State of Florida, Department of Elder Affairs v. Florida Senior Living Association, Inc. and Florida Assisted Living Association, Inc.
CourtDistrict Court of Appeal of Florida
Date FiledMay 29, 2020
Docket1D18-4140
StatusPublished
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Full Opinion
FIRST DISTRICT COURT OF APPEAL
STATE OF FLORIDA
_____________________________
No. 1D18-4140
_____________________________
STATE OF FLORIDA, DEPARTMENT
OF ELDER AFFAIRS,
Appellant,
v.
FLORIDA SENIOR LIVING
ASSOCIATION, INC. and FLORIDA
ASSISTED LIVING ASSOCIATION,
INC.,
Appellees.
_____________________________
On appeal from the Division of Administrative Hearings.
Robert E. Meale, Judge.
May 29, 2020
ON MOTIONS FOR CLARIFICATION, REHEARING,
AND REHEARING EN BANC
WINOKUR, J.
Appellee Florida Assisted Living Association, Inc. (FALA)
filed a motion for clarification of this Court’s opinion and Appellee
Florida Senior Living Association, Inc. (FSLA) filed a motion for
rehearing, rehearing en banc, and to certify questions of great
public importance. These motions are granted in part, as set forth
below, and otherwise denied. The court’s opinion filed January 29,
2020, is withdrawn and substituted with the following.
The Department of Elder Affairs (DOEA) brings this
administrative appeal arguing that the Administrative Law Judge
(ALJ) erred in 1) denying DOEA’s Motion to Dismiss the proposed
rule challenge petitions from Florida Senior Living Association,
Inc. and the Florida Assisted Living Association, Inc.; 2)
invalidating some of the proposed and subsequently enacted rules;
and 3) denying DOEA’s attorney’s fees motion. We agree and
reverse.
I.
On March 5, 2015, DOEA published its notice regarding
eleven proposed rule amendments in Rule Chapter 58A-5 in the
Florida Administrative Register. The proposed rules involved the
regulation of assisted living facilities (ALFs).
On March 26, 2018, DOEA held a public hearing on the
proposed rules and on April 13, published a “Notice of
Change/Withdrawal” for proposed Florida Administrative Code
Rule 58A-5.024 in the Florida Administrative Register. The
change deleted the proposed rule’s requirement that ALFs
maintain records not only for their full-time residents, but also day
care participants:
Notice of Change/Withdrawal
DEPARTMENT OF ELDER AFFAIRS
Federal Aging Programs
RULE NO.: RULE TITLE:
58A-5.024: Records
NOTICE OF CHANGE
Notice is hereby given that the following changes have
been made to the proposed rule in accordance with
subparagraph 120.54(3)(d)l., F.S., published in Vol. 44
No. 44, March 5, 2018 issue of the Florida Administrative
Register.
58A-5.024 Records.
The facility must maintain required records in a manner
that makes such records readily available at the
licensee’s physical address for review by a legally
authorized entity. If records are maintained in an
2
electronic format, facility staff must be readily available
to access the data and produce the requested information.
For purposes of this section, "readily available" means the
ability to immediately produce documents, records, or
other such data, either in electronic or paper format, upon
request and the term “resident” includes day care
participants and respite care residents.
(1) through (4) No change.
In effect, only the proposed amendment to the rule was withdrawn
and its pre-existing text remained unchanged.
On May 2, 2018, FSLA filed a petition with the Division of
Administrative Hearings (DOAH) challenging provisions of
proposed rule 58A-5.024. The petition, however, did not challenge
the April 13 notice of change to the proposed rule. On May 3, 2018,
FALA filed a petition with DOAH challenging DOEA’s proposed
rules. This petition also did not challenge the April 13 notice. On
May 10, 2018, all the proposed rules, except for rule 58A-5.024,
were filed with the Department of State and came into effect. On
the same day, FSLA filed a second petition challenging all of
DOEA’s newly adopted rules.
