 residents from
different dorms were interviewed. 5/2/24, Licensing Specialist sent email to inquire about
video footage for 4/27/2024 for Dorm 4 at EMAC.
Program Coordinator requested the names
of residents for EMAC and staff member's full name. 5/6/24, Facility visited in response to
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

incident to review video footage from 4/27/24. Before viewing the video, it was determined
by facility time records that the staff member, was not present at the facility on that
date. 5/9/2024, Licensing spoke with facility regarding this incident. Facility informed
Licensing that they interviewed some residents from the dorm of the alleged incident.
Program Coordinator requested a statement of their findings.


summary: Officers were dispatched to the facility on a narcotics call. A staff member reported that staff found items in a black box in an unknown room and wanted police to secure or destroy them.

raw_content:
INCIDENT NUMBER 2024-051852 JUVENILE INFORMATION Report generated: 4/24/2024 5:15 PM
PROPERTY DRUG INFORMATION
P.LOSS P.DES QTY Description (ser#, color, make, model) PROP TAG VALUE TYPE QUANTITY MEASURE
0 10 0.00 UNK GRN 754264 0.0000 E 4.30 GM
UNK GREEN LEAFY MATTER
0 11 1.00 UNK UNK + 0 0.0000 E 4.30 GM
UNK GREEN VEGGY MATTER
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 3 of 5

INCIDENT NUMBER 2024-051852 JUVENILE INFORMATION Report generated: 4/24/2024 5:15 PM
NARRATIVE
I MADE CONTACT WITH THE CALLER MS. A. CLARY AT THE LISTED ADDRESS. SHE STATED HER STAFF FOUND THE
LISTED ITEMS IN A BLACK BOX, INSIDE AN UNKNOWN ROOM. SHE SAID SHE WANTED THE POLICE TO SECURE IT
OR DESTROY IT. THE ITEM WAS TAKEN FROM MS. CLARY AND STORED IN THE NORTHWEST PROPERTY ROOM FOR
DESTRUCTION. BWC WAS IN USE.
Page 4 of 5


summary: Officers were dispatched to the facility in reference to a disturbance. Upon arrival, officers made contact with a staff member who advised that she was in an altercation with a 16 year old juvenile.

raw_content:
INCIDENT NUMBER 2024-047262 JUVENILE INFORMATION Report generated: 5-1-2024 10:56 AM
NARRATIVE
OFFICERS WERE DISPATCHED TO LISTED ADDRESS IN REFERENCE TO A DISTURBANCE. UPON ARRIVAL,
OFFICERS MADE CONTACT WITH MS. SANDRA WILLIAMS, EMPLOYEE.
MS. WILLIAMS ADVISED SHE WAS IN AN ALTERCATION WITH A 16YO JUVENILE. MS. WILLIAMS ADVISED THE
JUVENILE WANTED TO GET SOME PERSONAL HYGIENE ITEMS AND WAS TOLD TO WAIT UNTIL AFTER 16:00 HOURS.
MS. WILLIAMS ADVISED THE JUVENILE BECAME IRATE AND BEGAN ARGUING LOUDLY AND CURSING. MS. WILLIAMS
ADIVSED THE JUVENILE PUSHED HER TWICE.
MS. WILLIAMS REFUSED MEDICAL TREATMENT AT THAT TIME.
MS. WILLIAMS REFUSED TO GIVE THE JUVENILES INFORMATION DUE TO CONFIDENTIALITY.
OFFICERS PROVIDED MS. WILLIAMS WITH AN INCIDENT NUMBER FOR REFERENCE. OFFICERS ADVISED MS.
WILLIAMS THE PROCESS TO SEEK WARRANTS IF SHE CHOOSES TO DO SO.
MVR/BWC WERE ACTIVATED.
Page 3 of 4


summary: Officers were dispatched to the facility for an alarm. Officers met with staff who advised it was accidental.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 4/13/2024 10:46 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-046441 2X61 04/13/2024 21:45:00 ALMBRG

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

4/13/2024 9:45:46 PM

6501 W 12TH ST
CENTERS FOR YOUTH AND FAMILES

OFFENSE

FALSE ALARM

OFFICERS ARRIVED AT THE LISTED ADDRESS FOR AN ALARM. OFFICERS MET WITH STAFF WHO ADVISED IT WAS
ACCIDENTAL.
MVR AND BWC IN USE.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
04/14/2024 03:43:46 | ANTHONY BUZZITTA - ANTHONY BUZZITTA - [gg MVR in use

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


summary: A resident was transferred for acute care after cutting herself with her fingernails and expressing suicidal ideations.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020590
Date of Incident: 4/13/2024
Date Received: 4/15/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 4/13/2024 client was
in the shower and when she came out staff observed blood on her neck. The client stated
that she had cut herself with her fingernails. The client then began making suicidal ideation
comments and stated that she wanted to go back where she came from. The client was
transferred to Acute placement at Bridgeway. The client is an out of state client and the
guardian was notified.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 4/15/24, Licensing Specialist reviewed Provider Reported Incident for
licensing concerns. 4/18/24, Per facility via email: After further review of records related to
this incident, we are considering this incident a suicide attempt and updating our report to
you to reflect that. While in the nurses? station having the cut cleaned, the client told the
nurse that she didn?t cut herself with her fingernails and admitted to having a small piece of
metal. The client ran out of the nurses? station into the cafeteria where staff were able to get
the metal item from her. 4/22/24, sent email to facility to inquire status of resident and if
any additional safety precautions would be put in place if resident returns to facility.
4/22/24, According to the facility, the Resident will not be returning.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers responded to the facility to secure the scene for MEMS. A resident advised that a peer had repeatedly slammed her head against a desk. The resident was transported to Arkansas Children’s Hospital.

raw_content:
Report Contains Juvenile Information
INCIDENT NUMBER 2024-045770 JUVENILE INFORMATION Report generated: 4/12/2024 1:56 PM
Redact Before Release
NARRATIVE
OFFICERS RESPONDED TO THE LISTED LOCATION TO SECURE THE SCENE FOR MEMS ON A JUVENILE PATIENT,
VICTIM 1. UPON ARRIVAL, CONTACT WAS MADE WITH VICTIM 1, WHO ADVISED SUSPECT 1, ANOTHER PATIENT AT
THIS LOCATION, SLAMMED HER HEAD AGAINST A DESK REPEATEDLY, RESULTING IN VISIBLE REDNESS. ADDISON
JOHNSON, AN EMPLOYEE AT THIS FACILITY, ADVISED SHE OBSERVED THE INCIDENT OCCUR.
VICTIM 1 WAS TRANSPORTED TO ARKANSAS CHILDREN'S HOSPITAL BY MEMS UNIT 42 FOR EVALUATION. JOHNSON
WAS PROVIDED THE INCIDENT NUMBER.
Page 6 of 7


summary: A resident was transported for acute care due to being verbally and physically aggressive towards multiple peers.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020553
Date of Incident: 4/12/2024
Date Received: 4/12/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 4/12/2024 client was
transported to Bridgeway Acute due to being verbally and physically aggressive towards
multiple peers. is an out of state client and her guardian was notified of the
transfer. will be returning to the Centers facility.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 4/15/24, Licensing Specialist reviewed Provider Reported Incident for
licensing concerns. 4/22/24, Per facility in an email, Resident will not be returning to the
facility.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported to Arkansas Children’s Hospital after being hit in the head several times by a peer during an altercation.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020549
Date of Incident: 4/12/2024
Date Received: 4/12/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 4/12/2024 client got into a
physical altercation with another client in the classroom. was hit in the head
several times by the other client. Staff intervened quickly and was accessed by the
nurse. Little Rock Police Department arrived at the facility with MEMS EMS. was
transported to Arkansas Childrens Hospital by MEMS to be checked out due to she was
complaining of neck and head pain. was shortly released from ACH and
diagnosed with a concussion. is an out of state client and her guardian was
notified.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: 4/15/24, Licensing Specialist reviewed Provider Reported Incident for
Licensing concerns. 4/17/24-Facility visited. Video reviewed of incident. Facility cited 907.3
for staff/client ratio of 1:9 during part of video reviewed. 4/23/2024, Program Coordinator
requested police report. 4/24/24, Licensing Specialist reviewed police report.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


