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February 4, 2025 Mariam Moumae, Authorized Agent ResilientAct.LLC 3054 132nd Avenue Northeast Blaine, Minnesota 55449-4114 License Number: 1106819 (245D – HCBS) CORRECTION ORDER Dear Mariam Moumae: On November 13, 2024, a licensing review of ResilientAct.LLC, located at 3054 132nd Avenue 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.07, subdivision 2, paragraphs (b) and (d). Violation: For two of two persons whose records were reviewed (P1 and P2), the license holder did not initial service planning requirements for basic service as required. The license holder failed to complete a preliminary support plan addendum based on the support plan within 15 calendar days of service initiation for P1 and P2. Additionally, the license holder failed to participate in service planning and support team meetings for P1 and P2 following stated timelines established in P1 and P2’s support plans. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245D.095, subdivision 3. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not maintain records as required. The license holder failed to maintain progress or daily log notes recorded by the program in P1 and P2’s records. Corrective Action Ordered: Immediately, you must ensure that progress or daily log notes are being recorded for each service recipient by your program. On an ongoing basis, you must maintain compliance as required in this subdivision. 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. 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 me as soon as possible. Jolene Reinke, HCBS Licensor Licensing Division Office of Inspector General 651-431-5928
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