wy L- 374) STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION Division of Administrative Hearings STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION, Petitioner, vs. Continuum Care Services, Inc, d/b/a The Family, f/k/a/ Sunrise Regional Medica! Center , Respondent. / ‘ AD Ss TTY, MPLAINT ‘YOU ARE HEREBY NOTIFIED that after twenty-one (21) days from receipt of this COMPLAINT, the AGENCY FOR HEALTH CARE ADMINISTRATION ("Agency") intends to impose an administrative fine for each day of non-compliance upon Continuum Care Services, Inc. (H 11-0035) ("Respondent") for violations involving Prior Year Reports. As grounds for the imposition of this administrative fine, the Agency will show: 1. Respondent is a hospital as defined by § 395.002(12), Florida Statutes and is locared at 555 S.W. 148th Avenue, Sunrise, FL 33325. 2. Pursuant to Section\408.061(4)(2), Florida Statutes, and Rule 59E-5.201, Florida Administrative Code, Respondent is required to file with the Agency within 120 days subscquent to the end of its fiscal year, its Prior Year Report which consists of an original and one copy of its actual report prepared and submitted in compliance with the Florida Hospital Uniform Reporting System Manual on forms adopted by the Agency, two copies of its audited financial statements, and one copy of its Medicare cost report. “1. 9. All payments of administrative fines shall be by check or money order payable to the Agency for Health Care Administration. Reference shall be made to Respondent's name, pos facility number, and the case number on this Complaint, and shall be sent to the Agency for | i Health Care Administration, Bureau Health Facility Regulation, Fort Knox Offics Plaza, Building #1, MS #28, 2727 Mahan Drive, Tallahassee, Florida 32308, Attention: Christopher J. Augsburger, Regulatory Analyst Supervisor, Bureau, Health Facility Regulation. 10. YOU ARE FURTHER NOTIFIED that failure to request a hearing within twenty- one (21) days of service of this Complaint will result in an admission of the facts alleged in the sy Complaint and the entry of a Final Order by the Agency. , ; JHEREBY CERTIFY that a true copy hereof ‘was sent by U.S. Certified Mail, Return Receipt Requested to Burt Munoz, Chief Executive Officer, The Family, 555 S.W. 148th Avenue, Sunrise, FL 33325this 9" day of August 2002. Bureau Health Facility Regulation Agency for Health Care Administration STATE OF FLORIDA * AGENCY FOR HEALTH GARE ADMINISTRATION JEB BUSH, GOVERNOR en LAURA RRLANKER, ACTING BECRETARY May 15, 200) Burt Munoz ChiefExecutive Officer Sunrise Regional Medical Center $55 S.W. 148" Avenue Sunrise, FL 33325 - E abil f- RE: 2000 Prior Year Report Hospital Number 11-0035 FYE: 12 Deemed-not-Filed Notice of Violation ‘ Dear Mr. Munoz: 1 Pursuant to rule S9E-2.024, 59E-5,103, S9E-5.204 and S9E-5.206 F.AC., the above referenced report has been found incomplete and deemed not filed forthe following reason(s): >