STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE, OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

2021 AUG 25 A fl: I 0

Petitioner,

Case No. 20-143PH AHCA No. 2019016082

1. Facility Type: ALF

   License No.: 7846

   GABALBINCORPORATED d/b/a A LOVING PLACE ALF,

   
   

   Provider.

   /

   
   

   STATE, OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

   
   

   Petitioner,

   
   

   V.

   AHCA Nos. 2019019771

   2019019794

   Facility Type: ALF License No.: 7846

   GABALBINCORPORATED d/b/a A LOVING PLACE ALF,

   
   

   Provider.

   I

   
   

   STATE, OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

   
   

   Petitioner,

   
   

   V.

   AHCA No. 2020003217

   Facility Type: ALF License No.: 7846

   RE"'DITIO"' "'O.: AHCA- 2.o - S9 '-1 -S-OI_C

   GABALBINCORPORATED d/b/a A LOVING PLACE ALF,

   
   

   Provider.

   I

   
   

   Filed September 25, 2020 3:57 PM Division of Administrative Hearings

   GABALBINCORPORATED d/b/a A LOVING PLACE ALF,

   
   

   Petitioner,

   
   

   V.

   
   

   DOAH No. 20-1556

   AHCA No. 2019015786

   Facility Type: ALF License No.: 7846

   
   

   STATE, OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

   
   

   Agency.

   
   

   FINAL ORDER

   
   

   Having reviewed the Administrative Complaint, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

   
   

   1. The Agency issued the attached Administrative Complaints, Notice of Intent to Deny, and Election of Rights forms to the Provider, Gabalb Incorporated. (Ex. 1). The parties have since entered into the attached Settlement Agreement, which is adopted and incorporated by reference into this Final Order. (Ex. 2) The Provider's application for licensure renewal shall be withdrawn effective December 31, 2020, unless a change of ownership has been granted to a third part on an earlier date.1

      
      

   2. The Provider shall pay the Agency $10,250.00, payable in the sum of $5,000.00 on or before sixty (60) days of the date of this Order with the remainder payable on or before December 31, 2020. A check made payable to the "Agency for Health Care Administration" and containing the AHCA ten-digit case numbers should be sent to:

Central Intake Unit

¥=

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 61

Tallahassee, Florida 32308

ORDERED at Tallahassee, Florida, on this ay of

, 2020.

,

gency or ealth Care Adm

1 The date of the license application withdrawal was extended to December 31, 2020, pursuant to a request of the provider.

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party who is adversely affected by this Final Order is entitled to judicial review, which shall be instituted by filing one copy of a notice of appeal with the Agency Clerk of AHCA, and a second copy, along with filing fee as prescribed by law, with the District Court of Appeal in the appellate district where the Agency maintains its headquarters or where a party resides. Review of proceedings shall be conducted in accordance with the Florida appellate rules. The Notice of Appeal must be filed within 30 days of rendition of the order to be reviewed.

CERTIFICATE OF SERVICE

74::J

I CERTIFY that a true and correct y this Final Order was served on the below-named persons by the method designated on this .:zs=_ of 4 :s:'""t) , 2020.

Richar oop, cy Clerk Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: (850) 412-3630

Docket for Case No: 20-001556

Orders for Case No: 20-001556