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November 7, 2024 Stephanie Kalbach, Authorized Agent 6600 France Ave. S. Ste. 500 Edina, MN 55435 RE: Report No. 202405443 REM Ramsey, Inc. – Jordan License No. 1075761/1071829 Dear Stephanie Kalbach: CORRECTION ORDER An investigation of REM Ramsey, Inc. – Jordan was completed regarding report number 202405443 which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned neglect. The disposition of the investigation report is inconclusive. Two violations were noted. VIOLATIONS AND CORRECTION ORDERS The following violation of state and (or) federal laws and rules were observed. Corrective action for the violations 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. 1. Citation: Minnesota Statutes, section 245D.11, subdivision 1. Violation: The license holder did not follow their policy and procedures as required. P1 and P2 were involved in an incident on June 22, 2024, that required first aid. The license holder failed to follow the facility’s First Aid Policy. Corrective Action Ordered: Ongoing, you must enforce, and maintain policies and procedures as required in this section. 2. Citation: Minnesota Statutes, section 245D.081, subdivision 3, paragraph (a). Violation: The license holder failed to provide program management and oversight of the services provided as required. In an internal review dated July 26, 2024, regarding the incident that occurred on June 22, 2024, the license holder documented that policies and procedures were followed; however, the DHS investigation showed that the license holder’s first aid policy was not followed. The license holder did not identify this in the internal review. Corrective Action Ordered: Within 30 days of receipt of this order, you must complete a revised internal review of the incident that occurred on June 22, 2024, and identify if policies and procedures were followed and any corrective action that may result. You must submit the internal review to your licensor. On an ongoing basis, you must provide management and oversight of the services provided as required in this subdivision. 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, Diana Arnzen at 651-431-6638 or diana.arnzen@state.mn.us. Sincerely,
Jason Pehler, Investigator Office of Inspector General Licensing Division Jason.Pehler@state.mn.us 651-431-6553 Enclosure
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