Petitioner: AGENCY FOR HEALTH CARE ADMINISTRATION
Respondent: PLANNED PARENTHOOD OF SOUTHWEST AND CENTRAL FLORIDA, INC.
Judges: LAWRENCE P. STEVENSON
Agency: Agency for Health Care Administration
Locations: Tallahassee, Florida
Filed: Sep. 30, 2015
Status: Closed
Settled and/or Dismissed prior to entry of RO/FO on Tuesday, April 12, 2016.
Latest Update: Dec. 25, 2024
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
STATE OF FLORIDA, AGENCY FOR
HEALTH CARE ADMINISTRATION,
Petitioner,
vs. AHCA No. 2015009388
Location: Ft. Myers
PLANNED PARENTHOOD OF SOUTHWEST
AND CENTRAL FLORIDA, INC.,
Respondent.
/
ADMINISTRATIVE COMPLAINT
COMES NOW the Petitioner, State of Florida, Agency for Health Care Administration
(“the Agency”), by and through its undersigned counsel, and files this Administrative Complaint
against the Respondent, Planned Parenthood of Southwest and Central Florida, Inc. (“the
Respondent”), pursuant to Sections 120.569 and 120.57, Florida Statutes (2015), and alleges as
follows:
NATURE OF THE ACTION
This is an action to impose a $1,000.00 administrative fine against the Respondent.
PARTIES
1. The Agency is the licensing and regulatory authority that oversees abortion clinics
in Florida and enforces the statutes and rules governing such facilities. Chs. 408, Part II, 390,
Fla. Stat. (2015); Ch. 59A-9, Fla. Admin. Code. The Agency may deny, revoke and suspend a
license issued to an abortion clinic and impose an administrative fine for a violation of the Health
Care Licensing Procedures Act, the authorizing statutes or the applicable rules. §§ 408.813,
408.815, 390.018, Fla. Stat. (2015). In addition, when a controlling interest or licensee has an
interest in more than one provider and fails to license a provider rendering services that require
licensure, the Agency may revoke all licenses and impose actions under Section 408.814 and a
fine of $1,000 per day, unless otherwise specified by authorizing statutes, against each licensee
until such time as the appropriate license is obtained for the unlicensed operation. § 408.812(5),
Fla. Stat. (2015).
2. The Respondent applied for and was issued a license by the Agency to Operate an
abortion clinic located at 8595 College Parkway, Suite 250, Ft. Myers, Florida 32919, and was
' at all times material required to comply with the statutes and rules governing such facilities.
3. The license issued to the Respondent was valid for only first trimester abortions, as
requested by the Respondent through its license application. Applicants may apply for a license
to perform second trimester abortions in addition to first trimester abortions, but the standards for
facilities that perform second trimester abortions are greater. See Fla. Admin. Code Rules 59A-
9.022 (Physical Plant Requirements); 59A-9.0225 (Clinic Supplies and Equipment Standards for
Second Trimester Abortions); 59A-9.023 (Clinic Personnel); 59A-9.024 (Clinic Policies and
Procedures for Second Trimester Abortions); 59A-9.025 (Medical Screening and Evaluation of
Patients Receiving Second Trimester Abortions); 59A-9.026 (Second Trimester Abortion
Procedure); 59A-9.027 (Recovery Room Standards for Second Trimester Abortions); 59A-9.028
(Post Procedure Follow-up Care for Patients Receiving Second Trimester Abortions); 59A-9.029
(Abortion Clinic Incident Reporting for Second Trimester Abortions). The Respondent did not
apply for and does not have a license to perform second trimester abortions.
COUNT I
4. Under Florida law, the requirements of part II of chapter 408 shall apply to the
provision of services that require licensure pursuant to ss. 390.01 1-390.018 and part II of chapter
408 and to entities licensed by or applying for such licensure from the Agency for Health Care
Administration pursuant to ss. 390.011-390.018. A license issued by the Agency is required in
order to operate a clinic in this state. § 390.014, Fla, Stat. (2015). All persons planning the
operation of an abortion clinic under the provisions of Chapters 408 and 390, F.S., shall make
application for a license to the Agency on the Health Care Licensing Application, Abortion
Clinic, AHCA Form 3130-1000, July 2014, which is incorporated by reference. Fla. Admin.
Code 59A-9.020(1).
5. Under Florida law, a permanent individual clinical record shall be kept on each
clinic patient. Clinical records shall be complete, accurately documented, and systematically
organized to facilitate storage and retrieval. (a) Clinical records shall be complete, accurately
documented, and systematically organized to facilitate storage and retrieval. (b) Clinical records
involving second trimester abortion procedures shall be kept confidential and secure. (c)
Operative reports signed by the physician performing the second trimester abortion shall be
recorded in the clinical record immediately following the procedure or that an operative progress
note is entered in the clinical record to provide pertinent information. Fla, Admin. Code 59A-
9,031(1).
Facts
6. During the period from July 31, 2015, through August 19, 2015, the Agency
conducted an unannounced monitoring visit of the Respondent and gathered information from
the Respondent.
7. Based upon the results of the visit and the additional information, the Respondent
provided services in excess of the scope of its license for 2 patients.
8. For sampled patients #4 and #16, no date was recorded for the last normal
menstrual period (LMP); however, the ultrasound reflected weeks of gestation in excess of 12 as
documented in the patients’ records. The findings include:
9. A review of sampled patient #4 - no LMP, ultrasound reflected 13.2 weeks
gestation.
10. A review of sampled patient #16 - no LMP, ultrasound reflected 13.2 weeks
gestation.
Sanction
11. Under Florida law, as a penalty for any violation of this part, authorizing statutes,
or applicable rules, the Agency may impose an administrative fine. § 408.813, Fla. Stat. (2015).
Unless the amount or aggregate limitation of the fine is prescribed by authorizing statutes or
applicable rules, the agency may establish criteria by rule for the amount or aggregate limitation
of administrative fines applicable to this part, authorizing statutes, and applicable rules. Each
day of violation constitutes a separate violation and is subject to a separate fine. § 408.813(1),
Fla. Stat, (2015). The Agency may impose an administrative fine for a violation that is not
designated as a class I, class II, class III, or class IV violation. Unless otherwise specified by
law, the amount of the fine may not exceed $500 for each violation. Unclassified violations
include: (a) Violating any term or condition of a license. (b) Violating any provision of this
part, authorizing statutes, or applicable rules. (c) Exceeding licensed capacity. (d) Providing
services beyond the scope of the license. (e) Violating a moratorium imposed pursuant to s.
408.814. § 408.813(3), Fla. Stat, (2015).
WHEREFORE, the Petitioner, State of Florida, Agency for Health Care Administration,
respectfully seeks to impose a $1,000.00 administrative fine against the Respondent.
CLAIM FOR RELIEF
WHEREFORE, the Petitioner, State of Florida, Agency for Health Care Administration,
respectfully seeks a final order that:
1. Makes findings of fact in favor of the Agency,’ /
ff
2. Imposed the relief set forth above. 7
i
/ ‘f
Respectfully submitted on this 3" day of Septginbef,
Z f
Thomas M. Hoelér, Chief Facilities Counsel
Florida Bar No. 709311
Office of the General Counsel
Agency for Health Care Administration
2727 Mahan Drive, Mail Stop #3
Tallahassee, Florida 32308
Telephone: (850) 412-3647
Facsimile: (850) 922-9634
Thomas.Hoeler@ahca.myflorida.com
NOTICE OF RIGHTS
Pursuant to Section 120.569, F.S., any party has the right to request an administrative
hearing by filing a request with the Agency Clerk. In order to obtain a formal hearing
before the Division of Administrative Hearings under Section 120.57(1), F.S., however, a
party must file a request for an administrative hearing that complies with the requirements
of Rule 28-106,2015, Florida Administrative Code. Specific options for administrative
action are set out in the attached Election of Rights form.
The Election of Rights form or request for hearing must be filed with the Agency Clerk for
the Agency for Health Care Administration within 21 days of the day the Administrative
Complaint was received. If the Election of Rights form or request for hearing is not timely
received by the Agency Clerk by 5:00 p.m. Eastern Time on the 21st day, the right to a
hearing will be waived. A copy of the Election of Rights form or request for hearing must
also be sent to the attorney who issued the Administrative Complaint at his or her address.
The Election of Rights form shall be addressed to: Agency Clerk, Agency for Health Care
Administration, 2727 Mahan Drive, Mail Stop 3, Tallahassee, FL 32308; Telephone (850)
412-3630, Facsimile (850) 921-0158.
Any party who appears in any agency proceeding has the right, at his or her own expense,
to be accompanied, represented, and advised by counsel or other qualified representative.
Mediation under Section 120.573, ES., is available if the Agency agrees, and if available,
the pursuit of mediation will not adversely affect the right to administrative proceedings in
the event mediation does not result in a settlement.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy 9 ihe Administrative Complaint and
Election of Rights form were served to the persons named
this 3" day of September, 2015.
Thomas M. Heeler, Chief Facilities Counsel
Florida Bar No. 709311
Office of the General Counsel
Agency for Health Care Administration
2727 Mahan Drive, Mail Stop #3
Tallahassee, Florida 32308
Telephone: (850) 412-3647
Facsimile: (850) 922-9634
Thomas.Hoeler@ahca.myflorida.com
Jack Plagge, Unit Manager
Hospital and Outpatient Services Unit
Agency for Health Care Administration
(Electronic Mail)
Jon Seehawer, Field Office Manager
Local Field Office
Agency for Health Care Administration
(Electronic Mail)
Administrator
Planned Parenthood of Southwest and
Central Florida
8595 College Parkway, Suite 250
Ft. Myers, Florida 32919
Certified Mail -
91 7108 2133 3937 6300 &325
Julie Gallagher, Esquire
Grossman, Furlow & Bayo', LLC
2022-2 Raymond Diehl Road
Tallahassee, Florida 32308
E-Mail: j.gallagher@gfblawfirm.com
STATE OF FLORIDA
AGENCY FOR HEALTH CARE ADMINISTRATION
Re: _ Planned Parenthood of Southwest and Central Florida AHCA No. 2015009388
Ft. Myers Location
ELECTION OF RIGHTS
This Election of Rights form is attached to a proposed agency action by the Agency for Health
Care Administration (AHCA). The title may be Notice of Intent to Impose a Late Fee, Notice of
Intent to Impose a Late Fine or Administrative Complaint. Your Election of Rights may be
returned by mail or by facsimile transmission, but must be filed within 21 days of the day that
you receive the attached proposed agency action. If your Election of Rights with your selected
option is not received by AHCA within 21 days of the day that you received this proposed
agency action, you will have waived your right to contest the proposed agency action and a
Final Order will be issued.
(Please use this form unless you, your attorney or your representative prefer to reply according to
Chapter120, Florida Statutes, and Chapter 28, Florida Administrative Code.)
Please return your Election of Rights to this address:
Agency for Health Care Administration
Attention: Agency Clerk
2727 Mahan Drive, Mail Stop #3
Tallahassee, Florida 32308
Telephone: 850-412-3630 Facsimile: 850-921-0158
PLEASE SELECT ONLY 1 OF THESE 3 OPTIONS
OPTION ONE (1) I admit to the allegations of facts and law contained in the
Notice of Intent to Impose a Late Fee, Notice of Intent to Impose a Late Fine, or
Administrative Complaint and I waive my right to object and to have a hearing, |
understand that by giving up my right to a hearing, a final order will be issued that adopts the
proposed agency action and imposes the penalty, fine or action.
