Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed

Minnesota did not comply with Federal waiver and State requirements in overseeing centers that serve vulnerable adults who receive services through the program. To protect the health and safety of vulnerable adults, Minnesota, as the licensing agency for centers, must ensure that centers follow licensing requirements in State statutes established in its application for waiver services. These licensing requirements include health and safety and administrative requirements.

We determined that all 20 of the centers we reviewed did not comply with State licensing requirements. In total, we found 200 instances of noncompliance with health and safety and administrative requirements.

Minnesota said that the instances of noncompliance occurred because low staffing levels did not allow State licensors to make relicensing visits every 2 years. Additionally, Minnesota and the centers indicated that there was a need to develop templates for administrative records that the State requires.

We recommended that Minnesota (1) ensure that the 200 instances of noncompliance with health and safety and administrative requirements identified in this report are corrected, (2) ensure the health and safety of vulnerable adults by considering staffing standards and caseload thresholds for State licensors, and (3) consider developing templates for administrative records the State requires.