Maryland Department of 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: MENTOR Maryland Licensing Agency: DHR Contracting Agency(s): DHR, DJS Name of Chief Administrator: Colette Walker-Thomas Email: License Type: Treatment Foster Care, ILP Type of Inspection: Re-license Name and Address of CPA Office License DHR Census by License#/ Exp. Date of site Capacity Contract Placing Agency date Inspection Limit Lanham Children’s Services Unlimited SED 150 DHR 35 #00148 / 6/16/2014 4501 Forbes Rd., Suite 140 CFSA 1 6/30/2016 Lanham, MD 20706 Baltimore Teens in Transition TFC/ILP Unlimited TFC 55 BTIT DHR 21 / 6/17/2014 1540 Caton Center Dr., ILP 20 DJS 29 6/30/2016 Baltimore, MD 21227 ILP DHR 10 #00408 / DJS 3 6/30/2016 Salisbury Teens in Transition Unlimited TFC 55 ECS DHR 28 #00318 / 6/18/2014 TFC/ILP ILP 20 DJS 13 6/30/2016 821 Eastern Shore Blvd Salisbury, MD STIT DHR 8 / 21804 DJS 18 6/30/2016 ILP DJS 2 Baltimore Children’s Services TFC/ Unlimited SED 150 BCS DHR 113 #00147 / 6/23/2014 Medically Complex TFC MC 100 MC DHR 76 6/30/2016 5720 Executive Drive Baltimore, MD 21228-1757 Inspection Summary Number of Records Reviewed: Youth 31 Staff 32 Foster Parent 90 Adoptive Parent N/A Number of Interviews: Youth 9 Staff 6 Foster Parent 5 CPA Office Inspection: Approved Number of ILP Apartments Inspected: 4 Number of Foster Homes Inspected: 5 COMAR Violation: Yes No X If Yes, list Cited Violation(s) below: Violation(s) Findings Corrective Action Plan: Yes No X If yes, date of CAP: N/A Complaint Outcome:
Maryland Department of 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: MENTOR Maryland Licensing Agency: DHR Contracting Agency(s): DHR, DJS Name of Chief Administrator: Colette Walker-Thomas Email: License Type: Treatment Foster Care, ILP Type of Inspection: Re-license Name and Address of CPA Office License Capacity DHR Contract Limit Census by Placing Agency License#/ Exp. date Date of site Inspection Lanham Children’s Services 4501 Forbes Rd., Suite 140 Lanham, MD 20706 Unlimited SED 150 DHR 35 CFSA 1 #00148 / 6/30/2016 6/16/2014 Baltimore Teens in Transition TFC/ILP 1540 Caton Center Dr., Baltimore, MD 21227 Unlimited TFC 55 ILP 20 BTIT DHR 21 DJS 29 ILP DHR 10 DJS 3 / 6/30/2016 #00408 / 6/30/2016 6/17/2014 Salisbury Teens in Transition TFC/ILP 821 Eastern Shore Blvd Salisbury, MD 21804 Unlimited TFC 55 ILP 20 ECS DHR 28 DJS 13 STIT DHR 8 DJS 18 ILP DJS 2 #00318 / 6/30/2016 / 6/30/2016 6/18/2014 Baltimore Children’s Services TFC/ Medically Complex TFC 5720 Executive Drive Baltimore, MD 21228-1757 Unlimited SED 150 MC 100 BCS DHR 113 MC DHR 76 #00147 / 6/30/2016 6/23/2014 Inspection Summary Number of Records Reviewed: Youth 31 Staff 32 Foster Parent 90 Adoptive Parent N/A Number of Interviews: Youth 9 Staff 6 Foster Parent 5 CPA Office Inspection: Approved Number of ILP Apartments Inspected: 4 Number of Foster Homes Inspected: 5 COMAR Violation: Yes No X 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
MENTOR%20Maryland%20Re-lic%20June%202014.docx