Title Page
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Site conducted
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Conducted on
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Conducted by
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Check all of the rooms that were searched at this time:
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
Room Search
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Dresser
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
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Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Laundry Basket
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Night Stand
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Closet
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Mattress- underneath the sheets and actual bed. Then look under the bed.
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Bags
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Clothes- check bras, pockets, inside shoes, zippers, seams, anywhere that something could be hidden.
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Trash bins
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Windows
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
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Other areas- document where you found the item
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Which room?
- Room 1
- Room 2
- Room 3
- Room 4
- Room 5
- Room 6
- Room 7
- Room 8
- Room 9
- Room 10
- Room 11
Common Area Search
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Foyer
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
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Dining
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
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Small T.V. area
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
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Big Room
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
-
Blush
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
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Bathrooms
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
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Gym
- Safe- No items found
- Drugs
- Drug Paraphernalia
- Personal items contain alcohol as their 1st 3 ingredients
- Sharp objects
- Razors
- Nail polish
- Acetone
- Hot irons
- Nail clippers
- Tweezers
- Food
- Candy
- Drinks/Water cups
- Perfume
- Oils
- Medications
- Money- cash, cards, checks
- Valuable digital items/electronic devices
- Cell phones
- Linens-Blankets etc.
- Unable to search due clients being in the group room
- Concerning written info- self-harm or harm to others
- Other
Inspection Review & Sign
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Was clinical notified of any findings?
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Actions taken: (Were the items confiscated, destroyed, client was educated on rules/given restriction, etc.)
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Staff Signature
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Review Signature
