Mmaryland Department of Human Resources

mMaryland Department of Human Resources Office of Licensing and Monitoring 311 W. Saratoga Street Baltimore, Maryland 21201 Office: 410.767.7871 Fax: 410.333.8408

RESIDENTIAL CHILD CARE PROGRAMS REPORT

Provider Organization: J.S. Social Services Inc., Youthtown USA

Licensing Agency: DHR-OLM Contracting Agency(s): DHR

Program George Childs Certification # Exp. Date: 12/31/201 Administrator: 7

Type of Inspection: Quarterly Evaluation

Site Name Gender Age License DHR License#/ Date of site Range Capacity Contract Exp. date Inspection Limit J.S. Social Services Inc., Youthtown USA Male 17-20 5 4 #00510 8/26/2016 4/9/2018

Inspection Summary

Number of Records Reviewed: Yout 4 Staff 3 h

Number of Interviews: Youth 2 Staff 0

Physical Plant Inspection: Approved

COMAR Violation: Ye No X s

If Yes, list Cited Violation(s) below: Violation(s) Findings

Corrective Action Plan: Yes No X If yes, date of CAP:

Complaint Outcome: N/A

Current Status of License: Continued

Licensing Coordinator Howard Rollins Date: 8/29/2016 Email: [email protected] :

Program Manager: André Thomas Date 8/29/2016 Email: [email protected]

DHR/OLM (RCC) Updated: 12/11/2013