ABW DCH Violations June 2008

Georgia Department of Human Resources, As of: Thursday, July 17, 2008
State Form
Office of Regulatory Services
Statement of Deficiencies Inspection begin date 6/4/2008

and Plan of Correction Inspection end date: 6/20/2008
Street Address, City, State Zip Code
Name of Provider or Supplier
3405 VINEVILLE AVENUE LOWER LEVEL
ADOPTION BLESSINGS WORLDWIDE, INC
MACON, GA 31204
Inspection Results
P 0000 Initial Comments.
The purpose of this visit was to conduct an investigations of complaints #53972, #54637, and
#55795. The survey has been revised based upon supervisory review.
P 0314 290-9-2-.03(6)(j) Board of Directors.
SS=D
Functions and Responsibilities of the Board of Directors. The Board shall: ...
(j) Inform the Department within 24 hours by phone and in writing within 10 days of notice to the Agency of any
legal or administrative action brought against the Agency or any
This Requirement is not met as evidenced by:
Based on staff interview and review of the ACTS tracking system, the agency failed to inform
ORS within 24 hours of an administrative action brought against the Agency or persons affiliated
with the Agency which related to the conduct of the Agency. This deficiency is associated with
intake #55795.
Findings include:
A review on 06/04/2008 of two (2) Cease and Desist letters from the State of Florida Department of
Children and Families (DCF) to staff A, dated 05/13/2008 and 05/23/2008 respectively, revealed
that staff A was found by Florida DCF to have violated Florida statutes by operating an agency
satellite office in Florida without the state of Florida's approval.
A review on 06/04/2008 of the ORS complaint tracking system, Aspen Complaints/Incidents

Tracking System (ACTS), revealed that there were no reports made to ORS by the agency
concerning the Cease and Desist letters.
A telephone interview conducted on 06/04/2008 at 12:25 PM with staff A revealed that staff A
contends that it was his/her belief that Florida DCF had notified Georgia ORS of the incident and
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More Information Return to Facility Location and Information Guide Return to Inspection Screen
State Form

MACON, GA 31204
Inspection Results
therefore did not believe s/he had to also report the incident.
P 0319 290-9-2-.03(9)(a) Composition of the Board.
SS=D
Composition of the Board. ...
The Board shall be composed of at least five (5) members.

Based on staff interview and review of relevant agency documents, the agency failed to ensure
that the board was composed of at least five (5) members.
Findings include:
A review on 06/17/2008 of minutes for the Board of Directors (BOD) meetings for 12/17/2005,
04/14/2006, 06/06/2006, 08/06/2006, 11/02/2006, 12/02/2006, and 03/16/2007 revealed that only four
(4) members were present during each meeting. The minutes did not indicate the absence of any
members.
A review on 06/17/2008 of all BOD documents available revealed that the agency did not retain a
copy of a complete list of BOD members for the time period of 12/17/2005 through 03/16/2007.
Therefore, the surveyor was unable to review the current list of board members for additional
members.
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Inspection Results
An interview on 06/17/2008 at 12:20 PM with staff B revealed that there was another member on
the BOD in 2005; however, that member became employed by the agency in October 2005 as the
agency's Social Work Supervisor. According to staff B, the member left the paid position with the
agency and once again joined the BOD in September 2007.
P 0320 290-9-2-.03(9)(b) Composition of the Board.
SS=D
At least one of the Board members shall be a bona fide resident of Georgia.

Based on staff interview and review of relevant agency documents, the agency failed to ensure
that at least one of the Board members was a bona fide resident of Georgia.
Findings include:
A review on 06/17/2008 of minutes for Board of Directors (BOD) meetings for 12/17/2005,
04/14/2006, 06/06/2006, 08/06/2006, 11/02/2006, 12/02/2006, and 03/16/2007 revealed that only four
(4) members were present during each meeting. The minutes did not indicate the absence of any
members.
A review on 06/17/2008 of a "Board of Directors" list provided by the agency revealed that the
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Inspection Results
four (4) members present during the seven (7) BOD meetings conducted from 12/17/2005 through
03/16/2007 were all residents of the state of Florida.
A review on 06/17/ 2008 of all BOD documents available revealed that the agency did not retain a
copy of a complete list of BOD members for the time period of 12/17/2005 through 03/16/2007.
Therefore, the surveyor was unable to review the current list of board members for additional
members.
An interview on 06/17/2008 at 12:20 PM with staff B revealed there is currently a BOD member
from Georgia on the board. According to staff B, the member was also on the BOD in 2005;
however, the member became employed by the agency in October 2005 as the agency's Social
Work Supervisor, and therefore could no longer serve on the BOD. Additionally, staff B stated
that the BOD member from Georgia left his/her paid position with the agency and once again
joined the BOD in September 2007.
P 0336 290-9-2-.03(11)(d) Financing.
SS=G
The Agency shall: ...
(d) Provide bond for Board members and staff responsible for handling substantial amounts of funds; ...

****Based on a review of email communications and staff interview, the agency failed to provide
bond for board members and staff responsible for handling substantial amounts of funds.
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Inspection Results
Findings include:
A review on 06/19/2008 of an email message received from staff B on 06/19/2008 at 12:46 PM

revealed that the agency does not have bonding for Board of Director's members and staff who
handles substantial amounts of agency funds. According to the email from staff B, staff A
contends that the agency was not aware that bond insurance was a rule requirement.
A telephone interview on 06/20/2008 at 12:09 PM with staff B revealed staff B had began to
actively research companies to provide bonding to employees handling agency funds.
P 0337 290-9-2-.03(11)(e) Financing.
SS=G
(e) Not require gratuities such as money or other things of value or services from applicants or their
representatives beyond the established fee; ...

****Based on a record review and staff interview, the agency failed to ensure that additional fees
beyond the established fees were not required of applicants. This deficiency is associated with
intakes #53972 and #54637.
Findings include:
A review on 06/04/2008 of receipts for funds paid by AH #1 to Adoption Blessings Worldwide

(ABW) revealed three (3) payments of $500.00, $300 .00 and $500.00, for "Humanitarian Aid fees"
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Inspection Results
paid in September 2005, February 2006, and September 2006 respectively. AH #1 has initiated
three (3) adoptions through ABW.
Additionally, a review on 06/17/2008 of an email message dated 09/15/2005 at 2:55 PM from ABW
staff to AH #1 with the subject line "Wiring Instructions for Country Fee" revealed a statement
from ABW that in addition to the country fee and foster care fee, AH #1 "also would wire $500
humanitarian aide fee to Adoption Blessings Worldwide account" .
A review on 06/04/2008 of receipts for funds paid by AH #2 to ABW revealed two (2) $500
payments for "Humanitarian Aid fees" paid in May 2006 and July 2007, respectively . AH #2 has
initiated two (2) adoptions through ABW.
A review on 06/04/2008 of AH #1 and AH #2's records revealed that the files did not contain any
documentation related to "Humanitarian Aid fees" that was provided to AH #1 and AH #2 at the
time of application, during orientation, or within the signed contracts.
An interview on 06/04/2008 at 2:10 PM with staff B revealed that the "Humanitarian Aid fee" is
currently $500.00 and is for agency representatives to travel to agency approved countries to
bring humanitarian aid such as clothing and diapers to the country. Staff B indicated that the
"Humanitarian Aid fee" is in addition to the "Agency fee" and the agency did not have written
documentation concerning the fee.
A telephone interview on 06/20/2008 at 12:09 PM with staff B revealed that all families are "asked"
and not required to contribute to humanitarian aid. In addition, although staff B could not recall
an incident where a family did not pay the fee, staff B contends that the fee can be waived based
on the circumstances of the family.
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Inspection Results
P 0339 290-9-2-.03(11)(g) Financing.
SS=D
(g) Establish a fee for placement services based on the cost of recruitment, placement, postplacement, legal,
medical and other services rendered to the birth parent, adoptive family, foster parents, and child as documented
and justi
Based on a review of relevant agency documents and staff interview, the agency failed to
ensure there was written documentation that the Board reviewed the agency's fee schedule at
least annually.
Findings include:
A review on 06/17/2008 of minutes for all Board of Directors ( BOD ) meetings documented
from December 2005 through October 2007 revealed that the minutes did not contain any
documentation that the BOD discussed and approved the agency's established fee schedule.
A telephone interview on 06/20/2008 at 2:19 PM with staff B revealed that staff B is not actively
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Inspection Results
involved with BOD meetings; however, staff B contends that s/he is sure that the BOD would
have discussed and approved the fees.
P 0340 290-9-2-.03(11)(h) Financing.
SS=G
(h) Collect fees only as services are provided; ...

****Based on record review and staff interview, the agency failed to ensure that fees were only
collected as services were provided. This deficiency is associated with intake #53972.
Findings include:
A review on 06/16/2008 of an email dated 09/15/2005 at 2:55 PM from an Adoption Blessings

Worldwide (ABW ) staff to AH #1 with the subject line "Wiring Instructions for Country Fee"
revealed that AH #1 was instructed to wire the Guatemalan attorney $10,700 with $700 of those
fund s wired for foster care fees at $350 per month for AH #1's referred child.
A review on 06/16/2008 of an "Outgoing Wire Transfer" from AH #1's bank revealed that $10,700
was transferred to the Guatemalan attorney's account on 09/16/2005.
A review on 06/19/2008 of an email message dated 08/31/2006 at 4:49 PM from staff D to AH #1

with the subject line "Travel Information" revealed that adoptive parents were reminded in the
email that "foster care fees of $350 per month will be due for each month longer than 4 months
from the time of referral acceptance."
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State Form

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Inspection Results
A review on 06/13/2008 of an unsigned/undated "Financial Guide and Agreement" from the

Guatemalan attorney provided to AH #1 by ABW staff on 09/15/2005, revealed that AH #1 was
scheduled to pay an initial $10,000 of the attorney's $20,000 fee upon referral of a child.
According to the guide, the attorney's fee included "Four months of childcare" and indicated that
childcare would cost the adoptive parent "$300.00 per month thereafter". Therefore, according to
documents provided to AH #1 by ABW, fees for foster care services should not have been
collected prior to January 2006 which is four (4) months from AH #1's payment of funds to the
attorney.
A telephone interview on 06/19/2008 at 5:15 PM with staff B revealed staff B's understanding of
the upfront foster care fees is that families who were not "paper ready" were required to pay two
(2) months foster care in advance. Additionally, staff B indicated that s/he was not involved with
the early stages of AH #1's case.
Cross reference Tag 525
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P 0467 290-9-2-.04(14)(f) Agency Personnel.
SS=D
There shall be a personnel file on each employee which shall include: ...
(f) Current job description; ...

Based on record review and staff interview, the agency failed to ensure that 1 of 7 personnel
records reviewed included a current job description.
Findings include:
An interview on 06/17/2008 at 2:10 PM with staff B revealed that staff B is the Georgia
Director/Guatemala Program Coordinator. According to staff B, s/he has held this position since
May 1, 2006.
A review on 06/17/2008 of staff B's personnel record revealed that the file did not contain a
current job description for staff B's position as Georgia Director. The file did include two (2) job
descriptions with the job titles "Dossier Specialist" and "International Program Director".
An interview on 06/17/2008 at 2:15 PM with staff B confirmed the finding.
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P 0468 290-9-2-.04(14)(g) Agency Personnel.
SS=D
There shall be a personnel file on each employee which shall include: ...
(g) Annual performance evaluation reports and any records of discipline involving the inappropriate use of
behavior management techniques or emergency safety interventions signed a
Based on record review and staff interview, the agency failed to ensure that 1 of 7 staff members
had an annual performance evaluation signed and dated by the supervisor.
Findings include:
A review on 06/17/2008 of staff A's personnel record revealed that the file contained a performace
evaluation report completed, signed and dated by staff B on 10/01/2007. The performance
evaluation report was not signed and dated by staff A's supervisor and Staff B is not in a
supervisory role over Staff A.
A review on 06/17/ 2008 of staff A's record revealed that staff A is the Executive Director and an
interview on 06/17/2008 at 2:10 PM with staff B revealed that staff B is the Georgia Director/
Guatemala Program Coordinator and is supervised by staff A.
A review on 06/17/2008 of an Adoption Blessings Worldwide (ABW) Organizational Chart revealed

that the Executive Director is supervised by the Board of Directors .
An interview on 06/17/2008 at 2:15 PM with staff B revealed that staff B contends that because
staff B knew staff A's strengths and weaknesses, staff B thought that s/he could complete staff
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Inspection Results
A's performance evaluation.
P 0522 290-9-2-.05(4) Agency Policies and Procedures for Services.
SS=G
Prior to accepting a child from another state or prior to placing a child outside Georgia for temporary care or for
adoption, the Agency's procedures shall comply with the applicable state laws and with the provisions of the
Interstate Compact on the Plac
****Based on record review, staff interview and review of Florida Department of Children and
Families' (DCF) documents, the agency failed to comply with Florida state laws. This deficiency
is associated with intakes #54637 and #55795.
Findings include:
A review on 06/17/2008 of a list of prospective adoptive parents submitted by the agency on

