21-002270F Ariana Ortega Domingez, E.M.T. vs. Department Of Health, Bureau Of Emergency Medical Services
 Status: Closed
DOAH Final Order on Wednesday, September 29, 2021.


View Dockets  
Summary: Petitioner is not entitled to attorney?s fees pursuant to section 57.111, because the actions of the probable cause panel in authorizing the filing of an administrative complaint were substantially justified at the time probable cause was found.

1S TATE OF F LORIDA

6D IVISION OF A DMINISTRATIVE H EARINGS

13A RIANA O RTEGA D OMINGEZ , E.M.T. ,

20Petitioner ,

21vs. Case No. 21 - 2270F

27D EPARTMENT OF H EALTH , B UREAU OF

35E MERGENCY M EDICAL S ERVICES ,

41Respondent .

43/

44F INAL O RDER

48A final hearing in this matter was held on August 25, 2021, via Zoom

62video conference before Robert S. Cohen, a duly designated Administrative

72Law Judge (ÑALJÒ) of the Division of Administrative Hearings (ÑDOAHÒ).

82A PP EARANCES

85For Petitioner: David M. Beckerman, Esq uire

92David M. Beckerman, P.A.

967000 W est Palmetto Park R oad , Suite 500

105Boca Raton, Florida 33433

109For Respondent: Kimberly Lauren Marshall, Esq uire

116Prosecution Services Unit

119Department o f Health

1234052 Bald Cypress Way, Bin C - 65

131Tallahassee, Florida 32399 - 3265

136S TATEMENT O F T HE I SSUE

144The issue for determination is whether Petitioner, Ariana Ortega

153Domingez (ÑPetitionerÒ) , is entitled to recover attorneyÔs fees and costs

163pursuant to sectio n 57.111, Florida Statutes (2019), incurred in defending the

175Administrative Complaint (ÑACÒ) filed by Respondent, Department of Health

184(ÑDepartmentÒ or Ñ Respondent Ò ), seeking to impose discipline on PetitionerÔs

196e mergency m edical t echnician (ÑEMTÒ) certifi cate.

205P RELIMINARY S TATEMENT

209On May 19, 2020, the Department filed a one - count A C against Petitioner

224in D OH C ase No. 2020 - 12066. The A C alleged that Petitioner violated

240section 401.411(1)(g), Florida Statutes (2017), by engaging in unprofessional

249conduct, including , but not limited to, a departure from or failure to conform

262to the minimal prevailing standards of acceptable practice in her care of

274Patient I.K.

276On June 2, 2020, Petitioner sent the Department a completed Election of

288Rights form requesting an a dministrative h earing involving disputed issues

299of material fact . On December 7, 2020, the Department forwarded the case to

313DOAH for assignment of an ALJ. On December 8, 2020, the undersigned

325issued his Initial Order in DOAH C ase No. 20 - 5321PL.

337After the parties engaged in discovery, on February 18, 2021, the

348Department filed an unopposed Motion to Relinquish Jurisdiction, which was

358granted. On May 28, 2021, the Department brought the case back to the

371Probable Cause Panel for the Bureau of Emergency Medic al Oversight

382(ÑPCPÒ) for further review. In light of new information obtained in the

394discovery process, the P CP reconsidered its previous finding of probable cause

406and dismissed the case.

410On June 17, 2021, Petitioner filed her Verified Motion for Award of

422Attorney [Ô] s Fees and Costs Pursuant to Chapter 57.111, Fla. Stat [ . ] (ÑMotion

438for AttorneyÔs FeesÒ) at DOAH, seeking an award of her attorneyÔs fees and

451costs incurred in defending DOAH C ase No. 20 - 5321PL. The fees case was

466assigned DOAH C ase No. 21 - 2270F , and a hearing was scheduled for

480August 25, 2021. Prior to the hearing, at the partiesÔ request, the issue of

494entitlement to fees was bifurcated from the issue of amount of fees.

506On August 18, 2021, the parties filed a Pre - h earing Joint Stipulation,

520whic h contained a statement of facts to which the parties agreed. The

533parties agreed that Petitioner was a prevailing small business party under

544section 57.111. The only issue remaining to be determined at the hearing was

557whether the Department was substantial ly justified in filing the AC against

569Petitioner.

