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October 6, 2025 Abdirashid Ali, Authorized Agent Multicultural Home Care LLC 1821 University Avenue West Suite S126 Saint Paul, Minnesota 55104-2833 License Number: 1070467 (245D – HCBS) CORRECTION ORDER Dear Abdirashid Ali: On August 28, 2025, a licensing review of Multicultural Home Care LLC, located at 1821 University Avenue West Saint Paul, 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 four persons whose record was reviewed (P1), the license holder did not provide orientation to the license holder’s internal and external reporting procedures of alleged or suspected maltreatment as required. The license holder did not provide P1 with orientation on the license holder’s internal and external reporting procedures related to alleged or suspected maltreatment within 24 hours of admission. Corrective Action Ordered: Immediately, you must provide P1 with orientation to your program’s internal and externing reporting procedures of alleged or suspected maltreatment and notify P1’s legal representative of this orientation. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. 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 review individual abuse prevention plans (IAPP) as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. The license holder did not document the review of P1’s IAPP annually in 2023. The license holder documented the review of P1’s IAPP in February 2022 and May 2023. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.04, subdivision 1. Violation: For four persons whose records were reviewed (P1-P4), the license holder did not provide service recipient rights as required. a. The license holder did not provide P1’s and P3’s legal representatives with a written notice that identified the service recipient rights and an explanation of those rights within five working days of service initiation. The license holder initiated P1’s services in July 2022 and provided P1’s legal representative with a written notice in May 2023. The license holder initiated P3’s services in June 2022 and provided P3’s legal representative with a written notice in September 2022. b. The license holder did not provide P1’s legal representative, P2, P3’s legal representative, and P4’s legal representative, with a written notice that included the person’s right to access personal possessions at any time, including financial resources. Corrective Action Ordered: Immediately, you must: · revise your program’s written notice that identifies the service recipient rights to include the right to access personal possessions at any time, including financial resources; · provide all service recipients with a written notice that identifies the service recipient rights in subdivisions 2 and 3, and an explanation of those rights to each person receiving 245D services or their legal representative, if applicable; and · maintain documentation of the person or person’s legal representative’s receipt of a copy of these rights in the person’s record. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.07, subdivision 1. Violation: For two persons whose records were reviewed (P3 and P4), the license holder did not provide services that complied with requirements of the federal waiver plans. According to the Community-Based Services Manual (CBSM) page on “Paying relatives and legally responsible individuals,” parents cannot provide services licensed under this chapter to their minor children. P3 and P4 were minors. SP3 was P3’s parent and provided services to P3. SP6 was P4’s parent and provided services to P4. The license holder did not follow the federal waiver plan when they hired SP3 and SP6 to provide services to their minor children. Corrective Action Ordered: Immediately, you must ensure that all services provided that are governed by this chapter comply with the requirements of the federal waiver plan. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.07, subdivision 2. Violation: For four persons whose records were reviewed (P1-P4), the license holder did not complete service planning for basic support services as required. a. The license holder did not review and revise P1’s preliminary support plan addendum within 60 calendar days of service initiation to document the services that would be provided including how, when, and by whom services would be provided and the person responsible for overseeing the delivery and coordination of services. b. The license holder provided multiple services to P2 and P4. The license holder did not review and revise P2’s and P4’s preliminary support plan addendums within 60 calendar days of service initiation to document P2’s night supervision service and P4’s respite service including how, when, and by whom services would be provided and the person responsible for overseeing the delivery and coordination of services. c. The license holder did not complete a preliminary support plan addendum for P3 within 15 calendar days of service initiation. The license holder initiated P3’s services in June 2022 and completed a preliminary support plan addendum in September 2022. Additionally, the license holder did not review and revise P3’s preliminary support plan addendum within 60 calendar days of service initiation to document the services that would be provided including how, and when services would be provided and the person responsible for overseeing the delivery and coordination of services. Corrective Action Ordered: Within 30 days of receiving this order, you must: · review and revise P1’s-P4’s support plan addendums to ensure the support plan addendums include the information detailed above for each basic support service that they are receiving; · provide orientation on the updates to P1’s-P4’s support plan addendums to all staff that provide direct support to P1-P4. You must maintain documentation of the training provided in each staff person’s personnel record; and · maintain documentation of the review and revision in P1’s-P4’s service recipient records. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Statutes, section 245D.07, subdivision 3. Violation: For four persons whose records were reviewed (P1-P4), the license holder did not provide written reports as required. a. The license holder maintained documentation in P1’s, P2’s, and P4’s support plan addendums that required annual written reports regarding the person’s progress or status. The license holder did not provide written reports to their expanded support teams on an annual basis. b. The license holder maintained documentation in P3’s support plan addendum that required quarterly written reports regarding P3’s progress or status. The license holder did not provide written reports to their expanded support teams on a quarterly basis. Corrective Action Ordered: Within 30 days of receiving this order, you must provide written reports regarding P1’s-P4’s progress or status to their expanded support teams and maintain documentation that these reports were provided in their service recipient records. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Statutes, section 245D.071, subdivision 3, paragraph (b). Violation: For one person whose record was reviewed (P4), the license holder did not complete assessments as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. The license holder did not ensure the assessments conducted for P4 produced information that described their overall strengths, functional skills, and abilities. Additionally, the license holder did not conduct these assessments for P4 annually. The license holder most recently conducted these assessments for P4 on January 22, 2024. Corrective Action Ordered: Within 30 days of receiving this order, you must: · conduct the assessments required in clauses (1) through (3), for P4; · ensure these assessments produce information about P4 that describes their overall strengths, functional skills and abilities; · review the results of these assessments with P4 and their support team or expanded support team; and · maintain these assessments and documentation of their review with P4’s support team or expanded support team in P4’s service recipient record. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 8. Citation: Minnesota Statutes, section 245D.071, subdivision 3, paragraphs (c) and (d). Violation: For one person whose record was reviewed (P4), the license holder did not complete initial service planning for intensive support services as required. The license holder did not hold an initial planning meeting with P4, P4’s legal representative, P4’s case manager, other members of P4’s support team or expanded support team, and other people as identified by P4 or P4’s legal representative to determine the following: · the scope of the services to be provided to support P4's daily needs and activities; · P4’s desired outcomes and the supports necessary to accomplish their desired outcomes; · P4's preferences for how services and supports are provided, including how the provider will support them to have control of the person's schedule; · whether the current service setting is the most integrated setting available and appropriate for P4; · 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 P4'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 P4 and members of the support team or expanded support team to ensure continuity of care and coordination of services for P4; and · a discussion of how technology might be used to meet P4’s desired outcomes. Corrective Action Ordered: Within 30 days of receiving this order, you must: · meet with P4, P4’s legal representative, P4’s case manager, other members of P4’s support team or expanded support team, and other people as identified by P4 or P4’s legal representative to determine the requirements identified above; · include a discussion of how technology might be used to meet P4's desired outcomes in this meeting; · maintain a summary of the discussion regarding the use of technology that includes 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 in P4’s support plan addendum; and · maintain documentation of the meeting and the determinations made at this meeting in P4’s support plan addendum. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 9. Citation: Minnesota Statutes, section 245D.071, subdivision 4. Violation: For one person whose record was reviewed (P4), the license holder did not develop service outcomes and supports as required. The license holder did not develop a service plan for P4 that documented the following supports and methods to be implemented to support P4 and accomplish outcomes: · the methods or actions that would be used to support the person and to accomplish the service outcomes, including information about: o any changes or modifications to the physical and social environments necessary when the service supports were provided; o any equipment or materials required; and o techniques that were consistent whit the person’s communication mode and learning style; · the measurable and observable criteria for identifying when the desired outcome had been achieved and how data would be collected; · the projected starting date for implementing the supports and methods and the date by which progress towards accomplishing the outcome would be reviewed and evaluated; and · the names of the staff person or position responsible for implementing the supports and methods. Corrective Action Ordered: Within 30 days of receiving this order, you must: · develop a service plan for P4 that documents the information detailed above; · maintain this service plan in P4’s support plan addendum; · train staff on the supports and methods for P4’s outcome; and · begin implementing this service plan for P4. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 10. Citation: Minnesota Statutes, section 245D.10, subdivision 4. Violation: For two persons whose records were reviewed (P1 and P3), the license holder did not provide copies of policies and procedures as required. a. The license holder did not inform and provide copies to P1 and P1’s case manager of the following policies and procedures within five working days of service initiation: · grievance policy and procedure; and · service suspension and termination policy and procedure. b. The license holder did not inform and provide copies of policies and procedures to P3 and P3’s case manager within five working days of service initiation. The license holder initiated P3’s services in June 2022. The license holder provided these policies and procedures to P3 in September 2022 and to P3’s case manager in December 2022. Corrective Action Ordered: Within 30 days of receiving this order, you must inform and provide copies of the policies and procedures detailed above to P1 and P1’s case manager. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 11. Citation: Minnesota Rules, 9544.0030, subpart 1. Violation: For four persons whose records were reviewed (P1-P4), the license holder did not incorporate positive support strategies as required. The license holder did not incorporate positive support strategies in writing into P1-P4’s existing treatment, service, or other individual plans. Corrective Action Ordered: Immediately, you must incorporate positive support strategies into P1’s-P4’s existing support plan addendums. Additionally, the positive support strategies must be evaluated at least every six months with P1-P4 to determine whether changes are needed, and if so, make appropriate changes. You must provide orientation on the updates to P1’s-P4’s support plan addendums to all staff that provide direct support to P1-P4. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subpart. 12. Citation: Minnesota Rules, 9544.0080, subparts 1 and 2. Violation: For two persons whose records were reviewed (P1 and P3), the license holder did not provide notice of the license holder’s policy on the emergency use of manual restraints as required. The license holder did not obtain a written acknowledgement from P1’s legal representative, P3, and P3’s legal representative indicating that they had been notified of the license holder’s emergency use of manual restraints policy at the time of service initiation. The license holder initiated P3’s services in June 2022 and provided this notice to P3’s legal representative in September 2022. Corrective Action Ordered: Within 30 days of receiving this order, you must: · obtain written acknowledgement from P1’s legal representative that they were notified of your policy on emergency use of manual restraints; and · maintain documentation of this notice being provided in P1’s record. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in these subparts. 13. Citation: Minnesota Statutes, section 245D.09, subdivision 4. Violation: For one of seven staff persons whose record was reviewed (SP3), the license holder did not provide orientation training as required. The license holder did not provide the following orientation training to SP3 within 60 calendar days of hire: · data privacy requirements according to sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices; · 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; · 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; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. Corrective Action Ordered: Corrective action is addressed in citation 14. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 14. Citation: Minnesota Statutes, section 245D.09, subdivision 5. Violation: For four staff persons whose records were reviewed (SP1-SP4), the license holder did not provide annual training as required. a. The license holder did not provide the following training to SP1 annually in 2022, 2023, and 2024: · data privacy requirements according to sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices; · 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; · 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; · basic first aid; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. Additionally, the license holder did not provide SP1 with training on sections 245A.65, 245A.66, and 626.557 and chapter 260E governing maltreatment reporting and service planning for children and vulnerable adults, and staff responsibilities related to protecting persons from maltreatment and reporting maltreatment annually in 2024. SP1 was provided this training in March 2023 and December 2024. b. The license holder did not provide the following training to SP2 annually in 2022, 2023, and 2024: · data privacy requirements according to sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices; · 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; · 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; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. Additionally, the license holder did not provide SP2 with training on basic first aid annually in 2022 and 2025. c. The license holder did not provide the following training to SP3 annually in 2023 and 2024: · data privacy requirements according to sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices; · 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; · 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; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. d. The license holder did not provide the following training to SP4 annually in 2022, 2023, and 2024: · data privacy requirements according to sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices; · 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; · 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; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide SP1-SP4 training on the topics detailed above; · document the completion of the training in SP1-SP4’s personnel record as required in Minnesota Statutes, section 245D.095, subdivision 5; · audit all staff personnel records to ensure the above training has been provided; and · based on the results of the audit provide training to all staff who have not received it. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 15. Citation: Minnesota Statutes, section 245D.095, subdivision 5. Violation: For one staff person whose record was reviewed (SP3), the license holder did not maintain personnel records as required. The license holder did not maintain documentation in SP3’s personnel record that included the employee’s date of hire and dates of first supervised and unsupervised direct contact with a person served by the program. Corrective Action: Within 30 days of receiving this order, you must maintain documentation in each personnel record that includes the employee’s date of hire. Compliance with this order will be reviewed at an upcoming compliance monitoring visit. On an ongoing basis, you must maintain compliance as required in this subdivision. 16. Citation: Minnesota Statutes, section 245D.081, subdivisions 2 and 3. Violation: The license holder did not ensure program coordination and oversight as required. a. The license holder did not ensure that the designated coordinator, SP5, provided supervision, support, and evaluation. See citations 1 through 12 as evidence of SP5’s lack of program coordination and evaluation of the following activities: · oversight of the license holder's responsibilities assigned in the person's support plan and the support plan addendum; · taking the action necessary to facilitate the accomplishment of the outcomes according to the requirements in section 245D.07; · instruction and assistance to direct support staff implementing the support plan and the service outcomes, including direct observation of service delivery sufficient to assess staff competency. The designated coordinator may delegate the direct observation and competency assessment of the service delivery activities of direct support staff to an individual whom the designated coordinator has previously deemed competent in those activities; and · evaluation of the effectiveness of service delivery, methodologies, and progress on the person's outcomes based on the measurable and observable criteria for identifying when the desired outcome has been achieved according to the requirements in section 245D.07. b. The license holder did not ensure the designated manager, SP7, provided program management and oversight of the services provided by the license holder. See citations 1 through 15 as evidence of SP7’s lack of program management and oversight of the services provided including: · maintaining a current understanding of the licensing requirements sufficient to ensure compliance throughout the program; · ensuring the duties of the designated coordinators are fulfilled; · ensuring staff competency requirements are met according to the requirements in section 245D.09, subdivision 3, and ensuring staff orientation and training is provided according to the requirements in section 245D.09, subdivisions 4, 4a, and 5; and · evaluating the information identified in clauses (1) to (6) to develop, document, and implement ongoing program improvements. Corrective Action Ordered: Within 30 days of receiving this order, you must: · designate a person other than SP5 to perform the duties of the designated coordinator that meets the qualifications according to Minnesota Statutes, section 245D.081, subdivision 2; · designate a person other than SP7 to perform the duties of the designated manager that meets the qualifications according to Minnesota Statutes, section 245D.081, subdivision 3; and · verify and document their qualifications according to the requirements in section 245D.09, subdivision 3, including the education and work qualifications in section 245D.081, subdivision 3. Compliance with this order will be reviewed onsite at an upcoming compliance monitoring visit. 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. Katie Gillman, HCBS Licensor Licensing Division Office of Inspector General 651-431-2656
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