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Date Issued: July 11, 2025 Date Reissued: July 18, 2025 Jensyn Dee Banks, Authorized Agent Jeanne & Dee LLC 605 Holden Avenue Henning, Minnesota 56551-4113 License Number: 1115928 (245D – HCBS) License Investigation Report: 202411075 AMEDNED CORRECTION ORDER Notice: This Amended Correction Order supersedes the original Correction Order, dated July 11, 2025. This document is to add citation number 3. The original Correction Order, dated July 11, 2025, must be destroyed. Dear Jensyn Dee Banks: On June 25, 2025, a licensing review and licensing investigation of Jeanne & Dee LLC, located at 237 Park Road, Staples, 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 245A.65, subdivision 1. Violation: For one of two persons whose records were reviewed (P2), the license holder did not conduct an internal review as required. The license holder failed to conduct an internal review of a report of suspected or alleged maltreatment within 30 calendar days for a report made regarding P2. The internal review failed to include the following information: · the review included an evaluation of whether related policies and procedures were followed; · whether the policies and procedures were adequate; · whether there was a need for additional staff training; · whether the reported event was similar to past events with the vulnerable adults or the services involved; and · whether there was a need for corrective action by the license holder to protect the health and safety of vulnerable adults. P2 no longer receives services from the license holder. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245A.65, subdivision 2. Violation: For one person whose record was reviewed (P1), the license holder did not meet the requirements for individual abuse prevention plans as required. The license holder failed to develop an individual abuse prevention plan (IAPP) for P1 that contained an individualized assessment of P1’s susceptibility to abuse by other individuals, including other vulnerable adults, the person’s risk of abusing other vulnerable adults; and statements of the specific measures to be taken to minimize the risk of abuse to that person and other vulnerable adults. P1’s IAPP contained information that was not consistent with information reviewed elsewhere in P1’s record. Corrective Action Ordered: Within 30 days of receiving this order, you must: · revise P1’s individual abuse prevention plan (IAPP) to include an individualized assessment of P1’s susceptibility to abuse by other individuals, including other vulnerable adults, the P1’s risk of abusing other vulnerable adults; and statements of the specific measures to be taken to minimize the risk of abuse to that person and other vulnerable adults; and · review P1’s revised IAPP with P1, P1’s legal representative, P1’s case manager, and other members of P1’s support team. You must maintain documentation in P1’s record with the date the IAPP was reviewed. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statues, section 245D.051, subdivision 1. Violation: For one person whose record was reviewed (P1), the license holder did not develop, implement, and maintain documentation regarding psychotropic medications. "Target symptom" refers to any perceptible diagnostic criteria for a person's diagnosed mental disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision (DSM-IV-TR) or successive editions, that has been identified for alleviation. The license holder was assigned the responsibility of administering P1’s psychotropic medications. The license holder failed to maintain documentation that included a description of the target symptoms that the psychotropic medications were to alleviate. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain documentation in P1’s record that includes a description of the target symptoms that each psychotropic medication is to alleviate. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.071, subdivision 3, paragraphs (c) and (d). Violation: For one person whose record was reviewed (P1), the license holder did not meet initial service planning requirements for intensive support services as required. The license holder failed to determine the following information at P1’s initial service planning meeting: · whether the current service setting is the most integrated setting available and appropriate for the person; · opportunities to develop and maintain essential and life-enriching skills, abilities, strengths, interests, and preferences; · opportunities for community access, participation, and inclusion in preferred community activities; · opportunities to develop and strengthen personal relationships with other persons of the person’s choice in the community; · opportunities to seek competitive employment and work at competitively paying jobs in the community; · how services must be coordinated across other providers licensed under this chapter serving the person and members of the support team or expanded support team to ensure continuity of care and coordination of services for the person; and · have a discussion of how technology might be used to meet the persons desired outcomes. The support plan addendum failed to include a summary of this discussion that included a statement regarding any decision that is made regarding the use of technology and a description of any further research that needs to be completed before a decision regarding the use of technology can be made. Corrective Action Ordered: Within 30 days of receiving this order, you must meet with P1, P1’s legal representative, and P1’s case manager to determine the above mentioned information. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.09, subdivisions 4 and 5. Violation: For two of two staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide orientation and annual training as required. 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. a. The license holder failed to provide SP1 and SP2 with orientation and training on the strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities with 60 calendar days of hire. SP1 and SP2 were hired on February 26, 2024. The license holder provided this training to SP1 on February 7, 2025, and to SP2 on February 8, 2025. b. The license holder failed to provide SP1 with annual training on the following topics in 2025: · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04; · the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 or successor provisions, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint; and o the license holder provided this training to SP1 on March 10, 2024, and June 9, 2025; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, or successor provisions, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe; o the license holder provided this training to SP1 on March 10, 2024, and June 9, 2025. c. The license holder failed to provide SP2 with annual training on the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person in 2025. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide SP1 with training on the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04; · provide SP1 and SP2 with training on the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person; and · maintain documentation of this training in SP1 and SP2’s personnel records as required in Minnesota Statutes, section 245D.095, subdivision 5. On an ongoing basis, you must maintain compliance as required in these subdivisions. 6. Citation: Minnesota Statutes, section 245D.095, subdivision 5, paragraph (a). Violation: For two staff persons whose records were reviewed (SP1 and SP2), the license holder did not maintain personnel records as required. The license holder failed to maintain a personnel records for SP1 and SP2 that included documentation of orientation and training that included: · the date the training was completed; · the number of hours per subject area; and · and the name of the trainer or instructor. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Statutes, section 245D.10, subdivision 4, paragraph (a). Violation: The license holder did not review and update written policies and procedures as required. The license holder failed to review and update their policy and procedure on service termination following statutory revisions to subdivision 3a, effective July 1, 2022. Corrective Action Ordered: Within 30 days of receiving this order, you must review and update your policy and procedure on service termination to include the most recent statutory revisions. On an ongoing basis, you must maintain compliance as required in this subdivision. 8. Citation: Minnesota Statutes, section 245D.10, subdivision 2. Violation: The license holder did not establish and maintain policies and procedures related to grievances as required. The license holder failed to establish a grievance policy and procedures that provided the address of the highest level of authority in the program. Corrective Action Ordered: Within 30 days of receiving this order, you must establish, implement, and maintain a grievance policy and procedures that provides the address of the highest level of authority in the program. On an ongoing basis, you must maintain compliance as required in this subdivision. 9. Citation: Minnesota Statutes, section 245D.11, subdivision 2. Violation: The license holder did not enforce the policy on incident response and reporting as required. The license holder failed to maintain information about an incident that occurred with P2 on April 3, 2025, that included the following information: · the name of the person involved in the incident; · the date., time, and location of the incident; · a description of the incident; · a description of the response to the incident and whether a person’s CSSP addendum or program policies and procedures were implemented as applicable; · the name of the staff person or persons who responded to the incident; and · the determination of whether corrective action is necessary based on the results of the review. P2 no longer receives services from the license holder. Corrective Action Ordered: 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 at 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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