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March 31, 2023
Stephanie Kalbach 6600 France Avenue South, Suite 500 Edina, MN 55435
RE: Report No. 202208360 REM Woodvale, Inc. - Driftwood License No. 1097945/1071970
Dear Stephanie Kalbach:
CORRECTION ORDER
An investigation of REM Woodvale, Inc. – Driftwood was completed regarding report number 202208360 which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned emotional abuse and neglect. The disposition of the investigation report is inconclusive. One violation was noted.
VIOLATIONS AND CORRECTION ORDERS
The following violations of state and (or) federal laws and rules were observed. Corrective action for each 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.095, subdivision 5, paragraph (a), clause (2):
Violation: The license holder did not maintain a personnel record for three staff persons (P1, P2, and P3) as required.
The facility failed to maintain documentation that P1, P2, and P3 each received training on three consumers’ (C1, C2, and/or C3) coordinated service and support plans or coordinated services and support plan addendums as they related to the responsibilities assigned, and the person’s individual abuse prevention plans, to achieve and demonstrate and understating of each person as a unique individual, and how to implement those plans. The license holder failed to record the date of the training, the number of hours per subject area, and the name of the instructor for this training.
Corrective Action Ordered: Beginning immediately and on an ongoing basis you must maintain compliance as required in this subdivision.
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, Diana Arnzen, at (651) 431-6638.
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.
Sincerely,
Scott Broady, Investigator Office of Inspector General Licensing Division 651-431-6557
Enclosure
PO Box 64242 • Saint Paul, Minnesota • 55164-0242 • An Equal Opportunity and Veteran Friendly Employer https://mn.gov/dhs/general-public/licensing/
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