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
1
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
2
ORCC License Types
License Types
2007
2008
2009
2010
Child Caring Institutions (CCI)
315
300
292
258
Child Placing Agencies (CPA)
90
89
86
92
Children’s Transitional Care Centers
(CTCC)
0
0
1
1
Outdoor Child Caring Programs
(OCCP)
10
10
10
8
Maternity Homes (MH)
0
0
4
5
*established in 2009
*transitioned to ORCC in 2009
3
Number of Licensed Facilities .
350
300
CCI
CPA
OCCP
MH
CTCC
Total: 364
250
200
150
100
50
0
2007
2008
2009
2010
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.
4
Applications
70
60
55
59
51
50
38
40
30
20
10
0
FY2007
FY2008
FY2009
FY2010
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.
5
Reported
Incidents/Complaints
3000
2750
2500
2250
2000
1750
1500
1250
1000
750
500
250
0
2658
2351
2334
CCI
CPA
OCCP
MH
CTCC
1548
1110
1197
1105
920
75
2007
89
2008
54
2009
52
4
2010
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.
6
Number of Citations
and Harm Levels
10000
9000
8000
7000
6000
5000
4000
3000
2000
1000
0
Total number of
Citations rendered by
ORCC
8392
5421
Total number of
citations where
potential harm was
substantiated
5242
2754
1788
1444
N/A
2007
345
2008
184
2009
180
2010
Total number of
citations where actual
harm (injury, serious
injury and/or death was
substantiated)
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.
7
Total Number of Enforcement Actions
(Civil Penalty, Restricted License, Revocation, Other Sanctions)
70
65
60
55
50
45
40
35
30
25
20
15
10
5
0
65
CCI
CPA
OCCP
MH
CTCC
43
40
19
19
12
12
5
4
2
2007
1
2008
2
2009
2010
FY 2010 saw a 37% increase in Enforcement Actions.
8
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
9