570The hearing was convened and completed on August 25, 2021. At the

582hearing, neither party presented witness testimony. Joint Exhibits 1

591through 4 were admitted without objection. PetitionerÔs Exhibits 1 and 2 were

603admitted over RespondentÔs objections to both. At the conclusion of the

614hearing, the parties agreed that their p roposed f inal o rders would be filed

629within ten days of the filing of the Transcript at DOAH.

640The one - volume Transcript of the hearing w as filed on September 9, 2021.

655The parties each timely filed a P roposed Final Order , both of which have

669been considered in preparation of this Final Order.

677F INDINGS O F F ACT

683Stipulated Facts

6851. On May 19, 2020, the Department presented its case against Pet itioner

698to the PCP . The PCP found probable cause and authorized the filing of a one -

715count AC , alleging a violation of section 401.411(1)(g). Based upon the

726information presented, the PCP found probable cause and authorized the

736filing of the AC .

7412. On May 1 9, 2020, the Department filed its AC against Petitioner ,

754alleging a violation of section 401.411(1)(g).

7603. On or about June 23, 202 0 , Petitioner timely filed an Election of Rights

775form which indicated that she disputed the material allegations of fact in t he

789AC and requested a formal hearing.

7954. On December 7, 2020, the Department filed a copy of the AC and

809Petitioner Ôs Election of Rights form with DOAH . On that same day, counsel

823for the Department sent a letter to the DOAH Chief Judge request ing that

837the m atter be assigned to an A LJ .

8475. On December 8, 2020, the undersigned was assigned the case and

859issued an I nitial O rder in DOAH C ase No. 20 - 5321PL.

8736. On January 29, 2021, counsel for Petitioner took the deposition of Ryan

886Pagliarulo, EMT (ÑPagliaruloÒ) , Pe titionerÔs EMT partner on the date of the

898incident. PagliaruloÔs testimony at the deposition directly contravened his

907prior statements to the Department.

9127. On February 18, 2021, the Department filed a Motion to Relinquish

924Jurisdiction, which the undersign ed granted the following day.

9338. On May 27, 2021, the P CP reconsidered the matter in light of the newly

949obtained testimony from Pagliarulo and closed the case.

9579. Petitioner qualifies as a prevailing small business party under

967section 57. 1 11.

971Additional F indings of Fact

97610. A proceeding is Ñsubstantially justifiedÒ if Ñit had a reasonable basis in

989law and fact at the time it was initiated by a state agency.Ò £ 57.111(3)(e),

1004Fla. Stat. (2019).

100711. The P CP reviewed the following materials: a draft of the pro posed AC ;

1022the report, supplemental opinion, and curriculum vitae of the DepartmentÔs

1032expert; an 18 - page Supplemental Investigative Report dated October 21,

10432019; a ten - page Supplemental Investigative Report dated May 24, 2019; and

1056a 1,017 - page Final Invest igative Report dated November 5, 2018.

106912. The AC charged Petitioner with violating section 401.411(1)(g), by

1079failing to conform to the minimum standards of acceptable practice in her

1091care of Patient I.K. ( Ñ I.K. Ò ).

110013. The AC concerned an incident involvin g an ambulance crew ,

1111comprising Petitioner and Pagliarulo, dropp ing a patient and fatally injur ing

1123him.

112414. At all times material to the AC , Respondent was employed as an EMT

1138with American Medical Rescue (ÑAMRÒ).

114315. On May 23, 2018, Petitioner and her par tner, Pagliarulo, transported

1155I.K., an elderly man, from a long - term care facility to his home .

117016. The patient was dropped while strapped to a gurney while being

1182removed from the emergency vehicle , and struck his head. He subsequently

1193died from a combinat ion of his injuries and his end - of - life conditions .

121017. At the time of the incident, Petitioner was a recent EMT licensee and

1224was 20 years old.

122818. The charges against the two EMTs involved in the incident, Petitioner

1240and Pagliarulo, were brought two years after the incident occurred. The

1251charges were brought to the DepartmentÔs attention after a complaint was

1262filed by I.K.Ôs son.