06/17/2008 revealed twelve (12) finalized adoptions in 2005 involving families residing in Florida;
three (3) finalized adoptions in 2006 involving families residing in Florida; and six (6) finalized
adoptions in 2007 involving families residing in Florida .
A review on 06/05/2007 of Florida State Statutes revealed that Florida Statutes 63.202(2) and
63.032(3) state respectively :
"No agency shall place a minor for adoption unless such agency is licensed by the Department,
except a child caring agency registered under Florida Statutes 409.176."
"An "adoption entity" means the department, an agency, a child caring agency registered under
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Inspection Results
Florida Statutes 409.176, an intermediary, or a child placing agency licensed in another state,
which is qualified by the Department to place children in the state of Florida."
A review on 06/16/2008 of a Cease and Desist letter dated 05/23/2008 issued to staff A by the
State of Florida Department of Children and Families (DCF) revealed that Adoption Blessings
Worldwide (ABW) does not possess a Florida Child Placing license nor is the agency qualified by
Florida DCF to place children in the state of Florida.
A telephone interview conducted on 06/04/2008 at 12:25 PM with staff A revealed that staff A
contends that s/he was told at the time of the agency's initial Georgia ORS licensure that the
agency's Georgia license could be used to place children in all fifty (50) states.
P 0525 290-9-2-.05(7) Agency Policies and Procedures for Services.
SS=G
Agency practices shall conform to the written policies.

Based on record review and staff interview, the agency failed to ensure that agency practices
conformed to written policies. This failure resulted in a prospective adoptive parent being asked
by an agency representative to pay established fees early to assist in payment of funds to a
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Inspection Results
child's relative in order to obtain the relative's cooperation with the adoption process. This
deficiency is associated with intake #53972.
Findings include:
A review on 06/19/2008 of an Adoption Blessings Worldwide (ABW) "Prohibition on Child Buying

Policy" revealed that ABW's policy "prohibits its employees and agents from giving money or
other forms of compensation, directly or indirectly to a child's parent(s), or other individual(s), or
an entity as payment for the child or as an inducement to release the child".
A review on 06/13/2008 of an email message from staff D to AP #1A dated 04/18/2007 at 1:15 PM
revealed that a relative of AH #1's referred child wanted to be compensated $2,000 to cooperate
with required interviews to complete the adoption of AH #1's referred child. The email further
states that the attorney asked for AP #1A to pay $1,000 of the country fee early in order to pay the
expense to the relative.
A review on 06/13/2008 of an email message from staff D to AP #1A dated 04/21/2007 at 7:02 AM
revealed that the relative of AH #1's referred child informed the attorney that "if they would give
him/her $2,000 to pay him/her for his/her time and trouble, he/she would come" to complete
required interviews. According to the email, the attorney was only able to pay $1,000 and
therefore asked if AP #1A would pay $1,000 of the final attorney fee early in order to help pay the
$2,000 to the relative.
revealed that the person requesting the $2,000 from the attorney was not the referred child's
blood-related relative, but instead was the the referred child's blood-related relative's new
spouse. According to the email, the child's blood-related relative's new spouse did not have to be
interviewed for the adoption, but was "the one calling the shots" as to whether or not the
blood-related relative and the birthparent could be interviewed.
with the subject line "Re: is everything ok?" revealed that staff D was told that the attorney
needed the $1,000 for the child's blood-related relative's new spouse and for foster care fees by
May 2007 or the attorney "would no longer go forward" with the adoption.
A review on 06/19/2008 of an email message from staff A to AP #1A dated 04/28/2007 at 6:22 PM
with the subject line "Re: is everything ok?" revealed that staff A expressed to AP #1A that if staff
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Inspection Results
A was AP #1A, staff A would "do what they ask". Staff A also expressed in the email that the
attorney is "not even asking for additional money".
An interview on 06/20/2008 at 2:19 PM with staff B revealed that the agency's "Prohibited Child
Buying Policy" had not been developed at the time of the request to AP #1A. Staff B
acknowledged that s/he could not provide any documentation reflecting exactly when the policy
was developed. Additionally, staff B stated that the agency was only relaying the information
from the attorney to AP #1A and that AP #1A never paid the money to the attorney.
P 0605 290-9-2-.06(2) Adoption Services.
SS=D
Additional Orientation for Applicants. Once an application has been submitted by prospective adoptive parent(s),
and prior to approval of the application, additional orientation information shall be supplied for the applicant(s),
including but not limite
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Inspection Results

Based on record review and staff interview, the agency failed to ensure that adoptive parents
received information on the agency's grievance procedures. This deficiency is associated with
intake #53972.
Findings include:
A review on 06/04/2008 of AH #1's record revealed that the file did not contain documentation that
AH #1 received information concerning the agency's grievance procedure.
A review on 06/18/2008 of an email message from staff staff A to AP #1A dated 04/02/2008 at 9:00
PM with the subject line "Re: Agreement/Foster care" revealed a statement from staff A indicating
that at the time that AP #1A and AP #1B signed the contract with the agency, there was no
grievance procedure distributed to families.
An interview on 06/04/2008 at 2:05 PM with staff B revealed that the agency now has a form that is
provided to families that includes the agency's grievance procedure.
P 0649 290-9-2-.06(3)(d)11. Adoption Services. Home Study.
SS=D
The [home] study shall include at least the following information concerning the prospective adoptive family: ...
11. A minimum of three character references:
(i) At least one reference must be from an extended family member not residing with the pr
Based on record review and staff interview, the agency failed to ensure that a home study for 1 of
2 adoptive home records reviewed, included at least one (1) reference from an extended family
member. This deficiency is associated with intake #53972.
Findings include:
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Inspection Results
A review on 06/17/2008 of AH #1's home study report completed 04/04/2008 revealed that the
report included three (3) character references; however, neither of the references was from an
extended family member of AP #1A or AP #1B.
An interview on 06/17/2008 at 3:13 PM with staff B confirmed the finding.
P 0757 290-9-2-.06(9)(a) Adoption Services. Maintenance of Records.
SS=D
Maintenance of Adoption Records. The Agency shall maintain a record for each applicant for adoption services, to
contain the application and other information collected by the Agency pertaining to the applicant including but not
limited to:
1. The home
Based on record review and staff interview, the agency failed to maintain all legal documents
pertaining to the adoption of a child in 1 of 2 adoptive home records. This deficiency is
associated with intake #54637.
Findings include:
A review on 06/04/2008 of AH #2's record revealed that the file did not contain the DNA results for
AH #2's second intercountry adoptive child and biological mother.
An interview on 06/04/2008 at 3:40 PM with staff B confirmed the finding. Staff B forwarded a
copy of the DNA results via email on 06/11/2008 at 2:31 PM.
P 0763 290-9-2-.06(9)(c) Adoption Services. Maintenance of Records.
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SS=D
For adoptions finalized after the effective date of these rules, the adoption records shall be converted to non-paper
format, such as microfilm or computer format, within six months from the date of finalization of the adoption. The
format type and date m
Based on observation and staff interview, the agency failed to ensure that adoption records were
converted into a non-paper format within six (6) months from the date of finalization of an
adoption.
Findings include:
An observation on 06/17/2008 of the agency's file room revealed that the file room included four
(4) black single drawer fireproof file cabinets each filled with agency adoption records.
An interview on 06/17/2008 at 4:05 PM with staff A revealed that the agency had not converted
any of the finalized adoption records to a non-paper format. Additionally, staff A stated that with
the exception of scanning each individual sheet, the agency has not developed a plan for
converting the records.
P 1001 290-9-2-.08(2) Agency Records and Reports.
SS=D
Each Agency shall maintain a permanent listing with identifying information of all children accepted for service or
placement.

Based on a request for information and staff interview, the agency failed to maintain a permanent
listing of children accepted for service or placement.
Findings include:
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Inspection Results
A request on 06/04/2008 to staff B for a listing of all adoptive families currently being serviced by
the agency revealed that the agency did not have a list onsite.
An interview on 06/04/2008 at 12:38 PM with staff B revealed that staff B could create a
handwritten copy of the adoptive family information but did not have a permanent list available. A
copy of a list of adoptive families and children was provided while onsite on 06/17/2008.
SS=D
Records and files shall be kept current and be available for review by the Department.

Based on record review and staff interview, the agency failed to ensure that records were kept
current and were available for review.
Findings include:
A review on 06/16/2008 of an "Income Statement" form for year ending June 30, 2007 provided by
the agency on 06/04/2008 revealed an unknown line item labeled "coordinat . fee" which included
significant revenues.
A review on 06/04/2008 and 06/16/2008 of a fee schedule provided in the contract and in
orientation information to adoptive parents revealed that there was no mention of a
"coordinat.fee".
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An interview on 06/17/2008 at 11:38 AM with staff B revealed that staff B was unable to provide an
explanation of the "coordinat.fee" and had to contact staff C for clarification. Further discussion
with staff B revealed that staff B was informed by staff C that the "Income Statement" for year
ending June 30, 2007 was an estimation of revenues and expenditures and the the agency's tax
returns can be reviewed for accurate information. Additionally, staff B indicated that staff B could
request a copy of an updated "Income Statement" form from staff C; however it should be noted
that at the time of the request, staff C, who resides in Florida, was at his/her other place of
employment.
A review on 06/05/2008 of a letter also provided by email on 06/05/2008 at 12:34 PM revealed that
the agency's part-time bookkeeper (staff C ) does Adoption Blessings Worldwide (ABW) work
from home and "has to be there" to access the agency's financial information.
An interview on 06/17/2008 at 12:06 PM with staff B revealed that with the exception of the
agency's tax returns and the "Income Statement" provided, there were no additional financial
records readily available at the ABW Georgia office.
SS=D
The Agency shall submit on a timely basis such financial, statistical reports, and Board minutes and other
information as may be required by the Department.
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Based on a request for information, record review, and staff interview, the agency failed to
provide financial reports in a timely manner.
Findings include:
A request to staff B on 06/04/2008 at 11:54 AM :for financial ledgers reflecting all revenues and
expenditures for AH #1 and AH #2's cases revealed that financing was handled by staff C who
resides in Florida and is the agency's bookkeeper.
A request to staff A by telephone interview on 06/04/2008 at 11:57 AM, revealed that staff C was at
his/her other place of employment at the time of the request; however, staff A and staff C would
provide the required information. During the interview, the second part of ORS Rule
290-9-2.03(11)(c) was relayed verbatim to staff A.
A review on 06/04/2008 of documents faxed to the Adoption Blessings Worldwide (ABW) office
while onsite between 3:00 PM-3:30 PM, revealed that the faxed documents only contained copies
of receipts reflecting payments made by AH #1 and AH #2 and did not reflect all expenditures
related to AH #1 and AH #2's cases. The document did contain an email message dated
06/04/2008 at 2:58 PM from the facilitator for AH #1 to staff C confirming the attorney's receipt of
payments paid to the attorney by AH #1. .
An additional request was made to staff A and staff B on 06/04/2008 between 3:30PM-4:00 PM for
a financial ledger from the agency's accounting system reflecting all revenues and expenditures
for AH #1 and AH #2's cases. A typed list of receipts and expenditures for AH #1 and AH #2 was
provided by staff B by email on 06/05/2008 at 12:34 PM.
A review on 06/05/2008 of a letter also provided by email on 06/05/2008 at 12:34 PM revealed that
the agency's part-time bookkeeper (staff C) had returned to his/her other place of employment at
the time of the second request for information and that staff C "works from home and has to be
there" to access the agency's financial information.
A telephone interview on 06/04/2008 between 3:30 PM-4:00 PM with staff A revealed that staff A
contends that s/he did not understand the intitial request for financial information.
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P 9999 Closing Comments.
The investigation of complaints #53972, #54637 and #55795 concluded on 06/20/2008. There were
eighteen (18) deficiencies identified during the investigation. An exit conference was held while
onsite on 06/04/2008 and 06/17/2008. An initial preliminary report was provided to staff B by email
on 06/07/2008. It is imperative that immediate action be taken to ensure compliance in the areas
identified in this report. A written plan of correction (POC) is due to this surveyor on or before
July 10, 2008.
*Please note that an office conference will be scheduled. Details concerning the office
conference will be forwarded separately.
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Georgia Department of Human Resources, As of: Thursday, July 17, 2008

Statement of Deficiencies Inspection begin date 6/4/2008

P 0000 Initial Comments.