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

raw_content:
521 Visit Compliance Report

Licensee: Elizabeth Mitchell Centers

Facility Number: 157

Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511

Licensing Specialist: Tara Norton
Person In Charge: Paul Hofstad
Record Visit Date: 4/9/2024
Home Visit Date: 4/9/2024

Purpose of Visit: Subsequent Building and Grounds

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of visit: 9:15 am to 10:15 am

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

ARKANSAS
) DEPARTMENT OF

|\-7 HUMAN
» "2 SERVICES

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

y

Page 1 of 3

Census: 46

Program Coordinator Rice and Licensing Specialist Norton completed buildings and grounds for Elizabeth
Mitchell Centers: EMAC and EMCC. Dr. Daniels, DON Consultant, escorted Program Coordinator and
Licensing Specialist throughout the buildings and grounds.

The following areas were observed: administration building, therapy hallways, dining areas, classrooms,
bathrooms, nurse’s station, medication room, storage closet, lobby areas, and “cozy corner.”

The grounds between EMAC and EMCC were well maintained, clean, and free of safety hazards. Program
Coordinator and Licensing Specialist observed an employee setting up a grill for a cookout and several
employees walking to the buildings. Parked cars were observed on the parking lot.

EMAC — Bedrooms were clean and fairly organized in dorms 1 and 2, no more than three (3) residents to a
bedroom observed. No residents were observed in the bedrooms. Bathrooms were clean and sanitary, with
water, and had adequate supplies of soap, paper towels, and tissue. Emergency escape plans were observed
throughout. All furnishings in the building were safe and in good repair. Two classrooms were observed with
residents sitting at their desks or talking with staff. Mrs. Karin’s classroom’s ratio was 3:8 and the second
classroom’s ratio was 2:4.

EMCC — No residents were observed in the dorms. Bedrooms observed in the New Dorm and North Dorm
were clean and organized. The hole in the ceiling of the New Dorm that was noted during a previous visit on
4/3/24 was repaired. Bedrooms observed had no more than two (2) residents per bedroom. Bathrooms were
clean and sanitary, with water, and had adequate supplies of soap, paper towels, and tissue. Dining area was
being cleaned by staff at the time of observation.

Classroom #1 had a ratio of 3:8 and classroom #2 had a ratio of 3:8. The Nurse’s Station was observed and the
Medication Room where controlled substances were locked in a storage cabinet.

Program Coordinator and Licensing Specialist reviewed the MAR’s for the residents listed below:

All initialed and up to date.

Provider Comments:

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 2 of 3

CCL Staff Signature : Date: 4/9/2024

Provider Signature : Date: 4/9/2024

www.arkansas.gov/dhs
Serving more than one million Arkansans each year Page 3 of 3


summary: An officer was dispatched to the facility to assist EMS with a patient.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 4/8/2024 2:03 AM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-043427 3X73 04/07/2024 23:51:00 ASTMED

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

4/7/2024 11:51:08 PM

6425 W 12TH ST
YOUTH EMERGENCY SHELTER

OFFENSE

NON POLICE INCIDENT

THE SUBJECT WENT WITH MEMS WITHOUT INCIDENT.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
04/08/2024 06:59:08 | ROBBIE HINMAN - gj ROBBIE HINMAN - J MVR in use

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


summary: Contact was made with an employee who advised that no assistance was required.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 4/7/2024 12:42 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-043194 1X72 04/07/2024 12:17:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6425 W 12TH ST

4/7/2024 12:17:30 PM 61

CENTERS FOR YOUTH AND FAMILIES

OFFENSE

NON POLICE INCIDENT

CONTACT WAS MADE WITH EMPLOYEE WHO ADVISED NO ASSISTANCE WAS REQUIRED. NO FURTHER ACTION
TAKEN AT THIS TIME.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
04/07/2024 17:39:17 | LUKE PATTON - gj LUKE PATTON - gj MVR in use

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


summary: Licensing was informed that the facility is out of ratio between 3:00pm and 11:00pm. The facility was cited 409.6 and 907.3 as a result of this complaint.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020310
Date of Incident: 4/3/2024
Date Received: 4/3/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: Licensing informed that facility is out of ratio between the hours of 3pm
to 11pm. Reporter stated that staff has addressed their concerns to management about being
out of ratio.
Interim Action Narrative:
Maltreatment Narrative:
Licensing Narrative: Program Coordinator and Licensing Specialist Norton will schedule
an after hour visit to facility. 4/4/2024, Program Coordinator and Licensing Specialist
Norton completed an after hour visit at EMAC and one dorm (New Dorm) at EMCC.
Facility was cited 907.3 Dorm 2 ratio 1:8 and 409.6. resident pulled an object from a hole in
the ceiling.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported to Arkansas Children’s Hospital for an allergic reaction after eating a candy bar with peanuts.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020240
Date of Incident: 4/1/2024
Date Received by DCCECE: 4/1/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 4/1/2024 client DOB: / / was in speech
therapy. The therapist was unaware of peanut allergy and gave a mini
Snicker bar. guardian was notified and was transferred to ACH.
was treated for the peanut allergy and returned back to the Center's facility.
Interim Action Narrative: Resident was transferred to ACH for an evaluation.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator inquried about guardianship and prevention.
Facility reported that the speech therapist is an outside contractor and was not aware of the
resident's allergy. Facility will address the resident's allergy with speech therapist.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility for an unknown trouble. False alarm.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 4/1/2024 4:25 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-040230 2Y60 04/01/2024 15:56:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6425 W 12TH ST

4/1/2024 3:56:26 PM 61

THE CENTERS

OFFENSE

FALSE OR UNFOUNDED CALL

OFFICERS MADE CONTACT WITH MR. TAYLOR VASAWAY, RECEPTIONIST. MR. VASAWAY ADVISED ONE OF THE
CHILDREN DIALED THE PHONE ATTEMPTING TO GET AN OUTSIDE LINE.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
04/01/2024 21:21:11 | THOMAS LABIT - THOMAS LABIT - MVR in use

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


summary: A resident was transported for acute care after making homicidal and suicidal threats.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020220
Date of Incident: 3/31/2024
Date Received by DCCECE: 4/1/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 3/31/2024 client DOB: / / was
transferred to Methodist Acute after making homicidal and suicidal threats with plans and
intent use any object she could find. is in DHS custody and guardians were
notified of the transfer. will be returning to the facility once discharged from
ACUTE.
Interim Action Narrative: Resident was transferred to acute care.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Resident will be returning to facility.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported for acute care after telling staff that she wanted to harm herself.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020231
Date of Incident: 3/31/2024
Date Received by DCCECE: 4/1/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 3/31/2024 client DOB: / / at EMAC was
transported to ACUTE at Pinnacle Point due to telling staff that she wanted to harm herself.
is in DHS custody and her guardian was notified.
Interim Action Narrative: Resident was transported to acute care.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator will inquire if the police were called and if resident
will be returning to the facility. The police were not called and the resident will be returning
to the facility.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported to Arkansas Children’s Hospital due to stomach pain.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 020184
Date of Incident: 3/27/2024
Date Received by DCCECE: 3/29/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On March 27, 2024 client DOB:
complained of stomach pain due to constipation. A leave order was placed by the provider
and the guardian transported the client to the Arkansas Childrens Hospital for evaluation,
the client was admitted into ACH for further evaluation but has not yet been diagnosed.
Interim Action Narrative: Resident was transported to ACH for an evaluation
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator will inquire about guardianship, when resident
was transported to ACH, and diagnosis. 4/1/2024, facility reported resident was diagnosed
with fecal impaction.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 3/27/2024 12:09 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-037675 1X70 03/27/2024 10:02:00 ASTMED

