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September 18, 2024 Stephanie Kalbach, Authorized Agent REM Minnesota Community Services, Inc. 6600 France Avenue South, Suite 350 Edina, Minnesota 55435 License Number: 1071801 (245D – HCBS) Investigation Report Number: 202404208 CORRECTION ORDER Dear Stephanie Kalbach: On September 13, 2024, a licensing investigation of REM Minnesota Community Services, Inc- London located at 11936 London Street, Northeast, Blaine, 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 245D.05, subdivision 4. Violation: For one of one person whose record was reviewed (P1), the license holder did not review medication administration records as required. The license holder was responsible for the administration of P1’s medications. A licensing complaint alleged that P1 had multiple medication errors over several months. The license holder failed to conduct medication administration record reviews to identify medication administration errors, at minimum of every three months. Corrective Action Ordered: Within 30 days of receiving this order, you must: · conduct medication administration record reviews for P1 from January 2024 to present; · if medication errors are identified, you must report those to P1’s case manager and P1’s legal representative, if applicable; and · based on the results of the review, you must develop and implement a plan to correct patterns of medication administration errors. On an ongoing basis, you must maintain compliance 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 Amber Nielsen at amber.n.nielsen@state.mn.us or 651-431-3661 as soon as possible. Amber Nielsen, Home and Community- Based Services Licensor Licensing Division Office of Inspector General
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