as introduced - 83rd Legislature (2003 - 2004) Posted on 12/15/2009 12:00am
1.1 A bill for an act 1.2 relating to human services; making changes to 1.3 licensing provisions; amending Minnesota Statutes 1.4 2002, sections 245A.02, subdivisions 2a, 5a, 7, 10, 1.5 14, by adding a subdivision; 245A.03, subdivision 3; 1.6 245A.04, subdivisions 5, 6, 7, by adding subdivisions; 1.7 245A.05; 245A.06, subdivisions 2, 4; 245A.07, 1.8 subdivisions 2, 2a, 3; 245A.08, subdivision 5; 1.9 245A.16, subdivision 4; 245A.22, subdivision 2; 1.10 Minnesota Statutes 2003 Supplement, sections 241.021, 1.11 subdivision 6; 245A.03, subdivision 2; 245A.04, 1.12 subdivision 1; 245A.08, subdivisions 1, 2a; 245A.16, 1.13 subdivision 1; 245A.22, subdivision 3; 245C.02, 1.14 subdivision 18; 245C.03, subdivision 1, by adding a 1.15 subdivision; 245C.05, subdivisions 1, 2, 5, 6; 1.16 245C.08, subdivisions 2, 3, 4; 245C.09, subdivision 1; 1.17 245C.13, subdivision 1; 245C.14, subdivision 1; 1.18 245C.15, subdivisions 2, 3, 4; 245C.16, subdivision 1; 1.19 245C.17, subdivisions 1, 3; 245C.18; 245C.20; 245C.21, 1.20 subdivision 3, by adding a subdivision; 245C.22, 1.21 subdivisions 3, 4, 5, 6; 245C.23, subdivisions 1, 2; 1.22 245C.25; 245C.26; 245C.27, subdivisions 1, 2; 245C.28, 1.23 subdivisions 1, 2, 3; 245C.29, subdivision 2; 256.045, 1.24 subdivisions 3, 3b; 626.556, subdivision 10i; 626.557, 1.25 subdivision 9d; proposing coding for new law in 1.26 Minnesota Statutes, chapter 245A; repealing Minnesota 1.27 Statutes 2003 Supplement, sections 245A.11, 1.28 subdivision 2b; 245C.02, subdivision 17; Minnesota 1.29 Rules, parts 9543.0040, subpart 3; 9543.1000; 1.30 9543.1010; 9543.1020; 9543.1030; 9543.1040; 9543.1050; 1.31 9543.1060; 9545.1200; 9545.1210; 9545.1220; 9545.1230; 1.32 9545.1240; 9545.1250; 9545.1260; 9545.1270; 9545.1280; 1.33 9545.1290; 9545.1300; 9545.1310; 9545.1320. 1.34 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.35 ARTICLE 1 1.36 HUMAN SERVICES 1.37 Section 1. Minnesota Statutes 2002, section 245A.02, 1.38 subdivision 2a, is amended to read: 1.39 Subd. 2a. [ADULT DAY CARE OR FAMILY ADULT DAY SERVICES.] 2.1 "Adult day care,"means"adult day services," and "family adult 2.2 day services" mean a program operating less than 24 hours per 2.3 day that provides functionally impaired adults with an 2.4 individualized and coordinated set of services including health 2.5 services, social services, and nutritional services that are 2.6 directed at maintaining or improving the participants' 2.7 capabilities for self-care. Adult day caredoes, adult day 2.8 services, and family adult day services do not include programs 2.9 where adults gather or congregate primarily for purposes of 2.10 socialization, education, supervision, caregiver respite, 2.11 religious expression, exercise, or nutritious meals. 2.12 Sec. 2. Minnesota Statutes 2002, section 245A.02, 2.13 subdivision 5a, is amended to read: 2.14 Subd. 5a. [CONTROLLING INDIVIDUAL.] "Controlling 2.15 individual" means a public body, governmental agency, business 2.16 entity, officer,program administrator, or directorowner, or 2.17 managerial official whose responsibilities include the direction 2.18 of the management or policies of a program.Controlling2.19individual also means an individual who, directly or indirectly,2.20beneficially owns an interest in a corporation, partnership, or2.21other business association that is a controlling individualFor 2.22 purposes of this subdivision, owner means an individual who has 2.23 direct or indirect ownership interest in a corporation, 2.24 partnership, or other business association issued a license 2.25 under this chapter. For purposes of this subdivision, 2.26 managerial official means those individuals who have the 2.27 authority to affect decisions related to the operation of the 2.28 program, and the responsibility for the ongoing management of or 2.29 direction of the policies, services, or employees of the 2.30 program. Controlling individual does not include: 2.31 (1) a bank, savings bank, trust company, savings 2.32 association, credit union, industrial loan and thrift company, 2.33 investment banking firm, or insurance company unless the entity 2.34 operates a program directly or through a subsidiary; 2.35 (2) an individual who is a state or federal official, or 2.36 state or federal employee, or a member or employee of the 3.1 governing body of a political subdivision of the state or 3.2 federal government that operates one or more programs, unless 3.3 the individual is also an officer, owner, ordirectormanagerial 3.4 official of the program, receives remuneration from the program, 3.5 or owns any of the beneficial interests not excluded in this 3.6 subdivision; 3.7 (3) an individual who owns less than five percent of the 3.8 outstanding common shares of a corporation: 3.9 (i) whose securities are exempt under section 80A.15, 3.10 subdivision 1, clause (f); or 3.11 (ii) whose transactions are exempt under section 80A.15, 3.12 subdivision 2, clause (b); or 3.13 (4) an individual who is a member of an organization exempt 3.14 from taxation under section 290.05, unless the individual is 3.15 also an officer, owner, ordirectormanagerial official of the 3.16 program or owns any of the beneficial interests not excluded in 3.17 this subdivision. This clause does not exclude from the 3.18 definition of controlling individual an organization that is 3.19 exempt from taxation. 3.20 Sec. 3. Minnesota Statutes 2002, section 245A.02, is 3.21 amended by adding a subdivision to read: 3.22 Subd. 6c. [FOSTER CARE FOR ADULTS.] "Foster care for 3.23 adults" means a program operating 24 hours a day that provides 3.24 functionally impaired adults with food, lodging, protection, 3.25 supervision, and household services in a residence, in addition 3.26 to services according to the individual service plans under 3.27 Minnesota Rules, part 9555.5105, subpart 18. 3.28 Sec. 4. Minnesota Statutes 2002, section 245A.02, 3.29 subdivision 7, is amended to read: 3.30 Subd. 7. [FUNCTIONAL IMPAIRMENT.] For the purposes of 3.31 adult day care, adult day services, family adult day services, 3.32 or adult foster care, "functional impairment" means: 3.33 (1) a condition that is characterized by substantial 3.34 difficulty in carrying out one or more of the essential major 3.35 activities of daily living, such as caring for oneself, 3.36 performing manual tasks, walking, seeing, hearing, speaking, 4.1 breathing, learning, working; or 4.2 (2) a disorder of thought or mood that significantly 4.3 impairs judgment, behavior, capacity to recognize reality, or 4.4 ability to cope with the ordinary demands of life and that 4.5 requires support to maintain independence in the community. 4.6 Sec. 5. Minnesota Statutes 2002, section 245A.02, 4.7 subdivision 10, is amended to read: 4.8 Subd. 10. [NONRESIDENTIAL PROGRAM.] "Nonresidential 4.9 program" means care, supervision, rehabilitation, training or 4.10 habilitation of a person provided outside the person's own home 4.11 and provided for fewer than 24 hours a day, including adult day 4.12 care programs;a nursing home that receives public funds to4.13provide services for five or more persons whose primary4.14diagnosis is mental retardation or a related condition or mental4.15illness and who do not have a significant physical or medical4.16problem that necessitates nursing home care; a nursing home or4.17hospital that was licensed by the commissioner on July 1, 1987,4.18to provide a program for persons with a physical handicap that4.19is not the result of the normal aging process and considered to4.20be a chronic condition;and chemical dependency or chemical 4.21 abuse programs that are located in a nursing home or hospital 4.22 and receive public funds for providing chemical abuse or 4.23 chemical dependency treatment services under chapter 254B. 4.24 Nonresidential programs include home and community-based 4.25 services and semi-independent living services for persons with 4.26 mental retardation or a related condition that are provided in 4.27 or outside of a person's own home. 4.28 Sec. 6. Minnesota Statutes 2002, section 245A.02, 4.29 subdivision 14, is amended to read: 4.30 Subd. 14. [RESIDENTIAL PROGRAM.] "Residential program" 4.31 means a program that provides 24-hour-a-day care, supervision, 4.32 food, lodging, rehabilitation, training, education, 4.33 habilitation, or treatment outside a person's own home, 4.34 includinga nursing home or hospital that receives public funds,4.35administered by the commissioner, to provide services for five4.36or more persons whose primary diagnosis is mental retardation or5.1a related condition or mental illness and who do not have a5.2significant physical or medical problem that necessitates5.3nursing home care;a program in an intermediate care facility 5.4 for four or more persons with mental retardation or a related 5.5 condition;a nursing home or hospital that was licensed by the5.6commissioner on July 1, 1987, to provide a program for persons5.7with a physical handicap that is not the result of the normal5.8aging process and considered to be a chronic condition;and 5.9 chemical dependency or chemical abuse programs that are located 5.10 in a hospital or nursing home and receive public funds for 5.11 providing chemical abuse or chemical dependency treatment 5.12 services under chapter 254B. Residential programs include home 5.13 and community-based services for persons with mental retardation 5.14 or a related condition that are provided in or outside of a 5.15 person's own home. 5.16 Sec. 7. Minnesota Statutes 2003 Supplement, section 5.17 245A.03, subdivision 2, is amended to read: 5.18 Subd. 2. [EXCLUSION FROM LICENSURE.] (a) This chapter does 5.19 not apply to: 5.20 (1) residential or nonresidential programs that are 5.21 provided to a person by an individual who is related unless the 5.22 residential program is a child foster care placement made by a 5.23 local social services agency or a licensed child-placing agency, 5.24 except as provided in subdivision 2a; 5.25 (2) nonresidential programs that are provided by an 5.26 unrelated individual to persons from a single related family; 5.27 (3) residential or nonresidential programs that are 5.28 provided to adults who do not abuse chemicals or who do not have 5.29 a chemical dependency, a mental illness, mental retardation or a 5.30 related condition, a functional impairment, or a physical 5.31 handicap; 5.32 (4) sheltered workshops or work activity programs that are 5.33 certified by the commissioner of economic security; 5.34 (5) programs operated by a public school for children 5.35enrolled in kindergarten to the 12th grade and prekindergarten5.36special education in a school as defined in section 120A.22,6.1subdivision 4, and programs serving children in combined special6.2education and regular prekindergarten programs that are operated6.3or assisted by the commissioner of education33 months or older; 6.4 (6) nonresidential programs primarily for children that 6.5 provide care or supervision, without charge for ten or fewer6.6days a year, andfor periods of less than three hours a day 6.7 while the child's parent or legal guardian is in the same 6.8 building as the nonresidential program or present within another 6.9 building that is directly contiguous to the building in which 6.10 the nonresidential program is located; 6.11 (7) nursing homes or hospitals licensed by the commissioner 6.12 of health except as specified under section 245A.02; 6.13 (8) board and lodge facilities licensed by the commissioner 6.14 of health that provide services for five or more persons whose 6.15 primary diagnosis is mental illnesswho have refused an6.16appropriate residential program offered by a county agencythat 6.17 do not provide intensive residential treatment; 6.18 (9) homes providing programs for persons placed there by a 6.19 licensed agency for legal adoption, unless the adoption is not 6.20 completed within two years; 6.21 (10) programs licensed by the commissioner of corrections; 6.22 (11) recreation programs for children or adults that 6.23operate for fewer than 40 calendar days in a calendar year or6.24programs operatedare operated or approved by a park and 6.25 recreation boardof a city of the first classwhose primary 6.26 purpose is to provide social and recreational activitiesto6.27school age children, provided the program is approved by the6.28park and recreation board; 6.29 (12) programs operated by a school as defined in section 6.30 120A.22, subdivision 4, whose primary purpose is to provide 6.31 child care to school-age children, provided the program is6.32approved by the district's school board; 6.33 (13) Head Start nonresidential programs which operate for 6.34 less than 31 days in each calendar year; 6.35 (14) noncertified boarding care homes unless they provide 6.36 services for five or more persons whose primary diagnosis is 7.1 mental illness or mental retardation; 7.2 (15) nonresidential programs fornonhandicappedchildren 7.3 provided for a cumulative total of less than 30 days in any 7.4 12-month period; 7.5 (16) residential programs for persons with mental illness, 7.6 that are located in hospitals, until the commissioner adopts7.7appropriate rules; 7.8 (17) the religious instruction of school-age children; 7.9 Sabbath or Sunday schools; or the congregate care of children by 7.10 a church, congregation, or religious society during the period 7.11 used by the church, congregation, or religious society for its 7.12 regular worship; 7.13 (18) camps licensed by the commissioner of health under 7.14 Minnesota Rules, chapter 4630; 7.15 (19) mental health outpatient services for adults with 7.16 mental illness or children with emotional disturbance; 7.17 (20) residential programs serving school-age children whose 7.18 sole purpose is cultural or educational exchange, until the 7.19 commissioner adopts appropriate rules; 7.20 (21) unrelated individuals who provide out-of-home respite 7.21 care services to persons with mental retardation or related 7.22 conditions from a single related family for no more than 90 days 7.23 in a 12-month period and the respite care services are for the 7.24 temporary relief of the person's family or legal representative; 7.25 (22) respite care services provided as a home and 7.26 community-based service to a person with mental retardation or a 7.27 related condition, in the person's primary residence; 7.28 (23) community support services programs as defined in 7.29 section 245.462, subdivision 6, and family community support 7.30 services as defined in section 245.4871, subdivision 17; 7.31 (24) the placement of a child by a birth parent or legal 7.32 guardian in a preadoptive home for purposes of adoption as 7.33 authorized by section 259.47; 7.34 (25) settings registered under chapter 144D which provide 7.35 home care services licensed by the commissioner of health to 7.36 fewer than seven adults; or 8.1 (26) consumer-directed community support service funded 8.2 under the Medicaid waiver for persons with mental retardation 8.3 and related conditions when the individual who provided the 8.4 service is: 8.5 (i) the same individual who is the direct payee of these 8.6 specific waiver funds or paid by a fiscal agent, fiscal 8.7 intermediary, or employer of record; and 8.8 (ii) not otherwise under the control of a residential or 8.9 nonresidential program that is required to be licensed under 8.10 this chapter when providing the service. 8.11 (b) For purposes of paragraph (a), clause (6), a building 8.12 is directly contiguous to a building in which a nonresidential 8.13 program is located if it shares a common wall with the building 8.14 in which the nonresidential program is located or is attached to 8.15 that building by skyway, tunnel, atrium, or common roof. 8.16 (c) Nothing in this chapter shall be construed to require 8.17 licensure for any services provided and funded according to an 8.18 approved federal waiver plan where licensure is specifically 8.19 identified as not being a condition for the services and funding. 8.20 Sec. 8. Minnesota Statutes 2002, section 245A.03, 8.21 subdivision 3, is amended to read: 8.22 Subd. 3. [UNLICENSED PROGRAMS.] (a) It is a misdemeanor 8.23 for an individual, corporation, partnership, voluntary 8.24 association, other organization, or a controlling individual to 8.25 provide a residential or nonresidential program without a 8.26 license and in willful disregard of this chapter unless the 8.27 program is excluded from licensure under subdivision 2. 8.28 (b)If, after receiving notice that a license is required,8.29the individual, corporation, partnership, voluntary association,8.30other organization, or controlling individual has failed to8.31apply for a license,The commissioner may ask the appropriate 8.32 county attorney or the attorney general to begin proceedings to 8.33 secure a court order against the continued operation of the 8.34 program, if an individual, corporation, partnership, voluntary 8.35 association, other organization, or controlling individual has: 8.36 (1) failed to apply for a license after receiving notice that a 9.1 license is required; (2) continued to operate without a license 9.2 after the license has been revoked or suspended under section 9.3 245A.07, and the commissioner has issued a final order affirming 9.4 the revocation or suspension, or the license holder did not 9.5 timely appeal the sanction; or (3) continued to operate without 9.6 a license after the license has been temporarily suspended under 9.7 section 245A.07. The county attorney and the attorney general 9.8 have a duty to cooperate with the commissioner. 9.9 Sec. 9. Minnesota Statutes 2003 Supplement, section 9.10 245A.04, subdivision 1, is amended to read: 9.11 Subdivision 1. [APPLICATION FOR LICENSURE.] (a) An 9.12 individual, corporation, partnership, voluntary association, 9.13 other organization or controlling individual that is subject to 9.14 licensure under section 245A.03 must apply for a license. The 9.15 application must be made on the forms and in the manner 9.16 prescribed by the commissioner. The commissioner shall provide 9.17 the applicant with instruction in completing the application and 9.18 provide information about the rules and requirements of other 9.19 state agencies that affect the applicant. An applicant seeking 9.20 licensure in Minnesota with headquarters outside of Minnesota 9.21 must have a program office located within the state. 9.22 The commissioner shall act on the application within 90 9.23 working days after a complete application and any required 9.24 reports have been received from other state agencies or 9.25 departments, counties, municipalities, or other political 9.26 subdivisions. The commissioner shall not consider an 9.27 application to be complete until the commissioner receives all 9.28 of the information required under section 245C.05. 9.29 (b) An application for licensure must specify one or more 9.30 controlling individuals as an agent who is responsible for 9.31 dealing with the commissioner of human services on all matters 9.32 provided for in this chapter and on whom service of all notices 9.33 and orders must be made. The agent must be authorized to accept 9.34 service on behalf of all of the controlling individuals of the 9.35 program. Service on the agent is service on all of the 9.36 controlling individuals of the program. It is not a defense to 10.1 any action arising under this chapter that service was not made 10.2 on each controlling individual of the program. The designation 10.3 of one or more controlling individuals as agents under this 10.4 paragraph does not affect the legal responsibility of any other 10.5 controlling individual under this chapter. 10.6 (c) An applicant or license holder must have a policy that 10.7 prohibits license holders, employees, subcontractors, and 10.8 volunteers, when directly responsible for persons served by the 10.9 program, from abusing prescription medication or being in any 10.10 manner under the influence of a chemical that impairs the 10.11 individual's ability to provide services or care. The license 10.12 holder must train employees, subcontractors, and volunteers 10.13 about the program's drug and alcohol policy. 10.14 (d) An applicant and license holder must have a program 10.15 grievance procedure that permits persons served by the program 10.16 and their authorized representatives to bring a grievance to the 10.17 highest level of authority in the program. 10.18 Sec. 10. Minnesota Statutes 2002, section 245A.04, 10.19 subdivision 5, is amended to read: 10.20 Subd. 5. [COMMISSIONER'S RIGHT OF ACCESS.] When the 10.21 commissioner is exercising the powers conferred by this 10.22 chapter and section 245.69, the commissioner must be given 10.23 access to the physical plant and grounds where the program is 10.24 provided, documents, persons served by the program, and staff 10.25 whenever the program is in operation and the information is 10.26 relevant to inspections or investigations conducted by the 10.27 commissioner. The commissioner must be given access without 10.28 prior notice and as often as the commissioner considers 10.29 necessary if the commissioner is conducting an investigation of 10.30 allegations of maltreatment or other violation of applicable 10.31 laws or rules. In conducting inspections, the commissioner may 10.32 request and shall receive assistance from other state, county, 10.33 and municipal governmental agencies and departments. The 10.34 applicant or license holder shall allow the commissioner to 10.35 photocopy, photograph, and make audio and video tape recordings 10.36 during the inspection of the program at the commissioner's 11.1 expense. The commissioner shall obtain a court order or the 11.2 consent of the subject of the records or the parents or legal 11.3 guardian of the subject before photocopying hospital medical 11.4 records. 11.5 Persons served by the program have the right to refuse to 11.6 consent to be interviewed, photographed, or audio or videotaped. 11.7 Failure or refusal of an applicant or license holder to fully 11.8 comply with this subdivision is reasonable cause for the 11.9 commissioner to deny the application or immediately suspend or 11.10 revoke the license. 11.11 Sec. 11. Minnesota Statutes 2002, section 245A.04, 11.12 subdivision 6, is amended to read: 11.13 Subd. 6. [COMMISSIONER'S EVALUATION.] Before issuing, 11.14 denying, suspending, revoking, or making conditional a license, 11.15 the commissioner shall evaluate information gathered under this 11.16 section. The commissioner's evaluation shall consider facts, 11.17 conditions, or circumstances concerning the program's operation, 11.18 the well-being of persons served by the program, available 11.19 consumer evaluations of the program, and information about the 11.20 qualifications of the personnel employed by the applicant or 11.21 license holder. 11.22 The commissioner shall evaluate the results of the study 11.23 required in subdivision 3 and determine whether a risk of harm 11.24 to the persons served by the program exists. In conducting this 11.25 evaluation, the commissioner shall apply the disqualification 11.26 standards set forth inrules adopted under thischapter 245C. 11.27 Sec. 12. Minnesota Statutes 2002, section 245A.04, is 11.28 amended by adding a subdivision to read: 11.29 Subd. 6a. [INSPECTIONS BY OTHER AGENCIES; LIMIT ON TERMS 11.30 OF LICENSE.] (a) Upon receipt of an application for licensure, 11.31 or when the commissioner receives information about changes to a 11.32 facility that have been proposed or completed, receives a 11.33 request to increase the licensed capacity of a program, or has 11.34 reasonable cause to believe there may be a violation of a state 11.35 or local fire, building, or zoning code or ordinance, the 11.36 commissioner may request an inspection by a fire marshal, 12.1 building official, zoning official, or other authorized agent. 12.2 Corrections ordered by a fire marshal, building official, or 12.3 zoning authority must be made by the applicant or license holder 12.4 to obtain or maintain a license. 12.5 (b) Conditions or limits placed on the use of a facility by 12.6 a fire marshal or building official that relate to the 12.7 population served or the service provided, shall be identified 12.8 as a limit on the terms of the license issued under this chapter. 12.9 Sec. 13. Minnesota Statutes 2002, section 245A.04, 12.10 subdivision 7, is amended to read: 12.11 Subd. 7. [ISSUANCE OF A LICENSE; EXTENSION OF A LICENSE.] 12.12 (a) If the commissioner determines that the program complies 12.13 with all applicable rules and laws, the commissioner shall issue 12.14 a license. At minimum, the license shall state: 12.15 (1) the name of the license holder; 12.16 (2) the address of the program; 12.17 (3) the effective date and expiration date of the license; 12.18 (4) the type of license; 12.19 (5) the maximum number and ages of persons that may receive 12.20 services from the program; and 12.21 (6) any special conditions of licensure. 12.22 (b) The commissioner may issue an initial license for a 12.23 period not to exceed two years if: 12.24 (1) the commissioner is unable to conduct the evaluation or 12.25 observation required by subdivision 4, paragraph (a), clauses (3) 12.26 and (4), because the program is not yet operational; 12.27 (2) certain records and documents are not available because 12.28 persons are not yet receiving services from the program; and 12.29 (3) the applicant complies with applicable laws and rules 12.30 in all other respects. 12.31 (c) A decision by the commissioner to issue a license does 12.32 not guarantee that any person or persons will be placed or cared 12.33 for in the licensed program. A license shall not be 12.34 transferable to another individual, corporation, partnership, 12.35 voluntary association, other organization, or controlling or to 12.36 another location. 13.1 (d) A license holder must notify the commissioner and 13.2 obtain the commissioner's approval before making any changes 13.3 that would alter the license information listed under paragraph 13.4 (a). 13.5 (e) The commissioner shall not issue a license if the 13.6 applicant, license holder, or controlling individual has: (1) 13.7 been disqualified and the disqualification was not set aside; 13.8 (2) has been denied a license within the past two years; or (3) 13.9 had a license revoked within the past five years. 13.10 For purposes of reimbursement for meals only, under the 13.11 Child and Adult Care Food Program, Code of Federal Regulations, 13.12 title 7, subtitle B, chapter II, subchapter A, part 226, 13.13 relocation within the same county by a licensed family day care 13.14 provider, shall be considered an extension of the license for a 13.15 period of no more than 30 calendar days or until the new license 13.16 is issued, whichever occurs first, provided the county agency 13.17 has determined the family day care provider meets licensure 13.18 requirements at the new location. 13.19 Unless otherwise specified by statute, all licenses expire 13.20 at 12:01 a.m. on the day after the expiration date stated on the 13.21 license. A license holder must apply for and be granted a new 13.22 license to operate the program or the program must not be 13.23 operated after the expiration date. 13.24 Sec. 14. Minnesota Statutes 2002, section 245A.04, is 13.25 amended by adding a subdivision to read: 13.26 Subd. 13. [RESIDENTIAL PROGRAMS HANDLING RESIDENT FUNDS 13.27 AND PROPERTY; ADDITIONAL REQUIREMENTS.] (a) A license holder 13.28 must ensure that residents retain the use and availability of 13.29 personal funds or property unless restrictions are justified in 13.30 the resident's individual plan. 13.31 (b) The license holder must ensure separation of resident 13.32 funds from funds of the license holder, the residential program, 13.33 or program staff. 13.34 (c) Whenever the license holder assists a resident with the 13.35 safekeeping of funds or other property, the license holder must: 13.36 (1) immediately document receipt and disbursement of the 14.1 resident's funds or other property at the time of receipt or 14.2 disbursement, including the signature of the resident, 14.3 conservator, or payee; 14.4 (2) provide a statement, at least quarterly, itemizing 14.5 receipts and disbursements of resident funds or other property; 14.6 and 14.7 (3) return to the resident upon the resident's request, 14.8 funds and property in the license holder's possession subject to 14.9 restrictions in the resident's treatment plan, as soon as 14.10 possible, but no later than three working days after the date of 14.11 request. 14.12 (d) License holders and program staff must not: 14.13 (1) borrow money from a resident; 14.14 (2) purchase personal items from a resident; 14.15 (3) sell merchandise or personal services to a resident; 14.16 (4) require a resident to purchase items for which the 14.17 license holder is eligible for reimbursement; or 14.18 (5) use resident funds to purchase items for which the 14.19 facility is already receiving public or private payments. 14.20 Sec. 15. Minnesota Statutes 2002, section 245A.05, is 14.21 amended to read: 14.22 245A.05 [DENIAL OF APPLICATION.] 14.23 The commissioner may deny a license if an applicant fails 14.24 to comply with applicable laws or rules, or knowingly withholds 14.25 relevant information from or gives false or misleading 14.26 information to the commissioner in connection with an 14.27 application for a license or during an investigation. An 14.28 applicant whose application has been denied by the commissioner 14.29 must be given notice of the denial. Notice must be given by 14.30 certified mail or personal service. The notice must state the 14.31 reasons the application was denied and must inform the applicant 14.32 of the right to a contested case hearing under chapter 14 and 14.33 Minnesota Rules, parts1400.85101400.8505 to 1400.8612and14.34successor rules. The applicant may appeal the denial by 14.35 notifying the commissioner in writing by certified mail or 14.36 personal service within 20 calendar days after receiving notice 15.1 that the application was denied. Section 245A.08 applies to 15.2 hearings held to appeal the commissioner's denial of an 15.3 application. 15.4 Sec. 16. Minnesota Statutes 2002, section 245A.06, 15.5 subdivision 2, is amended to read: 15.6 Subd. 2. [RECONSIDERATION OF CORRECTION ORDERS.] If the 15.7 applicant or license holder believes that the contents of the 15.8 commissioner's correction order are in error, the applicant or 15.9 license holder may ask the Department of Human Services to 15.10 reconsider the parts of the correction order that are alleged to 15.11 be in error. The request for reconsideration must be made in 15.12 writing andreceived bymust be postmarked and sent to the 15.13 commissioner within 20 calendar days after receipt of the 15.14 correction order by the applicant or license holder, and: 15.15 (1) specify the parts of the correction order that are 15.16 alleged to be in error; 15.17 (2) explain why they are in error; and 15.18 (3) include documentation to support the allegation of 15.19 error. 15.20 A request for reconsideration does not stay any provisions 15.21 or requirements of the correction order. The commissioner's 15.22 disposition of a request for reconsideration is final and not 15.23 subject to appeal under chapter 14. 15.24 Sec. 17. Minnesota Statutes 2002, section 245A.06, 15.25 subdivision 4, is amended to read: 15.26 Subd. 4. [NOTICE OF CONDITIONAL LICENSE; RECONSIDERATION 15.27 OF CONDITIONAL LICENSE.] If a license is made conditional, the 15.28 license holder must be notified of the order by certified 15.29 mail or personal service. If mailed, the notice must be mailed 15.30 to the address shown on the application or the last known 15.31 address of the license holder. The notice must state the 15.32 reasons the conditional license was ordered and must inform the 15.33 license holder of the right to request reconsideration of the 15.34 conditional license by the commissioner. The license holder may 15.35 request reconsideration of the order of conditional license by 15.36 notifying the commissioner by certified mail or personal 16.1 service. The request must be made in writingand. If sent by 16.2 certified mail, the request must bereceived bypostmarked and 16.3 sent to the commissioner within ten calendar days after the 16.4 license holder received the order. If a request is made by 16.5 personal service, it must be received by the commissioner within 16.6 ten calendar days after the license holder received the order. 16.7 The license holder may submit with the request for 16.8 reconsideration written argument or evidence in support of the 16.9 request for reconsideration. A timely request for 16.10 reconsideration shall stay imposition of the terms of the 16.11 conditional license until the commissioner issues a decision on 16.12 the request for reconsideration. If the commissioner issues a 16.13 dual order of conditional license under this section and an 16.14 order to pay a fine under section 245A.07, subdivision 3, the 16.15 license holder has a right to a contested case hearing under 16.16 chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. 16.17 The scope of the contested case hearing shall include the fine 16.18 and the conditional license. In this case, a reconsideration of 16.19 the conditional license will not be conducted under this section. 16.20 The commissioner's disposition of a request for 16.21 reconsideration is final and not subject to appeal under chapter 16.22 14. 16.23 Sec. 18. Minnesota Statutes 2002, section 245A.07, 16.24 subdivision 2, is amended to read: 16.25 Subd. 2. [TEMPORARY IMMEDIATE SUSPENSION.] If the license 16.26 holder's actions or failure to comply with applicable law or 16.27 ruleposes, or the actions of other individuals or conditions in 16.28 the program pose an imminent risk of harm to the health, safety, 16.29 or rights of persons served by the program, the commissioner 16.30 shall act immediately to temporarily suspend the license. No 16.31 state funds shall be made available or be expended by any agency 16.32 or department of state, county, or municipal government for use 16.33 by a license holder regulated under this chapter while a license 16.34 is under immediate suspension. A notice stating the reasons for 16.35 the immediate suspension and informing the license holder of the 16.36 right to an expedited hearing under chapter 14 and Minnesota 17.1 Rules, parts1400.85101400.8505 to 1400.8612and successor17.2rules, must be delivered by personal service to the address 17.3 shown on the application or the last known address of the 17.4 license holder. The license holder may appeal an order 17.5 immediately suspending a license. The appeal of an order 17.6 immediately suspending a license must be made in writing by 17.7 certified mailandor personal service. If mailed, the appeal 17.8 must be postmarked and sent to the commissioner within five 17.9 calendar days after the license holder receives notice that the 17.10 license has been immediately suspended. If a request is made by 17.11 personal service, it must be received by the commissioner within 17.12 five calendar days after the license holder received the order. 17.13 A license holder and any controlling individual shall 17.14 discontinue operation of the program upon receipt of the 17.15 commissioner's order to immediately suspend the license. 17.16 Sec. 19. Minnesota Statutes 2002, section 245A.07, 17.17 subdivision 2a, is amended to read: 17.18 Subd. 2a. [IMMEDIATE SUSPENSION EXPEDITED HEARING.] (a) 17.19 Within five working days of receipt of the license holder's 17.20 timely appeal, the commissioner shall request assignment of an 17.21 administrative law judge. The request must include a proposed 17.22 date, time, and place of a hearing. A hearing must be conducted 17.23 by an administrative law judge within 30 calendar days of the 17.24 request for assignment, unless an extension is requested by 17.25 either party and granted by the administrative law judge for 17.26 good cause. The commissioner shall issue a notice of hearing by 17.27 certified mail or personal service at least ten working days 17.28 before the hearing. The scope of the hearing shall be limited 17.29 solely to the issue of whether the temporary immediate 17.30 suspension should remain in effect pending the commissioner's 17.31 final order under section 245A.08, regarding a licensing 17.32 sanction issued under subdivision 3 following the immediate 17.33 suspension. The burden of proof in expedited hearings under 17.34 this subdivision shall be limited to the commissioner's 17.35 demonstration that reasonable cause exists to believe that the 17.36 license holder's actions or failure to comply with applicable 18.1 law or rule poses an imminent risk of harm to the health, 18.2 safety, or rights of persons served by the program. 