Summary of Facility Monitoring
Facility Name: SEQUOYAH - BARTLESVILLE Date: 10/6/2026 Time: 9:28:04 PM
Case Number: K850000260



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Program Name SEQUOYAH - BARTLESVILLE Director Kimberly Bizzell
Location 6710 SE ADAMS BLVD
BARTLESVILLE, Oklahoma 74006
E-Mail Address m.jackson@sequoyahinc.com
Program Phone (918) 333-3641 County of Facility Washington
Program Type Residential Program Subtype Residential
Residential Specialist Name Elizabeth Patterson Residential Specialist
Phone Number
(918) 776-7411
Capacity 10 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 6/4/2026 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(b)(2)(C)(v)names and dated signatures of review participants.Initial service plan and 90 day review plan for one resident file does not contain all signatures of those participating. Will request signature of worker for initial and 90 day review service plan for one resident file and notify Licensing when corrected. 06/05/2026No

Visit Date 2/25/2026 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. Copies are maintained in the employee's personnel record.2 personnel files with only 2 references. Will obtain 1 additional reference for each personnel file that only had 2 references and will notify Licensing when completed 03/05/2026No
340:110-3-157(h)(1)At least one flush toilet, hand sink, and bathtub or shower in good working condition is available for every six residents. Bathrooms are convenient to sleeping areas, living, and recreation areas.Rm 4: Toilet lid broken on toilet seat. Will repair or replace toilet lid on toilet in room 4. 02/27/2026No

Visit Date 10/2/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(b)(1)(B)(vi)names and dated signatures of those participating in service plan development.One resident file with initial service plan not signed by all participants. Will have initial plan signed by all participants and notify Licensing 10/03/2025No
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.One resident file with no service plan completed within 90 calendar days after initial plan. Will complete a 90 day service plan for resident, place in the file, and notify Licensing when completed. 10/03/2025No

Visit Date 6/19/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-157(h)Bathrooms. Bathrooms are maintained in a clean and sanitary condition with adequate ventilation.Room 7 - sink has soiled areas in the base of the sink and around the sink countertop. Will clean sink and maintain for cleanliness and sanitation 06/20/2025No
340:110-3-157(h)(1)At least one flush toilet, hand sink, and bathtub or shower in good working condition is available for every six residents. Bathrooms are convenient to sleeping areas, living, and recreation areas.Room 1 - Toilet has not lid for the back of the toilet. Room 8 - Toilet has no lid and is not in operable condition. Will place lid on toilets in rooms 1 and room 8. Will repair toilet in room 8 or purchase new toilet. 06/19/2025No
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.One resident file with medical exam not within 30 days of admission date. Will obtain medical exams within 30 days of admission date or 60 days prior or if from a licensed program within 12 months of admission date. 06/19/2025No
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.One resident file with no 90 day service plan. Will complete 90 day plans with signatures and place in resident file. 06/29/2025No
340:110-3-157(n)Fire safety. The program complies with the state fire marshal's office regulations for construction and fire safety and is inspected annually by the state fire marshal's office or its designee.Fire inspection expired 04/05/2025. Will have fire inspection completed and notify Licensing with completion date 06/30/2025No

Visit Date 2/7/2025 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-165(5)(B)(i)All fire extinguishers are inspected, serviced, and tagged annually by a trained individual.Fire extinguishers expired 01/31/2025. Will have fire extinguishers tagged annually. 02/17/2025No
340:110-3-153.1(h)(1)(C)personnel applicants, prior to hire; however, the program may hire individuals, when:One personnel with no completed background results prior to hire date. Will have completed background results prior to hire date for new employees. 02/07/2025Yes
340:110-3-153.1(m)(3)(E)When residents are in care on the facility premises or on a program-sponsored field trip, at least one personnel is present with current age-appropriate first aid and cardio-pulmonary resuscitation (CPR) documentation. All other child care personnel obtain and maintain age-appropriate first aid and CPR within 90-calendar days of employment. CPR and first aid training are conducted by a certified instructor from an OKDHS-approved source.One personnel with expired CPR and First Aid. Personnel will complete and maintain CPR and First Aid 02/19/2025No
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 to Licensing within 2 weeks of employment.Will submit personnel information forms within 2 weeks of employment date. 02/07/2025No
340:110-3-153.1(o)(2)(F)annual performance evaluation reports and notes relating to the individual's program employment;One staff with no annual performance evaluation Will complete annual performance evaluations on staff. 02/07/2025No

Visit Date 10/18/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(a)(1)(E)immunization record, medical and dental histories, including current medical problems;One resident file with no immunization record available. Will obtain immunization record and place in resident file 10/28/2024No

Visit Date 6/19/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
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;2 personnel information sheets not submitted to Licensing within 2 weeks of employment date. Will send personnel information forms to Licensing within 2 weeks of employment date. 06/19/2024No
340:110-3-163(1)(B)Windows and doors are in good repair, and free of broken glass or hazards.Room 6- bathroom door has large hole where door has been busted in. A new door has been placed on order. Will repair or replace door 07/19/2024No
340:110-3-163(6)Lighting. Resident areas are well-lighted.Room 1 - light in bathroom over the sink is not working. Will replace bulb over the sink in bathroom of room #1. 06/24/2024No
340:110-3-154(b)(1)Comprehensive service plan. A written service plan is developed and documented for residents within 30-calendar days of admission.One resident file with no initial service plan available for Licensing to view. Will place initial service plan in resident file and notify Licensing 06/29/2024No

Visit Date 2/15/2024 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-154(b)(1)Comprehensive service plan. A written service plan is developed and documented for residents within 30-calendar days of admission.One resident file with initial service plan not within 30 days of admission date. Will complete initial service plans within 30 days of admission date. 02/15/2024No
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.One resident file with 6 month service plan review not timely. Will complete 6 month reviews within time frame of the last 6 month review. 02/15/2024No
340:110-3-154(e)(1)(I)signed documentation the resident and parents were provided copies of program policies.One resident file with no signed documentation that resident and parents were provided program policies. Will have resident and parent sign document that program policies were received. 02/25/2024No

Visit Date 10/18/2023 Visit Type Full Purpose of Visit Periodic
RequirementRegulation DescriptionNonCompliance ObservedPlan To CorrectCorrection DateNRS
340:110-3-157(h)(1)At least one flush toilet, hand sink, and bathtub or shower in good working condition is available for every six residents. Bathrooms are convenient to sleeping areas, living, and recreation areas.Bedroom #6, toilet seat broken with no lid attached. Bedroom #7, toilet tank has no lid cover. Will replace toilet seat with lid for toilet in Rm #6. Will cover tank of toilet in Rm #7. 10/18/2023No




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 5/28/2026
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.3(e)(3)Prescription medications are administered, per container instructions, including only administering when the medication is part of a prescribed therapeutic treatment and only to the resident whose full name is on the container label.Medication: Resident was given another resident's medication. Notice to Comply sent for plan of correction. Plan of correction received as the staff that prepares the medication will have a witness staff member that will double-check the process to ensure the 5 rights of administering medication are followed before administering them to the resident. Both Staff will be signing a log to reflect on this procedure. Program Director, Kim Bizzell will be checking the log each day she is present. The HCC will be checking the log weekly. This procedure will stay in place until confidence is assured that staff are following these procedures. After this, the requirements of checking the log will decrease. Substantiated

Complaint Received 4/23/2026
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-153.1(b)Personnel and responsibilities. The program recruits personnel with specialized skills, knowledge, and the cultural understanding and competencies necessary for quality residential care services. Personnel demonstrate responsible behavior reasonably ensuring residents' care and safety. Personnel cooperate with Oklahoma Human Services (OKDHS) staff, including monitoring visits and investigations.Additional Non-Compliance Found During Investigation: Personnel and responsibilities: Personnel not demonstrating responsible behavior in reasonably ensuring residents' care and safety by reporting pertinent information to administration. Notice to Comply sent to the program for plan of correction. Plan of correction received on 06/02/2026 and stated staff will be retrained at the next staff meeting regarding reporting guidelines, even when staff are unclear and drug policy will also be reviewed which covers drugs and smell of drugs being prohibited. Determined During Course of Investigation

Complaint Received 3/26/2026
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-153.2(a)The program employs an adequate number of child care personnel meeting resident's needs, considering residents' ages, physical and mental condition, and other factors affecting the amount of attention and supervision required. Supervision is the function of overseeing and guiding residents, including awareness of, and responsibility for, each resident's ongoing activities.Supervision: Staff was passing medications and a resident walked up and took another resident's medications. Notice to Comply sent to the program for plan of correction. Plan of correction is noted as the staff responsible was terminated as well as all staff were retrained on 03/26/2026 on medication procedures to be followed while administering medications. Retraining also included comparing medications with the bubble pack and the EMAR, having 2 staff checking medications, signing for verification, having resident check prior to administering, and not leaving medications laying around to be picked up. Substantiated

Complaint Received 11/7/2025
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-152(f)(1)(F)any time a resident receives emergency medical treatment by a licensed health care professional;Additional Non-Compliance Found During Investigation: Notifications: It was found during the course of the investigation that the program did not notify Licensing within the next OKDHS business day of residents receiving emergency medical treatment by a licensed health care professional. Notice to Comply sent to the program for plan of correction. Plan of correction received with plan of correction noted as the program did notify Licensing by email after having a chaotic, stressful few days. The program will work on sending the email out within the licensing time requirement of 24 hours. Determined During Course of Investigation

Complaint Received 12/30/2024
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.3(e)(5)Medications are stored in a locked container and under the supervision of the designated personnel.Medication: Medication was found on the counter in the medication room. Notice to Comply sent to the program for plan of correction. Plan of correction received as protocol for medications will be a 2 person verification on all medication passes. In service training provided to staff. Substantiated

Complaint Received 12/17/2024
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.3(e)(1)On each shift, a personnel is designated ensuring compliance with the program's medication policy.Medication : resident was in the medication room and took another resident's medication. Notice to Comply sent to the program. Plan of correction stated staff responsible received an Employee Action Plan and a refresher training on administering medication within the facility. Substantiated

Complaint Received 7/12/2024
RequirementDescriptionAllegation DescriptionPlan To CorrectAllegation Findings
340:110-3-154.3(e)(3)Prescription medications are administered by the designated staff member only as part of a prescribed therapeutic treatment.Health & Medical Services: Staff member gave a resident a peer's prescribed medications in addition to the resident's own medications.Plan of correction received from program that the staff member received supervised administration training on three separate dates prior to being allowed to administer medication alone.Substantiated