State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, VS. HOSPITALITY INN icense yee ooo Respondent. Case Number 2013030290 Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, ("Petitioner’, files this Administrative Complaint against HOSPITALITY INN, (“Respondent’), and says: public food service establishments, pursuant to Section 20.165 and Chapter 509, Florida Statutes. 1. Petitioner is the state agency charged with regulating the operation of public lodging rat and 2. Respondent is, and has been at all times material hereto, licensed by or subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record is 4910 MOBILE HWY, PENSACOLA, FLORIDA 32506.The mailing address of record is HOSPITALITY INN, at 4910 HWY, PENSACOLA, FLORIDA 32506. ‘ 3. Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, revealed the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governin: OBILE violations of operation of the establishment. The violation(s) found and applicable law are described in Exhibit “A,” attached hereto and incorporated herein by reference. Inspection documents are attached as Exhibit “B”, incorp herein by reference. rated WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following penalties: administrative fine not to exceed $1,000 per offense, suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida ‘Statutes, promulgated thereto. Signed August 12, 2013 1 or the rules Ken Hensdill, District Manager By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Marc Drexler, Lead Attorney Florida Bar No. 0487058 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-2202 Certificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER:_7196 9008 9111 0766 8416 | HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT Nas been hand served by me on this. day of , 2013. Received by: Inspector's Signature Operator's Signature Title Title Case Number: 2013030290 File Number: 14669 District Number: 06 License Number: 2702623 2002 Form revised 01.01.13 HOSPITALITY INN Exhibit A License Number: 2702623 License Type: 2002 MOTEL Case Number: 2013030290 itis alleged that on July 18, 2013 Respondent was in violation of Florida Statute 509 (FS); the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC); and/or specific provisions ofthe Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, as incorporated by Chapter 61C, FAC in the following particulars. Copy(s) of the report(s) for the above referenced inspection(s) are attached hereto and incorporated by reference as Exhibit B. ** denotes a high priority violation. * denotes an intermediate priority violation. 4.94.22-4 §09.221(7) FS High Priority: The operator of any establishment licensed under this chapter shall take effective measures to protect the establishment against the’entrance and the breeding onthe premises of all vermin. Any room in such an establishment infested with such vermin shall be fumigated, disinfected, renovated, or other corrective action taken until the vermin are exterminated. Observed live bed bug in rooms #203 and # 208. Repeat Violation * 9 24-23-4 509.221(7) FS High Priority: The operator of any establishment licensed under this chapter shall take effective measures fo protect the establishment against the entrance and the breeding on the premises of all vermin. Any room in such an establishment infested with such vermin shall be fumigated, disinfected, renovated, or other corrective action taken until the vermin are exterminated. Observed one dead bed bug in room # 206. Repeat Violation District Number: 06 Case Number: 2013030290 File Number: 14669 Form revised 01.01.13 License Number: 2702623 2002 HOSPITALITY INN

Docket for Case No: 13-003382