OPTION TWO (2) I admit to the allegations of facts contained in the Notice of
Intent to Impose a Late Fee, Notice of Intent to Impose a Late Fine, or Administrative
Complaint, but I wish to be heard at an informal proceeding (pursuant to Section 120.57(2),
Florida Statutes) where I may submit testimony and written evidence to the Agency to show that
the proposed administrative action is too severe or that the fine should be reduced.
OPTION THREE (3) I dispute the allegations of fact contained in the Notice
of Intent to Impose a Late Fee, Notice of Intent to Impose a Late Fine, or Administrative
Complaint, and I request a formal hearing (pursuant to Section 120.57(1), Florida Statutes)
before an Administrative Law Judge appointed by the Division of Administrative Hearings.
PLEASE NOTE: Choosing OPTION THREE (3), by itself, is NOT sufficient to obtain a
formal hearing. You also must file a written petition in order to obtain a formal hearing
before the Division of Administrative Hearings under Section 120.57(1), Florida Statutes. It
must be received by the Agency Clerk at the address above within 21 days of your receipt of this
proposed agency action. The request for formal hearing must conform to the requirements of
Rule 28-106.2015, Florida Administrative Code, which requires that it contain:
1. The name, address, telephone number, and facsimile number (if any) of the Respondent.
2. The name, address, telephone number and facsimile number of the attorney or qualified
representative of the Respondent (if any) upon whom service of pleadings and other papers shall
be made.
3. A statement requesting an administrative hearing identifying those material facts that are in
. dispute. If there are none, the petition must so indicate.
4. A statement of when the respondent received notice of the administrative complaint.
5. A statement including the file number to the administrative complaint.
Mediation under Section 120.573, Florida Statutes, may be available in this matter if the Agency
agrees.
License Type: (ALF? Nursing Home? Medical Equipment? Other Type?)
Licensee Name: License Number:
Contact Person: Title:
Address:
Number and Street City Zip Code
Telephone No. Fax No. E-Mail(optional)
I hereby certify that I am duly authorized to submit this Election of Rights to the Agency for
Health Care Administration on behalf of the licensee referred to above.
Signed: Date:
Print Name: Title:
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9/15/2015
Docket for Case No: 15-005486
Issue Date |
Proceedings |
Apr. 12, 2016 |
Order Closing Files. CASE CLOSED.
|
Mar. 28, 2016 |
Respondent's Motion for Attorney's Fees and Costs filed. (DOAH CASE NO. 16-2038F ESTABLISHED)
|
Mar. 25, 2016 |
Notice of Voluntary Dismissal filed.
|
Mar. 14, 2016 |
Notice of Service of AHCA's Supplemental Response to Request for Production filed.
|
Mar. 01, 2016 |
Order of Pre-hearing Instructions.
|
Mar. 01, 2016 |
Notice of Hearing (hearing set for April 26 and 27, 2016; 9:30 a.m.; Tallahassee, FL).
|
Feb. 25, 2016 |
Notice of Use filed.
|
Feb. 22, 2016 |
Respondent's Notice of Filing Motion for Leave to Reply and Attached Reply filed.
|
Feb. 22, 2016 |
Motion for Leave to Reply filed.
|
Feb. 19, 2016 |
Petitioner's Response to Respondent's Motions to Compel Interrogatories and Response to Production and for Sanctions filed.
|
Feb. 17, 2016 |
Order Denying Renewed Motion to Dismiss.
|
Feb. 12, 2016 |
Notice of Withdrawal of Respondent's Supplement to Renewed Motion to Dismiss filed.
|
Feb. 12, 2016 |
Respondent's Supplement to Renewed Motion to Dismiss filed.
|
Feb. 12, 2016 |
Respondent's Motion to Compel Response to Interrogatories and for Sanctions filed.
|
Feb. 12, 2016 |
Respondent's Motion to Compel Response to Request for Production and for Sanctions filed.
|
Feb. 10, 2016 |
Notice of Appearance (Timothy Atkinson) filed.
|
Feb. 10, 2016 |
Notice of Appearance (Segundo Fernandez) filed.
