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August 28, 2023 Stephen Pareja, Authorized Agent Catholic Charities In Home Program 157 Roosevelt Road, Suite 200 Saint Cloud, Minnesota 56301 License Number: 1070417 (245D – HCBS) CORRECTION ORDER Dear Stephen Pareja: On May 24, 2023, and May 25, 2023, a licensing review of Catholic Charities In Home Program, located at 157 Roosevelt Road, Suite 200, Saint Cloud, 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 2, paragraph (a), clause (4). Violation: For one of ten persons whose record were reviewed (P7), the license holder did not provide an orientation to the license holder’s program abuse prevention plan (PAPP) within 24 hours of admission as required. P7’s services were initiated on December 17, 2022. The license holder failed to provide orientation to P7 on the program’s PAPP within 24 hours of service initiation. As of the licensing review on May 24, 2023, P7 had not yet received this orientation. Corrective Action Ordered: Within 30 days of receiving this order, you must provide P7 orientation to the PAPP. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (b), clause (1). Violation: For two persons whose records were reviewed (P3 and P10), the license holder did not meet the requirements for the individual abuse prevention plans as required. a. P3 was assessed to be susceptible to sexual abuse, physical abuse, and financial exploitation, however, the license holder did not list specific measures that would be taken by the program to minimize the risk of abuse within the scope of the licensed service. The license holder failed to include a statement of specific measures that would be taken to minimize the risk of abuse in P3’s individual abuse prevention plan (IAPP). b. P10 was assessed to be susceptible to sexual abuse, however, the license holder did not list specific measures that would be taken by the program to minimize the risk of abuse within the scope of the licensed service. The license holder failed to include a statement of specific measures that would be taken to minimize the risk of abuse in P10’s individual abuse prevention plan (IAPP). Corrective Action Ordered: Within 60 days of receiving this order, you must: · review and revise P3 and P10’s IAPP to include a statement of the specific measures that would be taken to minimize the risk of abuse for each assessed area of risk; · review the IAPPs with P3 and P10’s case managers, and other members of the interdisciplinary team; and · document the review of P3 and P10’s IAPP. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.04, subdivision 3, paragraph (b). Violation: For two persons whose records were reviewed (P4 and P8), the license holder did not ensure the protection and exercise of the person’s rights when the person resides in a residential site licensed according to chapter 245A as required. a. The license holder failed to ensure the exercise and protection of P4's and P8’s rights to receive services in a clean and safe environment when the license holder is the owner, lessor, or tenant of the service site. During a site visit on May 25, 2023, DHS licensors observed the following at P4's and P8’s place of residence (CRS# 1070424): · rusted and peeling paint on the oven hood; · cluttered and dirty kitchen counters and sink; · broken wooden bedframe was leaning along a wall in the common area of the residence; · black substance appearing to be mold or mildew in the bathroom near the bathtub; · peeling paint around the bathroom sink and the bathroom sink was coming loose from the wall; · heavy build up of dirt and grime in the tile around the toilet and deteriorating base boards in the area around the toilet; · heavy accumulation of dirt and grime on the floor in one of the bedrooms; · closet door with a hole in it; and · black spots appearing to be mold or mildew above the shower. b. The license holder maintained a document posted on a door at P4's and P8‘s residence that stated, “From this point on the tv in the main pod [referring to the common area of the home] will be shut off and residents are to go to their pods and watch on their [their] tv upstairs. This is to be done by 8pm every night.” The license holder failed to ensure the exercise of P4's and P8’s right to have use of and free access to common areas in the residence. Corrective Action Ordered: Immediately upon receiving this order, you must ensure that P4 and P8 have the use and free access to common areas of the home. Within 60 days of receiving this order, you must: · ensure that P4’s and P8’s services are provided in an environment that is clean, safe and free from hazards that threaten the person’s health and safety; · submit evidence that P4 and P8 are receiving services in an environment that is clean, safe and free from hazards that threaten the person’s health and safety; · submit a plan detailing how you will ensure the protection and exercise of service recipients rights for all persons receiving services to receive services in a safe and clean environment and is free from hazards that threaten the person’s health or safety when the license holder is the owner, lessor, or tenant of the service site. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.05, subdivision 1. Violation: For three persons whose records were reviewed (P4, P7 and P10), the license holder did not maintain documentation of how the person’s health needs would be met as required. a. The license holder was assigned the responsibility of meeting P4’s health needs in the support plan. The license holder maintained a document titled, Coordinated Services and Support Plan Addendum” in P4’s support plan, which stated, “P4 self-administers P4’s medications as specified by P4’s health care provider. AFC staff store P4’s medications for P4 and provide P4 access to P4’s medications for self-administration at prescribed times and maintain MARS record of P4’s self-medication administration. P4’s medications are pre-packaged in cassettes set up at the pharmacy.” During a site visit conducted on May 24, 2023, DHS licensors observed P4’s medications in separate bubble packs and not in pre-packaged cassettes set by a pharmacy. The license holder had a MAR however, it was not being maintained. Additionally, it was discovered that P4 had been self-administering the wrong dose of psychotropic medication for the month of May. The license holder failed to follow the description of the procedures the license holder would follow to meet P4’s health needs. b. The license holder was assigned the responsibility of meeting P7’s health needs. P7’s support plan documented multiple health conditions, medical equipment and devices utilized, the license holder failed to document the procedures the license holder will follow to monitor each health condition, medical equipment and device, including a description of the procedures the license holder will follow in order to: · monitor health conditions according to written instructions from a licensed health professional; and · use medical equipment, devices, or adaptive aides or technology safely and correctly according to written instructions from a licensed health professional. c. The license holder was assigned the responsibility of meeting P10’s health needs in the support plan. P10 was prescribed PRN psychotropic medications. The license holder failed to document a description of the procedures the license holder would follow to administer P10’s PRN psychotropic medications. Corrective Action Ordered: Within 60 days of receiving this order, you must: · maintain documentation in P4’s record that includes a description of the procedures the license holder will follow to meet P4’s health needs pertaining to P4’s procedures for administration of medications; · maintain documentation in P7’s record that includes a description of the procedures the license holder will follow to monitor for P7’s health needs; and · maintain documentation in P10’s record that includes a description of the procedures the license holder will follow to administer P10’s PRN psychotropic medications. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.05, subdivision 2. Violation: For two persons whose records were reviewed (P7 and P10), the license holder did not implement medication administration procedures as required. a. The license holder was assigned responsibility for medication administration in P7’s support plan. The license holder failed to document a notation of an occurrence of a dose of medication not being administered or treatment not performed as prescribed, whether by error by the staff or the person or by refusal by the person, or of adverse reactions for P7’s medication administration record (MAR) dated May 2023 b. The license holder was assigned the responsibility of medication administration in P10’s support plan. The license holder failed to: · P10’s medication administration record (MAR) for the months of March 2023 and May 2023 documented P10 should have received Metformin twice daily, however, the medication was scheduled on the MAR for three times daily. The license holder documented that P10 was administered this medication three times daily. The license holder failed to include a notation of when the medication was started, administered, changed, or discontinued. · document on P10’s MAR dated March 2023, April 2023 and May 2023 a notation of when a medication or treatment is administered or the reason for not administering the medication and treatment. Corrective Action Ordered: Within 60 days of receiving this order, you must: · report to the P7 and P10’s support team any medications that were not administered or treatment not performed as prescribed, whether by error by the staff or the person or by refusal by the person, or of adverse reactions; · retrain all staff persons responsible for administration of medication on the license holder’s medication administration policy and procedures and the requirements in Minnesota Statues 245D.05. You must maintain documentation of this training including the date the training was completed, the number of hours per subject area, and the name of the trainer or instructor; and · you must submit copies of the training documentation to this licensor. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Statutes, section 245D.05, subdivision 4, paragraph (a). Violation: For three persons whose record was reviewed (P7, P8 and P10), the license holder did not ensure that the medication administration record was reviewed as required.