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

3/27/2024 10:02:52 AM

6601 W 12TH ST

OFFENSE

NON POLICE INCIDENT

MEMS 624 TRANSPORTED THE 7YO MALE TO BRIDGEWAY

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
03/27/2024 17:05:07 | RENA EVANS - RENA EVANS - [i MVR in use

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


summary: Officers responded to the facility for a 911 hang up. False alarm.

raw_content:
INCIDENT NUMBER 2024-037397 JUVENILE INFORMATION Report generated: 3/26/2024 9:49 PM
NARRATIVE
OFFICERS RESPONDED TO AN UNKNOWN TROUBLE AT THE LISTED LOCATION IN REFERENCE TO A 911 HANGUP.
UPON ARRIVAL, OFFICERS MADE CONTACT WITH SCOTT WHO STATED SOMEONE CALLED ON ACCIDENT TRYING
TO USE THE PHONE IMPROPERLY. SCOTT ADVISED OFFICERS WERE NOT NEEDED. 21C662 IS MVR EQUIPPED AND
IN USE.
Page 3 of 4


summary: Officers arrived at the facility for a 911 hang up call. Officers met with staff who advised that it was accidental.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 3/26/2024 10:40 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-037450 2X61 03/26/2024 19:58:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6425 W 12TH ST

3/26/2024 7:58:07 PM 61

CENTERS FOR YOUTH AND FAMILY

OFFENSE

FALSE ALARM

OFFICERS ARRIVED AT THIS LOCATION FOR A 911 HANGUP CALL. OFFICERS MET WITH STAFF WHO ADVISED THAT
IT WAS ACCIDENTAL.
MVR AND BWC IN USE

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
03/27/2024 03:35:35 | ANTHONY BUZZITTA - [a ANTHONY BUZZITTA - MVR in use

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


summary: A resident was transported to Arkansas Children’s Hospital for chest pain, headache, and a nosebleed.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019898
Date of Incident: 3/17/2024
Date Received by DCCECE: 3/18/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 3/17/2024 EMCC client, complained of chest pain
and headaches, client then went to the nurse's station because of a nosebleed. The client's
nose was no longer bleeding when the nurse assessed it. The client came back later during
the day with a second nosebleed and the nurse observed a blood clot on the tissue, the client
was also still complaining of a headache and chest pain. The client was then sent to
Arkansas Childrens Hospital. While at ACH the client was seen by ACH staff. The student
returned to the Centers from ACH with an order for nasal spray. The client is private
placement and his guardian was notified.
Interim Action Narrative: Resident was assessed by the nurse and sent to ACH.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviwed provider reported incident for licensing
concerns. Program Coordinator will inquire about resident's DOB and outcome of
resident's visit to ACH. 3/20/2024, faciliity reported resident was diagnosed with epistaxis.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Non-police incident

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 3/10/2024 9:10 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-030396 2X61 03/10/2024 19:48:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6425 W 12TH ST

3/10/2024 7:48:19 PM 61

OFFENSE

NON POLICE INCIDENT

NON-POLICE INCIDENT

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
03/11/2024 02:06:59 | MALIK AUSTIN - i] MALIK AUSTIN - gg MVR in use

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


summary: A resident was transported to Arkansas Children’s Hospital after complaining of knee pain from kicking the doors in the dorm. The facility was cited 907.2 and 907.3 as a result of the incident.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019754
Date of Incident: 3/9/2024
Date Received: 3/10/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On March 10, 2024 client was
transported to Arkansas Children's Hospital after an X-Ray was completed on March 9, 2024
due to complaining of knee pain stemming from an incident that occurred on
March 8, 2024 where was dysregulated and kicking the doors in the dorm.
was seen by staff at Arkansas Children's Hospital and diagnosed with
"Nondisplaced fracture of right tibial spine, initial encounter for closed fracture."
was given medication by ACH and will have a future follow up appointment
with ACH Orthopedic clinic. is an out of state client and her guardian was
notified.
Interim Action Narrative: Resident was evaluated at ACH.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator will inquire on the state resident is from. The
police were not called. 3/11/2024, Program Coordinator inquired about camera footage and
if resident was placed in any restraints. Facility reported resident was not placed in any
restraints/holds. Program Coordinator reviewed camera footage and requested nursing
We Care. We Act. We Change Lives.
humanservices.arkansas.gov

note. 3/14/2024, Program Coordinator reviewed more camera footage, amended 521, and
received documentation via email.


summary: Officers were dispatched to the facility in response to unknown trouble. False alarm.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT
JUVENILE INFORMATION INCIDENT

INCIDENT NUMBER UNIT ASSIGNED CALL DATE

CALL TIME TYPE OF CALL
2024-029492 2X60 03/08/2024 17:54:00 UNK

Report generated: 3/8/2024 7:58 PM

INCIDENT DATE

LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME)

6501 W 12TH ST
3/8/2024 5:54:07 PM

DISTRICT

61

OFFENSE

NON POLICE INCIDENT

OFFICERS MADE CONTACT WITH STAFF. STAFF ADVISED THAT EVERYTHING WAS OK.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
03/09/2024 01:54:49 | JAMES STONE {R) JAMES STONE - RE MVR in use

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

Page 1 of L


raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 3/8/2024 8:08 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-029548 2X72 03/08/2024 19:39:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT

6425 W 12TH ST

3/8/2024 7:39:58 PM 61

OFFENSE

FALSE OR UNFOUNDED CALL

OFFICERS RESPONDED TO THE LISTED LOCATION IN REGARDS TO AN UNKNOWN TROUBLE. COMMUNICATIONS
ADVISED AN UNKNOWN FEMALE CALLED FROM THIS LOCATION AND THE CALL DROPPED. UPON ARRIVAL,
OFFICERS MADE CONTACT WITH A STAFF INSIDE THE LOCKED BUILDING WHO ADVISED EVERYTHING WAS FINE.

OFFICERS DID NOT OBSERVE ANY SUSPICIOUS OR CRIMINAL ACTIVITY. 21C661 IS MVR EQUIPPED AND WAS IN
USE.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
03/09/2024 02:04:29 | CALVIN LIU - CALVIN LIU MVR in use

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


summary: Licensing visited the facility for a Child Record Review. No deficiencies cited.

raw_content:
521 Visit Compliance Report

Licensee: Elizabeth Mitchell Centers

Facility Number: 157

Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511

Licensing Specialist: Kendra Rice
Person In Charge: Paul Hofstad
Record Visit Date: 3/5/2024
Home Visit Date: 3/5/2024

Purpose of Visit: Child Record Review Visit

Regulations Out of Compliance:

Regulations Needing Technical Assistance:

Regulation Not Applicable:

Regulations Not Correctable:

Narrative:

Time of Visit: 1:00 pm to 1:45 pm

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

ARKANSAS
) DEPARTMENT OF

> HUMAN
a! SERVICES
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot S140, Little Rock, AR 72203-1437

P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Page 1 of 2

Census: 29

Licensing Specialist reviewed three (3) children files:

All children’s files reviewed complied with the minimum licensing standards.