|
Feb. 08, 2016 |
Agency's Response to Respondent's Renewed Motion to Dismiss for Failure to State a Cause of Action (filed in Case No. 15-005488).
|
Feb. 02, 2016 |
Respondent's Supplemental Response to Order filed.
|
Feb. 01, 2016 |
Agency's Response to Order to Advise Regarding Case Status filed.
|
Feb. 01, 2016 |
Respondent's Response to Order filed.
|
Feb. 01, 2016 |
Notice of Service of Agency's Supplemental Responses to Request for Admissions (filed in Case No. 15-005488).
|
Feb. 01, 2016 |
Respondent's Renewed Motion to Dismiss for Failure to State a Cause of Action filed.
|
Jan. 25, 2016 |
Amended Administrative Complaint (Location: St. Petersburg, filed in Case No. 15-005488).
|
Jan. 22, 2016 |
Amended Administrative Complaint (Location: Ft. Meyers, filed in Case No. 15-005488).
|
Jan. 22, 2016 |
Amended Administrative Complaint (filed in Case No. 15-005488).
|
Jan. 22, 2016 |
Amended Administrative Complaint filed.
|
Jan. 14, 2016 |
Notice of Service of Agency's Response to Request for Production iled.
|
Jan. 13, 2016 |
Order on Motion to Deem Requests for Admissions Admitted.
|
Jan. 13, 2016 |
Order Denying Request for Reconsideration.
|
Dec. 31, 2015 |
Respondent's Motion to Deem Request for Admissions Admitted filed.
|
Dec. 31, 2015 |
Respondent's Motion to Deem Request for Admissions Admitted filed.
|
Dec. 31, 2015 |
Respondent's Request for Reconsideration of Order Continuing Final Hearing filed.
|
Dec. 31, 2015 |
Order Allowing Amendment of Administrative Complaints and Continuing Final Hearing (parties to advise status by February 1, 2016).
|
Dec. 30, 2015 |
Petitioner's Response to Respondent's Motion to Dismiss filed.
|
Dec. 23, 2015 |
Notice of Service of Agencys Response to Request for Admissions filed.
|
Dec. 23, 2015 |
Respondents Motion to Dismiss or For More Definite Statement filed.
|
Dec. 02, 2015 |
Notice of Filing Respondents' Response to Petitioner's First Set of Interrogatories, Request for Produciton of Documents and Request for Admissions filed.
|
Nov. 25, 2015 |
Notice of Filing Respondent's First Set of Interrogatories, Request for Production of Documents, and Request for Admissions filed.
|
Nov. 20, 2015 |
Notice of Filing Response to Request for Admissions (filed in Case No. 15-005487).
|
Nov. 20, 2015 |
Notice of Filing Response to Request for Admissions filed.
|
Oct. 30, 2015 |
Order of Pre-hearing Instructions.
|
Oct. 30, 2015 |
Notice of Hearing (hearing set for January 26 and 27, 2016; 9:00 a.m.; Tallahassee, FL).
|
Oct. 29, 2015 |
Order of Consolidation (DOAH Case Nos. 15-5486, 15-5487, and 15-5488).
|
Oct. 23, 2015 |
Notice of Service of Agency's First Set of Interrogatories and Request for Production of Documents to Respondent filed.
|
Oct. 20, 2015 |
Notice of Transfer.
|
Oct. 07, 2015 |
(Joint) Response to Amended Initial order filed.
|
Sep. 30, 2015 |
Amended Initial Order.
|
Sep. 30, 2015 |
Corrected Notice filed.
|
Sep. 30, 2015 |
Initial Order.
|
Sep. 30, 2015 |
Election of Rights filed.
|
Sep. 30, 2015 |
Notice of Appearance, Election of Rights, and Petition for Formal Administrative Hearing filed.
|
Sep. 30, 2015 |
Administrative Complaint filed.
|
Sep. 30, 2015 |
Notice (of Agency referral) filed.
|
|
Respondent's Supplement to Renewed Motion to Dismiss filed.
|