Appendices, annual report, 2021/ Georgia Department of Human Services.

Georgia Department of Human Services Aging Services | Child Support Services | Family & Children Services
APPENDICES
Annual Report State Fiscal Year 2021

Table of Contents
Appendix A Residential Child Care Licensing Annual Waivers Report 2021

APPENDIX A
Residential Child Care Licensing
Annual Waivers Report 2021

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

1 Child
Placing Agency

12/10/2020 Cherish All God's Children, Inc.

Agency Representative
Joetta Jones

Agency/Agency Representative's Address
133 Delwood Drive, McDonough, Georgia 30252

Agency/Agency Representative's Phone Number
404-996-8187

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

1/7/2021

1. The staff member must receive monthly supervision from a master's level staff member. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. The staff member must obtain 24 hours of annual training related to the type of residents served by the agency. This training must be documented and maintained in his/her personnel file. 3. The agency must document an annual performance evaluation for the staff member completed by his/her supervisor that is documented and maintained in his/her personnel file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

2 Child
Placing Agency

12/18/2020 Faithbridge Foster Care, Kris Isom Inc.

4400 Northpoint Parkway,

678-690-7118

Suite 210, Alpharetta, Georgia

30022

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

1/7/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety to any of the children in care. 2. The agency must ensure that the foster family provides 24-hour oversight and supervision during naptime and overnight hours by ensuring the family installs some type of monitoring system, such as a baby monitor as well as a divider to ensure privacy for each child. 3. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. 4. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 1 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

3 Child
Placing Agency

1/15/2021

The Methodist Home of Beth Greene the South Conference, Inc.

Agency/Agency Representative's Address
116 Pierce Avenue, Macon, Georgia 31204

Agency/Agency Representative's Phone Number
478-464-3025

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

1/28/2021

1. The agency must conduct monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety to any of the children in care. These visits shall be documented and maintained in both the foster parent's file and the foster children's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

4 Outdoor
Child Caring Program

1/16/2021

NVW East, LLC

Summer Hornbeck 311 North Main Street, Clayton, 414-737-0400 Georgia 30525

290-2-7.05(5)

The facility requested a waiver for Approved No the rule which states campers shall have had a dental examination by a licensed dentist within six months prior to admission.

2/24/2021

1. The facility must document a dental history conducted by either a certified nurse practitioner or physician during the intake physical. In the absence of any reported or identifiable dental issues or pain, the resident may be admitted into the facility. If there are any reported issues by the resident, the resident may still be admitted into the facility; however, an appointment with a licensed dentist must be scheduled for the next available appointment or within 30 days. 2. All residents admitted into the facility must receive a dental examination from a licensed dentist within six months from the admission date. Dental appointment documents must be maintained in the resident's file. 3. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

Page 2 of 44

# License Type

Date Received

Agency Name

5 Outdoor
Child Caring Program

1/16/2021

NVW East, LLC

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

Agency Representative

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

Summer Hornbeck 311 North Main Street, Clayton, 414-737-0400 Georgia 30525

Rule #
290-2-7.05(7)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states that the intake summary shall include a current (within one year) evaluation by a licensed psychiatrist or psychologist.

2/24/2021

1. The facility must ensure all residents admitted into the facility receive a psychological or psychiatric evaluation within two weeks of admission. This evaluation shall assess the resident for the appropriateness of participating in an Outdoor Child Caring Program. Documentation of this evaluation must be maintained in the resident's file. 2. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

6 Outdoor
Child Caring Program

1/16/2021

NVW East, LLC

Summer Hornbeck 311 North Main Street, Clayton, 414-737-0400 Georgia 30525

290-2-7.14(1)

The facility requested a waiver for Approved No the rule which requires camps to have a minimum of ten acres of land for the first 50 campers with an additional five acres for each additional camper.

2/24/2021

1. The facility shall be limited to a capacity of thirty residents for the first six months of operation. Afterward, the facility may increase its capacity quarterly by ten residents until a capacity of fifty has been reached. 2. The facility shall be limited to fifty residents at one time. 3. The facility must demonstrate current approval with the U.S. Department of Agriculture Forest at all times. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

7 Outdoor
Child Caring Program

1/14/2021

Second Nature Blue Ridge, LLC

Laura Fuqua

236 File Street, Clayton, Georgia 30525

706-212-2037

290-2-7.05(5)

The facility requested a waiver for Approved No the rule which states campers shall have a dental examination by a licensed dentist within six months prior to admission. Treatment shall be provided by the examining dentist.

2/24/2021

1. The facility must document a dental history conducted by either a certified nurse practitioner or physician during the intake physical. In the absence of any reported or identifiable dental issues or pain, the resident may be admitted to the field, however, an appointment with a licensed dentist must be scheduled for the next available appointment for within 30 days. All residents admitted to the program must receive a dental examination from a licensed dentist within six months of admission to the facility. All dental appointments must be documented and maintained in the resident's file. 2. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

Page 3 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

8 Outdoor
Child Caring Program

1/14/2021

Second Nature Blue Ridge, LLC

Agency Representative
Laura Fuqua

Agency/Agency Representative's Address
236 File Street, Clayton, Georgia 30525

Agency/Agency Representative's Phone Number
706-212-2037

Rule #
290-2-7.05(6)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states Outdoor Child Caring Programs shall not accept a camper until a psychological or a psychiatric evaluation and an intake study has been made.

2/24/2021

1. All residents accepted and enrolled in the program must receive a psychological or psychiatric evaluation within two weeks of admission. This evaluation shall assess the resident for the appropriateness of participating in an Outdoor Child Caring Program. Documentation of this evaluation shall be documented and maintained in the resident's file. 2. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

9 Outdoor
Child Caring Program

1/14/2021

Second Nature Blue Ridge, LLC

Laura Fuqua

236 File Street, Clayton, Georgia 30525

706-212-2037

290-2-7.05(7)(a)

The facility requested a waiver for Approved No the rule which states the intake summary shall include a current (within one year) evaluation by a licensed psychiatrist or psychologist.

2/24/2021

1. The facility must ensure that all residents accepted and enrolled in the program shall receive a psychological or psychiatric evaluation within two weeks of admission. This evaluation shall assess the resident for the appropriateness of participating in an Outdoor Child Caring Program. Documentation of this evaluation shall be documented and maintained in the resident's file. 2. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

10 Outdoor
Child Caring Program

1/14/2021

Second Nature Blue Ridge, LLC

Laura Fuqua

236 File Street, Clayton, Georgia 30525

706-212-2037

290-2-7.05(8)

The facility requested a waiver for Approved No the rule which states that the outdoor child caring program intake process shall include a discussion regarding the placement with the camper and his/her parents or placement agency and it shall include a visit to the camp.

2/24/2021

1. The facility must ensure that the intake process includes a discussion of the program with both the resident and their parent/guardian. Any parent/guardian opting not to visit the camp as a part of the intake process must sign a waiver indicating that they do not wish to visit the camp. This visitation waiver must be documented and maintained in the resident's file. 2. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Outdoor Child Caring Programs.

Page 4 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

11 Child
Caring Institution

11/10/2020

George West Mental Health Foundation D/B/A Adolescent Program Skyland Trails

Tonya Beckett

Agency/Agency Representative's Address
2830 Dresden Drive, Atlanta, Georgia 30341

Agency/Agency Representative's Phone Number
470-823-6985

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-2-5-

The facility requested a waiver for Approved No

.05(8)

the rule which states that a

**Effective licensed child caring institution

January 1, shall not provide room, board and

2021, this rule watchful oversight to more than

was

16 residents on its premises.

renumbered

to 290-2-5-

.05(6) as a

result of

amendments

to the rules

and

regulations

governing

Child Caring

Institutions.

2/24/2021

Conditions of Approval
1. The facility must limit its capacity to sixteen residents at one time for a period of six months without any adverse actions imposed upon them. After the six month period, the facility may increase its capacity to twenty-six residents at one time. 2. The facility must maintain a qualified director and human service professional. There must be at least one human service professional for every sixteen residents in care. 3. The facility must ensure that all staff members working directly with the residents are appropriately oriented and trained regarding the type of residents admitted into the facility. This orientation must be documented in the staff member's personnel file. 4. This waiver is contingent upon the facility demonstrating substantial compliance with the rules and regulations governing Child Caring Institutions.

12 Child
Placing Agency

1/26/2021

National Mentor Healthcare, LLC D/B/A Georgia Mentor Valdosta

Dr. Santoria Williams

2225 Bemiss Road, Suite C, 404-661-6709 Valdosta, Georgia 31602

290-9-2.04(7)(b)

The agency requested a waiver Approved No for rule which states that the executive director shall have a minimum of a bachelor's degree and two years of administrative experience in the field of human services.

2/24/2021

1. The staff member must receive monthly supervision from a master's level staff member. This supervision must include an evaluation of his/her job duties and responsibilities and must be documented and maintained in his/her personnel file. 2. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency and training on leadership and development. This training must be documented and maintained in his/her personnel file. 3. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 5 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

13 Child
Placing Agency

2/23/2021 Foster Love Ministries, Marci Bourland Inc.

Agency/Agency Representative's Address
4520 New Jessup Highway, Brunswick, Georgia 31520

Agency/Agency Representative's Phone Number
912-275-0005

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No renewal for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

3/10/2021

1. The staff must receive quarterly supervision from the board president or a designee that must be documented and maintained in his/her personnel file. 2. The staff must obtain at least 24-hours of annual training related to the type of residents served by the agency as well as training on the writing of home study evaluations. This training must be documented and maintained in his/her personnel file. 3. The staff must receive an annual employee performance evaluation completed by the board president or a designee that is documented and maintained in his/her personnel file. 4. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

14 Child
Caring

2/24/2021

Institution

Chris 180, Inc. Sherwood

Sarah Ziegler

569 Sherwood Greens, Stone 404-564-3435 Mountain, Georgia 30087

290-2-5.08(3)(a)

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 6 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

15 Child
Caring

2/24/2021

Institution

Chris 180, Inc. - DeKalb Sarah Ziegler

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

2914 Cocklebur Trail, Decatur, 404-564-3435 Georgia 30034

Rule #
290-2-5.08(3)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

16 Child
Caring

2/24/2021

Institution

Chris 180, Inc. Gwinnett

Sarah Ziegler

2552 Poplar Street, Snellville, 404-564-3435 Georgia 30078

290-2-5.08(3)(a)

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 7 of 44

# License Type

Date Received

Agency Name

17 Child
Caring

2/24/2021

Institution

Chris 180, Inc. Stephenson

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

Agency Representative
Sarah Ziegler

Agency/Agency Representative's Address
505 Stephenson Road, Stone Mountain, Georgia 30087

Agency/Agency Representative's Phone Number
404-564-3435

Rule #
290-2-5.08(3)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

18 Child
Caring

2/24/2021

Institution

Chris 180, Inc. Ellenwood

Sarah Ziegler

4489 Northwind Drive, Ellenwood, Georgia 30294

404-564-3435

290-2-5.08(3)(a)

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 8 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

19 Child
Caring

2/24/2021

Institution

Chris 180, Inc. - Fulton Sarah Ziegler

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

3686 Calmer Circle, East Point, 404-564-3435 Georgia 30344

Rule #
290-2-5.08(3)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

20 Child
Caring

2/24/2021

Institution

Chris 180, Inc. - Rock Shadow

Sarah Ziegler

568 Rock Shadow Court, Stone Mountain, Georgia 30087

404-564-3435

290-2-5.08(3)(a)

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

3/10/2021

1. The staff member must receive monthly supervision from his/her manager. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by his/her manager that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 9 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

21 Child
Placing Agency

3/1/2021

Families 4 Families, Inc. Allison Williams

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

3915 Harrison Road, Suite 770-895-4776 500, Loganville, Georgia 30052

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

3/17/2021

1. The agency must conduct bi-monthly foster home visits during the first six months of placement to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed quarterly during the first year of placement and documented and maintained in each foster child's file. 3. The agency will not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes to the foster home shall be documented in an amended home study evaluation and a copy of the report shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

22 Child
Placing Agency

3/4/2021

Community Connections, Inc.

Kimberly Brown

2300 West Park Place Boulevard, Suite 114, Stone Mountain, Georgia 30087

770-465-9644

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

3/25/2021

1. The agency must conduct monthly foster home visits during the first six months of placement to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed quarterly during the first year of placement and documented and maintained in each foster child's file. 3. The agency will not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes to the foster home shall be documented in an amended home study evaluation and a copy of the report shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 10 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

23 Child
Placing Agency

3/4/2021

Families 4 Families, Inc. Allison Williams

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

3915 Harrison Road, Suite 770-895-4776 500, Loganville, Georgia 30052

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

3/25/2021

1. The agency must conduct monthly foster home visits during the first six months of placement to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed quarterly during the first year of placement and documented and maintained in each foster child's file. 3. The agency will not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes to the foster home shall be documented in an amended home study evaluation and a copy of the report shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

24 Child
Placing Agency

3/2/2021

Christian City, Inc.

Tierra Harp

7501 Red Oak Road, Union City, Georgia 30291

770-336-6567

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states no child

(IV)

over one year of age shall sleep

in a room with an adult.

3/26/2021

1. The agency must conduct monthly foster home visits to ensure the child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in the foster child's file and the foster parent's file. 2. The agency must develop a service plan to address the foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in the foster child's file. 3. The agency will ensure that the foster child has an appropriate bed to sleep in and does not sleep in the bed with the foster parent. 4. The agency must ensure that the foster child is supervised at all times with other children and house pets. 5. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 6. The waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 11 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

25 Child
Caring

3/16/2021

Institution

Changing Lives Learning Center, LLC

Sophia Jordan

Agency/Agency Representative's Address
313 Henderson Street, Sandersville, Georgia 31082

Agency/Agency Representative's Phone Number
478-290-5296

Rule #
290-2-5.08(6)(c)2

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states that any childcare worker shall be at least 21 years of age and possess a high school diploma or a general education diploma.

