09-002568 Lourdes Residence, Inc. vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Wednesday, June 10, 2009.

STATE OF FLORIDA ICA

AGENCY FOR HEALTH CARE ADMINISTRATION

100q JUL 2 P 12 3 l

LOURDES RESIDENCE INC

Petitioner Case No 2009005713

Case No 2009003653

VS DOAH No 09 2568

RENDITION NO AHCA 09 555 S OLC

STATE OF FLORIDA AGENCY FOR

HEALTH CARE ADMINISTRATION

Respondent

FINAL ORDER

The Agency served the Petitioner with a Notice of Intent to Impose Late Fine dated

March 24 2009 notifying the Petition of its intent to impose an administrative fine in the amount

of five thousand dollars 5 000 00 attached hereto and incorporated herein Ex 1 Petitioner

requested a formal hearing at the Department of Administrative Hearings The Agency also

served the Petitioner with a Notice of Intent to Deny dated May 15 2009 notifying the Petitioner

of its intent to deny its renewal application attached hereto and incorporated herein Ex 2 The

Agency for Health Care Administration Agency has entered into a Settlement Agreement

Ex 3 with the other party to these proceedings and being otherwise well advised in the

premises finds and concludes as follows

ORDERED

1 The attached Settlement Agreement is approved and adopted as part of this Final

Order and the parties are directed to comply with the terms of the Settlement Agreement

2 The Notice of Intent to Impose Late Fine and Notice of Intent to Deny are

superseded by this agreement

3 Petitioner has paid an administrative fee in the amount of 2 000 00

4 Each party shall bear its own costs and attorney s fees

5 The above styled cases are hereby closed

DONE and ORDERED this day of 2009 in Tallahassee

Leon County Florida

Holly enson Secretar

Agency for Health Care Administration

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

Copies furnished to

Tatiana Perez Owner MaryAlice H David

Lourdes Residence Inc Assistant General Counsel

5770 SW 5 h Terrace Agency for Health Care Administration

Miami Florida 33144 2727 Mahan Drive Bldg 3 MS 3

U S Mail Tallahassee Florida 32308

Interoffice Mail

Finance Accounting Bernard E Hudson

Agency for Health Care Administration Agency for Health Care Administration

Revenue Management Unit 2327 Mahan Drive MS 46

2727 Mahan Drive MS 14 Room 310

Tallahassee Florida 32308 Tallahassee Florida 32308

Interoffice Mail Interoffice Mail

Jan Mills

Agency for Health Care Administration

2727 Mahan Drive Bldg 43 MS 3

Tallahassee Florida 32308

Interoffice Mail

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of this Final Order was served on the

above named person s and entities by U S Mail or the method designated on this the2 day

ofd 2009

Richard Shoop Agency Cler

Agency for Health Care Administration

2727 Mahan Drive Building 3

Tallahassee Florida 32308 5403

850 5873 922