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 Delores Ford-Edwards Name of Chief Administrator: Email: Independent Living Program/Mother Baby Re-Licensure 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 ILP Unlimited 25 19 #00133/ 01/20/2015 Edwards’ Inc.- 8600 LaSalle Rd., Suite 300 02/01/2015 Towson, Maryland 21286 King Mother/Baby Unlimited 15 9 #00133/ 01/20/2015 Edwards’ Inc.- 1711 Edgewood Rd., Suite AT 02/01/2015 Parkville, Maryland 21234 Inspection Summary Number of Records Reviewed: Youth 31 Staff 13 Foster Parent NA Adoptive Parent NA Number of Interviews: Youth 10 Staff 7 Foster Parent NA Approved CPA Office Inspection: 11 NA Number of ILP Apartments Inspected: Number of Foster Homes Inspected: COMAR Violation: Yes X No If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.04.05 A Missing 30 day assessment in one record. Assessment completed at 60 days. 07.05.02.17 A (7) Missing physical in 2 out of 5 records reviewed 07.05.04.06 A Missing documentation of life skills trainings in one record reviewed. 01/28/2015 Corrective Action Plan: Yes X No If yes, date of CAP: Complaint Outcome: N/A Current Status of License: Re-Licensed Licensing Coordinator: Sherlema Ferguson Date: 01/28/2015 Email: Program Manager: Richard Berger Date: 01/28/2015 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: King Edwards’, Inc. Licensing Agency: DHR Contracting Agency(s): DHR Name of Chief Administrator: Delores Ford-Edwards Email: License Type: Independent Living Program/Mother Baby Type of Inspection: Re-Licensure 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 Rd., Suite 300 Towson, Maryland 21286 Unlimited 25 19 #00133/ 02/01/2015 01/20/2015 King Edwards’ Inc.- Mother/Baby 1711 Edgewood Rd., Suite AT Parkville, Maryland 21234 Unlimited 15 9 #00133/ 02/01/2015 01/20/2015 Inspection Summary Number of Records Reviewed: Youth 31 Staff 13 Foster Parent NA Adoptive Parent NA Number of Interviews: Youth 10 Staff 7 Foster Parent NA CPA Office Inspection: Approved Number of ILP Apartments Inspected: 11 Number of Foster Homes Inspected: NA COMAR Violation: Yes X No If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.04.05 A Missing 30 day assessment in one record. Assessment completed at 60 days. 07.05.02.17 A (7) Missing physical in 2 out of 5 records reviewed 07.05.04.06 A Missing documentation of life skills trainings in one record reviewed. Corrective Action Plan: Yes X No If yes, date of CAP: 01/28/2015 Complaint Outcome: N/A Current Status of License: Re-Licensed Licensing Coordinator: Sherlema Ferguson Date: 01/28/2015 Email: Program Manager: Richard Berger Date: 01/28/2015 Email: