Page 1 1

Mailing Address

Scott Walker
Governor

Jon Litscher
Secretary

State of Wisconsin
Department of Corrections

Purchasing Services Section
Division of Management Services
3099 East Washington Avenue
Post Office Box 7991
Madison, WI 53707-7991
Telephone (608) 240-5571
Facsimile (608) 240-3342

Genesis Residential Service Program
Contract 410036-M16-CJ05388-RFP-01
Unannounced Site Inspection- Options House
Awarded to
Genesis Behavioral Services, Inc.
At

Options Residential Services Program
Award date May 1, 2016, with two-year Initial term, with two-year renewals and one-year
renewal option

Prepared by
Richard Houser, Contract Compliance Specialist
Wisconsin Department of Corrections
Madison, Wisconsin
January 10, 2017
Response due date February 10, 2017

Page 12

Table of Contents

Scope and Purpose

3

Introduction.

3

Background

3

Auditing Methodology.

4

Observations of Options Facility

..5

Logbooks

6

Initial Issues

7

Resident and Staff Perceptions

9

Staff and Resident Interview findings regarding current programming

10

Findings from Interviews of Recently Completed Residents

11

Current and Completed Resident Comparisons

13

Interviews with Genesis Staff

13

Program Requirements pursuant to the Contract

16

Client Files

17

Sign-in Sheets for Groups

21

Phone

24

DOC Recommendations

25

Recommendations/Observations - by Options Staff

26

Additional Concerns and Observations

26

Audit Findings

29

Corrective Action Plan

30

Pa ge 13

Scope and Purpose
The Wisconsin Department of Corrections (DOC) has a mission to provide opportunities for
positive changes for successful reintegration of inmates to the community DOC partners with
community service providers and community-based facilities to promote programs that are
safe, humane, cost-efficient, and that provide work and other self-improvement opportunities
to assist residents in becoming law-abiding citizens.
Genesis Behavioral Services Inc. is the provider reviewed in this contract. Contract services
require the provider to work with residents at Options Residential Service Program based on
referral information provided by DOC to include information related to male offender
Criminogenic needs.

Introduction
This contract serves male offenders under the care and supervision of the Wisconsin
Department of Corrections (DOC), Division of Community Corrections (DCC) providing Certified
Substance Abuse Services, Mental Health Services, Domestic Violence Intervention Services,
Cognitive Intervention, and services to address the Criminogenic Needs of the residents.
Several site visits and a review of this contract were conducted as a means to ensure the
provider complies with the technical, program and performance requirements, pursuant to
Section 7 of the Supplemental Standard Terms and Conditions.
Due to HIPPA requirements, pseudonyms will be used to refer to actual residents referenced in
this audit.

Background
Genesis Behavioral Services was awarded Contract 410036-M16-005388-RP-01 to provide
Residential Services Programs at the Options Residential Program located at 6755 14th Avenue,
Kenosha, Wisconsin. This facility is a 20-bed community based residential center for the
treatment of drug abuse and cognitive intervention using DHS 75 AODA standards At the time
of the inspection, 19 of the 20 beds were occupied.
Ms. Delnita Thomas has been the Program Coordinator at the Options Residential Program
since the contract was awarded. Options has a staff of three counselors, five resident
assistants, and an office assistant.
On August 15, 2016, Tracy Hudrlik, Corrections Services Supervisor contacted the DOC Contract
Compliance Specialist requesting a review of the Options Residential Service Program. The
request was based on staffing issues, and whether current programming complied with
Genesis' proposal and contract standards.
Subsequent to the request, contract information was requested from Lisa Jeschke, Program &
Policy Analyst (PPA) Region 2, regarding current operations specific to the contract
specifications, contract background information, service requirements and the Genesis Request

Page 14
for Proposal (RFP) response to the solicitation were examined An audit itinerary, including a
questionnaire for Options residents and staff, was developed with the assistance of Barb
Hanson, Assistant Chief DCC Region 2, Lisa Jeschke and Rick Houser.
On August 22, 2016 Lisa Jeschke received a phone call from DOC Agent Sturbaum stating that
Resident Brandon (pseudonym) contacted her regarding the lack of programming, recordings
and paperwork he had prepared relating to the daily operations at Options
On August 24, 2016 the DOC received an unsolicited ten-page spreadsheet from Resident
Brandon documenting perceived problems with the program conducted at the Options
Residential Services Program This documentation noted a period between June 20 and August
9, 2016 providing a daily account of activities that were not in compliance with the contract
program schedule Examples noted by Resident Brandon regarding inconsistencies in the
program include:
•

Watching movies unrelated to authorized curriculum

•

Groups beginning late or completing early

•

Instances where groups were not conducted

Resident Brandon's contention was that due to the above referenced issues, he documented
his actual dosage hours as 216 instead of the 251 recorded in his client file (250 dosage hours
being his targeted dosage requirement for graduation of the program). Resident Brandon later
provided audio files revealing staff discrepancies to contract requirements.
Under the authority of Section 7.3 of the contract, DOC initiated an audit of the contract to
determine if the programs at Options were compliant with contract requirements and if the
reported inconsistencies had merit.
On August 30, 2016 and September 01, 2016, site visits were conducted where 42% (8) of the
residents (randomly selected) and all available staff (4) were interviewed.
After evaluating the staff and resident interviews, a second site visit was conducted on
September 13th and September 14th to interview the remaining 10 residents and 2 additional
staff not interviewed the first time.
On October 4, 2016 and October 5, 2016, interviews were conducted with fifteen (15) residents
that had recently successfully completed dosage hours from the Options Residential Program.

Audit Methodology
Listed below are the methods used for auditing the Options facility. These methods were used
to determine compliance to the terms and conditions of the contract, which included the
Request for Proposal response submitted by Genesis Behavioral Services

Page 1 5

Sources used to assess compliance to contract requirements:
• Logbooks were reviewed to note use and documentation in breathalyzer tests, urinalysis
screens, resident sign in/out sheets and maintenance schedule.
•

A questionnaire was used as a basis for all resident interviews Incorporated into the
questionnaire were questions relating to program structure, program schedules, group
dynamics, facilitators and resident insights to programs and group sessions

•

Interviews of staff and residents were conducted to examine program schedules, group
sessions, effectiveness of the curriculum, relationships between staff and residents and
an avenue to allow residents and staff to speak freely on topics related to the contract.

•

Interviews of residents completing the program were conducted to examine consistency
in house operations, staffing and program effectiveness.

•

A questionnaire was used as a basis for all staff interviews. Incorporated into the
questionnaire were questions relating to program structure, groups facilitated, group
dynamics, staff interaction and any staff insights

•

Client files were reviewed to examine monthly progress notes and reports, 1:1 sessions,
discharge summaries (if applicable), clinical and physician signatures, dosage hours, and
phase progression of the resident.

At the time of this review, there were 19 residents housed at Options. Eight residents were in
Phase 1, seven residents were in Phase 2 and four residents were in Phase 3.
Dates of site visits.

•

•
Assisting DOC Staff:

August 30, 2016, September 01, 2016, September 13, 2016,
September 14, 2016 (interviews and questionnaire of staff
and residents)
September 28, 2016 (review of resident files)

Rick Houser, Contract Compliance Specialist
Lisa Jeschke, Program & Policy Analyst (PPA) Region 2
Randy Kroll, PPA Region 7
Michael Meulemans, PPA Region 4
Sara Hugo, Corrections Field Supervisor Region 2

Observations at Options Facility
During the initial site visit conducted on August 30, 2016, a walk through the house was done to
observe the physical living conditions. Upon entrance into the building it was immediately
noted how uncomfortably warm and humid it was inside the facility. Only two air conditioners
were in the facility, one was located in the office of Ms. Thomas. The second was located in a
meeting room and was not running.
•

House rules were posted. (per DHS
83.13(3))

•

Menus available to residents (DHS
83.41(2)(c)2

• Holes in the wall plaster in bathroom D
and ceiling of room 7.

Page 16

•

No observable holes or large cracks in
the walls or ceilings in the main areas,
although paint was peeling on the walls
in several places.

•

Missing tile in the bathroom beside
room 10.

•

Bed sheets were recently replaced.

•

No electrical issues were noted

•

There are four showers in the house.
The shower head in bathroom "A" was
not working.

•

Carpet and furniture was not
excessively worn.

•

•

Upper floor was uncomfortably warm
and many fans were set up between
the bedrooms in the hallways to
combat the heat.

Kitchen appeared clean including
ovens, sink and fans. Dishes were hand
washed and allowed to drip dry when
we entered.

•

•

Stained floors in the program/TV room
to the right of the foyer

Exhaust fan in the kitchen recently
replaced.

•

Bedrooms appeared clean and
maintained.

•

Missing glass panel in the program/TV
room.

Audit Team Introduction
Programs began at 7:00 am. Alan Jackson, Resident Assistant was assembling all residents to go
outside for morning stretching/exercising Exercise consisted of walking one block, after which
all residents stood outside the front door and talked or smoked. Allen Jackson was asked if this
was a standard method of exercise/recreation, Mr. Jackson said, "This is what we do every
morning."
DOC staff were introduced to Darren Taylor, Lead Counselor and Delnita Thomas, Program
Coordinator. After introductions, I requested the logbooks from Ms. Thomas and they were
provided.
Resident interviews began at 7:45 am.

Logbooks
•

Drug Screening Log Book
The Logbook contains dates and findings for each resident. For example, resident John
20th and
Anderson has three log entries in August dated August Stn,
27th with negative
test results for UA and breathalyzer on each date.
The logbook has all current residents' names listed on individual sheets with staff initials
as conducting the tests Based on the dates noted in the log, all residents are tested on
a regular basis with no entries of illegal drugs documented from the UA's or
breathalyzer tests. Ms. Thomas stated that the breathalyzer is calibrated once per
month.

•

Options House sign in/out log book
The sign in/out logbook is located at the entrance of the facility and notes the date,
name, in/out times and staff initials. The logbook is consistent with the Genesis RFP

Page 1 7

submission and documents the purpose of sign out such as: groceries, work, doctor's
appointments, etc.
•

Home Pass Request Form
Residents in Phase 3 of the program are permitted to leave the house with staff
approvals for up to 48 hours. The purpose of this leave is to allow residents to visit
their home and family as part of the reintegration/socialization aspect of the program.
The "Home Pass Request Form" is used for accountability of the resident and
documents the resident's name, purpose, date, times, travel route, address and phone
number
➢ There was no documentation in the logbook concerning follow-up or
confirmation of the resident's whereabouts.

•

Maintenance Logbook
Review of the maintenance logbook showed requests for maintenance in June and July
2016 (there was no August sheet in the logbook) Items requested for maintenance
totaled 15 items for these two months. These requests consisted of such things as
leaking pipe in kitchen, holes in the walls needing repair, and toilet leaks. Next to the
maintenance requests are sections in the log sheet, "Maintenance Initials when
Complete" and "Maintenance Date & Time Logged in and out". None of these sections
of the logbook were filled out. Looking at some of the physical areas of concern in the
logbook it was noticed some items were repaired and some were not. Options is
currently utilizing a digital maintenance log where "maintenance tickets" are created on
site and sent electronically to a centralized location where all Genesis maintenance
concerns are pooled At the time of this review, there were two tickets from Options
placed into the new system and recorded as completed within a week of submission.

Initial Issues
On September 2, 2016, Genesis received a letter from Lisa Jeschke detailing initial observations
and concerns at Options (see attachment A). Further investigation into these concerns during
the site visit has revealed additional information. Highlighted below are the incidents and DOC
findings.
REMOVAL OF THE CANDY MACHINE
Issue: A candy machine was located inside Options for use by staff and residents. It
was alleged that the removal of the machine was a retaliatory response by staff
to house rule infractions committed by a resident
DOC Findings: The owner/operator of the candy machine initiated removal of the
machine due to personal medical issues. The owner has since retired and is no
longer in business.

Page 18

STAFF WITHOLDING TOILET TISSUE FROM RESIDENTS
Issue: Options staffs were withholding toilet tissue rolls from residents and issuing
tissue rolls one at a time for return of a used roll as a means for group
punishment.
DOC Findings: Options changed the procedure for ordering supplies from purchasing
through local vendors to purchasing through Amazon, per Genesis management
directive. The delivery of toilet tissue from Amazon was late. Delnita Thomas,
Program Coordinator, was notified of the tissue shortage and had a staff person
go to a local vendor and purchase a small supply. Ms. Thomas initiated a "roll for
roll" system. The resident turned in an empty roll of toilet tissue in order to
receive a full roll. This provided the dual purpose of allowing for a limited supply
available to residents until the Amazon delivery was received and to prevent
hoarding of toilet paper by residents. This method of dispensing toilet tissue and
the reasons behind it was not fully explained to the residents, who interpreted
the more restricted method of tissue distribution as a group punishment.
STAFF DENYING COFFEE TO RESIDENTS
Issue- Options serves only decaffeinated coffee. There was an issue of contraband
entering Options, specifically instant coffee containing caffeine.
DOC Findings: To determine if coffee was smuggled into the house, on August 30, 2016
(the day of the unannounced site visit) Ms. Thomas directed staff not to allow
coffee for breakfast so that staff could watch to see if a resident came to
breakfast with coffee in-hand and question the resident as to its origin. The
residents, not knowing the intent of coffee being withheld during breakfast,
addressed the concern to DOC staff while being interviewed. DOC formally
notified Options to discontinue this form of group punishment. Lisa Jeschke
then emailed Jody Coren, Clinical Supervisor, on September 1, 2016 to see if
there was, "a clinical reason to not allow regular coffee". Ms Coren explained
the withholding of coffee due to contraband issues and the reasons behind the
mornings coffee restriction. The DOC withdrew its claim of "group punishment"
after clarification from Options regarding this issue.
RESIDENTS SLEEPING ON THE MAIN FLOOR
Issue• Fans used in the resident's sleeping quarters upstairs, were not an effective
climate control method during high outdoor temperatures Therefore, Ms.
Thomas allowed residents to bring their mattresses to the main floor at bedtime
so residents could sleep in the coolest part of the house This was confirmed per
interview with Ms. Thomas on September 14th
During a meeting between DOC management and Genesis Behavioral staff on
9/19/16, Genesis staff stated that they were allowing residents to sleep outside

Page 1 9

of their bedrooms for the reason of being fearful of "someone dying" from the
heat upstairs.
DOC Findings• The Genesis RFP response states, "HVAC systems are in place to maintain
temperatures conducive to residential based living environments." (page 24)
This is not to be the case and brings into issue DHS violations of not providing a
safe and comfortable living environment (DHS 83.43) during times of high
temperatures and humidity.
MEALS PREPARED UNDER DIRECT SUPERVISION
Issue: Options is not utilizing a certified dietician for menu recommendations or
nutritional value of the weekly meals.
DOC Findings: Pursuant to Page 14 of Genesis' contract proposal, "Genesis will utilize a
consultant dietician for menu planning and special diets. Under the supervision
of our trained staff, residents will prepare three meals per day as part of their
treatment program."
STAFF THREATENING RESIDENTS
Issue: Reports were received that Tasha Spears, Resident Assistant, threatened
residents with strip searches as a means of gaining compliance to her orders or
enforcing house rules.
DOC Findings: Of 16 residents interviewed, 6 or 37 5% stated Tasha Spears has made
threatening remarks to them regarding being stripped searched. Options, having
conducted their own review dated October 25, 2016, confirmed that statements
to residents of being strip searched did occur from Tasha Spears.

Resident and Staff Perceptions
Below is a compiled list of the most common statements made by residents currently at
Options in response to the interviews and questionnaires conducted on August 30, September
01, 13 and 14, 2016:

Residents impressions of staff
o

Delnita Thomas, Program Coordinator: "Knowledgeable, good counselor,
caring, blunt, passionate, stressed out, does not take criticism well, good cofacilitator in 'Men-in-Trauma'."

o

Darren Taylor, Lead Counselor: "Knowledgeable, caring, most complemented
by clients as a good counselor. Good co-facilitator in `Men-in-Trauma'."

o

Ashley Johnson, Counselor: (left Options in August)• "arrogant, put down clients,
'Many groups went on tangents so she could show her knowledge in other
areas.'

o

Angie Booker, Counselor: "Knowledgeable, knows material, good counselor, but
discusses too many personal problems in group."

Page 110

o

Patricia Price, Counselor: "Nice, assists other counselors, co-facilitator with Ms.
Johnson in COG groups." "Doesn't seem to know what she's talking about" [in
group].

•

When asked what residents like most about the programs, the responses included:
1st
helps them focus
o The strong program structure implemented after May
o

Good to be with others with same issues

o

Groups are straight forward

o

Enjoy group "Men in Trauma"

o

Good counselors

Staff and Resident Interview findings regarding current programming
1. Residents stated they were getting six to eight hours of programming a day.
➢ Program schedule submitted by Genesis denotes 10 hours of programming a
day. Since some programming is "reflective meditation" and "constructive
leisure time" this may account for the difference.
2. Staff and residents stated 1:1 sessions (between a resident and their counselor) was
conducted once per week and lasted between 45 minutes to an hour.
➢ The time allocated for 1:1 sessions complies with contract requirements
3. Adherence to the current programing and group schedules and whether they start on
time.
➢ Nine (47%) of the residents interviewed stated that movies would sometimes be
used instead of regularly scheduled groups. Two of the residents stated they
had requested the program at Options because they had heard in jail that "they
watch all kinds of movies all day." When queried, residents stated the kind of
movies watched included: King Kong, National Treasure, Wayne's World etc...
➢ Seven (37%) of the residents interviewed stated they were required to sign
multiple sign-in sheets at one time for all groups conducted that day or for the
week, whether the groups took place or not (refer to section Sign-in Sheets page
11).
4. AODA groups maintain an 8:1 ratio of residents to staff (unless a co-facilitator is also
present).
➢ Options is conducting some of its groups with a ratio greater than the 8:1
allowance without using a co-facilitator. On August 30, 2016, the morning
AODA group had seventeen residents with no co-facilitator (as monitored by
Michael Meulemans, PPA Region 4). Sign-in sheets also demonstrate noncompliance with the 8:1 ratio requirement. This is a violation of DHS 75 ratio
requirement.

Page ill

5. Failure to Attend Group
➢ When asked what the consequences of not attending a group are, the
response from both residents and staff was that not attending groups rarely
happens. When it does, the facilitator "talks it out with the resident".
6. PREA
➢ Three residents had knowledge of PREA from previous state or county
facilities. All other (16) residents were unaware of the term "PREA" nor did
they know the DOC and Genesis policies or procedures regarding PREA
expectations or rights should an allegation be reported.
➢ Pursuant to RFP Section 7.27(A) "The CONTRACTOR agrees to comply with
the Federal Prison Rape Elimination Act of 2003, and any subsequent
standards imposed by the United States Attorney General."
•

Standards: 28 C.F.R. § 115.233 Resident education
(a) During the intake process, residents shall receive information
explaining the agency's zero-tolerance policy regarding sexual abuse
and sexual harassment, how to report incidents or suspicions of
sexual abuse or sexual harassment, their rights to be free from sexual
abuse and sexual harassment and to be free from retaliation for
reporting such incidents, and regarding agency policies and
procedures for responding to such incidents.
(b) The agency shall provide refresher information whenever a resident is
transferred to a different facility.
(c) The agency shall provide resident education in formats accessible to
all residents, including those who are limited English proficient, deaf,
visually impaired, or otherwise disabled as well as residents who have
limited reading skills.
(d) The agency shall maintain documentation of resident participation in
these education sessions.
(e) In addition to providing such education, the agency shall ensure that
key information is continuously and readily available or visible to
residents through posters, resident handbooks, or other written
formats.

Findings from Interviews of recently Completed Residents
Findings from the interviews conducted with the residents and staff at Options revealed movies
being watched in lieu of groups and residents were required to sign multiple sign-in sheets for
groups at one time. Because these statements supported the initial resident documentation
sent to DOC, it was decided to interview residents having completed the program.
Residents interviewed that recently finished the program had start dates in April and May with
completion of the program in June and July of 2016. Interviews were conducted with these

Page )12

individuals on October 4th and 5th. Ten out of the fifteen residents interviewed (67%) stated
that the groups conducted by the staff were not consistent with the contract program schedule.
Findings from the residents graduating from the program reveal the following:
1. Movies - 77% (10 of 13 — one resident did not respond) stated movies unrelated to
groups/programs were used instead of staff conducting scheduled groups. Examples
of movies watched during programing hours were:
o

Happy Gilmore

o

Independence Day

o

Hunger Games series

2. Group Punishment — defined by residents as all residents punished for one or two
residents committing a rule violation or other house infraction.
o

86% (12 of 14) stated group punishment was the norm for a resident committing
an infraction at Options.
Examples include:
■ Phone privileges were removed because a resident was on the
phone for more than 15 minutes.
•

Beach and park trips taken away due to a resident's violation of
house rules.

•

Evening snack taken away because a resident argued with a staff
member.

•

Cigarette breaks taken away for all residents due to one resident's
bad behavior.

3. Sign-in Sheets — Are used to verify the staff facilitator, residents attendance, and
type of group conducted. The most common comments by residents were:
o

A stack of sign-in sheets would be given to them at one time to sign for the
whole day or for a couple of days.

o
o

Required to sign sign-in sheets whether the group actually took place or not.
Would go to the park or beach at random times during the week but had to sign
the sign-in sheets saying they participated in the group that was supposed to
have happened while they were at the park or beach.

o

Would go to the store on Fridays, but still had to sign sheets that groups
conducted during that time.

o

Refusing to sign the sign-in sheets, even when group did not occur would result
in not getting credit for dosage hours or told they would be written up for
refusing programs.

o

"Around Mid-May" sign-in sheets started being done at the time group was
conducted instead of receiving a stack to sign at one time.

4. Programming — Responses by residents when asked to talk about groups or
programs during their stay at Options:

Page 1 13

o

Groups averaged 3 to 5 hours per day.

o

Groups often started late.

o

46% stated that homework was done in-group (instead of outside of the group).

5. Common Statements from Completed Resident Interviews
Residents were asked to comment on what they liked or disliked about the
programs and/or staff and if there was anything they wanted to add to the interview
notes.
o

Enjoyed going to the park and beach and don't know why it stopped. (Staff
interviewed reported the new curriculum, starting May ft, did not allow for this
form of recreation).

o

Many residents stated they liked the "Men-in Trauma" group.

o

Staff complained in front of residents regarding the new programs/curriculum
starting May 1.

o

NA (Narcotics Anonymous) was an off-site course that many residents stated was
beneficial. The ability to go to this course was abruptly stopped with no
explanation.
■

Note: NA was listed as part of the community self-help support
group provided to residents in the contract (Genesis RFP response,
page 51)

Current and Completed Resident Comparisons
From May 01, 2009 to April 30, 2016, Genesis Behavioral Services "Genesis" was providing
Halfway House AODA services at the same address via contract 410036-M09-KJK1600-RFP-01
On May 1, 2016, Genesis was awarded the current contract.
This comparison is to demonstrate operations at Options with more than just a "snapshot" of
current events The following is a list of concerns and trends from both current and completed
residents as Options transitioned from the old contract to the new (on May 1, 2016):
Event
Movies
Group Punishment

Prior to May 1, 2016

After May 1, 2016

77% of residents stated movies

47% of the residents stated movies were

were watched in lieu of groups.

watched in lieu of groups

86% of residents stated group

84% stated punishment was "fair" and group

punishment was the norm for rule

punishment was not an issue

infractions
Programs

9 out of 15 (60%) stated groups
occurred less than half the time

Resident's statements averaged ten hours of
programing a day

scheduled

a. PREA: Both resident groups (current and recently completed) were not orientated to
their rights and responsibilities regarding PREA.
b. Sign-in Sheets: Both resident groups stated sometimes they were required to sign and
print their names for groups not conducted, or had already been conducted.

Page X14

Interviews with Genesis Staff
On May 1, 2016, Genesis was awarded the current contract with new program requirements
and curriculum. Options was one of the sites included in the new contract and was required to
adapt to a new program format. Part of the interviews included questions pertaining to the
new contract requirements.
CONTRACT TRANSITION
On May 15, 2016, a strategic partnership was entered into between Mat Talbot and
Genesis with the contract continuing under Genesis. Staff reported through interviews
that shortly after the start of the partnership, a combination of circumstances coming
from Genesis management and specific in-house issues were causing stress within
Options. Three facilitators gave the issues listed below as reasons groups were not
consistently run:
•

Upper management positions changed creating a vacuum where no information was
passed down to line staff.

•

Line staff became concerned that the staff cuts in management may trickle down to
include them, thereby causing anxiety "wondering if I was going to have a job
tomorrow "

•

Benefits such as health insurance were discontinued.

•

Being referred to as "at will employees".

•

The recent termination of counselor Duncan.

•

A PREA incident involving staff (resident assistant) with residents.

During staff interviews, 50% stated they were given no formal training on the new
curriculum required under the new contract.
Delnita Thomas, Program Coordinator — has worked at Options for 4 years
Facilitates: AODA, Family Relationships, Community Groups at night, and is cofacilitator with Mr. Taylor on "Men in Trauma".
During the staff interview, Ms. Thomas stated:
•

Homework given to residents is mostly completed in groups (instead of being

•

She is aware of what PREA is but does not have a copy of the policy and would

completed outside of group).
not know what to do if an incident is reported.
•

"Groups don't get canceled and start on time except maybe in May (2016)"

•

"Rough passages in May and early June, things got 'discombobulated"

•

"I do all intakes the day they come in or ASAP the next day."

Angie Booker, Case Manager - has worked at Options for two weeks (at the time of the
Interview).
Facilitates: Wellness, Anger Management, AODA Education, Pro-Social change,
sometimes co-facilitates Cognitive Development with Ms. Price.

Page 115

During staff interviews, Ms Booker stated.
•

75% of homework given to residents is done during group

•

Knows what PREA is but doesn't know the procedure to follow should an
allegation be reported.

•

The following statements were in the context of what Ms. Booker was feeling
and hearing amongst staff:
i. "Transition was terrible, then staff lost their benefits."
ii. "Didn't know if they had a job day to day."
hi. "There was a complete lack of structure. Some groups didn't happen as
long as they were supposed to."

Darren Taylor, Lead Counselor - has worked at Options 8 years
Facilitates: AODA, Relationships, Men in Trauma, Pro Social Reintegration, sometimes
co-facilitates AODA with Ms. Price and takes residents to the grocery store.
A) During the staff interview, Mr. Taylor stated:
•

75% of homework assigned to residents is done during groups

•

Initially stated did not know what PREA was. During the second site visit, he
stated he knew what PREA was but did not know the procedure should an
incident be reported.

•

Regarding food preparation — "Guys learn from other guys how to cook."

•

Two residents are assigned to the kitchen — "Don't think it's being supervised"

B) Statements made regarding transition (changes in Genesis Management)
•

"Apologize to residents about not getting needed programming." Residents
corroborated this statement during interviews.

•

"No accountability, no structure by corporation" [meaning Genesis]

•

"Lots of nights stressed."

•

"When we say family, we take care of each other, we weren't feeling that"

•

"During transition, maybe a group or two didn't happen but [instead] were given
an assignment"

•

"Evenings and afternoons when Delnita or myself were gone- they may have
watched a movie so we could get paperwork done"

•

He reported that he had left work many nights crying

•

Counselors were encouraged to go to Delnita if they felt overwhelmed

Patricia Price, Counselor — has been a counselor at Options since 8/17/16 but has been at
Options as Resident Assistant for 2.5 years.
Facilitates or co-facilitates: Employment Readiness, AODA Relapse Prevention and Cog
Groups, with Ms. Booker, Ms. Thomas and Mr. Taylor
During the staff interview, Ms Price stated:
•

She is aware of what PREA is but not sure what to do if an incident is reported.

•

She has no formal training on curriculum

Page 116

o
•

Received her first day of training the previous Monday (8/22/16)

She will sometimes run cognitive group - and has no education related to this
field (residents confirmed that she has run the cognitive group).
o

Residents stated, "Ms. Price doesn't seem to know what she's talking
about."

Other Staff Notations
•

Staff Meetings: Ms. Thomas stated staff meetings occurred every Wednesday;
Mr. Taylor stated they occurred every other Tuesday; Ms. Booker stated once a
month but could not recall what day of the week

•

Park/beach trips stopped around May 1s` because it doesn't fit into the
curriculum.

Program Requirements pursuant to the Contract
Noted by section are contract requirements listed in the RFP. The responses are by Genesis
staff followed by Genesis' RFP response to the solicitation.
5 7.4 How are continuing services provided during times of staff shortages due to planned
or unplanned absences, including vacancies?
Options Response: Staff stated that Options personnel "fill in for each other"
during any vacancies such as illness or a vacant position.
Genesis RFP submission: Staff filling in for each other may not be qualified or
approved for instructing other classes. "If there are staff shortages,
Genesis will ensure the program is covered and programming is
completed Genesis will provide coverage for staff from other
programs if they are qualified for the position that is short...and the
Program Coordinator and/or Supervising Director may fill in when
needed." (Genesis RFP response page 58)
5.7 5 Explain how you use classroom tools in this program such as audio, visual, verbal
and experiential aides.
Options Response: One counselor stated the tools used during groups include
some role-playing and motivational interviewing. Two counselors
stated they do not use tools but only lecture. Resident interview
results indicated discussion groups was the only method utilized
and did not use tools such as those cited above.
Genesis RFP submission: "Genesis' staff will use strategies that will be supportive
and empowering, such as Motivational Interviewing to ensure that
the resident has help in all affected areas of their lives." (Page 33)

Page X17

"The curricula and activities will utilize role-playing exercises." (Page
54) "
5 7.9 How is homework assigned and expectation for completion? Identify whether
homework is worked on during group time or whether the homework is completed
outside of the group.
Options Response: Homework is partially completed during group and reviewed
the next group meeting (see staff interviews for further analysis
regarding use of this tool).
Genesis RFP submission: Homework should not be completed during session.
"The goal is to provide worksheets at the end of the session to have
the resident complete and return to the next group at which time
they would be shared and processed as a group." (Page 53)
5.8.2.1 Describe the manner in which you would develop and manage each participant's
case plan.
Options Response: We go over treatment during the 1:1 sessions.
Genesis RFP submission: Staff made no mention of resident consultation with
clinical supervisor or physician or the use of diagnostic tools. Nor
did they mention a follow through at the resident's individual
session to discuss meeting resident's abilities, speak of objectives
and goals set as outlined in their individualized case plan. (Section:
Program Overview)
5.8.3.7 Describe procedures for verifying accuracy of off-site/unsupervised activities signout sheets such as employment, employment search, appointments, family time,
etc. and how you will ensure compliance with the rules.
Options Response: Two counselors stated there is no program component for
verifying off-site unsupervised activities other than verifying pay stubs.
The Program Coordinator stated phone calls are made to employers
and unannounced site visits to the offender work place when staffing
allows.
Genesis RFP submission: Although the sign-in/out logbook was utilized for
residents leaving and returning to the facility for employment group,
no documentation was found in client files regarding off-site
verification of employment, employment search, appointments or
family time. "Genesis had developed procedures for verifying the
whereabouts of residents at all times." (page 64)

Page 118

Client Files
Pursuant to the RFP response• "Genesis counselors will be responsible for completing monthly
progress reports. The report will, at minimum, detail the following: individual counseling
participation, group counseling participation, and individual program assignments/treatment
plan completion, progress in substance use recovery, progress in mental health group, program
violations and drug test results The monthly report will be completed every thirty days and
submitted to the agent of record within seven calendar days of the end of each month." (RFP
response page 60).
Initially, five open and two-closed client files were examined at Options. Later, the amount of
files examined at Options increased to a total of twenty client files
DOC Findings from contract files:
1. DHS 75.03(13) states, in part, "The treatment plan shall be reviewed and signed first by
the clinical supervisor and the counselor and secondly reviewed and signed by the
patient and the consulting physician."
Finding: Client files showed inconsistency in the order of signatures. Signature
dates indicate the files being signed by the counselor and client first
DOC Recommendation: The clinical supervisor and the physician are required to
make notations as they review client files and provide feedback
regarding the progress or lack thereof. Given the lack of documentation
and signatures by the clinical supervisor and physician, there is no
documentable proof that all client files are reviewed per contract
requirements.
2. A sampling of twenty client files were reviewed and showed lack of signatures from the
clinical supervisor and/or physician:
•

Discharge/Termination Summary — Fifteen files (75%) did not have signatures of
the clinical supervisor.

•

WI-UPC 30 and/or 60 day update, Adult Assets and Needs — Seven files did not
have the signatures of the clinical supervisor or physician.

•

Treatment Plan for Phases 1,2 and/or 3 — client files did not have the signatures
of the clinical supervisor or physician (several files contained different phases
from the client that had no signatures).

•

Clinical Observations/Impressions — four files did not have the signatures of the
clinical supervisor or physician

•

Standing Order form — three files did not have the signatures of the clinical
supervisor or physician.

•

Monthly Progress Report — Twelve files did not have the signatures of the clinical
supervisor or physician.

Page 119

3. The Discharge/Termination Summary consists of the following elements for client
assessments by the counselor:
•

Offender Assets and Strengths

•

Offender AODA Use Patterns; Negative Impact on Life; Prior Treatment

•

Offender Effort and Progress toward Goals

•

Problems Not Addressed in Treatment

•

Recommendations to address continuing treatment needs

•

Prognosis/Risk for further use and criminality

•

Relapse Prevention/After care Recommendations

Findings: A review of the Discharge/Termination Summary in twenty client files
showed identical or near identical language used in counselor notations in
all files.
This identical or near identical language was also found in files from
different counselors (meaning counselors appear to be using the same
sentences and verbiage verbatim between each other).
4. Prognosis/Risk
• No assessment tool was documented in determining client risk was noted.
•

The basis of how the determination of a client being low, medium or high risk
was not defined in the client files reviewed.

5. Relapse Prevention
• Client files are not individualized per client and lack recommendations.
For example: a client determined as "high level" completes the program
(dosage hours) and the file has no notations stating triggers/stressors or
how to cure i.e. Sober Living, peer groups.
•

Identical language used in client files reviewed.

6. Final Evaluation
• Client files show two or more goals but does not define what the goals are.
7. A written "feedback" system was implemented by Genesis advocating for a peer
approach of constructive feedback from other clients in the program.
DOC Findings: Although feedback groups occur every morning from 8:00 am to 9:00
am, no documentation (feedback slips) were found in the files as specified
in the contract, "Once presented, the feedback is placed in the client's
file." (page 41)
8.

Per Genesis RFP submission, "Staff will utilize a tracking form to document the use of
reinforcers and punishers. The tracking form will be in the format of a Microsoft Excel
spreadsheet." (page 40)

Page 120

DOC Findings• No program manager was aware of this method of documentation.
Nor did they have documentation of any kind regarding the use of
reinforcers and punishers.
9. Client Employment
Clients seeking employment as part of their Phase 3 program had no documentation
noting their progress in seeking employment e.g. business contacted, setting up
interviews Clients employed had no documentation from their work supervisor
regarding job performance, attitude or progress of the client in a working environment.
10 Clinical Supervision Documentation Review
Review of client charts uses the DAP (Data Assessment Plan) format. This is used
to "maintain consistent methods of professional clinical documentation" (page
10).
DAP is a three-part method of documentation by the staff counselor and stands
for:
o DATA — addresses client problems and information directly related to the
client
o

ASSESSMENT —the staff member assessment of the client's progress in
relation to "D".

o

PLAN — describes actions or approach taken based on "A"

DOC Findings: Review of client files showed that assessments did not always
address
the standard language of the "D" data and the Plan did not resolve any
treatments based on assessments.
Example of notations in client's file:
o Client, "Joshua Johnson" in Group — Family Program, Staff
Signature — Darren Taylor
• D: "Clients discussed clarifying issues"
• A: "Client talked about letting go of unchangeable past
experiences"
• P• "Client to understand the effects of his behaviors on his
family"
o Client, "Jacob James" in Group - AODA, Staff Signature —Angela
Booker
•
•

D: "Clients talked about the biological mechanism of
chemical dependency"
A: "Client was attentive but did not provide feedback" (this
was noted as the assessment for this client for all
groups that day)

•

P: "Client to continue ahead with AODA education group"

Page 121

These two examples exemplify the findings regarding this tool during the audit.
The "D" - data was usually one sentence and did not address the client's issues
or information directly related to the client.
The "A"- assessment was one sentence usually stating what, if anything, the
client said in group and gave no example of an assessment of the
client's progress in relation to "D".
The "P"- plan in most cases described the client as continuing to think about one
of the topics of the group as opposed to an actions or approach taken
based on "A".
11. Physician Signatures
Program Coordinator, Delnita Thomas, stated the clinical supervisor, Jody Coren, met
with her every two weeks and the last time she saw the physician, Dr. Gutta, was "about
a month ago" Many of the client files contained unsigned signature lines of the
physician and/or the clinical supervisor.
When querying the clinical supervisor via email dated October 17, 2016, "How often are
the files sent to the physician for signatures?" The clinical supervisor's response was,
"Dr Gutta would like admission/discharges sent on real time basis "
Since real time capability is not yet set up for the RSP/CRP facilities, I again asked the
clinical supervisor the same question. The clinical supervisor's second response was,
"The Psychiatrist reviews material following the Clinical Supervisor (ICS credential). At a
minimum twice monthly but per electronic encrypted capabilities can be up to daily."
Whether "psychiatrist" meant "physician" is unclear. If the clinical supervisor meant
"physician", then the files reviewed do not reflect the physician viewing and signing
client files every two weeks as noted by the clinical supervisor Instead, the dates
beside the signature of the physician are inconsistent and show no pattern of specific
times of the month where signatures are accomplished.
12. Clinical Supervisor/Physician Consultation
DOC Findings: It was not clear in the client files reviewed if there is any actual discussion
between the onsite staff and the clinical staff or the physician Review of the
client files showed no notes from the clinical supervisor or the physician
weighing in or questioning any aspect of the client's progress or
suggestions/recommendations regarding treatment.
13. Registered Nurse
DOC Findings: No documentation was found showing a registered nurse is assigned
to Options.

Page 122

Genesis RFP Submission: "Genesis has a registered nurse on staff who will conduct
physical screens within 7 days of client's admission into the program "
(page 59)

Sign-in Sheets for Groups
During interviews from both residents and staff, it was apparent that groups were not
conducted as regularly as what the program schedule dictated. On October 17, 2016 as part of
the audit, copies of the sign-in sheets for groups was requested on twelve randomly selected
dates:
• May 6, 11 and 23

•

• June 3, 7 and 17

• August 1,5 and 11

July 1, 7 and 20

Sign-in sheets totaling 135 pages were examined to:
•

Verify all resident's that should be in a group were signed in.

•

Review the consistency of the sign-in sheets.

•

Determine if groups are facilitated by qualified staff.

DOC Findings:
Exhibit 1
1. Of the 135 sign-in sheets reviewed, eighteen names had been written as attending a
group but had a line drawn through them implying their names were crossed off for
attending the group.
2. There were two instances (on August 1st) Options did not provide sign-in sheets to
verify that groups actually occurred.
Exhibit 2
1. Shows the dates and times a resident signed two different sign-in sheets for groups
conducted at the same time (one resident in two groups simultaneously).
For example: On Friday, May 6th there were ten resident signatures identifying
participation in two separate groups "Constructive Leisure Time" with facilitator
Lewis Duncan and "12 Step Meeting/Support Group" with facilitator Darren
Taylor from 6pm to 7pm.
It should be noted that the program schedule shows these groups following one
another, but the sign-in sheets document them happening at the same time.
This discrepancy between the times a group occurs in the program schedule vs
the times a group occurs on the sign-in sheets occurs multiple times.
Exhibit 3
1. Shows the dates and times where residents have signed the group sign-in sheet for
participating in a phase 1 and 2 group at the same time they are signed in for
participating in a phase 3 group (this may also relate to Exhibit 1 for the lining out
of resident names).

Page J23

For example: On Friday, May 31-cf, Fans is in AODA Education at 9am-10:30 am (a
group designed for Phase 1 and 2) and is also participating in ProSocial/Reintegration at 6pm-7:30pm (a group designed for Phase 3) the same
day.
➢ Residents should have already completed the dosage hours for phase 1 and 2
prior to being in a Phase 3 group It is not known if Faris (or residents like him)
are receiving Phase 1 and 2 group dosage hours while in a Phase 3 group.
Exhibit 4
1. Groups conducted, whether facilitated or non-facilitated, should be supervised.
According to the latest program schedule (provided by Kalb McCann dated
10/31/16) all groups have a staff members name superimposed over the group
indicating who is supervising. The data in this exhibit shows sign-in sheets of
groups that contain no staff identified as providing supervision or facilitation.
2. There are two notations for Monday, August ft, where Options did not provide
resident sign-in sheets for the Health Education and After Care groups.
Exhibit 5
1. Listed are groups where the facilitator of the group did not sign their own name.
This observation is based on signatures not matching the facilitator signatures from
previous sign-in sheets.
➢ For proper record keeping, only the facilitator conducting the group should
sign the document.
Exhibit 6
1. There are groups such as "Treatment Plan/Personal Growth Assignment" with the
notation "Self Directed Group" where the staff's signature is normally placed.
These groups are part of the program schedule, curriculum, and a structured task.
➢ These groups should be supervised and include the signature of the
facilitator on the sign-in sheets.
Exhibit 7
1. During the interviews with former residents who have completed the program,
eight residents stated they were given "a stack of sign-in sheets" and directed to
sign them all at once. The resident's claim this stack of sign-in sheets could be for all
groups that day, for more than one day
2

Of the twelve days requested for reviewing sign-in sheets, eleven of the days show
evidence of groups signing their names for multiple groups at one sitting.
Sign-in sheet observations:
•

The listing of residents on the sign-in sheets were in identical order for the
whole day, for all groups conducted. Meaning the third signature on the sign-in

Page I24

sheet was the third signature on all sign-in sheets for that day, the fifth
signature was the fifth on all sign-in sheets for that day and in some cases, a few
days in a row.
For example: On Wednesday, May 11th the 8am — 9am Community Group
had residents in the identical order on the sign-in sheet as the
1pm — 2 30pm Treatment Plan/Personal Growth Group.
•

It appears each individual resident used the same writing utensil to sign their
name on every sign-in sheet for that day (or multiple days).
For example: Residents would sign in at the same location using what
appeared to be the same writing utensil on every sign-in sheet
for that day or for multiple days.

3

The identical order in which the resident names are on the sign-in sheets for groups
being conducted throughout the day; and the writing utensils used on the sign-in
sheets appearing identical for many of the residents on the sign-in sheets. The
most plausible way this could be accomplished is:
A. If the residents sat in the same order for every group and each resident used
the same writing utensil for every group. (Keeping in mind that a group that
finished at 9:00 am had the same order and used the same writing utensils at
the 1:00 pm group)
OR
B. Once seated, the residents were given a stack of sign-in sheets for the day.

Phone
The phone used by the residents at Options was discontinued in August due to a $5,000 phone
bill. Inquiry into phone usage was examined and compared to the groups conducted. The
program coordinator stated that there is a fifteen-minute limit on phone use The program
coordinator also stated there is a sign in sheet where residents can reserve time to use the
phone.
DOC Findings:
Exhibit 8
1. The data shows the date, time and duration of phone calls are conducted when all
three phases are in supervised groups.
For example: On Friday, July 1st, phone call minutes were tallied when all three
phases were in groups according to the sign-in sheets (and the
program schedule). The time in-between groups and the times
when one of the phases was not in groups were not included. The
phone usage totaled 4 hours 43 minutes for the day.
This means that, for this particular day, there were 9 hours of overlap where all
three phases were occurring at the same time. Of those 9 hours of group, the
phone was in use by residents for over half that time period (4 hours 43 minutes).

Page 125

Exhibit 9
th
1. This exhibit shows phone calls made at Options from July 1st through August 15
(including weekends). Only phone calls exceeding 30 minutes are documented and
are listed by the duration of the call (lowest to highest minutes).
➢ 101 phone calls made during the 46-day time-frame.
➢ Ten calls over one hour.
➢ The longest call was Saturday, August 13th totaling 1hour 43.3 minutes

DOC Recommendations
1. Recreation: One complaint that kept resurfacing with the residents currently in the
program is the need for recreation. The interview question, "What activities do you
participate in, outside of group?" Every resident's response included a combination of
the following. homework, sit around, play cards, and watch TV/movies. Half of the
residents stated "more recreation" as their first response to "What would you most like
to see changed in the program/curriculum?"
Genesis staff noted, "Residents are only concerned with dosage hours and getting out."
"...nothing to look forward to during or in-between groups," and "...nothing to relieve
the tension or all day classroom setting".
DOC Recommendation: That a scheduled time for "relief' from groups and instruction
via recreation. This would allow both a time to let the teachings "soak
in" and relieve house tensions. It should also be noted that the first
scheduled item for the day "Morning Stretching/Goal Setting"
appeared to be a smoke break as observed on August 30th.
2. Genesis currently uses the discharge summary, post tests and exit interviews to grade
their program. There is no current method for receiving input from successfully
completed residents a month (as an example) after discharge. A suggested method may
be a written survey, i.e. "survey monkey" or other means of information gathering. This
would allow some form of resident follow-up to gain opinions of the program in general,
groups specifically and analyze resident impressions of the program to see how it relates
to recidivism.
3. Notification to the DOC Region 2 PPA (Lisa Jeschke) within 10 days of the successful
completion dates regarding the "additional training by Options staff" as noted in the
October 17th letter by Patricia Faulhaber under Section: Audio Recordings.
4. Staff do not have shared keys to offices. When asked, "What happens if the program
coordinator is sick and staff need to access to files in her office?" Staff had no response.
Staff should have access all offices.

Page 126

5. Interviews revealed- that residents assist residents with meal preparation.

To

accommodate the "Living Skills" component, residents should work with trained staff or
the dietitian in the preparation of meals and special diets.
6. Currently, there is no time allotted for residents to go to the store as a group
Incorporate it into the program schedule a scheduled time, with proper supervision, to
allow residents to go to the store as social integration and leisure activity.

Recommendations/Observations - by Options Staff
1. Curriculum is so full, focus of residents is solely on dosage hours. No time to "take it all
in" we are "following the schedule instead of listening to need".
2. Some residents obtain most of their dosage hours (250) during phase 1 and 2 thus
getting little dosage hours in Phase 3. This means some residents do not receive the
benefits or experience of Phase 3 and leave with little or no money, work experience or
community service.
3. No follow-up by DOC or Genesis when programs are changed, especially by DOC.
4. PPA's only come in when something is wrong
5. Not receiving updates on changes to DOC agents (liaisons & agents) to know who to call.
6

Consolidating intakes to a single group at a time would be more time efficient.

7. Add recreation to the program.
8. Take out wellness because also addressed in AODA.
9. Start jobs in Phase 2 and reduce dosage hours in Phase 2.

Additional Concerns and Observations
Store runs:
Based on interviews, residents have the opportunity to go to a local store every Friday and
are supervised by one staff. When not walking to the store, the Options van is used. The
van holds a third of the residents at one time according to staff therefore, a trip to the store
with residents involves three trips This means the first two groups are dropped off and
remain without supervision until the third trip is complete. This is also the case when
returning, i.e. the last load of residents are not supervised while the first two trips are
conducted.
1. This current procedure is in conflict with "Genesis had developed procedures for
verifying the whereabouts of residents at all times." (Genesis proposal page 64).
2. The program schedule does not provide a time allotment for residents to
participate in a store run, and the sign-in sheets reviewed show groups being
conducted during this time.
Audio Recordings_:
On October 17, 2016, a letter and audio recordings received from a former Options resident
was sent to Patricia Faulhaber, Executive Director for Genesis (attachment 3). The DOC
directed Genesis to provide a plan of action to address the contents of the audio recording
as well as work with the DOC Region 2 PPA to coordinate a response

Page 127

On November 8, 2016, Genesis submitted a letter (attachment 4) in response to the audio
recordings including their findings, determinations and any remedies deemed appropriate
by Genesis.
Genesis Findings:
•

Discussion and analysis occurred between Genesis management and Options
staff.

•

The audio recordings were identified as unacceptable conduct.

•

Conclusions derived from the discussions was that:
o

Performance shortcomings were noted including duration and nature of

o

Perform person-centered counseling for the residents.

o

Staff to maintain professional and ethical conduct at all times.

o

Additional training will be identified for Options staff.

counseling.

Concerns not addressed in the Genesis Audio response.
•

In the audio, resident Brandon states he did not receive the required 250 dosage
hours for program completion. Although the file records 251 dosage hours, the
resident states in the audio that this total is incorrect and that his actual dosage
hours are considerably less. The counselor in the recording dismisses the resident's
statement and no further discussion or review of the resident's file was conducted
to verify or dispute the resident's claim.

•

There is a counselor in the audio that makes several anti-law enforcement
statements. These statements, spoken in the presences of residents, include:
o

"I cannot deal with them people." (referencing police)

o

"I don't want to be around them."

o

"I don't like police, I don't like how they treat people."

o

"I won't tell them if I see anything wrong, 'cause I don't do police."

o

"I'm scared to be around them."

o

"If something is going on, there is nothing in my contract that says I have to call
the police."

o

"I don't like calling the police on people, I'm not doing it "

These statements, as taken from the recordings, were not noted in the Genesis letter as
inappropriate. The recordings also show a lack of boundaries by the counselor. They are
also in conflict with providing a safe environment for residents participating in a DOC
sanctioned program and oppose the DOC Mission Statement of providing opportunities for
positive change.
Clinical Director/Supervisor
An email sent on November 4, 2016 by Patricia Faulhaber noted, "Jody Coren is the Clinical
Director for the entire company."

Page 128

Jody Coren sent an email on November 10, 2016, stating, "Clinical Supervision is a different
function than Clinical Director as described in DHS RL 160."
As noted on page 16 "Findings from Contract Files" client files are not meeting contract
requirements such as proper and timely signatures and consultations The new responsibilities
taken on by Ms. Coren bring into question Genesis' ability to meet these contract requirements
based on her expanded oversight
The Genesis RFP response (page 9) and DHS 75 10 (5) (amended) Section RL 162.01 (1) requires
that the clinical supervisor shall provide at a minimum:
1. Two hours of clinical supervision for every 40 hours of work performed by a
substance abuse counselor-in-training. (also Genesis RFP response page 9)
2. Two hours of clinical supervision for every 40 hours of counseling provided by a
substance abuse counselor.
3. One hour of clinical supervision for every 40 hours of counseling provided by a
clinical substance abuse counselor.
4. One in person meeting each calendar month with a substance abuse counselor-intraining, substance abuse counselor, or clinical substance abuse counselor. This
meeting may fulfill a part of the requirements above.
5. Resident files require the clinical supervisor review and approval of the following:
• Releases of Information
• Progress notes
• Treatment plans
• Staffing notes
• Assessments
• Discharge Summaries
DOC's Concerns
1. Per the emails above, Jody Coren's new position provides a different function than
her previous position. How does this affect the responsibilities of the Clinical
Supervisor as detailed in the contract and DHS 75.10(5)? (see items 1— 5)
2. In the FINDINGS FROM CONTRACT FILES (page 16), several examples noted client
files lacking the clinical supervisor's signature. With Jody Coren's additional
responsibilities to include covering the entire company, how will supervision and
oversight of the client files be improved to meet contract compliance?
3. What will be the backup/support available if Ms. Coren were on leave or
unavailable?
Response to PREA
During the interview with
, and a separate interview with Ms. Thomas, it was stated
that a resident touched
in an inappropriate manner on
As of the date of
the interview on
with
no Genesis staff had interviewed
regarding the
incident. Since this report, Genesis did eventually conduct their own investigation for a
possible staff assault.

Page 129

No staff at Options interviewed for this audit was aware of the procedures or policies related to
PREA should an allegation of sexual assault be reported.
•

Per RFP proposal: Section heading AGENCY COMMITMENT TO STAFF
TRAINING
o "Staff working in DOC programs are trained on PREA as well as new
hire orientation" (page 13)
o Per RFP proposal: Section heading THE FOLLOWING TRAINING IS
REQUIRED OF ALL STAFF ANNUALLY
PREA — 1 hour CBRF Client Group Related Training-30 minutes

•

Per email from Jody Coren, Clinical Director Genesis dated 8/23/16
o Our HR will be handling PREA investigations to optimize objectivity
and minimize subjectivity in accordance with DCC information
provided, FIR protocol and NIC standards

Audit Findings
Genesis shall provide a response to the following issues unless designated as "compliant" or
"no further action needed".
Section: OBSERVATIONS AT OPTIONS FACILITY (page 6)
➢
Holes in the wall plaster in bathroom D and ceiling of room 7
➢
Shower in bathroom "A" not working
➢
Missing glass panel in the program/TV room
➢
Missing tile in the bathroom beside room 10
Section: LOGBOOKS (page 6)
➢
Home Pass Request Form
o Response to follow-up or confirmation of the resident's whereabouts
Section: INITIAL ISSUES (page 7)
➢
Residents Sleeping on Main Floor
o Detail a response to resident's living conditions during times of high outside
temperatures/humidity.
➢
Meals prepared by Options
o Detail a response to Options not utilizing a dietician for menu planning and
special diets.
Section: RESIDENT AND STAFF PERCEPTIONS (page 9)
➢
No further action needed
Section: STAFF AND RESIDENT INTERVIEW FINDINGS REGARDING CURRENT PROGRAMMING
(page 10)
➢
Respond to the DOC Findings under numbers 3,4 and 6

Page I 30

Section: FINDINGS FROM INTERVIEWS OF RECENTLY COMPLETED RESIDENTS (page 11)
➢

Respond to the DOC Findings under items 1— 4 and the last bullet of item 5

Section: CURRENT AND COMPLETED RESIDENT COMPARISONS (pagel3)
➢

No further action needed — Informational

Section: INTERVIEWS WITH GENESIS STAFF (page 14)
➢

Under Patricia Price, Counselor
o

Respond to Ms. Price's statements that she:
o

Assists or Facilitates: Employment Readiness, AODA Relapse Prevention

o

Stated she has no formal training on curriculum.

and Cog Groups.

Section: OTHER STAFF NOTATIONS (page 16)
➢

Confirm the schedule for staff meetings at Options

Section: PROGRAM REQUIREMENTS PURSUANT TO THE CONTRACT (pages 16 - 17)
➢

Respond to the following contract requirements:
o

5.7.4

o 5 8.2.1

o

5.7.5

o 5.8.3.7

o

5/ 9

Section: CLIENT FILES (page 18)
➢

Respond to the DOC Findings under items 1 through 13

Section: SIGN-IN SHEETS FOR GROUPS (page 22)
➢

Respond to the DOC Findings in Exhibit 1 as it relates to residents signing their
names in for a group and then lining it out.

➢

Respond to the DOC Findings in Exhibit 2 as it relates to residents signing in to
two groups being conducted at the same time.

➢

Respond to the DOC Findings in Exhibit 3 as it relates to a resident signing in to
phase 1&2 groups as well as phase 3.

➢

Respond to the DOC Findings in Exhibit 4 as it relates to groups being conducted

➢

Respond to the DOC Findings in Exhibit 5 as it relates to staff signing sign-in

without supervising staff.
sheets for other staff's supervisory/facilitating responsibilities in groups.
➢

Respond to the DOC Findings in Exhibit 6

➢

Respond to the DOC Findings in Exhibit 7 as it relates to staff allegedly circulating
a stack of sign-in sheets to multiple residents to sign off on at one time.
o

Address the bullets within this exhibit

Section: PHONE (page 24)
➢

Respond to the DOC Findings in Exhibit 8 as it relates to high volume phone
usage during scheduled groups in all three phases.

Page 131

➢

Respond to the DOC Findings in Exhibit 9 as it relates to phone usage and phone
monitoring.

Section: ADDITIONAL CONCERNS AND OBSERVATIONS (page 26)
Respond to the DOC Findings in
➢
o Store Runs
o Concerns not addressed in the Genesis Audio Response
o Clinical Director/Supervisor (including the three items in the "Concerns"
subsection) (page 28)
Section: Response to PREA (page 29)
Respond to incident with
➢
➢
PREA training requirements for all staff

Corrective Action Plan
Response by Genesis
It is DOC's expectation that Genesis will respond to each of the items identified in the Audit
Findings section. That Genesis' response will be solutions rather than explanations to the DOC
Findings and how future monitoring of the findings will be applied and maintained.
To that end, pursuant to Section 7 2 of the Contract, Genesis shall provide a corrective action
plan that provides the following:
• Each item in the Findings section in the audit is provided a solution.
•

A plan of oversight to ensure the quality of services is maintained.

•

Any assistance the DOC may offer to meet these solutions.

A response is required within 30 calendar days from the "Prepared by" date noted on the cover
sheet of this review. Your response should be emailed to Cynda.Solberg@wi.gov.
A six-month follow-up will be scheduled from the date of final report to re-examine compliance
to the corrective action plan.
DOC staff retains the right to accept or deny any or all conclusions based on Genesis' response
to this audit, pursue any legal recommendations based on audit findings, and request additional
information from Genesis Behavioral Services and its staff as necessary. DOC The Contract
Administrator and Contract Manager should be kept apprised of any issues related to this
contract and/or the need for any modifications to the contract.
If you have questions, please contact Cynda Solberg at 608-240-5581.

Exhibit #1

NOTE: This is a list of crossed off names on each individual sign in sheet.

Date
Friday, May 6th

Time
7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
3pm-5pm
6pm-7:30pm
6pm-7pm
6pm-7:30pm
9pm-10:30pm

Group
Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Pro-Social/Reintegration
Constructive Leisure Time
12 Step Meeting/Support Group (secular)
Constructive Leisure Time

Phase
1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
3
1,2
1,2,3
1,2,3

Wednesday, May 11th

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
7:30pm-9pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Cognitive Restructuring
Treatment Plan/Personal Growth
Criminogenic Self-Change
Treatment Plan/Personal Growth
Pro-Social/Reintegration
Constructive Leisure Time
Cognitive Skills Group
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2
3
1,2
1,2

9am-5pm
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Employment Search
Cognitive Restructuring
Treatment Plan/Personal Growth
Health Education
Treatment Plan/Personal Growth
Pro-Social/Reintegration
Constructive Leisure Time
Community Group (Feed Back)
Reflection/Meditation

3
1,2
1,2
1,2
1,2
3
1,2
1,2
1,2,3

Monday, May 23rd

# of Names Crossed off

1

1

Exhibit #1
Friday, June 3rd

NOTE: This is a list of crossed off names on each individual sign in sheet.
7am-8am
Morning Stretch/Goal
1,2,3
8am-9am
Community Group (Feed Back)
1,2
9am-10:30am
AODA Education
1,2
9am-5pm
Employment Search
3
10:30am-12pm
Parenting (Fatherhood)
1,2
1pm-2:30pm
Treatment Plan/Personal Growth Assign.
1,2
3pm-5pm
Treatment Plan/Personal Growth Assign.
1,2
6pm-7pm
Constructive Leisure Time
1,2
6pm-7:30pm
Pro-Social/Reintegration
3
6pm-7:30pm
12 Step Meeting/Support Group (secular)
1,2,3
9pm-10:30pm
Constructive Leisure Time
1,2,3

Tuesday, June 7th

8am-9am
9am-10:30am
2:30pm-4pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
9pm-9:30pm
9:30pm-10pm

Community Group (Feed Back)
AODA Education
Wellness Group
Employment Readiness
Treatment Plan/Personal Growth Assign.
Relapse Preventions
Community Meeting (Evening)
Reflection/Meditation

1,2,3
1,2
1
2
1,2
3
1,2,3
1,2,3

Friday, June 17th

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
3pm-5pm
6pm-7pm
6pm-7:30pm
6pm-7:30pm
9pm-10:30pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Pro-Social/Reintegration
12 Step Meeting/Support Group (secular)
Constructive Leisure Time

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2,3
1,2,3

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.

1,2,3
1,2,3
1,2
3
1,2
1,2

Friday, July 1st

2

1

Exhibit #1

NOTE: This is a list of crossed off names on each individual sign in sheet.
3pm-5pm
Treatment Plan/Personal Growth Assign.
1,2
6pm-7pm
Constructive Leisure Time
1,2,3
6pm-7:30pm
Pro-Social/Reintegration
3
6pm-7:30pm
12 Step Meeting/Support Group (secular)
1,2,3
9pm-10:30pm
Constructive Leisure Time
1,2,3

Thursday, July 7th

Wednesday, July 20th

Monday, August 1st

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
7:30pm-9pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Relationships
Men & Trauma
Anger Management
Treatment Plan/Personal Growth Assign.
Relapse Preventions
Constructive Leisure Time
Cognitive Skills Group
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2
3
1,2,3
1,2,3

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
7:30pm-9pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Cognitive Restructuring
Treatment Plan/Personal Growth
Criminogenic Self-Change
Treatment Plan/Personal Growth
Pro-Social/Reintegration
Constructive Leisure Time
Cognitive Skills Group
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2
3
1,2
1,2

8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm

Community Group (Feed Back)
AODA Education
Employment Search
Cognitive Restructuring
Treatment Plan/Personal Growth

1,2,3
1,2
3
1,2
1,2

1

1

1
3
1

1

1

1

Exhibit #1
(No Offenders Listed)→→

(No Offenders Listed)→→

Friday, August 5th

Tuesday, August 11th

NOTE: This is a list of crossed off names on each individual sign in sheet.
2:30pm-4pm
Health Education
1,2
6pm-7:30pm
Treatment Plan/Personal Growth
1,2
6pm-7:30pm
Pro-Social/Reintegration
3
7:30pm-9pm
Constructive Leisure Time
1,2
7:30pm-9pm
After Care Group
3
9pm-9:30pm
Community Group (Feed Back)
1,2,3
9:30pm-10pm
Reflection/Meditation
1,2,3
7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
3pm-5pm
6pm-7pm
6pm-7:30pm
6pm-7:30pm
9pm-10:30pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Pro-Social/Reintegration
12 Step Meeting/Support Group (secular)
Constructive Leisure Time

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2,3
1,2,3

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
7:30pm-9pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Relationships
Men & Trauma
Anger Management
Treatment Plan/Personal Growth
Relapse Preventions
Constructive Leisure Time
Cognitive Restructuring
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2
3
1,2,3
1,2,3

135 total sign in sheets

1

1
1

EXHIBIT #2 NOTE: This is a list of separate incidents on each day where an Client was signed in
on two different sheets/groups going on at the same time.
Date
Friday, May 6th

Time
6pm-7pm
6pm-7pm

Groups Clients Signed In On
Constructive Leisure Time
12 Step Meeting/Support Group

Client Name
Marty
Bill
Steven
Joseph
Larry
Darron
Pablo
Sam
David
Adam

Monday, May 23rd

9am-5pm
10:30am-12pm

Employment Search
Treatment Plan & Personal Growth

Darron

Friday, June 3rd

6pm-7pm
6pm-7:30pm

Constructive Leisure Time
12 Step Meeting/Support Group

Faris
David
Darron
Joseph
Sam
Marty
Pablo
Bill

Tuesday, June 7th

6pm-7:30pm
6pm-7:30pm

Treatment Plan/Personal Growth Assign.
Relapse Preventions

Shawn

Friday, June 17th

6pm-7:30pm
6pm-7:30pm

Pro-Social/Reintegration
12 Step Meeting/Support Group (secular)

Warren
Larry
Bill

Friday, July 1st

9am-5pm
1pm-2:30pm
3pm-5pm

Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

Darron

6pm-7pm
6pm-7:30pm

Constructive Leisure Time
12 Step Meeting/Support Group

Donald
Bobby
Ethan
Kerry
Dan
Wade
Cliff
Darron
Gary
Roderick

6pm-7:30pm
6pm-7:30pm

Pro-Social/Reintegration
12 Step Meeting/Support Group

Larry
Sam
Pablo
Marty
Darron
David

Thursday, July 7th

Friday, August 5th

9am-5pm
9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm

Employment Search
AODA Education
Relationships
Men & Trauma
Anger Management

Donald
Cliff
Kerry

6pm-7:30pm
6pm-7:30pm

Treatment Plan/Personal Growth Assign.
Relapse Preventions

Brandon
Donald
Cliff
Gary
Bobby

7:30pm-9pm
7:30pm-9pm

Constructive Leisure Time
Cognitive Skills Group

Donald
Cliff

6pm-7:30pm
6pm-7:30pm

Pro-Social/Reintegration
12 Step Meeting/Support Group

Dan

6pm-7pm
6pm-7:30pm

Constructive Leisure Time
Pro-Social/Reintegration

Jason
Ethan
Tanner
Roderick
Julius
Nathan
Guentzel
Ben
Glyn
Bobby
Wade
Liam

Exhibit 3 NOTE: These Clients have their names signed on sheets for group sessions conducted for phase 1 and 2 and phase 3, on the
same day.
Date
Friday, May 6th

Wednesday, May 11th

Client Name
Paul

Groups Client Signed In On
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Pro-Social/Reintegration

Phase of Group
1,2
1,2
1,2
3

Time
10:30am-12pm
1pm-2:30pm
3pm-5pm
6pm-7:30pm

Adam

Constructive Leisure Time
Pro-Social/Reintegration

1,2
3

6pm-7pm
6pm-7:30pm

Harry

Community Group (Feed Back)
Reflection/Meditation
Cognitive Skills Group
Pro-Social/Reintegration
Employment Search

1,2
1,2
3
3
3

9pm-9:30pm
9:30pm-10pm
7:30pm-9pm
6pm-7:30pm
9am-5pm

Patrick

Community Group (Feed Back)
Reflection/Meditation
Pro-Social/Reintegration
Cognitive Skills Group
Employment Search

1,2
1,2
3
3
3

9pm-9:30pm
9:30pm-10pm
7:30pm-9pm
6pm-7:30pm
9am-5pm

Faris

Community Group (Feed Back)
Reflection/Meditation
Pro-Social/Reintegration
Cognitive Skills Group
Employment Search

1,2
1,2
3
3
3

9pm-9:30pm
9:30pm-10pm
7:30pm-9pm
6pm-7:30pm
9am-5pm

Reese

Community Group (Feed Back)
Reflection/Meditation
Pro-Social/Reintegration
Cognitive Skills Group
Employment Search

1,2
1,2
3
3
3

9pm-9:30pm
9:30pm-10pm
7:30pm-9pm
6pm-7:30pm
9am-5pm

Shawn

Community Group (Feed Back)
Reflection/Meditation
Pro-Social/Reintegration
Cognitive Skills Group

1,2
1,2
3
3

9pm-9:30pm
9:30pm-10pm
7:30pm-9pm
6pm-7:30pm

Exhibit 3 NOTE: These Clients have their names signed on sheets for group sessions conducted for phase 1 and 2 and phase 3, on the
Adam

same day.
Community Group (Feed Back)
Reflection/Meditation
Pro-Social/Reintegration
Cognitive Skills Group
Employment Search

1,2
1,2
3
3
3

9pm-9:30pm
9:30pm-10pm
7:30pm-9pm
6pm-7:30pm
9am-5pm

Monday, May 23rd

Darron

Cognitive Restructuring
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth
Constructive Leisure Time
Employment Search

1,2
1,2
1,2
1,2
3

10:30am-12pm
1pm-2:30pm
6pm-7:30pm
7:30pm-9pm
9am-5pm

Friday, May 3rd

Faris

AODA Education
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Pro-Social/Reintegration

1,2
1,2
1,2
1,2
3

9am-10:30am
10:30am-12pm
1pm-2:30pm
6pm-7pm
6pm-7:30pm

Tuesday, June 7th

Shawn

Treatment Plan/Personal Growth Assign.
Relapse Preventions

1,2
3

6pm-7:30pm
6pm-7:30pm

Friday, July 1st

Darron

Constructive Leisure Time
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Pro-Social/Reintegration
Employment Search

1,2
1,2
1,2
3
3

6pm-7pm
1pm-2:30pm
3pm-5pm
6pm-7:30pm
9am-5pm

Thursday, July 7th

Brandon

AODA Education
Relationships
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Relapse Preventions

1,2
1,2
1,2
1,2
3

9am-10:30am
10:30am-12pm
6pm-7:30pm
7:30pm-9pm
6pm-7:30pm

Donald

AODA Education
Relationships
Men & Trauma
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time

1,2
1,2
1,2
1,2
1,2

9am-10:30am
10:30am-12pm
1pm-2:30pm
6pm-7:30pm
7:30pm-9pm

Exhibit 3 NOTE: These Clients have their names signed on sheets for group sessions conducted for phase 1 and 2 and phase 3, on the
same day.
Cognitive Skills Group

3

7:30pm-9pm

Cliff

AODA Education
Relationships
Men & Trauma
Anger Management
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Employment Seach
Relapse Preventions
Cognitive Skills Group

1,2
1,2
1,2
1,2
1,2
1,2
3
3
3

9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
7:30pm-9pm
9am-5pm
6pm-7:30pm
7:30pm-9pm

Kerry

AODA Education
Relationships
Men & Trauma
Anger Management
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Employment Seach
Relapse Preventions

1,2
1,2
1,2
1,2
1,2
1,2
3
3

9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
7:30pm-9pm
9am-5pm
6pm-7:30pm

Gary

AODA Education
Relationships
Men & Trauma
Anger Management
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Relapse Preventions

1,2
1,2
1,2
1,2
1,2
1,2
3

9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
7:30pm-9pm
6pm-7:30pm

Bobby

Relationships
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
Relapse Preventions

1,2
1,2
1,2
3

10:30am-12pm
6pm-7:30pm
7:30pm-9pm
6pm-7:30pm

Exhibit #4 Staff Facilitated and Supervised Non-Facilitated Group Session: (No Facilitator Noted)
Date

Time

Group

Phase

Friday, May 6th

7am-8am
8am-9am
9am-5pm
1pm-2:30pm
3pm-5pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

1,2,3
1,2,3
3
1,2
1,2

Wednesday, May 11th

7am-8am
8am-9am
9am-5pm
1pm-2:30pm
6pm-7:30pm
9pm-9:30pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth
Community Group (Feed Back)

1,2,3
1,2,3
3
1,2
1,2
1,2

Monday, May 23rd

9am-5pm
1pm-2:30pm
6pm-7:30pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Employment Search
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth
Constructive Leisure Time
Community Group (Feed Back)
Reflection/Meditation

3
1,2
1,2
1,2
1,2
1,2,3

Friday, June 3rd

7am-8am
8am-9am
9am-5pm
1pm-2:30pm
3pm-5pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

1,2,3
1,2
3
1,2
1,2

Tuesday, June 7th

6pm-7:30pm
9pm-9:30pm
9:30pm-10pm

Treatment Plan/Personal Growth Assign.
Community Meeting (Evening)
Reflection/Meditation

1,2
1,2,3
1,2,3

Friday, June 17th

7am-8am
8am-9am
9am-5pm
1pm-2:30pm
3pm-5pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

1,2,3
1,2,3
3
1,2
1,2

Friday, July 1st

7am-8am
8am-9am
9am-5pm
1pm-2:30pm
3pm-5pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

1,2,3
1,2,3
3
1,2
1,2

Thursday, July 7th

7am-8am
8am-9am
9am-5pm
6pm-7:30pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth Assign.
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
3
1,2
1,2,3
1,2,3

Wednesday, July 20th

7am-8am
8am-9am

Morning Stretch/Goal
Community Group (Feed Back)

1,2,3
1,2,3

Exhibit #4 Staff Facilitated and Supervised Non-Facilitated Group Session: (No Facilitator Noted)
Date

Time

Group

Phase

9am-5pm
1pm-2:30pm
6pm-7:30pm
9pm-9:30pm
9:30pm-10pm

Employment Search
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth
Community Group (Feed Back)
Reflection/Meditation

3
1,2
1,2
1,2
1,2

8am-9am
9am-5pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
7:30pm-9pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth
Health Education
Treatment Plan/Personal Growth
Constructive Leisure Time
After Care Group
Community Group (Feed Back)
Reflection/Meditation

1,2,3
3
1,2
1,2
1,2
1,2
3
1,2,3
1,2,3

Friday, August 5th

7am-8am
8am-9am
9am-5pm
1pm-2:30pm
3pm-5pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

1,2,3
1,2,3
3
1,2
1,2

Tuesday, August 11th

7am-8am
8am-9am
9am-5pm
6pm-7:30pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Treatment Plan/Personal Growth
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
3
1,2
1,2,3
1,2,3

Monday, August 1st

(No Clients Listed)→→

(No Clients Listed)→→

Exhibit #5 NOTE: It appears that these facilitators did not sign their own name. This does not
include names that have been typed, only hand written.
Date
Friday, July 1st

Time
6pm-7:30pm

Group
Pro-Social/Reintegration

Phase
3

Facilitator Name
Ducan

10:30am-12pm Parenting (Fatherhood)

1,2

Darren

6pm-7pm

Constructive Leisure Time

1,2

P. Price

Thursday, July 7th

7:30pm-9pm

Constructive Leisure Time

1,2

P. Price

Wednesday, July 20th

6pm-7:30pm

Pro-Social/Reintegration

3

Ashley

7:30pm-9pm

Cognitive Skills Group

3

Ashley

Exhibit #6 Staff Facilitating Group Session: "Self Directed Group"
Date
Friday, May 6th

Time
9am-5pm
1pm-2:30pm
3pm-5pm

Group
Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

Phase
3
1,2
1,2

Wednesday, May 11th

9am-5pm
1pm-2:30pm
6pm-7:30pm

Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

3
1,2
1,2

Monday, May 23rd

9am-5pm
1pm-2:30pm
6pm-7:30pm
7:30pm-9pm

Employment Search
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth
Constructive Leisure Time

3
1,2
1,2
1,2

Friday, June 3rd

9am-5pm
1pm-2:30pm
3pm-5pm

Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

3
1,2
1,2

Tuesday, June 7th

6pm-7:30pm

Treatment Plan/Personal Growth Assign.

