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: / Rolling Vista Place, Inc.
Licensing Agency: / DHR / Contracting Agency(s): / DHR
Program Administrator: / Tanya Myers / Certification # / A00026 / 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
Wyanoke / Female / 16-20 / 8 / 8 / #00478
11/19/2013 / 2/10/2014

Inspection Summary

Number of Records Reviewed: / Youth / 5 / 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 B(5) / One out of five client records did not have documentation of a referral for placement
14.31.06.05 C / One out of five client records did not have a safe environment plan
14.31.06.15 G(3)(c )(i) / Five out five personnel records did not have documentation of behavior management training
14.31.06.06 B(2) / One out of five personnel records did not have documentation of education
14.31.06.05 E(1)(e) / Two out of five personnel records require follow-up with the federal CJIS background check.
14.31.06.05 E(1)(f) / One out of five personnel records did not have documentation of a CPS clearance
14.31.06.05 E(1)( c) / One out of five personnel records did not have documentation of a medical examination
14.31.06.05 E(1)(m) / One out of five personnel records did not have documentation of a child abuse statement
Corrective Action Plan: / Yes / X / No / If yes, date of CAP: / 2/10/2014
Complaint Outcome: / N/A
Current Status of License: / Continued
Licensing
Coordinator: / Roxanne M. Epps / Date: / 3/6/2014 / Email: /
Program Manager: / André Thomas / Date / 3/6/2014 / Email: /

DHR/OLM (RCC) Updated: 12/11/2013