Office of Licensing and Monitoring s2

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: Board of Child Care of the United Methodist Church, Inc.

Licensing Agency: DHR

Name of Chief Administrator: Thomas Curcio

License Type: Treatment Foster Care

Name and Address of CPA Office License DHR Census by Placing License#/ Date of site Capacity Contract Agency Exp. date Inspection Limit Board of Child Care TFC Unlimited 36 DHR 8 # 00199 / 5/12/2014 3300 Gaither Road 2/15/2015 Baltimore, MD 21244

Board of Child Care/AYF TFC Unlimited 36 DHR 10 # 00217 / 5/7/2014 30049 Business Center Dr 2/15/2015 Charlotte Hall, MD 20622

Inspection Summary

Number of Records Reviewed: Youth 1 Staff 7 Foster Parent 0 Adoptive Parent N/A

Number of Interviews: Youth 0 Staff 4 Foster Parent 0

CPA Office Inspection: Approved

Number of ILP Apartments Inspected: N/A Number of Foster Homes Inspected: 0

COMAR Violation: Ye X No s

If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.01.08 A (2) The agency provided untimely incident reporting on 2 critical incidents 07.05.01.13 A (5) & Annual evaluations were untimely or not completed in 3/7 personnel records reviewed 07.05.01.13 B (6) 07.05.01.11 A (1) Lack of equipment – a scanner – resulted in non-compliance of an incident report submitted unsigned and undated.

Corrective Action Plan: Yes X No If yes, date of CAP: 5/12/14

Complaint Outcome: N/A

Current Status of License: Continued

Licensing Coordinator Lisa Beeman Date: 5/16/2014 Email: [email protected]

DHR/OLM (CPA) Updated: 12/11/2013 : Program Manager: Richard Berger Date 5/16/2014 Email: [email protected]

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