HomeMy WebLinkAbout2022-01-22 Care Crossings - DHS Inspection Requests Julie Hultman
From: Julie Hultman
Sent: Tuesday,January 25, 2022 11:14 AM
To: 'dhs.mhcdlicensing@state.mn.us'; 'Cathy Harvieux'
Subject: 5901 Omaha Ave. N., Ste. 110, Oak Park Heights, MN 55082 - Care Crossings
Attachments: SKMBT_C55422012511080.pdf
Attached please find the completed Interagency Requests for Building& Fire Inspection for 5901 Omaha Ave. N., Ste.
110.
Have a nice day,
ike Julie Hultman I Building Official
Planning&Code Enforcement
Office: 651.351.1661
From: bizhubC554@cityofoakparkheights.com <bizhubC554@cityofoakparkheights.com>
Sent:Tuesday,January 25, 2022 11:08 AM
To:Julie Hultman <jhultman@cityofoakparkheights.com>
Subject: Message from KMBT_C554
1
License Number: 1102300
M1 DEPARTMENT OF INTERAGENCY REQUEST FOR FIRE INSPECTION
HUMAN SERVICES
To: ❑ State Fire Marshal Date: 1/24/22
State Fire Marshall X Local Fire Inspector
445 Minnesota St., Suite 145
St Paul, MN 55101-5145
Fax 651-215-0525
From: Kristi Strang Phone Number:651-431-6611
❑ New Program El Change in ownership a Other Change of address
TO THE LICENSE/CERTIFICATE APPLICANT: Because the State Fire Marshal may charge a fee to recover the cost
of the inspection, it is the applicants responsibility to request the fire inspection and ensure that this form is completed
and returned to DHS Licensing when the inspection is completed. A fire inspection under the Minnesota State Fire
Code is required for facilities prior to initial licensure/certification and upon a change of occupancy, as applicable. The
Commissioner of DHS must not grant a license until written approval of compliance with the state fire code has been
received from a State Fire Marshal, or from a local fire inspector if approved by the State Fire Marshal Division.
[Please Note:The State Fire Marshall's website_https://dps.mn.gov/divisions/sfm/programs-
services/inspections/Paqes/dhs-licensed-care-center-treatment-facility-inspectors.aspx that are authorized to conduct
the inspections for DHS licensed/certified programs within their jurisdiction.]
Name and address of facility: Care Crossings, 5901 Omaha Ave N Ste 110, Oak Park Heights, MN 55082
Proposed use:To provide substance use disorder treatment services.
Program contact person: Cathy Harvieux
Phone/Email: 952-999-7820 or cathy@carecrossings.com
Area of facility to be used: Unknown at this time.
Numbers and ages ranges of participants: Serving all genders ages 18 years & older.
Does the facility plan to serve handicapped individual?Unknown at this time.
tjacility meets requirements of the fire code.
❑ Facility meets the requirements of the Fire and Life Safety code and satisfies building code
requirements for a change in occupancy.
❑ Facility does not meet requirements of the fire code and cannot be occupied until orders are met.
❑ Facility does not meet requirements, but may temporarily be occupied until (date),
pending completion of orders.
Occupancy designation by Fire Inspector:
Comments: 471
Signature of Fire Inspector: , Phone number: ` 7 - " /r77
Agency Name: BA-1 Fig "2r0 , Date: // '77"/z ,
When inspection is complete,mail,email,or fax this form and any additional orders to:
Minnesota Department of Human Services, Division of Licensing
P.O. Box 64242 DHS to-Only:.
St.Paul, MN 55164-0242 pate
Fax Number: 651-431-7673
Mental Health/Chemical Dependency email: dhs.mhcdlicensing@state.mn.us Revised 02/21/12
License Number: 1102300
ml DEPARTMENT OF INTERAGENCY REQUEST FOR BUILDING INSPECTION
HUMAN SERVICES
To: City of Oak Park Heights - Building Inspector Date: 1/24/22
From: Kristi Strang Phone Number: 651-431-6611
El New Program 111 Change in ownership 1110ther Change of address
Prior to issuing a license/certification, verification is required that a facility is in compliance with
appropriate state, county, and local building codes. Please complete this form and return it to the
Department of Human Services, Division of Licensing with any orders attached. A copy of the
orders should also be provided to the program.
Name and address of facility: Care Crossings, 5901 Omaha Ave N Ste 110, Oak Park Heights, MN 55082
Proposed use: To provide substance use disorder treatment services.
Program contact person: Cathy Harvieux Phone number:952-999-7820 or cathy@carecrossings.com
Area of facility to be used: Unknown at this time.
Numbers and age ranges of participants: Serving all genders ages 18 years & older.
Does the facility plan to serve handicapped individuals? Unknown
Building Inspection Results:
❑ Not Applicable:facility located in non-coded area.
Date of referendum vote removing code requirements:
Signature and Title of Local Official:
An inspection is required for all proposed facilities located in a code area which involves new construction,
major renovation, change in occupancy, or any facility not currently being used for proposed usage.
O Facility meets building code requirements.
Proposed change is not a change in occupancy. [Enclose copy of original Certificate of Occupancy.]
O Facility does not meet requirements and cannot be occupied until orders are met. [Enclose copy of
orders issued.]
O Facility does not meet requirements, but may temporarily be occupied until: (date),
pending completion of orders.
Signature of Building inspector: G 4 o c; rf n , Phone Number:Qs,S k) Jay-C/93 7
Agency Name: ('L-d
,A Y,,p-10,, , Date: I �� -21; Z
When inspection is complete, mail,email,or fax this form and any additional orders to:
Minnesota Department of Human Services, Division of Licensing
P.O.Box 64242 DHS Use Only
St.Paul,MN 55164-0242
Fax Number: 651-431-7673 Date'
Julental Health/Chemical Dependency email: dhs.mhcdlicensing@state.mn.us Revised 02/21/12
o
v
, „...,Cm) 41: 1,..1:1, .., ,..s
C),-4
.,..tZ.0 l'7,0
Z o
M +'
.�.� o1 i-i N cps E •x ) * i
+0 cV
,'
N O w W
•-. •, c,,
CI) tz
Z bbas
:_.,'", (11) ;-4 4-4
:!
.E "'
§°4-4 I:
ez,
0
$ "t:
O .,
Z
c...) .i.-.; 0C1
Z
U
o u O N °
ti
�+ D •Z r-1
"' ° Z sem,, U)
Et';‘ ,,t) - }'
o
N c 0 E-+ inO ›
. 1,10,,,, "CI
g 6:0b -
o pq •b ,42,v N 5 ~
-Th ' t- '5 F
t o ` O � •
,4
5
cd
�P g ."• 1 0
DEPARTMENT OF
HUMAN SERVICES
January 24, 2022
Zoning Administrator
City of Oak Park Heights
14168 Oak Park Blvd N
Oak Park Heights, MN 55082
Re: Zoning Notification of Application for
Department of Human Services Program License
License Number: 1102300
This is to inform you that the Department of Human Services, Division of Licensing has
been notified of a change of address for a program to be licensed under Minnesota
Statutes, Chapter 245G from Care Crossings,5901 Omaha Ave N Ste 110,Oak Park
Heights,MN 55082 to provide substance use disorder treatment services.
Issuance of this license is subject to compliance with the provisions of Minnesota
Statutes, Chapter 245A.
If you do not contact the Division of Licensing within 30 days of receipt of this letter,we
will consider this facility to be in compliance with your local zoning code.
If you have questions regarding the facility or its location,please contact Cathy Harvieux
at 952-999-7820 or cathy@carecrossings.com.
If you have any questions regarding this letter, contact Leah Wachter at 651-431-6614 or
fax information to (651)431-7673.
Sincerely,
Kristi Strang,MH/CD Unit Supervisor
Licensing Division
Office of Inspector General
(651)431-6611
PO Box 64242 *Saint Paul,Minnesota*55164-0242*An Equal Opportunity Employer
http:/lwww.dhs.state.mn.us/licensing