STATE OF FLORIDA BOARD OF NURSING Final Order No. DOH-17-1716- F.-01 -MQA FILED DATE _ ti-j±: 191 7 Department of Health DEPARTMENT OF HEALTH, ikloi41 efivewl Petitioner, vs. Case No.: 2015-07348 License No.: CNA 193213 JEANETTE N. BARKER, Respondent. / FINAL ORDER This matter appeared before the Board of Nursing at a dulynoticed public meeting on August 2-4, 2017 in West Palm Beach, Florida, for a hearing not involving disputed issues of material fact pursuant to Sections 120.569 and 120.57(2), Florida Statutes. Petitioner filed an Administrative Complaint seeking disciplinary action against the license. A copy of the Administrative Complaint is attached to and made a part of this Final Order. Service of the Administrative Complaint was made upon Respondent by publication. Respondent did not file an Election of Rights. Petitioner has filed a Motion for Determination of Waiver and Entry of Final Order. Petitioner was represented by Louise St. Laurent, Deputy General Counsel, Florida Department of Health. Respondent was not present. Case No. 2015-07348 1
FINDINGS OF FACT Since the licensee has not replied to the Administrative Complaint nor contested the factual allegations, the prosecuting attorney offered the investigative file as a basis to determine penalty. The investigative file was received into evidence. The Board adopts as its finding of facts the facts set forth in the Administrative Complaint. CONCLUSIONS OF LAW Based upon the Findings of Fact, the Board concludes the licensee has violated Section 464.204(1) (b), by 464.018(1)(h), Florida Statutes. The Board is empowered by Sections 464.204(1) (b) and 456.072(2), Florida Statutes, to impose a penalty against the licensee. Therefore it is ORDERED that: The licensee must pay investigative costs of $1,745.18 within 24 months of the date this Final Order is filed. Payment shall be made to the Board of Nursing and mailed to, DOH-Compliance Management Unit, 4052 Bald Cypress Way, Bin C76, Tallahassee, Florida 32399-3252, Attention: Nursing Compliance Officer. Payment must be made by cashier's check or money order ONLY. Personal checks will not be accepted. The licensee shall enroll in and successfully complete an 8 hour course in Legal Aspects of Nursing and an 8 hour course in Ethics. This shall be in addition to other normally required in- Case No. 2015-07348 2
service training courses. Verification of course content and course completion must be submitted to the Nursing Compliance Officer within six (6) months from the date of this Order. The Board will retain jurisdiction for the purpose of enforcing continuing education requirements. The license of JEANETTE N. BARKER is placed on probation for 1 year, subject to the following conditions: The licensee shall not violate chapters 456 or 464, Florida Statutes, the rules promulgated pursuant thereto, any other state or federal law, rule, or regulation relating to the practice or the ability to practice nursing. The licensee must report any change in address or telephone number, employment, employer's address or telephone number, or any arrests [or violations of probation or whatever impediment which may be on the license from another jurisdiction], in writing within 10 working days to the Nursing Compliance Officer at the Department of Health, HMQAMS, BIN # C76, 4052 Bald Cypress Way, Tallahassee, Florida 32399-3251. Whether employed as a nursing assistant or not, the licensee shall submit written reports to the Nursing Compliance Officer which shall contain the licensee's name, license number, and current address; the name, address, and phone number of each current employer; and a statement by the licensee describing her employment. This report shall be submitted to the Nursing Case No. 2015-07348 3
Compliance Officer every three (3) months in a manner as directed by the Nursing Compliance Officer. All current and future settings in which the licensee practices as a nursing assistant shall be promptly informed of the licensee's probationary status. Within five days of the receipt of this Order, the licensee shall furnish a copy to her nursing supervisor or supervisors, if there are multiple employers. The supervisors must acknowledge this probation to the Nursing Compliance Officer in writing on employer letterhead within ten days. Should the licensee change employers, she must supply a copy of this Order to her new nursing supervisor within five days. The new employer shall acknowledge probation in writing on employer letterhead to the Nursing Compliance Officer within ten days. The licensee shall be responsible for assuring that reports from nursing supervisors will be furnished to the Nursing Compliance Officer every three (3) months. That report shall describe the licensee's work assignment, work load, level of performance, and any problems. Any report indicating an unprofessional level of performance shall be a violation of probation. If the licensee leaves the practice of nursing assistant in the state this probation shall be tolled until the licensee returns to the active practice of nursing assistant. Then the probationary period will resume. Unless this Order states otherwise, any fines imposed or continuing education required must be paid or completed Case No. 2015-07348 4
within the time specified and are not tolled by this provision. Employer reports are not required during the time probation is tolled. Working as a nursing assistant without notification to the Board is a violation of this Order. The licensee's failure to comply with the terms of this Probation Order without the prior written consent of the Board shall be a violation of this Probation. The probation shall not be terminated until the licensee has complied with all terms of probation. The failure to comply with the terms of probation set forth above shall result in a subsequent Uniform Complaint Form being filed by the Board with the Department of Health against the Respondent's license, which may result in additional administrative fines, probationary periods, and/or suspensions being imposed against the Respondent's license. The licensee shall pay all costs necessary to comply with the terms of this Order. Such costs include, but are not limited to, the cost of preparation of investigative and probationary reports detailing the compliance with this probation; the cost of obtaining, and analysis of, any blood or urine specimens submitted pursuant to this Order; and administrative costs directly associated with the licensee's probation. The terms of this Order are effective as of the date this Order is filed with the clerk for the Department of Health. The Board office will send the licensee information regarding Case No. 2015-07348 5
probationary terms, however, failure of the licensee to receive such information DOES NOT EXCUSE COMPLIANCE with the terms of this Order. This Final Order shall become effective upon filing with the Clerk of the Department of Hea,i,th. DONE AND ORDERED this r3 dayof 2017. BOARD OF NURSING Joe R. er, Jr. Execut' Director for Jody Bryant Newman, EdD, EdS, CHAIR NOTICE OF APPEAL RIGHTS Pursuant to Section 120.569, Florida Statutes, the parties are hereby notified that they may appeal this Final Order by filing one copy of a notice of appeal with the clerk of the department and by filing a filing fee and one copy of a notice of appeal with the District Court of Appeal within thirty days of the date this Final Order is filed. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by U.S. Mail to: JEANETTE N. BARKER, 5203 SE 114h St., Belleview, FL 34420; and 3001 SE Lake Weir Ave., Apt. 408, Ocala, FL 34420; and by e-mail to: Diane L. Guillemette, Assistant Attorney General, diane.guillemette@myfloridalegal.com; Case No. 2015-07348 6
and to: Matthew Witters, Assistant General Counsel, at Matthew.witters@flhealth.gov on this /4day of, 2017. DepuW Agency Clerk Case No. 2015-07348 7
DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2015-07348 JEANETTE N. BARKER, C.N.A., 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, Jeanette N. Barker, C.N.A., and in support thereof alleges: 1. Petitioner is the state agency charged with regulating the practice of nursing assistance 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 certified nursing assistant within the state of Florida, having been issued certification number CNA 193213.
