, | STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES IN THE MATTER OF Certified Mail 7005 1820 0008 0152 0988 A Civil Penalty Against Return turn Receipt Requested Jewish Community Alliance O71: 5S 7 orn 8505 San Jose Blvd. ee, Jacksonville, Florida 32217 teie boy Siwe ADMINISTRATIVE COMPLAINT YOU ARE HEREBY NOTIFIED that the Department has imposed a Civil Penalty in the amount of One Hundred Dollars ($100.00). As grounds for the imposition of this penalty, the Department states the following: 1. The Department of Children and Families, State of Florida, has juri Respondent by virtue of the provisions of Chapters 402.301 ~ 402.319, Flor 2. The Respondent, Jewish Community Alliance, is licensed to operate Jewish So Community Alliance located at 8505 San Jose Bivd., Jacksonville, Florida 32217: asa Ghild Care Facility in compliance with Chapter 402, Florida Statutes (F.S.}, and Florida Administrative Code (F.A.C), Rule 65C-22. 3. During an inspection on October 10, 2007, it was determined that the Respondent committed the following violation: FAC Chapter 65C-22.003 (1) and 402.305 (2), in that: Staff member M.C.F., hired August 21, 2007, did not have documentation to show completion of the 40 hours Introductory Childcare Course. The staff member entered the childcare industry on September 6, 2005 and began the training on December 1, 2005. “All childcare personnel! must complete training within 12 months from the date training begins and may not exceed 15 months from the date of employment in the childcare ind ustry.” This violation was previously cited on February 23, 2004, which resulted in a Notice of intent to Impose an Administrative Action being issued on February 23, 2004. The violation was subsequently cited on February 14, 2005, resulting in Administrative Complaint (fine) in the amount of fifty ($50.00) being levied on March 3, 2005. The "Violation was again cited on February 12, 2007, and again on June 13, 2007, which resulted in an Administrative Complaint (fine) in the amount of seventy-five ($75.00) being levied on June 12, 2007. acd ) 81SS4i24-06 setTTwe4 % UapTTyUg adag d22:30 40 6t 990 wa29:0 2002 61 99d span) aay ) Administrative Complaint-Jewish Community Alliance Page 2 4. The above referenced violation constitutes grounds to levy this Civil Penalty pursuant to ss.402.310(1)(a) and 402.310(4), Florida Statutes at the above referenced conduct of Respondent constitutes a violation of the minimum standards, rules and regulations for the operation of a Child Care Facility. 5. Payment of this fine can be made directly to the Department of Children and Family Services. The mailing address is: P.O. Box 2417, Jacksonville, FL. 32231, Attention: Child Care Licensure. : 6. Please be advised that you do have the right to contest this Civil Penalty through an administrative hearing pursuant to Section 120.57, Florida Statutes, but that you have no more than twenty one (21) days from the date the Administrative Complaint is received to initiate this formal review. To initiate this formal review process, a petition for formal hearing must be received by the following individuals within the twenty-one-day time frame: Roger L.D. Williams Gregory D. Venz, Agency Clerk Assistant General Counsel Department of Children & Families Department of Children & Families Office of the General Counsel P.O. Box 2417 1317 Winewood Blvd., Bldg. 2, Ste 204 Jacksonville, FL. 32231-0083 Tallahassee, FL. 32301 No later than fifteen (15) days after receipt of your written request for a format hearing, the request for a hearing shall be granted or denied. Absent the consent of all parties, the hearing will not commence on fewer than fourteen (14) days notice. Finally, in accordance with s. 120.57(b)(4), Florida Statutes (2004), all parties to this cause have the opportunity to respond, to present evidence and argument of all issues of involved, to conduct cross-examination and submit evidence, to submit proposed findings of facts and order, to file exceptions to any order of a hearing officer’s recommended order, and to be represented by counsel (at your expense). In addition, you have the right to have subpoenas and subpoenas duces tecum issued. Your request for an administrative hearing must state what issues and material facts you dispute, or it will be dismissed, FAILURE TO DISPUTE MATERIAL ISSUES OF FACT IN YOUR REQUEST FOR A HEARING MAY BE TREATED BY THE DEPARTMENT OF CHILDREN AND FAMILY SERVICES AS AN ELECTION BY YOU FOR THE INFORMAL PROCEEDINGS UNDER s. 120.57(2), FLORIDA STATUTES (2004). NOTICE OF RIGHTS This decision constitutes final agency action uniess a person who is substantially affected by it submits a written request for hearing that is received within twenty-one days from the date on which he or she first receives this notice. The request for hearing must also meet the 61SS2Z2L4+06 sat[TrTwe4 % vaprT tug adeqg d22:90 40 ST 92a wago:0 1002 6L 980 :pantaoay : } i Administrative Complaint-Jewish Community Alliance Page 3 requirements of Section 120.56, F.S., and either Rule 28-1 06.201 or Rule 28-106.301, FAC., or else it will be dismissed as required by Section 120.569(2)(c), F.S. That law and those rules require the written request for hearing to include the following information: 1, The name and address of each agency affected and each agency's file or identification number if known; 2. The name, address, and telephone number of the person who is asking for the hearing (the petitioner); 3. The name, address, and telephone number of the petitioner's representative, if any; 4. An explanation of how the petitioner's substantial interests are or will be affected by the agency decision; 5. Astatement of when and how the petitioner received notice of the agency decision; 6. A statement that the petitioner does not dispute the facts upon which the agency relied but that it wants to exercise the tight to be heard anyway OR a statement © that the petitioner does dispute the facts upon which the agency relied and a list of the facts in dispute; 7. Acconcise statement of the facts as the petitioner perceives them to be, including the specific facts set out by the agency that the petitioner wants the agency to reverse or change; 8. Astatement of the Specific rules or statutes that the petitioner believes requires the agency to reverse or modify its decision; and 9. A statement specifying what action the petitioner wants the agency to take in the matter, have to challenge this decision. The request must be received by the following persons at the following addresses on or before twenty-one (21) days of the date on which this notice was first received by the person requesting the hearing: Roger L.D. Williams Gregory D. Venz, Agency Clerk Assistant General Counsel Department of Children & Families Department of Children & Families Office of the General Counsel P.O. Box 2417 1323 Winewood Bivd., Bidg. 1, Suite 407 Jacksonville, FL. 32234-0083 Tailahassee, FL. 32301 pod 61SS222>06 sat[Ttuey § ueprTtyg adag d2z2:90 40 GI 220 1paalasay wago:St 2002 61 98g } ) Administrative Complaint-Jewish Community Alliance Page 4 STATE OF FLORIDA, mene Pe CHILDREN AND FAMILIES Pamela Bu¢kham Program Administrator s:d 61SS422>06 sat[Iwe4 % UapTtyug adeq dez:90 40 ST 98a wd§0-G0 2002 61 98d ‘pan! aoay } } CERTIFICATION OF SERVICE | HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by U.S. Certified Mail, 7005 1820 0008 0152 0988, Return Receipt Requested, in accordance with ss. 120.60(3), Florida Statutes (2005), this {day of November, 2007. STATE OF FLORIDA, ee) OF CHILDREN & FAMILIES | Pamela Buckham Program Administrator 61SS424+06 seaTt[Twey 3 UaPTTYD rideg de2z:s0 20 BI 2a wdgO:S0 2002 61 92g "peal saay

Docket for Case No: 07-005785