126619. The Department initiated investigations against both EMTs in

1275response to the complaint.

127920. The case against Pagliarulo was considered separately by the

1289Department, resulting in a settlement agreement between the two parties,

1299executed on or about June 29, 2020.

130621. Pagliarulo, during an interview with the DepartmentÔs investigator,

1315clearly and unequivocally stated that both he and Petitioner were handling

1326the stretcher , w ith I.K. strapped to it, when it overturned. Pagliarulo further

1339described where he and Petitioner were standing in relation to the stretcher

1351while removing it from the ambulance and in picking it up after it fe ll.

136622. The Department investigator also requested to interview Petitioner;

1375however, she declined an interview and instead provided a written statement

1386to the Department.

138923. PetitionerÔs brief written statement , dated October 29, 2018, included

1399a general denial that she deviated from the standard of care; however,

1411Petitioner did not directly address any of the allegations in the complaint,

1423including who was handling the stretcher at the time I.K. was dropped.

1435Specifically, all she stated regarding the inci dent was the following:

1446As it pertains to the allegations I may have violated

1456my Practice Act as an EMT, I deny these

1465allegations. As part of my employment with AMR I

1474underwent extensive training as to loading and

1481unloading of patients on a stretcher which included

1489viewing training videos from the stretcher

1495manufacturer and participating in field training on

1502several occasions with a superior specifically

1508related to the loading and unloading of patients

1516while on a stretcher. As such, prior to the transport

1526o f the patient I received extensive training in

1535preparation of attending to patients such as I.K. In

1544conclusion, I believe that my care provided to

1552Patient I.K. on May 19, 2018, met the prevailing

1561standard of care for my Practice Act.

156824. However, Petitio nerÔs handwritten and signed , yet unsworn, statement

1578given on May 17, 2018, the day of the incident, provides almost

1590contemporaneous details of her version of the events , in pertinent part, as

1602follows :

1604SUBJECT OF REPORT: Pt [patient] fell with

1611stretcher.

1612SUMMARY: crew arrived to pt destination. Due to

1620rain we waited a few minutes Pt wanted to go

1630inside. I Ariana proceeded to look for an elevator

1639Because [sic] all we seen [sic] was stairs. As I found

1650an elevator I walked back to the truck to tell my

1661partner there was an elevator[.] [H]e acknowledged

1668& proceeded to take out stretcher. I was about

167710 feet away when pt fell with the stretcher on pts

1688left side. Me and my partner and another

1696bystander turned patient Back [sic] on the wheels

1704of the stretcher. È I Ariana covered pts [sic] skin

1714tears and lacerations and contacted C8 for further

1722directions. Pt was transferred to West Boca.

1729The ÑbystanderÒ referenced in PetitionerÔs handwritten statement was not

1738identified.

173925. PagliaruloÔs handwritten, unsigned repor t acknowledged the

1747inclement weather, but did not include any information regarding

1756PetitionerÔs having gone in search of an elevator and, therefore, not being

1768present when he loaded I.K. onto the stretcher. He stated that Ñhe and his

1782crew immediately pick ed up the stretcher,Ò but did not confirm that

1795Petitioner was ten feet away when the stretcher overturned or that he had

1808put I.K. on the stretcher himself. He did not mention a bystander being

1821present at the time the stretcher overturned.

182826. PetitionerÔs report indicates that Pagliarulo alone removed the

1837stretcher and did not state that the decision to do so was made jointly.

1851PagliaruloÔs report is silent on the issue of who was handling the stretcher at

1865the time it fell; however, in all other respects, th e information contained in

1879his report is consistent with the more detailed statement he later provided to

1892a Department investigator.

189527. The Department also attempted to obtain investigative documents

1904from PetitionerÔs employer, AMR, but AMR twice refused to provide these

1915documents, citing attorney - client privilege.

192128. The Department contracted with a licensed EMT expert , Bradley

1931Mayberry (ÑMayberryÒ) , to review the case for potential violations of the

1942standard of care . Mayberry holds numerous certificati ons, most notably, as

1954an EMT, a paramedic, and a firefighter. He is qualified by virtue of his

1968education, training, and experience to give an expert opinion in this matter.