3. Respondent's address of record is 5203 Southeast 114th Street, Belleview, Florida 34420. 4. An alternative address for Respondent is 3001 Southeast Lake Weir Avenue, Apartment 408, Ocala, Florida 34471. 5. At all times material to this Administrative Complaint, Respondent was a certified nursing assistant employed by Hospice of Marion County ("Hospice"), located in Ocala, Florida. 6. As a certified nursing assistant employed by Hospice, Respondent provided care to patients at assisted living facilities located in Ocala, Florida, including Windsor, Hampton Manor at Deerwood, and Hampton Manor East. 7. Respondent was required to complete documentation at hospice facilities by the end of each shift, including CNA Progress Notes. 8. A CNA Progress Note is documentation of the activities and evaluations performed by the certified nursing assistant during a visit to a patient. 9. On or about February 5, 2015, through on or about February 17, 2015, Respondent completed CNA Progress Notes, which required a Facility Representative Signature and Date for each note. Department of Health v. Jeanette N. Barker, C.N.A. 2 Case Number 2015-07348
10. On or about February 12, 2015, Respondent submitted to Hospice her CNA Progress Notes with Facility Representative Signatures and Dates for the following visits: a. On or about February 5, 2015, and February 17, 2015, at Windsor; and/or b. On or about February 5, 2015, and February 9, 2015, at Hampton Manor at Deerwood; and/or c. On or about February 5, 2015; February 9, 2015, and February 10, 2015, at Hampton Manor East. 11. On or about February 12, 2015, the Clinical Coordinator for Hospice, C.B., discovered discrepancies, including suspicious signatures, in CNA Progress Notes submitted by Respondent for the time period spanning February 5, 2015, through on or about February 17, 2015. 12. C.B. was not able to authenticate the Facility Representative Signatures and Dates for the CNA Progress Notes mentioned in paragraph nine (9), and the persons who signed as Facility Representatives could not be identified or located. Department of Health v. Jeanette N. Barker, C.N.A. 3 Case Number 2015-07348
13. Respondent submitted one or more CNA Progress Notes mentioned in paragraph nine (9) with false Facility Representative Signatures and Dates. 14. Section 464.204(1)(b), Florida Statutes (2014), provides that intentionally violating any provision of this chapter, chapter 456, or the rules adopted by the board, constitutes grounds for discipline. 15. Section 464.018(1)(h), Florida Statutes (2014), provides that unprofessional conduct, as defined by board rule, constitutes grounds for disciplinary action. 16. Rule 64B9-8.005(6), Florida Administrative Code, provides that unprofessional conduct shall include falsifying or altering of patient records or nursing progress records, employment applications or time records. 17. As set forth above, Respondent engaged in unprofessional conduct by submitting one or more CNA Progress Notes dated on or about February 5, 2015, through on or about February 17, 2015, with false Facility Representative Signatures and Dates. 18. Based on the foregoing, Respondent violated Section 464.204(1)(b), Florida Statutes (2014), by intentionally violating Section 464.018(1)(h), Florida Statutes (2014), by engaging in unprofessional Department of Health v. Jeanette N. Barker, C.N.A. 4 Case Number 2015-07348
conduct as defined by Rule 6469-8.005(6)1 Florida Administrative Code, to include falsifying or altering of patient records or nursing progress records, employment applications or time records. 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. SIGNED this 2Vclay of Aiii916+- 2015. John H. Armstrong, MD, FACS State Surgeon General and Secretary of Health ##f ordan Assistant General Counsel Fla. Bar No. 106034 Florida Department of Health Office of the General Counsel 4052 Bald Cypress Way, Bin #C65 Tallahassee, FL 32399-3265 Telephone: (850) 245-44444 Facsimile: (850) 245-4662 Email: nicole.jordan@flhealth.gov Department of Health v. Jeanette N. Barker, C.N.A. 5 Case Number 2015-07348
PCP: 41612-S1(S PCP Members: Tit,' Fo r CLERK a. DATE AU FILED DEPARTMENT OF HEALTH DEPUTY CLERK 2S5 105 Department of Health v. Jeanette N. Barker, C.N.A. Case Number 2015-07348 6
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. Jeanette N. Barker, C.N.A. 7 Case Number 2015-07348