On May 14, 2018, DOEA filed a Motion to Dismiss the FSLA’s
first rule challenge petition and FALA’s petition, arguing that both
petitions were untimely. On May 15, 2018, DOAH consolidated all
three petitions and issued an order denying DOEA’s motion. In
response to DOEA’s Motion to Clarify, DOAH issued a
Superseding Order Denying Motion to Dismiss, finding that
DOEA’s April 13 notice of change restarted the statutory deadline
for proposed rule challenges. The order also allowed FSLA and
FALA to maintain their challenge to all eleven proposed rules even
though only one proposed rule was the subject of DOEA’s April 13
Notice of Change. During litigation of DOEA’s Motion to Dismiss,
DOEA filed a motion for attorney’s fees.
In June 2018, DOAH held the Final Hearing on FSLA’s and
FALA’s rule challenge. During the hearing, FALA withdrew two
issues that it had raised in its Petition: DOEA’s alleged failure to
prepare a Statement of Estimated Regulatory Costs (SERC) and
its challenge to proposed Rule 58A-5.0183(3)(b).
3
In August 2018, the ALJ issued a Final Order invalidating
seven of the eleven proposed rules. The Final Order also denied
DOEA’s motion for attorney’s fees, finding that it was not the
prevailing party.
II.
Whether a petition challenging agency rulemaking is timely
is a question of law requiring de novo review. Fla. Pulp & Paper
Ass’n Envtl. Affairs, Inc. v. Dep’t of Envtl. Prot., 223 So. 3d 417,
419 (Fla. 1st DCA 2017).
An ALJ’s findings of fact are reviewed for competent,
substantial evidence, while conclusions of law and determinations
of statutory interpretation are reviewed de novo. J.S. v. C.M., 135
So. 3d 312, 315 (Fla. 1st DCA 2012). In the context of a proposed
rule challenge, the proposed rule at issue is not presumed to be
“valid or invalid.” § 120.56(2)(c), Fla. Stat.
Similarly, whether an agency exceeded its rulemaking
authority is an issue reviewed de novo. State, Bd. of Trustees v.
Day Cruise Ass’n, Inc., 794 So. 2d 696, 701 (Fla. 1st DCA 2001).
Florida law defines “rulemaking authority” as the “statutory
language that explicitly authorizes or requires an agency to adopt,
develop, establish, or otherwise create any statement coming
within the definition of the term ‘rule.’” § 120.52(17), Fla. Stat. As
a result, any agency “action that goes beyond the powers,
functions, and duties delegated by the Legislature” constitutes an
invalid exercise of delegated legislative authority. § 120.52(8), Fla.
Stat.
A proposed or existing administrative rule is an invalid
exercise of delegated authority if the agency “exceed[s] its grant of
rulemaking authority,” or if the rule 1) “enlarges, modifies, or
contravenes the specific provisions of law implemented;” 2) “is
vague, fails to establish adequate standards for agency decisions,
or vests unbridled discretion in the agency;” or 3) is arbitrary and
capricious. § 120.52(8), Fla. Stat.
In making this determination, we focus on whether “the
statute contains a specific grant of legislative authority for the
4
rule,” as opposed to whether “the grant of authority is
specific enough. Either the enabling statute authorizes the rule at
issue or it does not.” Sw. Fla. Water Mgmt. Dist. v. Save the
Manatee Club, Inc., 773 So. 2d 594, 599 (Fla. 1st DCA 2000).
Recently, Florida enacted a constitutional amendment abolishing
some agency deference in state administrative appeals and
requiring de novo review of agency rulemaking. 1
III.
DOEA argues that FSLA’s May 2, 2018, petition and FALA’s
May 3 petition were untimely since they were filed more than
twenty-one days after DOEA issued its March 5 notice of
publication. In contrast, FSLA and FALA assert that DOEA’s April
13 Notice of Change/Withdrawal restarted the deadline clock.
Section 120.56(2)(a), Florida Statutes, sets forth four
deadlines for challenging proposed agency rules: 1) within twenty-
one days after publication of a notice of proposed rules; 2) within
ten days after the final public hearing; 3) within twenty days after
the preparation of a SERC; or 4) within twenty days after
publication of a notice of change or withdraw pursuant to section
120.54(3)(d), Florida Statutes. § 120.56(2)(a), Fla. Stat.
