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: Hearts and Homes for Youth, Inc. Licensing Agency: DHR Contracting Agency(s): DHR, DJS Name of Chief Administrator: Susan Burger Email: License Type: Treatment Foster Care and Type of Inspection: Quarterly Independent Living Program Name and Address of CPA Office License DHR Census by Placing License#/ Date of site Capacity Contract Agency Exp. date Inspection Limit Family Ties Treatment Foster Care #00159 2/3 & 2/5/15 Unlimited 25 DHR 12 5550 Sterrett Place, Suite 200 4/1/2016 Columbia, MD 21044 Damamli TFC/ILP Unlimited 25 DHR 9 #00161 2/3 & 2/5/15 DJS 2 5550 Sterrett Place, Suite 200 4/1/2016 Columbia, MD 21044 Inspection Summary 0 5 0 N/A Number of Records Reviewed: Youth Staff Foster Parent Adoptive Parent Number of Interviews: Youth 0 Staff 5 Foster Parent 0 CPA Office Inspection: Continued 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 07.05.01.13 A (1) 1/5 staff records did not document correct title, responsibilities or line of authority 07.05.01.02 (5) (a) Staff interviews reflected non-credentialed staff assigned oversight of child placement worker duties Corrective Action Plan: Yes X No If yes, date of CAP: 2/5/15 N/A Complaint Outcome: Approved Current Status of License: Licensing Coordinator: Lisa Beeman Date: 2/12/2015 Email: Program Manager: Richard Berger Date 2/12/2015 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: Hearts and Homes for Youth, Inc. Licensing Agency: DHR Contracting Agency(s): DHR, DJS Name of Chief Administrator: Susan Burger Email: License Type: Treatment Foster Care and Independent Living Program 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 Family Ties Treatment Foster Care 5550 Sterrett Place, Suite 200 Columbia, MD 21044 Unlimited 25 DHR 12 #00159 4/1/2016 2/3 & 2/5/15 Damamli TFC/ILP 5550 Sterrett Place, Suite 200 Columbia, MD 21044 Unlimited 25 DHR 9 DJS 2 #00161 4/1/2016 2/3 & 2/5/15 Inspection Summary Number of Records Reviewed: Youth 0 Staff 5 Foster Parent 0 Adoptive Parent N/A Number of Interviews: Youth 0 Staff 5 Foster Parent 0 CPA Office Inspection: Continued 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 07.05.01.13 A (1) 1/5 staff records did not document correct title, responsibilities or line of authority 07.05.01.02 (5) (a) Staff interviews reflected non-credentialed staff assigned oversight of child placement worker duties Corrective Action Plan: Yes X No If yes, date of CAP: 2/5/15 Complaint Outcome: N/A Current Status of License: Approved Licensing Coordinator: Lisa Beeman Date: 2/12/2015 Email: Program Manager: Richard Berger Date 2/12/2015 Email: