State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION Petitioner, vs. License Number. 3300751 GOLDEN DRAGON dent. License Type 2010 espon a . Case Number 2010043304 Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (“Petitioner”), files this Administrative Complaint against GOLDEN DRAGON, (Respondent), and says: 1. Petitioner is the state agency charged with regulating the operation of public lodging establishments and public-food-service-establishments,pursuant-to-Section-20.165-and-Chapter-509,Florida-Statutes. 2, Respondent is, and has been at all times material hereto, licensed by or subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record is 237 N HWY 71, WEWAHITCHKA, FLORIDA 32465.The mailing address of record is GOLDEN DRAGON, at 412 REID AVE, PORT ST JOE, FLORIDA 32456. ; Inspection of this establishment conducted pursuant to Sec. 509.032, Florida Statutes, revealed violations of the provisions of Chapter 509, Florida Statutes, and / or the rules promulgated thereto governing operation of the establishment. The violation(s) found and applicable law are described in Exhibit “A,” attached hereto and incorporated herein by reference. Inspection documents are attached as Exhibit “B", incorporated herein by reference. WHEREFORE, Petitioner respectfully requests entry of an Order imposing one or more of the following penalties: administrative fine not to exceed $1,000 per offense, suspension, revocation, or refusal of a license issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509, Florida Statutes, or the rules promulgated thereto. Signed August 30, 2010 bod K&n Hensdill, District Manager By delegation of the Director, or designee Division of Hotels & Restaurants Department of Business & Professional Regulation COUNSEL FOR THE DEPARTMENT: Marc Drexler, Lead Attorney Florida Bar No. 0487058 Department of Business & Professional Regulation 1940 North Monroe Street Tallahassee, Florida 32399-2202 Certificate of Service BY CERTIFIED U.S. MAIL, ARTICLE NUMBER: 7160 3901 9848 5574 5792 | HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this. day of . 2010. Received by: Inspector's Signature Operator's Signature Title Title Case Number: 2010043304 File Number: 238817 District Number: 06 License Number: 3300751 2010 Form revised 10.15.09 GOLDEN DRAGON Filed August 31, 2011 9:06 AM Division of Administrative Hearings Exhibit A License Number: 3300751 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2010043304 “FC” as cited herein references specific provisions of the Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, incorporated by Chapter 61C, Florida Administrative Code, “NFPA” as cited herein references specific provisions of the National Fire Protection Association Life Safety Code, incorporated by reference at Chapter 4A-3, “Fire Prevention, General Provisions’, Florida Administrative Code, and 61C-1.004(5), Florida Administrative Code. “ denotes a critical violation. It is alleged that on August 6, 2010, April 19, 2010 the licensee was in violation of Florida Statute 509(FS) and/or the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC), in the following particulars. Copy(s) of the report(s) for the above referenced inspection(s) are attached hereto and : incorporated by reference as Exhibit B. , a * 41, 32-15-1 6-301.14 FC AND 61C-1.004(2)(C) FAC:: HANDWASHING SIGNAGE. A SIGN OR POSTER THAT NOTIFIED FOOD EMPLOYEES' TO WASH THEIR HANDS SHALL BE POSTED AT ALL HANDWASHING LAVATORIES USED BY FOOD EMPLOYEES' AND SHALL BE CLEARLY VISIBLE TO FOOD EMPLOYEES’. OBSERVED NO HANDWASHING SIGN PROVIDED AT A HANDSINK USED BY FOOD EMPLOYEES IN THE KITCHEN. REPEAT VIOLATION, 4/19/10. * 2.32-16-1 6-301.12 FC:: HAND DRYING PROVISION. EACH HANDWASHING LAVATORY OR GROUP OF ADJACENT LAVATORIES SHALL BE PROVIDED WITH: (A) INDIVIDUAL, DISPOSABLE TOWELS; (B) A CONTINUOUS TOWEL SYSTEM THAT SUPPLIES THE USER WITH A CLEAN TOWEL; OR - (C) AHEATED-AIR HAND DRYING DEVICE. OBSERVED HANDWASH SINK LACKING PROPER HAND DRYING PROVISIONS IN THE KITCHEN, REPEAT VIOLATION, 4/19/10. Case Number: 2010043304 File Number: 238817 District Number: 06 License Number: 3300751 2010 Form revised 10.15.09 GOLDEN DRAGON

Docket for Case No: 11-004414