DOEA published its original notice for its proposed rules on
March 5, 2018. On April 13, DOEA published its Notice of
Change/Withdrawal deleting the proposed language for rule 58A-
5.024. FSLA filed its proposed rule challenge petition on May 2,
FALA filed its petition on May 3, and neither petition challenged
the amendment withdrawal that was the subject of DOEA’s April
13 notice.
FSLA and FALA primarily rely on this Court’s recent decision
in Florida Pulp, where an agency proposed amendments to two
rules. 223 So. 3d at 417-18. After holding a public hearing, the
1 See Art. V, § 21, Fla. Const. (holding that “[i]n interpreting a
state statute or rule, a state court or an officer hearing
an administrative action pursuant to general law may not defer to
an administrative agency’s interpretation of such statute or rule,
and must instead interpret such statute or rule de novo”).
5
agency filed a Notice of Change for one of the proposed rule
changes and a Notice of Correction on the other stating that it
submitted a revised SERC. Id. at 418. Nearly a month later, the
appellant filed a petition challenging one of the proposed rule
amendments. Id. The agency responded by filing a motion to
dismiss the petition, arguing “that no changes were made to the
proposed amendments to [the rule] after publication of the
rulemaking notice . . . and that [Appellant] ‘cannot use [the
agency’s Notice of Change for one rule], which it has not
challenged, to bootstrap its way into challenging proposed
amendments to [the other proposed rule amendment].’” Id. The
agency also argued that the revised SERC did not give Appellants
a point of entry to challenge the proposed amendments. Id. After a
hearing, the ALJ agreed with the agency and granted its motion
dismissing the petition as untimely. Id.
On appeal, this Court reversed and, after outlining the four
above-referenced deadlines, or “points of entry,” to challenge
proposed rules, found that “[t]he third point of entry is triggered
when a revised SERC is ‘prepared and made available.’” Id. Since
Appellant’s petition was filed within the statutorily mandated
twenty-day deadline after the publication of the revised SERC, the
petition was timely. Id. 419-20.
FSLA and FALA argue that their petitions are timely based
on the fourth point of entry in section 120.56(2)(a), establishing a
twenty-day deadline from the publication of an agency’s Notice of
Change/Withdrawal. The opinion in Florida Pulp, however, was
limited to whether the third point of entry was triggered. Indeed,
this Court noted that it “need not address whether the fourth point
of entry was also triggered by the Notice of Correction and/or the
Notice of Change.” Id. at 419.
More importantly, after establishing the four points of entry,
section 120.52(2)(a) states that “[a] person who is not substantially
affected by the proposed rule as initially noticed, but who is
substantially affected by the rule as a result of a change, may
challenge any provision of the resulting proposed rule.” As a result,
the statute reasonably limits proposed rule challenges under the
fourth point of entry to individuals affected by any additional
change to a proposed rule. In fact, this Court quoted this provision
6
in Florida Pulp when rejecting the agency’s argument that the
third point of entry did not apply. See 223 So. 3d at 420 (noting
that “[h]ad the Legislature intended that there be a different
standing requirement when a rule challenge petition is filed after
the point of entry created by the preparation of a revised SERC, it
would have said so”).
In this case, DOEA’s April 13 Notice of Change/Withdrawal
did not substantially change or affect the proposed rule. The notice
simply restored the status quo. The change was the removal of the
proposed additional language requiring the maintenance of
records of ALF daycare participants. Accordingly, FSLA and FALA
could not have been substantially affected by the April 13 notice
and, therefore, their proposed rule challenge petitions are
untimely.
The ALJ found that FALA could proceed with its challenge of
all eleven proposed rules. The ALJ justified this conclusion by
noting that all the proposed rules were jointly noticed on March 5.
All of the proposed rules and amendments, however, are separate
and distinct. Indeed, the Final Order analyzes the proposed rules
separately. The April 13 notice only dealt with rule 58A-5.024. Any
argument FALA might have regarding the timeliness of its
petition must be limited to the four corners of DOEA’s Notice of
Change/Withdrawal. Since the notice only dealt with one rule,
FALA cannot use it to bootstrap a challenge to the other proposed
rules.
Although the May 2 and May 3 proposed rule challenge
petitions were untimely, FSLA’s May 10 petition challenged the
proposed rules after they took effect. As a result, that petition is
timely pursuant to section 120.56(3)(a), Florida Statutes, and we
address that rule challenge in the following section.
IV.
DOEA is tasked with “[a]dminister[ing] human services and
long-term care programs” focusing on elderly residents.
§ 430.04(1), Fla. Stat. DOEA “serve[s] as the primary state agency
responsible for administering human services programs for the
elderly and for developing policy recommendations for long-term
7
care. § 430.03(1), Fla. Stat. The legislature delegated DOEA
rulemaking authority pursuant to the Administrative Procedures
Act. § 430.08, Fla. Stat.
Chapter 429, Florida Statutes, relates to the administration
of ALFs and defines “the department” as DOEA. § 429.02(9) Fla.
Stat. Chapter 429 confers regulation of ALFs to DOEA with the
express statutory intent “that rules published and enforced
pursuant to this section shall include criteria by which a
reasonable and consistent quality of resident care and quality of
life may be ensured and the results of such resident care may be
demonstrated [and] [s]uch rules shall also ensure a safe and
sanitary environment that is residential and noninstitutional in
design or nature.” § 429.41(1), Fla. Stat. Section 429.41, Florida
Statutes, also sets forth specific areas of rulemaking delegated to
DOEA. 2
The ALJ’s Final Order invalidated seven rules, including
seven amendments to Form 1823, a questionnaire regarding an
individual’s suitability to live in an ALF. The Final Order found
that the rules at issue were either arbitrary, capricious, vague, or
exceeded DOEA’s rulemaking authority. In response, DOEA
asserts that its rules were a valid exercise of its delegated
authority. The rules at issue will be discussed in turn.
2 In pertinent part, DOEA is given rulemaking authority over
the following aspects of ALF administration: 1) residential
elopement requirements; 2) number, training, and qualification of
ALF personnel; 3) sanitary conditions; 4) enforcement of a resident
bill of right; 5) care and maintenance of resident; 6) establishment
of criteria regarding the appropriateness of resident admission and
continued residency in an ALF; and 7) establishment of policies
and procedures regarding resident elopement. § 429.41(1)(a)3.,
(1)(c), (1)(d), (1)(g), (1)(h), (1)(h), (1)(j), (1)(l), Fla. Stat.
8
Rule 58A-5.024(1)(p)1.a.
Rule 58A-5.024(1)(p)1.a. requires implementation of a “hand
hygiene program which includes sanitation of the hands through
the use of alcohol-based hand rubs or soap and water before and
after each resident contact.” The Final Order found the proposed
rule arbitrary and capricious, as well as exceeding DOEA’s grant
of statutory authority noting that the rule set up an “unreasonable
standard.” Specifically, the ALJ found that the rule’s language did
not clearly define “contact” and could encompass de minimis
contact between ALF residents and employees, making the
requirement unduly burdensome.
The Final Order erred in determining that the rule exceeded
DOEA’s statutory authority. DOEA has a statutory mandate to
maintain safe and sanitary conditions within ALFs. § 429.41(1),
(1)(d), Fla. Stat. The Final Order’s invalidation of the rule also
found that the wording of the rule is arbitrary and capricious,
leading to an unreasonable and unworkable standard.
“A rule is arbitrary if it is not supported by logic or the
necessary facts” and “capricious if it is adopted without thought or
reason or is irrational.” § 120.52(8)(e), Fla. Stat. More importantly,
this Court has held that when words in a rule are not defined, like
in a statute, they are to be given “their plain and ordinary
meaning.” Fla. E. Coast Indus. Inc. v. State, Dep’t of Cmty. Affairs,
677 So. 2d 357, 362 (Fla. 1st DCA 1996).
We disagree that the rule is invalid. A reasonable reading of
the rule demonstrates that it is a logical and reasoned approach to
ensure that ALF residents live in a sanitary environment. During
the final administrative hearing, representatives for DOEA
testified that the rule applied only to ALF employees and that it
did not apply to casual contact. Additionally, a medical doctor
testified that handwashing is a recognized way to prevent the
spread of infectious diseases and that a “rigorous handwashing
protocol” might increase the protection afforded. As such, the rule
is not arbitrary or capricious because it reasonably does not apply
to de minimis contact. Accordingly, DOEA had the rulemaking
authority to enact Rule 58A-5.024(1)(p)1.a.
9
Rule 58A-5.024(3)(c)
Rule 58A-5.024(3)(c) requires ALFs to maintain the “[r]ecords
of residents receiving nursing services from a third party.” The
Final Order found that the proposed rule exceeded DOEA’s
delegated statutory authority.
Section 429.41(1)(h), Florida Statutes, gives DOEA the
responsibility for “[t]he care and maintenance of residents.” In
particular, section 429.41(1)(h)7. lists “[r]esident records” as an
area of DOEA rulemaking. Furthermore, the statute clearly states
that the areas delegated to DOEA for resident care and
maintenance “include, but is not limited to” the listed areas in
section 429.41(h). (emphasis added). Thus, DOEA was given
flexible rulemaking authority in order to ensure the care of ALF
residents.
Moreover, Rule 58A-5.0182(7)(c) already mandates that an
ALF’s “policies must require the third party to coordinate with the
[ALF] regarding the resident’s condition and the services being
provided.” The Final Order does not explain how this rule does not
exceed DOEA’s rulemaking authority, while Rule 58A-5.024(3)(c)
does. At bottom, Rule 58A-5.024(3)(c) is a legitimate exercise of
DOEA’s rulemaking authority because it relates to maintaining
resident care in general, and resident records in particular.
Rule 58A-5.031(2)(d)
Rule 58A-5.031(2)(d) “[r]equires a facility with a limited
nursing services license to have its contracted nurse ‘coordinate
with third party nursing services providers to ensure resident care
is provided in a safe and consistent manner.’” The Final Order
invalidated the rule, finding that DOEA exceeded its statutory
authority.
Based on the previous analysis for rule 58A-5.024(3)(c), it
appears that DOEA already has in effect a rule, 58A-5.0182(7)(c),
requiring ALFs to coordinate with third-party providers.
Additionally, section 429.41(1)(h)8., Florida Statutes, authorizes
rulemaking in order to facilitate “[i]nternal risk management and
quality assurance.” Section 429.41(1), Florida Statutes, directs
10
DOEA to promulgate rules to “ensure” both “consistent quality of
resident care” and “a safe and sanitary environment.”
Lastly, we do not accept the Final Order’s conclusion that the
use of the word “ensure” in the rule constitutes an impermissible
“authorization of rulemaking to guarantee outcomes.” The above-
referenced statutory authority clearly mandates that DOEA enact
rules to ensure positive outcomes for ALF residents. Thus, Rule
58A-5.031(2)(d) does not exceed DOEA’s delegated statutory
authority.
Rule 58.A-5.0131(41)
DOEA amended Rule 58.A-5.0131(41)’s definition of the term
“unscheduled service need”:
An “Unscheduled Service Need” means a need for a
personal service, nursing service, or mental health
intervention that generally cannot be predicted in
advance of the need for the service, and that must be met
promptly to ensure within a time frame that provides
reasonable assurance that the health, safety, and welfare
of residents is preserved.