Provider Comments:

CCL Staff Signature : Date: 3/5/2024
(NN IIH |
Provider Signature : Date: 3/5/2024

| \\e yVJ

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 due to enlarged tonsils.

raw_content:
Placement and Residential Licensing Unit
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019583
Date of Incident: 3/3/2024
Date Received by DCCECE: 3/4/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On March 3, 2024, EMCC client DOB:
was transported to Arkansas Childrens Hospital, due to enlarged tonsils. was
admitted to ACH and has not yet been discharged. is private placement, and his
guardian was notified.
Interim Action Narrative: Resident was transported to ACH.
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for
licensing concerns. Program Coordinator inquired about year resident was born.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported for acute care after reporting suicidal and homicidal ideations.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019516
Date of Incident: 2/29/2024
Date Received by PRLU: 3/1/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 2/29/2024 EMAC Client DOB: was
accepted and transported to Bridgeway Acute after verbalizing that she had suicidal and homicidal
ideations. is an out of state resident and the guardian was notified.
Interim Action Narrative: Resident transported to acute care.
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for licensing
concerns.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported to Arkansas Children’s Hospital after being bit on the arm by a peer during a physical altercation.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019545
Date of Incident: 2/29/2024
Date Received by PRLU: 3/1/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 2/29/2024 EMCC Client DOB:
was in a physical altercation with another peer and was bit on the left forearm by the other peer. The
bite mark became bruised and was tender to the touch. was transported to Arkansas
Childrens Hospital for an evaluation. was evaluated by ACH and discharged back to the
Centers. is in DHS custody and her guardian was notified.
Interim Action Narrative:
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator informed of provider reported incdent. 3/4/2024,
Program Coordinator reveiwed provider reported incident for licensing concerns. Program
Coordinator inquired about outcome from ACH, staff/resident ratio, and safety precautions. The
resident was given antibiotice at ACH. Peer was placed on assaultive precautions, and the ratio at
time of incident was 1:4. The police were not called.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


raw_content:
LRP2402290345 3/7/2024 8:49:19 AM (B)(13) Page 1 of 4
Incident Detailed Report
Incident #: LRP2402290345
Summary
Location: 6425 W 12TH ST
Loc Name: YOUTH EMERGENCY SHELTER
City: LR
Description:
Building: Subdiv:
Floor: Apt/Unit:
Status: Closed Created: 15:36:20 2/29/2024
Inc Type: UNK Agency Type: L
Mod Circ: Priority: 2
Agency ID: LRP Area: NW
Sector: 4 Beat: 61
Report #: LRP24025693
Disposition: R (LRP/2X60)
Dispatch
Unit(s): LRP/2X60 (Officers: LRP/Stone James) (Primary), LRP/2X61 (Officers: LRP/Buzzitta
Anthony)
Comments
15:36:20 2/29/2024 (B)(13) C1
SCREAMING OVER LANDLINE PHONE, SOMEONE PICKED UP AND SAID IT WAS KIDS PLAYING ON
THE PHONE BUT CALL TAKER COULD STILL HEAR SCREAMING. CHECK TO SATISFACTION
Persons
Name: , Centers for Youth and Families
Role: INITIAL CALLER
Address: 6425 W 12TH ST 6425-6601 W. 12TH ST
Apt/Unit:
City:
Phone: (501) 666-8686 Contact?:
Gender: DOB:
Race: Ethnicity:
Age:
Height: Bldg:
Hair: Weight:
Eyes: License #:
Misc:
Vehicles
Premise Hazard
Previous Incidents
Note: The number of previous incidents printed was limited to 1. There were additional previous
incidents not printed. Incomplete Printout (IncNum:1/80 PerNum: 1/16):
Location Inc Type Incident # Status Date
6425 W 12TH ST, LR UNK LRP2402280444 Closed 19:48:55 2/28/2024

LRP2402290345 3/7/2024 8:49:20 AM (B)(13) Page 2 of 4
Name Address Inc Type Incident # Date
Centers for Youth and 6425 W 12TH ST, LR UNK LRP24022804 19:48:55 2/28/2024
Families 44
Associated Incidents
Attachments
History
Time/Date Trans Type User ID Console ID
16:18:23 2/29/2024 UNIT MGMT (B)(13) P1
Unit Location Unit ID: LRP/2X60
Location: NULL (6425 W 12TH ST) Loc Name: NULL (YOUTH EMERGENCY SHELTER)
City: NULL (LR) Zip Code: NULL (72204)
16:18:23 2/29/2024 FREE UNIT (B)(13) P1
Unit Freed Unit ID: LRP/2X60
16:18:23 2/29/2024 INC UPDT (B)(13) P1
Disposition Dispo: R
Unit ID: LRP/2X60
16:18:23 2/29/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/2X60
Status: AV (ONS)
16:18:23 2/29/2024 INC STAT (B)(13) P1
Incident Status Status: Closed (Active)
16:06:13 2/29/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/2X60
Status: ONS (ENR) Submitted: 16:06:12 2/29/2024
15:57:55 2/29/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/2X60
Status: ENR (DSP) Submitted: 15:57:53 2/29/2024
15:57:44 2/29/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/2X60
Status: DSP (AV)
15:57:44 2/29/2024 INC STAT (B)(13) P1
Incident Status Status: Active (Stacked)
15:57:44 2/29/2024 PRIM UNIT (B)(13) P1
Primary Unit Primary: LRP/2X60 (LRP/2X61)
15:57:33 2/29/2024 TIMEOUT (B)(13) P1
Incident Timeout Reset Timeout Value: Never
15:57:33 2/29/2024 INC STAT (B)(13) P1
Incident Status Status: Stacked (Pending)
15:57:33 2/29/2024 DPTCH (B)(13) P1
Dispatch (Pre-assigned) Assigned Unit: LRP/2X60 (Officers: LRP/Stone James)
15:57:33 2/29/2024 REC (B)(13) P1
Preferred Rec: [PATROL] 1L32 (2:39), 2X50 (3:25)
Add'l: [PATROL] 2Y40 (3:54), 2X52 (3:55)
Missing: (None)
15:57:33 2/29/2024 REC (B)(13) P1
Fixed (Run Card Set: A) Rec: [PATROL] 2X50, 2Y40
Add'l: [PATROL] 2Y52, 2X52
Missing: (None)
15:42:57 2/29/2024 TIMEOUT System System
Incident Timeout
15:37:56 2/29/2024 TIMEOUT (B)(13) P1
Incident Timeout Reset Timeout Value: 5
15:37:56 2/29/2024 UNIT MGMT (B)(13) P1

