Trinity Guidance Residential Treatment Center

It was found that the operation did not have a written plan that included both indoor and outdoor activities per day.

It was found in two out of two staff records reviewed there was no documentation of high school diploma or GED.

It was found in two out of two staff files that were reviewed that there was no proof of a request for a background check.

It was found that the operation has not been updating their menu.

It was found in two out of two staff records did not have the date of employment.

It was found in 1 of the staff files reviewed that a direct care staff did not have a CPR certificate.

It was found that the last time the operation validated background checks was in January 2023.

It was found in two out of two staff records reviewed that the Affidavit was not notarized.

It was found in one of the two staff records reviewed that there was no documentation of preservice training.

It was found that no food substitutions were found on the menu provided by the operation at inspection.

It was found that the operations policy included treatment services which was not allowed due to providing only emergency services. The demographic served was inconsistent throughout the operation's policy.

It was found that the last health inspection was completed 12/15/2021.

It was found at the inspection that there was no background check done for Administrator or owner.

It was found at inspection that the operation did not have a recreational calendar for residents.