FIL.ED

STATE OF FLORIDA AHCA

AGENCY FOR HEALTH CARE ADMINISTRATION AGENCY CLERK

STATE OF FLORIDA, AGENCY FOR

DdA7AliJ . i 5 2 Si

HEALTH CARE ADMINISTRATION, 15-6673

Petitioner,

V.

ALBANY AVENUE ADULT CONGREGATE LIVING FACILITY, INC., d/b/a ALBANY AVENUE ACLF, INC.,

            Respondent.                                                        

/

AHCA NOS. 2015007268

2015010157

LICENSE NO. 6044

RENDmON NO.: AHCA-\ -0 13 -S-OLC

FINAL ORDER

Having reviewed the Administrative Complaints, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

1. The Agency issued the attached Administrative Complaints and Election of Rights forms to the Respondent. (Ex. 1 and Ex. 2) The Election of Rights forms advised of the right to an administrative hearing.

   
   

2. The parties have since entered into the attached Settlement Agreement. (Ex. 3) Based upon the foregoing, it is ORDERED:

3. The Settlement Agreement is adopted and incorporated by reference into this Final Order. The parties shall comply with the terms of the Settlement Agreement.

   
   

4. The agency actions for license revocation are withdrawn.

   
   

5. The Respondent shall pay the Agency $4,500.00. If full payment has been made, the cancelled check acts as receipt of payment and no further payment is required. If full payment has not been made, payment is due within 30 days of the Final Order. Overdue amounts are subject to statutory interest and may be referred to collections. A check made payable to the "Agency for Health Care Administration" and containing the AHCA ten-digit case number should be sent to:

Central Intake Unit

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 61

Tallahassee, Florida 32308

Filed September 13, 2016 4:18 PM Division of Adm1inistrative Hearings

ORDERED at Tallahassee, Florida, on this        j_ day of_         '2016.

ud k, Secretary

Agency for ealth Care Administration

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party who is adversely affected by this Final Order is entitled to judicial review, which shall be instituted by filing one copy of a notice of appeal with the Agency Clerk of AHCA, and a second copy, along with filing fee as prescribed by law, with the District Court of Appeal in the appellate district where the Agency maintains its headquarters or where a party resides. Review of proceedings shall be conducted in accordance with the Florida appellate rules. The Notice of Appeal must be filed within 30 days of rendition of the order to be reviewed.

CERTIFICATE OF SERVICE

I CERTIFY that a true and correc y his Final Order was served on the below-named persons by the method designated on this f c                  , 2016.

Agency for Health Care Administration 2727 Mahan Drive, Bldg. #3, Mail Stop #3

Tallahassee, Florida 32308-5403

Telephone: (850) 412-3630

Docket for Case No: 15-005622

Orders for Case No: 15-005622