LRP2402290345 3/7/2024 8:49:20 AM (B)(13) Page 3 of 4
Time/Date Trans Type User ID Console ID
Unit Location Unit ID: LRP/2X61
Location: NULL (6425 W 12TH ST) Loc Name: NULL (YOUTH EMERGENCY SHELTER)
City: NULL (LR) Zip Code: NULL (72204)
15:37:56 2/29/2024 FREE UNIT (B)(13) P1
Unit Freed Unit ID: LRP/2X61
15:37:56 2/29/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/2X61
Status: AV (ENR)
15:37:56 2/29/2024 INC STAT (B)(13) P1
Incident Status Status: Pending (Active)
15:37:27 2/29/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/2X61
Status: ENR (DSP) Submitted: 15:37:25 2/29/2024
15:37:15 2/29/2024 UNIT MGMT (B)(13) P1
Unit Location Unit ID: LRP/2X61
Location: 6425 W 12TH ST Loc Name: YOUTH EMERGENCY SHELTER
City: LR Zip Code: 72204
15:37:15 2/29/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/2X61
Status: DSP (AV)
15:37:15 2/29/2024 INC STAT (B)(13) P1
Incident Status Status: Active (Pending)
15:37:15 2/29/2024 RPT NUM (B)(13) P1
Report Number Assigned Rprt Num: LRP24025693
15:37:15 2/29/2024 PRIM UNIT (B)(13) P1
Primary Unit Primary: LRP/2X61
15:37:15 2/29/2024 DPTCH (B)(13) P1
Dispatch Assigned Unit: LRP/2X61 (Officers: LRP/Buzzitta
Anthony)
15:37:15 2/29/2024 REC (B)(13) P1
Preferred Rec: [PATROL] 1L32 (2:39), 2X61 (3:53)
Add'l: [PATROL] 2X93 (4:36), 2X50 (5:17)
Missing: (None)
15:37:15 2/29/2024 REC (B)(13) P1
Fixed (Run Card Set: A) Rec: [PATROL] 2X61, 2X93
Add'l: [PATROL] 2X50, 2X80
Missing: (None)
15:36:20 2/29/2024 CMNTS (B)(13) C1
Comments
SCREAMING OVER LANDLINE PHONE, SOMEONE PICKED UP AND SAID IT WAS KIDS PLAYING ON
THE PHONE BUT CALL TAKER COULD STILL HEAR SCREAMING. CHECK TO SATISFACTION
15:36:20 2/29/2024 PER INFO (B)(13) C1
Person 1 Added Role: INITIAL CALLER
First: Centers for Youth and Families Phone: (501) 666-8686
Address: 6425 W 12TH ST 6425-6601 W. 12TH ST Is Property Seized: No
15:36:20 2/29/2024 INC CREATE (B)(13) C1
Jurisdiction Area: NW
Sector: 4 Beat: 61
15:36:20 2/29/2024 INC CREATE (B)(13) C1
Incident Created Started: 15:35:05 2/29/2024
Details to Follow: None Location: 6425 W 12TH ST
Loc Name: YOUTH EMERGENCY SHELTER Latitude: 34.741185
Longitude: -92.348059 City: LR

LRP2402290345 3/7/2024 8:49:21 AM (B)(13) Page 4 of 4
Time/Date Trans Type User ID Console ID
Cross Strs: 1100 GILES ST / 1200 LEISURE PL Source: 911
Incid Type: UNK Priority: 2
Zip Code: 72204 Validation Level: Premise Lvl
15:35:04 2/29/2024 ANI/ALI (B)(13) C1
911 Call Ani/Ali Populate Time: 15:35:04 2/29/2024
E911 Phone Call Status: Completed Incoming: Yes
Mobile: Yes Time Offered: 15:35:04 2/29/2024
Time Completed: 15:35:37 2/29/2024 Time Received at Switch: 15:35:04 2/29/2024
Total Time on Hold: 0 Total Time in Conference: 0


summary: A resident was found in the bathroom with an article of clothing tied around her neck.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019501
Date of Incident: 2/28/2024
Date Received by PRLU: 2/29/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 2/28/2024 client DOB: was taking a
shower and the staff was standing in the bathroom doorway following line of sight precautions and
verbally checking with every few minutes. Following a few prompts from staff verbally
checking on she did not respond. Staff entered the shower where she was and noticed she
was sitting on the floor with an article of clothing tied around her neck. Staff removed the clothing
from her neck, and she was responsive to them. Client is out of state custody and her guardian was
notified.
Interim Action Narrative: Staff intervened and removed the clothing.
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for licensing
concerns and inquired about type of clothing and if other precautions were implemented. Facility
reported clothing was pants. Facility also reported that resident was assessed by the nurse and all
vitals were within normal limits. Resident was already on Non Suicidal Self Harm B, Line of Sight,
and Bathroom Protocols. Facility are in the process of transferring to acute care. 3/1/2024, resident
was accepted and transferred to acute care.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported to Arkansas Children’s Hospital for stomach pain.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019482
Date of Incident: 2/27/2024
Date Received by PRLU: 2/28/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On 2/27/2024 EMAC client DOB: was
transported to Arkansas Childrens Hospital for stomach pain. While being seen at the hospital an x-
ray was performed and she was given an enema. Hospital staff recommended that take
miralax over the weekend for constipation. is in DHS custody and her guardian was
notified of the incident.
Interim Action Narrative: Resident was evaluated at ACH.
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident of licensing
concenrs.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: Officers were dispatched to the facility in response to unknown trouble. Officers stood by while staff got the children under control.

raw_content:
LRP2402260489 3/7/2024 8:47:45 AM (B)(13) Page 1 of 4
Incident Detailed Report
Incident #: LRP2402260489
Summary
Location: 6425 W 12TH ST
Loc Name: YOUTH EMERGENCY SHELTER
City: LR
Description:
Building: Subdiv:
Floor: Apt/Unit:
Status: Closed Created: 19:27:59 2/26/2024
Inc Type: UNK Agency Type: L
Mod Circ: Priority: 2
Agency ID: LRP Area: NW
Sector: 4 Beat: 61
Report #: LRP24024265
Disposition: R (LRP/2X62)
Dispatch
Unit(s): LRP/2X63 (Officers: LRP/Martinez McKenzie) (Primary), LRP/2X62 (Officers: LRP/Liu
Calvin)
Comments
19:29:06 2/26/2024 (B)(13) SUPV
< ON C/B RECEIVED A PHONE TREE INDICATING THE OFFICERS ARE CLOSED >
19:28:33 2/26/2024 (B)(13) SUPV
< NOTHING HEARD ...ATTEMPTING C/B >
19:28:32 2/26/2024 (B)(13) P4
REQUESTED AVAILABLE UNIT
19:27:59 2/26/2024 (B)(13) SUPV
911 OPEN LINE.....ABORT TEXT: 1. CALLER HUNG UP
Persons
Name: , Centers for Youth and Families
Role: INITIAL CALLER
Address: 6425 W 12TH ST 6425-6601 W. 12TH ST
Apt/Unit:
City:
Phone: (501) 666-8686 Contact?:
Gender: DOB:
Race: Ethnicity:
Age:
Height: Bldg:
Hair: Weight:
Eyes: License #:
Misc:
Vehicles
Premise Hazard
Previous Incidents
Note: The number of previous incidents printed was limited to 1. There were additional previous
incidents not printed. Incomplete Printout (IncNum:1/80 PerNum: 1/14):

LRP2402260489 3/7/2024 8:47:46 AM (B)(13) Page 2 of 4
Location Inc Type Incident # Status Date
6425 W 12TH ST, LR RESC LRF2402190059 Closed 13:51:09 2/19/2024
Name Address Inc Type Incident # Date
Centers for Youth and 6425 W 12TH ST, LR UNK LRP24021803 18:39:20 2/18/2024
Families 00
Associated Incidents
Attachments
History
Time/Date Trans Type User ID Console ID
20:44:58 2/26/2024 UNIT MGMT (B)(13) P3
Unit Location Unit ID: LRP/2X62
Location: NULL (6425 W 12TH ST) Loc Name: NULL (YOUTH EMERGENCY SHELTER)
City: NULL (LR) Zip Code: NULL (72204)
20:44:58 2/26/2024 FREE UNIT (B)(13) P3
Unit Freed Unit ID: LRP/2X62
20:44:58 2/26/2024 INC UPDT (B)(13) P3
Disposition Dispo: R
Unit ID: LRP/2X62
20:44:58 2/26/2024 UNIT STAT (B)(13) P3
Unit Status Unit ID: LRP/2X62
Status: AV (ONS)
20:44:58 2/26/2024 INC STAT (B)(13) P3
Incident Status Status: Closed (Active)
20:38:53 2/26/2024 UNIT MGMT (B)(13) P4
Unit Location Unit ID: LRP/2X63
Location: NULL (6425 W 12TH ST) Loc Name: NULL (YOUTH EMERGENCY SHELTER)
City: NULL (LR) Zip Code: NULL (72204)
20:38:53 2/26/2024 FREE UNIT (B)(13) P4
Unit Freed Unit ID: LRP/2X63
20:38:53 2/26/2024 UNIT STAT (B)(13) P4
Unit Status Unit ID: LRP/2X63
Status: AV (ONS)
20:34:25 2/26/2024 TIMEOUT System System
Unit Timeout Unit ID: LRP/2X63
20:34:21 2/26/2024 TIMEOUT System System
Unit Timeout Unit ID: LRP/2X62
20:19:24 2/26/2024 TIMEOUT (B)(13) P4
Unit Timeout Reset Unit ID: LRP/2X63
Timeout Value: 15
20:19:21 2/26/2024 TIMEOUT (B)(13) P4
Unit Timeout Reset Unit ID: LRP/2X62
Timeout Value: 15
20:15:32 2/26/2024 TIMEOUT System System
Unit Timeout Unit ID: LRP/2X62
20:15:20 2/26/2024 TIMEOUT System System
Unit Timeout Unit ID: LRP/2X63
20:00:32 2/26/2024 UNIT STAT (B)(13) P4
Unit Status Unit ID: LRP/2X62
Status: ONS (ENR)
20:00:20 2/26/2024 TIMEOUT (B)(13) P4
Unit Timeout Reset Unit ID: LRP/2X63
Timeout Value: 15

