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: King Edwards, Inc. DHR DHR Licensing Agency: Contracting Agency(s): Katrina Clayton, LCSW-C Name of Chief Administrator: Email: Independent Living Program Quarterly License Type: Type of Inspection: Name and Address of CPA Office License Capacity DHR Census by License#/ Date of site Contract Placing Agency Exp. date Inspection Limit King Edwards, Inc.- ILP Unlimited 25 15 #00133 11/05/2014 8600 LaSalle Road- Suite 310 02/01/2015 Towson, MD 21286 King Edwards, Inc.- Mother/Baby Unlimited 15 10 #00133 11/05/2014 1711 Edgewood Road, #AT 02/01/2015 Parkville, MD 21234 Inspection Summary 2 5 NA NA Number of Records Reviewed: Youth Staff Foster Parent Adoptive Parent Number of Interviews: Youth 0 Staff 0 Foster Parent NA Approved CPA Office Inspection: 0 NA Number of ILP Apartments Inspected: Number of Foster Homes Inspected: COMAR Violation: Yes No X If Yes, list Cited Violation(s) below: Violation(s) Findings Corrective Action Plan: Yes No X If yes, date of CAP: Complaint Outcome: NA Current Status of License: Continued Licensing Coordinator: Sherlema Ferguson Date: 11/12/2014 Email: Program Manager: Richard Berger Date: 11/12/2014 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: King Edwards, Inc. Licensing Agency: DHR Contracting Agency(s): DHR Name of Chief Administrator: Katrina Clayton, LCSW-C Email: License Type: 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 King Edwards, Inc.- ILP 8600 LaSalle Road- Suite 310 Towson, MD 21286 Unlimited 25 15 #00133 02/01/2015 11/05/2014 King Edwards, Inc.- Mother/Baby 1711 Edgewood Road, #AT Parkville, MD 21234 Unlimited 15 10 #00133 02/01/2015 11/05/2014 Inspection Summary Number of Records Reviewed: Youth 2 Staff 5 Foster Parent NA Adoptive Parent NA Number of Interviews: Youth 0 Staff 0 Foster Parent NA CPA Office Inspection: Approved Number of ILP Apartments Inspected: 0 Number of Foster Homes Inspected: NA COMAR Violation: Yes No X If Yes, list Cited Violation(s) below: Violation(s) Findings Corrective Action Plan: Yes No X If yes, date of CAP: Complaint Outcome: NA Current Status of License: Continued Licensing Coordinator: Sherlema Ferguson Date: 11/12/2014 Email: Program Manager: Richard Berger Date: 11/12/2014 Email: