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January 27, 2023 Souhail Salah, Authorized Agent Treza Adult Day Care Services LLC 10102 Florida Circle North Brooklyn Park, Minnesota 55445 License Number: 1109293 (Rule 223) CORRECTION ORDER Dear Souhail Salah: On January 25, 2023, a licensing review of Treza Adult Day Care Services LLC, located at 245 West Lafayette Frontage Road, St. Paul, Minnesota, was conducted to determine compliance with Minnesota Statutes and Rules governing adult day care services under Minnesota Rules, parts 9555.9600 through 9555.9730 (Rule 223). As a result of this licensing review, 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 the 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 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. 1. Citation: Minnesota Rules, part 9555.9660, subpart 1, item B. Violation: For one of three participants whose record was reviewed (P1), the license holder did not include information in the participant’s written record as required. The license holder failed to include a medical report dated within the three months prior to or 30 days after P1’s admission to the center within P1’s participant record. P1 was admitted to the center on July 11, 2022; however, the license holder maintained a medical report for P1 dated October 19, 2022. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this part. 2. Citation: Minnesota Rules, part 9555.9700, subpart 2. Violation: For three participants whose records were reviewed (P1, P2 and P3), the license holder did not complete initial service planning as required. a. The license holder failed to conduct needs assessments for P1 and P2 that included the participant’s physical status, determined by observation, from the intake screening interview, and from the medical report received from the participant’s physician. b. The license holder failed to develop preliminary service plans for P1, P2 and P3 that included the person’s nutritional needs and, where applicable, dietary restrictions. Corrective Action Ordered: Within 30 days of receiving this order, you must: · update P1 and P2’s needs assessments to include the participant’s physical status based on information received from the participant’s medical report; and · update P1, P2 and P3’s preliminary service plans to include the person’s nutritional needs and, where applicable, dietary restrictions. On an ongoing basis, you must maintain compliance as required in this subpart. 3. Citation: Minnesota Rules, part 9555.9700, subpart 3. Violation: For one participant whose record was reviewed (P2), the license holder did not develop a written plan of care as required. The license holder failed to develop a written plan of care for P2 that included§ short and long term objectives for the participant stated in concrete, measurable and time specific outcomes. §Corrective Action Ordered: Within 30 days of receiving this order, you must develop a written plan of care for P2 that includes short and long term objectives for P2 stated in concrete, measurable and time specific outcomes. On an ongoing basis, you must maintain compliance as required in this subpart. 4. Citation: Minnesota Rules, part 9555.9710, subpart 3. Violation: The license holder did not offer services as required. The license holder failed to ensure a registered nurse provided consultation and review of health services at least monthly prior to September 2022. § Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subpart. 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. 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 your licensor, Desiree Tiller, at 651-431-4622. Brittany Raddatz, Human Services Senior Licensor Licensing Division Office of Inspector General
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