Minnesota

May 2, 2025

Faiza Ikar, Authorized Agent

Diamond Lake Home Health Care

7101 York Avenue South, Suite 30

Edina, Minnesota 55435

License Number: 1110643 (245D – HCBS)

CORRECTION ORDER

Dear Faiza Ikar:

On Monday, April 14, 2025, a licensing review of Diamond Lake Home Health Care, located at 7101 York Avenue South, Edina, 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.09, subdivision 4a, paragraph (f).

Violation: For one of three staff whose records were reviewed (SP1), the license holder did not provide orientation to individual service recipient needs as required.

The license holder failed to provide instruction to SP1 on mental health crisis response, de-escalation techniques, and suicide intervention when providing direct support to a person with a serious mental illness.

Corrective Action Ordered: Within 30 days of receiving this order, you must provide instruction to SP1 on the areas listed above. On an ongoing basis, you must maintain compliance as required in this subdivision.

2. Citation: Minnesota Statutes, section 245D.095, subdivision 3, paragraph (b), clause (11).

Violation: For two of two persons whose records were reviewed (P1 and P2), the license holder did not maintain service recipient records as required.

The license holder failed to maintain daily log notes recorded by the program for P1 and P2.

Corrective Action Ordered: Immediately upon receiving this order, you must begin recording and maintaining daily log notes for P1 and P2. On an ongoing basis, you must maintain compliance throughout your program, as required in this subdivision.

3. Citation: Minnesota Statutes, section 245D.10, subdivision 4, paragraph (b).

Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not provide policies and procedures as required.

The license holder failed to provide to inform and provide P1’s and P2’s case manager with copies of the following policies and procedures that affect a persons rights within five days of service initiation:

· grievance policy;

· service suspension and termination policy; and

· emergency use of manual restraint policy.

Corrective Action Ordered: Because you have since provided copies of the above mentioned policies and procedures to P1’s and P2’s case managers, there is no corrective action required. On an ongoing basis, you must maintain compliance throughout your program, 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 at 651-431-3661 as soon as possible.

Jenna Johnson, Home and Community-Based Services Licensor

Licensing Division

Office of Inspector General


PO Box 64242 • Saint Paul, Minnesota • 55164-0242 • An Equal Opportunity and Veteran Friendly Employer

https://mn.gov/dhs/general-public/licensing/