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September 20, 2023 Christina Zeise, Authorized Agent Ampersand Families 1751 County Road B West, Suite 300 Roseville, MN 55113 License Number: 1051754 (Rule 4) CORRECTION ORDER Dear Ms. Zeise: On June 24, 2023, a Department of Human Services (DHS) licensor conducted a licensing review at your facility located at 1751 County Road B West, Suite 300, Roseville, MN. As a result of this visit, DHS determined that you are in violation of one of the child-placing agency’s rules and statutes. As a result, DHS is issuing this order which requires you to take the correction action as described below. Details of our findings are provided below. Our next steps and your options are also detailed. LICENSING VIOLATIONS DHS determined that your program failed to follow licensing rules and statutes, as described below. 1. Citation: Minnesota Statutes, section 245C.03, subdivision 7. Violation: During a licensing review, a DHS licensor determined that you failed to complete a background study for the board president at the time of their appointment on December 5, 2022. On April 26, 2023, Ampersand Families self-corrected the error and submitted a background study as required. Corrective action required You must correct the violations cited above. Submit documentation to your licensor within 30 days from when you received this order explaining how you have corrected the violations. YOUR RIGHT TO REQUEST RECONSIDERATION You have the right to request reconsideration of this order and the cited violations. Your request must: · Be in writing · List each violation you are challenging and identify what is inaccurate or incomplete about the information in the order · Supply information that is accurate or more complete · Be made before the deadlines provided below If you are mailing your request, it must be received by DHS within 20 calendar days from when you received this order. If you do not meet this deadline, you lose your right to request reconsideration. The timeline to appeal began when you received this order. Please send it to: Commissioner, Department of Human Services Office of Inspector General Legal Counsel’s Office Attn: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0953 If your request is being personally delivered, it must be received by DHS within 20 calendar days from when you received this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General Legal Counsel’s Office Attn: Licensing Legal Unit 444 Lafayette Road North St. Paul, MN 55155 Legal authority for this licensing action · This action is taken under Minnesota Statutes, section 245A.06, subdivision 1. · This child-placing agency must maintain compliance with the licensing statutes and rules, specifically Minnesota Rules, parts 9545.0755 through 9545.0845 (Rule 4). · The timeline to request reconsideration of the order is provided in Minnesota Statutes, section 245A.06, subdivision 2. Questions If you have any questions regarding this Correction Order, please contact me at 651-431-3469. Sincerely,
Karol Jensen-Schneider, Licensing Consultant Licensing Division Office of Inspector General
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