Minnesota

April 1, 2026

Touney Xiong, Authorized Agent

Universal Adult Day Care Center LLC

1454 Kingswood Pond Overlook

Eagan, Minnesota 55122

License Number: 1081612 (Rule 223)

CORRECTION ORDER

Dear Touney Xiong:

On March 5, 2026, a licensing review of Universal Adult Day Care Center LLC, located at 7322 Lakeland Avenue North, Brooklyn Park, 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 Rules, part 9555.9660, subpart 1.

Violation: For one of one participant whose record was reviewed (P1), the license holder did not include information in the participant’s written record as required.

The license holder did not include a medical report for P1 in P1’s participant record that was signed by a physician or signed by a physician assistant or registered nurse and cosigned by a physician. The license holder maintained a medical report for P1 that was signed by a board-certified family nurse practitioner and was not cosigned by a physician.

Repeat Violation: In a Correction Order that DHS issued on January 5, 2026, you were previously found in violation of this same rule.

Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subpart.

2. Citation: Minnesota Rules, part 9555.9700, subpart 2.

Violation: For one participant whose record was reviewed (P1), the license holder did not complete initial service planning as required.

The license holder did not conduct a needs assessment for P1 within 30 days of P1’s admission to the center that includes P1's physical status, determined by observation, from the intake screening interview, and from the medical reports received from P1's physician.


Repeat Violation: In a Correction Order that DHS issued on January 5, 2026, you were previously found in violation of this same rule.

Corrective Action Ordered: Within 30 days of receiving this order, you must develop a needs assessment for P1 that includes the information detailed above. On an ongoing basis, you must maintain compliance as required in this subpart.

3. Citation: Minnesota Rules, part 9555.9700, subpart 3.

Violation: For one participant whose record was reviewed (P1), the license holder did not develop a written plan of care as required.

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.

Repeat Violation: In a Correction Order that DHS issued on January 5, 2026, 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 that includes the information detailed above. On an ongoing basis, you must maintain compliance as required in this subpart.

4. Citation: Minnesota Rules, part 9555.9650, item B.

  

Violation: For one consultant whose record was reviewed, the license holder did not maintain a personnel record 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 physical therapist meets any licensure, registration, or certification requirements required to perform the services specified in the contract.

Repeat Violation: In a Correction Order that DHS issued on January 5, 2026, 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 detailed in the physical therapist’s personnel record. On an ongoing basis, you must maintain compliance as required in this item.

5. Citation: Minnesota Rules, part 9555.9720, subparts 7 and 8.

  Violation: The license holder did not meet safety requirements.

a. The license holder did not ensure equipment and furniture was in good repair, including:

· stains on the carpet, and

· 12 recliners with peeling material.

b. The license holder did not ensure rugs had nonskid backing.

Repeat Violation: In a Correction Order that DHS issued on January 5, 2026, you were cited for a similar violation.

Corrective Action Required: Within 30 days of receiving this order, you must:

· ensure equipment and furniture is in good repair;

· ensure rugs have nonskid backing;

On an ongoing basis, you must maintain compliance as required in these subparts.

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 Johnson, HCBS Human Services Licensor

Licensing Division

Office of Inspector General

651-431-4113


PO Box 64242 • Saint Paul, Minnesota • 55164-0242 • An Equal Opportunity and Veteran Friendly Employer

https://mn.gov/dhs/general-public/licensing/