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January 21, 2026 Yusuf Hassan, Authorized Agent Hiawatha Senior Center 1433 East Franklin Avenue Suite 2-6 License Number: 1110405 (Rule 223) CORRECTION ORDER Dear Yusuf Hassan: On January 5, 2026, a licensing review of Hiawatha Senior Center located at 1433 East Franklin Avenue, 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 1, paragraph (c) and subdivision 2, paragraph (a). Violation: For one of six participants whose record was reviewed (P3), the license holder did not provide orientation to the license holder’s internal and external reporting procedures related to suspected or alleged maltreatment and the program abuse prevention plan (PAPP) as required. The license holder did not provide orientation to P3 on the licensor holder’s internal and external reporting procedures and PAPP within 24 hours of admission. P3 was admitted to the center on June 1, 2025. The license holder provided P3 with orientation on June 5, 2025. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in these subdivisions. 2. Citation: Minnesota Statutes, section 245A.65, subdivision 2. Violation: For three participants whose records were reviewed (P4, P5, and P6), the license holder did not meet the requirements for an individual abuse prevention plan (IAPP) as required. The license holder did not review P4, P5, and P6’s IAPP with their interdisciplinary team, at least annually. Corrective Action Ordered: Within 30 days of receiving this order, you must review P4, P5 and P6’s IAPP with their interdisciplinary team. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subdivision and subpart. 3. Citation: Minnesota Rules, part 9555.9660, subpart 1. Violation: For six participants whose records were reviewed (P1-P6), the license holder did not include information in the participant’s written record as required. a. The license holder did not include the following information in P1’s record: · an application form that included: o P1’s living arrangement; and o the name and telephone of a secondary person to call in case of an emergency involving P1; · a medical report signed by a physician, or physician assistant or registered nurse and cosigned by a physician. The license holder maintained a medical report for P1 that was signed by a registered nurse and was not cosigned by a physician; and · participation reports and progress notes that are recorded at least monthly. b. The license holder did not include the following information in P2’s record: · an application form that included: o P2’s living arrangement; o the name and telephone of a secondary person to call in case of an emergency involving P2; and o the name and telephone number of P2’s physician or medical provider; · a medical report, dated within three months prior to or 30 days after P2’s admission to the center. P2 was admitted to the center on September 2, 2025 and the license holder maintained a medical report for P2 dated November 12, 2025; and · participation reports and progress notes that are recorded at least monthly. c. The license holder did not include the following information in P3’s record: · an application form that included: o P3’s living arrangement; o the name and telephone of a secondary person to call in case of an emergency involving P3; · a medical report, dated within three months prior to or 30 days after P3’s admission to the center. P3 was admitted to the center on June 1, 2024 and the license holder maintained a medical report for P3 dated October 9, 2024; and · participation reports and progress notes that are recorded at least monthly. d. The license holder did not include participation reports and progress notes that are recorded at least monthly in P4, P5, and P6’s records. Repeat Violation: In a Correction Order that DHS issued on October 2, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · maintain all information detailed above in P1-P6’s participant records; · complete an audit of all participants’ records to ensure the requirements in Minnesota Rules, part 9555.9660, subpart 1 are maintained; and · for participants who do not have records that includes all required information, you must develop a plan detailing how your program will maintain a complete these requirements within 60 days of receiving this order. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 4. Citation: Minnesota Rules, part 9555.9700, subpart 2. Violation: For two participants whose records were reviewed (P2 and P3), the license holder did not complete initial service planning as required. a. The license holder did not conduct a needs assessment for P2 and P3 that addressed the participant’s physical status using information from the medical report received from the participant’s physician. · The license holder conducted P2’s needs assessment on September 2, 2025. The license holder did not receive the medical report from P2’s physician until November 12, 2025. · The license holder conducted P3’s needs assessment on June 1, 2024. The license holder did not receive the medical report from P3’s physician until October 9, 2024. b. The license holder did not develop a preliminary service plan for P1 that included P1’s nutritional needs and, where applicable, dietary restrictions. P1’s medical report documented that P1 follow a diabetic and low sugar diet. The license holder did not include this information in P1’s preliminary service plan. c. The license holder did not develop a preliminary service plan for P3 that included: · P3’s nutritional needs and, where applicable, dietary restrictions; and · the role of the P3’s caregiver or caregivers in carrying out the service plan. Repeat Violation: In a Correction Order that DHS issued on October 2, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · update P1 and P3’s preliminary service plans to include the information and specifications detailed above; · complete an audit of all participants’ records to ensure the requirements in Minnesota Rules, part 9555.9700, subpart 2 are maintained; and · for participants who do not have records that includes all required information, you must develop a plan detailing how your program will maintain a complete these requirements within 60 days of receiving this order. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 5. Citation: Minnesota Rules, part 9555.9700, subpart 3. Violation: For three participants whose records were reviewed (P1, P2, and P3), the license holder did not develop a written plan of care as required. a. The license holder did not develop a written plan of care for P1 that included: · an update of the preliminary service plan and additional services required by P1; · short and long term objectives for P1 stated in concrete, measurable, and time specific outcomes; · the anticipated duration of the individual plan of care as written; and · provisions for quarterly review and quarterly revisions of the individual plan of care. b. The license holder did not develop a written plan of care for P2 and P3 that included: · an update of the preliminary service plan and additional services required by the person; · short and long term objectives for P2 and P3 stated in concrete, measurable, and time specific outcomes; and · the anticipated duration of the individual plan of care as written. Repeat Violation: In a Correction Order that DHS issued on October 2, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · develop written plans of care for P1, P2, and P3 that include the information listed above; · complete an audit of all participants’ written plans of care to ensure the requirements in Minnesota Rules, part 9555.9700, subpart 3 are maintained; and · for participants who do not have a written plan of care that includes all required information, you must develop a plan detailing how your program will maintain a complete written plan of care within 60 days of receiving this order. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 6. Citation: Minnesota Statutes, section 245A.65, subdivision 3. Violation: For two of three staff persons whose records were reviewed (SP2 and SP3), the license holder did not provide orientation and annual review to maltreatment reporting as required. a. The license holder did not provide SP2 with orientation training to the reporting requirements and definitions in sections 626.557 and 626.5572, the requirements of this section, the license holder’s program abuse prevention plan (PAPP), and all internal policies and procedures related to the prevention and reporting of maltreatment of individuals receiving services within 72 hours of first providing direct contact services. b. The license holder did not provide SP3 annual review to the reporting requirements and definitions in sections 626.557 and 626.5572, the requirements of this section, the license holder’s PAPP, and all internal policies and procedures related to the prevention and reporting of maltreatment of individuals receiving services. The license holder provided SP3 training in the above areas in January 2024 and again in February 2025. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Rules, part 9555.9650, item B. Violation: The license holder did not maintain consultant personnel files as required. The license holder did not maintain a personnel file for the physical therapist that included a copy of a signed contract or letter of appointment specifying conditions and terms of employment and documentation that the person under contract meets any licensure, registration, or certification requirements required to perform the services specified in the contract. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain a copy of a signed contract or letter of appointment for your physical therapist specifying conditions and terms of employment and documentation of licensure, registration, or certification requirements required to perform the services specified in the contract. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this item. 8. Citation: Minnesota Rules, part 9555.9690, subpart 4.
The license holder did not provide SP3 with in-service training annually. The license holder provided SP3 with orientation training in January 2024 and annual training in February 2025. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subpart. 9. Citation: Minnesota Rules, part 9555.9710, subpart 6.
The license holder did not maintain an accurate monthly plan for diversified daily program activities designed to meet the needs and interests of the participants and included: · socialization activities, such as group projects and recreational activities; · cultivation of personal interests, such as arts, crafts, and music; and · activities designed to increase the participant’s knowledge and awareness of the environment and to enhance language and conceptual skills. At the time of the licensing review, the license holder maintained two plans for activities; however, these activities were not observed being offered to participants. Corrective Action Ordered: Within 30 days of receiving this order, you must develop an accurate monthly plan for diversified daily program activities as described above and ensure your staff implement the plan. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 10. Citation: Minnesota Rules, part 9555.9720, subpart 8.
The license holder did not ensure areas used by participants was free from loose plaster and peeling paint. Corrective Action Ordered: Within 30 days of receiving this order, you must ensure areas used by participants are free from loose plaster and peeling paint. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 11. Citation: Minnesota Statutes, section 245A.65, subdivision 1.
The license holder did not identify the primary and secondary person or position to whom internal reports may be made and the primary and secondary person or position who will ensure that, when required, internal reviews are completed. The license holder maintained a vulnerable adult maltreatment policy where the current center director was listed as both the primary and secondary person for internal reports and internal reviews.
12. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a).
The license holder did not ensure the license holder’s governing body or the governing body’s delegated representative reviewed the PAPP annually. The most recent review of the program’s PAPP was in 2022.
Corrective Action: Within 30 days of receiving this order, you must: · ensure the license holder's governing body or governing body's delegated representative reviews the PAPP and maintains documentation of the review; · using the assessment factors in the plan; and any substantiated maltreatment findings that occurred since the last review; and · the governing body or governing body's delegated representative revised the plan if necessary to reflect the review results. Compliance with this order will be reviewed onsite. 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. Kristopher Oberg, HCBS Human Services Licensor Licensing Division Office of Inspector General 651-431-6589
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