Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: ALS LEASING, INC., D/B/A ALTERRA CLARE BRIDGE OF JACKSONVILLE
Judges: P. MICHAEL RUFF
Agency: Agency for Health Care Administration
Locations: Jacksonville, Florida
Filed: Jun. 14, 2000
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Wednesday, April 18, 2001.
Latest Update: Oct. 31, 2024
FILED
00 JUN IG PHI2:52
AGENCY FOR HEALTH CARE ADMINISTRATION pjyicigy: of
ADMINISTRATIVE
STATE OF FLORIDA, AGENCY FOR HEARINGS
HEALTH CARE ADMINISTRATION,
STATE OF FLORIDA
Petitioner,
AHCA No.: 04-00-006-ALF
00-RYKS |
vs.
ALS LEASING, INC., d/b/a
ALTERRA CLARE BRIDGE OF JACKSONVILLE,
Respondent.
/
ADMINISTRATIVE COMPLAINT
YOU ARE HEREBY notified that after twenty-one (21) days from the receipt of
this Complaint, the Agency for Health Care Administration (hereinafter referred to as the
“Agency”) intends to impose a civil penalty in the amount of $600.00 upon ALS
LEASING, INC., d/b/a ALTERRA CLARE BRIDGE OF JACKSONVILLE, (hereinafter
referred to as “Respondent”). As grounds for the imposition of this civil penalty, the
Agency alleges as follows:
(1) The Agency has jurisdiction over the Respondent pursuant to Chapter 400,
Part III, Florida Statutes.
(2) Respondent is licensed to operate an Assistant Living Facility at 10050 Old St.
Augustine Road, Jacksonville, Florida 32257, in compliance with Chapter 400, Part Ii,
Florida Statutes, and Rule 58A-5, Florida Administrative Code.
(3) The Respondent has violated the provision of Chapter 400, Part -II, Florida
Statutes, and provision of 58A-5, Florida Administrative Code, in that it was cited for two
Mo oS)
(2) Class IMT deficiencies at an ALF change of ownership; limited nursing services
and extended congregate care inspection on February 4, 2000. These deficiencies set forth
below, were previously cited at a biennial licensure inspection on September 2, 1999, and
constitute repeat deficiencies:
(a) (A203) The Respondent failed to maintain an up to date written_admission and
discharge record of all residents, including emergency temporary services placements.
This is a violation of Section 400.419 (1)(c), Florida Statutes (1999), and Rule 58A-5.024
(1)(a), Florida Administrative Code. Class III deficiency. Fine: $300.00
(b) (A610) The Respondent failed to keep centrally storage medication in a locked
cabinet or storage area at all times.
The is a violation of Section 400.419 (1)(c), Florida Statutes (1999), and Rule 58A-
5.0182(6)(d) 3a, Florida Administrative Code. Class [I deficiency. Fine: $300.00.
(4) Notice was provided in writing to the Respondent of each of the above
violations and the time frame for correction. The Agency is authorized to impose this fine
penalty pursuant to Section 400.419(1)(c), Florida Statutes (1999), and Rule 58A-5,
Florida Administrative Code. . --
(5) Respondent is notified that it has a right to request an administrative hearing '
pursuant to Section 120.57, Florida Statutes, to be represented by counsel (at its expense),
to take testimony, to call or cross examine witnesses, to have subpoenas and/ or
subpoenas duces tecum issued, and to present written evidence or argument if it requests a
hearing. Chapter 59-1, Part 2, Florida Administrative Code, constitutes the Agency’s
procedural rule for administrative proceedings resulting from this complaint. In order to
obtain a formal proceeding under Section 120.57, (1) Florida Statutes, your request for an
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Ww Y
administrative hearing must conform to the requirements in Rule 10E-12.106, Florida
Administrative Code, and must state which issues of material fact you dispute. Failure to
dispute material issues of the fact in your request for a hearing may be treated by the
Agency as election by you of an informal proceeding under Section 120.57 (2), Florida
Statutes. All requests for hearings shall be made to the Agency for Health Care
Administration, and delivered to the Agency for Health Care Administration, Building 3,
Suite 3431, 2727 Mahan Drive, Tallahassee, Florida 32308; Attention: Michael O. Mathis,
Senior Attomey. Payment of fines shall be sent to the Agency for Health Care
Administration, P.O. Box 13749, Tallahassee, Florida 32317-3749 (Please reference the
number and facility name on the front of your check.)
(6) Respondent is further notified that failure to request a hearing within twenty-
one (21) days of receipt of this complaint will result in an admission of the facts alleged in
the complaint and the entry of a final order by the Agency.
CER’ CATE OF SER
I HEREBY CERTIFY that a true copy hereby was sent U S. Certified Mail,
Return Receipt Requested, to Nancy Crick, Administrator, Alterra Clare Bridge of
Jacksonville, 10050 Old Augustine Road, Jacksonville, Florida, 32257 on this > say
of oc: / 2000.
Copies Furnished to:
Michael! O. Mathis, Esquire -
Senior Attorney
Agency for Health Care Administration
2727 Mahan Drive
Building #3
Tallahassee, FI. 32308
Nancy Crick, Administrator
Alterra Clarer Bridge of Jacksonville
10050 Old Augustine Road
Jacksonville, Florida 32257
WY
Karen K. Swann )
Area #4 Office Supervisor
Division of Health Quality Assurance
Agency for Health Care
Administration
921 N. Davis Street
Bldg. A, Suite 115
Jacksonville, FL 32209
Finance & Accounting
Agency for Care Administration
Bldg. 2, 2% Floor
2727 Mahan Drive
Tallahassee, Florida 32308
Karen Swann
Area #4 Office Supervisor
Division of Health Quality Assurance
Agency for Health Care Administration
921 North Davis Street, Suite 115
Jacksonville, Florida 32209
Docket for Case No: 00-002483
Issue Date |
Proceedings |
Feb. 13, 2002 |
Final Order filed.
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Apr. 18, 2001 |
Order Closing File issued. CASE CLOSED.
|
Apr. 13, 2001 |
Joint Motion to Relinquishment of Jurisdiction (filed via facsimile).
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Apr. 10, 2001 |
Notice of Substitution of Counsel (Christine Messana) and Request for Service (filed via facsimile).
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Apr. 06, 2001 |
Order issued (the Judge has re-scheduled DOAH Case No. 00-2483 at the same location and date as DOAH Case No. 00-4710 at 4:00 p.m., instead of 1:00 p.m.).
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Mar. 29, 2001 |
Motion for Continuance and Re-Schedule Hearing filed by Petitioner.
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Feb. 26, 2001 |
Notice of Hearing issued (hearing set for April 16, 2001; 10:30 a.m.; Jacksonville, FL).
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Feb. 13, 2001 |
Status Report (filed by Respondent via facsimile).
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Jan. 16, 2001 |
Order Continuing Case in Abeyance issued (parties to advise status by February 12, 2001).
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Jan. 03, 2001 |
Status Report (filed by Respondent via facsimile).
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Dec. 05, 2000 |
Order Granting Continuance and Placing Case in Abeyance issued (parties to advise status by January 2, 2001).
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Nov. 29, 2000 |
Motion for Continuance (filed by Respondent via facsimile).
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Nov. 29, 2000 |
Notice of Appearance (filed by D. Ashburn via facsimile).
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Sep. 07, 2000 |
Notice of Hearing issued (hearing set for December 6, 2000; 10:30 a.m.; Jacksonville, FL).
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Jul. 17, 2000 |
Joint Response to Initial Order filed.
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Jun. 21, 2000 |
Initial Order issued. |
Jun. 14, 2000 |
Administrative Complaint filed.
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Jun. 14, 2000 |
Petition for Formal Proceedings filed.
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Jun. 14, 2000 |
Notice filed.
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