Inspection Reports for Mina Safe House LLC
3008 Quarles Road, Brooklyn Center, MN 55429, MN, 55429
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Inspection Report
Follow-Up
Census: 3
Capacity: 10
Deficiencies: 7
Jun 17, 2025
Visit Reason
Follow-up survey conducted to determine correction of orders found on the survey completed April 23, 2025, related to provisional conditional license compliance.
Findings
The follow-up survey found the facility to be in substantial compliance, resulting in removal of provisional license conditions and granting of the assisted living facility license. The prior survey identified multiple deficiencies including food service violations, individual abuse prevention plan deficiencies, emergency preparedness plan gaps, fire safety and evacuation plan issues, resident assessment delays, and incomplete treatment management plans.
Severity Breakdown
Level 2: 7
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to ensure food was prepared and served according to the Minnesota Food Code, including sanitizing dishes properly and posting original certified food protection manager certificate. | Level 2 |
| Failed to develop an individual abuse prevention plan including assessment of resident's risk of abusing others and measures to minimize abuse. | Level 2 |
| Failed to maintain a written emergency preparedness plan with all required content including subsistence needs, tracking procedures, information sharing, and family notifications. | Level 2 |
| Failed to comply with State Fire Code by not having an egress ladder in a lower-level bedroom egress window well deeper than 44 inches. | Level 2 |
| Failed to develop a fire safety and evacuation plan with required content and provide required training to staff and residents. | Level 2 |
| Failed to conduct ongoing resident assessment and reassessment within 90 days for one resident. | Level 2 |
| Failed to develop a treatment management plan including written instructions and delegation for oxygen therapy for one resident. | Level 2 |
Report Facts
Residents present: 3
Total licensed capacity: 10
Days late for resident reassessment: 9
Depth of egress window well: 47
Oxygen saturation range: 92-99
Oxygen flow rate: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rick Michals | Executive Regional Operations Manager | Signed licensing and enforcement letters |
| Hamse Mohmed | Operator | Signed food and beverage establishment inspection report |
| Holly Sievers | Public Health Sanitarian 2 | Conducted food and beverage establishment inspection |
| Abdukadir M. Nor | Certified Food Protection Manager | Certified food protection manager for the facility |
| Tim Hanna | Contact person for reconsideration requests | |
| CNS-A | Clinical Nurse Supervisor | Provided statements regarding individual abuse prevention plan and treatment management |
| ULP-D | Unlicensed Personnel | Provided information on fire safety and evacuation plan and training |
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