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August 3, 2026 Dan Pfarr, Authorized Agent 236 Clifton Ave Minneapolis, MN 55403 License Number: 1106748 (CRF) CORRECTION ORDER Dear Dan Pfarr, On May 6th and 7th, 2026, the Department of Human Services (DHS) conducted a licensing review at your facility, 180 Degrees Rochester, located at 4435 Bamber Valley Rd SW, Rochester, MN 55902. This review was conducted to determine compliance with state and federal laws and rules governing the provision of children’s residential facilities under Minnesota Rules, part 2960.0010 through 2960.0120, children's group residential facilities under Minnesota Rules, parts 2960.0130 through 2960.0220, and residential shelter services under Minnesota Rules, parts 2960.0510 through 2960.0530 (CRF). As a result of this review, DHS is issuing this order which requires you to take the corrective action as described under each violation. Details of our findings are provided below. Our next steps and your options are also detailed. LICENSING VIOLATIONS DHS determined that your program did not follow licensing rules and statutes, as described below. PRACTICES 1. Violation: The license holder utilized a restrictive procedure with a resident while the license holder was not certified to use restrictive procedures. An incident report dated April 19, 2026, documented that a staff person (SP3) utilized a restrictive procedure on a resident (R6) by “placing [R6] on the ground” for seven minutes in prone position. Documentation suggested the presence of imminent risk; however, the facility was not certified to utilize restrictive procedures, the license holder did not have a restrictive procedures plan approved by the commissioner, and staff persons were not trained on the use of physical holding. Rule Violated: Minnesota Rules, part 2960.0080, subpart 5, item E. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that restrictive procedures are not implemented at the program unless certification for restrictive procedures is met. 2. Violation: The license holder did not maintain a signed plan for transfer of clients and records upon closure for the years 2025 or 2026. Statute Violated: Minnesota Statutes, section 245A.04, subdivision 15, paragraph (a). Repeat Violation: The license holder was previously found in violation of the same statute in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the plan is reviewed and signed by a controlling individual on an annual basis. Within 30 days of receipt of this order, submit a signed plan for transfer of clients and records upon closure. 3. Violation: The license holder did not establish a finalized Program Abuse Prevention Plan (PAPP), to be reviewed by the license holder’s governing body at least every year. Statute Violated: Minnesota Statutes, section 245A.65, subdivision 2, paragraph (a). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure the review of the PAPP meets all applicable requirements. 4. Violation: The license holder did not meet requirements governing outcome measures, evaluation, and community advising in the following ways: a. The license holder did not annually evaluate strengths and weaknesses of the program using the required performance indicators: i. Accidents; ii. Grievances. iii. Adverse findings, allegations of maltreatment under Minnesota Statutes, section 260E, citations, and legal actions against the license holder; iv. Results of a resident and family satisfaction survey required in part 2960.0140, subpart 1; and v. Critical incidents; and b. The license holder did not meet at least annually with community leaders representing the area where the facility is located to advise the community leaders about the nature of the program, the types of residents served, the results of the services the program provided to residents, the number of residents served in the past 12 months, and the number of residents likely to be served in the next 12 months. Rule Violated: Minnesota Rules, part 2960.0060, subparts 2, 3, item A, and 6. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that outcome measures, program evaluation, and community advising meet all requirements. 5. Violation: Four of nine grievances reviewed did not meet requirements in the following ways: a. The license holder did not respond within 5 days to grievances submitted on May 21, 2024, and June 19, 2024; b. The license holder did not document investigation findings and resulting action taken by the license holder for grievances reported on March 18, 2026, and March 26, 2026. Rule Violated: Minnesota Rules, part 2960.0080, subpart 18, items A and B. Corrective Action Required: Immediately and on an ongoing basis, the license holder must respond within 5 days to all grievance reports. If a grievance is filed, the license holder must document the grievance along with the investigation findings and resulting action taken by the license holder. PERSONNEL FILES 6. Violation: Four of five personnel files reviewed for requirements governing orientation training did not meet requirements in the following ways: a. There was no documentation to demonstrate the staff person was oriented to the license holder’s program abuse prevention plan (personnel files numbered 3 through 6); and b. Documentation did not include the date and number of hours of orientation completed by each staff person, in each topic area, and the name of the entity that provided the training (personnel files numbered 4 and 6). Statute and Rule Violated: Minnesota Statutes, section 245A.65, subdivision 3; and Minnesota Rules, part 2960.0100, subpart 5. Repeat Violation: The license holder was previously found in violation of the same statute and rule in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis the license holder must ensure the provision and documentation of orientation meets all requirements. Within 30 days of receipt of this order, submit orientation training documentation for the two most recent staff hired. 