STATE OF FLORIDA DEPARTMENT OF HEALTH

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DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2017-17358 DAMIAN 3OHNATHAN SLIFER, R.N., RESPONDENT. ADMINISTRATIVE COMPLAINT COMES NOW, Petitioner, Department of Health, by and through its undersigned counsel, and files this Administrative Complaint before the Board of Nursing against Respondent, Damian Johnathan Slifer, R.N., and in support thereof alleges: 1. Petitioner is the state agency charged with regulating the practice of nursing pursuant to Section 20.43, Florida Statutes; Chapter 456, Florida Statutes; and Chapter 464, Florida Statutes. 2. At all times material to this Administrative Complaint, Respondent was a registered nurse (R.N.) within the state of Florida, having been issued license number RN 9310464.

3. Respondents address of record is 2273 Morning Mist Avenue, Bartow, Florida 33830. 4. Respondent's additional address is P.O. Box 91053, Lakeland, Florida 33804. 5. On or about August 151 2013, the Board of Nursing filed a Final Order against Respondent in case number 2013-02375. 6. The Final Order imposed costs of investigation in the amount seven hundred thirty dollars and sixteen cents ($730.16) to be paid within two (2) years from the date the Final Order was entered. 7. Respondent failed to pay costs of investigation in the amount seven hundred thirty dollars and sixteen cents ($730.16) within two (2) years from the date the Final Order was entered. 8. Section 456.072(1)(q), Florida Statutes (2015), provides that violating a lawful order of the department or the board, or failing to comply with a lawfully issued subpoena of the department constitutes grounds for discipline. 9. Respondent violated a Final Order filed by the Board of Nursing in case number 2013-02375 by failing to pay the costs of investigation within two (2) years of the date of entry of the Final Order. Department of Health v. Damian Johnathan Slifer, R.N. 2

10. Based on the foregoing, Respondent violated Section 456.072(1)(q), Florida Statutes (2015), by violating a lawful order of the department or board, or failing to comply with a lawfully issued subpoena of the department. WHEREFORE, the Petitioner respectfully requests that the Board of Nursing enter an order imposing one or more of the following penalties: permanent revocation or suspension of Respondent's license, restriction of practice, imposition of an administrative fine, issuance of a reprimand, placement of the Respondent on probation, corrective action, refund of fees billed or collected, remedial education and/or any other relief that the Board deems appropriate. [Signature page follows.] Department of Health v. Damian Johnathan Slifer, R.N. 3

SIGNED this 9--- day of `-A?\ C 2018. Celeste Philip, MD, MPH State Surgeon General and Secretary CLERK: DATE: FILED DEPARTMENT OF HEALTH DEPUTY CLERK itnge/ $anders MAR 2 6 2018 Sheryl E. Ellis Assistant General Counsel DOH Prosecution Services Unit 4052 Bald Cypress Way, Bin C-65 Tallahassee, Florida 32399-3265 Florida Bar Number 0103021 (850) 558-9696 Telephone (850) 245-4662 Facsimile Email: Sheryl.Ellis@flhealth.gov /SEE PCP: 27 PCP Members: Department of Health v. Damian Johnathan Slifer, R.N. 4

NOTICE OF RIGHTS Respondent has the right to request a hearing to be conducted in accordance with Section 120.569 and 120.57, Florida Statutes, to be represented by counsel or other qualified representative, to present evidence and argument, to call and cross-examine witnesses and to have subpoena and subpoena duces tecum issued on his or her behalf if a hearing is requested. A request or petition for an administrative hearing must be in writing and must be received by the Department within 21 days from the day Respondent received the Administrative Complaint, pursuant to Rule 28-106.111(2), Florida Administrative Code. If Respondent fails to request a hearing within 21 days of receipt of this Administrative Complaint, Respondent waives the right to request a hearing on the facts alleged in this Administrative Complaint pursuant to Rule 28-106.111(4), Florida Administrative Code. Any request for an administrative proceeding to challenge or contest the material facts or charges contained in the Administrative Complaint must conform to Rule 28-106.2015(5), Florida Administrative Code. Mediation under Section 120.573, Florida Statutes, is not available to resolve this Administrative Complaint. NOTICE REGARDING ASSESSMENT OF COSTS Respondent is placed on notice that Petitioner has incurred costs related to the investigation and prosecution of this matter. Pursuant to Section 456.072(4), Florida Statutes, the Board shall assess costs related to the investigation and prosecution of a disciplinary matter, which may include attorney hours and costs, on the Respondent in addition to any other discipline imposed. Department of Health v. Damian Johnathan Slifer, R.N.