The license holder was assigned the responsibility for medication administration for P7, P8, and P10. The license holder failed to conduct a review of the medication administration record every three months to ensure that the information maintained in the medication administration record was current and to identify any medication errors. Corrective Action Ordered: Within 60 days of receiving this order you must: · review the medication administration records for all service recipients; · submit copies of the medication administration reviews to this licensor; and · submit a written plan to this licensor detailing how you will maintain compliance in this subdivision. On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Statutes, section 245D.051, subdivision 1, paragraph (b). Violation: For two persons whose records were reviewed (P7 and P10), the license holder did not develop, implement, and maintain documentation regarding psychotropic medications as required. “Target Symptom” refers to any perceptible diagnostic criteria for a person’s diagnosed mental disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders, that have been identified for alleviation. a. P7 was prescribed multiple psychotropic medications. The license holder was assigned responsibility for administration of medication in P7’s support plan. The license holder failed to maintain documentation in P7’s record that included a description of the target symptoms that each psychotropic medication was to alleviate. b. P10 was prescribed multiple psychotropic medications. The license holder was assigned responsibility for administration of medication in P10’s support plan. The license holder failed to maintain documentation in P10’s record that included a description of the target symptoms that each psychotropic medication was to alleviate. Corrective Action Ordered: Within 60 days of receiving this order, you must maintain documentation in P7 and P10’s record that includes a description of the target symptom that each psychotropic medication is to alleviate. On an ongoing basis, you must maintain compliance as required in this subdivision. 8. Citation: Minnesota Statutes, section 245D.06, subdivision 1. Violation: For one person whose record was reviewed (P10), the license holder did not meet the protection standards of incident response and reporting, as required. a. The license holder failed to report an incident to P10’s case manager within 24 hours of an incident that occurred on April 1, 2023. P10’s case manager was notified on April 3, 2023. b. The license holder failed to maintain the privacy of persons served in incidents involving more than one person. The license holder disclosed personally identifiable information about other persons in an incident report involving P10 that occurred on June 20, 2022. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 9. Citation: Minnesota Statutes, section 245D.07, subdivision 1a. Violation: For two persons whose records were reviewed (P6 and P7), the license holder did not provide services in response the person’s identified needs, interests, preferences and desired outcomes as specified in the coordinated service and support plan and support plan addendum as required. a. P6’s identified needs and interests were documented in the support plan as basketball, being with friends, walking, listening to music, watching TV, and going to the mall. However, the license holder identified P6’s outcomes as: · safety in the community; and · brushing their teeth daily. The license holder failed to use information consistent with the principals of person-centered service planning and delivery to identify outcomes P6’s desired. b. P7’s identified needs and interests were documented in the support plan as hunting, archery, going outside when the weather is nice, playing on their phone or iPad, going to parks, socializing with others, spending time with family, crafts, painting, and movie night with housemates. However, the license holder identified P7’s outcomes as: · community outcome; · cleaning bedroom; and · cleaning wheel chair. The license holder failed to use information consistent with the principals of person-centered service planning and delivery to identify outcomes P7’s desired. Corrective Action Ordered: Within 60 days of receiving this order, you must develop outcomes that use information consistent with the principals of person-centered service planning and delivery for P6 and P7. On an ongoing basis, you must maintain compliance as required in this subdivision. 10. Citation: Minnesota statutes, section 245D.071, subdivision 3, paragraph (c) and (d). Violation: For one person whose record was reviewed (P7), the license holder did not meet the requirements for initial service planning as required.
P7’s service initiation was on December 17, 2020. While a 45-day service planning meeting was held on February 2, 2021, the license holder failed to determine the following: · the person’s preferences for how services and supports are provided, including how the provider will support the person to have control of the person’s schedule; · opportunities to develop and strengthen personal relationships with other person’s of the person’s of the person’s choice in the community; and · opportunities for community access, participation and inclusion in preferred activities. · a discussion of how technology might be used to meet the person’s desired outcomes. Support plan or support plan addendum must include a summary of this discussion. The summary must include: o a statement regarding any decision that is made regarding the use of technology; and o a description of any further research that needs to be completed before a decision regarding the use of technology can be made. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 11. Citation: Minnesota Statutes, section 245D.11, subdivision 2, clause (3). Violation: For two persons whose records were reviewed (P7 and P10), the license holder did not enforce policies and procedures for safe medication administration as required. a. The license holder was assigned responsibility for administration of medication in P7’s support plan. The license holder maintained a policy and procedure titled, “Safe Medication and Administration Policy”. During a site visit conducted on May 24, 2023, DHS licensors discovered that P7’s scheduled II controlled substance was not being stored in a separate locked area within the locked medication area. Additionally, the license holder failed to follow their Safe Medication and Administration Policy when the scheduled II controlled substance was not being counted by two staff at the beginning and ending of each shift and documented. b. The license holder was assigned responsibility for administration of medication in P10’s support plan. The license holder maintained a policy and procedure titled, “Safe Medication and Administration Policy”. The policy documented that it was the license holder’s responsibility for coordination of medication refills for persons whom the license holder was responsible for medication administration and assistance. The license holder failed to coordinate a medication refill as assigned for P10’s PRN medication on June 2, 2022. This resulted in an incident where 911 was called for behavior intervention. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 12. Citation: Minnesota Rules, part 9544.0030, subpart 1. Violation: For three person’s whose records were reviewed (P5, P6 and P7), the license holder did not evaluate the identified positive support strategies every six months as required.
The license holder failed to evaluate with P5, P6 and P7, at least every six months, if any positive support strategies used needed changes, and, if so, make appropriate changes.
Corrective Action Ordered: Within 60 days of receiving this order, you must evaluate with P5, P6, and P7 whether the identified positive support strategies currently meet the standards in Minnesota Rules, part 9544.0030, subpart 2. Based upon the results of the evaluation, you must determine whether changes are needed in the positive support strategies used, and, if so, make appropriate changes. On an ongoing basis, you must maintain compliance as required in this subpart. 13. Citation: Minnesota Statutes, section 245A.65, subdivision 3. Violation: For two of nine staff persons whose records were reviewed (SP1 and SP5), the license holder did not provide orientation to mandated reporting within 72 hours of first providing direct contact services as required. a. SP1’s date of hire was February 20, 2020. SP1 first began providing direct contact services on February 22, 2020. · The license holder failed to provide an orientation to SP1 on vulnerable adult maltreatment reporting procedures of individuals receiving services within 72 hours of first providing direct contact services. SP1 received this orientation on April 5, 2020. · The license holder failed to provide an orientation to SP1 on the program abuse prevention plan within 72 hours of SP1 first providing direct contact services. SP1 received this orientation on April 5, 2020. b. SP5’s date of hire was August 30, 2020. SP5 began providing direct contact services on September 5, 2020. The license holder failed to provide an orientation to SP5 on vulnerable adult maltreatment reporting procedures of individuals receiving services within 72 hours of SP5 first providing direct contact services. SP5 received this orientation on September 9, 2020. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 14. Citation: Minnesota Statutes, section 245D.09, subdivision 4. Violation: For four staff persons whose records were reviewed (SP1-SP4), the license holder did not provide orientation training as required. a. SP1 was hired on February 20, 2020. The license holder failed to provide orientation training in the following areas within 60 days of hire: · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP1 received this training on December 2, 2020; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP1 received this training on December 2, 2020; and · basic first aid. SP1 received this training on April 7, 2021; b. SP2 was hired on February 17, 2021, the license holder failed to provide orientation training on basic first aid in within 60 days of hire. SP2 received this training on December 4, 2021. c. SP3 was hired on July 20, 2022 the license holder failed to provide orientation training in the following areas within 60 days of hire: · basic first aid. SP3 received this training on December 3, 2022; and · medication setup, assistance, or administration procedures established for the person when assigned to the license holder according to section 245D.05, subdivision 1, paragraph (b). SP3 received this training on November 13, 2022. d. SP4 was hired on April 30, 2021 the license holder failed to provide orientation training on basic first aid within 60 days of hire. SP4 received this training on December 8, 2022. Corrective Action Ordered: On an ongoing basis, you must provide orientation training as required in this subdivision. 15. Citation: Minnesota Statutes, section 245D.09, subdivision 5. Violation: For four staff persons whose record was reviewed (SP1, SP2, SP4 and SP5), the license holder did not provide annual training as required. a. The license holder failed to provide SP1 with the following annual training: · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04. SP1 received this training on September 18, 2020 and again on August 28, 2022; · sections 245A.65, 245A.66, 626.556, and 626.557, governing maltreatment reporting and service planning for children and vulnerable adults, and staff responsibilities related to protecting persons from maltreatment and reporting maltreatment. SP1 received this training on April 5, 2020, October 15, 2020 and again on May 12, 2022; · the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff. SP1 received this training on July 15, 2020, April 15, 2021, and again on August 30, 2022; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP1 received this training on December 2, 2020, April 15, 2021 and again on December 13, 2022; · staff responsibilities related to the prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP1 received this training on December 2, 2020, April 15, 2021 and again on August 30, 2022; · program abuse prevention plan. SP1 received this training on April 5, 2020, August 30, 2022 and again on October 25, 2022; · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities in 2021; and · basic first aid in 2022. SP1 received this training on April 7, 2021 and December 13, 2022. b. The license holder failed to provide SP2 with the following annual training: · sections 245A.65, 245A.66, 626.556, and 626.557, governing maltreatment reporting and service