—— S a - | wv ‘ STATE OF FLORIDA mh AGENCY FOR HEALTH CARE ADMINISTRATION Sn LIBERTY STREET CARE CENTER, (WILLIAM GREEN, licensee) Petitioner, CASE NO.: 00-1001 AHCA NO.: 04-00-001-ALF VS. STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. / FINAL ORDER a THIS CASE is before the Agency for Health Care Administration (The “Agency”) for the purpose of issuing a final order. The administrative law judge (ALJ) assigned by the Division of Administrative Hearings (“division”) submitted an order dated August 9, 2000 closing the division’s file based on the Petitioner’s withdrawal of her request for a hearing by a letter dated August, 4, 2000. The ALJ’s order of August 9, 2000; and the Petitioner’s letter dated August 4, 2000, are hereby incorporated by reference. Based on the foregoing, this proceeding is CLOSED. DONE and ORDERED this SQ! day of” 2000, in Tallahassee, Florida. Ruben J. King-Shaw, Jr., Director State of Florida, Agency for Health Care Administration A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A 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 PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE i] wi WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED. Copies furnished to: Michael O. Mathis, Esquire © AHCA Informal Hearing Officer Agency Health Care Administration Fort Knox, Building 3, Room 3408D 2727 Mahan Drive Tallahassee, Florida 32308 (by interoffice Mail) Alberta Granger ( AHCA & HQA) (by Interoffice Mail) Sheryl Stanley, Administrator Liberty Street Care Center 1949 West 45" Street Jacksonville, Florida 32209 (by U.S. Mail) Robert Dickson Area 4 Supervisor Division of Health Quality Agency for Health Care Administration 921 N. Davis St., A, 115 Jacksonville, Florida 32209 (by interoffice Mail) CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been served on the above named persons by the indicated means of de of ~__, 2000. Wy on this ol day Gf LY R. S. Power, Agency Clerk State of Florida, Agency for Health Care Administration 2727 Mahan Drive, Suite 3431 Fort Knox Building III Tallahassee, FL 32308-5403 (850) 922-3808 -2- ‘ 4 STATE OF FLORIDA { DIVISION OF ADMINISTRATIVE HEARINGS 4 | , | | LIBERTY STREET CARE CENTER, Petitioner, vs. Case No. 00-1001 AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. ee Oe a ee ee ee ee ORDER CLOSING FILE Based upon Petitioner's withdrawal of the request for a hearing on denial of a limited mental health license (January 7, 2000 letter of denial) and the undersigned being fully advised, it is, therefore, ORDERED that: 1. The final hearing in this cause scheduled for August 10, 2000, is hereby cancelled. 2. The file of the Division of Administrative Hearings in the above- captioned matter is hereby closed. DONE AND ORDEE his BA day of August, 2000, in . | unty, Florida. CHARLES C. ADAMS : . Administrative Law Judge , Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway i Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9679 Fax Filing (850) 921-6847 i www.doah.state.fl.us : Tallahassee, ‘Leon.

Docket for Case No: 00-001001

Orders for Case No: 00-001001