The Final Order invalidated this definitional change as vague,
finding that the rule “fails to express clearly exactly when and
what is required of ALFs.” The Final Order also noted that the rule
was not “merely a definitional rule with two conditions, but in
reality, it is a rule that encompasses a definition with but one
condition and an enforceable duty.”
The Final Order seems to agree with FSLA’s argument that
the deletion of the phrase “within a time frame that provides
reasonable assurance” to the rule is the product of a random
agency decision that DOEA itself does not understand. FSLA
points to the testimony of a DOEA representative who stated that
she did not know why that change in the rule’s language was made
and speculated “that maybe the term ‘reasonable’ was found to be
wordy . . . and they shortened it to just say “ensure.” The
representative, however, emphasized that she did not know the
11
impetus behind the change in language because she “wasn’t with
[DOEA] when [the rule] was changed.”
First, the ALJ’s belief that the rule change was vague and
problematic because it combines a definition with an enforceable
duty lacks legal support. The Final Order does not point to any
case law or statute that prevents an agency from both defining a
word and imposing a duty in a single rule. Neither does FSLA or
FALA.
Second, the change in the definition does not render the rule
impermissibly vague. “An administrative rule is invalid under
section 120.52(8)(d) if it requires the performance of an act in
terms that are so vague that men of common intelligence must
guess at its meaning.” Sw. Fla. Water Mgmt. Dist. v. Charlotte Cty.,
774 So. 2d 903, 915 (Fla. 2d DCA 2001). The amendment at issue
causes no such confusion and is reasonably read to state that an
unscheduled service need refers to an unforeseen need for facility
intervention that must be responded to promptly to ensure a
resident’s well-being. An ALF employee could reasonably interpret
“promptly to ensure” the same as the original language of “within
a time frame that provides reasonable assurance,” i.e. an employee
must not delay in responding to the need.
Lastly, the testimony of an agency representative suggesting
that she was not aware of the rationale behind a rule change, when
she testified that she was not employed by the agency when the
rule was changed, does not, without more, constitute competent
substantive evidence that the rule is vague.
Rule 58A-5.0182(8)(a)
Rule 58A-5.0182(8)(a) requires that all residents be assessed
for the risk of elopement by either a health care or mental health
care provider within thirty days of admission to an ALF. The Final
Order found that the rule was arbitrary and “unsupported by logic
and the necessary facts.” The ALJ relied on the fact that only one
of the thirty “predictive factors” used in the elopement risk
assessment (dementia) requires “medical or psychiatric diagnosis.”
12
FSLA points to the testimony of Regional Trainer and
Memory Care Specialist and Licensed Practical Nurse, Dawn
Platt, who stated that an elopement assessment is a long-term
collaborative process that is not effectively done during a one-time
medical examination. Platt also testified about the importance in
assessing a resident’s potential for elopement.
Section 429.41(1)(l), Florida Statutes, specifically directs
DOEA to establish “specific policies and procedures on resident
elopement” as well as coordinate “two resident elopement drills
each year.” This grant of statutory authority is unambiguous:
DOEA must safeguard ALF residents who are at risk of elopement.
Having incoming residents screened by a health care or mental
health care professional within thirty days of admission is a
reasonable approach to fulfill this statutory duty.
Additionally, Platt’s testimony does not undermine DOEA’s
decision to amend the rule. ALFs have a continuing duty to
monitor residents that are at risk for elopement. An initial
screening by a health care professional is not contrary to this
reality and, in fact, complements the statutory duty of DOEA to
ensure a safe environment for its residents. Therefore, Rule 58A-
5.0182(8)(a) is not arbitrary.
Rule 58A-5.0182(8)(a)1.
Rule 58A-5.0182(8)(a)1. directs that ALF employees “must be
generally aware of the location of all residents assessed at high
risk for elopement at all times.” The Final Order found the rule
arbitrary and vague due to its use of the term “generally aware.”
Based on the analysis in the preceding section regarding rule 58A-
5.0182(8)(a), DOEA was within its statutory duty to mandate that
ALF staff be aware of where residents at high risk of elopement
are throughout the day. Moreover, the term “generally aware” is
self-evident to a person of “common intelligence.” Sw. Fla. Water
Mgmt. Dist., 774 So. 2d at 915.
Rule 58A-5.0181(2)(b)
Rule 58A-5.0181(2)(b) incorporated Agency for Health Care
Administration (AHCA) Form 1823, a questionnaire that must be
13
completed by a licensed medical provider assessing whether an
individual is suited to live at an ALF. The Final Order invalidated
the following proposed sections to the form:
• Section 1 as to the question about a resident’s
elopement risk was found to be arbitrary.
• Section 1.A as to the question regarding “to what extent
does the individual need supervision or assistance . . .”
was found to be capricious as to the following “activities
of daily life”: bathing, dressing, grooming, and toileting.
• Section 1.C as to the question about posing a danger to
self or others was found to be arbitrary.
• Section 1.D as to the question about whether the
patient’s needs can be met in an ALF was found to be
arbitrary.
• Section 2-A.A as to the question about a resident’s
“[a]bility to perform [s]elf-[c]are [t]asks” was found to
be arbitrary.
• Section 2-A.B as to the comment block provided for
“[g]eneral [o]versight” was found to be arbitrary.
• Section 3 providing “a description of services to be
provided by an ALF,” as well as the signature lines for
the patient and the ALF was found to exceed DOEA’s
grant of rulemaking authority.
The ALJ found that “[n]o statute grants [DOEA] rulemaking
authority for Form 1823, as such.” The Final Order highlighted the
difference between the statutory authority of DOEA to conduct an
admission medical examination and the description of the form as
a “questionnaire” in its findings. Finally, the Final Order found
that pertinent statutory authority allowed AHCA to formulate the
examination or form and not DOEA.
Section 429.41(1)(j), Florida Statutes, authorizes DOEA to
establish “specific criteria to define appropriateness of resident
14
admission and continued residency in a facility holding a standard,
limited nursing, extended congregate care, and limited mental
health license.” More importantly, section 429.26(1), Florida
Statutes, requires an ALF to “determin[e] the appropriateness of
admission of an individual to the [ALF] and [to] determin[e] the
continued appropriateness of residence of an individual in the
[ALF] [and this] determination shall be based upon an assessment
of the strengths, needs, and preferences of the resident.”
Similarly, section 429.26(4), Florida Statutes, requires a
medical examination within sixty days of admission to an ALF,
and the examination report “shall be submitted to the owner or
administrator of the facility who shall use the information
contained therein to assist in the determination of the
appropriateness of the resident’s admission and continued stay in
the facility.” If not done within sixty days prior to admission, an
examination is to be conducted within thirty days following
admission in order “to determine the appropriateness of the
admission.” § 429.26(5), Fla. Stat.
As a result, DOEA did have the statutory authority to
incorporate the form. We reject the ALJ’s finding that the
examination authorized in the aforementioned statutes differs
from a “questionnaire.” Medical examinations may employ a
questionnaire in order for patients to self-report their current
medical state, as well as their past medical history.
Additionally, the Final Order concluded that the
questionnaire went beyond the “typical medical examination”
required by the statutes and, as a result, was arbitrary and
capricious. We disagree. Section 429.26 does not mention the
phrase “typical medical examination.” On the contrary, sections
429.26(4)-(5) and 429.41(1)(j) all require that ALF residents be
screened and evaluated to ensure the appropriateness of their
admission based on their individual needs. Such language clearly
goes beyond a “typical medical examination.” It should also be
noted that the rule also incorporated the form by reference when
it was last amended in 2014. Neither the Final Order nor FSLA or
FALA attempt to explain why the 2014 incorporation of the form
was permissible, but the current incorporation is not.
15
Accordingly, the DOEA was authorized to incorporate the
form and include the proposed sections. The content of the seven
sections at issue all relate to DOEA’s specific statutory directives
regarding elopement risks, resident supervision, internal risk
management, and the provision of social and leisure activities.
