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DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2017-09635 THERESA R. SAPITAN, R.N., RESPON DENT. I 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, Theresa R. Sapitan, 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 9355484.

3. Respondent's address of record is 2063 N. Laura Street, Jacksonville, Florida 32206. 4. Respondent may also be located at 9765 San Jose Blvd, Apt. #108, Jacksonville, Florida 32257. 5. On or about August 4, 2015, Respondent entered into a Monitoring Agreement with IPN. 6. IPN is the impaired nurses program for the Board of Nursing, designated pursuant to Section 456.076, Florida Statutes. IPN is a program that monitors the evaluation, care, and treatment of impaired nurses. IPN also provides for the exchange of information between treatment providers and the Department for the protection of the public. 7. The Monitoring Agreement entered into by Respondent had a projected active monitoring period from on or about July 9, 2015, through on or about July 8, 2020. 8. On or about June 6, 2017, Respondent was terminated from IPN without good cause due to noncompliance with the terms of the Monitoring Agreement.

9. Respondent is licensed pursuant to Chapter 464, Florida Statutes, and is a health care practitioner as defined in Section 456.001(4), Florida Statutes (2016). 10. Section 456.072(1)(hh), Florida Statutes (2016), provides that being terminated from a treatment program for impaired practitioners, which is overseen by an impaired practitioner consultant as described in Section 456.076, Florida Statutes, for failure to comply without good cause, with the terms of the monitoring or treatment contract entered into by the licensee, or for not successfully completing any drug treatment or alcohol treatment program, constitutes grounds for disciplinary action. 11. As set forth above, on or about June 6, 2017, Respondent was terminated from IPN without good cause for failing to comply with the terms of her Monitoring Agreement. 12. Based on the foregoing, Respondent violated Section 456.072(1)(hh), Florida Statutes (2016), by being terminated from a treatment program for impaired practitioners, which is overseen by an impaired practitioner consultant as described in Section 456.076, Florida Statutes, for failure to comply without good cause, with the terms of the

monitoring or treatment contract entered into by the licensee, or for not successfully completing any drug treatment or alcohol treatment program. 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 27 day of September 2017. Celeste Philip, MD, MPH Surgeon General and Secretary CLERK: FILED DEPARTMENT OF HEALTH DEPUTY CLERK DATE C07:14.,-47 SEP 2.8 2017 /4/ Pat A. 014440101 Philip A. Crawford Assistant General Counsel Florida Bar No. 91378 Florida Department of Health Office of the General Counsel 4052 Bald Cypress Way, Bin #C65 Tallahassee, FL 32399-3265 Telephone: (850) 558-9829 Facsimile: (850) 245-4662 Philip.Crawford@flhealth.gov /PAC PCP: September 26, 2017 PCP Members: Horne & Gordon Department of Health v. Theresa R. Sapltan, R.N.

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.