15-006249 Agency For Health Care Administration vs. Psalm's Care, Llc, D/B/A Psalm's Care Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Thursday, February 25, 2016.

STATE OF FLORIDA

tAGENCY FOR HEALTH CARE ADMINISTRATION

STATE OF FLORIDA, AGENCY FOR n

HEALTH CARE ADMINISTRATION, D0 14 I O. 5- 00624

Petitioner, AHCA NOS. 2014008119

2015001967

V. 2015007574

2015007594

PSALM' S CARE, LLC d/ a b/ License No. 12056

PSALM' S CARE, File No. 11968080

Provider Type: Assisted Living Facility

Respondent. RENDITION NO.: AHCA- tU C) 1( Z,' y - S- OLC

FINAL ORDER

Having reviewed the Amended 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 Amended Administrative Complaint and Election of

Rights forms to the Respondent. Comp. Ex. 1) The parties have since entered into the attached

Settlement Agreement, which is adopted and incorporated by reference into this Final Order. ( Ex. 2).

2. The administrative fine sought in the Amended Administrative Complaint is withdrawn.

Neither the Respondent nor Ottillie Jeetan, a/ a k/ Ottillie Gardner, shall seek to hold in the future any

interest, directly or indirectly, in any license issued by the Agency, as governed by paragraph 3 of the

Settlement Agreement.

ORDERED at Tallahassee, Florida, on this day of 12016.

Eliza et Dude , cretary

Agen crf or Hea 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 this Final Order was sred on the below-named

persons by the method designated on day of , 2016.

Richard J. Shoop,

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida, 32308

Telephone: [phone]

Facilities Intake Unit Catherine Anne Avery, Unit Manager

Agency for Health Care Administration Assisted Living Unit

(Electronic Mail) Agency for Health Care Administration

(Electronic Mail)

Central Intake Unit Theresa DeCanio, Field Office Manager

Agency for Health Care Administration Local Field Office

(Electronic Mail) Agency for Health Care Administration

(Electronic Mail)

David Selby, Assistant General Counsel John Terrel, Esquire

Office of the General Counsel Law Office John E. Terrel

Agency for Health Care Administration 1700 Monroe St. Suite 11-116

(Electronic Mail) Tallahassee, FL 32303

(Electronic Mail)

Ottillie E. Jeetan

Psalm's Care, LLC

10129 Elmer Street

Orlando, FL 32825

(US Mail)