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June 9, 2023 Michael Rudolph, Authorized Agent Rudolph Community & Care 12400 Princeton Avenue Suite B Savage, MN, 55378 License Number: 1069732 (245D – HCBS) License Number: 1086414 Investigation Report Number: 202302837 CORRECTION ORDER Dear Michael Rudolph: On May 25, 2023, a licensing investigation of Rudolph Community & Care located at 12400 Princeton Avenue Suite B, Savage, Minnesota, was conducted to determine compliance with state and federal laws and rules governing the provision of home and community-based services to persons with disabilities and age 65 and older under Minnesota Statutes, Chapter 245D. As a result of this licensing investigation 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 Statutes, section 245D.10, subdivision 3a. Violation: For one person whose record was reviewed (P1), the license holder did not enforce policies and procedures related to service termination as required. The license holder issued a notice of service termination to P1 on March 28, 2023; however, the license holder failed to document the following actions prior to giving notice of service termination to P1: · consultation with P1’s support team or expanded support team to identify and resolve issues leading to the issuance of the termination notice; and · a request to the case manager for intervention services identified in section 245D.03, subdivision 1, paragraph (c), clause (1), or other professional consultation or intervention services to support the person in the program. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 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 regarding this Correction Order, please contact Robert Romani at 651-431-3658 as soon as possible. Brittany Raddatz Licensing Division Office of Inspector General
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