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July 28, 2026 Mohamed Keynan, Authorized Agent Cedar Adult Day Care Services Center 415 Cedar Avenue South Minneapolis, Minnesota 55454 License Number: 1097782 (Rule 223) CORRECTION ORDER Dear Mohamed Keynan: On July 15, 2026, a licensing review of Cedar Adult Day Care Services Center located at 415 Cedar Avenue South, 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.65, subdivision 2, paragraph (b). Violation: For one of three participants whose records were reviewed (P3), the license holder did not meet the requirements for an individual abuse prevention plan (IAPP). The license holder did not review P3’s IAPP with P3’s interdisciplinary team, at least annually, using the individual assessment and any reports of abuse relating to the person. Repeat Violation: In a Correction Order that DHS issued on May 19, 2026, you were previously found in violation of this same statute. Corrective Action Ordered: Within 30 days of receiving this order, you must review P3’s IAPP annually with P3’s interdisciplinary team and document the review. On an ongoing basis, you must maintain compliance as required in this subdivision. 2. Citation: Minnesota Rules, part 9555.9660, subpart 1 Violation: For two participants whose records were reviewed (P1 and P2), the license holder did not include information in the participant’s written record as required. a. The license holder did not maintain the following information in P1’s participant record: · an application form that included P1’s source of referral; and · P1’s service agreement with the center, that specified the responsibilities of P1 and the center with respect to payment for and provision of services and signed by P1 or P1’s caregiver and the center director. b. The license holder did not maintain the following information in P2’s participant record: · an application form that included P2’s source of referral; · the name and telephone number of P2’s physician or medical provider; · a medical report that included a release signed by the physician indicating whether P2 may engage in a structured exercise program; and · P2’s service agreement with the center that specified the responsibilities of P2 and the center with respect to payment for and provision of services and signed by P2 or P2’s caregiver and the center director.
Corrective Action Ordered: Within 30 days of receiving this order, you must maintain the information detailed above in P1 and P2’s participant records. On an ongoing basis, you must maintain compliance as required in this subpart. 3. Citation: Minnesota Rules, part 9555.9700, subpart 3. Violation: For two participants whose records were reviewed (P1 and P2), 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 and P2 that included an update of the preliminary service plan and additional services required by P1 and P2. Repeat Violation: In a Correction Order that DHS issued on May 19, 2026, you were previously found in violation of this same rule. 4. Citation: Minnesota Rules, part 9555.9690, subpart 3.
The license holder did not provide SP1 with 20 hours of orientation to the center within the employee’s first 40 hours of employment at the center. The license holder provided SP1 with 12 hours of orientation to the center. Corrective Action Ordered: On an ongoing basis, you must maintain compliance as required in this subpart. 5. Citation: Minnesota Rules, part 9555.9710, subpart 1. Violation: The license holder did not offer services as required. The license holder did not maintain a record indicating the menu for all meals served for at least six months. Repeat Violation: In a Correction Order that DHS issued on May 19, 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. 6. Citation: Minnesota Rules, part 9555.9720, subpart 7 and 8. Violation: The license holder did not ensure safety as required. a. The license holder did not ensure equipment was in good repair including uneven and broken bathroom tiles. b. The license holder did not ensure the areas used by participants were free from loose plaster and peeling paint. Repeat Violation: In a Correction Order that DHS issued on May 19, 2026, you were previously found in violation of this same rule. Corrective Action Ordered: Within 30 days of receiving this order, you must: · ensure equipment is in good repair; and · ensure the areas used by participants are free from loose plaster and peeling paint. On an ongoing basis, you must maintain compliance as required in this subpart. 7. Citation: Minnesota Rules, part 9555.9730, subpart 3.
The license holder did not ensure restrooms used by participants were equipped with a mechanism that participants can use to signal staff members by light or by sound if participants need assistance. Repeat Violation: In a Correction Order that DHS issued on May 19, 2026, you were previously found in violation of this same rule. Corrective Action Ordered: Immediately, you must ensure all restrooms used by participants are equipped with a mechanism that participants can use to signal staff members. On an ongoing basis, you must maintain compliance as required in this subpart. 8. Citation: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a).
Violation: The license holder did not establish a PAPP (Program Abuse Prevention Plan), 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 location of the program in a particular neighborhood or community; o the type of grounds and terrain surrounding the building; and o a statement of specific measures to be taken to minimize the risk of abuse.
Repeat Violation: In a Correction Order that DHS issued on May 19, 2026, 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. Kristopher Oberg, HCBS Human Services Licensor Licensing Division Office of Inspector General 651-431-6589
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