1. 1 OFFICE OF RESIDENTIAL CHILD CARE FY 2010 PERFORMANCE REPORT Submitted by: Keith D. Bostick, L.C.S.W., Director Department of Human Services Board Meeting August 18, 2010

2. 2 Overview  The Office regulates, license, monitors and renders enforcement actions unto Child Placing Agencies (CPA), Child Caring Institutions (CCI), Outdoor Child Caring Centers (OCCP), Maternity Homes (MH) and Children’s Transitional Care Centers (CTCC). These licensed facilities provide out-of-home residential child care that exceeds a 24-hour period.  The Office of Residential Child Care receives authority from the Official Code of Georgia (O.C.G.A. 49-5-12 )  www.ors.dhr.georgia.gov www.ors.dhr.georgia.gov

3. 3 ORCC License Types License Types2007200820092010 Child Caring Institutions (CCI)315300292258 Child Placing Agencies (CPA)90898692 Children’s Transitional Care Centers (CTCC) *established in 2009 0011 Outdoor Child Caring Programs (OCCP) 10 8 Maternity Homes (MH) *transitioned to ORCC in 2009 0045

4. 4 Number of Licensed Facilities. Georgia is experiencing a downward trend in licensed facilities. Possible causes: 1) more children placed in community settings, 2)inability to secure contracts, 3) economy/budget cuts.

5. 5 Applications FY 2010 showed a 36% decline in applications. Possible causes: 1) more children placed in community settings, 2)inability to secure contracts, 3) economy / budget cuts.

6. 6 Reported Incidents/Complaints FY 2010 showed a 6% increase in reports. 70% of reports were regarding CCI’s, 29% regarding CPA’s and 1% from all other license types.

7. 7 Number of Citations and Harm Levels Citations and harm levels have decreased since FY 2008. Actual harm was substantiated in 4.1% of the total citations of 2008 and 3.4% in both 2009 – 2010. ORCC believes reductions are due to 1)increased surveillance, 2) “Early Intervention” activities, i.e. Interpretative Guidelines, 3) prioritization of rules, 4) surveyor consistency, 5) enforcement actions and 6) more dialogue with providers via office conferences and training.

8. 8 Total Number of Enforcement Actions (Civil Penalty, Restricted License, Revocation, Other Sanctions) FY 2010 saw a 37% increase in Enforcement Actions.

9. 9 Challenges / Opportunities  Anticipated 2011 -2012 DHS State Budget Cuts  Reductions and delays in “Early Intervention” activities which are designed to assist providers in safety and compliance domains  Developing new funding stream for ORCC Review legislative support for mandated fees for licensed facilities Seek Private and/or other funding for projects focusing on areas of Child Safety in Residential Care Facilities  ORCC continues to meet and support mandates of the Kenny A. Consent Decree  Evaluate, update and / or propose changes that streamline and prioritize Rules and Regulations for all license types