10-000852 Lafayette County Health Department vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, April 1, 2010.

STATE OF FLORIDA FILED

AGENCY FOR HEALTH CARE ADMINISTRATION AHCA

AGENCY CLERK

LAFAYETTE COUNTY HEALTH

DEPARTMENT 2010 APR 2 A 10

Petitioner DOAH NO 10 0852

v AHCA NO 2009010664

RENDITION NO AHCA 10 144 S OLC

STATE OF FLORIDA AGENCY FOR

HEALTH CARE ADMINISTRATION

Respondent

FINAL ORDER

THIS CAUSE came on for consideration before the Agency for Health Care Administration

the Agency which finds and concludes as follows

1 The Agency issued the Petitioner the Applicant the attached Notice of Intent to Deem

Application Incomplete and Withdrawn from Further Review Ex 1 The parties entered into the

attached Settlement Agreement Ex 2 which is adopted and incorporated by reference

2 The parties shall comply with the terms of the Settlement Agreement If the Agency has

not already completed its review of the application it shall resume its review of the application

3 Any requests for an administrative hearing are withdrawn The parties shall bear their

own costs and attorney s fees This matter is closed

DONE and ORDERED in Tallahassee Florida on this L day of 2010

Thomas W old Secretary

Agency for He th Care Administration

NOTICE OF RIGHT TO JUDICIAL REVIEW

A party that is adversely affected by this Final Order is entitled to seek 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 HEREBY CERTIFY that a true and correct copy o is Final Order was served on the below

named persons entities by the method designated on this day of 2010

Richard Shoop Agency Clerk

Agency for Health Care Administration

2727 Mahan Drive Mail Stop 3

Tallahassee Florida 32308 5403

Telephone [phone]

Jan Mills Karen Rivera Unit Manager

Facilities Intake Unit Laboratory Licensure Unit

Agency for Health Care Administration Agency for Health Care Administration

Interoffice Mail Interoffice Mail

Jamie L Jackson Assistant General Counsel Susan E Lindgard Chief Legal Counsel

Office of the General Counsel Department of Health

Agency for Health Care Administration 171 S W 16th Avenue Building B

Interoffice Mail Gainesville Florida 32608

U S Mail

Pamela Blackmon RN BSN MPH Administrator B J Staros Administrative Law Judge

Suwannee County Health Department Division of Administrative Hearings

Post Office Drawer 6030 Electronic Mail

Live Oak Florida 32064

U S Mail