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May 18, 2026 Omidiran Omisakin, Authorized Agent Harmony Health Services 317 26th Avenue North Minneapolis, Minnesota 55411-2173 License Number: 1115342 (245D – HCBS) 1125594 (Community Residential Setting) 1125605 (Community Residential Setting) CORRECTION ORDER Dear Omidiran Omisakin: On April 16, 2026, a licensing review of Harmony Health Services, located at 317 26th Avenue North, Minneapolis, 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 245A.65, subdivision 2. Violation: For one of three persons whose record was reviewed (P2), the license holder did not develop an individual abuse prevention plan (IAPP) as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. The license holder initiated services for P2 in December 2024. The license holder did not develop an IAPP for P2 prior to or upon service initiation. The license holder developed an IAPP for P2 in January 2025. Additionally, the license holder developed an IAPP for P2 that identified P2 was susceptible to sexual abuse, physical abuse, self-abuse, and financial exploitation. The license holder did not include in the IAPP the specific actions that would be taken to minimize the risk of abuse to P2 within the scope of licensed services. Corrective Action Ordered: Within 30 days of receiving this order, you must: · revise P2’s IAPP to include the specific measures you will take to minimize the risk of abuse to P2 within the scope of licensed services for each assessed area; · review P2’s IAPP with P2 and P2’s interdisciplinary team and maintain documentation of this review in the service recipient record; and · provide training to all staff that work with P2 on the updated IAPP and maintain documentation of this training in the personnel file including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Statutes, section 245D.04, subdivision 3. Violation: For three persons whose records were reviewed (P1, P2, and P3), the license holder did not ensure the exercise and protection or service recipient rights as required. The license holder documented in the program abuse prevention plans (PAPP) for CRS #1125594 and CRS #1125605 that all visits would occur in common areas of the home. The license holder did not ensure the protection of P1, P2, and P3’s right to choose their visitors and time of visits and have privacy for visits with the persons spouse, next of kin, legal counsel, religious adviser, or others, in accordance with section 363A.09 of the Human Rights Act, including privacy in the person’s bedroom. Corrective Action Ordered: Within 30 days of receiving this order, you must: · review and update the PAPPs to ensure there are no restrictions on service recipient rights; · provide all persons served with an orientation on the updated PAPP and maintain documentation of this orientation in the service recipient record; and · provide training to all staff on the updated PAPPs and maintain documentation of this training in the personnel record including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 3. Citation: Minnesota Statutes, section 245D.05, subdivision 4. Violation: For one person whose record was reviewed (P3), the license holder did not review, and report medication and treatment issues as required. The license holder did not report to P3’s case manager occurrences of P3’s refusal or failure to take or receive medication or treatment as prescribed as they occurred.
Corrective Action Ordered: Within 30 days of receiving this order, you must report to P3’s case manager any instances of P3 not receiving medication or treatment as prescribed that occurred within the last three months. Documentation of these reports must be maintained in the service recipient record. On an ongoing basis, you must maintain compliance as required in this subdivision. 4. Citation: Minnesota Statutes, section 245D.05, subdivision 5. Violation: For one person whose record was reviewed (P1), the license holder did not maintain documentation related to injectable medications as required. The license holder was assigned responsibility to administer an injectable medication to P1 from July 2025 to September 2025. The license holder did not obtain an agreement signed by the license holder, the prescriber, and P1 that specified what injections may be given, when, how, and that the prescriber must retain responsibility for the license holder’s giving the injection. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 5. Citation: Minnesota Statutes, section 245D.051, subdivision 1. Violation: For three persons whose records were reviewed (P1, P2, and P3), the license holder did not maintain documentation related to psychotropic medications as required. “Target symptom” refers to any perceptible diagnostic criteria for a persons diagnosed mental disorder, as defined by the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision (DSM-IV-TR) or successive editions, that has been identified for alleviation. The license holder did not maintain a description of the target symptoms the psychotropic medication was to alleviate for P1, P2, and P3. Corrective Action Ordered: Within 30 days of receiving this order, you must: · document in P1’s, P2’s, and P3’s medication administration record (MAR) a description of the target symptoms that each psychotropic medication is to alleviate; and · provide training to all staff that work with P1, P2, and P3 on the updated information in the MAR and maintain documentation of this training in the personnel record including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 6. Citation: Minnesota Statutes, section 245D.06, subdivision 1. Violation: For two persons whose records were reviewed (P1 and P3), the license holder did not complete incident response and reporting as required. a. The license holder documented six incidents involving P1 from December 2024 through November 7, 2025. · For five incidents reviewed, the license holder did not document whether P1’s support plan addendum or program policies and procedures were implemented as applicable; · For six incidents reviewed, the license holder did not document the determination of whether corrective action was necessary based on the results of the review; · For three incidents reviewed, the license holder did not notify P1’s case manager within 24 hours of the incident; · For two incidents that were reviewed, where more than one person was involved, the license holder did not ensure personally identifiable information about any other person was not disclosed; · For six incidents reviewed, the license holder did not complete internal reviews as required including: o whether related policies and procedures were followed; o whether the policies and procedures were adequate; o whether there was a need for additional staff training; o whether the reported event was similar to past events with the persons or the services involved; o whether there was a need for corrective action by the license holder to protect the health and safety of persons receiving services; and o based on the results of the review, develop, document, and implement a corrective action plan designed to correct current lapses and prevent future lapses in performance by staff or the license holder, if any. b. The license holder documented P3 sustained a serious injury in December 2025. The license holder did not report the serious injury of P3 to the Department of Human Services Licensing Division, and the Office of Ombudsman for Mental Health and Developmental Disabilities as required under section 245.94, subdivision 2a. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 7. Citation: Minnesota Statutes, section 245D.071, subdivision 3, paragraph (b). Violation: For one person whose record was reviewed (P2), the license holder did not complete initial intensive service planning as required. The license holder did not complete assessments of P2 that described P2’s overall strengths, functional skills and abilities, and behaviors or symptoms. Additionally, the license holder did not review the results of the assessments with P2’s support team. Corrective Action Ordered: Within 30 days of receiving this order, you must: · complete assessments of P2 that describe P2’s overall strengths, functional skills and abilities, and behaviors or symptoms in the following areas: o P2’s ability to self-manage health and medical needs to maintain or improve physical, mental, and emotional well-being, including, when applicable, allergies, seizures, choking, special dietary needs, chronic medical conditions, self-administration of medication or treatment orders, preventative screening, and medical and dental appointments; o P2’s ability to self-manage personal safety to avoid injury or accident in the service setting, including, when applicable, risk of falling, mobility, regulating water temperature, community survival skills, water safety skills, and sensory disabilities; and o P2’s ability to self-manage symptoms or behavior that may otherwise result in an incident as defined in section 245D.02, subdivision 11, clauses (4) to (7), suspension or termination of services by the license holder, or other symptoms or behaviors that may jeopardize the health and welfare of the person or others; · review the results of the assessments with P2 and P2’s support team or expanded support team and maintain documentation of this review in the service recipient record; and · provide training to all staff that work with P2 on the updated assessments and maintain documentation of this training in the personnel record including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 8. Citation: Minnesota Statutes, section 245D.071, subdivision 4. Violation: For three persons whose records were reviewed (P1, P2, and P3), the license holder did not develop and document service outcomes and supports as required. a. The license holder did not develop and document the supports and methods to be implemented to support P1 and to accomplish outcomes related to acquiring, retaining, or improving skills and physical, mental, and emotional health and well-being including: · the methods or actions that would be used to support P1 and to accomplish the service outcomes including information about: o any changes or modifications to the physical and social environments necessary when the service supports were provided; o any equipment and materials required; and o techniques that were consistent with P1’s communication mode and learning style; · the measurable and observable criteria for identifying when the desired outcome had been achieved and how data would be collected; · the projected starting date for implementing the supports and methods and the date by which progress towards accomplishing the outcomes would be reviewed and evaluated; and · the names of the staff or position responsible for implementing the supports and methods. b. The license holder did not develop and document the supports and methods to be implemented to support P2 and accomplish outcomes related acquiring, retaining, or improving skills and physical, mental, and emotional health and well-being including: · the methods or actions that would be used to support P2 and to accomplish the service outcomes, including information about: o any changes or modifications to the