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April 17, 2026
Adriana Shelton, Authorized Agent Alianza Elder Support Center 3928 Princeton Trail Eagan, Minnesota 55123 License Number: 1105167 (Rule 223) CORRECTION ORDER Dear Adriana Shelton: On March 18, 2026, a licensing review of Alianza Elder Support Center, located at 882 Robert Street South, West Saint Paul, 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 2, paragraph (b) and Minnesota Rules, part 9555.9700, subpart 3. Violation: For one of three participants whose record was reviewed (P1), the license holder did not meet the requirements for an individual abuse prevention plan (IAPP). The license holder did not review P1’s IAPP quarterly as part of the review of the program plan or service plan.
2. 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. P1 was admitted to the center on March 20, 2025, and the license holder maintained a medical report for P1 on September 29, 2025; and · participation reports and progress notes that are recorded at least monthly. b. The license holder did not include a medical report that was dated within the three months prior to or 30 days after P2’s admission to the center. P2 was admitted to the center on September 29, 2025, and the license holder maintained a medical report for P2 on December 5, 2025. c. The license holder did not maintain a report on P3’s physical examination, updated annually in 2026. The license holder maintained a report of P3’s physical examination that was most recently from February 2025. Repeat Violation: In a Correction Order that DHS issued on April 30, 2025, 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. On an ongoing basis, you must maintain compliance as required in this subpart. 3. 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 addressed the participant’s physical status determined from the medical report received from the participant’s physician. · The license holder conducted a needs assessment for P1 on March 20, 2025, but did not maintain a medical report from P1’s physician until September 29, 2025. · The license holder conducted a needs assessment for P2 on September 29, 2025, but did not maintain a medical report from P2’s physician until December 5, 2025. b. The license holder did not develop a preliminary service plan for P1 that included: · transportation arrangements for getting P1 to and from the center; · P1’s nutritional needs and, when applicable, dietary restrictions; · 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: · role of P2’s caregiver or caregivers in carrying out the service plan; and · services and activities in which P2 will take part immediately upon admission.
Corrective Action Ordered: Within 30 days of receiving this order, you must: · develop a need assessment for P1 and P2 that includes the information detailed above; and · develop a preliminary service plan for P1 and P2 that includes the information detailed above. On an ongoing basis, you must maintain compliance as required in this subpart. 4. Citation: Minnesota Rules, part 9555.9700, subpart 3. Violation: For two participants whose records were reviewed (P1 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 service required by P1; · short and long-term objectives for P1 stated in concrete, measurable, and time specific outcomes; and · provisions for quarterly reviews and quarterly revision of the individual plan of care. b. The license holder did not develop a written plan of care for P3 that included short and long-term objectives for P3 stated in concrete, measurable, and time specific outcomes. Repeat Violation: In a Correction Order that DHS issued on April 30, 2025, 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 and P3 that includes the information detailed above. On an ongoing basis, you must maintain compliance as required in this subpart. 5. Citation: Minnesota Rules, part 9555.9650, item A and B. Violation: For two of two staff persons and one consultant whose records were reviewed (SP1 and SP2), the license holder did not maintain a personnel record as required. a. The license holder did not maintain the following information in SP1’s personnel record: · SP1’s job description; · an employment application or resume; and · documentation of an annual performance evaluation. b. The license holder did not maintain the following information in SP2’s personnel record: · SP2’s job description; and · an employment application or resume. c. The license holder did not maintain documentation that the physical therapist met any licensure, registration, or certification requirements required to perform services. Repeat Violation: In a Correction Order that DHS issued on April 30, 2025, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · maintain job descriptions in SP1 and SP2’s personnel records; · maintain an employment application or resume in SP1 and SP2’s personnel records; · complete a performance evaluation for SP1 and maintain documentation of the evaluation in SP1’s personnel record; and · maintain documentation that your physical therapist meets any licensure, registration, or certification requirements to perform services specified in the contract. On an ongoing basis, you must maintain compliance as required in these items. 6. Citation: Minnesota Rules, part 9555.9690, subpart 4. Violation: For one staff person whose record was reviewed (SP1), the license holder did not provide in-service training annually as required. The license holder did not provide SP1 a minimum of eight hours of in-service training annually in annually in 2026 that included: · areas related to care of persons; · including provision of medication assistance; and · review of parts 9555.9600 to 9555.9730. Repeat Violation: In a Correction Order that DHS issued on April 30, 2025, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must provide SP1 with the required in-service training detailed above. On an ongoing basis, you must maintain compliance as required in this subpart. 7. Citation: Minnesota Rules, part 9555.9710, subparts 4 and 7. Violation: The license holder did not offer services as required. a. The license holder did not ensure a registered physical therapist provided consultation and review of the exercise program, at least quarterly. The license holder maintained documentation that the physical therapist most recently reviewed the license holder’s exercise program in September 2025. b. The license holder did not maintain a family and social history that was updated annually for P3 in 2025. Repeat Violation: In a Correction Order that DHS issued on April 30, 2025, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · ensure your physical therapist provides consultation and review of the exercise program; and · update P3’s family and social history. On an ongoing basis, you must maintain compliance as required in these subparts. 8. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a) and section 626.557, subdivision 14. Violation: The license holder did not establish a program abuse prevention plan (PAPP), as required. The license holder did not establish a written PAPP, that included: · an assessment of the physical plant where the licensed services were provided, including an evaluation of the existence of areas in the building which are difficult to supervise; and · an assessment of the environment for the facility, including an evaluation of the following factors: o the type of internal programming; o the program's staffing patterns; and o a statement of specific measures to be taken to minimize the risk of abuse. Additionally, the license holder did not review the PAPP at least annually. Repeat Violation: In a Correction Order that DHS issued on April 30, 2025, you were previously found in violation of this same statute. Corrective Action Ordered: Within 30 days of receiving this order, you must establish a PAPP that includes the information detailed above. A copy of the PAPP must be posted in a prominent location in the program. On an ongoing basis, you must maintain compliance as required in these subdivisions. 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
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