LRP2402260489 3/7/2024 8:47:47 AM (B)(13) Page 3 of 4
Time/Date Trans Type User ID Console ID
19:59:56 2/26/2024 TIMEOUT System System
Unit Timeout Unit ID: LRP/2X63
19:44:55 2/26/2024 UNIT STAT (B)(13) P4
Unit Status Unit ID: LRP/2X63
Status: ONS (ENR)
19:37:02 2/26/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/2X63
Status: ENR (DSP) Submitted: 19:37:01 2/26/2024
19:36:08 2/26/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/2X62
Status: ENR (DSP) Submitted: 19:36:08 2/26/2024
19:36:05 2/26/2024 UNIT MGMT (B)(13) P4
Unit Location Unit ID: LRP/2X62
Location: 6425 W 12TH ST Loc Name: YOUTH EMERGENCY SHELTER
City: LR Zip Code: 72204
19:36:05 2/26/2024 UNIT MGMT (B)(13) P4
Unit Location Unit ID: LRP/2X63
Location: 6425 W 12TH ST Loc Name: YOUTH EMERGENCY SHELTER
City: LR Zip Code: 72204
19:36:05 2/26/2024 UNIT STAT (B)(13) P4
Unit Status Unit ID: LRP/2X62
Status: DSP (AV)
19:36:05 2/26/2024 UNIT STAT (B)(13) P4
Unit Status Unit ID: LRP/2X63
Status: DSP (AV)
19:36:05 2/26/2024 INC STAT (B)(13) P4
Incident Status Status: Active (Pending)
19:36:05 2/26/2024 RPT NUM (B)(13) P4
Report Number Assigned Rprt Num: LRP24024265
19:36:05 2/26/2024 PRIM UNIT (B)(13) P4
Primary Unit Primary: LRP/2X63
19:36:05 2/26/2024 DPTCH (B)(13) P4
Dispatch Assigned Unit: LRP/2X62 (Officers: LRP/Liu Calvin)
19:36:05 2/26/2024 DPTCH (B)(13) P4
Dispatch Assigned Unit: LRP/2X63 (Officers: LRP/Martinez
McKenzie)
19:36:05 2/26/2024 REC (B)(13) P4
Preferred Rec: [PATROL] 2Y51 (2:47), 2X63 (3:01)
Add'l: [PATROL] 2X62 (3:01), 2X51 (4:34)
Missing: (None)
19:36:05 2/26/2024 REC (B)(13) P4
Fixed (Run Card Set: A) Rec: [PATROL] 2X63, 2Y93
Add'l: [PATROL] 2X93, 2Y51
Missing: (None)
19:33:47 2/26/2024 ACK (B)(13) P3
Priority Ack'd Priority Cmnt: 19:28:33 2/26/2024
Priority Cmnt: 19:29:06 2/26/2024
19:33:00 2/26/2024 TIMEOUT System System
Incident Timeout
19:30:54 2/26/2024 ACK (B)(13) P4
Priority Ack'd Priority Cmnt: 19:29:06 2/26/2024
19:30:42 2/26/2024 ACK (B)(13) P1
Priority Ack'd Priority Cmnt: 19:28:33 2/26/2024

LRP2402260489 3/7/2024 8:47:47 AM (B)(13) Page 4 of 4
Time/Date Trans Type User ID Console ID
Priority Cmnt: 19:29:06 2/26/2024
19:29:06 2/26/2024 CMNTS (B)(13) SUPV
Comments
< ON C/B RECEIVED A PHONE TREE INDICATING THE OFFICERS ARE CLOSED >
19:28:49 2/26/2024 ACK (B)(13) P4
Priority Ack'd Priority Cmnt: 19:28:33 2/26/2024
19:28:33 2/26/2024 CMNTS (B)(13) SUPV
Comments
< NOTHING HEARD ...ATTEMPTING C/B >
19:28:32 2/26/2024 CMNTS (B)(13) P4
Comments
REQUESTED AVAILABLE UNIT
19:27:59 2/26/2024 CMNTS (B)(13) SUPV
Comments
911 OPEN LINE.....ABORT TEXT: 1. CALLER HUNG UP
19:27:59 2/26/2024 PER INFO (B)(13) SUPV
Person 1 Added Role: INITIAL CALLER
First: Centers for Youth and Families Phone: (501) 666-8686
Address: 6425 W 12TH ST 6425-6601 W. 12TH ST Is Property Seized: No
19:27:59 2/26/2024 INC CREATE (B)(13) SUPV
Jurisdiction Area: NW
Sector: 4 Beat: 61
19:27:59 2/26/2024 INC CREATE (B)(13) SUPV
Incident Created Started: 19:26:30 2/26/2024
Details to Follow: None Location: 6425 W 12TH ST
Loc Name: YOUTH EMERGENCY SHELTER Latitude: 34.741185
Longitude: -92.348059 City: LR
Cross Strs: 1100 GILES ST / 1200 LEISURE PL Source: 911
Incid Type: UNK Priority: 2
Zip Code: 72204 Validation Level: Premise Lvl
19:26:30 2/26/2024 ANI/ALI (B)(13) SUPV
911 Call Ani/Ali Populate Time: 19:26:30 2/26/2024
E911 Phone Call Status: Completed Incoming: Yes
Mobile: Yes Time Offered: 19:26:18 2/26/2024
Time Completed: 19:26:25 2/26/2024 Time Received at Switch: 19:26:18 2/26/2024
Total Time on Hold: 0 Total Time in Conference: 0


summary: A resident was transported for acute placement due to destroying property and threatening staff and other residents.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019445
Date of Incident: 2/26/2024
Date Received by PRLU: 2/27/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On February 26, 2024, client DOB: was
transported to Conway Behavioral Services, due to property destruction and threatening staff and
other clients. is in DHS custody and her guardian was notified.
Interim Action Narrative: Resident was transported to acute placement. The police were called
and damaged property was prepared.
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for licensing
concerns. Program Coordinator inquired about camera footage and property damage. 2/28/2024,
facility reported the police were called and damaged property had been repaired. 2/29/2024,
Program Coordinator inquired about what was damaged and requested pictures. Program
Coordinator will request the police report. Facility reported no pictures were taken of damaged
property except for the door. Items that were broken were air vents, emergency lights, toilet paper
holders in the restrooms, and a mag lock on the back door of dorm 2. 3/4/2024, Program
Coordinator inquired if resident will be returning to the facility. Resident will not be returning to the
facility. 3/13/2024, LRPD reported no police report.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov


summary: A resident was transported for acute care after threatening a peer and expressing homicidal thoughts.

raw_content:
AR KAN S A S&S
DEPARTMENT OF

+4 HUMAN
<a¥ SERVICES

DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot $140, Little Rock, AR 72203-1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550

Notice of Serious Incident

Case Number: 019408
Date of Incident: 2/23/2024

Date Received by PRLU: 2/26/2024

Facility Name: Elizabeth Mitchell Centers
Facility Number: 157

Incident Type: Licensing
Report Description: On Friday 2/23/2024 Client pos —

threatening another peer, also stated that she was having homicidal thoughts. was
transported by ambulance to Conway Behavioral for Acute.

Interim Action Narrative: Resident transported to acute placement via ambulance.

Maltreatment Narrative:

Licensing Narrative: Program Coordinator reviewed provider reported incident for licensing
concerns. Program Coordiantor will inquire if resident will be returning to facility. Resident will be
returning to facility after acute placement.

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


summary: Officers were dispatched to the facility in response to a disturbance. Upon arrival, officers were notified by MEMS that they were no longer needed.

raw_content:
LRP2402230531 3/7/2024 8:46:24 AM (B)(13) Page 1 of 4
Incident Detailed Report
Incident #: LRP2402230531
Summary
Location: 6501 W 12TH ST
Loc Name: CENTER FOR YOUTH & FAMILIES
City: LR
Description:
Building: Subdiv:
Floor: Apt/Unit: 2
Status: Closed Created: 23:05:44 2/23/2024
Inc Type: ASTMED Agency Type: L
Mod Circ: Priority: 2
Agency ID: LRP Area: NW
Sector: 4 Beat: 61
Report #: LRP24022820
Disposition: R (LRP/3X61)
Dispatch
Unit(s): LRP/3X71 (Officers: LRP/Christopher Brian) (Primary), LRP/3X61 (Officers: LRP/Larry
Kylan), LRP/3X70 (Officers: LRP/Ellington Terrance)
Comments
23:14:25 2/23/2024 (B)(13) P3
MEMS ADV SCENE SEC VIA CITY COMM
23:14:12 2/23/2024 (B)(13) P1
3X61 SCENE SECURE
23:06:19 2/23/2024 (B)(13) C7
MEMS ADV TO CALL NUMBER SO SOMEONE CAN OPEN DOOR
23:05:44 2/23/2024 (B)(13) C7
MEMS REQ PD TO SECURE SCENE FOR A 17 YOA FEMALE THREATING TO KILL PEOPLE ONS
Persons
Name: , Role: INITIAL CALLER
Address: Apt/Unit:
City:
Phone: (501) 350-2975 Contact?:
Gender: DOB:
Race: Ethnicity:
Age:
Height: Bldg:
Hair: Weight:
Eyes: License #:
Misc:
Vehicles
Premise Hazard
Previous Incidents
Note: The number of previous incidents printed was limited to 1. There were additional previous
incidents not printed. Incomplete Printout (IncNum:1/99 ):

LRP2402230531 3/7/2024 8:46:25 AM (B)(13) Page 2 of 4
Location Inc Type Incident # Status Date
6501 W 12TH ST, LR TERTHR LRP2402150487 Closed 18:12:55 2/15/2024
Associated Incidents
Attachments
History
Time/Date Trans Type User ID Console ID
23:26:16 2/23/2024 UNIT MGMT LRP/(B)(13) LRP/(B)(13)
Unit Location Unit ID: LRP/3X70
Location: NULL (6501 W 12TH ST) Loc Name: NULL (CENTER FOR YOUTH &&
FAMILIES) City: NULL (LR)
Apartment: NULL (2) Zip Code: NULL (72204)
23:26:16 2/23/2024 FREE UNIT LRP/(B)(13) LRP/(B)(13)
Unit Freed Unit ID: LRP/3X70
23:26:16 2/23/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/3X70
Status: AV (ONS)
23:26:16 2/23/2024 INC STAT LRP/(B)(13) LRP/(B)(13)
Incident Status Status: Closed (Active)
23:26:12 2/23/2024 TIMEOUT System System
Unit Timeout Unit ID: LRP/3X70
23:26:06 2/23/2024 UNIT MGMT LRP/(B)(13) LRP/(B)(13)
Unit Location Unit ID: LRP/3X61
Location: NULL (6501 W 12TH ST) Loc Name: NULL (CENTER FOR YOUTH &&
FAMILIES) City: NULL (LR)
Apartment: NULL (2) Zip Code: NULL (72204)
23:26:06 2/23/2024 FREE UNIT LRP/(B)(13) LRP/(B)(13)
Unit Freed Unit ID: LRP/3X61
23:26:06 2/23/2024 INC UPDT LRP/(B)(13) LRP/(B)(13)
Disposition Dispo: R
Unit ID: LRP/3X61
23:26:06 2/23/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/3X61
Status: AV (ENR)
23:14:25 2/23/2024 CMNTS (B)(13) P3
Comments
MEMS ADV SCENE SEC VIA CITY COMM
23:14:12 2/23/2024 CMNTS (B)(13) P1
Comments
3X61 SCENE SECURE
23:11:11 2/23/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/3X70
Status: ONS (ENR) Submitted: 23:11:10 2/23/2024
23:09:08 2/23/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/3X61
Status: ENR (DSP) Submitted: 23:09:07 2/23/2024
23:09:08 2/23/2024 UNIT MGMT (B)(13) P1
Unit Location Unit ID: LRP/3X71
Location: NULL (6501 W 12TH ST) Loc Name: NULL (CENTER FOR YOUTH &&
FAMILIES) City: NULL (LR)
Apartment: NULL (2) Zip Code: NULL (72204)
23:09:08 2/23/2024 FREE UNIT (B)(13) P1
Unit Freed Unit ID: LRP/3X71
23:09:08 2/23/2024 UNIT STAT (B)(13) P1

LRP2402230531 3/7/2024 8:46:25 AM (B)(13) Page 3 of 4
Time/Date Trans Type User ID Console ID
Unit Status Unit ID: LRP/3X71
Status: AV (ENR)
23:09:02 2/23/2024 UNIT MGMT (B)(13) P1
Unit Location Unit ID: LRP/3X61
Location: 6501 W 12TH ST Loc Name: CENTER FOR YOUTH && FAMILIES
City: LR Apartment: 2
Zip Code: 72204
23:09:02 2/23/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/3X61
Status: DSP (AV)
23:09:02 2/23/2024 DPTCH (B)(13) P1
Dispatch Assigned Unit: LRP/3X61 (Officers: LRP/Larry Kylan)
23:09:02 2/23/2024 REC (B)(13) P1
Not Requested Recommendations not requested
23:08:38 2/23/2024 UNIT STAT LRP/(B)(13) LRP/20C636
Unit Status Unit ID: LRP/3X71
Status: ENR (DSP) Submitted: 23:08:36 2/23/2024
23:07:41 2/23/2024 UNIT STAT LRP/(B)(13) LRP/(B)(13)
Unit Status Unit ID: LRP/3X70
Status: ENR (DSP) Submitted: 23:07:39 2/23/2024
23:07:24 2/23/2024 UNIT MGMT (B)(13) P1
Unit Location Unit ID: LRP/3X70
Location: 6501 W 12TH ST Loc Name: CENTER FOR YOUTH && FAMILIES
City: LR Apartment: 2
Zip Code: 72204
23:07:24 2/23/2024 UNIT MGMT (B)(13) P1
Unit Location Unit ID: LRP/3X71
Location: 6501 W 12TH ST Loc Name: CENTER FOR YOUTH && FAMILIES
City: LR Apartment: 2
Zip Code: 72204
23:07:24 2/23/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/3X70
Status: DSP (AV)
23:07:24 2/23/2024 UNIT STAT (B)(13) P1
Unit Status Unit ID: LRP/3X71
Status: DSP (AV)
23:07:24 2/23/2024 INC STAT (B)(13) P1
Incident Status Status: Active (Pending)
23:07:24 2/23/2024 RPT NUM (B)(13) P1
Report Number Assigned Rprt Num: LRP24022820
23:07:24 2/23/2024 PRIM UNIT (B)(13) P1
Primary Unit Primary: LRP/3X71
23:07:24 2/23/2024 DPTCH (B)(13) P1
Dispatch Assigned Unit: LRP/3X70 (Officers: LRP/Ellington
Terrance)
23:07:24 2/23/2024 DPTCH (B)(13) P1
Dispatch Assigned Unit: LRP/3X71 (Officers: LRP/Christopher
Brian)
23:07:24 2/23/2024 REC (B)(13) P1
Preferred Rec: [PATROL] 3X55 (2:42), 1L34 (2:54)
Add'l: [PATROL] 3X41 (3:41), 3X53 (4:03)
Missing: (None)
23:07:24 2/23/2024 REC (B)(13) P1