198029. Mayberry stated that dropping a patient is always a violation of the

1993standard o f care for EMTs, regardless of whether injuries occurred as a

2006result. He further stated that EMTs receive extensive training in the safe

2018operation of stretchers in order to avoid incidents such as the one occurring

2031here.

203230 . In conducting his review of the case, Mayberry stated that he reviewed

2046all of the DepartmentÔs investigative materials, including Petitioner Ôs brief

2056response to the allegations. However, in his report dated May 6, 2019, he

2069makes no mention of PetitionerÔs May 17, 2018, handwritten state ment (see

2081paragraph 24 above) in which she states she was returning from having

2093found the elevator to I.K.Ôs apartment and witnessed the overturning of the

2105gurney when she was still ten feet away from the gurney . This constitutes a

2120significant omission in his report and was either due to his not having seen

2134PetitionerÔs May 17 , 2018, statement or not giving it any weight in his

2147conclusions that the standard of care was violated.

215531. According to the exhibits admitted at hearing, the DepartmentÔs

2165ex pert rece ived from the DepartmentÔs counsel, Rose Garrison, additional

2176documents to review, Supplemental Report 1, dated May 24, 2019, and

2187Supplemental Report 2, dated October 21, 2019. Contained in these reports

2198was the statement from Petitioner dated May 17, 2018 (see paragraph 24

2210above) , in which she claimed to have been approaching Pagliarulo from the

2222elevator as she witnessed the gurney overturn. Mayberry stated, in a letter

2234dated February 28, 2020, that this additional information did not change his

2246opinion re garding a deviation from the standard of care. Further, he stated,

2259receipt of PetitionerÔs May 17 , 2018, statement did not cause him to change

2272his opinion because it is not Ñwithin my expertise to determine what details

2285are factual.Ò

22873 2 . Petitioner was ent itled to receive and review a copy of the

2302DepartmentÔs full investigative file, including the expertÔs written opinion,

2311and to submit a response for the P CP to consider prior to making its

2326determination of probable cause, Petitioner did not avail herself o f this

2338opportunity. She could have, either on her own or with assistance of counsel,

2351restated the facts she set forth in her May 17, 2018, statement , in the form of

2367a sworn affidavit or deposition, or expanded on them prior to the PCP

2380meeting.

23813 3 . The Depa rtmentÔs investigative report of Petitioner, signed by Jenna

2394Murphy (ÑMurphyÒ), m edical m alpractice i nvestigator, and accepted into

2405evidence without objection at hearing, bears discussion. In MurphyÔs

2414interview of Pagliarulo, she documented that , due to th e inclement weather

2426(in his words, Ñtropical storm forceÒ with rain, wind, and lightning), he called

2439dispatch to request a delay in removing I.K. from the ambulance, but was

2452told they Ñwere not allowed to wait any longer.Ò H e acknowledged Petitioner

2465had go ne to look for an elevator while he stayed in the ambulance with I.K. ,

2481but stated that he waited to put I.K. on a stretcher until Petitioner returned.

2495Pagliarulo stated that Petitioner was on the side of the stretcher, while he

2508was at the head of the stret cher, when it Ñvery quickly tippedÒ to the side and

2525Ñvery quicklyÒ was picked back up.

25313 4 . Petitioner refused to give any more information to the investigator

2544when called on October 10, 2018, other than confirming her physical address,

2556her email address, a nd making a request that Murphy send any

2568correspondence to her via email. Murphy noted in her report that P etitioner

2581did not give a recorded statement on that date, and that a computer

2594background check conducted on October 12, 2018, showed that P etitioner had

2606never been charged with a felony or misdemeanor in Florida as an adult.

26193 5 . Pagliarulo settled the case brought against him by the Department,

2632DOH Case No. 2020 - 0187, via a settlement agreement executed by the

2645parties on June 29, 2020, and made part of a F inal O rder from the

2661Department on July 23, 2020. Pursuant to the agreement, he received a letter

2674of concern against his EMT certification, a $1,500 fine, and agreed to

2687reimburse the Department $2,200 in costs.

