State of Florida Department of Business and Professional Regulation Division of Hotels and Restaurants DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, Petitioner, vs. Case Number: 2016007737 J & L HOSPITALITY INC License Number: 1619932 d/b/a HOLIDAY INN EXPRESS, License Type: 2010 Respondent. File Number: 106694 / Administrative Complaint The DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, DIVISION OF HOTELS AND RESTAURANTS, (“Petitioner’), files this Administrative Complaint against J & L HOSPITALITY INC d/b/a HOLIDAY INN EXPRESS, (“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 materia! hereto, licensed by or subject to the jurisdiction of the Division of Hotels and Restaurants. The respondent's business address of record is 2540 DAVIE RD, DAVIE, FLORIDA 33317. fhe mailing address of record is J & L HOSPITALITY INC d/b/a HOLIDAY INN EXPRESS at 2860 MARINA MILE BLVD STE 119, FORT LAUDERDALE, FLORIDA 33312. 3. 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 taw is 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 fcllawing penalties: administrative fine not to exceed $1,000 per offense, suspension, revocatigfi, or refusal of a jicense issued pursuant to this Chapter, and/or any other relief authorized by Chapter 509,lorida Statutes, or the rules promuigated thereto. Signed February 24, 2016 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 — —re _ 1940 North Monroe Street . Certified Article Number Tallahassee, Florida 32399-2202 3424 72kb 49304 B0L5 9687 77 BY CERTIFIED U.S. MAIL, ARTICLE NUMBER SENDERS RECORD: | HEREBY CERTIFY that a true and correct copy of the foregoing ADMINISTRATIVE COMPLAINT has been hand served by me on this. day of , 2016. Received by: Inspector's Signature Operator's Signature Title Title Case Number: 2016007737 File Number: 106694 District Number: 02 License Number: 1649832 2010 Form revised 01.01.13 HOLIDAY INN EXPRESS Ne EEE em memenragmeence a NOtNRaNUMEEN INE Exhibit A License Number: 1619932 License Type: 2010 PERMANENT FOOD SERVICE Case Number: 2016007737 it is alleged that on February 10, 2016 Respondent was in violation of Florida Statute 509 (FS); the Rules of the Division of Hotels and Restaurants, Florida Administrative Code (FAC); and/or specific provisions of the Food Code, Recommendations of the United States Public Health Service, Food and Drug Administration, as incorporated by Chapter 61C, 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. ** denotes a high priority violation. * denotes an intermediate priority violation. ™* 41a, 27-12-4 §-101.11 FC High Priority: Drinking water shail be obtained from an approved source that is: (A) A public water system; or (B) A nonpublic water system that is constructed, maintained, and operated according to law. Observed: Establishment operating with no potable running water, in kitchen. * db. 27-16-4 5-202,12(A}FC intermediate: (A) A handwashing sink shall be equipped to provide water at a temperature of at feast 100 degrees Fahrenheit through a mixing valve or combination faucet. Observed: Hot water/ cold water not provided/shut off at employee handwash sink, at hand wash sink and 3 compartment sink, in kitchen. Case Number: 2016007737 Fite Number: 106694 District Number: 02 License Number: 1619932 2010 Form revised 01.01.13 HOLIDAY JINN EXPRESS ‘ESR aeemeameas

Docket for Case No: 16-002487