STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

FILED

MICA

AGENCY CLERK

ZtllZ FEB \ 7 A I\: 21 i

vs.

Petitioner,

AHCA NO.: 2011003951

DOAH NO.: 11-5836

MARIA Z. HERNANDEZ,

RENDITION NO.: AHCA-12-0£.: -S-OLC

Respondent

                                                                                          /

FINAL ORDER

Having reviewed the Administrative Complaint, and all other matters of record, the Agency for Health Care Administration finds and concludes as follows:

1. The Agency has jurisdiction over the above-named Respondent pursuant to Chapter 408, Part II, Florida Statutes, and the applicable authorizing statutes and administrative code provisions.

   
   

2. The Agency issued the attached Administrative Complaint and Election of Rights form to the Respondent. (Ex. 1) The Election of Rights form advised of the right to an administrative hearing.

   
   

3. The parties have since entered into the attached Settlement Agreement. (Ex. 2) Based upon the foregoing, it is ORDERED:

1. The Settlement Agreement is adopted and incorporated by reference into this Final Order. The parties shall comply with the terms of the Settlement Agreement.

   
   

2. The Respondent shall pay the Agency $4,700.00 in administrative fines within one (1) year of the entry of the Final Order. The Respondent agrees never to seek licensure for any facility type regulated by the Agency. If the Respondent violates any of the Agency licensure laws in the future, the Respondent will be required to pay the Agency three (3) times the remainder due from the original fine (minus any amount paid on the $4,700.00), plus any new fines sought against the Respondent. A check made payable to the "Agency for Health Care Administration" and containing the AHCA ten-digit case number should be sent to:

Office of Finance and Accounting Revenue Management Unit

Agency for Health Care Administration 2727 Mahan Drive, MS 14

Tallahassee, Florida 32308

Filed February 20, 2012 3:53 PM Division of Administrative Hearings

ORDERED at Tallahassee, Florida, on this day of_k'._._h__<_v.,._/'

J

Elizabet

Agency ministration

,2012.

NOTICE OF RIGHT TO JUDICIAL REVIEW

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.

CERTIFICATE OF SERVICE

I CERTIFY that a true and correct 6'%aof this Final  Or er was served on the below-named persons by the method designated on this -12!.!:._ y of r--.:...,    , l,-"'-r , 2012.

Richard Shoop, Agency Clerk

Agency for Health Care Administration 2727 Mahan Drive, Bldg. #3, Mail Stop #3

Tallahassee, Florida 32308-5403

Telephone: (850) 412-3630

2

Docket for Case No: 11-005836

Orders for Case No: 11-005836