Ca U Fy STATE OF FLORIDA aplly “7 4 DEPARTMENT OF HEALTH e/a Y Ms 4 Noo WV, DEPARTMENT OF HEALTH Petitioner, Oo ~f) C2 "\_ vs. CASE NO.: 99-55921 ROSALYN SMITH Respondent / ADMINISTRATIVE COMPLAINT COMES NOW the Petitioner, Department of Health, and files this Administrative Complaint before the Board of Clinical Laboratory personnel, against the Respondent, ROSALYN SMITH, and in the support thereof would state: 1. Petitioner is ‘the state agency charged with regulating the practice of Clinical Laboratory Personnel, pursuant to Section 20.43, Florida Statutes; Chapter 455, Florida Statutes; and Chapter 483, Florida Statutes. 2. Pursuant to the authority of Section 20.43(3)(g), Florida Statutes, the Petitioner has contracted with the Agency for Health Care Administration, hereinafter referred to as the “Agency”, to provide consumer complaint, investigative, and prosecutorial services required by the Division of Medical Quality Assurance, councils or board, as appropriate, including the issuance of emergency orders of suspension or restriction. 3. Respondent has been at all times pertinent hereto, a duly licensed Clinical a Laboratory Technologist pursuant to Chapter 483, Florida Statutes, having been issued license number JC 9204. WU _— Respondent’s last known address is 531 Revere Street, Daytona Beach, Florida 32014. 5. Respondent was randomly selected by the Board of Clinical Laboratory Personnel for an audit of the continuing educational requirements set forth in Rule 64B3-11.001(1), Florida Administrative Code, for the biennium of 1996-1998. 6. Respondent has failed and refused to respond to the audit request as aforesaid, or supply any proof of compliance with the continuing education requirements necessary for licensure. 7. The conduct of the Respondent as aforesaid is contrary to the provisions contained in Sections 483.825 (7), Florida Statutes, and Rule 6483-11.001(1), Florida Administrative Code. WHEREFORE, Petitioner respectfully requests the Board of Clinical Laboratory Personnel to enter an Order imposing one or more of the penalties proscribed by law, together with any other and further relief deemed just under the circumstances. Q ° > SIGNED this C__ day of AUaea Ler __, 1999. ase 47 Robert G. Brooks, MD., Bae = r fr . = Oo yom = = By: Nancy M. Snurkowski Chief Attorney On Behalf of the Agency for Health . Care Administration Agency for Health Care Administration General Counsel's Office - MQA Practitioner Regulation - Legal F | LED P. O. Box 14229 MENT OF HEALTH Tallahassee, Florida 32317-4229 DEPART cy CLERK 0) 487-9670 7 y (850) 487-9670 CLERK phorus, uw PCP: Norris Barr, Roger Donahue pate _[/- 1879 g DATE: September 21, 1999

Docket for Case No: 00-003782PL