18.3 (b) The administrative law judge shall issue findings of 18.4 fact, conclusions, and a recommendation within ten working days 18.5 from the date of hearing. The parties shall have ten calendar 18.6 days to submit exceptions to the administrative law judge's 18.7 report. The record shall close at the end of the ten-day period 18.8 for submission of exceptions. The commissioner's final order 18.9 shall be issued within ten working days fromreceipt of the18.10recommendation of the administrative law judgethe close of the 18.11 record. Within 90 calendar days after a final order affirming 18.12 an immediate suspension, the commissioner shall make a 18.13 determination regarding whether a final licensing sanction shall 18.14 be issued under subdivision 3. The license holder shall 18.15 continue to be prohibited from operation of the program during 18.16 this 90-day period. 18.17 (c) When the final order under paragraph (b) affirms an 18.18 immediate suspension, and a final licensing sanction is issued 18.19 under subdivision 3 and the license holder appeals that 18.20 sanction, the license holder continues to be prohibited from 18.21 operation of the program pending a final commissioner's order 18.22 under section 245A.08, subdivision 5, regarding the final 18.23 licensing sanction. 18.24 Sec. 20. Minnesota Statutes 2002, section 245A.07, 18.25 subdivision 3, is amended to read: 18.26 Subd. 3. [LICENSE SUSPENSION, REVOCATION, OR FINE.] The 18.27 commissioner may suspend or revoke a license, or impose a fine 18.28 if a license holder fails to comply fully with applicable laws 18.29 or rules, has a disqualification which has not been set aside 18.30 under section 245C.22, or knowingly withholds relevant 18.31 information from or gives false or misleading information to the 18.32 commissioner in connection with an application for a license, in 18.33 connection with the background study status of an individual, or 18.34 during an investigation. A license holder who has had a license 18.35 suspended, revoked, or has been ordered to pay a fine must be 18.36 given notice of the action by certified mail or personal 19.1 service. If mailed, the notice must be mailed to the address 19.2 shown on the application or the last known address of the 19.3 license holder. The notice must state the reasons the license 19.4 was suspended, revoked, or a fine was ordered. 19.5 (a) If the license was suspended or revoked, the notice 19.6 must inform the license holder of the right to a contested case 19.7 hearing under chapter 14 and Minnesota Rules, parts1400.851019.8 1400.8505 to 1400.8612and successor rules. The license holder 19.9 may appeal an order suspending or revoking a license. The 19.10 appeal of an order suspending or revoking a license must be made 19.11 in writing by certified mailandor personal service. If 19.12 mailed, the appeal must be postmarked and sent to the 19.13 commissioner within ten calendar days after the license holder 19.14 receives notice that the license has been suspended or revoked. 19.15 If a request is made by personal service, it must be received by 19.16 the commissioner within ten calendar days after the license 19.17 holder received the order. Except as provided in subdivision 19.18 2a, paragraph (c), a timely appeal of an order suspending or 19.19 revoking a license shall stay the suspension or revocation until 19.20 the commissioner issues a final order. 19.21 (b)(1) If the license holder was ordered to pay a fine, the 19.22 notice must inform the license holder of the responsibility for 19.23 payment of fines and the right to a contested case hearing under 19.24 chapter 14 and Minnesota Rules, parts1400.85101400.8505 to 19.25 1400.8612and successor rules. The appeal of an order to pay a 19.26 fine must be made in writing by certified mailandor personal 19.27 service. If mailed, the appeal must be postmarked and sent to 19.28 the commissioner within ten calendar days after the license 19.29 holder receives notice that the fine has been ordered. If a 19.30 request is made by personal service, it must be received by the 19.31 commissioner within ten calendar days after the license holder 19.32 received the order. 19.33 (2) The license holder shall pay the fines assessed on or 19.34 before the payment date specified. If the license holder fails 19.35 to fully comply with the order, the commissioner may issue a 19.36 second fine or suspend the license until the license holder 20.1 complies. If the license holder receives state funds, the 20.2 state, county, or municipal agencies or departments responsible 20.3 for administering the funds shall withhold payments and recover 20.4 any payments made while the license is suspended for failure to 20.5 pay a fine. A timely appeal shall stay payment of the fine 20.6 until the commissioner issues a final order. 20.7 (3) A license holder shall promptly notify the commissioner 20.8 of human services, in writing, when a violation specified in the 20.9 order to forfeit a fine is corrected. If upon reinspection the 20.10 commissioner determines that a violation has not been corrected 20.11 as indicated by the order to forfeit a fine, the commissioner 20.12 may issue a second fine. The commissioner shall notify the 20.13 license holder by certified mail or personal service that a 20.14 second fine has been assessed. The license holder may appeal 20.15 the second fine as provided under this subdivision. 20.16 (4) Fines shall be assessed as follows: the license holder 20.17 shall forfeit $1,000 for each determination of maltreatment of a 20.18 child under section 626.556 or the maltreatment of a vulnerable 20.19 adult under section 626.557; the license holder shall forfeit 20.20 $200 for each occurrence of a violation of law or rule governing 20.21 matters of health, safety, or supervision, including but not 20.22 limited to the provision of adequate staff-to-child or adult 20.23 ratios, and failure to submit a background study; and the 20.24 license holder shall forfeit $100 for each occurrence of a 20.25 violation of law or rule other than those subject to a $1,000 or 20.26 $200 fine above. For purposes of this section, "occurrence" 20.27 means each violation identified in the commissioner's fine order. 20.28 (5) When a fine has been assessed, the license holder may 20.29 not avoid payment by closing, selling, or otherwise transferring 20.30 the licensed program to a third party. In such an event, the 20.31 license holder will be personally liable for payment. In the 20.32 case of a corporation, each controlling individual is personally 20.33 and jointly liable for payment. 20.34 Sec. 21. Minnesota Statutes 2003 Supplement, section 20.35 245A.08, subdivision 1, is amended to read: 20.36 Subdivision 1. [RECEIPT OF APPEAL; CONDUCT OF HEARING.] 21.1 Upon receiving a timely appeal or petition pursuant to section 21.2 245A.05, 245A.07, subdivision 3, or 245C.28, the commissioner 21.3 shall issue a notice of and order for hearing to the appellant 21.4 under chapter 14 and Minnesota Rules, parts1400.85101400.8505 21.5 to 1400.8612and successor rules. 21.6 Sec. 22. Minnesota Statutes 2003 Supplement, section 21.7 245A.08, subdivision 2a, is amended to read: 21.8 Subd. 2a. [CONSOLIDATED CONTESTED CASE HEARINGS FOR 21.9 SANCTIONS BASED ON MALTREATMENT DETERMINATIONS AND 21.10 DISQUALIFICATIONS.] (a) When a denial of a license under section 21.11 245A.05 or a licensing sanction under section 245A.07, 21.12 subdivision 3, is based on a disqualification for which 21.13 reconsideration was requested and which was not set asideor was21.14not rescindedundersections 245C.21 to 245C.27section 245C.22, 21.15 the scope of the contested case hearing shall include the 21.16 disqualification and the licensing sanction or denial of a 21.17 license. When the licensing sanction or denial of a license is 21.18 based on a determination of maltreatment under section 626.556 21.19 or 626.557, or a disqualification for serious or recurring 21.20 maltreatment which was not set asideor was not rescinded, the 21.21 scope of the contested case hearing shall include the 21.22 maltreatment determination, disqualification, and the licensing 21.23 sanction or denial of a license. In such cases, a fair hearing 21.24 under section 256.045 shall not be conducted as provided for in 21.25 sections 626.556, subdivision 10i, and 626.557, subdivision 9d. 21.26 (b) In consolidated contested case hearings regarding 21.27 sanctions issued in family child care, child foster care, and 21.28 adult foster care, the county attorney shall defend the 21.29 commissioner's orders in accordance with section 245A.16, 21.30 subdivision 4. 21.31 (c) The commissioner's final order under subdivision 5 is 21.32 the final agency action on the issue of maltreatment and 21.33 disqualification, including for purposes of subsequent 21.34 background studies under chapter 245C and is the only 21.35 administrative appeal of the final agency determination, 21.36 specifically, including a challenge to the accuracy and 22.1 completeness of data under section 13.04. 22.2 (d) When consolidated hearings under this subdivision 22.3 involve a licensing sanction based on a previous maltreatment 22.4 determination for which the commissioner has issued a final 22.5 order in an appeal of that determination under section 256.045, 22.6 or the individual failed to exercise the right to appeal the 22.7 previous maltreatment determination under section 626.556, 22.8 subdivision 10i, or 626.557, subdivision 9d, the commissioner's 22.9 order is conclusive on the issue of maltreatment. In such 22.10 cases, the scope of the administrative law judge's review shall 22.11 be limited to the disqualification and the licensing sanction or 22.12 denial of a license. In the case of a denial of a license or a 22.13 licensing sanction issued to a facility based on a maltreatment 22.14 determination regarding an individual who is not the license 22.15 holder or a household member, the scope of the administrative 22.16 law judge's review includes the maltreatment determination. 22.17 (e) If a maltreatment determination or disqualification, 22.18 which was not set asideor was not rescindedundersections22.19245C.21 to 245C.27section 245C.22, is the basis for a denial of 22.20 a license under section 245A.05 or a licensing sanction under 22.21 section 245A.07, and the disqualified subject is an individual 22.22 other than the license holder and upon whom a background study 22.23 must be conducted under section 245C.03, the hearings of all 22.24 parties may be consolidated into a single contested case hearing 22.25 upon consent of all parties and the administrative law judge. 22.26 Sec. 23. Minnesota Statutes 2002, section 245A.08, 22.27 subdivision 5, is amended to read: 22.28 Subd. 5. [NOTICE OF THE COMMISSIONER'S FINAL ORDER.] After 22.29 considering the findings of fact, conclusions, and 22.30 recommendations of the administrative law judge, the 22.31 commissioner shall issue a final order. The commissioner shall 22.32 consider, but shall not be bound by, the recommendations of the 22.33 administrative law judge. The appellant must be notified of the 22.34 commissioner's final order as required by chapter 14 and 22.35 Minnesota Rules, parts1400.85101400.8505 to 1400.8612and22.36successor rules. The notice must also contain information about 23.1 the appellant's rights under chapter 14 and Minnesota Rules, 23.2 parts1400.85101400.8505 to 1400.8612and successor rules. The 23.3 institution of proceedings for judicial review of the 23.4 commissioner's final order shall not stay the enforcement of the 23.5 final order except as provided in section 14.65. A license 23.6 holder and each controlling individual of a license holder whose 23.7 license has been revoked because of noncompliance with 23.8 applicable law or rule must not be granted a license for five 23.9 years following the revocation. An applicant whose application 23.10 was denied must not be granted a license for two years following 23.11 a denial, unless the applicant's subsequent application contains 23.12 new information which constitutes a substantial change in the 23.13 conditions that caused the previous denial. 23.14 Sec. 24. [245A.143] [FAMILY ADULT DAY SERVICES.] 23.15 Subdivision 1. [SCOPE.] (a) The licensing standards in 23.16 this section must be met to obtain and maintain a license to 23.17 provide family adult day services. For the purposes of this 23.18 section, family adult day services means a program operating 23.19 fewer than 24 hours per day that provides functionally impaired 23.20 adults, none of which are under age 55, have serious or 23.21 persistent mental illness, or have mental retardation or a 23.22 related condition, with an individualized and coordinated set of 23.23 services including health services, social services, and 23.24 nutritional services that are directed at maintaining or 23.25 improving the participants' capabilities for self-care. 23.26 (b) A family adult day services license shall only be 23.27 issued when the services are provided in the license holder's 23.28 primary residence, and the license holder is the primary 23.29 provider of care. The license holder may not serve more than 23.30 eight adults at one time, including residents, if any, served 23.31 under a license issued under Minnesota Rules, parts 9555.5105 to 23.32 9555.6265. 23.33 Subd. 2. [DEFINITIONS.] (a) For the purposes of this 23.34 section, the terms defined in this subdivision have the 23.35 following meanings unless otherwise provided for by text. 23.36 (b) [CAPABLE OF TAKING APPROPRIATE ACTION FOR 24.1 SELF-PRESERVATION UNDER EMERGENCY CONDITIONS.] "Capable of 24.2 taking appropriate action for self-preservation under emergency 24.3 conditions" means the participant is ambulatory or mobile and 24.4 has the combined physical and mental capability to: (1) 24.5 recognize a danger, signal, or alarm requiring evacuation from 24.6 the home; (2) initiate and complete the evacuation without 24.7 requiring more than sporadic assistance from another person, 24.8 such as help in opening a door or getting into a wheelchair; (3) 24.9 select an alternative means of escape or take other appropriate 24.10 action if the primary escape route is blocked; and (4) remain at 24.11 a designated location outside the home until further instruction 24.12 is given. 24.13 (c) [CAREGIVER.] "Caregiver" means a spouse, adult child, 24.14 parent, relative, friend, or others who normally provide unpaid 24.15 support or care to the individual needing assistance. For the 24.16 purpose of this section, the caregiver may or may not have legal 24.17 or financial responsibility for the participant. 24.18 (d) [LICENSED PRACTITIONER.] "Licensed practitioner" means 24.19 a licensed doctor of medicine; licensed doctor of osteopathy 24.20 duly licensed to practice medicine; licensed doctor of 24.21 dentistry; licensed doctor of optometry; licensed podiatrist; a 24.22 physician assistant authorized to prescribe, dispense, and 24.23 administer medications according to chapter 147A; or an advanced 24.24 practice nurse authorized to prescribe, dispense, and administer 24.25 medications under section 148.235. 24.26 (e) [PARTICIPANT.] "Participant" means a functionally 24.27 impaired adult receiving family adult day services. 24.28 (f) [CONSULTATION BY A HEALTH CARE 24.29 PROFESSIONAL.] "Consultation by a health care professional" 24.30 means the review and oversight of the participant's 24.31 health-related services by a registered nurse, physician, or 24.32 mental health professional. 24.33 Subd. 3. [POLICY AND PROGRAM INFORMATION 24.34 REQUIREMENTS.] (a) The license holder shall have available for 24.35 review, and shall distribute to participants and their 24.36 caregivers upon admission, written information about: 25.1 (1) the scope of the programs, services, and care offered 25.2 by the license holder; 25.3 (2) a description of the population to be served by the 25.4 license holder; 25.5 (3) a description of individual conditions which the 25.6 license holder is not prepared to accept, such as a communicable 25.7 disease requiring isolation, a history of violence to self or 25.8 others, unmanageable incontinence, or uncontrollable wandering; 25.9 (4) the participants' rights and procedure for presenting 25.10 grievances, including the name, address, and telephone number of 25.11 the Office of Ombudsman for Older Minnesotans and the county 25.12 licensing department, to which a participant or participant's 25.13 caregiver may submit an oral or written complaint; 25.14 (5) the license holder's policy on and arrangements for 25.15 providing transportation; 25.16 (6) the license holder's policy on providing meals and 25.17 snacks; 25.18 (7) the license holder's fees, billing arrangements, and 25.19 plans for payment; 25.20 (8) the license holder's policy governing the presence of 25.21 pets in the home; 25.22 (9) the license holder's policy on smoking in the home; 25.23 (10) types of insurance coverage carried by the license 25.24 holder; 25.25 (11) information on orientation requirements under section 25.26 245A.65, subdivisions 1, paragraph (c), and 2, paragraph (a), 25.27 clause (4); 25.28 (12) the terms and conditions of the license holder's 25.29 license issued by the department; 25.30 (13) the license holder's plan for emergency evacuation of 25.31 participants involving fire, weather, and other disasters. The 25.32 plan must include instructions for evacuation or rescue of 25.33 participants, identification of an emergency shelter area 25.34 quarterly fire drill schedule, and staff responsibilities; and 25.35 (14) the license holder's policy for handling harmful 25.36 objects, materials, or equipment including the storage of 26.1 poisonous chemicals, use of appliances, sharp instruments, 26.2 matches, or any other potentially harmful materials. 26.3 (b) The information in paragraph (a) must be provided in 26.4 writing to the commissioner's representative upon request and 26.5 must be available for inspection by the commissioner's 26.6 representative at the home. 26.7 Subd. 4. [ADMISSION SCREENING AND EVALUATION.] (a) Before 26.8 admitting an individual into the family adult day services 26.9 program, the license holder shall screen the individual to 26.10 determine how or whether the license holder can serve the 26.11 individual, based on the license holder's policies, services, 26.12 expertise, and the individual's needs and condition. If 26.13 possible, the screening shall include an interview with the 26.14 individual and with the individual's caregiver. 26.15 (b) The screening required under paragraph (a) shall 26.16 include an evaluation of the health, nutritional, and social 26.17 services needs of the individual. 