P 0314 290-9-2-.03(6)(j) Board of Directors.

A review on 06/04/2008 of the ORS complaint tracking system, Aspen Complaints/Incidents

Statement of Deficiencies Inspection begin date 6/4/2008

P 0319 290-9-2-.03(9)(a) Composition of the Board.

This Requirement is not met as evidenced by:

Statement of Deficiencies Inspection begin date 6/4/2008

P 0320 290-9-2-.03(9)(b) Composition of the Board.

This Requirement is not met as evidenced by:

Statement of Deficiencies Inspection begin date 6/4/2008

P 0336 290-9-2-.03(11)(d) Financing.

This Requirement is not met as evidenced by:

Statement of Deficiencies Inspection begin date 6/4/2008

A review on 06/19/2008 of an email message received from staff B on 06/19/2008 at 12:46 PM

P 0337 290-9-2-.03(11)(e) Financing.

This Requirement is not met as evidenced by:

A review on 06/04/2008 of receipts for funds paid by AH #1 to Adoption Blessings Worldwide

Statement of Deficiencies Inspection begin date 6/4/2008

Statement of Deficiencies Inspection begin date 6/4/2008

P 0339 290-9-2-.03(11)(g) Financing.

Statement of Deficiencies Inspection begin date 6/4/2008

P 0340 290-9-2-.03(11)(h) Financing.

This Requirement is not met as evidenced by:

A review on 06/16/2008 of an email dated 09/15/2005 at 2:55 PM from an Adoption Blessings

A review on 06/19/2008 of an email message dated 08/31/2006 at 4:49 PM from staff D to AH #1

Statement of Deficiencies Inspection begin date 6/4/2008

A review on 06/13/2008 of an unsigned/undated "Financial Guide and Agreement" from the

Cross reference Tag 525

Statement of Deficiencies Inspection begin date 6/4/2008

P 0467 290-9-2-.04(14)(f) Agency Personnel.

This Requirement is not met as evidenced by:

An interview on 06/17/2008 at 2:15 PM with staff B confirmed the finding.

Statement of Deficiencies Inspection begin date 6/4/2008

P 0468 290-9-2-.04(14)(g) Agency Personnel.

A review on 06/17/2008 of an Adoption Blessings Worldwide (ABW) Organizational Chart revealed

Statement of Deficiencies Inspection begin date 6/4/2008

A's performance evaluation.

P 0522 290-9-2-.05(4) Agency Policies and Procedures for Services.

A review on 06/17/2008 of a list of prospective adoptive parents submitted by the agency on

Statement of Deficiencies Inspection begin date 6/4/2008

P 0525 290-9-2-.05(7) Agency Policies and Procedures for Services.

This Requirement is not met as evidenced by:

Statement of Deficiencies Inspection begin date 6/4/2008

A review on 06/19/2008 of an Adoption Blessings Worldwide (ABW) "Prohibition on Child Buying

Statement of Deficiencies Inspection begin date 6/4/2008

P 0605 290-9-2-.06(2) Adoption Services.

Statement of Deficiencies Inspection begin date 6/4/2008

This Requirement is not met as evidenced by:

P 0649 290-9-2-.06(3)(d)11. Adoption Services. Home Study.

Statement of Deficiencies Inspection begin date 6/4/2008

An interview on 06/17/2008 at 3:13 PM with staff B confirmed the finding.

P 0757 290-9-2-.06(9)(a) Adoption Services. Maintenance of Records.

P 0763 290-9-2-.06(9)(c) Adoption Services. Maintenance of Records.

Statement of Deficiencies Inspection begin date 6/4/2008

P 1001 290-9-2-.08(2) Agency Records and Reports.

This Requirement is not met as evidenced by:

Statement of Deficiencies Inspection begin date 6/4/2008

P 1003 290-9-2-.08(4) Agency Records and Reports.

This Requirement is not met as evidenced by:

Statement of Deficiencies Inspection begin date 6/4/2008

P 1004 290-9-2-.08(5) Agency Records and Reports.

Statement of Deficiencies Inspection begin date 6/4/2008