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September 21, 2022 Brittany Eriksmoen 14573 Grand Ave Burnsville, MN 55306 RE: Report No. 202205682 The Cottages of Dakota Huron License No. 1072536/1072531 Dear Ms. Eriksmoen: CORRECTION ORDER An investigation of The Cottages of Dakota Huron was completed regarding report number 202205682 which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned neglect. The disposition of the investigation report is inconclusive. One violation was noted. VIOLATIONS AND CORRECTION ORDERS The following violation of state and (or) federal laws and rules was observed. Corrective action for the violation is required by Minnesota Statutes, section 245A.06, and is hereby ordered by the Commissioner of Human Services. Failure to correct the violations within the prescribed amount of time may result in fines and/or action against your license, as provided for in Minnesota Statutes, sections 245A.06 and 245A.07. Citation: Minnesota statutes section 245D.07, subdivision 1a. Violation: The license holder failed to provide services in response to a person’s (P) identified needs, interests, preferences, and desired outcomes as specified in the coordinated service and support plan and the coordinated service and support plan addendum. On July 5, 2022, the P went to a medical appointment on his/her own, without staff assistance. The P’s Coordinated Service and Support Plan Addendum Summary stated that the P required assistance with appointment/transportation management. The Coordinated Services and Supports Plan stated that staff persons transport the P to medical appointments and “attend all appointments” with him/her. The P’s Intensive Support Self-Management Assessment stated that the P had no alone time in the community and staff persons were to be with the P at all times, with the exception of when the P attended his/her day program. Additionally, on July 14, 2022, a staff person served the P whole pancakes. The P’s Coordinated Service and Support Plan Addendum Summary stated that the P required assistance with meal preparation, including cutting up his/her food into bite sized pieces and staff persons were to be “near” the P when s/he ate, due to his/her choking risks. Corrective Action Ordered: Comply with 245D requirements related to the provision of services in accordance with the person’s coordinated service and support plan and the coordinated service and support plan addendum. Submissions required as part of a corrective action ordered must be sent to your Licensor at: Commissioner, Department of Human Services ATTN: Melissa Loveday c/o Licensing Division PO Box 64242 St. Paul, MN 55164-0242 If you believe any of the citations are in error, you may ask the Commissioner of Human Services to reconsider the parts of the correction order that you believe to be in error. If you choose to exercise this right, your request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this letter. Your request for reconsideration must be sent to: Commissioner Minnesota Department of Human Services c/o Licensing Division PO Box 64242 St. Paul, MN 55164-0242 You must include any and all information, documentation, or other evidence you have to support your request for reconsideration. Please note that a request for reconsideration does not stay any provisions of the correction order. If you have any questions regarding the investigation, contact me immediately. If you have any questions regarding compliance with this Correction Order or applicable rules, contact your licensor, Melissa Loveday. Sincerely,
Rebecca Mesto, Investigator Office of Inspector General Licensing Division 651-431-6558 Enclosure
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