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: Kids Peace National Center for Kids in Crisis, Inc. DHR DHR Licensing Agency: Contracting Agency(s): Debra Hayes 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 5575 Sterrett Place, Suite 200 unlimited 40 TFC 17 #00233 8/18/2014 Columbia , MD 21044 5 M/I 1 11/6/2015 Inspection Summary Number of Records Reviewed: Youth 0 Staff 0 Foster Parent 0 Adoptive Parent N/A 1 0 2 Number of Interviews: Youth Staff Foster Parent CPA Office Inspection: Approved Number of ILP Apartments Inspected: N/A Number of Foster Homes Inspected: 2 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: N/A Continued Current Status of License: Licensing Roxanne M. Epps 9/3/2014 Coordinator: Date: Email: Richard Berger 9/3/2014 Program Manager: Date 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: Kids Peace National Center for Kids in Crisis, Inc. Licensing Agency: DHR Contracting Agency(s): DHR Name of Chief Administrator: Debra Hayes 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 5575 Sterrett Place, Suite 200 Columbia , MD 21044 unlimited 40 TFC 5 M/I 17 1 #00233 11/6/2015 8/18/2014 Inspection Summary Number of Records Reviewed: Youth 0 Staff 0 Foster Parent 0 Adoptive Parent N/A Number of Interviews: Youth 1 Staff 0 Foster Parent 2 CPA Office Inspection: Approved Number of ILP Apartments Inspected: N/A Number of Foster Homes Inspected: 2 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: N/A Current Status of License: Continued Licensing Coordinator: Roxanne M. Epps Date: 9/3/2014 Email: Program Manager: Richard Berger Date 9/3/2014 Email: