15-000926 Agency For Health Care Administration vs. Atakelte Admasu, D/B/A Agnes Street Home For The Elderly Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Wednesday, February 25, 2015.

should also consult the applicable authorizing statutes and administrative code prov1s1ons. The

Respondent is notified that the cancellation of an Agency license may have ramifications potentially

affecting accrediting, third party billing including but not limited to the Florida Medicaid program, and

private contracts.

9. The owner/operator, Atakelte Admasu will never hold or own, directly or indirectly: any

AHCA license; any type of entity that holds an AHCA license; any building or physical plant that

operates as an AHCA licensee; or be a controlling interest, officer, board member, employee, volunteer,

manager, director, or administrator of an AHCA licensee.

10. Administrative fines of $52,834.79 are imposed on the Respondent, but STAYED in

accordance with the terms of the Settlement Agreement.

ORDERED at Tallahassee, Florida, on this _l_!!_ day of , 2015.

Secretary

Agency for Healt 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 o_ithis Final Or5Ie,.1 was served on the below-named

persons by the method designated on this R_craay of /'7a.rc/,_ , 2015.

Richard J. Shoop, Agency C erk

Agency for Health Care Administration

2727 Mahan Drive, Bldg. #3, Mail Stop #3

Tallahassee, Florida 32308-5403

Telephone: [phone]

Jan Mills Anne Avery, Unit Manager

Facilities Intake Unit Assisted Living Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Finance & Accounting Robert Dickson, Field Office Manager

Revenue Management Unit Local Field Office

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Katrina Derico- Harris Andrew B. Thornquest, Senior Attorney

Medicaid Accounts Receivable Office of the General Counsel

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Shawn McCauley Atakelte Admasu, Owner/ Administrator

Medicaid Contract Management Agnes Street Home for the Elderly

Agency for Health Care Administration 1346 Agnes Street

(Electronic Mail) Jacksonville, Florida 32211

(U.S. Mail)

R. Bruce McKibben Francis Jerome Shea, Esquire

Administrative Law Judge Counsel for Respondent

Division of Administrative Hearings 644 Cesery Boulevard, Suite 250

(Electronic Mail) Jacksonville, Florida 32208

(U.S. Mail)

NOTICE OF FLORIDA LAW

408.804 License required; display.--

(1) It is unlawful to provide services that require licensure, or operate or maintain a provider that offers

or provides services that require licensure, without first obtaining from the agency a license authorizing

the provision of such services or the operation or maintenance of such provider.

(2) A license must be displayed in a conspicuous place readily visible to clients who enter at the address

that appears on the license and is valid only in the hands of the licensee to whom it is issued and may not

be sold, assigned, or otherwise transferred, voluntarily or involuntarily. The license is valid only for the

licensee, provider, and location for which the license is issued.

408.812 Unlicensed activity.--

(1) A person or entity may not offer or advertise services that require licensure as defined by this part,

authorizing statutes, or applicable rules to the public without obtaining a valid license from the agency.

A licenseholder may not advertise or hold out to the public that he or she holds a license for other than

that for which he or she actually holds the license.

(2) The operation or maintenance of an unlicensed provider or the performance of any services that

require licensure without proper licensure is a violation of this part and authorizing statutes. Unlicensed

activity constitutes harm that materially affects the health, safety, and welfare of clients. The agency or

any state attorney may, in addition to other remedies provided in this part, bring an action for an

injunction to restrain such violation, or to enjoin the future operation or maintenance of the unlicensed

provider or the performance of any services in violation of this part and authorizing statutes, until

compliance with this part, authorizing statutes, and agency rules has been demonstrated to the

satisfaction of the agency.

(3) It is unlawful for any person or entity to own, operate, or maintain an unlicensed provider. If after

receiving notification from the agency, such person or entity fails to cease operation and apply for a

license under this part and authorizing statutes, the person or entity shall be subject to penalties as

prescribed by authorizing statutes and applicable rules. Each day of continued operation is a separate

offense.

(4) Any person or entity that fails to cease operation after agency notification may be fined $1,000 for

each day of noncompliance.

( 5) When a controlling interest or licensee has an interest in more than one provider and fails to license

a provider rendering services that require licensure, the agency may revoke all licenses and impose

actions under s. 408.814 and a fine of $1,000 per day, unless otherwise specified by authorizing statutes,

against each licensee until such time as the appropriate license is obtained for the unlicensed operation.

(6) In addition to granting injunctive relief pursuant to subsection (2), if the agency determines that a

person or entity is operating or maintaining a provider without obtaining a license and determines that a

condition exists that poses a threat to the health, safety, or welfare of a client of the provider, the person

or entity is subject to the same actions and fines imposed against a licensee as specified in this part,

authorizing statutes, and agency rules.

(7) Any person aware of the operation of an unlicensed provider must report that provider to the

agency.