7. Violation: One personnel file reviewed for requirements governing ongoing training did not meet requirements in the following way: a. The emergency plan was not reviewed with the staff person at least once every six months (personnel file numbered 1). Rule Violated: Minnesota Rules, part 2960.0080, subpart 14. Repeat Violation: The license holder was previously found in violation of the same rule in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis the license holder must ensure the provision and documentation of ongoing training meet all requirements. Within 30 days of receipt of this order, submit the most recent 6-month emergency plan training roster. RESIDENT FILES 8. Violation: Two of three resident files reviewed for requirements governing resident information did not meet requirements (resident files numbered 1 and 3). The resident files did not include a description of assets and strengths of the resident. Rule Violated: Minnesota Rules, part 2960.0070, subpart 3, item B. Repeat Violation: The license holder was previously found in violation of the same rule in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of admission standards meet all requirements. Within 30 days of receipt of this order, submit a plan for how requirement will be met. 9. Violation: One resident file reviewed for requirements governing admission criteria did not meet requirements. The license holder did not document determination of whether the program can meet the resident’s needs (resident file numbered 3) in the following ways: a. Whether the resident is a danger to the resident’s self or others; and b. Whether the program is able to meet the resident’s cultural, emotional, educational, mental health, and physical needs. Rule Violated: Minnesota Rules, part 2960.0160, subpart 2, items A and C. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure admission criteria meet all requirements. 10. Violation: One of three resident files reviewed for requirements governing shelter admissions did not meet requirements (resident file numbered 1). The license holder did not document an assessment of the resident’s vulnerability to maltreatment and did not develop a plan to reduce the resident’s risk of maltreatment while in the shelter. Rule Violated: Minnesota Rules, part 2960.0520, subpart 2, item A. Repeat Violation: The license holder was previously found in violation of the same rule in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that shelter admission documentation meets all applicable requirements. 11. Violation: One of three resident files reviewed for requirements governing admission procedures did not meet requirements (resident file numbered 1). Staff did not sign the resident inventory form. Rule Violated: Minnesota Rules, part 2960.0070, subpart 4. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of admission procedures meet all requirements. 12. Violation: One resident file reviewed for requirements governing vulnerable adult orientation did not meet requirements. There was no documentation to demonstrate the resident was oriented to policies and procedures governing maltreatment of vulnerable adults, including the internal and external reporting policies (resident file numbered 2). Statute Violated: Minnesota Statutes, 245A.65, subdivision 1, paragraph (c). Repeat Violation: The license holder was previously found in violation of the same statute in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of vulnerable adult orientation meet all applicable requirements. 13. Violation: One resident file reviewed for requirements governing admission screenings did not meet requirements in the following ways (resident file numbered 3): a. There was no documentation to demonstrate a health screening was arranged for within 24 hours of admission; b. A mental health screening was not completed within 6 working days of admission; and c. A substance use disorder screening was not completed within 6 working days of admission. Rule Violated: Minnesota Rules, part 2960.0070, subpart 5, item C. Repeat Violation: The license holder was previously found in violation of the same rule in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of admission screenings meet all requirements. 14. Violation: One resident file reviewed for requirements governing program services did not meet requirements (resident file numbered 3). The license holder did not review the emergency plan with the resident at least once every six months. Rule Violated: Minnesota Rules, part 2960.0080, subpart 14. Repeat Violation: The license holder was previously found in violation of the same rule in a correction order DHS issued on April 4, 2023. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of program services meet all requirements. 