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: Kennedy Krieger Institute Licensing Agency: DHR Contracting Agency(s): DHR, DDA Elizabeth Thompson Name of Chief Administrator: Email: Treatment Foster Care Quarterly License Type: Type of Inspection: Name and Address of CPA Office License DHR Census by Placing License#/ Date of site Capacity Contract Agency Exp. date Inspection Limit Kennedy Krieger Institute Unlimited SED 50 DHR 51 #00357/ 12/2 & 12/3/14 2901 Biddle Street Medical 50 9/16/16 Baltimore, MD 21213 Inspection Summary 7 0 8 N/A Number of Records Reviewed: Youth Staff Foster Parent Adoptive Parent Number of Interviews: Youth 0 Staff 0 Foster Parent 0 CPA Office Inspection: Approved Number of ILP Apartments Inspected: N/A Number of Foster Homes Inspected: 0 X COMAR Violation: Yes No If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.01.11 A (2) (h) (i) 1/7 client record recorded inaccurate admission date on several documents 07.02.21.08 A (1) 1/7 client record reviewed did not document timely 30 day treatment plan meeting 07.02.21.10 D (3) 2/7 client records reviewed document timely foster parent progress notes didn’t 1/7 client record document timely 90 day treatment plans 07.02.21.08 A (2) didn’t Corrective Action Plan: Yes X No If yes, date of CAP: 12/3/14 N/A Complaint Outcome: Continued Current Status of License: Licensing Lisa Beeman 12/4/2014 Coordinator: Date: Email: Program Manager: Richard Berger Date 12/4/2014 Email:
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: Kennedy Krieger Institute Licensing Agency: DHR Contracting Agency(s): DHR, DDA Name of Chief Administrator: Elizabeth Thompson Email: License Type: Treatment Foster Care Type of Inspection: Quarterly Name and Address of CPA Office License Capacity DHR Contract Limit Census by Placing Agency License#/ Exp. date Date of site Inspection Kennedy Krieger Institute 2901 Biddle Street Baltimore, MD 21213 Unlimited SED 50 Medical 50 DHR 51 #00357/ 9/16/16 12/2 & 12/3/14 Inspection Summary Number of Records Reviewed: Youth 7 Staff 0 Foster Parent 8 Adoptive Parent N/A Number of Interviews: Youth 0 Staff 0 Foster Parent 0 CPA Office Inspection: Approved Number of ILP Apartments Inspected: N/A Number of Foster Homes Inspected: 0 COMAR Violation: Yes X No If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.01.11 A (2) (h) (i) 1/7 client record recorded inaccurate admission date on several documents 07.02.21.08 A (1) 1/7 client record reviewed did not document timely 30 day treatment plan meeting 07.02.21.10 D (3) 2/7 client records reviewed didn’t document timely foster parent progress notes 07.02.21.08 A (2) 1/7 client record didn’t document timely 90 day treatment plans Corrective Action Plan: Yes X No If yes, date of CAP: 12/3/14 Complaint Outcome: N/A Current Status of License: Continued Licensing Coordinator: Lisa Beeman Date: 12/4/2014 Email: Program Manager: Richard Berger Date 12/4/2014 Email: