STATE OF FLORIDA DEPARTMENT OF HEALTH

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DEPARTMENT OF HEALTH, STATE OF FLORIDA DEPARTMENT OF HEALTH PETITIONER, v. CASE NO. 2016-11866 JENNIFER MARIE COLVINO, L.P.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, Jennifer Marie Colvino, L.P.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 licensed practical nurse (L.P.N.) within the state of Florida, having been issued license number PN 5212413.

3. Respondent's address of record is 15594 58th Street North, Clearwater, Florida 33760. 4. On or about January 5, 2017 in the County Court for the Sixth Judicial Circuit, in and for Pinellas County, Florida, Respondent entered a plea of nolo contendere to one count of Battery, a misdemeanor violation of Section 784.03, Florida Statutes. 5. On or about February 7, 2017 in the County Court for the Sixth Judicial Circuit, in and for Pinellas County, Florida, Respondent entered a plea of nolo contendere to one count of Retail Theft, a misdemeanor violation of Section 812.015, Florida Statutes. 6. Respondent failed to report to the Board of Nursing in writing within thirty days of entering both the plea of nolo contendere to one count of Battery, on or about January 5, 2017, and the plea of nolo contendere to one count of Retail Theft, on or about February 7, 2017. 7. Battery and Retail Theft are crimes that relate to the practice of, or ability to practice, licensee's profession; nursing. COUNT I 8. Petitioner realleges and incorporates paragraphs one (1) through seven (7), as if fully set forth herein. Department of Health v. Jennifer Marie Colvino,

9. Section 456.072(1)(x), Florida Statutes (2016), provides that failing to report to the board, or the department if there is no board, in writing within 30 days after the licensee has been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction constitutes grounds for disciplinary action. 10. Respondent failed to report entering both a plea of nolo contendere to one count of Battery, on or about January 5, 2017, and a plea of nolo contendere to one count of Retail Theft, on or about February 7, 2017. 11. Based on the foregoing, Respondent violated Section 456.072(1)(x), Florida Statutes (2016), by failing to report to the board, or the department if there is no board, in writing within 30 days after the licensee has been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction. COUNT II 12. Petitioner realleges and incorporates paragraphs one (1) through seven (7), as if fully set forth herein. 13. Section 456.072(1)(c), Florida Statutes (2016), provides that being convicted or found guilty of, or entering a plea of guilty or nolo Department of Health v. Jennifer Marie Colvino, L.P.N. 3

contendere to, regardless of adjudication, a crime in any jurisdiction which relates to the practice of, or the ability to practice, a licensee's profession, constitutes grounds for disciplinary action. 14. As set forth above, on or about January 5, 2017, Respondent entered a plea of nolo contendere to one count of Battery, and on or about February 7, 2017, Respondent entered a plea of nolo contendere to one count of Retail Theft, both of which are crimes that relate to the practice of, or ability to practice, licensee's profession; nursing. 15. Based on the foregoing, Respondent violated Section 456.072(1)(c), Florida. Statutes (2016), for being convicted or found guilty of, or entering a plea of guilty or nolo contendere to, regardless of adjudication, a crime in any jurisdiction which relates to the practice of, or the ability to practice, a licensee's profession. [Remainder of page intentionally left blank] Department of Health v. Jennifer Marie Colvino, L.P.N. 4

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 I to day of J e, 2017. Celeste Philip, MD, MPH State Surgeon General and Secretary C LERK /MTE F/LED DEPART MENT OF DEPUTY HEALTH aị CLERK 7,31Z9714" JUN 16 2017 LINDSEY H. ROST Assistant General Counsel Fla. Bar No. 109766 Florida Department of Health Office of the General Counsel 4052 Bald Cypress Way, Bin #C65 Tallahassee, FL 32399-3265 Telephone: (850) 245-4444 x. 8125 Facsimile: (850) 245-4683 Email: lindsey.frost@flhealth.gov PCP: 05/08/2017 PCP Members: Stone-Gale (Chair) & Forst Department of Health v. Jennifer Marie Colvino, L.P.N. 5

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. Jennifer Marie Colvino, L.P.N, 6