Minnesota Department of Human Services

December 19, 2012

Clelland Gilchrist, Chief Executive Officer

New Beginnings at Waverly, LLC

109 North Shore Drive

Waverly, MN 55390

License Numbers: 1053296 New Beginnings at Olivia, Renville County Jail (Olivia)

1051194 New Beginnings at Waverly, Women’s Program (Women’s Program)

1055527 New Beginnings at Prairie Justice Center (Prairie Justice Center)

1056367 New Beginnings at Wright County Jail (Wright County Jail)

1059300 New Beginnings at Waverly LLC dba New Beginnings at Kanabec County (Kanabec County)

CORRECTION ORDER

Dear Mr. Gilchrist:

On June 11, 12, 13, and 14, 2012, licensing reviews of the following programs were conducted to determine compliance with state and federal laws and rules governing the provision of chemical dependency treatment under Minnesota Rules, part 9530.6405 through 9530.6505, (Rule 31):

• New Beginnings at Olivia, Renville County Jail, 105 South 5th Street, Olivia, MN 56277.

• New Beginnings at Waverly, Women’s Program, 7300 Estes Ave., Waverly, MN 55390.

• New Beginnings at Prairie Justice Center, 1680 Airport Road, Worthington, MN 56187.

• New Beginnings at Wright County Jail, 3800 Braddock Ave. N.E., Buffalo, MN 55313.

• New Beginnings at Waverly LLC dba New Beginnings at Kanabec County, 100 South Vine Street, Mora, MN 55051.

As a result of these licensing reviews a Correction Order is being issued.

A. Reason for Correction Order

Pursuant to Minnesota Statutes, section 245A.06, if the Commissioner of the Department of Human Services (DHS) finds that an applicant or license holder has failed to comply with an applicable law or rule and this failure does not imminently endanger the health, safety, or rights of the persons served by the program, the Commissioner may issue a Correction Order to the applicant or license holder.

The following violation(s) of state or federal laws and rules were determined as a result of the licensing review. Corrective action for each violation is required by Minnesota Statutes, section 245A.06 and is hereby ordered by the Commissioner of Human Services.

Policies, Procedures, and Postings

1. Citation: Minnesota Rules, parts 9530.6440, subpart 2, and 9530.6455, item H.

Violation: The license holder’s policy titled Record Storage, Retrieval, and Accessibility did not contain a statement that the license holder must retain records of discharged clients for seven years.

Corrective Action Ordered: Following the licensing review, the license holder submitted a revised client record storage policy that met applicable requirements. No further corrective action is required.

2. Citation: Minnesota Rules, part 9530.6465, subpart 1.

Violation: The license holder’s service initiation policy did not meet requirements because it did not include the Code of Federal Regulations, title 45, part 96.131, requirement that admission preference would be given in the following order:

a. pregnant injecting drug users;

b. pregnant substance abusers;

c. other injecting drug users; and

d. all others.

Corrective Action Ordered: Following the licensing review, the license holder submitted a revised service initiation policy that met applicable requirements. No further corrective action is required.

3. Citation: Minnesota Rules, part 9530.6470, subpart 2, item B.

Violation: The license holder’s grievance procedure did not include the correct telephone number to the Office of the Ombudsman for Mental Health and Developmental Disabilities and the Department of Human Services.

Corrective Action Ordered: Following the licensing review, the license holder submitted a revised grievance policy that met applicable requirements. No further corrective action is required.

4. Citation: Minnesota Rules, part 9530.6470, subpart 3.

Violation: The license holder’s policy titled Client Photographs did not meet requirements because the policy included a statement that a client photo may be released in an emergency situation, which is not consistent with Title 42: Code of Federal Regulations (CFR), part 2, subpart B requirements.

Corrective Action Ordered: Following the licensing review, the license holder submitted a revised client photograph policy that met applicable requirements. No further corrective action is required.

5. Citation: Minnesota Statutes, section 245A.04, subdivision 13.

Violation: The license holder’s policy titled Client Personal Funds and Property did not meet requirements in the following ways:

a. The policy did not include a procedure to ensure separation of funds of persons served by the program from funds of the license holder, the program, or program staff; and

b. The policy did not include a statement that the person served by the program may retain the use and availability of personal funds and property unless restrictions are justified in the person’s individual plan.

Corrective Action Ordered: Within 30 days of receipt of this order, submit a revised client property policy that meets all applicable requirements.

6. Citation: Minnesota Rules, part 9530.6430, subpart 1, item A.

Violation: The license holder’s healthcare services description did not include a description of dietary services offered by the license holder.

Corrective Action Ordered: Within 30 days of receipt of this order, submit a revised description of healthcare services policy that meets all applicable requirements.

7. Citation: Minnesota Rules, part 9530.6435, subpart 4, item F.

Violation: The license holder’s policy titled Controlled Substances did not contain a statement that no legend drug supply for one client will be given to another client.

Corrective Action Ordered: Following the licensing review, the license holder submitted a revised controlled substances policy that met applicable requirements. No further corrective action is required.

8. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a).

Violation: The license holder’s program abuse prevention plans did not meet requirements because the physical plant assessments did not address:

a. The condition and design of the building (Olivia, Prairie Justice Center, Wright County Jail, and Kanabec County);

b. The existence of areas which are difficult to supervise (Waverly Women’s Program);

c. The location of the program in a particular neighborhood/community (Olivia, Prairie Justice Center, Wright County Jail, and Kanabec County);

d. The type of grounds and terrain surrounding the building (Olivia, Wright County Jail, and Kanabec County); and

e. The program staffing patterns (Women’s Program and Prairie Justice Center).

Corrective Action Ordered: Within 30 days of receipt of this order, submit revised program abuse prevention plans for the programs identified above that meet all applicable requirements.

9. Citation: Minnesota Statutes, section 245A.65, subdivision 3.

Violation: The license holder’s personnel policy titled Orientation Addendum contains a statement that within 72 hours of hire and annually thereafter, orientation to reporting of abuse of vulnerable adults and maltreatment of minors as specified under Minnesota Statues, sections 626.556 and 626.557. The policy does not include orientation to Minnesota Statues, section 626.5572. Additionally, the policy titled Patient Abuse or Neglect does not contain the correct definition of abuse or reference the Minnesota Office of the Revisor of Statues website.

Corrective Action Ordered: Within 30 days of receipt of this order, submit a revised personnel policy that meets all applicable requirements.

10. Citation: Minnesota Rules, part 9530.6460, subpart 1, item G.

Violation: The license holder’s policy titled Orientation Plan does not include a statement that orientation will be given within 24 hours of starting for all new staff and does not contain training related to the specific job functions for which the staff member was hired and client needs.

Corrective Action Ordered: Within 30 days of receipt of this order, submit a revised personnel policy that meets all applicable requirements.

Personnel Files

Personnel files reviewed are identified in the following manner:

• Olivia: Personnel files numbered 1 through 2

• Women’s Program: Personnel files numbered 3 through 7

• Prairie Justice Center: Personnel file numbered 8

• Wright County Jail: Personnel file numbered 9

• Kanabec County: Personnel file numbered 10

11. Citation: Minnesota Rules, part 9530.6450, subpart 1, item A.

Violation: One of nine personnel files reviewed for requirements governing staff qualifications (personnel file numbered 10) did not contain a statement of freedom from chemical use problems for the two years preceding the staff person’s hire date, required for treatment directors, supervisors, nurses, counselors, and other professional.

Corrective Action Ordered: Immediately and on and ongoing basis, the license holder must ensure that each personnel file contains documentation attesting to the individual’s freedom from chemical use problems.  Within 30 days of receipt of this order, submit documentation that staff person identified above has signed a statement verifying their freedom from chemical use problems for the required amount of time preceding their hire date.

12. Citation: Minnesota Rules, part 9530.6460, subpart 3, item D.

Violation: One of nine personnel files reviewed for requirements governing orientation (personnel file numbered 10) did not meet requirement in the following ways:

a. The file did not contain documentation of training within 24 working hours to the following subjects:

1. specific job functions for which the staff member was hired;

2. programs policies and procedures;

3. HIV minimum standards; and

4. client needs; and

b. The file did not contain documentation of training within 72 hours to the following subjects:

1. program abuse prevention plan;

2. internal policies and procedures related to reporting of maltreatment of vulnerable adults; and

3. the facility’s policies for obtaining client releases of information required by 626.557, subdivision 3a, paragraph (a).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that all employees receive ongoing training as required. Within 30 days of receipt of this order, submit documentation to show that the staff person identified above has received the required trainings.

