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August 19, 2025
Ahmed Igaal, Authorized Agent Bloomington Adult Care 1200 2nd Avenue South, Floor 1 Minneapolis, Minnesota 55403 License Number: 1102578 (Rule 223) CORRECTION ORDER Dear Ahmed Igaal: On July 28, 2025, a licensing review of Bloomington Adult Care, located at 1200 2nd Ave South, Minneapolis, Minnesota, was conducted to determine compliance with Minnesota Statutes and Rules governing adult day care services under Minnesota Rules, parts 9555.9600 through 9555.9730 (Rule 223). 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 2, paragraph (b) and Minnesota Rules, part 9555.9700, subpart 3.
The license holder did not develop an IAPP for P1-P6 that included an individualized assessment of P1-P6’s susceptibility of abuse and specific measures to minimize the risk of abuse in P1-P6’s IAPP. Additionally, the license holder did not review P1-P5’s IAPP with their interdisciplinary team at least annually.
· develop an IAPP for P1-P6 that includes a statement of measures that will be taken to minimize the risk of abuse to P1-P6 and other vulnerable adults when the individual assessment indicates the need for measures; and · review P1-P5’s IAPPs with their interdisciplinary team and document the review. On an ongoing basis, you must maintain compliance as required in this subdivision and subpart. 2. Citation: Minnesota Rules, part 9555.9660, subpart 1. Violation: For five participants whose records were reviewed (P1-P3, P5 and P6), the license holder did not include information in the participant’s written record as required. a. The license holder did not include a report on a physical examination, updated annually in P1’s record. The license holder maintained reports on a physical examination for P1 from June 2023 and February 2025. b. The license holder did not include a report on a physical examination, updated annually in P2’s record. The license holder maintained reports on a physical examination for P2 from February 2024 and July 2025. c. The license holder did not include a report on a physical examination, updated annually in P3’s record. d. The license holder did not include a report on a physical examination, updated annually in P5’s record. The license holder maintained reports on a physical examination for P5 from December 2023 and February 2025. e. The license holder did not include the name and telephone number of P6’s physician or medical provider and a medical report that included a report on a physical examination in P6’s participant record. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain the information detailed above in P1-P3, P5 and P6’s participant records. On an ongoing basis, you must maintain compliance as required in this subpart. 3. Citation: Minnesota Rules, part 9555.9710, subpart 7.
The license holder did not maintain a family and social history in P1’s record that was updated annually. The license holder reviewed P1’s family and social history most recently in May 2024. Corrective Action Ordered: Within 30 days of receiving this order, you must document the review of P1’s family and social history and update P1’s family and social history, if applicable. On an ongoing basis, you must maintain compliance as required in this subpart. 4. Citation: Minnesota Statutes, section 245A.65, subdivision 1, paragraph (a), part (2). Violation: The license holder did not establish written policies and procedures related to suspected or alleged maltreatment as required. The license holder did not identify a consistent primary person or position and secondary person or position to whom internal reports may be made and responsible for forwarding the internal reports to the common entry point. Corrective Action Ordered: Within 30 days of receiving this order, you must update your policies and procedures related to suspected or alleged maltreatment of vulnerable adults. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a). Violation: The license holder did not establish and enforce their program abuse prevention plan (PAPP) as required. The license holder did not ensure the license holder’s governing body or the governing body’s delegated representative reviewed the PAPP at least annually. The license holder most recently documented a review of the PAPP in 2019. Corrective Action Ordered: Within 30 days of receiving this order, you must review your PAPP using the assessment factors in the plan and any substantiated maltreatment findings that occurred since the last review. On an ongoing basis, you must maintain as required in this subdivision. 6. Citation: Minnesota Statutes, section 245A.05, subdivision 7a. Violation: The license holder did not notify the commissioner and obtain the commissioner’s approval before making any changes that would alter the license information, including the hours of operation, as required. The license holder did not provide services within the hours of operation as stated on the license. The license holder’s licensed hours of operation were 8:00 AM to 5:00 PM; however, the license holder maintained attendance records indicating participants arrived at the center prior to 8:00 AM and departed from the center after 5:00 PM. Corrective Action Ordered: Immediately, you must comply with the special conditions stated on your license, including the hours of operation. On an ongoing basis, you must maintain compliance as required in this subdivision. 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. Katie Johnson, HCBS Human Services Licensor Licensing Division Office of Inspector General 651-431-4113
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