20-001556 A Loving Place Alf vs. Agency For Health Care Administration Status: Closed Settled and/or Dismissed prior to entry of RO/FO on Friday, May 29, 2020.

GABALBINCORPORATED

d/b/a A LOVING PLACE ALF,

DOAH No. 20-1556

Petitioner, AHCA No. 2019015786

Facility Type: ALF

V. License No.: 7846

STATE, OF FLORIDA, AGENCY FOR

HEALTH CARE ADMINISTRATION,

Agency.

___________________________________/

FINAL ORDER

Having reviewed the 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 Administrative Complaints, Notice of Intent to Deny, and

Election of Rights forms to the Provider, Gabalb Incorporated. (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 (Ex. 2) The Provider's application for licensure renewal shall be withdrawn effective December

31, 2020, unless a change of ownership has been granted to a third part on an earlier date. 1

2. The Provider shall pay the Agency $10,250.00, payable in the sum of $5,000.00 on or

before sixty ( 60) days of the date of this Order with the remainder payable on or before December 31,

2020. A check made payable to the "Agency for Health Care Administration" and containing the AHCA

ten-digit case numbers should be sent to:

Central Intake Unit

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 61

Tallahassee, Florida 32308

ORDERED at Tallahassee, Florida, on this of ¥= '2020.

1 The date of the license application withdrawal was extended to December 31, 2020, pursuant to a request of the provider.

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 correct Final Order was served on the below-named

persons by the method designated on this of 4 -s""D , 2020.

Richar oop, cy Clerk

Agency for Health Care Administration

2727 Mahan Drive, Mail Stop 3

Tallahassee, Florida 32308

Telephone: [phone]

Facilities Intake Unit Central Intake Unit

Agency for Health Care Administration Agency for Health Care Administration

(Electronic Mail) (Electronic Mail)

Thomas J. Walsh II, Senior Attorney Shaddrick A. Haston, Esq.

Office of the General Counsel Ullman Bursa Law

Agency for Health Care Administration 3812 Coconut Palm Drive

(Electronic Mail) Tampa, Florida 33619

[e-mail]

(Electronic Mail)

Hon. Warren J. Bird Hon. Brittany 0. Finkbeiner

Informal Hearing Officer Administrative Law Judge

Agency for Health Care Administration Division of Administrative Hearings

(Electronic Mail) (Electronic Mail)