1,2

Friday, June 17th

9am-5pm
1pm-2:30pm
3pm-5pm

Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

3
1,2
1,2

Friday, July 1st

9am-5pm
1pm-2:30pm
3pm-5pm

Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

3
1,2
1,2

Thursday, July 7th

9am-5pm
6pm-7:30pm

Employment Search
Treatment Plan/Personal Growth Assign.

3
1,2

Wednesday, July 20th

9am-5pm
1pm-2:30pm
6pm-7:30pm

Employment Search
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth

3
1,2
1,2

Monday, August 1st

9am-5pm
1pm-2:30pm
6pm-7:30pm
7:30pm-9pm

Employment Search
Treatment Plan/Personal Growth
Treatment Plan/Personal Growth
Constructive Leisure Time

3
1,2
1,2
1,2

Friday, August 5th

9am-5pm
1pm-2:30pm
3pm-5pm

Employment Search
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

3
1,2
1,2

Tuesday, August 11th

9am-5pm
6pm-7:30pm

Employment Search
Treatment Plan/Personal Growth

3
1,2

Exhibit #7 In addition to the clients' signatures being in the exact same order throughout the day on
different sign in sheets, it also appears that each individual client used the same writing utensil to sign
their name on each sign in sheet.
Date
Friday, May 6th

Time
1pm-2:30pm
3pm-5pm

Group
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

Phase
1,2
1,2

6pm-7pm
6pm-7:30pm

Constructive Leisure Time
12 Step Meeting/Support Group (secular)

1,2
1,2,3

7am-8am
8am-9am

Morning Stretch/Goal
Community Group (Feed Back)

1,2,3
1,2,3

1pm-2:30pm
2:30pm-4pm

Treatment Plan/Personal Growth Assign.
Criminogenic Self-Change

1,2
1,2

9pm-9:30pm
9:30pm-10pm

Community Group (Feed Back)
Reflection/Meditation

1,2
1,2

Monday, May 23rd

10:30am-12pm
1pm-2:30pm

Cognitive Restructuring
Treatment Plan/Personal Growth

1,2
1,2

Tuesday, June 7th

8am-9am
9am-10:30am

Community Group (Feed Back)
AODA Education

1,2,3
1,2

Friday, June 17th

8am-9am
9am-5pm
9am-10:30am
10:30am-12pm
1pm-2:30pm
3pm-5pm
6pm-7pm
6pm-7:30pm
9pm-10:30pm

Community Group (Feed Back)
Employment Search
AODA Education
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
12 Step Meeting/Support Group (secular)
Constructive Leisure Time

1,2
3
1,2
1,2
1,2
1,2
1,2
1,2,3
1,2,3

Friday, July 1st

7am-8am
8am-9am
9am-10:30am
10:30am-12pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Parenting (Fatherhood)

1,2,3
1,2,3
1,2
1,2

1pm-2:30pm
3pm-5pm
6pm-7pm
6pm-7:30pm
9pm-10:30pm

Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time
12 Step Meeting/Support Group (secular)
Constructive Leisure Time

1,2
1,2
1,2,3
1,2,3
1,2,3

7am-8am
8am-9am
9am-5pm
6pm-7:30pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
Employment Search
Relapse Preventions
Cognitive Skills Group
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
3
3
3
1,2
1,2,3

Wednesday, May 11th

Thursday, July 7th

Exhibit #7 In addition to the clients' signatures being in the exact same order throughout the day on
different sign in sheets, it also appears that each individual client used the same writing utensil to sign
their name on each sign in sheet.
Date

Time

Group

Phase

9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
7:30pm-9pm

AODA Education
Relationships
Men & Trauma
Anger Management
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time

1,2
1,2
1,2
1,2
1,2
1,2

Wednesday, July 20th

7am-8am
8am-9am
9am-10:30am
9am-5pm
10:30am-12pm
1pm-2:30pm
2:30pm-4pm
6pm-7:30pm
6pm-7:30pm
7:30pm-9pm
7:30pm-9pm
9pm-9:30pm
9:30pm-10pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Employment Search
Cognitive Restructuring
Treatment Plan/Personal Growth
Criminogenic Self-Change
Treatment Plan/Personal Growth
Pro-Social/Reintegration
Constructive Leisure Time
Cognitive Skills Group
Community Group (Feed Back)
Reflection/Meditation

1,2,3
1,2,3
1,2
3
1,2
1,2
1,2
1,2
3
1,2
3
1,2
1,2

Monday, August 1st

8am-9am
9am-10:30am
10:30am-12pm

Community Group (Feed Back)
AODA Education
Cognitive Restructuring

1,2,3
1,2
1,2

9pm-9:30pm
9:30pm-10pm

Community Meeting (Feed Back)
Reflection/Meditation

1,2,3
1,2,3

7am-8am
8am-9am
9am-10:30am
10:30am-12pm

Morning Stretch/Goal
Community Group (Feed Back)
AODA Education
Parenting (Fatherhood)

1,2,3
1,2,3
1,2
1,2

1pm-2:30pm
3pm-5pm
6pm-7pm

Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.
Constructive Leisure Time

1,2
1,2
1,2

6pm-7:30pm
9pm-10:30pm

12 Step Meeting/Support Group (secular)
Constructive Leisure Time

1,2,3
1,2,3

7am-8am
8am-9am
9am-10:30am
10:30am-12pm

Morning Stretch
Community Group
AODA Education
Relationships

1,2,3
1,2,3
1,2
1,2

6pm-7:30pm
7:30pm-9pm

Treatment Plan/Personal Growth Assign.
Constructive Leisure Time

1,2
1,2

Friday, August 5th

Thursday, August 11th

2:30pm-4pm
9pm-9:30pm
9:30pm-10pm

Anger Management
Community Group
Reflection/Meditation

1,2
1,2,3
1,2,3

Exhibit #8 NOTE: These are phone calls made during overlaps of ALL 3 phases. Phone calls under 5 minutes were not included.
Date
Friday, July 1st

Time
7am-8am

Phase
1,2,3

Group
Constructive Leisure Time

9am-5pm
10:30am-12pm
1pm-2:30pm
3pm-5pm

3
1,2
1,2
1,2

Employment Search
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
Treatment Plan/Personal Growth Assign.

7/1/2016
7/1/2016
7/1/2016
7/1/2016
7/1/2016
7/1/2016
7/1/2016
7/1/2016
7/1/2016
7/1/2016

PM
PM
PM
PM
PM
PM
PM
PM
PM
PM

22
5
7
6
13
5
7
12.5
6
10

6pm-7pm
6pm-7:30pm
6pm-7:30pm

1,2
3
1,2,3

Constructive Leisure Time
Pro-Social/Reintegration
12 Step Meetin/Support Group (secular)

7/1/2016 6:03:50 PM
7/1/2016 7:07:03 PM
7/1/2016 7:14:19 PM

17.3
5
26

9pm-10:30pm

1,2,3

Constructive Leisure Time

7/1/2016 9:05:32 PM
7/1/2016 9:25:50 PM
7/1/2016 9:39:05 PM
7/1/2016 10:04:48 PM

16.9
14
25
28

Total Time of
Phase Overlap
9 Hours

Phone Number Called

Date & Time of Call
7/1/2016 7:04:50 AM
7/1/2016 7:28:55 AM
1:50:54
2:23:07
3:26:44
3:44:32
3:52:03
4:06:12
4:15:04
4:27:54
4:44:03
4:48:55

Duration of Call
23.3
34

Total Time of
Phone Usage
4 Hours, 43min

Date
Thursday, July 7th

Time
8am-9am

Phase
1,2,3

Group
Community Group (Feed Back)

9am-5pm
9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm

3
1,2
1,2
1,2
1,2

6pm-7:30pm
6pm-7:30pm

Phone Number Called

Date & Time of Call
7/7/2016 8:30:39 AM
7/7/2016 8:47:18 AM

Duration of Call
16
18

Employment Search
AODA Education
Relationships
Men & Trauma
Anger Management

7/7/2016 11:56:33 AM
7/7/2016 1:10:35 PM
7/7/2016 1:22:53 PM
7/7/2016 1:34:13 PM
7/7/2016 2:00:39 PM
7/7/2016 3:03:18 PM
7/7/2016 3:07:01 PM
7/7/2016 3:28:25 PM
7/7/2016 3:35:09 PM
7/7/2016 3:46:16 PM
7/7/2016 3:58:26 PM

17
11
10
6
6
5
6
6.1
12
13
6.5

1,2
3

Treatment Plan/Personal Growth Assign.
Relapse Preventions

7/7/2016
7/7/2016
7/7/2016
7/7/2016

6:39:52
6:47:09
7:07:45
7:19:11

PM
PM
PM
PM

6.1
12
11
18

7:30pm-9pm
7:30pm-9pm

1,2
3

Constructive Leisure Time
Cognitive Skills Group

7/7/2016
7/7/2016
7/7/2016
7/7/2016
7/7/2016

7:35:58
7:53:59
8:16:50
8:46:37
8:53:49

PM
PM
PM
PM
PM

18
18
27
8
5

9pm-9:30pm

1,2,3

Community Group (Feed Back)

7/7/2016 9:02:15 PM
7/7/2016 9:20:02 PM

15
12

9:30pm-10pm

1,2,3

Reflection/Meditation

7/7/2016 9:32:21 PM
7/7/2016 9:36:59 PM

6
23

Total Time of
Phase Overlap

Total Time of
Phone Usage

11 Hours

5 Hours, 12min

Date
Wednesday, July 20th

Time
7am-8am

Phase
1,2,3

Group
Morning Stretch/Goal

8am-9am

1,2,3

9am-5pm

Phone Number Called

Date & Time of Call
7/20/2016 7:19:33 AM
7/20/2016 7:28:50 AM
7/20/2016 7:34:38 AM
7/20/2016 7:48:25 AM

Duration of Call
9
5
15
15

Community Group (Feed Back)

7/20/2016 8:22:01 AM

8

3

Employment Search

9am-10:30pm

1,2

AODA Education

7/20/2016 10:28:26 AM
7/20/2016 10:38:22 AM

11
10

10:30am-12pm
1pm-2:30pm
2:30pm-4pm

1,2
1,2
1,2

Cognitive Restructuring
Treatment Plan & Personal Growth
Criminogenic Self-Change

7/20/2016 10:58:56 AM

6

7/20/2016 11:04:21 AM
7/20/2016 11:20:18 AM
7/20/2016 11:43:54 AM
7/20/2016 11:53:41 AM
7/20/2016 1:25:35 PM
7/20/2016 1:32:15 PM
7/20/2016 1:38:32 PM
7/20/2016 1:54:25 PM
7/20/2016 2:37:16 PM
7/20/2016 2:46:09 PM
7/20/2016 2:58:56 PM
7/20/2016 3:21:17 PM
7/20/2016 3:30:42 PM
7/20/2016 3:35:20 PM
7/20/2016 3:41:22 PM
7/20/2016 3:59:11 PM