26.18 Subd. 5. [SERVICE AGREEMENT.] Before providing family 26.19 adult day services, an individual, the individual's caregiver, 26.20 the legal representative if there is one, and the license holder 26.21 shall enter into a signed service agreement. At a minimum, the 26.22 service agreement shall include: 26.23 (1) a description of the health services, nutritional 26.24 services, and social services to be arranged or provided by the 26.25 license holder and the frequency of those services; 26.26 (2) scheduled days and hours of participant's attendance at 26.27 the license holder's home; 26.28 (3) transportation arrangements for getting the participant 26.29 to and from the license holder's home; 26.30 (4) contingency plans if scheduled services cannot be 26.31 provided by the license holder; 26.32 (5) identification of responsibilities of the participant 26.33 and the license holder with respect to payment for the services; 26.34 (6) circumstances when emergency services will be called; 26.35 and 26.36 (7) identification of the license holder's discharge policy 27.1 when services are no longer needed or when the participant's 27.2 needs can no longer be met by the license holder. 27.3 Subd. 6. [INDIVIDUAL SERVICE PLAN.] (a) After a service 27.4 agreement is entered into, the license holder shall develop a 27.5 service plan for the participant based on the participant's 27.6 personal goals and the areas specified in the service 27.7 agreement. The service plan must be completed within seven 27.8 service days and placed in the participant's record. The 27.9 license holder shall evaluate the participant's needs for 27.10 services based on observation of the participant and information 27.11 obtained from other sources, including but not limited to 27.12 screenings, family interviews, health care directives, services 27.13 providers, and medical and social service reports. 27.14 (b) The service plan must be coordinated with other plans 27.15 of services for the participant, as appropriate. 27.16 (c) The service plan must be dated and revised when there 27.17 is a change in the needs of the participant or annually, 27.18 whichever occurs sooner. 27.19 Subd. 7. [HEALTH SERVICES.] (a) The license holder shall 27.20 provide health services as specified in the individual service 27.21 plan under the direction of the designated family caregiver 27.22 along with consultation from the physician, mental health 27.23 professional, or registered nurse. Consultation from a health 27.24 care professional must be obtained by the license holder upon 27.25 admission and when there is a change in condition that causes a 27.26 need for additional or different health services. Health 27.27 services must include: 27.28 (1) monitoring the participant's level of function and 27.29 health while participating; taking appropriate action for a 27.30 change in condition including immediately reporting changes to 27.31 the participant's family caregiver, physician, mental health 27.32 professional, or registered nurse; and seeking consultation; 27.33 (2) offering information to participants and family 27.34 caregivers on good health and safety practices; and 27.35 (3) maintaining a listing of health resources available for 27.36 referrals as needed by participants and family caregivers. 28.1 (b) Unless the person is a licensed health care 28.2 practitioner qualified to administer medications, the person 28.3 responsible for medication administration or assistance shall 28.4 provide a certificate verifying successful completion of a 28.5 trained medication aid program for unlicensed personnel approved 28.6 by the Minnesota Department of Health or comparable program, or 28.7 biennially provide evidence of competency as demonstrated to a 28.8 registered nurse. 28.9 (c) The license holder must have secure storage and 28.10 safeguarding of all medications with storage of medications in 28.11 their original container, know what information regarding 28.12 medication administration must be reported to a health care 28.13 professional, and must maintain a record of all medications 28.14 administered. 28.15 (d) The license holder must establish medication 28.16 administration practices based upon professional licensure 28.17 standards or medication aid certification program guidelines. 28.18 Subd. 8. [NUTRITIONAL SERVICES.] (a) The license holder 28.19 shall ensure that food served is nutritious and meets any 28.20 special dietary needs of the participants as prescribed by the 28.21 participant's physician or dietitian. Nutritious snacks and 28.22 beverages must be available between meals. 28.23 (b) Food and beverages must be obtained, handled, and 28.24 properly stored to prevent contamination, spoilage, or a threat 28.25 to the health of a resident. 28.26 Subd. 9. [SOCIAL SERVICES.] The license holder shall 28.27 actively assist the participant in identifying and achieving 28.28 personal goals, support the participant in maintaining personal 28.29 support networks and socially valued roles, provide assistance 28.30 to the participant to enable community participation, and refer 28.31 participants to the Office of Ombudsman for Older Minnesotans 28.32 and other advocacy organizations for assistance when there is a 28.33 potential conflict of interest between the license holder and 28.34 the participant. 28.35 Subd. 10. [PARTICIPANT RIGHTS.] (a) The license holder 28.36 shall adopt and comply with a participant bill of rights. The 29.1 rights shall include the participants' right to: 29.2 (1) participate in the development of the service plan; 29.3 (2) refuse services or participation; 29.4 (3) privacy; 29.5 (4) confidentiality of participant information; and 29.6 (5) present grievances regarding treatment or services to 29.7 the Office of Ombudsman for Older Minnesotans or the county 29.8 licensing department. The license holder's policies shall 29.9 include a procedure for addressing participant grievances, 29.10 including the name, address, and telephone number of the county 29.11 licensing department, to which a participant or participant 29.12 caregiver may submit an oral or written complaint. 29.13 (b) The license holder shall post the participant rights in 29.14 the home and shall provide a copy to the participant and the 29.15 participant's primary caregiver and legal representative if the 29.16 participant has one. 29.17 Subd. 11. [STAFFING.] Whenever participants are in the 29.18 home, there must be present at least one individual who is 29.19 trained in basic first aid and certified in cardiopulmonary 29.20 resuscitation and the treatment of obstructed airways. Whenever 29.21 there are six, seven, or eight participants present, there must 29.22 be a second staff person present. 29.23 Subd. 12. [TRAINING.] The license holder and license 29.24 holder's staff must annually complete 12 hours of training 29.25 related to the health, nutritional, and social needs of the 29.26 license holder's target population. The annual training must 29.27 include training on the reporting of maltreatment of vulnerable 29.28 adults under sections 626.557 and 626.5572; license holder 29.29 requirements governing maltreatment of vulnerable adults under 29.30 section 245A.65; and, when a license holder serves participants 29.31 who rely on medical monitoring equipment to sustain life or 29.32 monitor a medical condition, training on medical equipment as 29.33 required under section 245A.155 for foster care providers. A 29.34 record of all training must be maintained in the home. 29.35 Subd. 13. [RESIDENTIAL REQUIREMENTS.] (a) Prior to 29.36 licensure, and when changes to the home or increases in the 30.1 licensed capacity are sought, the home must comply with the 30.2 applicable state fire code, as determined by a state or local 30.3 fire marshal, and with the applicable state or local building 30.4 code as determined by a state or local building code inspector. 30.5 (b) The licensed capacity of the home shall be limited by 30.6 the amount of indoor space available for use by participants. 30.7 The total indoor space available for use by participants must 30.8 equal at least 35 square feet for each participant, the license 30.9 holder, and each staff member present in the home. In 30.10 determining the square footage of usable indoor space available, 30.11 the following must not be counted: hallways, stairways, 30.12 closets, offices, restrooms, and utility and storage areas. The 30.13 usable indoor space available must include a room or an area 30.14 that can be used as private space for providing personal hygiene 30.15 services or social services to participants. 30.16 (c) The residence must comply with all applicable local 30.17 ordinances. 30.18 Subd. 14. [VARIANCES.] The commissioner may grant a 30.19 variance to any of the requirements in this section if the 30.20 conditions in section 245A.04, subdivision 9, are met. 30.21 Sec. 25. Minnesota Statutes 2003 Supplement, section 30.22 245A.16, subdivision 1, is amended to read: 30.23 Subdivision 1. [DELEGATION OF AUTHORITY TO AGENCIES.] (a) 30.24 County agencies and private agencies that have been designated 30.25 or licensed by the commissioner to perform licensing functions 30.26 and activities under section 245A.04 and chapter 245C, to 30.27 recommend denial of applicants under section 245A.05, to issue 30.28 correction orders, to issue variances, and recommend a 30.29 conditional license under section 245A.06, or to recommend 30.30 suspending or revoking a license or issuing a fine under section 30.31 245A.07, shall comply with rules and directives of the 30.32 commissioner governing those functions and with this section. 30.33 The following variances are excluded from the delegation of 30.34 variance authority and may be issued only by the commissioner: 30.35 (1) dual licensure of family child care and child foster 30.36 care, dual licensure of child and adult foster care, and adult 31.1 foster care and family child care; 31.2 (2) adult foster care maximum capacity; 31.3 (3) adult foster care minimum age requirement; 31.4 (4) child foster care maximum age requirement; 31.5 (5) variances regarding disqualified individuals except 31.6 that county agencies may issue variances under section 245C.30 31.7 regarding disqualified individuals when the county is 31.8 responsible for conducting a consolidated reconsideration 31.9 according to sections 245C.25 and 245C.27, subdivision 2, 31.10 clauses (a) and (b), of a county maltreatment determination and 31.11 a disqualification based on serious or recurring maltreatment; 31.12 and 31.13 (6) the required presence of a caregiver in the adult 31.14 foster care residence during normal sleeping hours. 31.15 (b) County agencies must report information about 31.16 disqualification reconsiderations under sections 245C.25 and 31.17 245C.27, subdivision 2, clauses (a) and (b), and variances 31.18 granted under paragraph (a), clause (5), to the commissioner at 31.19 least monthly in a format prescribed by the commissioner. 31.20 (c) For family day care programs, the commissioner may 31.21 authorize licensing reviews every two years after a licensee has 31.22 had at least one annual review. 31.23 (d) For family adult day services programs, the 31.24 commissioner may authorize licensing reviews every two years 31.25 after a licensee has had at least one annual review. 31.26 Sec. 26. Minnesota Statutes 2002, section 245A.16, 31.27 subdivision 4, is amended to read: 31.28 Subd. 4. [ENFORCEMENT OF THE COMMISSIONER'S ORDERS.] The 31.29 county or private agency shall enforce the commissioner's orders 31.30 under sections 245A.07and, 245A.08, subdivision 5, and chapter 31.31 245C, according to the instructions of the commissioner. The 31.32 county attorney shall assist the county agency in the 31.33 enforcement and defense of the commissioner's orders under 31.34 sections 245A.07and, 245A.08, and chapter 245C, according to 31.35 the instructions of the commissioner, unless a conflict of 31.36 interest exists between the county attorney and the commissioner. 32.1 Sec. 27. Minnesota Statutes 2002, section 245A.22, 32.2 subdivision 2, is amended to read: 32.3 Subd. 2. [ADMISSION.] (a) The license holder shall accept 32.4 as clients in the independent living assistance program only 32.5individuals specified under section 256E.115youth ages 16 to 21 32.6 who are in out-of-home placement, leaving out-of-home placement, 32.7 at risk of becoming homeless, or homeless. 32.8 (b)(1) Youth who have current drug or alcohol problems, a 32.9 recent history of violent behaviors, or a mental health disorder 32.10 or issue that is not being resolved through counseling or 32.11 treatment are not eligible to receive the services described in 32.12 subdivision 1. 32.13 (2) Youth who are not employed, participating in employment 32.14 training, or enrolled in an academic program are not eligible to 32.15 receive transitional housing or independent living assistance. 32.16 Sec. 28. Minnesota Statutes 2003 Supplement, section 32.17 245A.22, subdivision 3, is amended to read: 32.18 Subd. 3. [INDEPENDENT LIVING PLAN.] Unless an independent 32.19 living plan has been developed by the local agency, the license 32.20 holder shall develop a plan based on the client's individual 32.21 needs that specifies objectives for the client. The services 32.22 provided shall include those specified in this section. The plan 32.23 shall identify the persons responsible for implementation of 32.24 each part of the plan. The plan shall be reviewed as necessary, 32.25 but at least annually. 32.26 The following services, or adequate access to referrals for 32.27 the following services, must be made available to the targeted 32.28 youth participating in the programs described in subdivision 1: 32.29 (1) counseling services for the youth, and their families, 32.30 if appropriate, on site, to help with problems that contributed 32.31 to the homelessness or could impede making the transition to 32.32 independent living; 32.33 (2) educational, vocational, or employment services; 32.34 (3) health care; 32.35 (4) transportation services including, where appropriate, 32.36 assisting the child in obtaining a driver's license; 33.1 (5) money management skills training; 33.2 (6) planning for ongoing housing; 33.3 (7) social and recreational skills training; and 33.4 (8) assistance establishing and maintaining connections 33.5 with the child's family and community. 33.6 Sec. 29. Minnesota Statutes 2003 Supplement, section 33.7 245C.02, subdivision 18, is amended to read: 33.8 Subd. 18. [SERIOUS MALTREATMENT.] (a) "Serious 33.9 maltreatment" means sexual abuse, maltreatment resulting in 33.10 death, maltreatment resulting in serious injury which reasonably 33.11 requires the care of a physician whether or not the care of a 33.12 physician was sought, or abuse resulting in serious injury. 33.13 (b) For purposes of this definition, "care of a physician" 33.14 is treatment received or ordered by a physician but does not 33.15 include diagnostic testing, assessment, or observation. 33.16 (c) For purposes of this definition, "abuse resulting in 33.17 serious injury" means: bruises, bites, skin laceration, or 33.18 tissue damage; fractures; dislocations; evidence of internal 33.19 injuries; head injuries with loss of consciousness; extensive 33.20 second-degree or third-degree burns and other burns for which 33.21 complications are present; extensive second-degree or 33.22 third-degree frostbite and other frostbite for which 33.23 complications are present; irreversible mobility or avulsion of 33.24 teeth; injuries to the eyes; ingestion of foreign substances and 33.25 objects that are harmful; near drowning; and heat exhaustion or 33.26 sunstroke. 33.27 (d) Serious maltreatment includes neglect when it results 33.28 in criminal sexual conduct against a child or vulnerable adult. 33.29 Sec. 30. Minnesota Statutes 2003 Supplement, section 33.30 245C.03, subdivision 1, is amended to read: 33.31 Subdivision 1. [LICENSED PROGRAMS.] (a) The commissioner 33.32 shall conduct a background study on: 33.33 (1) theapplicantperson or persons applying for a license; 33.34 (2) an individual age 13 and over living in the household 33.35 where the licensed program will be provided; 33.36 (3) current employees or contractors of the applicant who 34.1 will have direct contact with persons served by the facility, 34.2 agency, or program, and all managerial officials as defined 34.3 under section 245A.02, subdivision 5a; 34.4 (4) volunteers or student volunteers who will have direct 34.5 contact with persons served by the program to provide program 34.6 services if the contact is not under the continuous, direct 34.7 supervision by an individual listed in clause (1) or (3); 34.8 (5) an individual age ten to 12 living in the household 34.9 where the licensed services will be provided when the 34.10 commissioner has reasonable cause; and 34.11 (6) an individual who, without providing direct contact 34.12 services at a licensed program, may have unsupervised access to 34.13 children or vulnerable adults receiving services from a program 34.14 licensed to provide: 34.15 (i) family child care for children; 34.16 (ii) foster care for children in the provider's own home; 34.17 or 34.18 (iii) foster care or day care services for adults in the 34.19 provider's own home. 34.20 The commissioner must have reasonable cause to study an 34.21 individual under thisclausesubdivision. 34.22 (b) For family child foster care settings, a short-term 34.23 substitute caregiver providing direct contact services for less 34.24 than 72 hours of continuous care for a child is not required to 34.25 receive a background study under this chapter. 34.26 Sec. 31. Minnesota Statutes 2003 Supplement, section 34.27 245C.03, is amended by adding a subdivision to read: 34.28 Subd. 5. [OTHER STATE AGENCIES.] The commissioner shall 34.29 conduct background studies on applicants and license holders 34.30 under the jurisdiction of other state agencies who are required 34.31 in other statutory sections to initiate background studies under 34.32 this chapter, including the applicant's or license holder's 34.33 employees, contractors, and volunteers when required under other 34.34 statutory sections. 34.35 Sec. 32. Minnesota Statutes 2003 Supplement, section 34.36 245C.05, subdivision 1, is amended to read: 35.1 Subdivision 1. [INDIVIDUAL STUDIED.] (a) The individual 35.2 who is the subject of the background study must provide the 35.3 applicant, license holder, or other entity under section 245C.04 35.4 with sufficient information to ensure an accurate study, 35.5 including: 35.6 (1) the individual's first, middle, and last name and all 35.7 other names by which the individual has been known; 35.8 (2) home address, city,county,and state of residencefor35.9the past five years; 35.10 (3) zip code; 35.11 (4) sex; 35.12 (5) date of birth; and 35.13 (6) Minnesota driver's license number or state 35.14 identification number. 