STATE OF FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MENTAL HEALTH COUNSELING

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STATE OF FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE AND FAMILY THERAPY AND MENTAL HEALTH COUNSELING DEPARTMENT OF HEALTH, PETITIONER, v. CASE NO. 2017-13498 EMELIA ANZIANO RAMPT, REGISTERED MENTAL HEALTH COUNSELOR INTERN, RESPONDENT. ADMINISTRATIVE COMPLAINT COMES NOW, Petitioner, Department of Health, by and through its undersigned counsel, and files this Administrative Complaint before the Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling against Respondent, Emelia Anziano Rampt, Registered Mental Health Counselor Intern, and in support thereof alleges: 1. Petitioner is the state agency charged with regulating the practice of mental health counseling pursuant to Section 20.43, Florida Statutes; Chapter 456, Florida Statutes; and Chapter 491, Florida Statutes.

2. At all times material to this Complaint, Respondent was a registered mental health counselor intern within the State of Florida, having been issued license number IMH8517 on or about October 5, 2010. 3. Respondent's address of record is 10273 Hunt Club Lane, Palm Beach Gardens, Florida 33418. 4. On or about October 3, 2017, Respondent entered a plea of and was adjudicated guilty of one count of Battery, and one count of Petit Theft, in the Sixth Judicial Circuit, in and for Pinellas County in case number 17-09453-CF-B. 5. Respondent was convicted of crimes that directly relate to the practice of mental health counseling.. 6. Respondent failed to notify the Board in writing that she entered a plea of guilty, and was adjudicated guilty of one count of Battery, and one count of Petit Theft within thirty (30) days of conviction. Count I 7. Petitioner realleges and incorporates paragraphs one (1) through six (6) as if fully incorporated herein. 8. Section 491.009(1)(c), Florida Statutes (2017), provides that being convicted or found guilty of, regardless of adjudication, or having 2017-13498 2

entered a plea of nolo contendere to, a crime in any jurisdiction which directly relates to the practice of his or her profession or the ability to practice his or her profession constitutes grounds for disciplinary action by the Board. 9. On or about October 3, 2017, in the Sixth Judicial Circuit, in and for Pinellas County in case number 17-09453-CF-B, Respondent pled guilty, and was adjudicated guilty of Battery, and Petit Theft. Battery, and/or Petit Theft are crimes that directly relate to the practice of mental health counseling. 10. Battery is a crime directly related to the practice of mental health counseling. Respondent having committed an act of Battery is demonstrative of Respondent's propensity to commits acts of violence against persons. Respondent, as a registered mental health counselor intern, would be responsible for providing treatments services to persons on a day to day basis. 11. Petit Theft is a crime directly related to the practice of mental health counseling. Respondent having committed an act of Petit Theft indicates Respondent's deceit, and untruthfulness which relate to the practice of mental health counseling. 2017-13498 3

12. Based on the foregoing, Respondent violated Section 491.009(1)(c), Florida Statutes (2013), by pleading, and being adjudicated guilty of crimes directly related to the practice of mental health counseling or to the ability to practice mental health counseling. COUNT II 13. Petitioner realleges and incorporates paragraphs one (1) through six (6) as if fully incorporated herein. 14. Section 491.009(1)(w), Florida Statutes (2017), provides that violating any provision of this chapter or chapter 456, or any rules adopted pursuant thereto shall be grounds for discipline. 15. Section 456.072(1)(x), Florida Statutes (2017), provides in relevant part 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. 16. Respondent failed to notify the Board in writing of her having entered a plea of guilty, and being adjudicated guilty of one count of Battery, and one count of Petit Theft to the Board within thirty (30) days of conviction. 2017-13498 4

17. Based on the foregoing, Respondent violated Section 491.009(1)(w), Florida Statutes, through a violation of Section 456.072(1)(x), Florida Statutes, for failing to notify the Board of her Battery, and Petit Theft conviction within thirty (30) days. WHEREFORE, Petitioner respectfully requests that the Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling 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. {Remainder of Page Intentionally Left Blank} 2017-13498 5

SIGNED this day of 2018. Celeste Philip, M.D., M.P.H. Surgeon General and Secretary CLERK FILED DEPARTMENT OF HEALTH DEPUTY CLERK Angel Sanders DATE SEP 0 6 2018 "ki' Derry r'cl7r ows Assistant Gener I Counsel Florida Bar #1012311 DOH Prosecution Services Unit 4052 Bald Cypress Way, Bin C-65 Tallahassee, Florida 32399-3265 Phone 850-558-9906 FAX 850-245-4684 derrick.mcburrows flhealth.gov PCP Date: 9/5/2018 PCP Members: Barlow and Bolhouse 2017-13498 6

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. Please be advised that mediation under Section 120.573, Florida Statutes, is not available for administrative disputes involving this agency action. 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. 2017-13498 7