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: Making A Great Individual Contribution, Inc. Licensing Agency: DHR Contracting Agency(s): DHR, DJS Program Administrator: Dianne Nelson Certification #A00084 Exp. Date: 12/31/2015 Type of Inspection: Quarterly Site Name Gender Age License DHR License#/ Date of site Range Capacity Contract Exp. date Inspection Limit Pine Female 13-18 4 4 #00300 8/18/2014 11/16/2015 Oak Female 18-20 4 3 #00301 8/18/2014 11/16/2015 Purnell Female 13-18 5 0 #00302 8/18/2014 11/16/2015 Inspection Summary Number of Records Reviewed: Youth 0 Staff 5 0 0 Number of Interviews: Youth Staff Physical Plant Inspection: Approved COMAR Violation: Yes X No If Yes, list Cited Violation(s) below: Violation(s) Findings 14.31.06.07 C (1) There were two safety hazards observed in the back of the house. 14.31.06.05 E(1)(b) Two of five personnel records did not contain the required number of references. X 8/20/2014 Corrective Action Plan: Yes No If yes, date of CAP: Complaint Outcome: N/A Current Status of License: Continued Licensing Coordinator: Kim B. Clark Date: 8/20/2014 Email: kim.clark@maryland.gov Program Manager: André Thomas Date 8/20/2014 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 Residential Child Care Programs Report Provider Organization: Making A Great Individual Contribution, Inc. Licensing Agency: DHR Contracting Agency(s): DHR, DJS Program Administrator: Dianne Nelson Certification #A00084 Exp. Date: 12/31/2015 Type of Inspection: Quarterly Site Name Gender Age Range License Capacity DHR Contract Limit License#/ Exp. date Date of site Inspection Pine Female 13-18 4 4 #00300 11/16/2015 8/18/2014 Oak Female 18-20 4 3 #00301 11/16/2015 8/18/2014 Purnell Female 13-18 5 0 #00302 11/16/2015 8/18/2014 Inspection Summary Number of Records Reviewed: Youth 0 Staff 5 Number of Interviews: Youth 0 Staff 0 Physical Plant Inspection: Approved COMAR Violation: Yes X No If Yes, list Cited Violation(s) below: Violation(s) Findings 14.31.06.07 C (1) There were two safety hazards observed in the back of the house. 14.31.06.05 E(1)(b) Two of five personnel records did not contain the required number of references. Corrective Action Plan: Yes X No If yes, date of CAP: 8/20/2014 Complaint Outcome: N/A Current Status of License: Continued Licensing Coordinator: Kim B. Clark Date: 8/20/2014 Email: kim.clark@maryland.gov Program Manager: André Thomas Date 8/20/2014 Email: