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November 6, 2025 Mark Nash 20 Kilner Bay Drive Superior, WI 54880 RE: Report No. 202504837 Northland AFC Inc. License No. 1068588/1068585 Dear Mark Nash: CORRECTION ORDER An investigation of Northland AFC Inc. was completed regarding report number 202504837 which alleged violation of Minnesota Statutes, section 626.557, and Minnesota Statutes, Chapter 245D. This maltreatment allegation concerned neglect. The disposition of the investigation report is substantiated. One violation was noted. VIOLATION AND CORRECTION ORDER The following violation of state and (or) federal laws and rules was observed. Corrective action for the violation is required by Minnesota Statutes, section 245A.06, and is hereby ordered by the Commissioner of Human Services. Failure to correct the violation within the prescribed amount of time may result in fines and/or action against your license, as provided for in Minnesota Statutes, sections 245A.06 and 245A.07. Citation: Minnesota Statutes, section 245D.095, subdivision 5, paragraph (a). Violation: The license holder did not maintain a staff person’s (P) personnel record to document the P’s training on a client’s (C) plans. During the investigation, it was it was discovered that the P was trained on the C’s plans, but the training was not documented by the facility. Corrective Action Ordered: Immediately and continuously the license holder must ensure compliance with the requirements of this statute. If you believe the citation is in error, you may ask the Commissioner of Human Services to reconsider the parts of the correction order that you believe to be in error. If you choose to exercise this right, your request for reconsideration must be in writing and received by the Commissioner within 20 calendar days after receipt of this letter. Your request for reconsideration must be sent to: Commissioner Minnesota Department of Human Services c/o Licensing Division PO Box 64242 St. Paul, MN 55164-0242 You must include any and all information, documentation, or other evidence you have to support your request for reconsideration. Please note that a request for reconsideration does not stay any provisions of the correction order. If you have any questions regarding the investigation, contact me immediately. If you have any questions regarding compliance with this Correction Order or applicable rules, contact your licensor Nicole Riley at 651-431-3657. Sincerely,
Jamie Randall, Investigator Office of Inspector General Licensing Division 651-431-4121 Enclosure
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