STATE OF FLORIDA _ AGENCY FOR HEALTH CARE ADMINISTRATION STACEY HEALTH CARE CTR., INC. d/b/a RIVERSIDE CARE CENTER F5Q Cleared Petitioner, Oo DOAH Case no. 02-1907 AHCA no. 2002020981 22 = ae vs. Stitt om Ea — STATE OF FLORIDA, AGENCY FOR : = HEALTH CARE ADMINISTRATION, = Respondent. S / FINAL ORDER This case is before the Agency for Health Care Administration (Agency) for issuance of a final order. In a “Notice of Intent to Deny” dated April 1, 2002, the Petitioner was informed of the Agency’s initial decision to deny their renewal application. FINDINGS OF FACT 1. The Petitioner received the decision letter and requested an administrative hearing. Subsequently, the Petitioner filed a motion to withdraw its request for a administrative hearing. The Division of Administrative Hearings (division) closed his file based upon the Petitioner’s withdrawal of its request for an administrative hearing. The division’s order of May 29, 2002, and the Petitioner’s “motion to withdraw its request for a administrative hearing are incorporated by reference. CONCLUSIONS OF LAW The Agency has jurisdiction over the parties and subject matter pursuant to BASED on the foregoing, the request for a formal hearing is dismissed, this matter is moot, and the Agency’s filed is CLOSED. DONE and ORDERED this __/O day of ecly , 2002, in Tallahassee, Florida. Rhonda M. Meylows, MD, FAAFP, Secret, A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH IS INSTITUTED BY FILING A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AGENCY FOR HEALTH CARE ADMINISTRATION, AND A COPY ALONG WITH THE FILING FEE WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS ARE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THIS ORDER. Copies furnished to: Florence Snyder Rivas Administrative Law Judge Division of Administrative Hearings The DeSoto Building eee 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 Wendy Adam’s (by U.S. Mail) Legal Intake Unit (by Interoffice Mail) Frank P. Rainer, Esquire Sternstein, Rainer & Clarke, P.A. Michael O. Mathis, Esq. 101 North Gadsden Street Legal Section Tallahassee, Florida 32301 (by Interoffice Mail) (by U.S. Mail) AIK tant Nid v Cinvreegje. YEE) CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing was served on the above named persons by U.S. Mail or by interoffice mail as indicated high4 M day of Dies 6T _, 2002. Cphed wher Lealand McCharen, Agency Clerk State of Florida, Agency for Health Care Administration Fort Knox Bldg., 3, MS#3 2727 Mahan Dr., Suite 3402 Tallahassee, FL 32308-5403 (850) 921-8177

Docket for Case No: 02-001907