Summary of Facility Monitoring
Facility Name: PEOPLE INC LEVEL E Date: 10/6/2026 Time: 6:29:33 PM
Case Number: K850000207



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Program Name PEOPLE INC LEVEL E Director Gregory Collins
Location 209 North JT STITES

SALLISAW, Oklahoma 74955 		E-Mail Address gcollins@peolpeinc.org
Program Phone (918) 775-3517 County of Facility Sequoyah
Program Type Residential Program Subtype Residential
Residential Specialist Name Wayne Flanagan Residential Specialist
Phone Number 		(405) 397-9672
Capacity 16 Services Provided


Monitoring Summary since 10/6/2023
Listed below are the non-compliances OBSERVED during a visit. The regulation, its description, the non-compliance observed according to the regulation, and a plan of corrective action are all provided. The column "NRS" indicates Numerous, Repeated and/or Serious non-compliances with Licensing Requirements.
Visit Date 7/15/2026 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(l)Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.One personnel without verification of complete orientation on file. Personnel identified during audit will complete orientation and verification placed in file for future review. 07/17/2026No
340:110-3-163(1)(A)Exterior and interior surfaces are maintained in sound condition and free of holes, peeling paper, and paint.Peeling paint through out the facility. Program will repaint areas in facility as necessary. 09/18/2026No
340:110-3-154.5(c)(8)A first aid kit is available in the vehicle at all times.First aid kit not located in vehicle. Kit was placed in vehicle during visit. Program will maintain kit in vehicle at all times. 07/16/2026No
340:110-3-154(d)(1)(H)signed documentation the resident and parents were provided copies of program policies.Document not signed by resident or guardian for one resident filed reviewed. Program will obtain signatures of resident and guardian. Program will notify licensing once completed. 07/17/2026No

Visit Date 3/3/2026 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(a)(6)Residents receive a medical examination by a licensed health care professional within 60-calendar days prior to admission or within 30-calendar days following admission. However, a documented medical exam performed within the 12 months prior to admission is acceptable when a resident is transferred from another licensed program.Documentation for one resident did not show who completed the medical examination and one showed completion by a registered nurse. Program will obtain documentation that verifies criteria being met or have resident seen by an approved provider. Verification will be submitted to licensing. 04/04/2026No

Visit Date 11/21/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154.5(d)(2)In accordance with state law, insurance verification is kept in the vehicle used to transport residents.Document in vehicle showed insurance to have expired 7-1-25. Documentation of current insurance coverage will be placed in vehicle. 11/22/2025No
340:110-3-152(f)(1)(F)any time a resident receives emergency medical treatment by a licensed health care professional;Program failed to notify licensing of resident receiving emergency medical treatment on 10-6-25. Program will notify licensing within one OKHS working day of resident receiving emergency medical services. 11/22/2025No
340:110-3-153.1(g)(1)References. The program obtains three references for personnel prior to employment. Copies are maintained in the employee's personnel record.Not all references for one personnel were obtained prior to hire. Reference will be obtained prior to hire. 11/22/2025No
340:110-3-153.1(h)(1)(C)personnel applicants, prior to hire; however, the program may hire individuals, when:One personnel hired prior to receiving approved results from OBI. Program will only hire personnel after receiving preliminary, complete or exception results from OBI. 11/21/2025No
340:110-3-153.1(l)Orientation. Personnel receive orientation after employment date and within 30-calendar days of employment.Documentation observed for one personnel was not child care specific. One personnel without verification. Personnel will complete orientation that meets licensing requirements within 30 days of employment. 11/22/2025No

Visit Date 6/20/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(b)(2)(A)The service plan is reviewed within 90-calendar days after development and at least every six months thereafter.Review for one resident due 5-25 was not in file. Service plan review for resident identified during this audit will be completed and placed in file for future review. Program will notify licensing once completed. 06/23/2025No

Visit Date 3/6/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(e)(4)In addition to items in (d) of this subsection, the resident record includes:Program director advised there is no form completed when residents are discharged from program. Program will develop a discharge form to meet licensing requirements and place in resident file at the time of discharge. 03/31/2025No

Visit Date 11/13/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154.5(d)(2)In accordance with state law, insurance verification is kept in the vehicle used to transport residents.Current insurance verification not located in vehicle. Current liability insurance documentation will be placed in program vehicle. 11/13/2024No
340:110-3-153.1(o)(2)(A)an OKDHS-provided personnel information sheet, completed for each personnel upon employment and submitted to Licensing within two weeks of his or her employment;One personnel information form not submitted within two weeks of employment. Program will submit personnel information forms to licensing within two weeks of employment date. 11/13/2024No

Visit Date 6/7/2024 Visit Type Full Purpose of Visit Periodic
No non-compliances observed

Visit Date 3/12/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(m)Personnel professional development. Personnel meet professional development requirements in (1) - (7) of this subsection.Four personnel did not have verification on file of completing required annual training for 2023. Personnel will obtain required annual training and have verification on file. 03/12/2024No
340:110-3-163(11)Plumbing. Plumbing is sized, installed, and maintained in a safe manner, per the Oklahoma Plumbing License Act.Faucet in east bathroom not secured to countertop. Work order will be submitted for repair of faucet. Program will notify licensing once corrected. 03/12/2024No
340:110-3-165(4)(B)Means of exit are adequately lighted by natural or electric light at all times to permit safe evacuation of occupants.Two emergency lights in day room not working properly. Work order will be submitted for repair of emergency lighting. Program will notify licensing once corrected. 03/12/2024No
340:110-3-153.1(o)(2)(A)an OKDHS-provided personnel information sheet, completed for each personnel and submitted to Licensing within two weeks of his or her employment;Two personnel information forms not submitted to licensing within two weeks of employment. Program will submit personnel information forms to licensing within two weeks of hire. 03/12/2024No

Visit Date 11/2/2023 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-153.1(g)(1)References. The program obtains three references for personnel prior to employment.One personnel with only two references on file and one personnel with references obtained after being hired. Program will obtain three references prior to hiring an employee. 11/02/2023No
340:110-3-153.1(o)(2)(A)an OKDHS-provided personnel information sheet, completed for each personnel and submitted to Licensing within two weeks of his or her employment;One personnel information form not submitted to licensing within two weeks employees employment date, . Program will submit form within two of employee hire date. 11/02/2023No




Complaint Summary since 10/6/2023
Any complaint investigation that rises to the level of abuse/neglect is referred to OKDHS Child Welfare Services for screening and investigation. All other complaint allegations are investigated by Oklahoma Child Care Services. Only substantiated complaints are available for viewing online.
Complaint Received 12/30/2025
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.2(b)(2)threatening, harsh, humiliating, cruel, abusive, or degrading language;Behavior Management: Staff yelling and using profanity toward a resident. Staff meetings are scheduled for 1-15-26 and 1-16-26 to discuss specific circumstances that led to this corrective action plan. Staff will receive education and re-training on various scenarios involving resident interactions, which will encompass effective communication skills and de-escalation techniques. All staff will confirm their understanding that it is inappropriate to respond to a resident in the same way that the resident is behaving and it will be emphasized that any failure to adhere to this could lead to termination. Substantiated

Complaint Received 9/10/2024
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.2(b)(2)threatening, harsh, humiliating, cruel, abusive, or degrading language;Behavior Management: Personnel making degrading comments to residents. Requested of program. Substantiated