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DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2017-17684 GLENDALIZ MERLE, 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, Glendaliz Merle, 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 (C.N.A.) within the state of Florida, having been issued certificate number CNA 341350.

3. Respondent's address of record is 168 Jalapa Drive, Kissimmee, Florida 34743. 4. Respondent's additional address is 2240 Whistler's Park Circle, Kissimmee, Florida 34743. 5. Respondent may also be located at 2349 Water View Loop, Kissimmee, Florida 34743. 6. On or about July 16, 2018, in the Circuit Court of the Ninth Judicial Circuit, in and for Osceola County, Florida, Ms. Merle entered a plea of guilty to one count of Criminal Use of Personal Identification Information, a third-degree felony in violation of section 817.568, Florida Statutes (2018). 7. Section 464.204(1)(b), Florida Statutes (2018), provides that intentionally violating any provision of this chapter, chapter 456, or the rules adopted by the board, constitutes grounds for discipline. 8. Section 464.018(1)(d), Florida Statutes (2018), provides that being found guilty of, regardless of adjudication, a violation of chapter 817, relating to fraudulent practices, constitutes grounds for disciplinary action. 9. Respondent was found guilty of a violation of chapter 817 when, on or about July 16, 2018, in the Circuit Court of the Ninth Judicial Circuit, in and for Osceola County, Florida, Respondent entered a plea of guilty to, 2

and was adjudicated guilty of one count of Criminal Use of Personal Identification Information, a third-degree felony in violation of Section 817.568, Florida Statutes (2018). 10. Based on the foregoing, Respondent violated Section 464.204(1)(b), Florida Statutes (2018), by intentionally violating Section 464.018(1)(d), Florida Statutes (2018), by being found guilty of, regardless of adjudication, a violation of chapter 817, relating to fraudulent practices. 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.] 3

18th October SIGNED this day of, 2018. Celeste Philip, MD, MPH Surgeon General and Secretary Sheryl E. Ellis Sheryl E. Ellis Assistant General Counsel DOH Prosecution Services Unit 4052 Bald Cypress Way, Bin C-65 Tallahassee, Florida 32399-3265 Florida Bar Number 103021 (850) 558 9696 Telephone (850) 245-4662 Facsimile Email: Sheryl.Ellis@flhealth.gov /SEE PCP: October 18, 2018 PCP Gordon (Chair) and Whitson CLERK DATE FILED DEPARTMENT OF HEALTH DEPUTY CLERK Ante,E,44.4444 OCT 1 2018 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. 5