19-001916 Genesis Adult Care, Inc., D/B/A Amor De Dios vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Tuesday, May 28, 2019.

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STATE OF FLORIDA Ai - CA {

AGENCY FOR HEALTH CARE ADMINISTRATION

2019 JUN 13 P 12: 58

GENESIS ADULT CARE, INC.

d/ b/ a AMOR DE DIOS,

DOAH No. 19- 1916

Petitioner, AHCA No. 2018018614

V. Facility Type: ALF

License No. 10069

STATE, OF FLORIDA, AGENCY FOR RENDITION NO.: AHCA- 19, - o 52. 0 - S- OLC

HEALTH CARE ADMINISTRATION,

Respondent.

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

DOAH Nos. 19- 1917

Petitioner, 19- 2010

V. AHCA Nos. 2018016616

2019002202

GENESIS ADULT CARE, INC. Facility Type: ALF

d/ b/ a AMOR DE DIOS, License No. 10069

Respondent.

LOVE OF PEACE, LLC,

Petitioner, AHCA No. 2018015075

Facility Type: ALF

V. License No. 11940

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Respondent.

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

AHCA Nos. 2019002554

Petitioner, 2019002555

2019002556

v. Facility Type: ALF

License No. 8807

PRINCE OF PEACE ELDERLY CARE

FACILITY, INC.,

Respondent.

________________________________/

STATE OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION, AHCA Nos. 2018016647

2019002019

Petitioner, 2018016640

Facility Type: ALF

v. License No. 11940

LOVE OF PEACE, LLC,

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 Genesis Adult Care, Inc. d/b/a/ Amor de Dios (hereinafter "Amor

de Dios") the attached Notice of Intent to Deny [AHCA No. 2018018614] (Ex. 1), and Administrative

Complaints [AHCA No. 2018016616] (Ex. 2), [AHCA No. 2019002202] (Ex. 3).

2. The Agency issued the Love of Peace, LLC (hereinafter "Love of Peace"), the attached

Notice oflntent to Deny [AHCA No. 2018006691] (Ex. 4).

3. The Agency issued the Prince of Peace Elderly Care Facility, Inc. (hereinafter "Prince of

Peace"), an Administrative Complaint [AHCA Nos. 2018016647' 2019002019 and 2018016640]. (Ex. 5)

4. The parties have since entered into the attached Settlement Agreement. (Ex. 6)

5. The Settlement Agreement is adopted and incorporated by reference into this Final Order.

The parties shall comply with the terms of the Settlement Agreement.

6. The Amor de Dios assisted living facility (License No. 1 0069) and the Love of Peace

assisted living facility (License No. 11940) license renewal applications are withdrawn effective June 30,

2019.

7. The Administrative Complaints, AHCA Case numbers 2018016647, 2019002019, and

2018016640, are withdrawn without prejudice.

8. The provider, Prince of Peace, shall pay the Agency $2,250.00. If full payment has been

made, the cancelled check acts as receipt of payment and no further payment is required. If full payment

has not been made, payment is due on or before June 30, 2019. Overdue amounts are subject to statutory

interest and may be referred to collections. 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

9. The conditions against Amor de Dios, Love of Peace and Elvis Quintana, Individually,

identified in paragraph 4 f i of the Settlement Agreement are imposed.

10. Amor de Dios and Love of Peace are responsible for any refunds that may be due to any

clients.

11. Amor de Dios and Love of Peace shall remain responsible for retaining and appropriately

distributing client records as prescribed by Florida law. Amor de Dios and the Love of Peace are advised

of Section 408.810, Florida Statutes. Amor de Dios and the Love of Peace should also consult the

applicable authorizing statutes and administrative code provisions as well as any other statute that may

apply to health care practitioners regarding client records.

12. Amor de Dios and Love of Peace are given notice of Florida law regarding unlicensed

activity. Amor de Dios and the Love of Peace are advised of Section 408.804 and Section 408.812, Florida

Statutes. Amor de Dios and the Love of Peace should also consult the applicable authorizing statutes and

administrative code provisions.

ORDERED in Tallahassee, Florida, on this7_2_ day of ___ ----- , ...... ),._.I.I'"-"A.'""'£_,___ _____ , 2019.

Mary . Mayhew, Secretary

Agency for Health 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 of this Final Order was served on the below-

named persons by the method designated on this , 2019.

Richard J. Shoop, Agency Clerk

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone [phone]

Facilities Intake Unit Keisha Woods, Unit Manager

Agency for Health Care Administration Licensure Unit

(Electronic Mail) Agency for Health Care Administration

(Electronic Mail)

Central Intake Unit Teresita A. Vivo, Senior Attorney

Agency for Health Care Administration Office of the General Counsel

(Electronic Mail) Agency for Health Care Administration

(Electronic Mail)

Katrina Derico-Harris Gisela Iglesias, 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 Elvis Quintana, Controlling Interest

Medicaid Contract Management Genesis Adult Care, Inc., d/b/a Amore de Dios;

Agency for Health Care Administration Love of Peace, LLC and Prince ofPeace Elderly

(Electronic Mail) Care Facility, Inc.

(U.S. Mail)

Arlene Mayo-Davis, Field Office Manager Michael P. Gennett, Esquire

Local Field Office Polsinelli

Agency for Health Care Administration 1111 Brickel A venue, Suite 2800

(Electronic Mail) Miami, FL 33131-3127

michael. gennett@polsinelli. com

(Electronic 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.

i Nothing in this Agreement addresses or may be deemed to affect the licensure renewal application and proceedings for Prince of Peace

Elderly Care Facility, Inc. located at 13232 Northwest 9th Lane. Miami, Florida 33182, License number 8807. Nothing in this Agreement

limits or encumbers the Agency or Prince of Peace Elderly Care Facility, Inc. in the prosecution or defense of the licensure action pending

in Prince of Peace Elderly Care Facility. Inc. v. State of Florida. Agency for Health care Administration, Agency number 2019003935.