Minnesota

October 26, 2026

Silas Kfusalu, Authorized Agent

Bright Vision Healthcare LLC

670 Commerce Drive Suite 240

Woodbury, Minnesota 55125-9248

License Number: 1107294 (245D – HCBS)

CORRECTION ORDER

Dear Silas Kfusalu:

On September 23, 2026, a compliance monitoring licensing review of Brighter Vision Healthcare LLC, located at 670 Commerce Drive Woodbury, 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 245D.04, subdivision 1.

Violation: For one of four persons whose records were reviewed (P3), the license holder did not provide service recipient rights as required.

The license holder did not provide a written notice that identified the service recipient rights in subdivision 2 and 3, and an explanation of those rights to P3.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was ordered to provide P3 with service recipient rights as required in this subdivision. The license holder did not comply with the corrective action issued by DHS.

Corrective Action Ordered: Within 60 days of receiving this order you must:

· provide P3 with a written notice that identifies their service recipient rights and an explanation of those rights;

· maintain documentation of their receipt of a copy and an explanation of the rights; and

· submit the documentation of P3’s receipt of a copy and an explanation of the rights to your HCBS licensor.

On an ongoing basis, you must maintain compliance as required in this subdivision.

2. Citation: Minnesota Statutes, section 245D.071, subdivision 3.

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

The license holder did not complete P1’s assessments in the following areas before providing 45 days of service or within 60 calendar days of service initiation:

o P1’s ability to self-manage health and medical needs to maintain or improve physical, mental and emotional well-being, including, self-administration of medication or treatment orders, preventative screening, and medical and dental appointments;

o P1's ability to self-manage personal safety to avoid injury or accident in the service setting, including, community survival skills, water safety skills, and sensory disabilities; and

o P1'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.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was ordered to complete P1’s assessments as required in this subdivision. The license holder did not comply with the corrective action issued by DHS.

Corrective Action Ordered: Within 60 days of receiving this order, you must:

· complete the assessments listed above for P1;

· review the results with P1 and their support team or expanded support team and document the review with P1’s support team in P1’s record;

· submit P1’s assessment results to your HCBS licensor; and

· provide P1’s staff with training on their updated support plan addendums and maintain documentation according to Minnesota Statutes 245D.095.

On an ongoing basis, you must maintain compliance as required in this subdivision.

3. Citation: Minnesota Statutes, section 245D.071, subdivision 3, paragraph (c) and (d).

Violation: For one person whose record was reviewed (P1), the license holder did not meet the service planning and delivery requirements for intensive support services as required.

Within ten days of P1’s initial planning meeting, the license holder did not develop a service plan for P1 that documents service outcomes and supports including the supports and methods to be implemented to support P1 and accomplish outcomes related to acquiring, retaining, or improving skills and physical, mental, and emotional health and well-being:

o the methods or actions that will be used to support P1 and to accomplish the service outcomes, including information about:

· any changes or modifications to the physical and social environments necessary when the service supports are provided;

· any equipment and materials required; and

· techniques that are consistent with P1’s communication mode and learning style;

o the measurable and observable criteria for identifying when the desired outcome has been achieved;

o how data would be collected;

o the projected starting date for implementing the supports and methods and the date by which progress towards accomplishing the outcomes will be reviewed and evaluated; and

o the names of the staff or position responsible for implementing the supports and methods.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was ordered to document P1’s service outcomes and supports as required in this subdivision. The license holder did not comply with the corrective action issued by DHS.

Corrective Action Ordered: Within 60 days of receiving this order, you must:

· documents P1’s service outcomes and supports according to this subdivision;

· submit to and obtain dated signatures from P1 and P1’s case manager to document completion and approval of the support plan addendum;

· submit P1’s approved service outcomes and supports according to this subdivision to your HCBS licensor; and

· provide P1’s staff with training on their updated support plan addendum and maintain documentation according to Minnesota Statutes 245D.095.

On an ongoing basis, you must maintain compliance as required in this subdivision.

4. Citation: Minnesota Statutes, section 245D.095, subdivision 3.

Violation: For four persons whose records were reviewed (P1 - P4), the license holder did not maintain service recipient records as required.

a. The license holder did not maintain copies of written reports regarding P1’s - P4’s status when requested or daily log notes that are recorded by the program in P1’s - P4’s service recipient record.

b. The license holder assigned themselves responsibility to provide P4 with Individual Community Living Supports (ICLS) and did not maintain documentation of P4’s ICLS Planning Form in P4’s record.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was ordered to maintain daily log notes recorded by the program for P1 - P4 as required in this subdivision. The license holder did not comply with the corrective action issued by DHS.

