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

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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: / Quarterly
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 / 6/30/16 / 10/6 & 10/7/14
Baltimore Teens in Transition TFC/ILP
1540 Caton Center Dr.,
Baltimore, MD 21227 / Unlimited / TFC 55
ILP 20 / BTIT DHR 15
DJS 15
ILP DHR 5
DJS 3 / #00272 / 6/30/16
#00408 / 6/30/16 / 10/6/14
Salisbury Teens in Transition
TFC/ILP
821 Eastern Shore Blvd Salisbury, MD 21804 / Unlimited / TFC 55
ILP 20 / ECS DHR 33
DJS 11
STIT DHR 5
DJS 21
ILP DJS 2 / #00318 / 6/30/16
#00409 / 6/30/16 / 10/14 & 10/15/14
Baltimore Children’s Services TFC/ Medically Complex TFC
5720 Executive Drive
Baltimore, MD 21228-1757 / Unlimited / SED 150
MC 100 / BCS DHR 105
DJS 3
MC DHR 78 / #00147 / 6/30/16 / 10/6, 10/7 & 10/8/14

Inspection Summary

Number of Records Reviewed: / Youth / 0 / Staff / 6 / Foster Parent / 13 / Adoptive Parent / N/A
Number of Interviews: / Youth / 9 / Staff / 0 / Foster Parent / 6
CPA Office Inspection: / Approved
Number of ILP Apartments Inspected: / 0 / Number of Foster Homes Inspected: / 6
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
Current Status of License: / Continued
Licensing
Coordinator: / Lisa Beeman / Date: / 10/16/2014 / Email: /
Program Manager: / Richard Berger / Date / 10/16/2014 / Email: /

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