4/8/2021

1. The staff member must receive monthly supervision from the director and/or the human service professional that is documented and maintained in his/her personnel file. 2. The staff member must obtain 24-hours of annual training related to the type of residents served by the facility. This training must be documented and maintained in his/her personnel file. 3. The staff member must receive an annual employee performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 4. The staff member's job duties are limited to the role of a child care worker. 5. This waiver is contingent upon the facility demonstrating substantial compliance with the rules and regulations governing Child Caring Institutions.

26 Child
Placing Agency

3/25/2021 Uniting Hope 4 Children, Katherine Mays Inc.

1949 Highway 81, Suite 300, 770-317-0294 Loganville, Georgia 30052

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

4/20/2021

1. The agency must conduct monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and the foster children's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 12 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

27 Child
Placing Agency

3/31/2021 Choices for Life of Georgia, LLC

Agency Representative
Vivian Mann

Agency/Agency Representative's Address
2200 North Patterson Street, Valdosta, Georgia 31602

Agency/Agency Representative's Phone Number
229-244-1707

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

4/20/2021

Conditions of Approval
1. The agency must conduct monthly foster home visits to ensure the child's placement in the home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must ensure that the foster family provides 24-hour oversight and supervision during overnight hours by ensuring the family installs some type of monitoring system, such as a baby monitor. 3. The agency must develop a service plan to address the foster child's emotional, educational, medical, social and developmental needs. 4. The agency will ensure that each foster child has an appropriate bed to sleep in and that children of the opposite sex do not share a bed. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

28 Child
Placing Agency

3/31/2021 It Is Well Foster Care, Bridgetta Sylvain 3 East Main Street, Suite 2A, 678-542-0011

Inc.

Buford, Georgia 30518

290-9-2.04(9)(a)

The agency requested a waiver Approved No for the rule which states the casework supervisor shall have the minimum qualifications of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

4/20/2021

1. The staff member must receive monthly supervision from his/her supervisor. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency, which includes training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 13 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

29 Child
Placing Agency

3/29/2021

National Mentor

Dr. Santoria

Healthcare, LLC D/B/A Williams

Georgia Mentor - Athens

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

185 Ben Burton Circle, Bogart, 404-661-6709 Georgia 30622

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No renewal for the rule which states the casework supervisor shall have the minimum qualifications of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

4/22/2021

1. The staff member must receive monthly supervision from the director. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency as well as training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

30 Child
Placing Agency

4/2/2021

National Youth

Dr. Terri Jenkins

Advocate Program, Inc.

315 West Ponce de Leon, Suite 661, Decatur, Georgia 30030

706-724-4387

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

5/7/2021

1. The agency must conduct monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in the foster parent's file and each foster child's files. 2. The agency must conduct a monthly phone contact with the home for the first three months of placement to ensure the children are adjusting to the home and to ensure that the foster parents are not overwhelmed with three children under the age of three. 3. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 4. The agency will not allow children of different sexes over the age of three to share a bedroom. 5. All updates and any changes in the family make-up shall be documented in an amended home study report and a copy maintained in the foster parent's file and each foster child's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 14 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

31 Child
Placing Agency

4/12/2021 Faithbridge Foster Care, Kris Isom Inc.

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

4400 Northpoint Parkway,

678-690-7100

Suite 210, Alpharetta, Georgia

30022

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

5/7/2021

1. The agency must conduct bi-monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. At least one of these visits must be conducted in the home.These visits shall be documented and maintained in the foster parent's file and the foster children's files. 2. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family home must be documented in an amended home study report and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

32 Child
Placing Agency

4/13/2021 Faithbridge Foster Care, Kris Isom Inc.

4400 Northpoint Parkway,

678-690-7100

Suite 210, Alpharetta, Georgia

30022

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

5/7/2021

1. The agency must conduct monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in the foster parent's file and the foster children's files. 2. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family home must be documented in an amended home study report and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 15 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

33 Child
Placing Agency

4/6/2021

Choices for Life of Georgia, LLC

Agency Representative
Sara Riley

Agency/Agency Representative's Address
2200 North Patterson Street, Valdosta, Georgia 31602

Agency/Agency Representative's Phone Number
229-244-1707

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No renewal for the rule which states the casework supervisor shall have the minimum qualifications of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

5/7/2021

1. The staff member must receive quarterly supervision from the director that must be documented and maintained in his/her personnel file. 2. The staff member must obtain 24-hours of annual training related to the type of residents served by the agency. This training must be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual employee performance evaluation completed by the director that is documented and maintained in his/her personnel file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

34 Child
Placing Agency

4/14/2021 Families 4 Families, Inc. Allison Williams

3915 Harrison Road, Suite 770-895-4776 500, Loganville, Georgia 30052

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

5/7/2021

1. The agency must conduct monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in the foster parent's file and the foster children's files. 2. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family home must be documented in an amended home study report and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 16 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

35 Child
Placing Agency

4/21/2021 Community Connections, Inc.

Agency Representative
Kimberly Boykin

Agency/Agency Representative's Address
2300 West Park Place Boulevard, Suite 114, Stone Mountain, Georgia 30087

Agency/Agency Representative's Phone Number
770-465-9644

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states no child

(IV)

over one year of age shall sleep

in a room with an adult.

6/9/2021

Conditions of Approval
1. The agency must conduct monthly foster home visits to ensure the child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in the foster child's file and the foster parent's file. 2. The agency must develop a service plan to address the foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in the foster child's file. 3. The agency will ensure that the foster child has an appropriate bed to sleep in and does not sleep in the bed with the foster parent. 4. The agency must ensure that the foster child is supervised at all times with other children and house pets. 5. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 6. The waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

36 Child
Placing Agency

4/22/2021

Lookout Mountain Community Services TREK Program

Mark Wattenbarger 1875 Fant Drive, Fort Oglethorpe, Georgia 30742

706-806-1205

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

6/9/2021

1. The agency must conduct monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in the foster parent's file and the foster children's files. 2. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family home must be documented in an amended home study report and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 17 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

37 Child
Placing Agency

5/6/2021

Faithbridge Foster Care, Kris Isom Inc.

