Facility Evaluation Report

At 9:15 am on 10/22/24, Licensing Program Analyst (LPA) Rankin and Tri Counties Regional Center (TCRC), Quality Assurance Specialist (QA) Jeff Edler arrived at the facility unannounced to conduct a Case Management (CM) visit based on a self-reported incident by the facility and a concern with facility items brought up during Annual visits. LPA and QA met with Program Director Pam Holcombe and explained the reason for the visit.

A TCRC incident report dated 10/4/24 reported that on 10/3/24 two (2) clients were taken out in a staff personal vehicle to an unknown home and left in vehicle for an unknown amount of time. During the CM visit LPA and QA discussed the event with the Program Director. Program Director stated staff took personal vehicle for an hour and a half with 2 clients. Per interview conducted with Client #1 via the Program Director, when they arrived at an unknown location the staff went in one car and the clients were left in another. The cars were next to each other, and no one went inside the house. Per Program Director the clients didn’t seem upset. Per Program Director the policy is that they must be pre-approved to use their personal vehicle for clients. An internal investigation was done by Licensee’s Quality Inspector and Staff 1 was terminated. Currently Staff 2 is employed, but Program Director is unsure of any disciplinary actions or discussions.

The LPA reviewed two (2) client files and two (2) staff files. Physician reports for client’s state one can leave the facility unassisted and the other one cannot. Program Director was advised to conduct a discussion / training where staff acknowledge the rules and policies regarding safety of clients, use of personal vehicles for clients, and policy regarding errands during work hours.