Minnesota

March 13, 2023                      

Blake Elliott, Authorized Agent

Bridges 507

1932 University Avenue West

Saint Paul, MN 55104

License Number 1105613 (Home and Community Based Services)

Report Number 202206388

CORRECTION ORDER

Dear Blake Elliott:

On March 10, 2023 a Department of Human Services (DHS) licensor conducted a licensing investigation. As a result of this visit, DHS determined that you are in violation of one of the 245D-Home and Community Based Services 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

Violation: For one of one person whose record was reviewed (P1), the license holder did not provide services in response to P1’s identified needs as specified in P1’s support plan addendum.

On August 3, 2022, P1 fell while outside while alone. P1 reported they knocked on the window and yelled for staff assistance, however SP1 was sleeping on the couch and unable to hear P1 to provide immediate assistance.

During an interview with SP2, it was determined that SP1 did not follow P1’s support plan.

Statute Violated: 245D.07, Subdivision 1a, paragraph (a).

Repeat Violation: In a Correction Order that DHS issued on December 10, 2021 and November 16, 2022 you were previously found in violation of this same statute.

Corrective Action Required: On an ongoing basis, you must ensure support plans are implemented as required.

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: Licensing 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, at 651-431-6646.

Sincerely,

Nichole Dawson, Senior Licensor

Licensing Division

Office of Inspector General


PO Box 64242 • Saint Paul, Minnesota • 55164-0242 • An Equal Opportunity and Veteran Friendly Employer

https://mn.gov/dhs/general-public/licensing/