physical and social environments necessary when the service supports were provided; o techniques that were consistent with P2’s communication mode and learning style; · the measurable and observable criteria for identifying when the desired outcome had been achieved and how data would be collected; and · the projected starting date for implementing the supports and methods and the date by which progress towards accomplishing the outcomes would be reviewed and evaluated c. The license holder did not develop and document the supports and methods to be implemented to support P3 and accomplish outcomes related to acquiring, retaining, or improving skills and physical, mental, and emotional health and well-being including: · the methods or actions that would be used to support P3 and to accomplish service outcomes, including information about: o any changes or modifications to the physical and social environments necessary when the service supports were provided; o techniques that were consistent with P3’s communication mode and learning style; · the measurable and observable criteria for identifying when the desired outcome had been achieved; · the projected starting date for implementing the supports and methods; and · the name of the staff or position responsible for implementing the supports and methods. Corrective Action Ordered: Within 30 days of receiving this order, you must: · develop and document the supports and methods outlined in (a) for P1; · develop and document the supports and methods outlined in (b) for P2; · develop and document the supports and methods outlined in (c) for P3; · review the updated information with P1, P1’s case manager, P2, P2’s case manager, P3, and P3’s case manager and maintain documentation of this review in P1’s, P2’s and P3’s record; and · provide training to all staff that work with P1, P2, and P3 on the updated information for P1, P2, and P3 and maintain documentation of this training in the personnel file including the date the training is provided, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 9. Citation: Minnesota Statutes, section 245D.071, subdivision 5. Violation: For two persons whose records were reviewed (P1 and P2), the license holder did not complete service plan review and evaluation as required. a. The license holder did not provide a report at P1’s progress review meeting that summarized P1’s status and progress toward achieving the identified outcomes, made recommendations, and identified the rationale for changing, continuing, or discontinuing the implementation of supports and methods for P1. b. The license holder did not provide a report at P2’s progress review meeting that summarized P2’s status and progress toward achieving identified outcomes, made recommendations and identified the rationale for changing, continuing, or discontinuing the implementation of supports and methods for P2. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 10. Citation: Minnesota Rule, part 9544.0110. Violation: For one person whose record was reviewed (P1), the license holder did not report incidents as required. The license holder documented two behavioral incidents occurred with P1 in December 2024 that resulted in calls to 911. The license holder did not report these incidents to the commissioner using the behavior intervention reporting form (BIRF). Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subdivision. 11. Citation: Minnesota Statutes, section 245A.65, subdivision 3. Violation: For two of two staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide training to the license holders program abuse prevention plan (PAPP) as required. The license holder did not provide SP1 and SP2 with an orientation to the PAPP within 72 hours of first providing direct contact services. At the time of this review, SP1 and SP2 had not received an orientation to the PAPP. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide SP1 and SP2 with an orientation to the PAPP for the location they provide direct contact services. If SP1 and SP2 works at multiple locations, they must receive an orientation to the PAPP for each location they provide direct contact services; · maintain documentation of this training in the personnel record including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor; · conduct an audit of all staff training records to identify any staff that have not received an orientation or annual training to the PAPP; · provide training to any staff identified in the audit to not have received orientation or annual training to the PAPP; and · maintain documentation of this training in the personnel record including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 12. Citation: Minnesota Statutes, section 245D.09, subdivision 4. Violation: For two staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide orientation to the program as required. a. The license holder hired SP1 in December 2024. The license holder did not provide SP1 with orientation on data privacy requirements within 60 calendar days of hire. SP1 received this training in January 2026. b. The license holder documented in the program abuse prevention plans (PAPP) that staff would receive training on autism, EpiPens, Prader-Willi Syndrome, diabetes, and behavioral interventions. The license holder did not provide SP1 and SP2 with training in these areas. Corrective Action Ordered: Within 30 days of receiving this order, you must: · provide SP1 and SP2 with the training on topics listed in your PAPP; · conduct an audit to determine if all staff have received the trainings outlined in your PAPP; · provide the trainings to any staff identified in the audit