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August 1, 2023 Mohamed I Aden, Authorized Agent M I Home Health Care LLC 727 University Avenue Southeast #17 Minneapolis, Minnesota 55414 License Number: 1110450 (245D - HCBS) CORRECTION ORDER Dear Mohamed I Aden: On July 6, 2023, a licensing review of M I Home Health Care LLC, located at 727 University Avenue Southeast #17, Minneapolis, 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 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 Statutes, section 245A.65, subdivision 1.
Violation: For one of one person whose record was reviewed (P1), the license holder did not provide orientation to the license holder’s internal and external reporting procedures related to suspected or alleged maltreatment as required.
P1’s service initiation date was December 6, 2022. The license holder failed to provide orientation to the internal and external reporting procedures within 24 hours of admission.
Corrective Action Ordered: Within 30 days of receiving this report, you must provide P1 with orientation to the license holder’s internal and external reporting procedures related to suspected or alleged maltreatment as required. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (b). Violation: For one person whose record was reviewed (P1), the license holder did not develop the individual abuse prevention plan as required. The license holder failed to develop an individual abuse prevention plan for P1 as part of the initial individual abuse prevention plan, however an individual abuse prevention plan was later developed on January 27, 2023. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.04, subdivision 1, paragraph (1). Violation: For one person whose record was reviewed (P1), the license holder did not provide the person or their legal representative with a written notice that identified the service recipient rights as required. The license holder failed to provide P1 with a notice that identified the service recipient rights and an explanation of those rights within five working days of service initiation, however were later provided on January 27, 2023. Corrective Action Ordered: This notice must also be provided annually thereafter. On an ongoing basis, you must maintain compliance throughout your program as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.095, subdivision 5, paragraph (a). Violation: For one of one staff person whose record was reviewed (SP1), the license holder did not maintain a personnel record as required.
The license holder failed to document the following information in SP1’s personnel record: · the date the training was completed; · the number of hours per subject area; and · the name of the trainer or instructor. Corrective Action Ordered: On an ongoing basis, you must maintain personnel records for all staff as required in this subdivision. 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 Lindsay Norris at 651-431-5752 as soon as possible. Lindsay Norris, Senior Licensor-Home and Community Based Services Licensing Division Office of Inspector General
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