26943 6 . It was not until January 29, 2021, wh en Petitioner took PagliaruloÔs

2709deposition, that he made statements, under oath, that directly contradicted

2719what he had previously told the DepartmentÔs investigators. Shortly after

2729this deposition, the DepartmentÔs unopposed Motion to Relinquish

2737Jurisdict ion was granted. The PCP then reconsidered the matter in light of

2750this new information and dismissed the case against Petitioner.

27593 7 . The transcript of PagliaruloÔs deposition was not filed in the

2772underlying case here, nor was it offered into evidence at t he brief hearing

2786conducted in this matter. The undersigned can only speculate whether

2796Pagliarulo testified under oath that he had misstated the facts concerning

2807PetitionerÔs involvement, or lack thereof, in the placing o f I.K. on the gurney

2821or whether she was in transit to the ambulance from having located the

2834elevator when she witnessed the gurney overturn with Pagliarulo attempting

2844to move I.K. by himself. Such speculation is not enough evidence to result in

2858specific factual findings regarding the veracit y of the only piece of

2870contemporaneous evidence demonstrating PetitionerÔs lack of involvement in

2878I.K.Ôs fall, her handwritten, unsworn statement dated May 17, 2018.

28883 8 . Further, the undersigned cannot conclude, as a matter of fact, that the

2903PCP did not h ave that statement before it when it determined probable cause

2917existed to bring the AC against Petitioner. Had competent evidence been

2928produced to the undersigned that the PCP considered PetitionerÔs version of

2939what occurred in the transport of I.K. , resul ting in his fall and injuries, it is

2955possible a conclusion could be reached here that the PCPÔs finding of probable

2968cause was not substantially justified. PetitionerÔs failure or refusal to follow

2979up and convince the PCP that she was not directly involved in the tragic

2993incident has made it impossible for the undersigned to conclude that the PCP

3006determination of probable cause was not substantially justified at the time of

3018its decision.

3020Ultimate Facts

30223 9 . Petitioner denied, in a handwritten, unsworn, and n early

3034contemporaneous statement, any wrongdoing in her role of assisting

3043Pagliarulo with placing I.K. on the stretcher and allowing it to fall, thereby

3056severely injuring him. Pagliarulo unequivocally implicated her in the

3065incident.

306640 . Based upon the evide nce available to the P CP at the time probable

3082cause was found (and not knowing whether the PCP even saw the

3094handwritten statement from Petitioner) , it was reasonable for the PCP, at the

3106time of its initial consideration of the case against Petitioner, to b elieve that

3120both Petitioner and Pagliarulo were responsible for the decision to remove

3131I.K. from the ambulance during inclement weather and that both were

3142handling the stretcher when it fell.

31484 1 . Based upon the foregoing, and the evidence adduced at hearin g

3162regarding what was known to the PCP at the time probable cause was found,

3176there was a reasonable basis in law and fact to believe that Petitioner

3189engaged in unprofessional conduct, including a failure to conform to the

3200minimum prevailing standard of acce ptable practice, in her care of I.K .

32134 2 . Therefore, the DepartmentÔs filing of the AC was substantially

3225justified.

3226C ONCLUSIONS O F L AW

32324 3 . DOAH has personal and subject matter jurisdiction in this proceeding

3245pursuant to sections 57.111, 120.569, and 120. 57(1), Florida Statutes (20 19 ).

3258The undersigned has final order authority pursuant to section 57.111(4)(d).

32684 4 . Section 57.111 provides , in relevant part:

3277(4)(a) Unless otherwise provided by law, an award

3285of attorneyÔs fees and costs shall be made to a

3295pr evailing small business party in any adjudicatory

3303proceeding or administrative proceeding pursuant

3308to chapter 120 initiated by a state agency, unless

3317the actions of the agency were substantially

3324justified or special circumstances exist which would

3331make the award unjust.

33354 5 . Once the party seeking fees under section 57.111 proves that it is a

3351prevailing small business party, the burden shifts to the government agency

3362to show that its action in initiating the proceeding was Ñsubstantially

3373justified.Ò Helmy v . DepÔt of Bus. & Pro fÔl Reg. , 707 So. 2d 366, 368 (Fla. 1st

3391DCA 1998). The parties stipulated that Petitioner is a small business

3402prevailing party, thereby shifting the burden to the Department.

34114 6 . Substantial justification is defined by section 57.111(3 )(e) as Ña

3424reasonable basis in law and fact at the time it was initiated by a state

3439agency.Ò

34404 7 . The Ñsubstantially justifiedÒ standard is not so strict as to require the

3455agency to demonstrate that its actions are correct; rather, an agency need

3467only prese nt an argument for its actions that could satisfy a reasonable

3480person. Ag. for Health Care Admin. v. MVP Health, Inc. , 74 So. 3d 1141, 1144

3495(Fla. 1st DCA 2011).

34994 8 . F or the Department to demonstrate that it had substantial

3512justification for its actions, th e P CP must have had a solid, though not

3527necessarily correct, basis in law and fact for finding probable cause and

3539directing the filing of the AC . See Fish v. Dep't of Health , Bd. of Dentistry ,

3555825 So. 2d 421, 423 (Fla. 4th DCA 2002). To sustain a determina tion of

3570probable cause, there must be some evidence considered by the P CP that

3583would Ñreasonably indicate that the violation occurred.Ò Id .

35924 9 . A decision to prosecute that turns on a credibility assessment has a

3607reasonable basis in law and fact. DepÔt of Health , Bd. of Med. v. Thomas ,

3621890 So. 2d 400, 401 (Fla. 1st DCA 2004).

363050 . When determining whether substantial justification exists to support

3640the filing of an AC , the tribunal must only examine the information before

3653the P CP at the time it found that pr obable cause existed and directed that an

3670AC be filed. DepÔt of Health , Bd. of Physical Therapy Practice v. Cralle ,

3683852 So. 2d 930, 932 (Fla. 1st DCA 2003) (citing Fish , 825 So. 2d at 423).

3699ÑSubsequent discoveries do not vitiate the reasonableness of the a ctions of the

3712board at the time they made their probable cause determinations.Ò Cralle ,

3723852 So. 2d at 933 ( citing Ag. f or Health Care Admin. v. Gonzalez , 657 S o . 2d

374356 (Fla. 1st DCA 1995) ) .

37505 1 . The reviewing body in a fees case Ñmay not consider any new ev idence

3767which arose at a fee hearing, but must focus exclusively upon the information

3780available to the agency at the time that it acted.Ò MVP Health, Inc. , 74 So. 3d

3796at 1144.

37985 2 . The central focus of PetitionerÔs argument that she is entitled to fees

3813under the Ñsubstantially justifiedÒ standard is that she made a brief

3824statement, set forth in paragraph 24 above, that Pagliarulo was solely

3835responsible for attempting to transport I.K. to his home while she was

3847looking for an elevator. She was certain that she was still ten feet away from

3862the gurney when it tipped over under the lack of due care by Pagliarulo.

3876What is unusual here is that, in her subsequent more detailed statement to

3889the DepartmentÔs investigator, she makes only conclusory remarks that she

3899did n ot deviate from the standard of care, not mentioning her actions set

3913forth in her previous statement or expounding on it.

392253. On the DepartmentÔs side, after reviewing the more than 1,000 pages

3935of documents, including both investigative reports and patien t records for

3946I.K., the PCP found probable cause to bring an AC against Petitioner. There

3959was no transcript of the PCP provided as evidence at hearing, so the

3972undersigned is left to guess as to whether the PCP was aware of the

3986exculpatory statement given b y Petitioner within days of the incident.

3997Petitioner did not testify before the undersigned and subject herself to cross -

4010examination, so the undersigned is left to determine whether the brief

4021statement she wrote on May 17, 2018, is enough to overcome Pagli aruloÔs

4034insistence of Petitioner's involvement from the date of the incident, through

4045the PCP Ôs determination of probable cause to proceed made on May 19, 2020 ,

4059all the way until his deposition was taken on January 29, 2021. At best, the

4074conflicting statem ents of Petitioner and Pagliarulo represent disputed issues

4084of material fact. Of course, the undersigned learned at hearing , from the

4096representations of counsel for Petitioner and from the DepartmentÔs action

4106following PagliaruloÔs deposition, that Petitio ner was being truthful all along.

4117The only issue remaining is, therefore, whether the PCP was Ñsubstantially

4128justifiedÒ in authorizing the filing of the one - count AC on May 19, 2020. In

4144short, does the existence of the one handwritten, unsworn statement fr om

4156Petitioner to the DepartmentÔs investigator, in and of itself, suffice to

4167substantially justify the PCPÔs finding of probable cause? If the PCP knew in

4180May 20 20 what it learned in May 2021, the answer would be self - evident: the

4197finding of probable cause to bring an AC against Petitioner was not

4209substantially justified. However, such was not the case in May 2020.

422054. From the affidavit filed by counsel for Petitioner, dated June 17, 2021,

4233it is apparent that Petitioner did not retain legal counsel until o n or about

4248July 21, 2020. This was after the PCP found probable cause to authorize the

4262Department to issue the AC against Petitioner. It follows that Petitioner did

4274not have the benefit of counsel prior to that date. Looking at the assistance

4288given to her by counsel, Petitioner chose wisely because , once retained, her

4300counsel took the necessary steps to prove both that she was truthful in her

4314explanation of her role concerning the incident with I.K. on the gurney on

4327May 16, 2018, and that Pagliarulo was unt ruthful in recounting his version of

4341what transpired on that date to the DepartmentÔs investigator.

435055. The undersigned is reasonably certain that, had counsel for Petitioner

4361been retained prior to the PCP meeting on May 19, 2020, he would have

4375taken the necessary steps to present a strong er case to the Department and

4389the PCP in PetitionerÔs defense. This could very well have resulted in there

4402having been no probable cause found when the PCP met that day. We will

4416never know for sure because counsel had not been retained to assist

4428Petitioner prior to the May 19, 2020, meeting of the PCP. Clearly, once

4441counsel intervened on behalf of Petitioner, a professional review of the

4452existing evidence was conducted ; discovery was conducted and the true facts

4463of the cas e were revealed when Pagliarulo changed his earlier version of the

4477events; and the Department, when presented with the newly - revealed

4488evidence, moved to relinquish jurisdiction, which allowed the reconvened

4497PCP to make its determination that no probable ca use continued to exist to

4511proceed with this matter. It is evident that PetitionerÔs wise move in hir ing

4525highly competent counsel resulted in her convincing the Department to

4535dismiss the case. Unfortunately, her hiring of counsel came too late for her to

4549es tablish liability for the Department to pay the attorneyÔs fees and costs

4562already incurred.

456456. Based upon the foregoing, the PCP was substantially justified in

4575finding probable cause to authorize the filing of an AC against Petitioner in

4588May 2020, despit e being proven otherwise a year later . Therefore, Petitioner

4601is not entitled to attorneyÔs fees under section 57.111.

4610O RDER

4612Based on the foregoing Findings of Fact and Conclusions of Law, it is

4625O RDERED that the Motion for AttorneyÔs Fees filed by Petitio ner is hereby

4639denied.

4640D ONE A ND O RDERED this 29th day of September , 2021 , in Tallahassee,

4654Leon County, Florida.

4657S

4658R OBERT S. C OHEN

4663Administrative Law Judge

46661230 Apalachee Parkway

4669Tallahassee, Florida 32399 - 3060

4674(850) 488 - 9675

4678www.doah.state.fl.us

4679Filed with the Clerk of the

4685Division of Administrative Hearings

4689this 29th day of September , 2021 .

4696C OPIES F URNISHED :

4701David M. Beckerman, Esquire Chase E. Den Beste, Esquire

4710David M. Beckerman, P.A. Department of Health

47177000 West Palmetto Park Road , Suite 500 Prosecution Services Unit

4727Boca Raton, Flori da 33433 4052 Bald Cypress Way , Bin C - 65

4740Tallahassee, Florida 32399 - 3265

4745Kimberly Lauren Marshall, Esquire

4749Department of Health Joseph A. Ladapo, M.D. , Ph.D.

