Office of Licensing and Monitoring s1

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

RESIDENTIAL CHILD CARE PROGRAMS REPORT

Provider Organization: Children’s Home, Inc.

Licensing Agency: DHR Contracting Agency(s): DHR, DJS

Program Administrator: Yvette Lucas Certification # A00201 Exp. Date: 12/13/2015

Type of Inspection: Quarterly

Site Name Gender Age License DHR License#/ Date of site Range Capacity Contract Exp. date Inspection Limit Shelter Females 13-17 8 None 00268 9/9/2014 6/15/2015 9/17/2014 Transitional Living/High Intensity Males 13-17 8 None 00144 9/9/2014 6/15/2015 9/17/2014 Diagnostic Center Females 13-19 8 11 00536 9/9/2014 6/15/2015 9/17/2014 Group Home Males 13-20 48 34 00268 9/9/2014 Females 6/15/2015 9/17/2014

Inspection Summary

Number of Records Reviewed: Yout 1 Staff 16 h

Number of Interviews: Youth 0 Staff 0

Physical Plant Inspection: APPROVED

COMAR Violation: Ye X No s

If Yes, list Cited Violation(s) below: Violation(s) Findings 14.31.06.05 E (1)(f) 1 record out of 16 did not have documentation of a CPS clearance. 14.31.06.05 E (1) ( c) 6 records out of 16 did not have a medical exam at the time of hire. 14.31.06.05 E (1) (d) 1 record out of 16 did not have a TB screening.

Corrective Action Plan: Yes X No If yes, date of CAP: September 17, 2014

Complaint Outcome: N/A

Current Status of License: Continued

Licensing Coordinator Odetta Bulluck Date: 9/24/2014 Email: [email protected] :

DHR/OLM (RCC) Updated: 12/11/2013 Program Manager: André Thomas Date: 9/24/2014 Email: [email protected]

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