Deficiencies per Year
8
6
4
2
0
High
Inspection Report
Annual Inspection
Census: 3
Capacity: 10
Deficiencies: 5
May 15, 2025
Visit Reason
The Minnesota Department of Health conducted a full survey to evaluate and assess compliance with state licensing statutes for Family Choice Assisted Living LLC.
Findings
The licensee was found to be in substantial compliance but had several deficiencies including food service violations, lack of a complete emergency disaster preparedness plan, incomplete fire safety and evacuation plans and training, failure to provide required emergency relocation notice, and improper medication storage.
Severity Breakdown
Level 2: 5
Deficiencies (5)
| Description | Severity |
|---|---|
| Food was not prepared and served according to the Minnesota Food Code, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to have a written emergency disaster preparedness plan with all required content, including a second annual full-scale exercise, resulting in a level two violation at widespread scope. | Level 2 |
| Failed to develop and maintain fire safety and evacuation plans with required content and provide required training, resulting in a level two violation at pattern scope. | Level 2 |
| Failed to provide written notice with required content to a resident and their representative after an emergency relocation, resulting in a level two violation at isolated scope. | Level 2 |
| Medications were not stored according to manufacturer's recommendations; medication refrigerator temperature was below recommended range, resulting in a level two violation at isolated scope. | Level 2 |
Report Facts
Residents present: 3
Total licensed capacity: 10
Medication refrigerator temperature: 29
Medication refrigerator temperature: 30
Medication refrigerator temperature range: 36-40
Dish machine sanitizer temperature requirement: 160
Dish machine sanitizer temperature deficiency: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Renee Anderson | Supervisor, State Evaluation Team | Signed the cover letter for the inspection report |
| Hodan Mohamed | Certified Food Protection Manager (CFPM) | Named as CFPM on the Food & Beverage Inspection Report |
| Aaron Gertz | Public Health Sanitarian 3 | Conducted the Food & Beverage Inspection |
| Housing Manager A | Interviewed regarding emergency preparedness and fire safety | |
| Clinical Nurse Supervisor B | Interviewed regarding fire safety and emergency relocation |
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