STATE OF FLORIDA

AGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

2021 MAR 2b P 12: 3°

Petitioner , DOAH CASE Nos.: 20-1557

Respondent.

I

FINAL ORDER

RENDITION NO.: AHCA- 2- t - . 2- 9 -S-OLC

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 issued the attached Administrative Complaint (Case No. 201901562) and Election of Rights form to the Respondent. (Ex. 1) The Agency also issued two Notices of Intent to Impose Fine (Case No. 2019018062 and 2019018063) (Ex. 2 and 3) The parties have since entered into the attached Settlement Agreement, which is adopted and incorporated by reference into this Final Order. (Ex. 4)

   
   

2. The Respondent shall pay the Agency a settlement fee of $ 1 0,000.00, a survey fee of

$500.00 in Case No. 2019015652, a settlement fee of $100.00 in Case No. 2019018062 and a settlement fee of $500.00 in Case No. 2019018063. If full payment has been made, the cancelled check acts as receipt of payment and no further payment is required. As the extended congr egate care license specialty was provisional and expired by operation of law on October 13, 2019 (prior to the filing of the Administrative Complaint), the revocation sanction sought in Case No. 201901 5652 is rendered moot and is here by withdrawn. If full payment has not been made, payment is due within 30 days of the Final Order. Overdue amounts are subject to statutory interest and may be referred to collecti ons. A check made payable to the "Agency for Health Care Administration " and containing the AHCA ten-digit case number should be sent to:

Central Intake Unit

Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 61 Tallahassee , Florida 32308

Filed April 9, 2021 3:07 PM Division of Administrative Hearings

ORDERED at Tallahassee, Florida, on this day of---"

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,2021.

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t , Deputy Secretary

th Care Administration

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 of_ this Final Order was served on the below-named persons by the method designated on this of ccl. , 2021.

oop, Agency Clerk Agency for Health Care Administration 2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: (850) 412-3630

Docket for Case No: 20-001557

Orders for Case No: 20-001557