State of Florida. Department of Elder Affairs

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State of Florida Department of Elder Affairs December 28, 2018 IN RE: GAHC4 Renaissance FL TRS Sub, LLC d/b/a Renaissance Retirement Center PETITION FOR EMERGENCY TEMPORARY VARIANCE, OR IN THE ALTERNATIVE, PETITION FOR TEMPORARY VARIANCE FROM THE IMPLEMENTATION DEADLINE OF RULE 58A-5.036 Petitioner, GAHC4 Renaissance FL TRS Sub, LLC d/b/a Renaissance Retirement Center ( Renaissance ), through its counsel, respectfully requests an emergency temporary variance to Rule 58A-5.036(4)(b), Florida Administrative Code (the Rule ) pursuant to Section 120.542, Florida Statutes and Rule 28-104.004, Florida Administrative Code in order to allow Petitioner more time to comply with the Rule. In support of this request, Petitioner states the following: Party Requesting Emergency Temporary Variance 1. Petitioner s name, address, telephone number, and fax number are: Renaissance Retirement Center 300 West Airport Boulevard, Sanford, Florida 32773 Ph: (407) 323-7306 Fax: (407) 323-7336 2. Counselors for Petitioner are: Kurt M. Spengler and Jennifer N. Leon Wicker, Smith, O Hara, McCoy & Ford, P.A. 390 N Orange Avenue, Suite 1000, Orlando, Florida 32801 Ph: (407) 843-3939 Fax: (407) 649-8118

The Rule and Authority to Grant a Variance 3. Rule 58A-5.036(1)(a)3a provides that an assisted living facility in an evacuation zone under Chapter 252, F.S., must maintain an alternative power source and fuel as required by this subsection at all times when the assisted living facility is occupied but is permitted to utilize a mobile generator(s) to enable portability if evacuation is necessary. 4. Further, Rule 58A-5.036(1)(b) requires the acquisition of sufficient fuel, and safe maintenance of that fuel at the facility, to ensure that in the event of the loss of primary electrical power there is sufficient fuel available for the alternate power source to maintain ambient temperatures at or below 81 degrees Fahrenheit for a minimum of ninety-six (96) hours after the loss of primary electrical power during a declared state of emergency. 5. Pursuant to Rule 58A-5.036(4)(a), each assisted living facility licensed prior to the effective date of this rule shall, no later than June 1, 2018, have implemented the plan required under this rule. 6. However, Rule 58A-5.036(4)(b) allows that the Agency grant extensions to the deadline and provides in relevant part: The Agency shall allow an extension up to January 1, 2019 to providers in compliance with subsection (c), below, and who can show delays caused by necessary construction, delivery of ordered equipment, zoning or other regulatory approval processes. 7. Additionally, Section 120.542 of Florida Statutes authorizes agencies to grant variances or waivers to the requirements of their rules when strict application of rule requirements can lead to unreasonable, unfair, and unintended results. 8. Under Section 120.542(2), variances or waivers shall be granted when application of the rule would create a substantial hardship. A substantial hardship is - 2 -

defined as a demonstrated economic, technological, legal, or other type of hardship to the person requesting the variance. Fla. Stat. 120.542(2). 9. Rule 28-104.004 of the Florida Administrative Code allows agencies to grant petitions for emergency variances. The petitioner is required to specify (1) the specific facts that make the situation an emergency, and (2) the specific facts that show that the petitioner will suffer an immediate adverse effect unless the variance is used more expeditiously than the timeframes provided in Section 120.542 of Florida Statutes. An Emergency Temporary Variance from the Rule is Necessary 10. Rule 58A-5.036 requires compliance by June 1, 2018 and provides that any violation of the Rule allows the Agency for Health Care Administration (the Agency ) to seek any remedy authorized by Chapter 429, Part I, F.S., or Chapter 408, Part II, F.S., including, but not limited to, license revocation, license suspension, and the imposition of administrative fines. 11. On May 12, 2018, the Agency approved Petitioner s request for an extension to the implementation of the Rule through January 1, 2019 (see Extension Approval and Meridian Senior Living, LLC s Request for Extension attached). Further, Petitioner has timely filed Quarterly Reports as required by the Agency (see Quarterly Reports attached). 12. However, despite its best efforts, Petitioner is unable to fully implement the plan by the January 1, 2019 deadline due to circumstances beyond its control. The increased demand in Florida for generator services, fuel tanks, and other necessary equipment has made timely compliance impossible. 13. Accordingly, Petitioner seeks this emergency variance to avoid suffering an immediate risk of costly fines or loss of licensure. Unless this variance is issued more - 3 -

expeditiously than the timeframes provided in Section 120.542, Florida Statutes, Petitioner will be subject to potential penalties for failure to comply with the Rule by January 1, 2019. Petitioner s Actions in Furtherance of Compliance with the Rule 14. Petitioner, through its management company, Meridian Senior Living, LLC ( Meridian ), sought out multiple contractors to submit estimated budgets and potential scopes of work while legislation was still pending. Meridian also hired an engineering company to determine Petitioner s needs based on the Agency s expected guidelines. Once the Agency released the final guidelines, contractors submitted their finalized bids according to requirements of the new Rule. Meridian executed contracts with the selected contractors and issued checks for the purchase of custom equipment pursuant to those contracts. 15. Most of the above-described process could not be completed until the Rule was finalized. For example, contracts for custom-made fuel containers and generators could not be executed without knowing Petitioner s specific needs or final budgets. 16. Due to the significant need for similar generator requirements across the State, the required equipment was not readily available. As such, shipping and construction times have taken longer than normal. 17. As of December 2018, Petitioner and its contractors have been working diligently to comply with the Rule. Currently, Petitioner expects generators to ship on January 9, 2019 and installation is projected to be completed by late January 2019. Type of Action Requested 18. Petitioner is requesting an emergency temporary variance from the - 4 -