Corrective Action Ordered: Within 60 days of receiving this order you must:

· maintain the documentation identified above in P1’s - P4’s service recipient records;

· submit P1’s-P4’s daily log notes recorded by the program and P4’s ICLS planning form to your HCBS licensor;

· audit all persons served files to ensure compliance with this subdivision and maintain documentation of the audit in the persons served file; and

· as needed, provide staff with training on updated service recipient records and maintain documentation of this training according to Minnesota Statutes 245D.095.

Concerns regarding services not delivered in compliance with the federal waiver plan were referred to the Department of Human Services, Office of Inspector General, Program Integrity and Oversight Division. On an ongoing basis, you must maintain compliance as required in this subdivision.

5. Citation: Minnesota Statutes, section 245D.09, subdivision 4.

Violation: For two of four staff persons whose records were reviewed (SP1 and SP2), the license holder did not provide program orientation as required.

a. The license holder did not provide and ensure SP1 completed orientation that combined review and instruction in the following areas:

· the license holder's current policies and procedures required under this chapter, including their location and access, and staff responsibilities related to implementation of those policies and procedures;

· sections 245A.65, 245A.66, 626.556, and 626.557, governing maltreatment reporting and service planning for children and vulnerable adults, and staff responsibilities related to protecting persons from maltreatment and reporting maltreatment. This orientation must be provided within 72 hours of first providing direct contact services according to section 245A.65, subdivision 3;

· the principles of person-centered planning and delivery as identified in Minnesota Statutes, section 245D.07, subdivision 1a, and how they apply to direct support service provided by the staff person;

· 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; and

· basic first aid.

b. The license holder did not provide and ensure SP2 completed orientation that combined review and instruction in the following areas:

· the job description and how to complete specific job functions, including:

o responding to and reporting incidents as required under section 245D.06, subdivision 1; and

o following safety practices established by the license holder and as required in section 245D.06, subdivision 2;

· the license holder's current policies and procedures required under this chapter, including their location and access, and staff responsibilities related to implementation of those policies and procedures;

· 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; 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.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was ordered to provide program orientation to SP1 and SP2 as required in this subdivision. The license holder did not comply with the corrective action issued by DHS.

Corrective Action Ordered: Within 60 days of receiving this order you must:

· provide SP1 and SP2 with orientation on the topics identified above in (a) and maintain documentation according to Minnesota Statutes 245D.095; and

· submit documentation of SP1 and SP2’s orientation on the topics identified above in (a) to your HCBS licensor.

On an ongoing basis, you must maintain compliance as required in this subdivision.

6. Citation: Minnesota Statutes, section 245D.09, subdivision 4a.

Violation: For one staff persons whose records were reviewed (SP1), the license holder did not provide orientation to individual service recipient needs as required.

The license holder did not provide and ensure SP1 reviewed and received instruction on P1’s support plan or support plan addendum as it relates to the responsibilities assigned to the license holder.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was ordered to provide SP1 with orientation to individual service recipient needs as required in this subdivision. The license holder did not comply with the corrective action issued by DHS.

Corrective Action Ordered: Within 60 days of receiving this order you must:

· provide SP1 with review and instruction on P1’s support plan addendum and maintain documentation according to Minnesota Statutes 245D.095; and

· submit documentation of SP1’s review and instruction on P1’s support plan addendum to your HCBS licensor.

On an ongoing basis, you must maintain compliance as required in this subdivision.

7. Citation: Minnesota Statutes, section 245D.081.

Violation: The license holder did not meet the requirements of program coordination and evaluation.

a. The license holder did not ensure that corrective action was taken when ordered by the commissioner. The commissioner issued a correction order on May 5, 2026, and was ordered to take corrective action for 16 citations. The license holder did not complete corrective action for 8 of the 16 citations.

b. The license holder designated SP4 to provide delivery and evaluation of services and program management and oversight. The license holder did not submit to the commissioner SP4’s qualifications as ordered.

Repeat Violation: In a Correction Order DHS issued May 5, 2026, the license holder was previously found in violation of this subdivision.

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

· provide SP4 with:

o review and instruction on coordination and evaluation of individual service delivery according to subdivision 2; and

o program management and oversight that included evaluation of the program quality and program improvement for services provided by the license holder as identified in subdivision 3;

· maintain documentation of this review and instruction according to the requirements of Minnesota Statutes 245D.095; and

· submit documentation of SP3’s review and instruction on subdivision 2 and 3 to your HCBS licensor.

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.

Submissions required as part of a corrective action ordered must be sent to your Licensor at:

1. By secure email at coty.aust@state.mn.us; or

2. If you are unable to submit corrective action ordered securely through email, you can mail or fax using the information below:

Commissioner, Department of Human Services

ATTN: Coty Aust

Licensing Division

PO Box 64242

St. Paul, MN 55164-0242

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.

Coty Aust, HCBS Licensor

Licensing Division

Office of Inspector General

651-431-4605


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

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