planning for children and vulnerable adults, and staff responsibilities related to protecting persons from maltreatment and reporting maltreatment. SP2 received this training on April 7, 2021, June 8, 2022, October 24, 2022 and April 3, 2023; · program abuse prevention plan. SP2 received this training on April 7, 2021, June 8, 2022, October 24, 2022 and April 3, 2023; · the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff. SP2 received this training on April 7, 2021 and July 14, 2022; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP2 received this training on April 7, 2021 and November 13, 2022; · staff responsibilities related to the prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP2 received this training on April 7, 2021 and November 13, 2022; · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. SP2 received this training on April 7, 2021. c. The license holder failed to provide SP4 with the following annual training: · the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff. SP4 received this training on May 3, 2021 and October 14, 2022; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP4 received this training on May 3, 2021 and December 8, 2022; · staff responsibilities related to the prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP4 received this training on May 3, 2021 and December 8, 2022; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. SP4 received this training on May 3, 2021 and October 13, 2022. d. The license holder failed to provide SP5 with the following annual training: · data privacy requirements according to Minnesota Statutes, sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices in 2021, however was later provided on September 2, 2022; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP5 received this training on April 15, 2021 and again on December 2, 2022; · staff responsibilities related to the prohibited procedures under section 245D.06, subdivision 5, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP5 received this training on April 15, 2021 and again on December 2, 2022; · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities in 2021; · basic first aid in 2021, however was provided later on December 2, 2022. Corrective Action Ordered: Within 60 days of receiving this order, you must provide SP1, SP2 and SP4 with the above annual trainings. On an ongoing basis, you must provide annual training as required in this subdivision. 16. Citation: Minnesota Statutes, section 245D.095, subdivision 5. Violation: For three staff persons whose records were reviewed (SP1, SP3 and SP5), the license holder did not maintain personnel records as required. a. The license holder failed to maintain a personnel record that included documentation of SP1’s training, that included the date the training was completed, the number of hours per subject area, and the name of the trainer or instructor for the following required training topics; · training to the person including the coordinated service and support plan, coordinated service and support plan addendum as it relates to the responsibilities assigned to the license holder, the person’s individual abuse prevention plan to achieve and demonstrate an understanding of the person as a unique individual and how to implement those plans; and · medication setup, assistance, or administration procedures established for the person when assigned to the license holder according to section 245D.05, subdivision 1, paragraph (b). b. The license holder failed to maintain a personnel record that included documentation of SP3’s training, that included the date the training was completed, the number of hours per subject area, and the name of the trainer or instructor for training to the person including the coordinated service and support plan, coordinated service and support plan addendum as it relates to the responsibilities assigned to the license holder, the person’s individual abuse prevention plan to achieve and demonstrate an understanding of the person as a unique individual and how to implement those plans. c. The license holder failed to maintain a personnel record that included documentation of SP5’s training, that included the date the training was completed, the number of hours per subject area, and the name of the trainer or instructor for training on medication setup, assistance, or administration procedures established for the person when assigned to the license holder according to section 245D.05, subdivision 1, paragraph (b). 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. Submissions required as part of a corrective action ordered must be sent to your Licensor at: 1. By secure email at Amber Nielsen; or 2. If you are unable to submit corrective action ordered securely through email, you can mail or fax using the information below: Commissioner, Department of Human Services ATTN: Amber Nielsen Licensing Division PO Box 64242 St. Paul, MN 55164-0242 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 Amber Nielsen at amber.n.nielsen@state.mn.us or 651-431-3661 as soon as possible. Christala Culhane, HCBS Licensing Supervisor Licensing Division Office of Inspector General
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