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June 20, 2025 CERTIFIED MAIL Tanya Thompson-Young, Authorized Agent TNT Wellness Center LLC 4448 175th Place Country Club Hills, IL 60478 License Application Number 1124445 (245G) ORDER OF LICENSE DENIAL Dear Tanya Thompson-Young: The Department of Human Services (DHS) is denying your application for a substance use disorder treatment program license at 2669 Coon Rapids Blvd Coon Rapids, MN 55344. This denial is based on failure to demonstrate competent knowledge of applicable licensing statutes and rules and failure to submit a substantially complete application. Details of our findings are provided below. Our next steps and your options are also detailed. REASON FOR LICENSE DENIAL 1. Failure to submit a substantially complete application You submitted an application for a license to provide substance use disorder treatment services at 2669 Coon Rapids Blvd Coon Rapids, MN 55344. A DHS licensor reviewed your full policy and procedure manual and determined that the manual was substantially incomplete. On December 17, 2024, a video call with a DHS Licensor was conducted informing you of specific information on what was missing and/or out of compliance after completing a review of the required elements of an application. This information was also provided to you in writing in the Notice of Incomplete Application, along with a detailed checklist outlining areas of noncompliance. On December 20, 2024, DHS sent you a Notice of Incomplete Application, notifying you that your application was incomplete and that you had 45 days to submit additional information. You signed the certified mail on January 18, 2025. DHS Licensing received your revised policy and procedure manual on March 4, 2025. After a review was conducted, DHS licensor provided you feedback during a video call on May 16, 2025 that the manual remained substantially out of compliance. It was determined your application continued to be substantially incomplete in the following ways: · You failed to provide a 60-day county notification letter that was to be issued to the Anoka County human services director. · You failed to provide completed fire and building inspections for the proposed licensed facility at 2669 Coon Rapids Blvd Coon Rapids, MN 55344. · You failed to provide a qualified Treatment Director as required under Minnesota Statutes, section 245G.10, subdivision 1. DHS did not receive documentation of qualifications for the individual you identified as your Treatment Director. · You failed to submit a policy and procedure manual that met all applicable requirements. The following policies and procedures were not in compliance with 245G requirements: o The policy manual contained policies that referenced medical services that the applicant confirmed will not be provided. During videos calls on December 17, 2024, and May 16, 2025, you confirmed there would not be medical services provided by health care provider. The following policies included references to medical services: § Treatment service description § The program abuse prevention plan § Job descriptions § Medical services o Comprehensive assessment policy: includes references to a repealed statute requirement. o Treatment planning policy: inconsistent timelines and missing requirements for signatures and clients with co-occurring disorders. o Service initiation: missing requirements for specific service initiation criteria and a written protocol for assisting a client in need of care not provided by the license holder, inconsistent titles of staff members authorized to initiate services, and references to a repealed Minnesota Rule. o Service termination: missing requirements for a service termination that involves the commission of a crime and procedures that staff members must follow when a client admitted under Minnesota Statutes, chapter 254B is to have services terminated and contained inconsistent information on the titles of staff members authorized to terminate a client’s service. o Client rights: missing requirements for rights identified in Minnesota Statutes, section 253B.03. o Grievance procedure: inconsistencies in who is identified as the highest level of authority to whom clients may bring a grievance. o Client funds and property: a policy that conflicted with your verbal description of the program’s practice. o Treatment service description: missing requirements for descriptions and amounts of treatment services offered. o Client attendance: includes inaccurate statute references. o Emergency Overdose treatment policy: missing requirements for the program’s policies and procedures for administering opiate antagonist medications. o HIV minimum standards: such as missing requirements for HIV according to Minnesota Statutes, section 245A.19. o Program abuse prevention plan: missing requirements for an evaluation of the location of the program in a particular neighborhood or community and inconsistencies in the program’s hours of operation. o Vulnerable adults reporting: missing requirements for procedures that allow but do not mandate internal reporting of alleged or suspected maltreatment. o Maltreatment of minors reporting: includes a reference to vulnerable adult reporting requirements. o Plan for transfer of client records upon closure: missing requirements for managing confidential information, notifying affected clients, and the plan for the transfer of closed case records. o Personnel Policies: § There were inconsistencies between the job descriptions and the organizational chart. § Job descriptions: missing qualification requirements for Treatment Director. § Drug and alcohol policy: missing requirements for a description of the process for disciplinary action, suspension, or dismissal of staff, and the requirement that prohibits staff from abusing prescription medication or being in any manner under the influence of a chemical that impairs the individual's ability to provide services or care. · You failed to include the following items in the policies and procedures manual: o Personnel Policies: § Job performance written annual review policy § Disciplinary action, suspension, and dismissal policies § Co-occurring disorder policy § Emergency overdose medication standing order protocol o A signed agreement or other documentation indicating that a county or a similarly licensed provider has agreed to accept and maintain the program's closed case records and to provide follow-up services as necessary to affected clients. Legal Authority: 245A.05, subdivision (a)(1). 2. Failure to demonstrate competent knowledge of applicable licensing statutes and rules Based on communications with you during the license application process, DHS determined that you were unable to demonstrate an ability to operate a substance use disorder treatment program in compliance with Minnesota statutes and rules. Without this knowledge, you are unable to ensure the safety and well-being of vulnerable adults who would be served by the program. You were not able to submit a substantially complete application after receiving assistance from DHS. The DHS website where you found the online application provides the application process and hyperlinks to the Minnesota statutes applicable to substance use disorder treatment programs. A DHS licensor also provided you with a policies and procedures checklist that identified applicable statute requirements and written feedback on the policies and procedures manual you submitted with your application. Despite these resources, you submitted policies and procedures that did not meet statute requirements. Multiple policies and procedures in your application were not updated based on the feedback provided and your manual continued to include policies, procedures, and staff positions that were not applicable. Your inability to follow the laws and rules during the application process make it less likely you will be able to do so when operating a substance use disorder treatment program. Legal Authority: Minnesota Statutes, sections 245A.04, subdivision 6(a)(5); and 245A.05, subdivision (a)(8). 3. Commissioner’s evaluation of program Before issuing, denying, suspending, revoking, or making conditional a license, the commissioner shall evaluate information gathered under Minnesota Statutes, section 245A.04, subdivision 6. The commissioner’s evaluation shall consider the applicable requirements of statutes and rules for the program or services for which the applicant seeks a license including, disqualification standards set forth in chapter 245C. The commissioner shall evaluate facts, conditions, or circumstances concerning the programs operation; the well-being of persons served; available evaluations of the program by persons receiving services; the qualifications of personnel employed by the applicant; and applicant’s ability to demonstrate competent knowledge of applicable statutes and rules. Your inability to submit a complete application in 45 days after receiving assistance from DHS calls into question your ability to follow the applicable laws and rules; to be able to operate a program; and to ensure the well-being of persons served. DHS has determined that the denial of your license is appropriate based on the violations identified above and the program evaluation. Legal Authority: Minnesota Statutes, section 245A.04, subdivision 6. YOUR RIGHT TO APPEAL You have the right to appeal the denial. Your request must be in writing and clearly state that you are requesting a contested case hearing for this matter. Your request must be made before the deadlines provided below. If you do not meet this deadline, you lose your right to an administrative appeal. The timeline to appeal began when you received this order. If you are mailing your request, it must be sent by certified mail and postmarked within 20 calendar days from when you received this order. Please send it 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 If your request is being personally delivered, it must be received by DHS within 20 calendar days from when you received this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General Legal Counsel’s Office Attention: Licensing Legal Unit 444 Lafayette Road North St. Paul, MN 55155 Upon DHS’ receipt of your timely appeal, your case would be scheduled for a contested case hearing in front of an Administrative Law Judge. Following this hearing, the Commissioner of DHS will issue a final order. If you do not appeal or if the order is affirmed by the Commissioner following a hearing, DHS is prohibited from issuing you and the controlling individuals a license for two years. Legal representation at the contested case hearing: You do not need a lawyer to appeal. However, a lawyer can help you with your appeal. The state or county will not get you a lawyer and will not pay for a lawyer. If you cannot afford a lawyer, you may be able to get free legal advice or help with your appeal. To find out if free help is available, contact: Volunteer Lawyers Network at 612-752-6677; Central Minnesota Legal Services at 612-332-8151; Southern Minnesota Legal Services at 651-222-4731; or go to www.lawhelpmn.org to find a local legal services program that may be able to help you. You can also find information on contested cases from the Office of Administrative Hearings website at https://mn.gov/oah/self-help. Click on Administrative Law Overview, then click on Administrative Law Contested Case Hearing Guide for a list of frequently asked questions. Legal authority for this licensing action · This action is taken under Minnesota Statutes, section 245A.05, subdivision (a), which describes under which conditions DHS may deny an application. · “Controlling individual” is defined under Minnesota Statutes, section 245A.02, subdivision 5a. · License holders have a right to appeal licensing actions and request a contested case hearing, under Minnesota Statutes, chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. · Under Minnesota Statutes, section 245A.04, subdivision 7, paragraph (d), clause (2), the commissioner shall not issue or reissue a license if the applicant, license holder, or controlling individual has been denied a license under this chapter within the past two years. Questions If you have any further questions regarding this matter, you may contact Maura McGarry, Supervisor, at 651-431-6671. Sincerely,
Paula Halverson, Unit Manager Licensing Division Office of Inspector General
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