Title Page

  • Site conducted

  • Conducted on

  • Conducted by

  • Check all of the rooms that were searched at this time:

Room Search

  • Dresser

  • Which room?

  • Laundry Basket

  • Which room?

  • Night Stand

  • Which room?

  • Closet

  • Which room?

  • Mattress- underneath the sheets and actual bed. Then look under the bed.

  • Which room?

  • Bags

  • Which room?

  • Clothes- check bras, pockets, inside shoes, zippers, seams, anywhere that something could be hidden.

  • Which room?

  • Trash bins

  • Which room?

  • Windows

  • Which room?

  • Other areas- document where you found the item

  • Which room?

Common Area Search

  • Foyer

  • Dining

  • Small T.V. area

  • Big Room

  • Blush

  • Bathrooms

  • Gym

Inspection Review & Sign

  • Was clinical notified of any findings?

  • Actions taken: (Were the items confiscated, destroyed, client was educated on rules/given restriction, etc.)

  • Staff Signature

  • Review Signature

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