Maryland Department of Human Resources Office of Licensing and Monitoring 311 W. Saratoga Street Baltimore, Maryland Office: 410.767.7871 Fax: 410.333.8408 Residential Child Care Programs Report Provider Organization: Maryland School for the Deaf DHR MSDE Licensing Agency: Contracting Agency(s): Program Administrator: Mitchell Mores Certification # #A00226 Exp. Date: 12/31/2015 “Rex” Type of Inspection: Quarterly Site Name Gender Age License DHR License#/ Date of site Capacity Contract Exp. date Inspection Limit Maryland School for the Deaf Frederick Campus M & F 4-21 300 0 #00325 12/08/2014 – Fapuel Hall 3/11/2016 12/10/2014 Shockley House Maryland School for the Deaf Columbia Campus M & F 5-13 100 0 #00324 12/12/2014 – Baker Hall 3/11/2016 Inspection Summary Number of Records Reviewed: Youth 37 Staff 11 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..07.04 D (1) The annual T.B. screen was missing from 2 of the 11 personnel records. 14.31..07 .04 D (2) The Cardiopulmonary Resuscitation Certification (CPR) was missing from three of the 11 personnel records. 14.31..07 .04 D (5) The Protective Services clearance was missing from three of the 11 personnel records. Corrective Action Plan: Yes X No If yes, date of CAP: December 30, 2014 Complaint Outcome: N/A Current Status of License: Continued Licensing Coordinator: Mignon H. Atkins Date: 1/5/2015 Email: Program Manager: André Thomas Date 1/9/2015 Email:
Maryland Department of Human Resources Office of Licensing and Monitoring 311 W. Saratoga Street Baltimore, Maryland Office: 410.767.7871 Fax: 410.333.8408 Residential Child Care Programs Report Provider Organization: Maryland School for the Deaf Licensing Agency: DHR Contracting Agency(s): MSDE Program Administrator: Mitchell “Rex” Mores Certification # #A00226 Exp. Date: 12/31/2015 Type of Inspection: Quarterly Site Name Gender Age License Capacity DHR Contract Limit License#/ Exp. date Date of site Inspection Maryland School for the Deaf – Frederick Campus Fapuel Hall Shockley House M & F 4-21 300 0 #00325 3/11/2016 12/08/2014 12/10/2014 Maryland School for the Deaf – Columbia Campus Baker Hall M & F 5-13 100 0 #00324 3/11/2016 12/12/2014 Inspection Summary Number of Records Reviewed: Youth 37 Staff 11 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..07.04 D (1) The annual T.B. screen was missing from 2 of the 11 personnel records. 14.31..07 .04 D (2) The Cardiopulmonary Resuscitation Certification (CPR) was missing from three of the 11 personnel records. 14.31..07 .04 D (5) The Protective Services clearance was missing from three of the 11 personnel records. Corrective Action Plan: Yes X No If yes, date of CAP: December 30, 2014 Complaint Outcome: N/A Current Status of License: Continued Licensing Coordinator: Mignon H. Atkins Date: 1/5/2015 Email: Program Manager: André Thomas Date 1/9/2015 Email: