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March 17, 2026 Arnold Kubei, Authorized Agent Home Sweet Home Minnesota 2056 Woodlane Drive Woodbury, Minnesota 55125 License Number: 1112301 (245D – Home and Community-Based Services) CORRECTION ORDER Dear Arnold Kubei: On February 12, 2026, a licensing review of Home Sweet Home Minnesota located at 2056 Woodlane Drive, Woodbury, 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 245D.04. Violation: For three persons whose records were reviewed (P1-P3), the license holder did not ensure the exercise and protection of the person’s rights as required. The license holder did not exercise the protection-related rights of P1-P3 which included the right to engage in chosen activities. The license holder prohibited P1-P3 from leaving the apartment for more than 72 consecutive hours per week. Additionally, the license holder did not exercise the protection-related rights of P1-P3 which included the right to personal privacy, including the right to use the lock on the person’s unit door and to receive respectful treatment of the person’s property. The license holder documented in their Program Abuse Prevention Plan (PAPP) that the license holder would complete a walk-through of each unit once per month. Staff documented apartment inspections several times per month in daily log notes for P1, P2, and P3. Documentation indicated that authorization was not always received to complete apartment inspections, and inspections were at times, completed without P1 and P2 present. Corrective Action Ordered: Immediately, you must exercise and protect all service recipient rights. Within 30 days of receiving this order, you must: · update the “Integrated Community Supports Handbook” and all PAPPs to ensure there are no restrictions of service recipient rights; · train all staff and provide orientation to persons served on the updated “Integrated Community Supports Handbook” and PAPPs; and · maintain documentation of the training and orientation in P1’s and P2’s service recipient record, and staff training record. On an ongoing basis, you must maintain compliance as required in this subdivision. Repeat Violation: In a Correction Order that DHS issued on May 28, 2025, you were previously found in violation of this same statute. 2. Citation: Minnesota Statutes, section 245D.05, subdivision 1. Violation: For one person whose record was reviewed (P1), the license holder did not meet health service needs as required. The license holder did not provide medication assistance to P1 as assigned in P1’s support plan. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide health service needs as assigned in P1’s support plan; · document how P1’s health needs will be met in their support plan addendum including a description of the procedures the license holder will follow in order to provide medication assistance to P1; and · provide training to staff on the revised support plan addendum for P1. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.07, subdivision 1. Violation: For three persons whose records were reviewed (P1-P3), the license holder did not comply with the provision of services as required. The license holder was assigned responsibility to provide Integrated Community Support (ICS) services to P1, P2, and P3. · The license holder maintained information in P1’s record that indicated that P1 would receive 5.5 hours of in-person support daily and 1.5 hours of remote support daily. P1’s daily log notes indicated that the license holder did not provide the hours of support that P1 required between March 2025 and November 2025. · The license holder maintained information in P2’s record that indicated that P2 would receive 2.5 hours of in-person support daily and 0.5 hours of remote support daily. P2’s daily log notes indicated that the license holder did not provide the hours of support that P2 required between April 2025 and November 2025. · The license holder maintained information in P3’s record that indicated that P3 would receive 5.5 hours of in-person support daily and 1.5 hours of remote support daily. The license holder did not provide the hours of support that P3 required between October 2025 and November 2025. Corrective Action Ordered: Immediately upon receiving this order, you must provide ICS services according to the federal waiver plan. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.07, subdivision 1a. Violation: For one person whose record was reviewed (P3), the license holder did not provide person-centered planning and service delivery as required. The license holder did not use information consistent with the principles of person-centered planning and delivery that uses information to identify outcomes P3 desires. The license holder maintained data that documented P3 consistently did not participate in the identified outcome. Corrective Action Ordered: Within 30 days of receiving this order, you must: · review and revise, with P3, P3’s service outcomes and supports; · maintain documentation of this review in P3’s support plan addendum; · based on the review, update P3’s service outcomes and supports, including methods or actions that will be used to support P3 to accomplish the service outcomes including: o any changes or modifications to the physical and social environments necessary when the service supports are provided o any equipment and materials required; and o techniques that are consistent with the person’s communication mode and learning style; and · provide orientation to P3’s revised support plan addendum to all staff. On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.071, subdivision 4. Violation: For one person whose record was reviewed (P3), the license holder did not document service outcomes and supports as required. The license holder did not document the methods or actions that would be used to support P3 to accomplish the service outcomes, including information about any changes or modifications to the physical and social environments necessary when the service supports are provided. Repeat Violation: In a Correction Order that DHS issued on May 28, 2025, you were previously found in violation of this same statute. Corrective Action Ordered: Corrective action is addressed in citation four, and therefore, no further corrective action is required. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Rule 9544.0100, subpart 1. Violation: For one person whose record was reviewed, the license holder did not maintain appropriate data as required. The license holder did not maintain data that revealed the progress or lack of progress towards the identified outcome documented in P2’s support plan addendum. Corrective Action Ordered: Within 30 days of receiving this order, you must collect data that aligns with the documented outcomes in order to reveal the progress or lack of progress towards P2’s outcome. 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 ATTN: Legal Unit Licensing Division PO Box 64953 St. Paul, MN 55164-0242 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. Jenna Johnson, HCBS Licensor Licensing Division Office of Inspector General 651-431-2804
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