STATE OF FLORIDA DEPARTMENT OF HEALTH

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DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2017-01533 TERESA BRENNAN, 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, Teresa Brennan, 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 9352828.

3. Respondent's address of record is 9196 Neumann Drive, Elberta, Alabama 36530. 4. On December 31, 2015, the Board of Nursing filed a Final Order in case number 2014-19222 imposing, among other penalties, costs in the amount of $218.78 to be paid within twelve months from the date of entry of the Final Order. 5. Respondent failed to pay costs in the amount of $218.78 within twelve months from the date of entry of the Final Order. 6. Section 456.072(1)(q), Florida Statutes (2016), 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. 7. As set forth above, Respondent violated a lawful order of the Board of Nursing by failing to comply with the Final Order in case number 2014-19222, filed on December 31, 2015, when Respondent failed to pay costs within twelve months. 8. Based on the foregoing, Respondent has violated Section 456.072(1)(q), Florida Statutes (2016), by violating a lawful order of the 2

department or the boards or failing to comply with a lawfully issued subpoena of the department. [Remainder of page intentionally left. blank]

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 IU day of, 2017. Celeste Philip, MD, MPH Surgeon General and Secretary HIANG Assistant General Cou sel Fla. Bar No. 121392 Florida Department of Health Prosecution Services Unit 4052 Bald Cypress Way, Bin #C65 Tallahassee, FL 32399-3265 Telephone: (850) 245-4444 ex. 8141 Facsimile: (850) 245-4662 Email: angela.chiang@flhealth.gov PCP: 6/16/2017 PCP Members: Stone-Gale & Forst CLERK: DATE: FILED DEPARTMENT OF HEALTH DEPUTY CLERK Angel 05anders JUN 16 2017 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.