35.15 (b) Every subject of a background study conducted by 35.16 counties or private agencies under this chapter must also 35.17 provide the home address, city, county, and state of residence 35.18 for the past five years. 35.19 Sec. 33. Minnesota Statutes 2003 Supplement, section 35.20 245C.05, subdivision 2, is amended to read: 35.21 Subd. 2. [APPLICANT, LICENSE HOLDER, OR OTHER ENTITY.] The 35.22 applicant, license holder, or otherentity under section 245C.0435.23 entities as provided in this chapter shall provide the 35.24 information collected under subdivision 1 about an individual 35.25 who is the subject of the background study on forms or in a 35.26 format prescribed by the commissioner. 35.27 Sec. 34. Minnesota Statutes 2003 Supplement, section 35.28 245C.05, subdivision 5, is amended to read: 35.29 Subd. 5. [FINGERPRINTS.] (a) For any background study 35.30 completed under thissectionchapter, when the commissioner has 35.31 reasonable cause to believe that further pertinent information 35.32 may exist on the subject of the background study, the subject 35.33 shall provide the commissioner with a set of classifiable 35.34 fingerprints obtained from an authorized law enforcement agency. 35.35 (b) For purposes of requiring fingerprints, the 35.36 commissioner has reasonable cause when, but not limited to, the: 36.1 (1) information from the Bureau of Criminal Apprehension 36.2 indicates that the subject is a multistate offender; 36.3 (2) information from the Bureau of Criminal Apprehension 36.4 indicates that multistate offender status is undetermined; or 36.5 (3) commissioner has received a report from the subject or 36.6 a third party indicating that the subject has a criminal history 36.7 in a jurisdiction other than Minnesota. 36.8 Sec. 35. Minnesota Statutes 2003 Supplement, section 36.9 245C.05, subdivision 6, is amended to read: 36.10 Subd. 6. [APPLICANT, LICENSE HOLDER,REGISTRANTOTHER 36.11 ENTITIES, AND AGENCIES.] (a) The applicant, license 36.12 holder,registrantother entities as provided in this chapter, 36.13 Bureau of Criminal Apprehension, commissioner of health, and 36.14 county agencies shall help with the study by giving the 36.15 commissioner criminal conviction data and reports about the 36.16 maltreatment of adults substantiated under section 626.557 and 36.17 the maltreatment of minorsin licensed programssubstantiated 36.18 under section 626.556. 36.19 (b) If a background study is initiated by an applicantor, 36.20 license holder, or other entities as provided in this chapter, 36.21 and the applicantor, license holder, or other entity receives 36.22 information about the possible criminal or maltreatment history 36.23 of an individual who is the subject of the background study, the 36.24 applicantor, license holder, or other entity must immediately 36.25 provide the information to the commissioner. 36.26 (c) The program or county or other agency must provide 36.27 written notice to the individual who is the subject of the 36.28 background study of the requirements under this subdivision. 36.29 Sec. 36. Minnesota Statutes 2003 Supplement, section 36.30 245C.08, subdivision 2, is amended to read: 36.31 Subd. 2. [BACKGROUND STUDIES CONDUCTED BY A COUNTY OR 36.32 PRIVATE AGENCY; FOSTER CARE AND FAMILY CHILD CARE.] (a) For a 36.33 background study conducted by a county or private agency for 36.34 child foster care, adult foster care, and family child care 36.35 homes, the commissioner shall review: 36.36 (1) information from the county agency's record of 37.1 substantiated maltreatment of adults and the maltreatment of 37.2 minors; 37.3 (2) information from juvenile courts as required in 37.4 subdivision 4 for individuals listed in section 245C.03, 37.5 subdivision 1, clauses (2), (5), and (6);and37.6 (3) information from the Bureau of Criminal Apprehension; 37.7 and 37.8 (4) arrest and investigative records maintained by the 37.9 Bureau of Criminal Apprehension, county attorneys, county 37.10 sheriffs, courts, county agencies, local police, the National 37.11 Criminal Records Repository, and criminal records from other 37.12 states. 37.13 (b) If the individual has resided in the county for less 37.14 than five years, the study shall include the records specified 37.15 under paragraph (a) for the previous county or counties of 37.16 residence for the past five years. 37.17 Sec. 37. Minnesota Statutes 2003 Supplement, section 37.18 245C.08, subdivision 3, is amended to read: 37.19 Subd. 3. [ARREST AND INVESTIGATIVE INFORMATION.] (a) For 37.20 any background study completed under this section, if the 37.21 commissioner has reasonable cause to believe the information is 37.22 pertinent to the disqualification of an individuallisted in37.23section 245C.03, subdivisions 1 and 2, the commissioner also may 37.24 review arrest and investigative information from: 37.25 (1) the Bureau of Criminal Apprehension; 37.26 (2) the commissioner of health; 37.27 (3) a county attorney; 37.28 (4) a county sheriff; 37.29 (5) a county agency; 37.30 (6) a local chief of police; 37.31 (7) other states; 37.32 (8) the courts; or 37.33 (9) the Federal Bureau of Investigation. 37.34 (b) The commissioner is not required to conduct more than 37.35 one review of a subject's records from the Federal Bureau of 37.36 Investigation if a review of the subject's criminal history with 38.1 the Federal Bureau of Investigation has already been completed 38.2 by the commissioner and there has been no break in the subject's 38.3 affiliation with the license holder who initiated the background 38.4 study. 38.5 Sec. 38. Minnesota Statutes 2003 Supplement, section 38.6 245C.08, subdivision 4, is amended to read: 38.7 Subd. 4. [JUVENILE COURT RECORDS.] (a) The commissioner 38.8 shall review records from the juvenile courts for an individual 38.9 studied under section 245C.03, subdivision 1, clauses (2) and 38.10 (5). 38.11 (b) For individuals studied under section 245C.03, 38.12 subdivision 1, clauses (1), (3), (4), and (6), and subdivision 38.13 2, who are ages 13 to 17, the commissioner shall review records 38.14 from the juvenile courts when the commissioner has reasonable 38.15 cause. 38.16 (c) The juvenile courts shall help with the study by giving 38.17 the commissioner existing juvenile court records on individuals 38.18 described in section 245C.03, subdivision 1, clauses (2), (5), 38.19 and (6), relating to delinquency proceedings held within either 38.20 the five years immediately preceding the background study or the 38.21 five years immediately preceding the individual's 18th birthday, 38.22 whichever time period is longer. 38.23 (d) For purposes of this chapter, a finding that a 38.24 delinquency petition is proven in juvenile court shall be 38.25 considered a conviction in state district court. 38.26 (e) The commissioner shall destroy juvenile court records 38.27 obtained under this subdivision when the subject of the records 38.28 reaches age 23. 38.29 Sec. 39. Minnesota Statutes 2003 Supplement, section 38.30 245C.09, subdivision 1, is amended to read: 38.31 Subdivision 1. [DISQUALIFICATION; LICENSING ACTION.] An 38.32 applicant's, license holder's, orregistrant'sother entity's 38.33 failure or refusal to cooperate with the commissioner is 38.34 reasonable cause to disqualify a subject, deny a license 38.35 application, or immediately suspend or revoke a license or 38.36 registration. 39.1 Sec. 40. Minnesota Statutes 2003 Supplement, section 39.2 245C.13, subdivision 1, is amended to read: 39.3 Subdivision 1. [TIMING.] Upon receipt of the background 39.4 study forms from an applicant, license holder,registrant,39.5agency, organization, program,or other entity as provided in 39.6 this chapter required to initiate a background study under 39.7 section 245C.04, the commissioner shall complete the background 39.8 study and provide the notice required under section 245C.17, 39.9 subdivision 1, within 15 working days. 39.10 Sec. 41. Minnesota Statutes 2003 Supplement, section 39.11 245C.14, subdivision 1, is amended to read: 39.12 Subdivision 1. [DISQUALIFICATION FROM DIRECT CONTACT.] (a) 39.13 The commissioner shall disqualify an individual who is the 39.14 subject of a background study from any position allowing direct 39.15 contact with persons receiving services from the license holder 39.16 or entity identified in section 245C.03, upon receipt of 39.17 information showing, or when a background study completed under 39.18 this chapter shows any of the following: 39.19 (1) a conviction of or admission to one or more crimes 39.20 listed in section 245C.15, regardless of whether the conviction 39.21 or admission is a felony, gross misdemeanor, or misdemeanor 39.22 level crime; 39.23 (2) a preponderance of the evidence indicates the 39.24 individual has committed an act or acts that meet the definition 39.25 of any of the crimes listed in section 245C.15, regardless of 39.26 whether the preponderance of the evidence is for a felony, gross 39.27 misdemeanor, or misdemeanor level crime; or 39.28 (3) an investigation results in an administrative 39.29 determination listed under section 245C.15, subdivision 4, 39.30 paragraph (b). 39.31 (b) No individual who is disqualified following a 39.32 background study under section 245C.03, subdivisions 1 and 2, 39.33 may be retained in a position involving direct contact with 39.34 persons served by a program or entity identified in section 39.35 245C.03, unless the commissioner has provided written notice 39.36 under section 245C.17 stating that: 40.1 (1) the individual may remain in direct contact during the 40.2 period in which the individual may request reconsideration as 40.3 provided in section 245C.21, subdivision 2; 40.4 (2) the commissioner has set aside the individual's 40.5 disqualification for that program or entity identified in 40.6 section 245C.03, as provided in section 245C.22, subdivision 4; 40.7 or 40.8 (3) the license holder has been granted a variance for the 40.9 disqualified individual under section 245C.30. 40.10 Sec. 42. Minnesota Statutes 2003 Supplement, section 40.11 245C.15, subdivision 2, is amended to read: 40.12 Subd. 2. [15-YEAR DISQUALIFICATION.] (a) An individual is 40.13 disqualified under section 245C.14 if: (1) less than 15 years 40.14 have passed since the discharge of the sentence imposed for the 40.15 offense; and (2) the individual has received a felony conviction 40.16 for a violation of any of the following offenses: sections 40.17 260C.301 (grounds for termination of parental rights); 609.165 40.18 (felon ineligible to possess firearm); 609.21 (criminal 40.19 vehicular homicide and injury); 609.215 (suicide); 609.223 or 40.20 609.2231 (assault in the third or fourth degree); repeat 40.21 offenses under 609.224 (assault in the fifth degree); 609.2325 40.22 (criminal abuse of a vulnerable adult); 609.2335 (financial 40.23 exploitation of a vulnerable adult); 609.235 (use of drugs to 40.24 injure or facilitate crime); 609.24 (simple robbery); 609.255 40.25 (false imprisonment); 609.2664 (manslaughter of an unborn child 40.26 in the first degree); 609.2665 (manslaughter of an unborn child 40.27 in the second degree); 609.267 (assault of an unborn child in 40.28 the first degree); 609.2671 (assault of an unborn child in the 40.29 second degree); 609.268 (injury or death of an unborn child in 40.30 the commission of a crime); 609.27 (coercion); 609.275 (attempt 40.31 to coerce); repeat offenses under 609.3451 (criminal sexual 40.32 conduct in the fifth degree); 609.498, subdivision 1 or 1b 40.33 (aggravated first degree or first degree tampering with a 40.34 witness); 609.52 (theft); 609.521 (possession of shoplifting 40.35 gear); 609.562 (arson in the second degree); 609.563 (arson in 40.36 the third degree); 609.582 (burglary); 609.625 (aggravated 41.1 forgery); 609.63 (forgery); 609.631 (check forgery; offering a 41.2 forged check); 609.635 (obtaining signature by false pretense); 41.3 609.66 (dangerous weapons); 609.67 (machine guns and 41.4 short-barreled shotguns); 609.687 (adulteration); 609.71 (riot); 41.5 609.713 (terroristic threats); repeat offenses under 617.23 41.6 (indecent exposure; penalties); repeat offenses under 617.241 41.7 (obscene materials and performances; distribution and exhibition 41.8 prohibited; penalty); chapter 152 (drugs; controlled substance); 41.9 or a felony level conviction involving alcohol or drug use. 41.10 (b) An individual is disqualified under section 245C.14 if 41.11 less than 15 years has passed since the individual's attempt or 41.12 conspiracy to commit any of the offenses listed in paragraph 41.13 (a), as each of these offenses is defined in Minnesota Statutes. 41.14 (c) An individual is disqualified under section 245C.14 if 41.15 less than 15 years has passed since the discharge of the 41.16 sentence imposed for an offense in any other state or country, 41.17 the elements of which are substantially similar to the elements 41.18 of the offenses listed in paragraph (a). 41.19 (d) If the individual studied is convicted of one of the 41.20 felonies listed in paragraph (a), but the sentence is a gross 41.21 misdemeanor or misdemeanor disposition, the individual is 41.22 disqualified but the disqualification lookback period for the 41.23 conviction is the period applicable to the gross misdemeanor or 41.24 misdemeanor disposition. 41.25 Sec. 43. Minnesota Statutes 2003 Supplement, section 41.26 245C.15, subdivision 3, is amended to read: 41.27 Subd. 3. [TEN-YEAR DISQUALIFICATION.] (a) An individual is 41.28 disqualified under section 245C.14 if: (1) less than ten years 41.29 have passed since the discharge of the sentence imposed for the 41.30 offense; and (2) the individual has received a gross misdemeanor 41.31 conviction for a violation of any of the following offenses: 41.32 sections 609.224 (assault in the fifth degree); 609.224, 41.33 subdivision 2, paragraph (c) (assault in the fifth degree by a 41.34 caregiver against a vulnerable adult); 609.2242 and 609.2243 41.35 (domestic assault); 609.23 (mistreatment of persons confined); 41.36 609.231 (mistreatment of residents or patients); 609.2325 42.1 (criminal abuse of a vulnerable adult); 609.233 (criminal 42.2 neglect of a vulnerable adult); 609.2335 (financial exploitation 42.3 of a vulnerable adult); 609.234 (failure to report maltreatment 42.4 of a vulnerable adult); 609.265 (abduction); 609.275 (attempt to 42.5 coerce); 609.324, subdivision 1a (other prohibited acts; minor 42.6 engaged in prostitution); 609.33 (disorderly house); 609.3451 42.7 (criminal sexual conduct in the fifth degree); 609.377 42.8 (malicious punishment of a child); 609.378 (neglect or 42.9 endangerment of a child); 609.52 (theft); 609.582 (burglary); 42.10 609.631 (check forgery; offering a forged check); 609.66 42.11 (dangerous weapons); 609.71 (riot); 609.72, subdivision 3 42.12 (disorderly conduct against a vulnerable adult); repeat offenses 42.13 under 609.746 (interference with privacy); 609.749, subdivision 42.14 2 (harassment; stalking); repeat offenses under 617.23 (indecent 42.15 exposure); 617.241 (obscene materials and performances); 617.243 42.16 (indecent literature, distribution); 617.293 (harmful materials; 42.17 dissemination and display to minors prohibited); or violation of 42.18 an order for protection under section 518B.01, subdivision 14. 42.19 (b) An individual is disqualified under section 245C.14 if 42.20 less than ten years has passed since the individual's attempt or 42.21 conspiracy to commit any of the offenses listed in paragraph 42.22 (a), as each of these offenses is defined in Minnesota Statutes. 42.23 (c) An individual is disqualified under section 245C.14 if 42.24 less than ten years has passed since the discharge of the 42.25 sentence imposed for an offense in any other state or country, 42.26 the elements of which are substantially similar to the elements 42.27 of any of the offenses listed in paragraph (a). 42.28 (d) If the defendant is convicted of one of the gross 42.29 misdemeanors listed in paragraph (a), but the sentence is a 42.30 misdemeanor disposition, the individual is disqualified but the 42.31 disqualification lookback period for the conviction is the 42.32 period applicable to misdemeanors. 42.33 Sec. 44. Minnesota Statutes 2003 Supplement, section 42.34 245C.15, subdivision 4, is amended to read: 42.35 Subd. 4. [SEVEN-YEAR DISQUALIFICATION.] (a) An individual 42.36 is disqualified under section 245C.14 if: (1) less than seven 43.1 years has passed since the discharge of the sentence imposed for 43.2 the offense; and (2) the individual has received a misdemeanor 43.3 conviction for a violation of any of the following offenses: 43.4 sections 609.224 (assault in the fifth degree); 609.2242 43.5 (domestic assault); 609.2335 (financial exploitation of a 43.6 vulnerable adult); 609.234 (failure to report maltreatment of a 43.7 vulnerable adult); 609.2672 (assault of an unborn child in the 43.8 third degree); 609.27 (coercion); violation of an order for 43.9 protection under 609.3232 (protective order authorized; 43.10 procedures; penalties); 609.52 (theft); 609.66 (dangerous 43.11 weapons); 609.665 (spring guns); 609.746 (interference with 43.12 privacy); 609.79 (obscene or harassing phone calls); 609.795 43.13 (letter, telegram, or package; opening; harassment); 617.23 43.14 (indecent exposure; penalties); 617.293 (harmful materials; 43.15 dissemination and display to minors prohibited); or violation of 43.16 an order for protection under section 518B.01 (Domestic Abuse 43.17 Act). 43.18 (b) An individual is disqualified under section 245C.14 if 43.19 less than seven years has passed since a determination or 43.20 disposition of the individual's: 43.21 (1) failure to make required reports under section 626.556, 43.22 subdivision 3, or 626.557, subdivision 3, for incidents in 43.23 which: (i) the final disposition under section 626.556 or 43.24 626.557 was substantiated maltreatment, and (ii) the 43.25 maltreatment was recurring or serious; or 43.26 (2) substantiated serious or recurring maltreatment of a 43.27 minor under section 626.556or of, a vulnerable adult under 43.28 section 626.557, or maltreatment in any other state, the 43.29 elements of which are substantially similar to the elements of 43.30 maltreatment under section 626.556 or 626.557 for which: (i) 43.31 there is a preponderance of evidence that the maltreatment 43.32 occurred, and (ii) the subject was responsible for the 43.33 maltreatment. 43.34 (c) An individual is disqualified under section 245C.14 if 43.35 less than seven years has passed since the individual's attempt 43.36 or conspiracy to commit any of the offenses listed in paragraphs 44.1 (a) and (b), as each of these offenses is defined in Minnesota 44.2 Statutes. 