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12/8/2022 Blake Elliott, Authorized Agent Bridges MN 1932 University Ave. West Saint Paul, MN 55104 License Number 1079030 (Home and Community Based Services) Report Number 202206129 CORRECTION ORDER Dear Blake Elliott: On December 8, 2022, a Department of Human Services (DHS) licensor conducted a licensing investigation at your facility located at 1932 University Ave. West, Saint Paul. As a result of this visit, DHS determined that you are in violation of one of the Home and Community Based rules and statutes. As a result, DHS is issuing this order, which requires you to take the correction action as described below. Details of our findings are provided below. Our next steps and your options are also detailed. LICENSING VIOLATIONS DHS determined that your program failed to follow licensing rules and statutes, as described below. Service Recipient 1. Violation: For P1, the license holder did not provide services that complied with the requirements of chapter 245D and the federal waiver guidelines. In a document titled, “Coordinated Services and Support Plan Addendum-Intensive Services” dated July 18, 2022 and August 23, 2002, the license holder was responsible for providing P1 Individualized Home Supports with training (IHS with training) and Night Supervision. Through a review of the program’s surveillance videos, it was observed that staff failed to provide IHS with training as defined in the federal waiver plan. For example, on August 2, 2022, staff were observed on their personal cell phone, laying on the couch and not providing services as required during their shift. Statute Violated: 245D.07, Subdivision 1 Corrective action required Because the license is currently revoked, operating under appeal, within 30 days, you must: · share this correction order with the person, and the person’s case manager; · and inform each of how you will maintain compliance with this licensing requirement on a continuing basis. On an ongoing basis, you must provide services as written in the support plan and as defined in federal waiver plans. YOUR RIGHT TO REQUEST RECONSIDERATION You have the right to request reconsideration of this order and the cited violations. Your request must: · Be in writing · List each violation you are challenging and identify what is inaccurate or incomplete about the information in the order · Supply information that is accurate or more complete · Be made before the deadlines provided below If you are mailing your request, it must be received by DHS within 20 calendar days from when you received this order. If you do not meet this deadline, you lose your right to request reconsideration. The timeline to appeal began when you received this order. Please send it to: Commissioner, Department of Human Services Office of Inspector General Licensing Division Attention: Legal Unit PO Box 64953 St. Paul, MN 55164-0242 If your request is being personally delivered, it must be received by DHS within 20 calendar days from when you received this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General Licensing Division Attention: Legal Unit 444 Lafayette Road North St. Paul, MN 55155 Legal authority for this licensing action · This action is taken under Minnesota Statutes, section 245A.06, subdivision 1. · The timeline to request reconsideration of the order is provided in Minnesota Statutes, section 245A.06, subdivision 2. Questions If you have any further questions regarding this matter, you may contact Nichole Dawson, Senior Licensor, at 651-431-6646 Sincerely, Nichole Dawson, Senior Licensor Licensing Division Office of Inspector General
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