11
19
6
9
6
7
17
8
10
11
12
9
6
7
7
12

6pm-7:30pm

1,2

Treatment Plan & Personal Growth

7/20/2016
7/20/2016
7/20/2016
7/20/2016
7/20/2016
7/20/2016
7/20/2016

6:03:49
6:36:01
6:45:21
6:50:13
7:00:29
7:11:17
7:29:45

PM
PM
PM
PM
PM
PM
PM

7/20/2016 7:36:34 PM

29
5
5
6
7.7
19
7
5

Date

Time

Phase

Group

Phone Number Called

Date & Time of Call
7/20/2016
7/20/2016
7/20/2016
7/20/2016

7:57:30
8:19:08
8:27:57
8:51:36

PM
PM
PM
PM

Durration of Call
21
10
20
32

Total Time of
Phase Overlap

Total Time of
Phone Usage

11 Hours

6 Hours, 42min

Date

Time

Phase

Group

Monday, August 1st

8am-9am

1,2,3

No Sign In Sheet →→

9am-5pm
9am-10:30am
10:30am-12pm
1pm-2:30pm
(2:30pm-4pm)

No Sign In Sheet →→

Date & Time of Call

Durration of Call

Community Group (Feed Back)

8/1/2016 8:33:23 AM
8/1/2016 8:48:38 AM

14
8

3
1,2
1,2
1,2
(1,2)

Employment Search
AODA Education
Cognitive Restructuring
Treatment Plan & Personal Growth
(Health Education)

8/1/2016 10:26:57 AM
8/1/2016 11:59:05 AM
8/1/2016 1:41:27 PM
8/1/2016 2:11:02 PM
8/1/2016 2:20:22 PM
8/1/2016 2:25:33 PM
8/1/2016 2:40:35 PM
8/1/2016 2:49:19 PM
8/1/2016 3:09:15 PM
8/1/2016 3:14:01 PM
8/1/2016 3:29:26 PM
8/1/2016 3:48:56 PM
8/1/2016 3:53:44 PM

6
5
9
10
5
6
6
13.3
6
6
6
6
6

6pm-7:30pm
6pm-7:30pm

1,2
3

Treatment Plan & Personal Growth
Pro-Social/Reintegration

8/1/2016 7:29:24 PM

10

7:30pm-9pm
(7:30pm-9pm)

1,2
(3)

Constructive Leisure Time
(Aftercare)

8/1/2016
8/1/2016
8/1/2016
8/1/2016
8/1/2016
8/1/2016
8/1/2016
8/1/2016

PM
PM
PM
PM
PM
PM
PM
PM

10
21
9
5
19
12
8.9
16

9pm-9:30pm

1,2,3

Community Meeting (Feed Back)

8/1/2016 9:23:06 PM

30

9:30pm-10pm

1,2,3

Reflection/Meditation

8/1/2016 9:23:06 PM
8/1/2016 9:51:29 PM

30
9

Total Time of
Phase Overlap

Phone Number Called

7:29:24
7:43:43
8:06:26
8:14:24
8:18:36
8:38:04
8:49:49
8:59:32

Total Time of
Phone Usage

4 Hours, 52min

11 Hours
Date

Time

Phase

Group

Friday, August 5th

7am-8am

1,2,3

8am-9pm

Date & Time of Call

Durration of Call

Morning Stretch/Goal

8/5/2016 7:26:31 AM
8/5/2016 7:32:01 AM

7
13

1,2,3

Community Meeting (Feed Back)

8/5/2016 8:29:09 AM
8/5/2016 8:38:24 AM

9
6

9am-5pm
9am-10:30am
10:30am-12pm
1pm-2:30pm
(3pm-5pm)

3
1,2
1,2
1,2
(1,2)

Employment Search
AODA Education
Parenting (Fatherhood)
Treatment Plan/Personal Growth Assign.
(Treatment Plan/Personal Growth Assign.)

8/5/2016 1:08:41 PM

20

No Sign In Sheet →→

(6pm-7pm)
6pm-7pm
6pm-7:30pm

(1,2)
3
1,2,3

(Constructive Leisure Time)
Pro-Social/Reintegration
12 Step Meeting/Support Group (secular)

8/5/2016 6:02:56 PM
8/5/2016 6:26:26 PM
8/5/2016 6:45:18 PM

24
20
23

No Sign In Sheet →→
No Sign In Sheet →→

(7pm-8:30pm) (1,2,3)
(9pm-10:30pm) (1,2,3)

(12 Step Meeting/Support Group (secular))
(Constructive Leisure Time)

8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016

7
10
17
21
5
28

No Sign In Sheet →→

Phone Number Called

8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016
8/5/2016

1:33:34
1:44:08
2:00:11
2:23:12
3:10:43
3:34:44
3:42:03
3:57:30
4:33:36
4:51:19

7:08:38
7:19:34
7:36:31
7:59:41
8:20:27
9:33:12

PM
PM
PM
PM
PM
PM
PM
PM
PM
PM

PM
PM
PM
PM
PM
PM

9
6
16
45.7
21
7
9
16
19
11

Total Time of
Phase Overlap

Total Time of
Phone Usage

12.5 Hours

6 Hours, 10min

Date

Time

Phase

Group

Thursday, August 11th

7am-8am

1,2,3

Morning Stretch/Goal

Phone Number Called

Date & Time of Call

Durration of Call

8/11/2016 7:15:52 AM

9

8/11/2016 7:25:28 AM
8/11/2016 7:52:21 AM

24.9
9

8/11/2016 8:33:01 AM

8

8/11/2016 10:26:30 AM
8/11/2016 1:05:15 PM
8/11/2016 1:29:42 PM
8/11/2016 1:51:29 PM
8/11/2016 2:16:04 PM
8/11/2016 2:24:47 PM
8/11/2016 2:29:18 PM
8/11/2016 2:41:05 PM
8/11/2016 2:54:56 PM
8/11/2016 3:35:53 PM
8/11/2016 3:48:05 PM

7
8
7
23
6
6
6
5
18
11
8

8am-9am

1,2,3

Community Group (Feed Back)

9am-5pm
9am-10:30am
10:30am-12pm
1pm-2:30pm
2:30pm-4pm

3
1,2
1,2
1,2
1,2

Employment Search
AODA Education
Relationships
Men & Truama
Anger Management

6pm-7:30pm
6pm-7:30pm

1,2
3

Treatment Plan/Personal Growth Assign.
Relapse Preventions

8/11/2016 6:58:06 PM
8/11/2016 7:11:15 PM

12.5
17

7:30pm-9pm
7:30pm-9pm

1,2
3

Constructive Leisure Time
Cognitive Skills Group

8/11/2016 7:31:55 PM
8/11/2016 8:45:22 PM

5
21

9pm-9:30pm

1,2,3

Community Directed Group

8/11/2016 9:05:43 PM
8/11/2016 9:16:19 PM
8/11/2016 9:19:59 PM

6
5
13

9:30pm-10pm

1,2,3

Reflection/Meditation

8/11/2016 9:31:58 PM
8/11/2016 9:36:17 PM
8/11/2016 9:41:02 PM

5
6
11

Total Time of
Phase Overlap

Total Time of
Phone Usage

12 Hours

4 Hours, 18min

Exhibit #9 NOTE: These are the 101 phone calls, lasting more than 30
minutes long, between July 1st and August 15th

Phone Calls More than 30 Minutes Long
Phone Number Called

Date & Time of Call
8/14/2016 8:13:39 PM
7/15/2016 5:44:43 PM
7/16/2016 1:16:30 AM
7/16/2016 11:01:34 PM
7/17/2016 11:00:57 AM
7/18/2016 7:12:17 AM
7/23/2016 8:48:59 PM
7/28/2016 5:45:42 AM
8/3/2016 7:15:16 AM
7/14/2016 5:11:53 AM
7/19/2016 5:33:30 PM
7/20/2016 8:51:36 PM
8/3/2016 3:23:48 PM
8/3/2016 6:43:57 PM
7/2/2016 12:59:17 PM
7/2/2016 6:56:33 PM
8/6/2016 8:32:47 PM
7/16/2016 2:07:53 PM
7/17/2016 9:00:12 PM
8/4/2016 4:23:39 PM
8/6/2016 10:27:24 PM
8/6/2016 11:17:34 PM
7/24/2016 7:40:30 PM
7/1/2016 7:28:55 AM
7/25/2016 8:12:45 PM
8/3/2016 4:50:43 PM
8/6/2016 11:06:53 AM
8/6/2016 9:18:47 PM
8/7/2016 7:07:17 PM
8/12/2016 5:11:13 PM
7/27/2016 6:40:45 PM
8/3/2016 12:19:43 PM
8/13/2016 9:46:22 AM
8/13/2016 4:18:04 PM
7/1/2016 11:19:40 PM
7/13/2016 1:16:48 PM
7/31/2016 9:56:48 PM
8/2/2016 6:16:18 AM
8/14/2016 12:12:20 PM
7/31/2016 8:49:00 PM
7/26/2016 12:59:42 PM
7/27/2016 4:19:53 PM
7/31/2016 2:14:29 PM
8/13/2016 3:16:11 PM
8/13/2016 10:24:30 PM
8/14/2016 6:16:45 PM
8/7/2016 8:32:21 AM
7/24/2016 12:59:02 PM

Durration of Call
30.5
31
31
31
31
31
31
31
31
31.7
32
32
32
32
32.1
32.5
32.5
33
33
33
33
33
33.7
34
34
34
34
34
34
34
34.1
34.5
34.5
34.5
35
35
35
35
35
35.3
36
36
36
36
36
36
36.1
37

7/30/2016 10:04:24 AM
8/2/2016 1:25:52 PM
8/5/2016 8:55:13 PM
7/3/2016 11:35:34 AM
7/22/2016 7:17:49 AM
7/27/2016 1:52:52 PM
8/15/2016 1:26:35 PM
7/3/2016 8:29:31 PM
7/17/2016 7:39:18 PM
7/23/2016 7:29:21 AM
7/24/2016 11:55:04 AM
7/25/2016 4:51:41 PM
7/31/2016 9:30:16 AM
7/9/2016 6:41:17 PM
7/12/2016 2:54:41 PM
7/28/2016 6:21:42 AM
8/13/2016 7:32:45 PM
8/13/2016 8:14:55 PM
8/14/2016 10:25:28 AM
7/30/2016 10:42:44 PM
8/5/2016 2:23:12 PM
7/30/2016 8:59:30 PM
8/4/2016 8:45:29 PM
8/8/2016 6:37:47 PM
7/30/2016 12:32:33 AM
8/6/2016 9:55:04 AM
7/31/2016 12:30:35 PM
7/2/2016 4:21:43 PM
7/30/2016 10:58:40 AM
8/12/2016 9:08:14 PM
7/16/2016 10:12:50 PM
7/23/2016 5:54:08 PM
7/29/2016 2:19:53 PM
7/3/2016 1:37:22 PM
7/22/2016 7:36:54 PM
7/22/2016 2:07:04 PM
7/23/2016 12:26:21 PM
8/4/2016 12:22:27 PM
8/6/2016 6:34:22 PM
7/23/2016 1:35:00 PM
7/23/2016 10:11:54 PM
7/31/2016 7:12:38 AM
7/31/2016 7:39:30 PM
8/13/2016 2:12:15 PM
7/23/2016 6:59:01 PM
8/6/2016 7:32:28 PM
7/23/2016 2:31:00 PM
7/24/2016 8:04:13 AM
8/6/2016 12:33:21 AM
8/7/2016 4:07:07 PM
8/6/2016 3:53:40 PM
8/7/2016 12:25:06 PM
8/13/2016 12:29:57 AM

37
37
37
38
39
39
39
41
41
41
41
41
41
42
42
42
42
44
44
44.1
45.7
47
47
47
47.3
47.7
48
48.1
48.1
49
50
50
50.9
53
54
55
55
55
56.5
57
57
59
59
60
61.3
62
65
72
73
74
78
92.5
105.3