STATE OF FLORIDA Be AGENCY FOR HEALTH CARE ADMINISTRATION,» Koyo A $38 NUESTRO HOGAR, INC., Petitioner, vs. AHCA No. 2004005476 DOAH Nac 64-3159> AGENCY FOR HEALTH CARE Sul , ADMINISTRATION, Respondent. _/ FINAL ORDER This matter is before me for purposes of issuing a Final Order in this matter. The Agency for Health Care Administration is fully advised in this matter, has received a Notice of Voluntary Dismissal from the Petitioner dismissing its case, and the Department of Administrative Hearings, by Order of Judge John G. Van Landingham, has closed its files and has thus relinquished jurisdiction to this Agency ACCORDINGLY it is ORDERED and ADJUDGED that: 1. The above-styled case shall be, and is hereby dismissed and CLOSED. DONE and ORDERED this Lt say of , 2004, in Tallahassee, Leon County, Florida. be 2h Alan Levine, Secretafy Agency for Health Care Administration 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. Copies furnished via to: Elizabeth Dudek, Deputy Secretary Timothy B. Elliott Health Quality Assurance Senior Attorney Agency for Health Care Administration (Interoffice Mail) 2727 Mahan Drive, Bldg 1, MSC 9 Tallahassee, Florida 32308 (Interoffice Mail) Alba Gaviria Wendy Adams Nuestro Hogar, Inc. Facilities Intake Unit 6402 Southwest 41° Street (Interoffice Mail) Miami, Florida 33155 DOA CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of this Final Order was served on the above-named persons and entities by U.S. Mail, or , 2004. fo wrong la Lag b Agency |Cferk | ff Agency/for Health Care Administration 2727 Mahan Drive, Bldg 3, MSC 3 Tallahassee, Florida 32308-5403 (850) 922-5873 we SYN SDR STATE OF FLORIDA o DIVISION OF ADMINISTRATIVE HEARINGS NUESTRO HOGAR, INC., Petitioner, vs. DOAH No. 04-3159 . AHCA No. 2004005476 AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. Nlestre fiogar’ mre. NOTICE OF VOLUNTARY DISMISSAL Respondent, NUESTRO HOGAR, INC., hereby voluntarily dismisses and withdraws its request for hearing. Respondent has closed its facility and all residents have been transferred. Respondent requests that the November 1, 2004 hearing be cancelled and that the Division of Administrative Hearings dismiss this case and its file in this matter. , Respectfully submitted on this 25 _ day of October 2004. LIA YEP Ve, Nuestro Hogar, Inc. 440 W. Park Drive Apt 201 Miami, Florida 33172 (305) 905-1950 (office) Page 1 of 2 oe. Araneae: Xe J HI wn? EY asa CERTIFICATE OF SERVICE I HEREBY CERTIFY that a trve and correct copy of the forgoing Notice of Voluntary Dismissal has been sent to The Agency for Health Care Administration, Attention: Timothy B. Elliott, Senior Attomey, 2727 Mahan Dr., Bldg. 3, MSC 3, Tallahassee, Florida 32308. Submitted on this 25 day of October 2004. ‘Alba Gaviria, Presigent and Administrator Page 2 of 2 Neen ne UE Ennnnannennennnnnnnne nnn ass asiisssaiaaaagE STATE OF FLORIDA DIVISION OF ADMINISTRATIVE HEARINGS NUESTRO HOGAR, INC., Petitioner, vs. Case No. 04-3159 AGENCY FOR HEALTH CARE ADMINISTRATION, Respondent. wwe ee Ye YE LS LS LL ORDER CLOSING FILE This cause having come before the undersigned on Respondent’s Notice of Voluntary Dismissal, filed October 25, 2004, and the undersigned being fully advised, it is, therefore, ORDERED that: 1. The final-hearing in this cause scheduled for November 1, 2004, is hereby cancelled. 2. The file of the Division of Administrative Hearings in the above-captioned matter is hereby closed. DONE AND ORDERED this 28th day of October, 2004, in Tallahassee, Leon County, Florida. JOHN G. VAN LANINGHAM Administrative Law Judge Division of Administrative Hearings The DeSoto Building 1230 Apalachee Parkway Tallahassee, Florida 32399-3060 (850) 488-9675 SUNCOM 278-9675 Fax Filing (850) 921-6847 www.doah.state.fl.us

Docket for Case No: 04-003159