44.3 (d) An individual is disqualified under section 245C.14 if 44.4 less than seven years has passed since the discharge of the 44.5 sentence imposed for an offense in any other state or country, 44.6 the elements of which are substantially similar to the elements 44.7 of any of the offenses listed in paragraphs (a) and (b). 44.8 Sec. 45. Minnesota Statutes 2003 Supplement, section 44.9 245C.16, subdivision 1, is amended to read: 44.10 Subdivision 1. [DETERMINING IMMEDIATE RISK OF HARM.] (a) 44.11 If the commissioner determines that the individual studied has a 44.12 disqualifying characteristic, the commissioner shall review the 44.13 information immediately available and make a determination as to 44.14 the subject's immediate risk of harm to persons served by the 44.15 program where the individual studied will have direct contact. 44.16 (b) The commissioner shall consider all relevant 44.17 information available, including the following factors in 44.18 determining the immediate risk of harm: 44.19 (1) the recency of the disqualifying characteristic; 44.20 (2) the recency of discharge from probation for the crimes; 44.21 (3) the number of disqualifying characteristics; 44.22 (4) the intrusiveness or violence of the disqualifying 44.23 characteristic; 44.24 (5) the vulnerability of the victim involved in the 44.25 disqualifying characteristic;and44.26 (6) the similarity of the victim to the persons served by 44.27 the program where the individual studied will have direct 44.28 contact; and 44.29 (7) whether the individual has a disqualification from a 44.30 previous background study that has not been set aside. 44.31 (c) This section does not apply when the subject of a 44.32 background study is regulated by a health-related licensing 44.33 board as defined in chapter 214, and the subject is determined 44.34 to be responsible for substantiated maltreatment under section 44.35 626.556 or 626.557. 44.36 (d) If the commissioner has reason to believe, based on 45.1 arrest information or an active maltreatment investigation, that 45.2 an individual poses an imminent risk of harm to persons 45.3 receiving services, the commissioner may order that the person 45.4 be continuously supervised or immediately removed pending the 45.5 conclusion of the maltreatment investigation or criminal 45.6 proceedings. 45.7 Sec. 46. Minnesota Statutes 2003 Supplement, section 45.8 245C.17, subdivision 1, is amended to read: 45.9 Subdivision 1. [TIME FRAME FOR NOTICE OF STUDY RESULTS.] 45.10 (a) Within 15 working days after the commissioner's receipt of 45.11 the background study form, the commissioner shall notify the 45.12 individual who is the subject of the study in writing or by 45.13 electronic transmission of the results of the study or that more 45.14 time is needed to complete the study. 45.15 (b) Within 15 working days after the commissioner's receipt 45.16 of the background study form, the commissioner shall notify the 45.17 applicant, license holder, orregistrantother entity as 45.18 provided in this chapter in writing or by electronic 45.19 transmission of the results of the study or that more time is 45.20 needed to complete the study. 45.21 Sec. 47. Minnesota Statutes 2003 Supplement, section 45.22 245C.17, subdivision 3, is amended to read: 45.23 Subd. 3. [DISQUALIFICATION NOTICE SENT TO APPLICANT, 45.24 LICENSE HOLDER, ORREGISTRANTOTHER ENTITY.] (a) The 45.25 commissioner shall notify an applicant, license holder, 45.26 orregistrantother entity as provided in this chapter who is 45.27 not the subject of the study: 45.28 (1) that the commissioner has found information that 45.29 disqualifies the individual studied from direct contact with, or 45.30 from access to, persons served by the program; and 45.31 (2) the commissioner's determination of the individual's 45.32 risk of harm under section 245C.16. 45.33 (b) If the commissioner determines under section 245C.16 45.34 that an individual studied poses an imminent risk of harm to 45.35 persons served by the program where the individual studied will 45.36 have direct contact, the commissioner shall order the license 46.1 holder to immediately remove the individual studied from direct 46.2 contact. 46.3 (c) If the commissioner determines under section 245C.16 46.4 that an individual studied poses a risk of harm that requires 46.5 continuous, direct supervision, the commissioner shall order the 46.6 applicant, license holder, or other entities as provided in this 46.7 chapter to: 46.8 (1) immediately remove the individual studied from direct 46.9 contact services; or 46.10 (2) assure that the individual studied is under continuous, 46.11 direct supervision when providing direct contact services during 46.12 the period in which the individual may request a reconsideration 46.13 of the disqualification under section 245C.21. 46.14 (d) If the commissioner determines under section 245C.16 46.15 that an individual studied does not pose a risk of harm that 46.16 requires continuous, direct supervision, the commissioner shall 46.17 send the license holder a notice that more time is needed to 46.18 complete the individual's background study. 46.19 (e) The commissioner shall not notify the applicant, 46.20 license holder, orregistrantother entity as provided in this 46.21 chapter of the information contained in the subject's background 46.22 study unless: 46.23 (1) the basis for the disqualification is failure to 46.24 cooperate with the background study or substantiated 46.25 maltreatment under section 626.556 or 626.557; 46.26 (2) the Data Practices Act under chapter 13 provides for 46.27 release of the information; or 46.28 (3) the individual studied authorizes the release of the 46.29 information. 46.30 Sec. 48. Minnesota Statutes 2003 Supplement, section 46.31 245C.18, is amended to read: 46.32 245C.18 [OBLIGATION TO REMOVE DISQUALIFIED INDIVIDUAL FROM 46.33 DIRECT CONTACT.] 46.34 Upon receipt of notice from the commissioner, the license 46.35 holder must remove a disqualified individual from direct contact 46.36 with persons served by the licensed program if: (1) the 47.1 individual does not request reconsideration under section 47.2 245C.21 within the prescribed time, or if; (2) the individual 47.3 submits a timely request for reconsideration, and the 47.4 commissioner does not set aside the disqualification under 47.5 section 245C.22, subdivision 4.; (3) the individual does not 47.6 submit a timely request for a hearing under sections 245C.27 and 47.7 256.045, or 245C.28 and chapter 14; or (4) the individual 47.8 submits a timely request for a hearing under sections 245C.27 47.9 and 256.045, or 245C.28 and chapter 14, and the commissioner 47.10 does not set aside the disqualification under section 245A.08, 47.11 subdivision 5, or 256.045. 47.12 Sec. 49. Minnesota Statutes 2003 Supplement, section 47.13 245C.20, is amended to read: 47.14 245C.20 [LICENSE HOLDER RECORD KEEPING.] 47.15 A licensed program shall document the date the program 47.16 initiates a background study under this chapter in the program's 47.17 personnel files. When a background study is completed under 47.18 this chapter, a licensed program shall maintain a notice that 47.19 the study was undertaken and completed in the program's 47.20 personnel files. If a licensed program has not received a 47.21 response from the commissioner under section 245C.17 within 45 47.22 days of initiation of the background study request, the licensed 47.23 program must contact the commissioner to inquire about the 47.24 status of the study. 47.25 Sec. 50. Minnesota Statutes 2003 Supplement, section 47.26 245C.21, subdivision 3, is amended to read: 47.27 Subd. 3. [INFORMATION DISQUALIFIED INDIVIDUALS MUST 47.28 PROVIDE WHEN REQUESTING RECONSIDERATION.] The disqualified 47.29 individual requesting reconsideration must submit information 47.30 showing that: 47.31 (1) the information the commissioner relied upon in 47.32 determining the underlying conduct that gave rise to the 47.33 disqualification is incorrect; 47.34 (2) for maltreatment, the information the commissioner 47.35 relied upon in determining that maltreatment was serious or 47.36 recurring is incorrect; or 48.1 (3) the subject of the study does not pose a risk of harm 48.2 to any person served by the applicant, license holder, or 48.3registrantother entities as provided in this chapter, by 48.4 addressing the information required under section 245C.22, 48.5 subdivision 4. 48.6 Sec. 51. Minnesota Statutes 2003 Supplement, section 48.7 245C.21, is amended by adding a subdivision to read: 48.8 Subd. 4. [NOTICE OF REQUEST FOR RECONSIDERATION.] Upon 48.9 request, the commissioner may inform the applicant, license 48.10 holder, or other entities as provided in this chapter who 48.11 received a notice of the individual's disqualification under 48.12 section 245C.17, subdivision 3, or has the consent of the 48.13 disqualified individual, if the disqualified individual has 48.14 requested reconsideration. 48.15 Sec. 52. Minnesota Statutes 2003 Supplement, section 48.16 245C.22, subdivision 3, is amended to read: 48.17 Subd. 3. [PREEMINENT WEIGHT GIVEN TO SAFETY OF PERSONS 48.18 BEING SERVED.] In reviewing a request for reconsideration of a 48.19 disqualification, the commissioner shall give preeminent weight 48.20 to the safety of each person served by the license holder, 48.21 applicant, orregistrantother entities as provided in this 48.22 chapter over the interests of the license holder, applicant, 48.23 orregistrantother entity as provided in this chapter. 48.24 Sec. 53. Minnesota Statutes 2003 Supplement, section 48.25 245C.22, subdivision 4, is amended to read: 48.26 Subd. 4. [RISK OF HARM; SET ASIDE.] (a) The commissioner 48.27 may set aside the disqualification if the commissioner finds 48.28 that the individual does not pose a risk of harm to any person 48.29 served by the applicant, license holder, orregistrantother 48.30 entities as provided in this chapter. 48.31 (b) In determiningifwhether the individualdoes not pose48.32 poses a risk of harm, the commissioner shall consider: 48.33 (1) the nature, severity, and consequences of the event or 48.34 events that led to the disqualification; 48.35 (2) whether there is more than one disqualifying event; 48.36 (3) the age and vulnerability of the victim at the time of 49.1 the event; 49.2 (4) the harm suffered by the victim; 49.3 (5) the similarity between the victim and persons served by 49.4 the program; 49.5 (6) the time elapsed without a repeat of the same or 49.6 similar event; 49.7 (7) documentation of successful completion by the 49.8 individual studied of training or rehabilitation pertinent to 49.9 the event; and 49.10 (8) any other information relevant to reconsideration. 49.11 (c) If the commissioner determines that the 49.12 disqualification should not be set aside, the commissioner shall 49.13 notify the individual of those factors which were most 49.14 significant in reaching the determination. The notification 49.15 shall be deemed sufficient if it states that all of the factors 49.16 in paragraph (b) were considered, and then specifies which 49.17 factors were determinative. 49.18 Sec. 54. Minnesota Statutes 2003 Supplement, section 49.19 245C.22, subdivision 5, is amended to read: 49.20 Subd. 5. [SCOPE OF SET ASIDE.] If the commissioner sets 49.21 aside a disqualification under this section, the disqualified 49.22 individual remains disqualified, but may hold a license and have 49.23 direct contact with or access to persons receiving services. 49.24 The commissioner's set aside of a disqualification is limited 49.25 solely to the licensed program, applicant, or agency specified 49.26 in the set aside notice under section 245C.23, unless otherwise 49.27 specified in the notice. 49.28 Sec. 55. Minnesota Statutes 2003 Supplement, section 49.29 245C.22, subdivision 6, is amended to read: 49.30 Subd. 6. [RECISION OF SET ASIDE.] The commissioner may 49.31 rescind a previous set aside of a disqualification under this 49.32 section based on new information that indicates the individual 49.33 may pose a risk of harm to persons served by the applicant, 49.34 license holder, orregistrantother entities as provided in this 49.35 chapter. If the commissioner rescinds a set aside of a 49.36 disqualification under thisparagraphsubdivision, the appeal 50.1 rights under sections 245C.21and, 245C.27, subdivision 1, and 50.2 245C.28, subdivision 3, shall apply. 50.3 Sec. 56. Minnesota Statutes 2003 Supplement, section 50.4 245C.23, subdivision 1, is amended to read: 50.5 Subdivision 1. [COMMISSIONER'S NOTICE OF DISQUALIFICATION 50.6 THAT IS SET ASIDE.] (a) Except as provided under paragraph (c), 50.7 if the commissioner sets aside a disqualification, the 50.8 commissioner shall notify the applicant or license holder in 50.9 writing or by electronic transmission of the decision. In the 50.10 notice from the commissioner that a disqualification has been 50.11 set aside, the commissioner must inform the license holder that 50.12 information about the nature of the disqualification and which 50.13 factors under section 245C.22, subdivision 4, were the basis of 50.14 the decision to set aside the disqualification are available to 50.15 the license holder upon request without the consent of the 50.16 background study subject. 50.17 (b) With the written consent of the background study 50.18 subject, the commissioner may release to the license holder 50.19 copies of all information related to the background study 50.20 subject's disqualification and the commissioner's decision to 50.21 set aside the disqualification as specified in the written 50.22 consent. 50.23 (c) If the individual studied submits a timely request for 50.24 reconsideration under section 245C.21 and the license holder was 50.25 previously sent a notice under section 245C.17, subdivision 3, 50.26 paragraph (d), and if the commissioner sets aside the 50.27 disqualification for that license holder under section 245C.22, 50.28 the commissioner shall send the license holder the same 50.29 notification received by license holders in cases where the 50.30 individual studied has no disqualifying characteristic. 50.31 Sec. 57. Minnesota Statutes 2003 Supplement, section 50.32 245C.23, subdivision 2, is amended to read: 50.33 Subd. 2. [COMMISSIONER'S NOTICE OF DISQUALIFICATION THAT 50.34 IS NOT SET ASIDE.] (a) The commissioner shall notify the license 50.35 holder of the disqualification and order the license holder to 50.36 immediately remove the individual from any position allowing 51.1 direct contact with persons receiving services from the license 51.2 holder if: (1) the individual studied does not submit a timely 51.3 request for reconsideration under section 245C.21, or; (2) the 51.4 individual submits a timely request for reconsideration, but the 51.5 commissioner does not set aside the disqualification for that 51.6 license holder under section 245C.22, the commissioner shall51.7notify the license holder of the disqualification and order the51.8license holder to immediately remove the individual from any51.9position allowing direct contact with persons receiving services51.10from the license holder.; (3) an individual who has a right to 51.11 request a hearing under sections 245C.27 and 256.045, or 245C.28 51.12 and chapter 14 for a disqualification that has not been set 51.13 aside, does not request a hearing within the specified time; or 51.14 (4) an individual submitted a timely request for a hearing under 51.15 sections 245C.27 and 256.045, or 245C.28 and chapter 14, but the 51.16 commissioner does not set aside the disqualification under 51.17 section 245A.08, subdivision 5, or 256.045. 51.18 (b) If the commissioner does not set aside the 51.19 disqualification under section 245C.22, and the license holder 51.20 was previously ordered under section 245C.17 to immediately 51.21 remove the disqualified individual from direct contact with 51.22 persons receiving services or to ensure that the individual is 51.23 under continuous, direct supervision when providing direct 51.24 contact services, this order remains in effect pending a hearing 51.25 under sections 245C.27 and 256.045, or 245C.28 and chapter 14. 51.26 Sec. 58. Minnesota Statutes 2003 Supplement, section 51.27 245C.25, is amended to read: 51.28 245C.25 [CONSOLIDATED RECONSIDERATION OF MALTREATMENT 51.29 DETERMINATION AND DISQUALIFICATION.] 51.30 (a) If an individual is disqualified on the basis of a 51.31 determination of maltreatment under section 626.556 or 626.557, 51.32 which was serious or recurring, and the individual requests 51.33 reconsideration of the maltreatment determination under section 51.34 626.556, subdivision 10i, or 626.557, subdivision 9d, and also 51.35 requests reconsideration of the disqualification under section 51.36 245C.21, the commissioner shall consolidate the reconsideration 52.1 of the maltreatment determination and the disqualification into 52.2 a single reconsideration. 52.3 (b) For maltreatment and disqualification determinations 52.4 made by county agencies, the county agency shall conduct the 52.5 consolidated reconsideration. If the county agency has 52.6 disqualified an individual on multiple bases, one of which is a 52.7 county maltreatment determination for which the individual has a 52.8 right to request reconsideration, the county shall conduct the 52.9 reconsideration of all disqualifications. 52.10 (c) If the county has previously conducted a consolidated 52.11 reconsideration under paragraph (b) of a maltreatment 52.12 determination and a disqualification based on serious or 52.13 recurring maltreatment, and the county subsequently disqualifies 52.14 the individual based on that determination, the county shall 52.15 conduct the reconsideration of the subsequent disqualification. 52.16 The scope of the subsequent disqualification shall be limited to 52.17 whether the individual poses a risk of harm in accordance with 52.18 section 245C.22, subdivision 4. 52.19 Sec. 59. Minnesota Statutes 2003 Supplement, section 52.20 245C.26, is amended to read: 52.21 245C.26 [RECONSIDERATION OF A DISQUALIFICATION FOR AN 52.22 INDIVIDUAL LIVING IN A LICENSED HOME.] 52.23 In the case of any ground for disqualification under this 52.24 chapter, if the act was committed by an individual other than 52.25 the applicant,or license holder, or registrantresiding in the 52.26 applicant's,or license holder's, or registrant'shome, the 52.27 applicant,or license holder, or registrantmay seek 52.28 reconsideration when the individual who committed the act no 52.29 longer resides in the home. 52.30 Sec. 60. Minnesota Statutes 2003 Supplement, section 52.31 245C.27, subdivision 1, is amended to read: 52.32 Subdivision 1. [FAIR HEARING WHEN DISQUALIFICATION IS NOT 52.33 SET ASIDE.] (a) If the commissioner does not set aside or 52.34 rescind a disqualification of an individual under section 52.35 245C.22 who is disqualified on the basis of a preponderance of 52.36 evidence that the individual committed an act or acts that meet 53.1 the definition of any of the crimes listed in section 245C.15; 53.2 for a determination under section 626.556 or 626.557 of 53.3 substantiated maltreatment that was serious or recurring under 53.4 section 245C.15; or for failure to make required reports under 53.5 section 626.556, subdivision 3; or 626.557, subdivision 3, 53.6 pursuant to section 245C.15, subdivision 4, paragraph (b), 53.7 clause (1), the individual may request a fair hearing under 53.8 section 256.045, unless the disqualification is deemed 53.9 conclusive under section 245C.29. 53.10 (b) The fair hearing is the only administrative appeal of 53.11 the final agency determination for purposes of appeal by the 53.12 disqualified individual. The disqualified individual does not 53.13 have the right to challenge the accuracy and completeness of 53.14 data under section 13.04. 53.15 (c) If the individual was disqualified based on a 53.16 conviction or admission to any crimes listed in section 245C.15, 53.17 subdivisions 1 to 4, the reconsideration decision underthis53.18subdivisionsection 245C.22 is the final agency determination 53.19 for purposes of appeal by the disqualified individual and is not 53.20 subject to a hearing under section 256.045. 53.21 (d) Thissectionsubdivision does not apply to a public 53.22 employee's appeal of a disqualification under section 245C.28, 53.23 subdivision 3. 53.24 Sec. 61. Minnesota Statutes 2003 Supplement, section 53.25 245C.27, subdivision 2, is amended to read: 53.26 Subd. 2. [CONSOLIDATED FAIR HEARING FOR MALTREATMENT 53.27 DETERMINATION AND DISQUALIFICATION NOT SET ASIDE.] (a) If an 53.28 individual who is disqualified on the bases of serious or 53.29 recurring maltreatment requests a fair hearing on the 53.30 maltreatment determination under section 626.556, subdivision 53.31 10i, or 626.557, subdivision 9d, and requests a fair hearing 53.32 under this section on the disqualification, which has not been 53.33 set asideor rescinded, the scope of the fair hearing under 53.34 section 256.045 shall include the maltreatment determination and 53.35 the disqualification. 53.36 (b) A fair hearing is the only administrative appeal of the 54.1 final agency determination. The disqualified individual does 54.2 not have the right to challenge the accuracy and completeness of 54.3 data under section 13.04. 54.4 (c) Thissectionsubdivision does not apply to a public 54.5 employee's appeal of a disqualification under section 245C.28, 54.6 subdivision 3. 54.7 Sec. 62. Minnesota Statutes 2003 Supplement, section 54.8 245C.28, subdivision 1, is amended to read: 54.9 Subdivision 1. [LICENSE HOLDER.] (a) If a maltreatment 54.10 determination or a disqualification for which reconsideration 54.11 was requested and which was not set asideor rescindedis the 54.12 basis for a denial of a license under section 245A.05 or a 54.13 licensing sanction under section 245A.07, the license holder has 54.14 the right to a contested case hearing under chapter 14 and 54.15 Minnesota Rules, parts 1400.8505 to 1400.8612. 54.16 (b) The license holder must submit the appeal in accordance 54.17 with section 245A.05 or 245A.07, subdivision 3. As provided 54.18 under section 245A.08, subdivision 2a, the scope of the 54.19 consolidated contested case hearing must include the 54.20 disqualification and the licensing sanction or denial of a 54.21 license. 54.22 (c) If the disqualification was based on a determination of 54.23 substantiated serious or recurring maltreatment under section 54.24 626.556 or 626.557, the appeal must be submitted in accordance 54.25 with sections 245A.07, subdivision 3, and 626.556, subdivision 54.26 10i, or 626.557, subdivision 9d. As provided for under section 54.27 245A.08, subdivision 2a, the scope of the contested case hearing 54.28 must include the maltreatment determination, the 54.29 disqualification, and the licensing sanction or denial of a 54.30 license. In such cases, a fair hearing must not be conducted 54.31 under section 256.045. 54.32 Sec. 63. Minnesota Statutes 2003 Supplement, section 54.33 245C.28, subdivision 2, is amended to read: 54.34 Subd. 2. [INDIVIDUAL OTHER THAN LICENSE HOLDER.] If the 54.35 basis for the commissioner's denial of a license under section 54.36 245A.05 or a licensing sanction under section 245A.07 is a 55.1 maltreatment determination or disqualification that was not set 55.2 asideor rescindedunder section 245C.22, and the disqualified 55.3 subject is an individual other than the license holder and upon 55.4 whom a background study must be conducted under section 245C.03, 55.5 the hearing of all parties may be consolidated into a single 55.6 contested case hearing upon consent of all parties and the 55.7 administrative law judge. 55.8 Sec. 64. Minnesota Statutes 2003 Supplement, section 55.9 245C.28, subdivision 3, is amended to read: 55.10 Subd. 3. [EMPLOYEES OF PUBLIC EMPLOYER.] (a) If the 55.11 commissioner does not set aside the disqualification of an 55.12 individual who is an employee of an employer, as defined in 55.13 section 179A.03, subdivision 15, the individual may request a 55.14 contested case hearing under chapter 14. The request for a 55.15 contested case hearing must be made in writing and must be 55.16 postmarked and mailed within 30 calendar days after the employee 55.17 receives notice that the disqualification has not been set aside. 55.18 (b) If the commissioner does not set aside or rescind a 55.19 disqualification that is based on a maltreatment determination, 55.20 the scope of the contested case hearing must include the 55.21 maltreatment determination and the disqualification. In such 55.22 cases, a fair hearing must not be conducted under section 55.23 256.045. 55.24 (c) Rules adopted under this chapter may not preclude an 55.25 employee in a contested case hearing for a disqualification from 55.26 submitting evidence concerning information gathered under this 55.27 chapter. 55.28 (d) When a person has been disqualified from multiple 55.29 licensed programs and the disqualifications have not been set 55.30 aside under section 245C.22, if at least one of the 55.31 disqualifications entitles the person to a contested case 55.32 hearing under this subdivision, the scope of the contested case 55.33 hearing shall include all disqualifications from licensed 55.34 programs which were not set aside. 55.35 (e) In determining whether the disqualification should be 55.36 set aside, the administrative law judge shall consider all of 56.1 the characteristics that cause the individual to be 56.2 disqualified, including those characteristics that were not 56.3 subject to review under paragraph (b), in order to determine 56.4 whether the individual poses a risk of harm. The administrative 56.5 law judge's recommendation and the commissioner's order to set 56.6 aside a disqualification that is the subject of the hearing 56.7 constitutes a determination that the individual does not pose a 56.8 risk of harm and that the individual may provide direct contact 56.9 services in the individual program specified in the set aside. 56.10 Sec. 65. Minnesota Statutes 2003 Supplement, section 56.11 245C.29, subdivision 2, is amended to read: 56.12 Subd. 2. [CONCLUSIVE DISQUALIFICATION DETERMINATION.] (a) 56.13 Unless otherwise specified in statute, a determination that: 56.14 (1) the information the commissioner relied upon to 56.15 disqualify an individual under section 245C.14 was correct based 56.16 on serious or recurring maltreatment; 56.17 (2) a preponderance of the evidence shows that the 56.18 individual committed an act or acts that meet the definition of 56.19 any of the crimes listed in section 245C.15; or 56.20 (3) the individual failed to make required reports under 56.21 section 626.556, subdivision 3, or 626.557, subdivision 3, is 56.22 conclusive if: 56.23 (i) the commissioner has issued a final order in an appeal 56.24 of that determination under section 245A.08, subdivision 5, or 56.25 256.045, or a court has issued a final decision; 56.26 (ii) the individual did not request reconsideration of the 56.27 disqualification under section 245C.21; or 56.28 (iii) the individual did not request a hearing on the 56.29 disqualification under section 256.045 or chapter 14. 56.30 (b) When a licensing action under section 245A.05, 245A.06, 56.31 or 245A.07 is based on the disqualification of an individual in 56.32 connection with a license to provide family child care, foster 56.33 care for children in the provider's own home, or foster care 56.34 services for adults in the provider's own home, that 56.35 disqualification shall be conclusive for purposes of the 56.36 licensing action if a request for reconsideration was not 57.1 submitted within 30 calendar days of the individual's receipt of 57.2 the notice of disqualification. 57.3 (c) If a determination that the information relied upon to 57.4 disqualify an individual was correct and is conclusive under 57.5 this section, and the individual is subsequently disqualified 57.6 under section 245C.15, the individual has a right to request 57.7 reconsideration on the risk of harm under section 245C.21. 57.8 Subsequent determinations regarding the risk of harm shall be 57.9 made according to section 245C.22 and are not subject to another 57.10 hearing under section 256.045 or chapter 14. 57.11 Sec. 66. Minnesota Statutes 2003 Supplement, section 57.12 256.045, subdivision 3, is amended to read: 57.13 Subd. 3. [STATE AGENCY HEARINGS.] (a) State agency 57.14 hearings are available for the following: (1) any person 57.15 applying for, receiving or having received public assistance, 57.16 medical care, or a program of social services granted by the 57.17 state agency or a county agency or the federal Food Stamp Act 57.18 whose application for assistance is denied, not acted upon with 57.19 reasonable promptness, or whose assistance is suspended, 57.20 reduced, terminated, or claimed to have been incorrectly paid; 57.21 (2) any patient or relative aggrieved by an order of the 57.22 commissioner under section 252.27; (3) a party aggrieved by a 57.23 ruling of a prepaid health plan; (4) except as provided under 57.24 chapter 245C, any individual or facility determined by a lead 57.25 agency to have maltreated a vulnerable adult under section 57.26 626.557 after they have exercised their right to administrative 57.27 reconsideration under section 626.557; (5) any person whose 57.28 claim for foster care payment according to a placement of the 57.29 child resulting from a child protection assessment under section 57.30 626.556 is denied or not acted upon with reasonable promptness, 57.31 regardless of funding source; (6) any person to whom a right of 57.32 appeal according to this section is given by other provision of 57.33 law; (7) an applicant aggrieved by an adverse decision to an 57.34 application for a hardship waiver under section 256B.15; (8) 57.35 except as provided under chapter 245A, an individual or facility 57.36 determined to have maltreated a minor under section 626.556, 58.1 after the individual or facility has exercised the right to 58.2 administrative reconsideration under section 626.556; or (9) 58.3 except as provided under chapter 245C, an individual 58.4 disqualified under sections 245C.14 and 245C.15, on the basis of 58.5 serious or recurring maltreatment; a preponderance of the 58.6 evidence that the individual has committed an act or acts that 58.7 meet the definition of any of the crimes listed in section 58.8 245C.15, subdivisions 1 to 4; or for failing to make reports 58.9 required under section 626.556, subdivision 3, or 626.557, 58.10 subdivision 3. Hearings regarding a maltreatment determination 58.11 under clause (4) or (8) and a disqualification under this clause 58.12 in which the basis for a disqualification is serious or 58.13 recurring maltreatment, which has not been set asideor58.14rescindedunder sections 245C.22 and 245C.23, shall be 58.15 consolidated into a single fair hearing. In such cases, the 58.16 scope of review by the human services referee shall include both 58.17 the maltreatment determination and the disqualification. The 58.18 failure to exercise the right to an administrative 58.19 reconsideration shall not be a bar to a hearing under this 58.20 section if federal law provides an individual the right to a 58.21 hearing to dispute a finding of maltreatment. Individuals and 58.22 organizations specified in this section may contest the 58.23 specified action, decision, or final disposition before the 58.24 state agency by submitting a written request for a hearing to 58.25 the state agency within 30 days after receiving written notice 58.26 of the action, decision, or final disposition, or within 90 days 58.27 of such written notice if the applicant, recipient, patient, or 58.28 relative shows good cause why the request was not submitted 58.29 within the 30-day time limit. 58.30 The hearing for an individual or facility under clause (4), 58.31 (8), or (9) is the only administrative appeal to the final 58.32 agency determination specifically, including a challenge to the 58.33 accuracy and completeness of data under section 13.04. Hearings 58.34 requested under clause (4) apply only to incidents of 58.35 maltreatment that occur on or after October 1, 1995. Hearings 58.36 requested by nursing assistants in nursing homes alleged to have 59.1 maltreated a resident prior to October 1, 1995, shall be held as 59.2 a contested case proceeding under the provisions of chapter 14. 59.3 Hearings requested under clause (8) apply only to incidents of 59.4 maltreatment that occur on or after July 1, 1997. A hearing for 59.5 an individual or facility under clause (8) is only available 59.6 when there is no juvenile court or adult criminal action 59.7 pending. If such action is filed in either court while an 59.8 administrative review is pending, the administrative review must 59.9 be suspended until the judicial actions are completed. If the 59.10 juvenile court action or criminal charge is dismissed or the 59.11 criminal action overturned, the matter may be considered in an 59.12 administrative hearing. 59.13 For purposes of this section, bargaining unit grievance 59.14 procedures are not an administrative appeal. 59.15 The scope of hearings involving claims to foster care 59.16 payments under clause (5) shall be limited to the issue of 59.17 whether the county is legally responsible for a child's 59.18 placement under court order or voluntary placement agreement 59.19 and, if so, the correct amount of foster care payment to be made 59.20 on the child's behalf and shall not include review of the 59.21 propriety of the county's child protection determination or 59.22 child placement decision. 59.23 (b) A vendor of medical care as defined in section 256B.02, 59.24 subdivision 7, or a vendor under contract with a county agency 59.25 to provide social services is not a party and may not request a 59.26 hearing under this section, except if assisting a recipient as 59.27 provided in subdivision 4. 59.28 (c) An applicant or recipient is not entitled to receive 59.29 social services beyond the services included in the amended 59.30 community social services plan. 59.31 (d) The commissioner may summarily affirm the county or 59.32 state agency's proposed action without a hearing when the sole 59.33 issue is an automatic change due to a change in state or federal 59.34 law. 59.35 Sec. 67. Minnesota Statutes 2003 Supplement, section 59.36 256.045, subdivision 3b, is amended to read: 60.1 Subd. 3b. [STANDARD OF EVIDENCE FOR MALTREATMENT AND 60.2 DISQUALIFICATION HEARINGS.] (a) The state human services referee 60.3 shall determine that maltreatment has occurred if a 60.4 preponderance of evidence exists to support the final 60.5 disposition under sections 626.556 and 626.557. For purposes of 60.6 hearings regarding disqualification, the state human services 60.7 referee shall affirm the proposed disqualification in an appeal 60.8 under subdivision 3, paragraph (a), clause (9), if a 60.9 preponderance of the evidence shows the individual has: 60.10 (1) committed maltreatment under section 626.556 or 60.11 626.557, which is serious or recurring; 60.12 (2) committed an act or acts meeting the definition of any 60.13 of the crimes listed in section 245C.15, subdivisions 1 to 4; or 60.14 (3) failed to make required reports under section 626.556 60.15 or 626.557, for incidents in which the final disposition under 60.16 section 626.556 or 626.557 was substantiated maltreatment that 60.17 was serious or recurring. 60.18 (b) If the disqualification is affirmed, the state human 60.19 services referee shall determine whether the individual poses a 60.20 risk of harm in accordance with the requirements of section 60.21 245C.16., and whether the disqualification should be set aside 60.22 or not set aside. In determining whether the disqualification 60.23 should be set aside, the human services referee shall consider 60.24 all of the characteristics that cause the individual to be 60.25 disqualified, including those characteristics that were not 60.26 subject to review under paragraph (a), in order to determine 60.27 whether the individual poses a risk of harm. A decision to set 60.28 aside a disqualification that is the subject of the hearing 60.29 constitutes a determination that the individual does not pose a 60.30 risk of harm and that the individual may provide direct contact 60.31 services in the individual program specified in the set aside. 60.32 If a determination that the information relied upon to 60.33 disqualify an individual was correct and is conclusive under 60.34 section 245C.29, and the individual is subsequently disqualified 60.35 under section 245C.14, the individual has a right to again 60.36 request reconsideration on the risk of harm under section 61.1 245C.21. Subsequent determinations regarding risk of harm are 61.2 not subject to another hearing under this section. 