Client Files

Client files reviewed are identified in the following manner:

• Olivia: Client files numbered 1 through 3

• Women’s Program: Client files numbered 4, 5, and 15 through 16

• Prairie Justice Center: Client files numbered 6 through 8

• Wright County Jail: Client files numbered 9 through 11

• Kanabec County: Client files numbered 12 through 14

13. Citation: Minnesota Rules, parts 9530.6470, subparts 1 and 2, and 9530.6440, subpart 3, item A.

Violation: Fourteen of sixteen client files reviewed for requirements governing orientation at service initiation did not meet requirements in the following ways:

a. The file contained documentation that the client was given a written statement of client rights and responsibilities and a copy of the grievance procedure, however, it did not contain documentation that client rights and the grievance procedure were explained to the client as required (client file numbered 14);

b. The clients rights and responsibilities were not given upon service initiation (client files numbered 5, 14, and 16);

c. The files contained documentation that the clients were given a copy of the grievance procedure, however, it did not contain documentation that the grievance procedure was explained (client files numbered 2, 3, and 6 through 11);

d. The files contained documentation that the clients were given a copy of the grievance procedure, however, explanation of the grievance procedure did not occur upon service initiation as required (client files numbered 5 and 16);

e. The file did not contain documentation that the client was given a copy of the grievance procedure or that it was explained to them upon service initiation (client files numbered 1);

f. The files contained documentation that the clients received HIV information, however, the information provided to clients did not contain all of the required HIV minimum standards information (client file numbered 12, 14, and 16);

g. The files did not contain documentation that the clients were orientated to HIV minimum standards (client files numbered 1 through 3); and

h. The files contained documentation that the clients received information to HIV minimum standards, however, the orientation did not occur within 72 hours of admission (client files numbered 5, 9 through 11, and 13).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that clients receive orientation as required. Within 30 days of receipt of this order, submit documentation from one client file that demonstrates compliance.

14. Citation: Minnesota Rules, part 9530.6440, subpart 3, item A.

Violation: Four of sixteen client files reviewed for requirements governing tuberculosis and tuberculosis-screening requirements (client files numbered 1 through 3, and 16) did not contain documentation that the clients received the required tuberculosis information.

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that all clients receive information regarding tuberculosis and tuberculosis screening as required.

15. Citation: Minnesota Statutes, section 245A.65, subdivisions 1, paragraph (c), and 2, paragraph (a), and Minnesota Rules, part 9530.6440, subpart 1.

Violation: Fourteen of sixteen client files reviewed for requirements governing vulnerable adult maltreatment orientation requirements did not meet requirements in the following ways:

a. The files did not contain any documentation that the clients were oriented to the reporting procedure of alleged or suspected maltreatment of vulnerable adults (client files numbered 1 through 14); and

b. The documentation of orientation to the program abuse prevention plan was not dated, therefore, licensors were unable to determine if orientation was provided upon service initiation (client file numbered 13).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that all clients receive orientation to vulnerable adults requirements within the required timeframe. Within 30 days of receipt of this order, submit documentation from one client file that demonstrates compliance.

16. Citation: Minnesota Rules, part 9530.6420.

Violation: Ten of sixteen client files reviewed for requirements governing initial service plans did not meet requirements in the following ways:

a. The plans were not completed upon service initiation (client files numbered 3, 4, and 13 through 16);

b. The plans did not address the clients’ immediate safety concerns (client files numbered 1 through 3, 12, and 13);

c. The plans did not identify issues to be addressed in the first treatment sessions (client files numbered 1, 9, and 12 through 16); and

d. The plans did not make treatment suggestions for clients during the time between intake and completion of the treatment plan (client files numbered 2 and 3).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that initial services plans meet all applicable requirements. Within 30 days of receipt of this order, submit initial services plans from two client files that demonstrate compliance.

17. Citation: Minnesota Rules, part 9530.6420 and Minnesota Statutes, section 245A.65, subdivision 1a, paragraph (b).

Violation: Ten of thirteen client files reviewed for requirements governing determination of vulnerable adult status did not meet requirements in the following ways:

a. The plans did not include a determination whether a client is a vulnerable adult (client files numbered 1 through 3, 12, 13, and 15);

b. The file did not include the correct information to determine vulnerable adult status as defined in Minnesota Statutes, section 626.5572, subdivision 21 (client files numbered 1 through 3, and 9 through 14); and

c. The determination was not completed during or immediately following the intake interview (client file numbered 5).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that vulnerable adult determinations meet all applicable requirements.

18. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (b), and chapter 626.557, subdivision 14, paragraph (c).

Violation: Three of sixteen client files reviewed for requirements governing individual abuse prevention plans (IAPP) did not meet requirements in the following ways:

a. The files contained conflicting information on the license holders forms titled Initial Service Plan and Vulnerable Ault Assessment/IAPP that identified the same individual as being a vulnerable adult and not determined to be a vulnerable adult (client files numbered 1 and 16);

b. The narrative to support the risk rating for self-injurious behaving was incomplete (client file numbered 16);

c. The assessment did not identify specific measures the program will take to minimize the risk of abuse (client files numbered 4 and 16);

d. The files did not contain documentation to show that the clients participated in the development of the IAPP (client files numbered 4 and 16); and

e. The assessment for a vulnerable adult contained a statement that the client abide by no self-harm, however, the assessment did not include specific risk reduction measures beyond those identified in the program abuse prevention plan (client file numbered 16).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that individual abuse prevention plans meet all applicable requirements. Within 30 days of receipt of this order, submit IAPPs from two client files that demonstrate compliance.

Repeat Violation: This is a repeat violation. The license holder was cited for a similar violation in a Correction Order dated October 5, 2011 (Women’s Program).

19. Citation: Minnesota Rules, parts 9530.6422, subpart 1, items A-O and 9530.6440, item C.

Violation: Fifteen of sixteen client files reviewed for requirements governing comprehensive assessments did not meet requirements in the following ways:

a. The file did not contain a comprehensive assessment and did not specify on the treatment plan how and when it would be completed (client file numbered 8);

b. The assessment for an outpatient client was not completed within three sessions upon service initiation (client file numbered 3);

c. The assessment did not include sufficient information to complete the assessment summary (client file numbered 6);

d. The assessments did not include:

1. The clients’ cultural background (client files numbered 6 through 7, 9 through 11, 14, and 15);

2. The clients’ sexual orientation (client files numbered 9 through 11);

3. The clients’ economic status (client files numbered 1, 3 through 5, and 12);

4. The clients’ education (client files numbered 12 and 15);

5. The client’s circumstance of service initiation (client file numbered 6);

6. The client’s previous attempts at treatment for compulsive gambling and mental illness (client file numbered 6);

7. The clients’ chemical use history including for each chemical used the amount and type (client files numbered 6 and 9);

8. The clients’ frequency and duration of use (client files numbered 6 and 9);

9. The clients’ period of abstinence (client files numbered 5 through 6, and 9);

10. The clients’ circumstance of relapse (client files numbered 6, 9, and 12);

11. The clients’ chemicals used within the last 30 days (client files numbered 6 and 9);

12. The clients’ time of the most recent use in the last 30-days (client files 1, 2, 4 through 6, 9, and 12 through 16);

13. The clients’ previous experience with withdrawal (client files numbered 6 and 9);

14. The clients’ specific behaviors exhibited by the client when under the influence of chemicals (client files numbered 6, and 12 through 15);

15. The client’s current family status (client file numbered 6);

16. The clients’ family history (client files numbered 6, 12, and 13);

17. The client’s history or presentence of physical or sexual abuse (client file numbered 6);

18. The clients’ level of family support (client files numbered 7 and 11);

19. Whether or not physical concerns were being addressed by a health care professional (client files numbered 5, 12, and 13);

20. The client’s mental health history (client file numbered 6);

21. The clients’ mental health symptoms, current treatment supports, and psychotropic medication needed to maintain stability (client files numbered 6 and 9);

22. The clients’ arrests and legal interventions related to chemical use (client files numbered 6 and 9);

23. The clients’ ability to function appropriately in a work setting (client files numbered 1 through 7, 9 through 12, and 14);

24. The clients’ ability to function appropriately in an educational setting (client files numbered 1 through 7, and 12 through 14);

25. The clients’ ability to understand written treatment materials, including rules and client rights (client files numbered 6, and 12 through 14);

26. The clients’ risk taking behaviors, including behavior that puts the clients at risk of exposure to blood borne or sexually transmitted diseases (client files numbered 1, 2, 6, and 12);

27. The clients’ social network in relation to expected support for recovery (client files numbered 6, 7, and 9 through 11);

28. The clients’ leisure time activities that have been associated with chemical use (client files numbered 1 through 7, and 9 through 15);

29. Whether the clients recognizes problems related to substance use (client files numbered 6, and 9 through 11); and

30. Whether the client recognizes problems related to substance use and is willing to follow treatment recommendations (client file numbered 6).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that comprehensive assessments meet all applicable requirements. Within 30 days of receipt of this order, submit a comprehensive assessment from one client file that demonstrates compliance.

20. Citation: Minnesota Rules, parts 9530.6422, subpart 2 and 9530.6440, item D.

Violation: Two of sixteen client files reviewed for requirements governing assessment summaries (client files numbered 6 and 8) did not contain assessment summaries.

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that assessment summaries are contained in the client file and meet all applicable requirements.

21. Citation: Minnesota Rules, parts 9530.6425, subparts 1 and 2, and 9530.6440, subparts 1 and 3.

Violation: Sixteen of sixteen client files reviewed for requirements governing individual treatment plans did not meet requirements in the following ways:

a. The plans were not dated, therefore, licensors could not determine if they were completed within seven calendar days of completion of the assessment summaries (client files numbered 6 through 8);

b. The plan was not completed within seven calendar days of completion of the assessment summary (client file numbered 2);

c. The plan was developed prior to completion of the assessment summary (client file numbered 13);

d. The plan did not included ongoing assessment in each of the six dimensions (client file numbered 2);

e. The plans did not include documentation of participation by or input from the clients families as identified by the clients as being important to the success of the treatment experience (client files numbered 6 through 8, 12, and 13);

f. The plans were not recorded in the six dimensions (client files numbered 1 and 2);

g. The plans did not address each problem identified in the assessment summaries (client files numbered 1 and 2);

h. The plans did not include specific methods to be used to address all identified problems (client files numbered 1 through 16);

i. The plans did not include resources to which the client is being referred for problems when the problems are to be addressed concurrently by another provider (client files numbered 8 and 16); and

j. The plans did not include goals the client must reach to complete treatment and have services terminated (client files numbered 1 through 16).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that individual treatment plans meet all applicable requirements. Within 30 days of receipt of this order, submit individual treatment plans from two client files that demonstrate compliance.

Repeat Violation: This is a repeat violation. The license holder was cited for a similar violation in a Correction Order dated October 5, 2011 (Women’s Program).

22. Citation: Minnesota Rules, part 9530.6425, subpart 3, item A.

Violation: Five of sixteen client files reviewed for requirements governing progress notes did not meet requirements in the following ways:

a. The notes did not occur weekly or after each treatment service (client files numbered 12 and 13);

b. The notes were not recorded in each of the six dimensions (client files numbered 12 and 13);

c. The notes did not indicate the type and amount of each treatment service the client had received (client files 12 through 15);

d. The notes did not document monitoring of any physical and mental problems (client file numbered 13); and

e. The notes did not include monitoring of any mental health problems (client files numbered 13 and 16).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that progress notes meet all applicable requirements. Within 30 days of receipt of this order, submit progress notes from two client files for two months that demonstrate compliance.

Repeat Violation: This is a repeat violation. The license holder was cited for a similar violation in a Correction Order dated October 5, 2011 (Women’s Program).

23. Citation: Minnesota Rules, parts 9530.6425, subpart 3, item B and 9530.6440, subpart 3, item G.

Violation: Fifteen of sixteen client files reviewed for requirements governing treatment plan reviews plans did not meet requirements in the following ways:

a. The files did not contain treatment plan reviews (client files numbered 6 through 11);

b. The treatment plan reviews did not occur weekly or after each treatment service (client files numbered 1 through 5, and 12 through 14);

c. The treatment plan reviews did not address each goal in the treatment plan that has been worked on since the last review (client files numbered 1 through 5, and 12 through 14);

d. The treatment plan reviews did not address whether the strategies to address the goals were effective (client files numbered 1 through 5, 12 through 14, and 16); and

e. The treatment plan review did not include a review and evaluation of the individual abuse prevention plan (client file numbered 16).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure treatment plan reviews meet all applicable requirements. Within 30 days of receipt of this order, submit treatment plan reviews from two client files for two months that demonstrate compliance.

24. Citation: Minnesota Rules, part 9530.6440, subpart 1.

Violation: Five of sixteen client files reviewed for requirements governing record keeping requirements did not meet requirements in the following ways:

a. The files contained treatment plans that were not dated (client files numbered 4, and 6 through 8); and

b. The files contained progress notes and treatment plan reviews that were not dated (client files numbered 6 through 8, and 12).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that all record keeping meet all applicable requirements.

Repeat Violation: This is a repeat violation. The license holder was cited for a similar violation in a Correction Order dated October 5, 2011 (Women’s Program).

25. Citation: Minnesota Rules, part 9530.6435, subpart 3, item B.

Violation: Two of two client files reviewed for requirements governing medication administration (client files numbered 4 and 16) did not meet requirements in the following ways:

a. The files did not contain documentation indicating whether staff will be administering medication or the client will be self-administering medications, or a combination of both; and

b. The programs policy titled Medication Administration Safety indicates that if a medication is held, refused, or regurgitated, staff will initial the administration time, circle the entry and enter a notation on the backside of the MAR explaining the situation. The files reviewed did not contain documentation by staff indicating medication refusal, therefore, the program did not follow the policies procedure for medication administration documentation.

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that documentation of medication administration is consistent with the program’s procedure and meets all applicable requirements.

26. Citation: Minnesota Rules, part 9530.6425, subpart 4.

Violation: Five of ten client files reviewed for requirements governing discharge summaries did not meet requirements in the following ways:

a. The summary did not contain a date, therefore, licensors were unable to determine if the summary was completed within five days of the clients service termination or the programs decision to terminate services (client file numbered 8);

b. The summaries were not completed within five days of the clients service termination or the programs decision to terminate services (client files numbered 9 and 16);

c. The summaries were not recorded in the six dimensions (client files numbered 8 and 12);

d. The summary did not include the client’s needs while participating in treatment and all services provided (client file numbered 16);

e. The summary did not include the clients process toward achieving each of the goals identified in the individual treatment plan (client file numbered 8);

f. The summary did not include the reason for and circumstances of service termination (client file numbered 8);

g. The summary did not include the risk descriptions (client file numbered 8);

h. The summaries did not include living arrangements for clients who successfully completed treatment (client files numbered 1 and 8);

i. The summary did not include continuing care recommendations (client file numbered 8);

j. The summary did not the service termination diagnosis (client file numbered 8); and

k. The summary did not include the client’s prognosis (client file numbered 8).

Corrective Action Ordered: Immediately and on an ongoing basis, the license holder must ensure that discharge summaries meet all applicable requirements. Within 30 days of receipt of this order, submit discharge summaries from two client files that demonstrate compliance.

If you fail to correct the violations specified in the Correction Order within the prescribed time lines the Commissioner may issue an Order of Conditional License or may impose a fine and order other licensing sanctions pursuant to Minnesota Statutes, sections 245A.06 and 245A.07.

Submissions required as part of a corrective action ordered must be sent to your Licensor at:

Commissioner, Department of Human Services

ATTN: Carrie Davies

Licensing Division

PO Box 64242

St. Paul, MN 55164-0242

B. Right to Request Reconsideration

If you believe any of the citations are in error, you have the right to request that the Commissioner of Human Services reconsider the parts of the Correction Order that you believe to be in error. The request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this report. Your request for reconsideration must be sent to:

Commissioner, Department of Human Services

ATTN: Legal Unit

Licensing Division

PO Box 64242

St. Paul, MN 55164-0242

Please note that a request for reconsideration does not stay any provisions or requirements of the Correction Order. The Commissioner’s disposition of a request for reconsideration is final and not subject to appeal under Minnesota Statutes, chapter 14.

If you have any questions regarding this Correction Order, please contact me as soon as possible.

Carrie Davies, Human Services Licensor

Licensing Division

Office of Inspector General

651-431-6608

cc: David Smith, New Beginnings at Waverly, LLC

Jessica Meyer, New Beginnings at Waverly, LLC

PO Box 64242 Saint Paul, Minnesota 55164-0242 An Equal Opportunity and Veteran Friendly Employer
http://www.dhs.state.mn.us/licensing