restrictions imposed by the Rule that require compliance by the last extension date of January 1, 2019. As previously mentioned, due to permitting, construction, and delivery timelines, implementation will not be complete by January 1, 2019. 19. A temporary variance will allow Petitioner to comply with the Rule as permitted by Rule 58A-5.036(4)(b) and Florida Statutes section 120.542 without exposing Petitioner to substantial hardship. An Emergency Temporary Variance to the Rule is Justified 20. An emergency temporary variance to the Rule is justified because strict application of the Rule is unreasonable. First, Petitioner has made a good faith effort to comply with Rule in the timeframe required by the Rule as explained above. Circumstances outside of Petitioner s control are what have caused Petitioner s delay in completion. Further, Petitioner is among many other assisted living facilities in the State that are experiencing similar delays. Thus, Petitioner seeks this variance in order to comply with the Rule and will suffer substantial hardship if it is not granted. The Temporary Variance will serve the Purpose of the Underlying Statute 21. The purpose of the emergency Rule is to establish a process for certain assisted living facilities to obtain sufficient equipment and resources in the event of the loss of primary electrical power. Specifically, the purpose of the Rule is to ensure that facilities are equipped so that ambient air temperatures are maintained at or below 81 degrees Fahrenheit for a minimum of ninety-six (96) hours. 22. As detailed in Petitioner s current standard operating procedures in its hurricane disaster plan and the procedures in place during the current extension period, Petitioner currently has a generator in place to F.S. 119.071(3)(a)2.b. - 5 -

F.S. 119.071(3)(a)2.b.. This is one of the reasons Petitioner needs a variance from the deadline. 23. F.S. 119.071(3)(a)2.b. 24. Approval of this variance will actually serve the purpose of the Rule and underlying Statute. As detailed above, Petitioner has procedures in place that ensure its residents are F.S. 119.071(3)(a)2.b. If this variance is granted, Petitioner s residents will continue to receive safe assisted living services and will be available to other citizens who may need assisted living services in Florida. Thus, approval of this Petition will not be injurious to the public health, safety, morals, or general welfare of the community. 25. As previously noted, the purpose of the Rule is to ensure ambient air temperatures remain at or below 81 degrees. If granted, this variance will be in effect during Florida s cooler months, which means that ambient air temperatures would likely remain cool even without power. Conclusion 26. Petitioner seeks this emergency temporary variance from the Rule in order to permit sufficient time for the installation of generators at its facility. Alternatively, if the Department does not find that the facts underlying this Petition are an emergency, Petitioner requests a temporary variance under the time frames proscribed in Section 120.542 of Florida Statutes. 27. Petitioner understands the important policy behind the Rule and intends to - 6 -

fully implement the requirements under the Rule. Furthermore, Petitioner understands that this petition for a temporary variance is only granted as necessary to alleviate the circumstances for which it is requested, and therefore, Petitioner will continue to work diligently to complete installation as detailed above. 28. Importantly, at the time the Agency granted Petitioner s/meridian s Request for Extension, Petitioner, through Meridian, implemented new protocols for its facility that have been in place throughout the extension period. F.S. 119.071(3)(a)2.b. 29. This variance will allow Petitioner to finalize implementation of the Rule to continue to provide safe assisted living services to the citizens of Florida in accordance with the ultimate purpose of the Rule. 30. Lastly, all of Petitioner s residents will be updated by letter on the status of the project. In the letter, residents will be informed that completion is projected for the end of January 2019 and that evacuation protocols will go in effect in the circumstances described above. For the foregoing reasons, Petitioner requests that the Department of Elder Affairs grant its petition for an emergency temporary variance to Rule 58A-5.036, so that it may continue to provide assisted living services to its residents without suffering a substantial hardship. Alternatively, if this Department does not find that the nature of this variance is an emergency, Petitioner requests a temporary variance be issued under the timelines provided in Section 120.542, Florida Statues. Petitioner expects the remaining installations and inspections to be completed by January 2019. In the event that there are any delays in shipments, in city or county inspections, or that any other unanticipated event occurs, Petitioner requests the Department allow an additional 180-days, or the end of June 2019, to comply with the Rule. If the department deems that the amount of time - 7 -

requested is not acceptable per the Rule, Petitioner would request an amount of time that the Department believes is reasonable under the circumstances. Respectfully submitted this 27th day of December 2018. /s/ Kurt M. Spengler Kurt M. Spengler, Esquire Florida Bar No. 717665 Jennifer N. Leon, Esquire Florida Bar No. 1011027 WICKER SMITH O'HARA MCCOY & FORD, P.A. Attorneys for Meridian Senior Living, LLC 390 N. Orange Ave., Suite 1000 Orlando, FL 32801 Phone: (407) 843-3939 Fax: (407) 649-8118 - 8 -