Office of Licensing and Monitoring

Maryland Department of Human Resources Office of Licensing and Monitoring 311 W. Saratoga Street Baltimore, Maryland 21201 Office: 410.767.7871 Fax: 410.333.8408

CHILD PLACEMENT AGENCY REPORT

Provider Organization: KidsPeace National Centers for Kids in Crisis

Licensing Agency: DHR Contracting Agency(s): DHR

Name of Chief Administrator: Debra Hayes Email: [email protected]

License Type: Treatment Foster Care & Mother/Infant Type of Inspection: Quarterly

Name and Address of CPA Office License DHR Census by Placing License#/ Date of site Capacity Contract Agency Exp. date Inspection Limit 5575 Sterrett Place, Suite 200 Unlimited 40 TFC 23 TFC #00233 6/10/2014 Columbia, MD 21044 5 M/I 2 M/I 11/06/2015

Inspection Summary

Number of Records Reviewed: Youth 13 Staff 0 Foster Parent 0 Adoptive Parent N/A

Number of Interviews: Youth 0 Staff 0 Foster Parent 0

CPA Office Inspection: Approved

Number of ILP Apartments Inspected: 0 Number of Foster Homes Inspected: 0

COMAR Violation: Yes X No

If Yes, list Cited Violation(s) below:

Violation(s) Findings 07.021.21.10 B One record did not contain documentation of 24 hours of pre-service training. 07.02.21.10 C 6 OF 13 records did not contain documentation of 20 hours of required training. 07.05.02.06 One record did not document current physical examination including a tuberculosis test or x-ray. 07.05.02.11 E (3) One record did not contain documentation of marriage and/or divorce. 07.05.02.11 7 (a) & (b) One record did not contain documentation of State and Federal criminal background checks and appropriate local department child abuse and beglects clearances. 07.05.02.11 E (10) & (11) 2 of 13 records did not contain documentation of written references. 07.05.02.16 G (1) 3 of 13 records did not contain documentation of current annual recertifications. 07.05.02.18 F (1) 2 of 13 records did not contain az face sheet.

Corrective Action Plan: Yes X No If yes, date of CAP: 6/18/14

Complaint Outcome: N/A

Current Status of License: Continued

Licensing

DHR/OLM (CPA) Updated: 12/11/2013 Coordinator: Jim Schwartz Date: 6/18/2014 Email: [email protected]

Program Manager: Richard Berger Date 6/18/2014 Email: [email protected]

DHR/OLM (CPA) Updated: 12/11/2013