15. Violation: One resident file reviewed for requirements governing service plan reviews did not meet requirements. There was no documentation to demonstrate the individual abuse prevention plan (IAPP) was reviewed as part of the service plan review (resident file numbered 3). Statute Violated: Minnesota Statutes, 245A.65, subdivision 2, paragraph (b). Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of the service plan review meet all requirements. 16. Violation: Two of two resident files reviewed for requirements governing health care did not meet requirements in the following ways: a. The license holder did not contact a newly admitted resident’s prescriber to verify the following information (resident file numbered 2): i. Instructions about how the medication must be administered, ii. The symptoms that the medication will alleviate, and iii. The symptoms that would warrant consultation with the physician; and b. The license holder did not document attempts to contact the child’s parent or guardian to seek permission for the facility to administer specific medication (resident file numbered 3); c. The license holder did not document and follow the prescribing physician’s directions for monitoring medications used by the resident (resident files numbered 2 and 3); d. The license holder did not keep records for a resident who receives prescription drugs at the facility (resident files numbered 2 and 3); and e. The license holder did not document the quantity initially received from the pharmacy (resident files numbered 2 and 3). Rule Violated: Minnesota Rules, part 2960.0080, subpart 11, items D and E. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of health care meet all requirements. 17. Violation: Three of three resident files reviewed for requirements governing no eject discharges did not meet requirements in the following ways: a. Before discharging residents who had not reached their case plan or treatment plan goals, the license holder did not confer with other interested persons to review the issues involved in the decision (resident files numbered 1, 4, and 5); b. During this process, the license holder did not determine whether the license holder, treatment team, interested persons, if any, and the resident could develop additional strategies to resolve the issues leading to the discharge and to permit the resident an opportunity to continue to receive services from the license holder (resident files numbered 1, 4, and 5); and c. The license holder did not document alternative placements considered or attempted (resident files numbered 1, 4, and 5). Rule Violated: Minnesota Rules, part 2960.0090, subpart 2. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of no eject discharges meet all requirements. 18. Violation: One resident file reviewed for requirements governing discharge procedures did not meet requirements. The license holder did not maintain signed documentation to demonstrate the resident’s personal property was returned (resident file numbered 1). Rule Violated: Minnesota Rules, part 2960.0090, subpart 3. Corrective Action Required: Immediately and on an ongoing basis, the license holder must ensure that the provision and documentation of discharge procedures meet all requirements. Written Response Required If you fail to correct the violation(s) 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. Submissions required as part of the corrective action ordered must be sent to your licensor by email at alyssa.nelson@state.mn.us or by mail: Commissioner, Department of Human Services ATTN: Alyssa Nelson Licensing Division PO Box 64242 St. Paul, MN 55164-0242 YOUR RIGHT TO REQUEST RECONSIDERATION You have the right to request reconsideration of this order and the cited violations. Your request must: · Be in writing · List each violation you are challenging and identify what is inaccurate or incomplete about the information in the order · Supply information that is accurate or more complete · Be made before the deadlines provided below If you are mailing your request, it must be received by DHS within 20 calendar days from when you received this order. If you do not meet this deadline, you lose your right to request reconsideration. The timeline to appeal began when you received this order. Please send it to: Office of Inspector General Legal Counsel’s Office Attn: Licensing Legal Unit PO Box 64953 St. Paul, MN 55164-0953 If your request is being personally delivered, it must be received by DHS within 20 calendar days from when you received this order. Please bring it to: Commissioner, Department of Human Services Office of Inspector General, Legal Counsel’s Office - Licensing 444 Lafayette Road North St. Paul, MN 55155 Legal authority for this licensing action · This action is taken under Minnesota Statutes, section 245A.06, subdivision 1. · This Children’s Residential Facility must maintain compliance with the licensing statutes and rules, specifically Minnesota Rules, chapter 2960. · The timeline to request reconsideration of the order is provided in Minnesota Statutes, section 245A.06, subdivision 2. Questions If you have any further questions regarding this matter, you may contact me at 651-431-2410 or alyssa.nelson@state.mn.us. Sincerely, Alyssa Nelson, Licensor II Licensing Division Office of Inspector General
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