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October 30, 2023 Carmen Wilson, Authorized Agent Tomorrow LLC dba Anchorage PO BOX 128 Pillager, MN 56473 License Number 1044799 (245G) Report Numbers 202303149 202303174 CORRECTION ORDER Dear Carmen: On September 18, 19, 20, 22, and 25, 2023, a Department of Human Services (DHS) licensor conducted a licensing review and investigation at your facility located at 3027 South Frontage Road, Moorhead, MN 56560. As a result of this visit, DHS determined that you are in violation of 22 of the Substance Use Disorder Treatment rules and statutes. As a result, DHS is issuing this order which requires you to take the correction action as described under each violation. 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. Practices, Policies, and Procedures 1. Violation: The license holder did not monitor implementation of medical and health care services policies and procedures by program staff which resulted in not meeting requirements in the following ways: a. The license holder failed to follow their system to account for all scheduled medications each shift. The Controlled/Scheduled Substances policy stated “At the end of each shift staff count all client medications and record the number of medications remaining and initial by the count. 1 staff member will be leaving their shift, and count with 1 staff from the oncoming shift.” The program had three shift changes per day, and procedures were not followed in the following ways: 1) The license holder stored medications which were not currently being administered separately from other medications, and failed to account for separated scheduled medications each shift. At the time of the review on 9/18/23, four scheduled medications were stored and were not counted at shift changes: (i) Two medications were not counted from 9/8/23 through 9/18/23; (ii) One medication was not counted from 9/6/23 through 9/18/23; and (iii) One medication was not counted from 9/13/23 through 9/18/23; 2) Shift counts were not recorded 115 times in August and September 2023 for 15 scheduled medications reviewed; and 3) The policy did not include procedures for correcting recorded shift counts; however, the license holder’s practice was to allow registered nurses to change the recorded shift counts if an error was reported. The changed records were labeled “corrected”; however, the documentation did not include who changed the record and when or how the accurate count was verified, including whether or not the corrected count was done by two staff members; b. Client medications were not returned to clients at service termination, and it was not documented that the medications were determined by a physician to be harmful after examining the clients, as required by the program’s Behavior Contract policy and by section 245G.21, subdivision 3 (client files numbered 3 and 4). During the review, staff identified the procedure for returning client medication was that clients who discharge against staff advice are given a three day supply of narcotic medication rather than the full supply held by the license holder, and that the clients were not first examined by a physician to determine whether or not the medications were harmful. Statute Violated: Minnesota Statutes, sections 245A.04, subdivision 14, paragraph (b), 245G.08, subdivision 6, and 245G.21, subdivision 3. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that implementation of policies and procedures by program staff is monitored. Within 30 days of receipt of this order, submit a description of how the medical and health care services policies and procedures identified above will be monitored going forward. If any of the identified policies were revised following the licensing review, the revised policies must also be submitted. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 2. Violation: The license holder did not meet requirements governing reports of alleged or suspected vulnerable adult maltreatment: a. An internal review for a report of alleged or suspected maltreatment completed on 9/8/23 stated the reported event was not similar to past events with the vulnerable adults or the services involved; however, there were several previous events at the program which were similar, including an incident of alleged or suspected maltreatment which was reported by the program on 3/31/23. The staff person who completed the internal review (personnel file numbered 10) stated the event was reviewed to determine if it was similar to past events with the same vulnerable adults only; and b. An internal report of alleged or suspected maltreatment was made on 6/15/23 to the position designated as primary for receiving internal reports (personnel file numbered 10) and the reporter was not given written notice stating whether the facility reported the incident to the common entry point. Statute Violated: Minnesota Statutes, section 245A.65, subdivision 1, paragraph (b), and 626.557, subdivision 4a. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that all requirements related to reports of alleged or suspected vulnerable adult maltreatment are met. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 3. Violation: Guest speakers presented information to clients as part of treatment services and the license holder did not monitor implementation of guest speaker policies and procedures by program staff, which resulted in requirements not being met in the following ways: a. The license holder did not initiate background studies on the guest speakers and was unable to identify whether or not the guest speakers received continuous, direct supervision by an individual listed in section 245C.03, subd. 1, (a), clause (1) or (3) (personnel files numbered 7, 8, and 9); b. An alcohol and drug counselor did not visually observe and listen to the presentation of information by guest speakers the entire time the guest speakers presented information to the clients. A registered nurse observed the presentation of information by guest speakers on: 1) 7/19/23 (personnel files numbered 8 and 9); 2) 7/26/23 (personnel files numbered 8 and 9); and 3) 8/9/23 (personnel file numbered 9); c. The license holder did not provide the guest speakers (personnel files numbered 7, 8, and 9) with required training on mandatory reporting of maltreatment, as specified in: 1) Section 626.5572; and 2) Chapter 260E; d. The guest speakers provided treatment services more than one day a month (personnel files numbered 8 and 9) and the license holder did not provide training required for all staff, including: 1) The staff members specific job responsibilities; 2) Policies and procedures; 3) Client needs; 4) HIV minimum standards; 5) All internal policies and procedures related to the prevention and reporting of maltreatment of individuals receiving services. The guest speakers were trained on a version of the vulnerable adult maltreatment reporting policy which was not longer accurate; and 6) The program's drug and alcohol policy; e. A guest speaker (personnel file number 7) provided a service on 3/23/23 on a topic which was not identified in the treatment services description. Statute Violated: Minnesota Statutes, sections 245A.04, subdivisions 1, paragraph (c), and 14, paragraph (b), 245A.65, subdivision 3, 245G.07, subdivision 3a, paragraphs (b), (c), and (d), 245G.12, and 245G.13, subdivision 1. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that all requirements are met for the use of guest speakers. Within 30 days of receipt of this order, submit a procedure for how use of guest speakers will be monitored, and how all applicable requirements will be met and documented. 4. Violation: The license holder did not document the date of response to a client's grievance received by a staff member 5/24/23; therefore, it was could not be determined if a response was given within three days as required. Statute Violated: Minnesota Statutes, section 245G.15, subdivision 2. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that responses to client grievances are given within three days of a staff member's receipt of the grievance. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 5. Violation: The visitor hours posted at the facility were not consistent with the hours in the policy and procedures manual, and did not include both day and evening times. Statute Violated: Minnesota Statutes, section 245G.21, subdivision 2. Corrective Action Required: Immediately and on an ongoing basis, the license holder must set and post visiting hours. Repeat Violation: In a Correction Order that DHS issued on December 14, 2022, you were previously found in violation of this statute. Client files 6. Violation: The license holder did not meet the requirement for receiving public funding reimbursement from the commissioner for programs that offer medical services under Minnesota Statutes, section 254B.05, subdivision 5, paragraph (c), clause (4) to document the medical needs of the client and the nature and provision of medical services provided in the client file. A client (client file numbered 1) was not consistently taking medication or monitoring a medication condition, and the license holder stated medical services were provided to the client to address the medical needs, which was not documented. Statute Violated: Minnesota Statutes, sections 245A.04, subdivision 1, paragraph (i), and 245A.191. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that requirements for receiving public funding reimbursement for services are met. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 7. Violation: The license holder discharged a client on 9/18/23 and re-initiated services on 9/19/23 (client file numbered 4), and the client record did not contain documentation of items required to be completed upon service initiation, including: a. Orientation; b. Initial services plan; and c. Individual abuse prevention plan. Statute Violated: Minnesota Statutes, section 245G.09, subdivision 3. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure and document that service initiation requirements are met. 8. Violation: One of two client files reviewed for requirements governing administration of medication (client file numbered 1) did not include documentation in accordance with the program’s Medication Administration policy and statute requirements: a. The client's file did not include documentation indicating whether staff would be administering medication or the client would be doing self-administration, or a combination of both; b. The guidelines were not followed for informing a registered nurse of problems with self-administration, including failure to administer and client refusal of a medication, on 8/26/23, 8/28/23, 9/3/23, and 9/4/23; and c. The client's use of medication was not accurately recorded: 1) The medication administration record documented a medication was not available at 8:00 pm on 8/28/23 and 8/29/23; however, the record documented that the same medication and dose was administered to the client at 8:00 am on those days; and 2) The medication administration record documented a medication was not available on 8/28/23; however, the medication was available the day before and the day after, and the documentation did not support that the medication was out-of-stock that day. Statute Violated: Minnesota Statutes, sections 245A.04, subdivision 14, paragraph (b), and 245G.08, subdivision 5, paragraph (c). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that medication administration documentation is done in accordance with policies and meets all applicable requirements. Within 30 days of receipt of this order, submit a plan for how requirements will be monitored going forward. If the Medication Administration policy was revised following the licensing review, the policy must also be submitted. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 9. Violation: Two of two client files reviewed for requirements governing client record protection contained written consents to disclose information which did not meet requirements of Code of Federal Regulations title 42, chapter 1, part 2, subpart B, section 2.31: a. Consents to disclose information to the Minnesota Adult Abuse Reporting Center did not include a statement that the consent is subject to revocation at any time (client files numbered 1 and 2); and b. Consents to disclose information to continuing care providers did not include the purpose of the disclosure (client file numbered 1). Statute Violated: Minnesota Statutes, section 245G.09, subdivision 1, paragraph (a). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure client records are protected according to Code of Federal Regulations title 42. Within 30 days of receipt of this order, submit a consent to disclose information to the Minnesota Adult Abuse Reporting Center from one recently admitted client file which demonstrates compliance. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 10. Violation: Two of two client files reviewed for requirements governing initial services plans (client files numbered 1 and 2) did not identify person-centered and client specific treatment needs to be addressed during the time between the day of service initiation and development of the individual treatment plan. Statute Violated: Minnesota Statutes, section 245G.04, subdivision 1. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure initial services plans meet all applicable requirements. Within 30 days of receipt of this order, submit an initial services plan from one recently admitted client which demonstrates compliance. 11. Violation: Two of two client files reviewed for requirements governing individual abuse prevention plans did not meet requirements in the following ways: a. The plans did not include an assessment of the persons’ risk of abusing other vulnerable adults (client files numbered 1 and 2); and b. The plan documented that the facility knew that the vulnerable adult had committed a violent crime or an act of physical aggression towards others and did not detail the measures to be taken to minimize the risk that the vulnerable adult might reasonably be expected to pose to visitors to the facility and persons outside the facility, if unsupervised (client file numbered 1). Statute Violated: Minnesota Statutes, section 245G.04, subdivision 2, paragraph (b). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that individual abuse prevention plans meet all applicable requirements. Within 30 days of receipt of this order, submit an individual abuse prevention plan from one recently admitted client which demonstrates compliance. Repeat Violation: In a Correction Order that DHS issued on December 14, 2022, you were previously found in violation of this same statute. 12. Violation: Two of two clients files reviewed for requirements governing combined comprehensive assessments and summaries did not meet requirements in the following ways: a. The combined assessment and summary was not completed within 3 calendar days from the day of service initiation and the client’s file did not document a person-centered reason for the delay and the planned completion date (client file numbered 2); and b. The assessments did not include information about the clients’ needs that relate to substance use and personal strengths that support recovery, including: 1) A description of the circumstances on the day of service initiation (client files numbered 1 and 2); 2) Circumstances of relapse (client file numbered 2); 3) Mental health symptoms and the effect on the clients’ ability to function (client files numbered 1 and 2); and 4) A description of how use affected the client’s ability to function appropriately in an education setting (client file numbered 2). Statute Violated: Minnesota Statutes, section 245G.05, subdivisions 1, paragraph (a), and 2, paragraph (a). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that combined comprehensive assessments and summaries meet all applicable requirements. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 13. Violation: Two of two client files reviewed for requirements governing individual treatment plans did not meet requirements in the following ways: a. The plan was not completed within 10 calendar days from the day of service initiation (client file numbered 2); b. The plan did not include goals the client must reach to complete treatment and terminate services (client file numbered 1); c. The plan did not include amount, frequency, and anticipated duration of treatment services (client file numbered 1); and d. The plan was not updated based on new information gathered about the client's condition and whether methods identified had the intended effect (client file numbered 1). Statute Violated: Minnesota Statutes, section 245G.06, subdivisions 1 and 2. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure individual treatment plans meet all applicable requirements. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 14. Violation: Two of two client files reviewed for requirements governing documentation of treatment services did not meet requirements in the following ways: a. Treatment services were not documented by the staff members who provided the services on: 1) 9/5/23 (client file numbered 1); and 2) 6/5/23 (client file numbered 2); b. Treatment services on 8/24/23 and 9/5/23 were not documented within seven days of providing the treatment services (client file numbered 1); c. Documentation of treatment services did not include the type of each treatment service provided: 1) Documentation of groups on multiple dates did not identify the type of service provided (client file numbered 1); and 2) Documentation of groups did not support the type of service identified: (i) Documentation of groups on 8/23/23 and 9/6/23 identified that part of the group included taking a walk, and did not identify how the walk was a treatment service (client file numbered 1); and (ii) Documentation of two groups on 6/2/23 and one group on 6/3/23 stated that therapeutic recreation was provided; however, the group notes described leisure activities, not treatment services (client file numbered 2); d. Documentation of treatment services did not include the amount of each treatment service provided: 1) Documentation of groups on 8/22/23 and 8/30/23 identified that the client did not attend the full groups, and did not identify the amounts of services the client received (client file numbered 1); and 2) Documentation of groups on 5/29/23 and 6/2/23 included both the duration of the services and the start and end time of the groups, which were not consistent (client file numbered 2); e. Documentation of treatment services did not include the client's response to treatment services on 8/30/23 and 9/6/23 (client file numbered 1); and f. The file contained documentation of a treatment service which occurred after the client was discharged (client file numbered 1). Statute Violated: Minnesota Statutes, section 245G.06, subdivision 2a. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that documentation of treatment services meets all applicable requirements. Repeat Violation: In a Correction Order that DHS issued on December 14, 2022, you were previously found in violation of this statute. 15. Violation: One of two client files reviewed for requirements governing treatment plan reviews (client file numbered 2) did not: a. Include a review and evaluation of the individual abuse prevention plan; and b. Document staff recommendations for changes in the methods identified in the treatment plan and whether the client agreed with the change. Statute Violated: Minnesota Statutes, section 245G.06, subdivision 3. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that treatment plan reviews meet all applicable requirements. 16. Violation: Four of four client files reviewed for requirements governing client record documentation did not meet requirements in the following ways: a. The client record did not include documentation of concerns related to medications on the day they occurred (client file numbered 1). The client did not have a supply of two mediations for multiple days, and the license holder reported that staff contacted the client’s “worker” to attempt to have medication transported and contacted the client’s insurance company to attempt to obtain a lost prescription override, which was not documented; b. Entries in the client record had inaccurate and conflicting dates (client file numbered 1): 1) The Admission Health Assessment had three conflicting dates; and 2) The Medical Contact Log had an inaccurate admission date; c. Corrections to client record entries were made in a way in which the original entries could not still be read: 1) Correction fluid was used on the Discharge Medication Inventory (client file numbered 3); 2) The comprehensive assessment was changed and the original entry could not still be read (client file numbered 2); and 3) A group note for 6/5/23 was altered by a staff person who did not enter the original note and the original entry could not still be read (client file numbered 2); d. Standardized data collection tools to document health related information were not completed as required. The Admission Health Assessments were: 1) Not signed (client files numbered 2 and 4); and 2) Not completed within 24 hours of admission, in accordance with the program’s Medical and Health Care Services policy (client file numbered 1). Statute Violated: Minnesota Statutes, sections 245G.06, subdivision 2b, paragraphs (b) and (c), and 245G.21, subdivision 7. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that client record entries meet all applicable requirements. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 17. Violation: Two of two client files reviewed for requirements governing client property documentation did not contain documentation of: a. Receipt of the clients’ property at the time of receipt, including the persons’ signature (client files numbered 1 and 2); and b. Disbursement of the client’s property at the time of disbursement, including the person's signature (client file numbered 2). Statute Violated: Minnesota Statutes, section 245a.04, subdivision 13, paragraph (c). Corrective Action Required: Immediately and on an ongoing basis, the license holder must immediately document receipt and disbursement of client funds or other property at the time of receipt or disbursement, including the person's signature, or the signature of the conservator or payee. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 18. Violation: One of two client files reviewed for requirements governing license holders specializing in the treatment of a person with co-occurring disorders (client file numbered 1) did not have continuing documentation of collaboration with continuing care mental health providers and involvement in treatment planning meetings. Statute Violated: Minnesota Statutes, section 245G.21. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that all applicable requirements for license holders specializing in the treatment of a person with co-occurring disorders are met. 19. Violation: Two of two client files reviewed for requirements governing service termination summaries did not meet requirements in the following ways: a. The program did not document the procedure followed for the decision to discharge the client at staff request and comply with the requirements in section 245G.14, subdivision 3, clause 3 (client file numbered 1). The program discharged the client from a residential setting and did not confer with other interested persons to review the issues involved in the decision before discharging the client; b. The summary included peer recovery support in the list of services provided; however, the file did not document that service was provided to the client (client file numbered 1); and c. The summaries did not include: 1) The client's progress toward achieving each of the goals identified in the individual treatment plan (client file numbered 2); 2) The client's living arrangements at service termination (client file numbered 1). The summary stated the client was homeless and did not include where the client would be living at service termination; and 3) Referrals made with specific attention to continuity of care for mental health (client file numbered 1). Statute Violated: Minnesota Statutes, section 245G.06, subdivision 4, paragraph (b). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure service termination summaries meet all applicable requirements. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 Personnel files 20. Violation: Three of five personnel files reviewed for requirements governing personnel file contents did not contain: a. Documentation that the staff member met the position qualification requirements in section 245G.11, subdivision 7, clauses (1), (2), (4), and (5) (personnel file numbered 5); b. Employer names and addresses for the past five years for which the staff member provided psychotherapy services, and documentation of an inquiry required by sections 604.20 to 604.205 made to the staff member's former employers regarding substantiated sexual contact with a client (personnel file numbered 3); and c. Documentation that the staff member completed training (personnel file numbered 4). Documentation of completion of 12 hours of training in co-occurring disorders was kept in a central file for all staff, not in files specific to each staff person, and four of the training certificates identified by the license holder as documentation of completion for personnel file numbered 4 did not include the staff person’s name. Statute Violated: Minnesota Statutes, section 245G.13, subdivision 3. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that personnel files are maintained and the contents meet all applicable requirements. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 21. Violation: One personnel file was reviewed for requirements governing supervision of a treatment coordinator (personnel file numbered 5) and the treatment coordinator did not receive at least one hour of supervision regarding individual service delivery from an alcohol and drug counselor or a mental health professional who has substance use treatment and assessments within the scope of their practice in the month of August 2023. Statute Violated: Minnesota Statutes, section 245G.11, subdivision 7, paragraph (b). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure and document that treatment coordinators receive supervision as required at least monthly. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 22. Violation: One of two personnel files reviewed for requirements governing training required every two years (personnel file numbered 6) did not contain documentation that training on client ethical boundaries was completed in the last two years. Statute Violated: Minnesota Statutes, section 245G.13, subdivision 2 Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure and document that staff training is completed and meets all applicable requirements. Repeat Violation: You were previously found in violation of this same statute: · In an Order of Conditional License that DHS issued on December 14, 2022 · In a Correction Order that DHS issued on December 20, 2019 Recommendations The following recommendations are not requirements of Minnesota Statutes or laws governing your services or facility. These recommendations are being made to assist the license holder with achieving and maintaining compliance with applicable requirements on an ongoing basis. Failure to follow these recommendations will not result in a fine or action against your license at this time. However, should failure to follow recommendations result in a violation of statutes or laws at a future date, you will be cited for noncompliance and may be subject to fines or action against your license. You may contact your licensor for more information if you choose to implement these recommendations. 1. Based on the number and nature of violations identified in this order, including repeat violations, it is recommended that you revise your self-monitoring procedures, required in the Order of Conditional License dated December 14, 2022. Specifically, it is recommended that you develop procedures to monitor for compliance with implementation of policies and procedures by program staff 2. The license holder reported to DHS following a medical incident in April 2023 that the program would implement a procedure that when medical staff recommend observation of a client, the client will be asked to stay in the nursing office as needed, but for at least 15 minutes. It is recommended that this procedure be added to the medical and health services policies. 3. It is recommended that the license holder contact DHS licensing, if desired, to discuss procedure and variance options for re-initiating client services shortly after service termination events. Corrective action required You must correct the violations cited above. 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 to: Leah.Wachter@state.mn.us; or 2. By mail to: Commissioner, Department of Human Services ATTN: Leah Wachter Licensing Division PO Box 64242 St. Paul, MN 55164-0242 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 Substance Use Disorder Program must maintain compliance with the licensing statutes and rules, specifically Minnesota Statutes, chapter 245G. · The timeline to request reconsideration of the order is provided in Minnesota Statutes, section 245A.06, subdivision 2. Questions If you have any further questions regarding this matter, you may contact me at Leah.Wachter@state.mn.us or at 651-431-6614. Sincerely, Leah Wachter, Senior Licensor Licensing Division Office of Inspector General
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