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March 21, 2023 Abdi Osman, Authorized Agent Bright Star Adult Day Services Inc 786 University Avenue West Saint Paul, Minnesota 55104 License Number: 1104519 (Rule 223) CORRECTION ORDER Dear Abdi Osman: On March 21, 2023, a licensing review of Bright Start Adult Day Services Inc, located at 786 University Avenue West, Saint 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. Violation: For one of two participants whose records were reviewed (P2), the license holder did not include information in the participant’s written record as required. The license holder failed to include the following information in P2’s participant record: · a medical report dated within the 3 months prior to or 30 calendar days after P2’s admission to the center. P2 was admitted to the center on September 19, 2022 and the license holder maintained a medical report dated November 21, 2022; and · notes on special problems, medication changes, and need for medication assistance. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subpart. 2. Citation: Minnesota Rules, part 9555.9700, subpart 2. Violation: For one participant whose record was reviewed (P2), the license holder did not complete initial service planning as required. The license holder failed to conduct a needs assessment for P2 that addressed P2’s physical status using information from the medical report received from the participant’s physician. The license holder conducted P2’s needs assessment on September 19, 2022; however, the license holder did not receive the medical report from P2’s physician until November 21, 2022. Corrective Action Ordered: Within 30 days of receiving this order, you must update P2’s needs assessment to include P2’s physical status based on information received from P2’s medical report. On an ongoing basis, you must maintain compliance as required in this subpart. 3. Citation: Minnesota Rules, part 9555.9650, item B. Violation: For one consultant whose record was reviewed, the license holder did not include all required information in the personnel record. The license holder failed to maintain documentation that the registered nurse met any licensure, registration, or certification requirements required to perform services. The license holder maintained documentation that the registered nurse’s license expired September 30, 2022. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain documentation that your registered nurse meets licensure, registration, and certification requirements required to perform the services specified in the contract. On an ongoing basis, you must maintain compliance as required in this item. 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 Office of Inspector General Legal Counsel’s Office Attention: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0953 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, please contact your licensor, Desiree Tiller, at 651-431-4622. Brittany Raddatz, Supervisor Licensing Division Office of Inspector General
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