to putting the children in alternative care. Adequate evaluation of the needs of children and their psychosomatic condition, very good training of the staff who will work with them and building support services and infrastructure (roads, hospitals, rehabilitation centres, schools, therapeutic and speech therapy centres, etc.) are essential before taking children out. As a particular example of the problems identified, the NPM may indicate the commission of announced inspection in CFTA - city of Cherven Briag, held on 25th May 2014. The experts of the Ombudsman found that in CFTA are accommodated 7 persons over the age of 18, and two children - 7 and 13 years.The age difference between the youngest inmate and the oldest inmate is 20 years. The NPM believes that such a large age difference between inmates in CFTA is a prerequisite for poor quality of social services, and is contrary to the best interests of the children. The NPM’s team attended the troublesome situation in which one of the adolescents was aggressive and was banging the 7-year-old child. According to the officials in the CFTA, such cases are common also because the staff is insufficient, and it is difficult to take hold of the aggressive behaviour of the adolescents. This is the reason the director of CFTA to address for help the psychologist of HMSCC - city of Pleven, who came to the place and render methodical assistance to the employees when working with aggressive users. Observation of the team of the NPM is that the preparation of the children and individuals and the work with them before their transfer was insufficient, which led to frequent acts of aggression between them. Another problematic case which the team of the NPM witnessed was connected to a child of CFTA accommodated in HCYMR - village of Zgalevo, who has a severe form of epilepsy. According to the director of CFTA a hospitalization had been required and the teams of "Emergency Service" had been called several times due to the failure of the team in CFTA to deal with the epileptic seizures of the child. This is also because of the fact that the medical staff is extremely insufficient for implementation of optimal care for disabled users - for two social services (CFTA and home for people who are not selfsufficient) there is one nurse. For this reason, the director of CFTA has claimed the child to be returned to HCYMR - village of Zgalevo, because there are 24-hour medical service and well trained staff to provide adequate care for the child. In response to my official opinion on these problems the Ministry of Labour and Social Policy (MLSP), SACP and SAA have taken steps to strengthen their preparation when moving children in CFTA. These include additional staff training, supervision, reinforcing the teams with additional specialists. NGOs with experience in providing services to children with disabilities have been also attracted, to help them adapt. In terms of access to education and health services, the Ministry of Regional Development, which is responsible for the construction of day care centres for children with disabilities and centres for social rehabilitation and integration, took active steps to rapid implementation of these services. 2. Medical and social institutions for children In 2014 the first project related to the restructuring of the 8 HMSCC aged 0 - 3 years completed. After the closure of these HMSCC new social services are planned to be opened, such as: Family Consultation Centre, Day Care Centre, Centre for foster care and adoption, residential service of family-type for children with disabilities with a substitute care - CFTA, Centre for Maternal and Child Health, Mental Health Centre, Centre for Early Intervention, "Mother and baby " Unit and Centre for supportive care. The National Preventive Mechanism visited 9 of the remaining 18 HMSCCs. 39