20-000557 Sumiko Collins vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Monday, July 13, 2020.

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 to Sumiko Collins ("Ms. Collins") the attached Amended Notice of

Intent to Deny for Renewal Adult Family Care Home Application, Administrative Complaints and

Election of Rights Fonns. (Ex. 1, Ex. 3 and Ex.4) The Agency issued Collins Companion Care, LLC

("CCC") Administrative Complaints and Election of Rights forms. (Ex. 2 and Ex. 4) The parties have

since entered into the attached Settlement Agreement (Ex. 5), which is adopted and incorporated by

reference.

2. The Amended Notice oflntent to Deny Renewal Application is withdrawn and the Agency

shall resume the processing of the Ms. Collins's application to operate an adult family care home.

3. The Agency's action seeking license revocation of Ms. Collins' adult family care home

license (License number 6906921) is dismissed. In lieu of license revocation, Ms. Collins shall pay an

administrative fine of twenty-three thousand two hundred dollars ($23,200.00) to the Agency within

twelve (12) months from the issuance of this Final Order. 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 within twelve (12) months of the Final Order. 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

4. The registration to operate a homemaker and companion service provider (Registration No.

234589) held by CCC is surrendered. In accordance with Florida law, CCC is responsible for retaining

and appropriately distributing all client records within the timeframes prescribed in the authorizing statutes

and applicable administrative code provisions. CCC is advised of Section 408.810, Florida Statutes.

5. The parties shall comply with all other terms of the Settlement Agreement, including the

restriction on seeking and obtaining licensure set out in paragraph 4 of the Settlement Agreement.

ORDERED at Tallahassee, Florida, on this day of ____Av 'iJ ) I-. , 2020.

Agency for Health 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 ofthe order to be reviewed.

CERTIFICATE OF SERVICE

I CERTIFY that a true and correct_5.9py of this Final Order was served on the below-named

persons by the method designated on this of 1-J t-::> , 2020.

/

, Agency

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: [phone]

Facilities Intake Unit Keisha Wood, Unit Manager

Agency for Health Care Administration Assisted Living Unit

(Electronic Mail) Agency for Health Care Administration

(Electronic Mail)

Central Intake Unit Bernard Hudson, Unit Manager

Agency for Health Care Administration Long Term Care Unit

(Electronic Mail) Agency for Health Care Administration

(Electronic Mail)

Katrina Derico-Harris Theresa DeCanio, Field Office Manager

Medicaid Accounts Receivable Local Field Office

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Nicholas Constantino Rawsi Williams, Esq.

Medicaid Contract Management Counsel for Sumiko Collins and

Agency for Health Care Administration Collins Companion Care, LLC

(Electronic Mail) [e-mail]; [e-mail]; and

servi ce@rawsi. com

(Electronic Mail)

The Honorable John D. C. Newton, II Gisela Iglesias, Assistant General Counsel

Administrative Law Judge Office of the General Counsel

Division of Administrative Law Hearings Agency for Health Care Administration

(Electronic Filing) (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 agency. the