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

4400 Northpoint Parkway,

678-690-7100

Suite 210, Alpharetta, Georgia

30022

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

6/9/2021

Conditions of Approval
1. The agency must conduct monthly foster home visits to ensure the child's placement in the home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must ensure that the foster family provides 24-hour oversight and supervision during overnight hours by ensuring the family installs some type of monitoring system such as a baby monitor. 3. The agency must develop a service plan to address the foster child's emotional, educational, medical, social and developmental needs. 4. The agency will ensure that each foster child has an appropriate bed to sleep in and that children of the opposite sex do not share a bed. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

38 Child
Placing Agency

5/6/2021

Murphy Harpst

Agnetta Delancy

Children's Center

Specialized Foster Care

130 Grady Road, Rockmart, Georgia 30125

678-704-9291

290-9-2.04(9)(a)

The agency requested a waiver Approved No for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

6/9/2021

1. The staff must receive monthly supervision from the director. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff must complete at least 24-hours of annual training related to the type of children served by the agency as well as training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 18 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

39 Child
Placing Agency

5/19/2021

Georgia Baptist Children's Homes & Family Ministry, Inc.

Agency Representative
Patricia Daniel

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

9250 Hutchenson Ferry Road, 770-463-3800 Palmetto, Georgia 30268

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

6/9/2021

1. The staff must receive monthly supervision from the director. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff must complete at least 24-hours of annual training related to the type of children served by the agency as well as training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

40 Child
Placing Agency

5/24/2021 Bethany Christian Services, Inc.

Callie Chappell

6645 Peachtree Dunwoody 706-395-7038 Road, Atlanta, Georgia 30328

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

6/21/2021

1. The agency must conduct monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in the foster parent's file and the foster children's files. 2. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family home must be documented in an amended home study report and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 19 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

41 Child
Caring

6/11/2021

Institution

Foundation Group Home, Inc.

Agency Representative

Agency/Agency Representative's Address

Steven Edmerson 827 Tallapoosa Street, Bremen, Georgia 30110

Agency/Agency Representative's Phone Number
770-537-0700

Rule #
290-2-5.08(3)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states the director shall possess either a bachelor's degree or a business degree from an accredited college or university in the area of social science, social work, childhood education, business or public administration or a related field plus four years of work experience in the field of childcare.

7/12/2021

1. The staff member must receive quarterly supervision from the Board of Directors. This supervision must include an evaluation of his/her job duties and responsibilities which must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 32-hours of annual training which includes leadership and development training. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by the Board of Directors that shall be documented and maintained in his/her personnel file. 4. The facility must maintain a qualified human service professional at all times. 5. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

42 Child
Placing Agency

6/22/2021 National Youth

Dr. Terri Jenkins

Advocate Program, Inc.

315 West Ponce de Leon, Suite 661, Decatur, Georgia 30030

706-724-4387

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

7/12/2021

1. The agency must conduct monthly foster home visits to ensure this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in the foster parent's file and the foster children's files. 2. The agency must develop service plans to address each child's emotional, family, educational, medical, social and developmental needs. These plans shall be maintained in each foster child's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family home must be documented in an amended home study report and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 20 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

43 Child
Placing Agency

5/25/2021 Faithbridge Foster Care, Kris Isom Inc.

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

4400 Northpoint Parkway,

678-690-7118

Suite 210, Alpharetta, Georgia

30022

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No renewal for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

6/21/2021

1. The agency must conduct monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address each child's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in the foster children's file. 3. The agency must not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

44 Child
Placing Agency

5/28/2021 Uniting Hope 4 Children, Katherine Mays Inc.

1949 Highway 81 South, Loganville, Georgia 30052

770-317-0294

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

6/21/2021

1. The agency must conduct monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. The agency will not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 21 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

45 Child
Placing Agency

6/15/2021 Uniting Hope 4 Children, Kayla Merritt Inc.

Agency/Agency Representative's Address
1949 Highway 81 South, Loganville, Georgia 30052

Agency/Agency Representative's Phone Number
770-778-5789

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No renewal for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

7/12/2021

1. The staff member must receive monthly supervision from their supervisor. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in their personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency which includes training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

46 Child
Placing Agency

6/17/2021 Uniting Hope 4 Children, Katherine Mays Inc.

1949 Highway 81 South, Loganville, Georgia 30052

770-317-0294

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

7/12/2021

1. The agency must conduct monthly foster home visits to ensure the child's placement in this home is appropriate. These visits must be documented and maintained in both the foster parent's file and the child's file. 2. The agency must develop service plans to address the child's emotional, educational, medical, social and developmental needs. This plan shall be maintained in the foster child's file. 3. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 22 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

47 Child
Caring

6/20/2021

Institution

Changing Lives Learning Center, LLC

Sophia Jordan

Agency/Agency Representative's Address
313 Henderson Street, Sandersville, Georgia 31082

Agency/Agency Representative's Phone Number
478-290-5296

Rule #
290-2-5.08(6)(c)2

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states that any childcare worker shall be at least 21 years of age and possess a high school diploma or a general education diploma.

7/12/2021

1. The staff member must receive monthly supervision from the director and/or the human service professional that is documented and maintained in his/her personnel file. 2. The staff member must obtain 24-hours of annual training related to the type of residents served by the facility. This training must be documented and maintained in his/her personnel file. 3. The staff member must receive an annual employee performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 4. The staff member's job duties are limited to the role of a child care worker. 5. This waiver is contingent upon the facility demonstrating substantial compliance with the rules and regulations governing Child Caring Institutions.

48 Child
Placing Agency

6/25/2021 Christian City, Inc.

Michaela Guthrie 7501 Lester Road, Union City, 770-336-6566 Georgia 30291

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

7/12/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must ensure that the foster family provides 24-hour oversight and supervision during naptime and overnight hours by ensuring the family installs some type of monitoring system such as a baby monitor. 3. The agency must ensure that each foster child has an appropriate bed to sleep in and that children of the opposite sex do not share a bed. 4. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 23 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

49 Child
Placing Agency

6/29/2021 Christian City, Inc.

Agency Representative
Tierra Harp

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

7501 Lester Road, Union City, 770-336-6567 Georgia 30291

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states no child

(IV)

over one year of age shall sleep

in a room with an adult.

8/2/2021

Conditions of Approval
1. The agency must conduct bi-monthly foster home visits to ensure the child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in the foster child's file and the foster parent's file. 2. The agency must develop a service plan to address the foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in the foster child's file. 3. The agency will ensure that the foster child has an appropriate bed to sleep in and does not sleep in the bed with the foster parent. 4. The agency must ensure that all foster children's bedrooms are equipped with a monitoring system such as a baby monitor which allows for 24 hours of supervision, especially during overnight hours. 5. The waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

50 Child
Placing Agency

7/12/2021

Goshen Valley Foundation, Inc. D/B/A Goshen Homes

Gabby Brumfield

505 Brown Industrial Parkway, 770-345-9535 Suite 200, Canton, Georgia 30114

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

8/2/2021

1. The agency must conduct monthly foster home visits to ensure the child's placement in this home is appropriate. These visits must be documented and maintained in both the foster parent's file and the child's file. 2. The agency must develop service plans to address the child's emotional, educational, medical, social and developmental needs. This plan shall be maintained in the foster child's file. 3. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 24 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

51 Child
Caring

7/16/2021

Institution

North Georgia Angel House, Inc.

Agency Representative
Susan Worsley

Agency/Agency Representative's Address
2260 Sam Nelson Road, Canton, Georgia 30114

Agency/Agency Representative's Phone Number
678-704-9291

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-2-5-

The facility requested a waiver for Approved No

.05(8)

the rule which states no licensed

**Effective child caring institution shall

January 1, provide room, board and watchful

2021, this rule oversight to more than sixteen

was

(16) children on its premises.

renumbered

to 290-2-5-

.05(6) as a

result of

amendments

to the rules

and

regulations

governing

Child Caring

Institutions.

8/2/2021

Conditions of Approval
1. The facility shall be limited to a capacity of twentyone (21) residents at one time. 2. The facility must maintain the staff to client ratio that's indicated per their Office of Provider Management placement contract. 3. The facility must maintain a qualified human service professional for every sixteen (16) residents in care. 4. The facility must ensure that all staff members working directly with residents have been appropriately oriented and trained regarding the type of residents served by the program. 5. This waiver is contingent upon the institution maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

52 Child
Caring

7/16/2021

Institution

Murphy Harpst

Agnetta Delancy

Children's Center

Specialized Foster Care

740 Fletcher Street, Cedartown, Georgia 30125

678-704-9291

290-2-5.05(6)(a)

The facility requested a waiver for Approved No the rule which states institutions with a valid child caring license issued on or before December 21, 2019, that includes authorization to place children in private foster homes where foster parents live, shall be required to obtain a child placing agency license no later than June 30, 2021.

8/23/2021

1. The facility must comply with the licensing process and meet all deadlines established by the application specialist. 2. The facility must report all complaints and incidents to the Residential Child Care Licensing Intake unit within the required timeframes. 3. The facility must ensure that they are operating in compliance with the rules and regulations governing Child Placing Agencies. 4. The facility must obtain their Child Placing Agency license by September 15, 2021.

Page 25 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

53 Child
Placing Agency

7/21/2021 Christian City, Inc.

Agency Representative
Tierra Harp

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

7501 Lester Road, Union City, 770-336-6567 Georgia 30291

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states no child

(IV)

over one year of age shall sleep

in a room with an adult.

8/23/2021

Conditions of Approval
1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must develop a service plan to address the foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in the foster child's file. 3. The agency must ensure that each foster child has an appropriate bed to sleep. Foster children are not allowed to share a bed with the foster parent. 4. The agency will ensure that a partition or room divider is added to the foster parent's bedroom to allow for privacy and the child must get dressed in the bathroom or alone in the bedroom. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

54 Child
Caring

7/23/2021

Institution

The Methodist Home for Robin Trantham Children and Youth

304 Pierce Avenue, Macon, Georgia 31204

478-751-2816

290-2-5.08(6)(b)1

The facility requested a waiver Approved No renewal for the rule which states that the human service professional shall possess a bachelor's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or a related field and either have two years of experience in the field of childcare or be supervised by another human service professional with a master's degree in one of the required disciplines.

8/23/2021

1. The staff member must receive monthly supervision from a master's level staff member that must be documented and maintained in his/her personnel file. The supervision must include a review of the assessments and service plans developed and written by the staff member. 2. The staff member must obtain 32-hours of annual training related to the type of residents served in the facility. This training must be documented and maintained in his/her personnel file. 3. The staff member must receive an annual performance evaluation completed by his/her supervisor and documented and maintained in his/her personnel file. 4. This waiver is contingent upon the institution maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 26 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

Agency/Agency Representative's Address

55 Child
Caring

7/27/2021

Institution

Liberty County Children's Home, Inc. D/B/A Gabriel's House Ranch

James Osteen Jr.

6145 East Oglethorpe Highway, Midway, Georgia 31320

Agency/Agency Representative's Phone Number
912-884-4545

Rule #
290-2-5.09(2)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states that a child under the age of six shall not be admitted to a child caring institution unless that child is a part of a sibling group with at least one of the siblings being six years of age or older and will reside at the institution.

8/23/2021

1. The facility will only admit residents under the age of six who are part of a sibling group. A separate waiver application must be submitted prior to the placement of any child under the age of six who is not a part of a sibling group. 2. The facility must maintain a homelike environment for residents in care and develop service plans that address their educational, medical, social and developmental needs. 3. The facility will not allow children of different sexes over the age of three years of age to share a bedroom. They must ensure that residents of different sexes are provided an individual crib or bed to sleep. 4. The facility must provide a living environment that is safe and appropriate for children under the age of six and ensure that appropriate supervision is maintained at all times. 5. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

56 Child
Caring

7/27/2021

Institution

Liberty County Children's Home, Inc. D/B/A Gabriel's House Ranch

James Osteen Jr.

6145 East Oglethorpe Highway, Midway, Georgia 31320

912-884-4545

290-2-5.18(2)(a)

The facility requested a waiver for Approved No the rule which states boys and girls shall sleep in separate sleeping areas.

8/23/2021

1. The facility will only admit residents under the age of six who are part of a sibling group. A separate waiver application must be submitted prior to the placement of any child under the age of six who is not a part of a sibling group. 2. The facility must maintain a homelike environment for residents in care and develop service plans that address their educational, medical, social and developmental needs. 3. The facility will not allow children of different sexes over the age of three to share a bedroom. They must ensure that residents of different sexes are provided an individual crib or bed to sleep. 4. The facility must provide a living environment that is safe and appropriate for children under the age of six and ensure that appropriate supervision is maintained at all times. 5. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 27 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

57 Child
Placing Agency

7/30/2021 Health Connect of America, Inc.

Agency Representative
Nicole Aldred

Agency/Agency Representative's Address
100 Glendalough Court, Suite E, Tyrone, Georgia 30290

Agency/Agency Representative's Phone Number
678-858-5653

Rule #
290-9-2.03(4), (5), 6(c), (7), 9(a,b,c,e)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a renewal Approved No for the waiver to operate as a forprofit agency.

8/23/2021

1. The agency must annually provide evidence that they remain registered to do business in the State of Georgia with an identified agent for service and that the agency is in good standing with Georgia's Secretary of State office. 2. The agency must not expand its scope of services as a Child Placing Agency beyond arranging foster care placements. The agency will not provide adoption services. 3. The agency leadership staff must meet quarterly to review and act upon all operational reports and evaluations of the agency. The agency must maintain a copy of these minutes and make them available to the licensing staff upon request. 4. The governing body shall meet at least annually to review and act upon all operational reports and evaluations of the Georgia program. A copy of these meeting notes shall be available to licensing staff upon request. 5. The agency will provide a copy of its annual financial audit report completed by a Certified Public Accountant to the licensing staff upon request. 6. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 28 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

58 Child
Placing Agency

8/9/2021

Nightlight Christian Adoptions, Inc.

Agency Representative
Lexie Fowler

Agency/Agency Representative's Address
2340 Prince Avenue, Suite B, Athens, Georgia 30606

Agency/Agency Representative's Phone Number
706-750-9119

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

8/24/2021

1. The agency must conduct bi-monthly foster home visits to ensure each child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop a service plan to address each foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency will ensure that each foster child has an appropriate bed to sleep in and that children of the opposite sex do not share a bed. The agency will ensure that a partition or room divider is added to the foster children's bedroom to allow for privacy. 4. The agency must ensure the foster children's bedroom is equipped with a monitoring system such as a baby monitor to ensure 24-hours of supervision during overnight hours. 5. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

59 Maternity 8/10/2021
Home

Edify Teens Ministries, Inc. D/B/A Edify Teen Life Center

Ruth Napoleon

39 Emmett Freeman Road, Senoia, Georgia 30276

770-685-5657

290-2-29.16(5)

The facility requested a waiver for Approved No the rule which states a resident shall not remain in the home for more than eight weeks after delivery once the mother has been medically discharged.

9/13/2021

1. The facility must complete an updated assessment for each resident and her child. The assessment shall document any issues or concerns as it relates to the resident's developmental, social and emotional needs. The assessment shall also address the resident's educational and vocational skills, daily living skills and daycare needs, and discharge plans. 2. The facility shall document a 15-day Individual Service Plan for each resident. 3. The facility shall submit a change request form and the second chance home policies and procedures to the Residential Child Care Licensing Applications unit by September 30, 2021. 4. This waiver is contingent upon the facility maintaining substantial compliance with the rules and regulations governing Maternity Homes.

Page 29 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

Agency/Agency Representative's Address

60 Child
Caring

8/11/2021

Institution

Broken Shackle Ranch, Lindsey Mae Cobb 1542 Francis Bridge Road,

Inc.

Davisboro, Georgia 31018

Agency/Agency Representative's Phone Number
478-331-6555

Rule #
290-2-5.08(6)(b)1

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The facility requested a waiver for Approved No the rule which states that the human service professional shall possess a bachelor's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or a related field and either have two years of experience in the field of childcare or be supervised by another human service professional with a master's degree in one of the required disciplines.

9/29/2021

1. The staff member must receive monthly supervision from a master's level staff member that must be documented and maintained in his/her personnel file. The supervision must include a review of the assessments and service plans developed and written by the staff member. 2. The staff member must obtain 32-hours of annual training related to the type of residents served in the facility. This training must be documented and maintained in his/her personnel file. 3. The staff member must receive an annual performance evaluation completed by his/her supervisor and documented and maintained in his/her personnel file. 4. This waiver is contingent upon the institution maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

61 Child
Placing Agency

8/12/2021 Care 4 All Children Services, Inc.

Carla Simms

1174 McKendree Church

678-719-9677

Road, Suite 100,

Lawrenceville, Georgia 30043

290-9-2.04(9)(a)

The agency requested a waiver Approved No for the rule which states the casework supervisor shall have the minimum qualifications of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

9/13/2021

1. The staff member must receive monthly supervision from his/her supervisor. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency which includes training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 30 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type
62 Child
Placing Agency

Date Received

Agency Name

Agency Representative

8/18/2021

Goshen Valley Foundation, Inc. D/B/A Goshen Homes

Gabby Brumfield

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

505 Brown Industrial Parkway, 770-435-9535 Suite 200, Canton, Georgia 30114

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

9/13/2021

1. The agency must conduct monthly foster home visits to ensure the child's placement in this home is appropriate. These visits must be documented and maintained in both the foster parent's file and the child's file. 2. The agency must develop service plans to address the child's emotional, educational, medical, social and developmental needs. This plan shall be documented and maintained in the foster child's file. 3. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

63 Child
Placing Agency

8/18/2021

Goshen Valley Foundation, Inc. D/B/A Goshen Homes

Gabby Brumfield

505 Brown Industrial Parkway, 770-435-9535 Suite 200, Canton, Georgia 30114

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

64 Maternity 8/19/2021 Families First, Inc. -

Erika Green

Home

Second Chance Home

2625 Jerome Road, College 678-598-4433 Park, Georgia 30349

290-2-29.21(4)(f)

The facility requested a waiver for Approved No the rule which states each resident shall have adequate closet and drawer space for personal possessions in the room assigned.

9/13/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must ensure that the foster family provides 24-hour oversight and supervision during naptime and overnight hours by ensuring the family installs some type of monitoring system such as a baby monitor. 3. The agency must ensure that each foster child has an appropriate bed to sleep in and that children of the opposite sex do not share a bed. 4. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. These must be documented and maintained in the foster child's file. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

9/29/2021

1. The facility staff must assess the resident's belongings and determine their storage needs. 2. The facility will utilize closet space and provide storage bins for each mother and her child based on the needs assessment. 3. This waiver is contingent upon the home maintaining substantial compliance with the rules and regulations governing Maternity Homes.

Page 31 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

65 Child
Placing Agency

8/25/2021 ENA, Inc. D/B/A NECCO

Agency Representative
Kristian Harper

66 Child
Placing Agency

8/26/2021

National Mentor Healthcare, LLC D/B/A Georgia Mentor Columbus

Joshua Salter

Agency/Agency Representative's Address 120 North Oak Street, Valdosta, Georgia 31601
233 12th Street, Suite 521, Columbus, Georgia 31901

Agency/Agency Representative's Phone Number
229-415-7957

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

9/29/2021

Conditions of Approval
1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must ensure that the foster family provides 24-hour oversight and supervision during naptime and overnight hours by ensuring the family installs some type of monitoring system such as a baby monitor. 3. The agency must ensure that each foster child has an appropriate bed to sleep in and that children of the opposite sex do not share a bed. 4. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The agency shall develop specific goals and objectives to assist the child in transitioning to sleeping in a separate room from his/her older sibling. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

706-992-6263

290-9-2.04(9)(a)

The agency requested a waiver Approved No renewal for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

9/29/2021

1. The staff member must receive monthly supervision from their supervisor. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in their personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency which includes training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 32 of 44

# License Type

Date Received

Agency Name

67 Child
Placing Agency

8/30/2021 ENA, Inc. D/B/A NECCO

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

Agency Representative

Agency/Agency Representative's Address

Kaylene Kimsey

120 North Oak Street, Valdosta, Georgia 31601

Agency/Agency Representative's Phone Number
229-603-1644

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

9/29/2021

1. The agency must conduct bi-monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. The agency will not allow children of different sexes over the age of three to share a bedroom. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

68 Child
Placing Agency

9/13/2021

Bridge Builders Family Bianca Gouch and Children Services, Inc.

433 Cherry Street, Suite 18, Macon, Georgia 31201

478-960-7104

290-9-2.04(9)(a)

The agency requested a waiver Approved No for the rule which states the casework supervisor shall have the minimum qualifications of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

10/8/2021

1. The staff member must receive monthly supervision from his/her supervisor. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in his/her personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency which includes training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 33 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

69 Child
Placing Agency

9/15/2021 Community Connections, Inc.