4757Prosecution Services Unit State Surgeon General

47634052 Bald Cypress Way , Bin C - 65 Department of Health

4774Tallahassee, Florida 32399 - 3265 4052 Bald Cypress Way, Bin A - 00

4787Tallahassee, Florida 32399 - 1701

4792Louise St. Laurent, Gen eral Counsel

4798Department of Health Wanda Young, Agency Clerk

4805Prosecution Services Unit Department of Health

48114052 Bald Cypre ss Way, Bin C - 65 4052 Bald Cypress Way, Bin A - 02

4828Tallahassee, Florida 32399 - 3265 Tallahassee, Florida 32399 - 1703

4838N OTICE O F R IGHT T O J UDICIAL R EVIEW

4850A party who is adversely affected by this Final Order is entitled to judicial

4864review pursuant to section 120.68, Florida Statutes. Review proceedings are

4874governed by the Florida Rules of Appellate Procedure. Such proceedings are

4885commenced by filing the original notice of administrative ap peal with the

4897agency clerk of the Division of Administrative Hearings within 30 days of

4909rendition of the order to be reviewed, and a copy of the notice, accompanied

4923by any filing fees prescribed by law, with the clerk of the d istrict c ourt of

4940a ppeal in the appellate district where the agency maintains its headquarters

4952or where a party resides or as otherwise provided by law.

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PDF
Date
Proceedings
PDF:
Date: 09/29/2021
Proceedings: DOAH Final Order
PDF:
Date: 09/29/2021
Proceedings: Final Order (hearing held August 25, 2021). CASE CLOSED.
PDF:
Date: 09/20/2021
Proceedings: Respondent's Proposed Final Order filed.
PDF:
Date: 09/13/2021
Proceedings: Petitioner Ortega's Proposed Findings of Fact and Conclusions of Law (Proposed Recommended Order) filed.
PDF:
Date: 09/09/2021
Proceedings: Notice of Filing Transcript.
Date: 09/09/2021
Proceedings: Transcript (not available for viewing) filed.
Date: 08/25/2021
Proceedings: CASE STATUS: Hearing Held.
PDF:
Date: 08/20/2021
Proceedings: Petitioner's Notice of Filing Exhibits filed.
PDF:
Date: 08/18/2021
Proceedings: Joint Exhibits filed.
PDF:
Date: 08/18/2021
Proceedings: Notice of Serving Copies of Joint Exhibits filed.
PDF:
Date: 08/18/2021
Proceedings: Respondent's Notice of Taking Deposition Testimony via Video Teleconference (A. Ortega-Domingez) filed.
PDF:
Date: 08/18/2021
Proceedings: Pre-hearing Joint Stipulation filed.
PDF:
Date: 08/17/2021
Proceedings: Notice of Court Reporter filed.
PDF:
Date: 08/11/2021
Proceedings: Affidavit of Ariana Ortega Domingez filed.
PDF:
Date: 07/30/2021
Proceedings: Order of Pre-hearing Instructions.
PDF:
Date: 07/30/2021
Proceedings: Notice of Hearing by Zoom Conference (hearing set for August 25, 2021; 9:00 a.m., Eastern Time).
PDF:
Date: 07/29/2021
Proceedings: Notice of Availability for Hearing filed.
PDF:
Date: 07/21/2021
Proceedings: Order Rescinding Order to Show Cause and Requesting Information from the Parties to Determine Entitlement to Attorney's Fees and Costs.
PDF:
Date: 07/20/2021
Proceedings: Initial Order.
PDF:
Date: 07/19/2021
Proceedings: Petitioner's Response to Order to Show Cause and to Respondent's Verified Motion for Attorney's Fees and Costs filed.
PDF:
Date: 07/08/2021
Proceedings: Order to Show Cause.
PDF:
Date: 06/17/2021
Proceedings: Respondent, Ortega-Domingez's Verified Motion for Award of Attorneys Fees and Costs Pursuant to Chapter 57.111, Fla. Stats. filed. (FORMERLY DOAH CASE NO. 20-5321PL)

Case Information

Judge:
ROBERT S. COHEN
Date Filed:
07/20/2021
Date Assignment:
07/20/2021
Last Docket Entry:
09/29/2021
Location:
Fort Lauderdale, Florida
District:
Southern
Agency:
Department of Health
Suffix:
F
 

Counsels

Related Florida Statute(s) (3):