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June 7, 2024 Natalie Lynn Graf, Authorized Agent Dungarvin MN 1440 Northland Drive, Suite 100 Mendota Heights, MN 55120 RE: Report No. 202400976 Dungarvin Hiawatha 07 License Nos. 1070869/1070806 Dear Natalie Lynn Graf: CORRECTION ORDER An investigation of Dungarvin Hiawatha 07 was completed regarding report number 202400976, which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned emotional abuse and neglect. The disposition of the investigation report is substantiated. One violation was noted. VIOLATIONS AND CORRECTION ORDERS The following violation of state and (or) federal laws and rules was observed. Corrective action for the violation is required by Minnesota Statutes, section 245A.06, and is hereby ordered by the Commissioner of Human Services. Failure to correct the violations within the prescribed amount of time may result in fines and/or action against your license, as provided for in Minnesota Statutes, sections 245A.06 and 245A.07. Citation: Minnesota Statutes section 245D.04, subdivision 3, paragraph (a), clause (6). Violation: The license holder did not consistently uphold a person’s protection-related rights. Consistent information was provided that, more than once, a staff person (S) said things to clients (C1 and C2), like, “Shut the fuck up … Go to your room and don’t come out … You’re fucking crazy … I don’t want to hear what you have to say … I don’t care what you have to say.” Corrective Action Ordered: Correct immediately and maintain compliance with this licensing requirement on a continuing basis throughout the program. If you believe any of the citations are in error, you may ask the Commissioner of Human Services to reconsider the parts of the correction order that you believe to be in error. If you choose to exercise this right, your request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this letter. Your request for reconsideration must be sent to: Commissioner Minnesota Department of Human Services c/o Licensing Division PO Box 64242 St. Paul, MN 55164-0242 You must include any and all information, documentation, or other evidence you have to support your request for reconsideration. Please note that a request for reconsideration does not stay any provisions of the correction order. If you have any questions regarding the investigation, contact me immediately. If you have any questions regarding compliance with this Correction Order or applicable rules, contact your licensor, Robert Romani at 651-431-3685. Sincerely,
Beth Virden, Senior Investigator Office of Inspector General Licensing Division 651-431-6572 Enclosure
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