Agency Representative
Karen Jackson

70 Child
Placing Agency

9/18/2021 Families 4 Families, Inc. Allison Williams

Agency/Agency Representative's Address
2300 West Park Place Boulevard, Suite 114, Stone Mountain, Georgia 30087

Agency/Agency Representative's Phone Number
770-465-9644

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

10/8/2021

Conditions of Approval
1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency must ensure that the foster family provides 24-hour oversight and supervision during naptime and overnight hours by ensuring the family installs some type of monitoring system such as a baby monitor. 4. The agency must ensure that each foster child has an appropriate bed to sleep. The agency will ensure that a partition or a room divider is added to the bedroom to allow for privacy. Each child must get dressed in the bathroom or alone in the bedroom. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

3915 Harrison Road, Suite 770-895-4776 500, Loganville, Georgia 30052

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

10/8/2021

1. The agency must conduct bi-monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. During the monthly visits, the agency must ensure that respite care and other supports are available as needed for the foster parents. This information must be documented and maintained in the foster parent's file. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 34 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type
71 Child
Placing Agency

Date Received
9/9/2021

Agency Name

Agency Representative

Murphy Harpst

Agnetta Delancy

Children's Center

Specialized Foster Care

Agency/Agency Representative's Address
130 Grady Road, Rockmart, Georgia 30125

Agency/Agency Representative's Phone Number
678-704-9291

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

10/8/2021

1. The agency must conduct bi-monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. During the monthly visits, the agency must check in with the foster parents to determine what support systems are needed as it relates to caring for a large group of children. The agency should ensure that respite care and other supports are available as needed to minimize burnout of the foster parents. This information must be documented and maintained in the foster parent's file. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 35 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type
72 Child
Placing Agency

Date Received
9/9/2021

Agency Name

Agency Representative

Murphy Harpst

Agnetta Delancy

Children's Center

Specialized Foster Care

Agency/Agency Representative's Address
130 Grady Road, Rockmart, Georgia 30125

Agency/Agency Representative's Phone Number
678-704-9291

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

10/8/2021

1. The agency must conduct bi-monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. During the monthly visits, the agency must check in with the foster parents to determine what support systems are needed as it relates to caring for a large group of children. The agency should ensure that respite care and other supports are available as needed to minimize burnout of the foster parents. This information must be documented and maintained in the foster parent's file. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

73 Child
Placing Agency

8/30/2021 Health Connect of

Crystal Porter

America, Inc. - Dallas

168 North Johnson Street, Dallas, Georgia 30132

470-308-6150

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states no child

(IV)

over one year of age shall sleep

in a room with an adult.

9/29/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop a service plan to address each foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency must ensure that each foster child has an individual bed or crib to sleep. Children are not allowed to share a bed with the foster parent. 4. The agency will ensure that a partition or room divider is added to the foster parent's bedroom to allow for privacy. 5. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 36 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

74 Child
Placing Agency

8/30/2021

National Mentor Healthcare, LLC D/B/A Georgia Mentor Augusta

Tracy L. Bush

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

2828 Hillcreek Drive, Augusta, 706-868-5268 Georgia 30909

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

9/29/2021

1. The agency must conduct monthly foster home visits to ensure the home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits shall be documented and maintained in both the foster parent's file and each foster child's file. 2. The agency must develop a service plan to address the children's emotional, family, educational, medical, social and developmental needs. This plan shall be maintained in each foster child's file. 3. During the monthly visits, the agency must check in with the foster parents to determine what support systems are needed. The agency must document and maintain this information in the foster parent's file. 4. All updates and any changes in the family's home must be documented in an amended home study evaluation and a copy maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

75 Child
Placing Agency

8/31/2021 Uniting Hope 4 Children, Katherine Mays Inc.

1949 Highway 81 South, Suite 770-317-0294 300, Loganville, Georgia 30052

290-9-2.07(2)

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

9/29/2021

1. The agency must conduct monthly foster home visits to ensure that each child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. During the monthly visits, the agency must check in with the foster parent to determine what support systems are needed as it relates to caring for a large group of children. The agency should ensure that respite care and other supports are available as needed to minimize burnout by the foster parent. This information must be documented and maintained in the foster parent's file. 3. The agency must develop a service plan to address each foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 4. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 37 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type
76 Child
Placing Agency

Date Received
9/9/2021

Agency Name

Agency Representative

Goshen Valley Foundation, Inc. D/B/A Goshen Homes

Gabby Brumfield

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

505 Brown Industrial Parkway, 770-345-9535 Suite 200, Canton, Georgia 30114

Rule #
290-9-2.07(2)

77 Child
Placing Agency

10/19/2021 National Mentor

Crystal Smith

Healthcare, LLC D/B/A

Georgia Mentor - Macon

120-B Osigian Boulevard, Suite 478-333-2971 100, Warner Robins, Georgia 31088

290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

10/8/2021

1. The agency must conduct monthly foster home visits to ensure that each child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. During the monthly visits, the agency must check in with the foster parent to determine what support systems are needed as it relates to caring for a large group of children. The agency should ensure that respite care and other supports are available as needed to minimize burnout by the foster parent. This information must be documented and maintained in the foster parent's file. 3. The agency must develop a service plan to address each foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 4. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

The agency requested a waiver Approved No renewal for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

11/19/2021

1. The staff member must receive monthly supervision from their supervisor. This supervision must include an evaluation of his/her job duties and responsibilities that shall be documented and maintained in their personnel file. 2. All home study evaluations and service plans completed by the staff member must be reviewed and signed off by a master's level staff member. 3. The staff member must complete at least 24-hours of annual training related to the type of children served by the agency which includes training on writing home study evaluations and service plans. This training must be documented and maintained in his/her personnel file. 4. The staff member must receive an annual performance evaluation completed by his/her supervisor that is documented and maintained in his/her personnel file. 5. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 38 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type
78 Child
Placing Agency

Date Received

Agency Name

Agency Representative

Agency/Agency Representative's Address

10/26/2021

Abiding Love Adoption Agency, Inc.

Carrie Murray Nellis 1700 Frederica Road, Suite 305, Saint Simons Island, Georgia 31522

Agency/Agency Representative's Phone Number
912-596-8778

Rule #
290-9-2.04(9)(a)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No renewal for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

11/19/2021

1. The staff member must receive quarterly supervision from the Board of Directors that must be documented and maintained in his/her personnel file. 2. The staff member must obtain at least 24-hours of annual training related to the type of residents served by the facility. This training shall be documented and maintained in his/her personnel file. 3. The staff member shall receive an annual performance evaluation completed by the Board of Directors that shall be documented and maintained in his/her personnel file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

79 Child
Caring

11/2/2021

Institution

The Center for Children Steven Yarish & Young Adults, Inc.

