State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, vs. License Number 1302110 SAFFRON R d License Type 2010 espondent. Case Number 2013042327 / Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTEL RESTAURANTS, (“Petitioner”), files this Administrative Complaint against SAFFRON, ("Responden says: AND ”), and 1. Petitioner is the state agency charged with regulating the operation of public lodging ahaa ie and tes. public food service establishments, pursuant to Section 20.165 and Chapter 509, Florida Statu Division of Hotels and Restaurants. The respondent's business address of record is 4012 W 2 PANAMA CITY, FLORIDA 32405.The mailing address of record is SAFFRON, at 4012 W 23R PANAMA CITY, FLORIDA 32405. 2. Respondent is, and has been at all times material hereto, licensed by or subject to the ora 4 of the the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governin ST, STREET, operation 3. Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, oven eet of of the establishment. The violation(s) found and applicable law is described in Exhibit “A,” attac! ed hereto and incorporated herein by reference. Inspection documents are attached as Exhibit “B”, incorpprated herein by reference. 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 issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes! promulgated thereto. . Signed October 15, 2013 f a license or the rules Ken Hensdill, District Manager By delegation of the Director, or designee Division of Hotels & Restaurants COUNSEL FOR THE DEPARTMENT. Marc Drexler, Lead Attorney Florida Bar No. 0487058 Department of Business & Professional Regulation 4940 North Monroe Street Tallahassee, Florida 32399-2202 Certificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: 7196 9008 9111 0766 9109 Department of Business & Professional Regulatidn THEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this. day of , 2013. Received by: Inspector's Signature Operator's Signature Title Title Case Number: 2013042327 File Number: 245460 District Number: 06 License Number: 1302110 2010 Form revised 01.01.18 SAFFRON Exhibit A License Number: 1302110 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2013042327 It is alleged that on October 09, 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 of the Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, jas 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. ™ 1.35A-04-4 509.221(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 onjthe premises of all vermin. Any room in such an establishment infested with such vermin shail be fumigated, disinfected, renovated, or other corrective action taken until the vermin are exterminated. Observed rodent activity present as evidenced by rodent droppings found. Four (4) old rans under counter of buffet area, Six (6) fresh droppings under counter with post mix, Ten (10) wet drop ings found on floor in the corer by dish machine, Two (2) wet droppings on top of dish Baines) Two (2} fresh droppings on prep table by walk-in cooler, and approximately eight to ten (8-10) wet dr floor underneath prep table. Case Number: 2013042327 File Number: 245460 District Number: 06 License Number: 1302110 2010 Form revised 01.01.13 SAFFRON ppings on

Docket for Case No: 13-004978