LRP2402230531 3/7/2024 8:46:26 AM (B)(13) Page 4 of 4
Time/Date Trans Type User ID Console ID
Fixed (Run Card Set: A) Rec: [PATROL] 3X55, 3X50
Add'l: [PATROL] 3X53, 3X40
Missing: (None)
23:07:05 2/23/2024 ACK (B)(13) P1
Priority Ack'd Priority Update: 23:06:56 2/23/2024
23:07:02 2/23/2024 ACK (B)(13) P3
Priority Ack'd Priority Update: 23:06:56 2/23/2024
23:06:56 2/23/2024 TIMEOUT (B)(13) C7
Incident Timeout Reset Timeout Value: 5
23:06:56 2/23/2024 INC UPDT (B)(13) C7
Incident Updated Priority: 2 (4)
Incid Type: ASTMED (DIS) Mod Circum: NULL (IP)
23:06:19 2/23/2024 CMNTS (B)(13) C7
Comments
MEMS ADV TO CALL NUMBER SO SOMEONE CAN OPEN DOOR
23:05:44 2/23/2024 CMNTS (B)(13) C7
Comments
MEMS REQ PD TO SECURE SCENE FOR A 17 YOA FEMALE THREATING TO KILL PEOPLE ONS
23:05:44 2/23/2024 PER INFO (B)(13) C7
Person 1 Added Role: INITIAL CALLER
Phone: (501) 350-2975 Is Property Seized: No
23:05:44 2/23/2024 INC CREATE (B)(13) C7
Jurisdiction Area: NW
Sector: 4 Beat: 61
23:05:44 2/23/2024 INC CREATE (B)(13) C7
Incident Created Started: 23:03:52 2/23/2024
Details to Follow: None Location: 6501 W 12TH ST
Loc Name: CENTER FOR YOUTH && FAMILIES Latitude: 34.740397
Longitude: -92.348335 City: LR
Apt/Unit: 2 Cross Strs: 1100 S HUGHES ST / 1 FAY CT
Source: ADMIN Incid Type: DIS
Mod Circum: IP Priority: 4
Zip Code: 72204 Validation Level: Premise Lvl


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

raw_content:
521 Visit Compliance Report

Licensee: Elizabeth Mitchell Centers

Facility Number: 157

Licensee Address: 6501 W 12TH ST
LITTLE ROCK AR 72204-1511

Licensing Specialist: Kendra Rice
Person In Charge: Paul Hofstad
Record Visit Date: 2/20/2024
Home Visit Date: 2/20/2024

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: 11:45 am to 12:30 pm

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

mh ARKANSAS
) DEPARTMENT OF

) 07 HUMAN
ay “at SERVICES
Division of Child Care & Early Childhood Education
P.O. Box 1437, Slot $140, Little Rock, AR 72203-1437

P: 501.508.8910 F: 501.683.6060 TDD: 501.682.1550

Page 1 of 2

Census: 30

Program Coordinator Rice completed buildings and grounds for Elizabeth Mitchell Centers, EMAC and

EMCC. Ms. Shalanda Howard, Program Manager, escorted Program Coordinator throughout the buildings
and grounds.

The following areas were observed: administrative building, dining room, nurse’s station, classrooms,
bedrooms, therapists’ hall, bathrooms, day area, and lobby.

The grounds between EMAC and EMCC were well maintained, Program Coordinator saw maintenance
walking on the parking lot. Parked card and facility vans were observed on the parking lot.

EMAC - Classrooms: (1) ratio 3:9; (2) ratio 3:8; and (3) 2(8). Residents were sitting in their seats or talking to
staff. All classrooms were preparing for lunch. Bedrooms were organized on dorms 1, 2, 3, and 4. No more
than three residents observed to a room. Bathrooms were clean and sanitized.

EMCC ~ Residents were in the dining area having lunch. No residents were present observed the dorms. East
Dorm there was a staff member present who appeared to be straightened up the day area. North Dorm no one
was present. Bedrooms and bathrooms were clean and sanitized. South Dorm was being cleaned by
housekeeping. New Dorm no one was present. Dorm was clean and organized.

Due to the nurse preparing for med pass, Program Coordinator did not review the MAR’s.

Provider Comments:

CCL Staff Signature : Date: 2/20/2024

Date: 2/20/2024

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


summary: Officers were dispatched to the facility in response to unknown trouble. Upon arrival, officers were advised that one of the juveniles had been playing on the phone.

raw_content:
LITTLE ROCK POLICE DEPARTMENT ABBREVIATED INCIDENT REPORT

JUVENILE INFORMATION INCIDENT Report generated: 2/18/2024 9:36 PM

INCIDENT NUMBER UNIT ASSIGNED CALL DATE CALL TIME TYPE OF CALL

2024-020241 2X71 02/18/2024 18:39:00 UNK

INCIDENT DATE LOCATION OF INCIDENT (ADDRESS / BUSINESS NAME) DISTRICT
6425 W 12TH ST

2/18/2024 6:39:20 PM 61

OFFENSE

NON POLICE INCIDENT

OFFICERS RESPONDED TO THE LOCATION AND WAS ADVISED IT WAS ONE OF THE JUVENILES PLAYING ON THE
PHONE. MVR/BWC IN USE.

ENTRY DATE REPORTING OFFICER ORIGINAL APPROVING SUPERVISOR .
02/19/2024 03:33:32 | KAYLEN GORDON - ij KAYLEN GORDON - gj MVR in use

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


summary: A resident was transported for acute care after attempting to elope and tearing keypads off the walls.

raw_content:
DHS Placement and Residential Licensing Unit
Office of the Secretary
P.O. Box 1437, Slot S140, Little Rock, AR 72203‐1437
P: 501.682.8590 F: 501.683.6060 TDD: 501.682.1550
Notice of Serious Incident
Case Number: 019127
Date of Incident: 2/12/2024
Date Received by PRLU: 2/12/2024
Facility Name: Elizabeth Mitchell Centers
Facility Number: 157
Incident Type: Licensing
Report Description: On February 12, 2024, client DOB: became
dysregulated and attempted to dysregulate other clients. then began to attempt to elope at the
rear door of EMAC. then began tearing keypads off the walls and hiding them on her person.
was then transported to Bridgeway Acute by MEMS EMS. is in DHS custody and her
guardian was notified.
Interim Action Narrative: Resident was transported to acute placement via MEMS.
______________________________________________________________________________
Maltreatment Narrative:
Licensing Narrative: Program Coordinator reviewed provider reported incident for licensing
concerns. Facility reported that resident will be returning to the facility.
We Care. We Act. We Change Lives.
humanservices.arkansas.gov