2221 Austell Road, Marietta, 770-485-1661 Georgia 30008

290-2-5-.08 (6)(b)(1)

The facility requested a waiver for Approved No the rule which states that the human service professional shall possess a bachelor's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or a related field and either have two years of experience in the field of childcare or be supervised by another human service professional with a master's degree in one of the required disciplines.

11/19/2021

1. The staff member must receive monthly supervision from a master's level staff member that must be documented and maintained in his/her personnel file. The supervision must include a review of the assessments and service plans developed and written by the staff member. 2. The staff member must obtain 32-hours of annual training related to the type of residents served in the facility. This training must be documented and maintained in his/her personnel file. 3. The staff member must receive an annual performance evaluation completed by his/her supervisor and documented and maintained in his/her personnel file. 4. This waiver is contingent upon the institution maintaining substantial compliance with the rules and regulations governing Child Caring Institutions.

Page 39 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

80 Child
Placing Agency

11/8/2021 ENA, Inc. D/B/A NECCO

Agency Representative
Lacey Stokes

Agency/Agency Representative's Address
120 North Oak Street, Valdosta, Georgia 31601

Agency/Agency Representative's Phone Number
229-415-7957

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

12/17/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency must ensure that the foster family provides 24-hour oversight and supervision during naptime and overnight hours by ensuring the family installs some type of monitoring system such as a baby monitor. 4. The agency must ensure that each foster child has an appropriate bed to sleep. The agency will ensure that a partition or a room divider is added to the bedroom to allow for privacy. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

81 Child
Placing Agency

11/15/2021 Chris 180, Inc. D/B/A Chris 180 - Adoption Services

Erica Kaufman

1017 Fayetteville Road, Suite 404-564-4728 B, Atlanta, Georgia 30316

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)6(v) for the rule which states that a

screening for venereal disease

for prospective foster parents and

children 16 years of age and

older living in a prospective foster

home shall be completed.

11/19/2021 There are no imposed conditions for this waiver.

Page 40 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

82 Child
Placing Agency

11/18/2021 Uniting Hope 4 Children, Allie London Inc.

Agency/Agency Representative's Address
1949 Highway 81 South, Loganville, Georgia 30052

Agency/Agency Representative's Phone Number
678-585-4686

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

12/17/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency must ensure that each foster child has an appropriate bed to sleep and that children of the opposite sex do not share a bed. The agency will ensure that a partition or room divider is added to the foster children's bedroom to allow for privacy. 4. The agency must ensure the foster children's bedroom is equipped with a monitoring system such as a baby monitor to ensure 24-hours of supervision during overnight hours. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

83 Child
Placing Agency

11/18/2021 Creative Community Services, Inc.

Charon Mathews 1650 Oakbrook Drive, Suite 770-469-6226 445, Norcross, Georgia 30093

290-9-2.04(9)(a)

The agency requested a waiver Approved No renewal for the rule which states that the casework supervisor shall have the minimum of a master's degree from an accredited college or university in social work, psychology, childhood education, education counseling and psychology or other human service or behavioral science field.

12/17/2021

1. The staff member must receive monthly supervision from a master's level staff member. This supervision must include an evaluation of his/her job duties and responsibilities and must be documented and maintained in his/her personnel file. 2. The staff member must obtain 24-hours of annual training related to the type of residents served by the agency. This training must be documented and maintained in his/her personnel file. 3. The agency must document an annual performance evaluation for the staff member, completed by his/her supervisor, that is documented and maintained in his/her personnel file. 4. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 41 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

Agency Representative

84 Child
Placing Agency

11/29/2021 Families 4 Families, Inc. Allison Williams

Agency/Agency Representative's Address

Agency/Agency Representative's Phone Number

3915 Harrison Road, Suite 770-895-4776 500, Loganville, Georgia 30052

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

12/17/2021

1. The agency must conduct monthly foster home visits to ensure that each child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in the home. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop a service plan to address each foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. During the monthly visits, the agency should ensure that respite care and other supports are available as needed for the foster parents. This information must be documented and maintained in the foster parent's file. 4. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 5. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 42 of 44

# License Type

Date Received

Agency Name

85 Child
Placing Agency

11/30/2021 ENA, Inc. D/B/A NECCO

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

Agency Representative
Sarah Carey

Agency/Agency Representative's Address
120 North Oak Street, Valdosta, Georgia 31601

Agency/Agency Representative's Phone Number
229-415-7957

Rule #

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

290-9-2-

The agency requested a waiver Approved No

.07(5)(a)(9)(ii) for the rule which states children

(V)

over three years of age of

different sexes do not share a

bedroom.

12/17/2021

1. The agency must conduct monthly foster home visits to ensure the children's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in care. 2. The agency must develop service plans to address each child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency must ensure that the each foster child has an appropriate bed to sleep and that children of the opposite sex do not share a bed. The agency will ensure that a partition or room divider is added to the foster children's bedroom to allow for privacy. 4. The agency must ensure the foster children's bedroom is equipped with a monitoring system such as a baby monitor to ensure 24-hours of supervision during overnight hours. 5. All updates and any changes to the family's home shall be documented in an amended home study evaluation and a copy shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency maintaining substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 43 of 44

Department of Human Services-Office of Inspector General-Residential Child Care Licensing-2021 Waiver-Variance Report

# License Type

Date Received

Agency Name

86 Child
Placing Agency

12/2/2021 Nightlight Christian Adoptions, Inc.

Agency Representative
Lexie Fowler

Agency/Agency Representative's Address
2340 Prince Avenue, Suite B, Athens, Georgia 30606

Agency/Agency Representative's Phone Number
706-750-9119

Rule #
290-9-2.07(2)

Reason for Waiver

Approved Attorney Approval Yes/No Date

Conditions of Approval

The agency requested a waiver Approved No for the rule which states there shall be no more than six children under the age of 19 that may reside in a foster home.

12/17/2021

1. The agency must conduct bi-monthly foster home visits to ensure each child's placement in this home is appropriate and does not pose a threat to the health and safety of any of the children in the home. These visits must be documented and maintained in each foster child's file and the foster parent's file. 2. The agency must develop a service plan to address each foster child's emotional, educational, medical, social and developmental needs. The service plan meetings must be completed per the agency's policies and procedures and documented and maintained in each foster child's file. 3. The agency will ensure that each foster child has an appropriate bed to sleep and that children of the opposite sex do not share a bed. The agency will ensure that a partition or room divider is added to the foster children's bedroom to allow for privacy. 4. The agency must ensure the foster children's bedroom is equipped with a monitoring system such as a baby monitor to ensure 24-hours of supervision during overnight hours. 5. All updates and any changes to the foster home must be documented in an amended home study evaluation report and a copy of the report shall be maintained in the foster parent's file. 6. This waiver is contingent upon the agency demonstrating substantial compliance with the rules and regulations governing Child Placing Agencies.

Page 44 of 44