to not have completed these trainings; and · maintain documentation of this training in the personnel record including the date the training is completed, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 13. Citation: Minnesota Statutes, section 245D.09, subdivision 4a. Violation: For one staff person whose record was reviewed (SP1), the license holder did not provide orientation to individual service recipient needs as required. The license holder did not provide instruction to SP1 on medication administration procedures prior to SP1 administering medications. Corrective Action Ordered: Immediately, you must ensure SP1 does not administer medications to persons served. Within 30 days of receiving this order, you must provide SP1 with medication administration training from a training curriculum developed by a registered nurse or appropriate licensed health professional and incorporates an observed skill assessment conducted by the trainer. Documentation of this training and skill assessment must be maintained in the personnel record including the date the training is provided, the number of hours per subject area, and the name of the trainer or instructor. On an ongoing basis, you must maintain compliance as required in this subdivision. 14. Citation: Minnesota Statutes, section 245D.09, subdivision 5. Violation: For two staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide annual training as required. Minnesota Statutes, section 245A.02, subdivision 2b defines “annual” or “annually” to mean prior to or within the same month of the subsequent calendar year. a. The license holder did not provide annual training to SP1 in 2025 in the following areas: · the service recipient rights and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in 245D.04. SP1 received this training in October 2024 and January 2026; · sections 245A.65 and 626.557 governing maltreatment reporting and service planning for vulnerable adults, and staff responsibilities related to protecting persons from maltreatment and reporting maltreatment. SP1 received this training in October 2024 and January 2026; · the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person. SP1 received this training in June 2024 and January 2026; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 or successor provisions, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP1 received this training in October 2024 and January 2026; · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, or successor provisions, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP1 last received this training in October 2024; · basic first aid. SP1 received this training in October 2024 and January 2026; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. SP1 received this training in October 2024 and January 2026. b. The license holder did not provide annual training to SP2 in 2025 in the following areas: · the service recipient rights, and staff responsibilities related to ensuring the exercise and protection of those rights according to the requirements in section 245D.04. SP2 received this training in October 2024 and January 2026; · section 245A.65 and 626.557 governing maltreatment reporting and service planning for vulnerable adults and staff responsibilities related to protecting persons from maltreatment and reporting maltreatment. SP2 received this training in October 2024 and January 2026; · the principles of person-centered service planning and delivery as identified in section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person. SP2 received this training in May 2024 and January 2026; · the safe and correct use of manual restraint on an emergency basis according to the requirements in section 245D.061 or successor provisions, and what constitutes the use of restraints, time out, and seclusion, including chemical restraint. SP2 received this training October 2024 and January 2026; and · staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, or successor provisions, why such procedures are not effective for reducing or eliminating symptoms or undesired behavior, and why such procedures are not safe. SP2 last received this training in October 2024; · basic first aid. SP2 received this training in October 2024 and January 2026; and · strategies to minimize the risk of sexual violence, including concepts of healthy relationships, consent, and bodily autonomy of people with disabilities. SP2 received this training in October 2024 and January 2026. Additionally, the license holder did not provide SP2 with annual training in 2024 and 2025 to data privacy requirements according to sections 13.01 to 13.10 and 13.46, the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), and staff responsibilities related to complying with data privacy practices. SP2 received this training March 2023 and January 2026. Corrective Action Ordered: Within 30 days of receiving this training, you must: · provide SP1 and SP2 with training on staff responsibilities related to prohibited procedures under section 245D.06, subdivision 5, or successor provisions, why such procedures are not effective for reducing or eliminating symptoms and why such procedures are not safe; and · maintain documentation of this training in the personnel record including the date the training is provided, the number of hours per subject area, and the name of the trainer or instructor. 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 64242 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. Erin White, Home and Community Based Services Licensor Licensing Division Office of Inspector General 651-431-4821
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