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February 23, 2026 Ismael Omer, Authorized Agent Apple Adult Day Care 1001 140th Lane Northwest License Number: 1084043 (Rule 223) CORRECTION ORDER Dear Ismael Omer: On January 29, 2026, a licensing review of Apple Adult Day Care located at 1900 Central Avenue Northeast, 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.14, subdivision 14, paragraph (c). Violation: The license holder did not meet the requirements for attendance record documentation. The license holder did not maintain documentation of actual attendance for each adult day service recipient for which the license holder for which the license holder was reimbursed by a governmental program that included: · the time of day that the recipient was dropped off; and · the time of day that the recipient was picked up.
2. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (b) and Minnesota Rules, part 9555.9700, subpart 3. Violation: For three of three participants whose records were reviewed (P1, P2, and P3), the license holder did not meet the requirements for an individual abuse prevention plan (IAPP). a. The license holder did not develop an IAPP for P1 as part of P1’s initial individual program plan or service plan that included statements of the specific measures to be taken to minimize the risk of abuse to P1 and other vulnerable adults. b. The license holder did not review P1-P3s IAPPs quarterly as part of the review of the program plan or service plans. c. The license holder did not review P2 and P3’s IAPPs with P2 and P3’s interdisciplinary teams, at least annually, using the individual assessment and any reports of abuse relating to the person.
· review P1-P3’s IAPPs quarterly as part of the review of the program plan or service plan and document the review and date the review occurred; · review P2 and P3’s IAPPs annually with P2 and P3’s interdisciplinary teams and document the review; Compliance with this order will be reviewed on site. 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 three participants whose records were reviewed (P1, P2, and P3), 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 participant record: · an application form that included P1’s source of referral; · a medical report that was dated within the three months prior to or 30 days after P1’s admission to the center, signed by a physician or signed by a physician assistant or registered nurse and cosigned by a physician that included: o a report on a physical examination; o medical history for P1; and · notes on special problems, medication changes, and need for medication assistance. b. The license holder did not include a medical report for P2 in P2’s participant records, that was dated within the three months prior to or 30 days after P2’s admission to the center, signed by a physician or signed by a physician assistant or registered nurse and cosigned by a physician. c. The license holder did not maintain a report on a physical examination for P3 that was updated annually. Repeat Violation: In a Notice of Non-Compliance and Correction Order that DHS issued on January 23, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must maintain the information for P1, P2, and P3 as detailed above. Compliance with this order will be reviewed on site. 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 (P1 and P2), the license holder did not complete initial service planning as required. a. The license holder did not conduct a needs assessment for P1 and P2 that included P1 and P2’s physical status, determined by observation, from the intake screening interview, and from the medical reports received from P1 and P2’s physicians. b. The license holder did not develop a preliminary service plan for P1 within 30 days of P1’s admission to the center that included: · the role of P1’s caregiver or caregivers in carrying out the service plan; and · services and activities in which P1 will take part immediately upon admission. c. The license holder did not develop a preliminary service plan for P2 that included services and activities in which the P2 will take part immediately upon admission. Repeat Violation: In a Notice of Non-Compliance and Correction Order that DHS issued on January 23, 2023, you were previously found in violation of this same rule.
· develop a needs assessment for P1 and P2 that includes the information detailed above; · develop a preliminary service plan for P1 and P2 that includes the information detailed above. 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 reviews and quarterly revisions of the individual plan of care. b. The license holder did not develop a written plan of care for P2 that included: · an update of the preliminary service plan and additional services required by P2; · short and long term objectives for P2 stated in concrete, measurable and time specific outcomes; and · provisions for quarterly reviews and quarterly revisions of the individual plan of care. c. The license holder did not develop a written plan of care for P3 that included provisions for quarterly reviews and quarterly revisions of the individual plan of care. Repeat Violation: In a Notice of Non-Compliance and Correction Order that DHS issued on January 23, 2023, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must develop a written plan of care for P1-P3 that includes the information detailed above. Compliance with this order will be reviewed onsite. On an ongoing basis, you must maintain compliance as required in this subpart. 6. Citation: Minnesota Rules, part 9555.9710, subparts 1 and 7.
a. The license holder did not maintain a record indicating the menu for all meals served for at least six months. b. The license holder did not maintain a family and social history that was updated annually for P2 and P3. Corrective Action Ordered: Within 30 days of receiving this order, you must update P2 and P3’s family and social history. Compliance with this order will be reviewed on site. On an ongoing basis, you must maintain compliance as required in this subpart. 7. Citation: Minnesota Rules, part 9555.9720, subparts 8 and 9. Violation: The license holder did not ensure safety as required. a. The license holder did not ensure the areas used by participants were free from loose plaster and peeling paint. b. The license holder did not post emergency plans in a visible place in the center. Corrective Action Ordered: Within 30 days of receiving this order, you must ensure the areas used by participants are free from lose plaster and peeling paint. During the licensing review on January 29, 2026, the license holder posted the emergency plan in a visible place. On an ongoing basis, you must maintain compliance as required in these subparts. 8. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a). Violation: The license holder did not meet the requirements for the program abuse prevention plan (PAPP).
The license holder did not ensure a copy of the PAPP was posted in a prominent location within the center.
Corrective Action Ordered: During the licensing review on January 29, 2026, the license holder posted the PAPP in a visible place in the center. 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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