61.3 (c) The state human services referee shall recommend an 61.4 order to the commissioner of health, education, or human 61.5 services, as applicable, who shall issue a final order. The 61.6 commissioner shall affirm, reverse, or modify the final 61.7 disposition. Any order of the commissioner issued in accordance 61.8 with this subdivision is conclusive upon the parties unless 61.9 appeal is taken in the manner provided in subdivision 7. In any 61.10 licensing appeal under chapters 245A and 245C and sections 61.11 144.50 to 144.58 and 144A.02 to 144A.46, the commissioner's 61.12 determination as to maltreatment is conclusive, as provided 61.13 under section 245C.29. 61.14 Sec. 68. Minnesota Statutes 2003 Supplement, section 61.15 626.556, subdivision 10i, is amended to read: 61.16 Subd. 10i. [ADMINISTRATIVE RECONSIDERATION OF FINAL 61.17 DETERMINATION OF MALTREATMENT AND DISQUALIFICATION BASED ON 61.18 SERIOUS OR RECURRING MALTREATMENT; REVIEW PANEL.] (a) Except as 61.19 provided under paragraph (e), an individual or facility that the 61.20 commissioner of human services, a local social service agency, 61.21 or the commissioner of education determines has maltreated a 61.22 child, an interested person acting on behalf of the child, 61.23 regardless of the determination, who contests the investigating 61.24 agency's final determination regarding maltreatment, may request 61.25 the investigating agency to reconsider its final determination 61.26 regarding maltreatment. The request for reconsideration must be 61.27 submitted in writing to the investigating agency within 15 61.28 calendar days after receipt of notice of the final determination 61.29 regarding maltreatment or, if the request is made by an 61.30 interested person who is not entitled to notice, within 15 days 61.31 after receipt of the notice by the parent or guardian of the 61.32 child. Effective January 1, 2002, an individual who was 61.33 determined to have maltreated a child under this section and who 61.34 was disqualified on the basis of serious or recurring 61.35 maltreatment under sections 245C.14 and 245C.15, may request 61.36 reconsideration of the maltreatment determination and the 62.1 disqualification. The request for reconsideration of the 62.2 maltreatment determination and the disqualification must be 62.3 submitted within 30 calendar days of the individual's receipt of 62.4 the notice of disqualification under sections 245C.16 and 62.5 245C.17. 62.6 (b) Except as provided under paragraphs (e) and (f), if the 62.7 investigating agency denies the request or fails to act upon the 62.8 request within 15 calendar days after receiving the request for 62.9 reconsideration, the person or facility entitled to a fair 62.10 hearing under section 256.045 may submit to the commissioner of 62.11 human services or the commissioner of education a written 62.12 request for a hearing under that section. Section 256.045 also 62.13 governs hearings requested to contest a final determination of 62.14 the commissioner of education. For reports involving 62.15 maltreatment of a child in a facility, an interested person 62.16 acting on behalf of the child may request a review by the Child 62.17 Maltreatment Review Panel under section 256.022 if the 62.18 investigating agency denies the request or fails to act upon the 62.19 request or if the interested person contests a reconsidered 62.20 determination. The investigating agency shall notify persons 62.21 who request reconsideration of their rights under this 62.22 paragraph. The request must be submitted in writing to the 62.23 review panel and a copy sent to the investigating agency within 62.24 30 calendar days of receipt of notice of a denial of a request 62.25 for reconsideration or of a reconsidered determination. The 62.26 request must specifically identify the aspects of the agency 62.27 determination with which the person is dissatisfied. 62.28 (c) If, as a result of a reconsideration or review, the 62.29 investigating agency changes the final determination of 62.30 maltreatment, that agency shall notify the parties specified in 62.31 subdivisions 10b, 10d, and 10f. 62.32 (d) Except as provided under paragraph (f), if an 62.33 individual or facility contests the investigating agency's final 62.34 determination regarding maltreatment by requesting a fair 62.35 hearing under section 256.045, the commissioner of human 62.36 services shall assure that the hearing is conducted and a 63.1 decision is reached within 90 days of receipt of the request for 63.2 a hearing. The time for action on the decision may be extended 63.3 for as many days as the hearing is postponed or the record is 63.4 held open for the benefit of either party. 63.5 (e) Effective January 1, 2002, if an individual was 63.6 disqualified under sections 245C.14 and 245C.15, on the basis of 63.7 a determination of maltreatment, which was serious or recurring, 63.8 and the individual has requested reconsideration of the 63.9 maltreatment determination under paragraph (a) and requested 63.10 reconsideration of the disqualification under sections 245C.21 63.11 to 245C.27, reconsideration of the maltreatment determination 63.12 and reconsideration of the disqualification shall be 63.13 consolidated into a single reconsideration. If reconsideration 63.14 of the maltreatment determination is denied or the 63.15 disqualification is not set asideor rescindedunder sections 63.16 245C.21 to 245C.27, the individual may request a fair hearing 63.17 under section 256.045. If an individual requests a fair hearing 63.18 on the maltreatment determination and the disqualification, the 63.19 scope of the fair hearing shall include both the maltreatment 63.20 determination and the disqualification. 63.21 (f) Effective January 1, 2002, if a maltreatment 63.22 determination or a disqualification based on serious or 63.23 recurring maltreatment is the basis for a denial of a license 63.24 under section 245A.05 or a licensing sanction under section 63.25 245A.07, the license holder has the right to a contested case 63.26 hearing under chapter 14 and Minnesota Rules, parts1400.851063.27 1400.8505 to 1400.8612and successor rules. As provided for 63.28 under section 245A.08, subdivision 2a, the scope of the 63.29 contested case hearing shall include the maltreatment 63.30 determination, disqualification, and licensing sanction or 63.31 denial of a license. In such cases, a fair hearing regarding 63.32 the maltreatment determination shall not be conducted under 63.33 paragraph (b). If the disqualified subject is an individual 63.34 other than the license holder and upon whom a background study 63.35 must be conducted under chapter 245C, the hearings of all 63.36 parties may be consolidated into a single contested case hearing 64.1 upon consent of all parties and the administrative law judge. 64.2 (g) For purposes of this subdivision, "interested person 64.3 acting on behalf of the child" means a parent or legal guardian; 64.4 stepparent; grandparent; guardian ad litem; adult stepbrother, 64.5 stepsister, or sibling; or adult aunt or uncle; unless the 64.6 person has been determined to be the perpetrator of the 64.7 maltreatment. 64.8 Sec. 69. Minnesota Statutes 2003 Supplement, section 64.9 626.557, subdivision 9d, is amended to read: 64.10 Subd. 9d. [ADMINISTRATIVE RECONSIDERATION OF FINAL 64.11 DISPOSITION OF MALTREATMENT AND DISQUALIFICATION BASED ON 64.12 SERIOUS OR RECURRING MALTREATMENT; REVIEW PANEL.] (a) Except as 64.13 provided under paragraph (e), any individual or facility which a 64.14 lead agency determines has maltreated a vulnerable adult, or the 64.15 vulnerable adult or an interested person acting on behalf of the 64.16 vulnerable adult, regardless of the lead agency's determination, 64.17 who contests the lead agency's final disposition of an 64.18 allegation of maltreatment, may request the lead agency to 64.19 reconsider its final disposition. The request for 64.20 reconsideration must be submitted in writing to the lead agency 64.21 within 15 calendar days after receipt of notice of final 64.22 disposition or, if the request is made by an interested person 64.23 who is not entitled to notice, within 15 days after receipt of 64.24 the notice by the vulnerable adult or the vulnerable adult's 64.25 legal guardian. An individual who was determined to have 64.26 maltreated a vulnerable adult under this section and who was 64.27 disqualified on the basis of serious or recurring maltreatment 64.28 under sections 245C.14 and 245C.15, may request reconsideration 64.29 of the maltreatment determination and the disqualification. The 64.30 request for reconsideration of the maltreatment determination 64.31 and the disqualification must be submitted within 30 calendar 64.32 days of the individual's receipt of the notice of 64.33 disqualification under sections 245C.16 and 245C.17. 64.34 (b) Except as provided under paragraphs (e) and (f), if the 64.35 lead agency denies the request or fails to act upon the request 64.36 within 15 calendar days after receiving the request for 65.1 reconsideration, the person or facility entitled to a fair 65.2 hearing under section 256.045, may submit to the commissioner of 65.3 human services a written request for a hearing under that 65.4 statute. The vulnerable adult, or an interested person acting 65.5 on behalf of the vulnerable adult, may request a review by the 65.6 Vulnerable Adult Maltreatment Review Panel under section 256.021 65.7 if the lead agency denies the request or fails to act upon the 65.8 request, or if the vulnerable adult or interested person 65.9 contests a reconsidered disposition. The lead agency shall 65.10 notify persons who request reconsideration of their rights under 65.11 this paragraph. The request must be submitted in writing to the 65.12 review panel and a copy sent to the lead agency within 30 65.13 calendar days of receipt of notice of a denial of a request for 65.14 reconsideration or of a reconsidered disposition. The request 65.15 must specifically identify the aspects of the agency 65.16 determination with which the person is dissatisfied. 65.17 (c) If, as a result of a reconsideration or review, the 65.18 lead agency changes the final disposition, it shall notify the 65.19 parties specified in subdivision 9c, paragraph (d). 65.20 (d) For purposes of this subdivision, "interested person 65.21 acting on behalf of the vulnerable adult" means a person 65.22 designated in writing by the vulnerable adult to act on behalf 65.23 of the vulnerable adult, or a legal guardian or conservator or 65.24 other legal representative, a proxy or health care agent 65.25 appointed under chapter 145B or 145C, or an individual who is 65.26 related to the vulnerable adult, as defined in section 245A.02, 65.27 subdivision 13. 65.28 (e) If an individual was disqualified under sections 65.29 245C.14 and 245C.15, on the basis of a determination of 65.30 maltreatment, which was serious or recurring, and the individual 65.31 has requested reconsideration of the maltreatment determination 65.32 under paragraph (a) and reconsideration of the disqualification 65.33 under sections 245C.21 to 245C.27, reconsideration of the 65.34 maltreatment determination and requested reconsideration of the 65.35 disqualification shall be consolidated into a single 65.36 reconsideration. If reconsideration of the maltreatment 66.1 determination is denied or if the disqualification is not set 66.2 asideor rescindedunder sections 245C.21 to 245C.27, the 66.3 individual may request a fair hearing under section 256.045. If 66.4 an individual requests a fair hearing on the maltreatment 66.5 determination and the disqualification, the scope of the fair 66.6 hearing shall include both the maltreatment determination and 66.7 the disqualification. 66.8 (f) If a maltreatment determination or a disqualification 66.9 based on serious or recurring maltreatment is the basis for a 66.10 denial of a license under section 245A.05 or a licensing 66.11 sanction under section 245A.07, the license holder has the right 66.12 to a contested case hearing under chapter 14 and Minnesota 66.13 Rules, parts1400.85101400.8505 to 1400.8612and successor66.14rules. As provided for under section 245A.08, the scope of the 66.15 contested case hearing shall include the maltreatment 66.16 determination, disqualification, and licensing sanction or 66.17 denial of a license. In such cases, a fair hearing shall not be 66.18 conducted under paragraph (b). If the disqualified subject is 66.19 an individual other than the license holder and upon whom a 66.20 background study must be conducted under chapter 245C, the 66.21 hearings of all parties may be consolidated into a single 66.22 contested case hearing upon consent of all parties and the 66.23 administrative law judge. 66.24 (g) Until August 1, 2002, an individual or facility that 66.25 was determined by the commissioner of human services or the 66.26 commissioner of health to be responsible for neglect under 66.27 section 626.5572, subdivision 17, after October 1, 1995, and 66.28 before August 1, 2001, that believes that the finding of neglect 66.29 does not meet an amended definition of neglect may request a 66.30 reconsideration of the determination of neglect. The 66.31 commissioner of human services or the commissioner of health 66.32 shall mail a notice to the last known address of individuals who 66.33 are eligible to seek this reconsideration. The request for 66.34 reconsideration must state how the established findings no 66.35 longer meet the elements of the definition of neglect. The 66.36 commissioner shall review the request for reconsideration and 67.1 make a determination within 15 calendar days. The 67.2 commissioner's decision on this reconsideration is the final 67.3 agency action. 67.4 (1) For purposes of compliance with the data destruction 67.5 schedule under subdivision 12b, paragraph (d), when a finding of 67.6 substantiated maltreatment has been changed as a result of a 67.7 reconsideration under this paragraph, the date of the original 67.8 finding of a substantiated maltreatment must be used to 67.9 calculate the destruction date. 67.10 (2) For purposes of any background studies under chapter 67.11 245C, when a determination of substantiated maltreatment has 67.12 been changed as a result of a reconsideration under this 67.13 paragraph, any prior disqualification of the individual under 67.14 chapter 245C that was based on this determination of 67.15 maltreatment shall be rescinded, and for future background 67.16 studies under chapter 245C the commissioner must not use the 67.17 previous determination of substantiated maltreatment as a basis 67.18 for disqualification or as a basis for referring the 67.19 individual's maltreatment history to a health-related licensing 67.20 board under section 245C.31. 67.21 Sec. 70. [REPEALER.] 67.22 Minnesota Statutes 2003 Supplement, sections 245A.11, 67.23 subdivision 2b; and 245C.02, subdivision 17; and Minnesota 67.24 Rules, parts 9543.0040, subpart 3; 9543.1000; 9543.1010; 67.25 9543.1020; 9543.1030; 9543.1040; 9543.1050; 9543.1060; 67.26 9545.1200; 9545.1210; 9545.1220; 9545.1230; 9545.1240; 67.27 9545.1250; 9545.1260; 9545.1270; 9545.1280; 9545.1290; 67.28 9545.1300; 9545.1310; and 9545.1320, are repealed. 67.29 ARTICLE 2 67.30 CORRECTIONS 67.31 Section 1. Minnesota Statutes 2003 Supplement, section 67.32 241.021, subdivision 6, is amended to read: 67.33 Subd. 6. [BACKGROUND STUDIES.] (a) The commissioner of 67.34 corrections is authorized to do background studies on personnel 67.35 employed by any facility serving children or youth that is 67.36 licensed under this section. The commissioner of corrections 68.1 shall contract with the commissioner of human services to 68.2 conduct background studies of individuals providing services in 68.3 secure and nonsecure residential facilities and detention 68.4 facilities who have direct contact, as defined under section 68.5 245C.02, subdivision 11, with persons served in the facilities. 68.6 A disqualification of an individual in this section shall 68.7 disqualify the individualfrom positions allowing direct contact68.8or access to persons and residents receiving services in68.9programs licensed by the Departments of Health and Human68.10Servicesas provided in chapter 245C. 68.11 (b) A clerk or administrator of any court, the Bureau of 68.12 Criminal Apprehension, a prosecuting attorney, a county sheriff, 68.13 or a chief of a local police department, shall assist in these 68.14 studies by providing to the commissioner of human services, or 68.15 the commissioner's representative, all criminal conviction data 68.16 available from local, state, and national criminal history 68.17 record repositories, including the criminal justice data 68.18 communications network, pertaining to the following individuals: 68.19 applicants, operators, all persons living in the household, and 68.20 all staff of any facility subject to background studies under 68.21 this subdivision. 68.22 (c) The Department of Human Services shall conduct the 68.23 background studies required by paragraph (a) in compliance with 68.24 the provisions of chapter 245C. For the purpose of this 68.25 subdivision, the term "secure and nonsecure residential facility 68.26 and detention facility" shall include programs licensed or 68.27 certified under subdivision 2. The Department of Human Services 68.28 shall provide necessary forms and instructions, shall conduct 68.29 the necessary background studies of individuals, and shall 68.30 provide notification of the results of the studies to the 68.31 facilities, individuals, and the commissioner of corrections. 68.32 Individuals shall be disqualified under the provisions of 68.33 chapter 245C. 68.34 If an individual is disqualified, the Department of Human 68.35 Services shall notify the facility and the individual and shall 68.36 inform the individual of the right to request a reconsideration 69.1 of the disqualification by submitting the request to the 69.2 Department of Corrections. 69.3 (d) The commissioner of corrections shall review and decide 69.4 reconsideration requests, including the granting of variances, 69.5 in accordance with the procedures and criteria contained in 69.6 chapter 245C. The commissioner's decision shall be provided to 69.7 the individual and to the Department of Human Services. The 69.8 commissioner's decision to grant or deny a reconsideration of 69.9 disqualification is the final administrative agency action. 69.10 (e) Facilities described in paragraph (a) shall be 69.11 responsible for cooperating with the departments in implementing 69.12 the provisions of this subdivision. The responsibilities 69.13 imposed on applicants and licensees under chapters 245A and 245C 69.14 shall apply to these facilities.The provisions of sections69.15245C.03, subdivision 3, 245C.04, subdivision 4, paragraph (b),69.16and 245C.10, subdivision 2, shall apply to applicants,69.17licensees, and individuals.