Maryland Department of Human Resources Office of Licensing and Monitoring 311 W. Saratoga Street Baltimore, Maryland 21201 Office: 410.767.7871 Fax: 410.333.8408 Child Placement Agency Report Provider Organization: Jumoke, Inc. DHR DHR, DJS Licensing Agency: Contracting Agency(s): Name of Chief Administrator: Zachary Dingle Email: License Type: Independent Living Program Type of Inspection: Quarterly Name and Address of CPA Office License Capacity DHR Census by Placing License#/ Date of site Contract Agency Exp. date Inspection Limit Jumoke, Inc. Unlimited 22 16 #00402/ 05/13/2016 1100 Bolton Street, Suite 1500 11/01/2017 Baltimore, MD 21201 Inspection Summary Number of Records Reviewed: Youth 7 Staff 0 Foster Parent NA Adoptive Parent NA 0 0 NA Number of Interviews: Youth Staff Foster Parent CPA Office Inspection: Number of ILP Apartments Inspected: 0 Number of Foster Homes Inspected: NA X Current COMAR Violation: Yes No If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.04.04 A Missing admission letter in 2 out of 7 records reviewed. 07.05.02.17 A(2)(7) Missing vision exam in 3 out of 7 records. 07.05.04.06 A Missing life skills training in 5 out of 7 records. 07.05.04.05 A(2) Missing Casey Assessment in 2 out of 7 records. X Corrective Action Plan: Yes No If yes, date of CAP: Any Violations During Mid or Re-Licensure Periods: Yes X No If Yes See Report (s) Date(s): Complaint Outcome: Continued Current Status of License: Licensing Sherlema Ferguson 05/19/2016 Coordinator: Date: Email: Richard Berger 05/19/2016 Program Manager: Date Email:
Maryland Department of Human Resources Office of Licensing and Monitoring 311 W. Saratoga Street Baltimore, Maryland 21201 Office: 410.767.7871 Fax: 410.333.8408 Child Placement Agency Report Provider Organization: Jumoke, Inc. Licensing Agency: DHR Contracting Agency(s): DHR, DJS Name of Chief Administrator: Zachary Dingle Email: License Type: Independent Living Program Type of Inspection: Quarterly Name and Address of CPA Office License Capacity DHR Contract Limit Census by Placing Agency License#/ Exp. date Date of site Inspection Jumoke, Inc. 1100 Bolton Street, Suite 1500 Baltimore, MD 21201 Unlimited 22 16 #00402/ 11/01/2017 05/13/2016 Inspection Summary Number of Records Reviewed: Youth 7 Staff 0 Foster Parent NA Adoptive Parent NA Number of Interviews: Youth 0 Staff 0 Foster Parent NA CPA Office Inspection: Number of ILP Apartments Inspected: 0 Number of Foster Homes Inspected: NA Current COMAR Violation: Yes X No If Yes, list Cited Violation(s) below: Violation(s) Findings 07.05.04.04 A Missing admission letter in 2 out of 7 records reviewed. 07.05.02.17 A(2)(7) Missing vision exam in 3 out of 7 records. 07.05.04.06 A Missing life skills training in 5 out of 7 records. 07.05.04.05 A(2) Missing Casey Assessment in 2 out of 7 records. Corrective Action Plan: Yes X No If yes, date of CAP: Any Violations During Mid or Re-Licensure Periods: Yes X No If Yes See Report (s) Date(s): Complaint Outcome: Current Status of License: Continued Licensing Coordinator: Sherlema Ferguson Date: 05/19/2016 Email: Program Manager: Richard Berger Date 05/19/2016 Email: