MAR=14-2486 13:33 DCF LICENSING OFFICE 447 228 6432 STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES IN THE MATTER OF A Civil Penalty Against Community Coordinated Care for Children, Inc. Park Avenue Headstart 301 South Oak Ave. Sanford, Fl. 32771 ADMINISTRATIVE COMPLAINT YOU ARE HEREBY NOTIFIED that the Department has imposed a Civil Penalty in the amount of $200.00. As grounds for the imposition of this penalty, the Department states the following: 1. The Department of Children and Families, State of Florida, has jurisdiction over Respondent by virtue of the provisions of sections 402,301- 402.319, Florida Statutes. 2. The Respondent, Community Coordinated Care for Children, Inc., dba Park Avenue Headstart, was licensed on license #C07SE0146, issued September 15, 2005 to operate Park Avenue Headstart Family Center —301 South Oak Avenue, Sanford, FI. 32771, as a Child Care facility in accordance with Chapter 402, Florida Statutes, and Florida Administrative Code, Rule 65C-22. 3. Respondent committed violations of Rule 65C-22.002(7)(c) with repect to Monthly Fire Drill and Rule 65C-22.0065(5)(d), Section 435.04, Florida Statutes, with respect to Form 5131/Screening Documents. During inspection of December 15, 2005 the facility was cited for violations of Monthly Fire Drill and Form 5131/Screening Documents with a due date of December 31, and December 30, 2005 respectively, On January 26, 2006 the facility was sent an Intent to Impose Administrative Action for failure to comply with these items with a due date of February 10, 2006. As of February 11, 2006 the facility has not complied with either of these items. The inspection report and the Intent to Impose Administrative Action have been submitted as "Exhibit A.” For failure to comply and follow through with Monthly Fire Drill and Form 5131/Screening documents, the Department imposes an administrative fine of $200. This fine is imposed in accordance with Section 402.310(1)(a), Florida Statutes. 4. The above referenced violations constitute grounds to levy this Civil Penalty: pursuant to s. 402.310(1)(a), F. S., in that the above referenced conduct of Respondent constitutes a violation of the minimum standards, rules and regulations for the operation of a Child Care Facility. MER-14-2086 13:33 DCF LICENSING OFFICE 407? 228 6432 P.88 PAYMENT OF FINE, IF NOT CONTESTED Payment of this fine can be made directly to the Department of Children and Family Services. The mailing address is Department of Children and Families; District 7 Licensing Office; 3165 McCrory Place; Suite 200; Orlando, Florida 32803; Attention: Child Care Licensure STATEMENT OF RIGHTS Please be advised that you have the right to contest this Civil Penalty through an administrative hearing pursuant to Section 120.57, Florida Statutes, but that you have no more than twenty-one (21) days from the date the Administrative Complaint is received to initiate this formal review. To initiate this formal review process, a petition for formal hearing must be received by the following individuals within the twenty-one (21) day time frame: Beryl Thompson McClary, Attorney Agency Clerk Department of Children and Families Department of Children and Families District 7 Legal Department, S-1114 Office of the General Counsel 400 West Robinson Street 1317 Winewood Blvd., Bldg. 2. #204-X Orlando, Florida 32801-9425 Tallahassee, Florida 32399-0700 No Jater than fifteen (15) days after receipt of your written request for a formal hearing, the request for a hearing shall be granted or denied. Absent the consent of all parties, the hearing will not commence on less than fourteen (14) days’ notice. Finally, in accordance with s. 120,57(b)(4), Florida Statutes (1996), all parties to this cause have the opportunity to respond, to present evidence and argument of all issues involved, to conduct cross-examination and submit evidence, to submit proposed findings of fact and order, to file exceptions to any order of a hearing officer's recommended order, and to represented by counsel (at your expense). In addition, you have the right to have subpoenas and subpoenas duces tecum issued. Your request for an administrative hearing must conform to the requirement of Florida Administrative Code, Rule 28-106.201 or Rule 28-106.301 and must state what issues and material facts you dispute, orit will be dismissed. na Foes - MAR=14-2086 13:33 DCF LICENSING OFFICE 487 228 6432 P68 FAILURE TO DISPUTE MATERIAL ISSUES OF FACT IN YOUR REQUEST FOR A HEARING MAY BE TREATED BY THE DEPARTMENT OF CHILDREN AND FAMILIES AS AN ELECTION BY YOU FOR THE INFORMAL PROCEEDINGS UNDER S. 120.57(2), FLORIDA STATUTES (2000). STATE OF FLORIDA, DEPARTMENT OF CHILDREN AND FAMILIES Joh erations Manager, District 7 CERTIFICATE OF SERVICE | HEREBY CERTIFY that a true copy hereof was sent to W. Marvin Hardy Ill ESQ, Registered Agent, Community Coordinated Care for Children, Inc., 1000 Legion Place Suite 1700, Orlando, Fl. 32801, by U.S. Certified Mail, Return Receipt Requested, Certificate #_7005 0390 0005 8403 0602 and by U.S. Regular Mail, in accordance with s. 120,60(3), Florida Statutes (2000), this 3rd day of - March , 2006. N\ Beryl Thompson-McClary Licensing Attorney ; Florida Bar No. 365432 400 West Robinson Street, S-1114 Orlando, Florida 32801 — . bee, ~ (407)'245-0530 -- TOTAL P.@9

Docket for Case No: 06-001098