Minnesota : DHS		  
 
      
 


License Details

Basic license details.
Blossom Hill Corporation License status: Revoked as of October 7, 2019
1317 9TH ST NE
Montgomery, MN 56069
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(507) 364-5312
Rice County

License number: 1072342
License holder: Blossom Hill Corp
License Holder Entity Identification Number(s): 3551832
License status: Revoked as of October 7, 2019
Type of service: Home and Community Based Services


Licensed to provide

Basic Support Services:
Night supervision
Individualized home supports

In-Home Support Services:
Independent living skills training
Individualized home supports with training
Individualized home supports with family training

Residential Supports and Services:
Foster Care services or supported living services
Community residential services
Family residential services

Restrictions: None

Satellite Locations
None

Additional information
Certification: Adult Mental Health Certification - Community Residential Setting - Site Specific
Note: For additional information relating to providers who are licensed by an authority other than the Minnesota Department of Human Services, please contact the licensing authority directly. A directory of county agencies is online.

Public documents available for this license.
Licensing Actions and Maltreatment Investigation Memorandums
Documents below appear for four years from the date of posting
Document type Date issued Format
Maltreatment Investigative Memorandum 3/27/2020 HTML
License Revocation 10/7/2019 HTML


Human Services (DHS) licensing web page statement:

The information found on this web page is public information. Types of public information you will find on this website include:

  • Maltreatment investigation memorandum*
  • Licensing actions for license types other than family child foster care, including: conditional licenses, fines, revocations, indefinite suspensions, and temporary immediate suspensions (See the glossary of terms for an explanation of each type of licensing action.) Please note that licensing actions for family child foster care are public documents and available upon request from DHS.
  • Summary of reviews and investigations for family child care**
  • Decisions issued by DHS to appeals of violations cited on correction orders and conditional licenses
  • Final agency decisions for licensing actions
  • Correction Orders for license types other than family child care, child foster care, adult foster care, and family adult day service programs. Please note that correction orders are public documents and available upon request from DHS, the licensing county, or the licensing agency

*Maltreatment allegations involving a family child care or family child foster care program are conducted by the County in which the alleged incident occurred.

**Summary of reviews and investigations for all other provider types will be added in the future.

Determinations may be subject to appeal. Not all records related to the license are included on this web page. If you view information that you believe is not public, notify DHS Licensing Division immediately by calling (651) 431-6500.

Minnesota Department of Human Services website accessibility disclaimer: The Minnesota Department of Human Services has a policy of making the information on its websites accessible to people with disabilities. Pursuant to this commitment, DHS implements the provisions of the Americans with Disabilities Act and the Minnesota Human Rights Act. If you experience any difficulty accessing the content, call (651) 431-6500 or send an electronic mail message to DHS.LicensingDivision@state.mn.us to receive the subject matter in an alternative format. Indicate the nature of your accessibility problem, your preferred format, the license number of the facility, type and date of the document and your contact information so DHS can reach you with any questions in fulfilling your request.