Given these legislative directives, it is hard to reconcile the form
and the proposed sections with the Final Order’s finding that they
were not supported by logic or without reason.
Lastly, the ALJ erred in finding that only AHCA was
authorized to formulate the examination or questionnaire. Section
429.26(5) does state that the “medical examination form [is]
provided by the agency” and section 429.02(3) defines “agency” as
the AHCA. Part I of Chapter 429 is named “Assisted Living
Facilities” and states that DOEA is responsible for adopting “rules,
policies, and procedures to administer [Part I].” § 429.41(1), Fla.
Stat. Section 429.26 is contained within Part I, which DOEA is
mandated to administrator “in consultation with [AHCA], the
Department of Children and Families, and the Department of
Health.” § 429.41(1), Fla. Stat. (emphasis added). Thus, the form
and its proposed sections fall squarely within DOEA’s statutory
rulemaking authority.
V.
FALA’s rule challenge petition both challenged DOEA’s
proposed rules and alleged that DOEA failed to file a SERC
regarding the economic impact of the proposed rules as mandated
by section 120.541, Florida Statutes. The Final Order denied
DOEA’s attorney’s fees motion, finding that it was not the
prevailing party.
DOEA’s Notice of Proposed Rule contained a detailed SERC
disclosure:
SUMMARY OF STATEMENT OF ESTIMATED
REGULATORY COSTS AND LEGISLATIVE
RATIFICATION:
The Agency has determined that this rule will not have
an adverse impact on small business or likely increase
directly or indirectly regulatory costs in excess of
16
$200,000 in the aggregate within one year after the
implementation of the rule. A SERC has been prepared
by the Agency.
A statement of estimated regulatory costs has been
prepared for rules 58A-5.0185 and 58A-5.019 and is
available from the person listed below. Following is a
summary of the SERC:
Dr. George MacDonald, Ph.D., and Reginald Lee, M.A.,
Ph.D. candidate, of the Center for Research, Evaluation,
Assessment, and Measurement at the University of South
Florida analyzed the proposed rules and the SERC is
based on their report. For proposed rule 58A-5.0185,
F.A.C., there are no additional costs as facilities are
already required to comply with the provisions of s.
429.256(3), F.S. For proposed rule 58A-5.019, F.A.C.,
there are no additional costs as assisted living facilities
are already required to provide sufficient staff to serve
and care for persons in their facility. As such, it is not
anticipated that the proposed rule will directly or
indirectly have an adverse impact or increase regulatory
costs.
The Agency has determined that the proposed rule is not
expected to require legislative ratification based on the
statement of estimated regulatory costs or if no SERC is
required, the information expressly relied upon and
described herein: A SERC has been prepared by the
Agency for rules 58A-5.0185 and 58A-5.019.
Any person who wishes to provide information regarding
a statement of estimated regulatory costs, or to provide a
proposal for a lower cost regulatory alternative must do
so in writing within 21 days of this notice.
It is clear that DOEA included a SERC in its original notice.
Additionally, it is clear that the SERC differentiated among the
proposed rules in the notice stating which did not have a
substantial economic effect requiring a SERC and how an
individual may request said SERC. Thus, we reject FALA’s
argument that the SERC only applied to two of the eleven proposed
rules.
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More importantly, FALA conceded that DOEA filed the
requisite SERC during the hearing. The Final Order also noted
that DOEA prevailed as to the validity of proposed rules 58A-
5.0185(3)(g), 58A-5.0191(3)(a), and 58A-5.019(3).
If the agency prevails in the proceedings, the appellate court
must award reasonable costs and reasonable attorney’s fees
against a party if the court determines that a party participated in
the proceedings for an “improper purpose.” § 120.595(2)-(3), Fla.
Stat. “Improper purpose” means participation in a proceeding
“primarily to harass or to cause unnecessary delay or for frivolous
purpose or to needlessly increase the cost of litigation, licensing, or
securing the approval of an activity.” See § 120.595(1)(e)(1), (2)-(3).
Additionally, attorney’s fees pursuant to section 120.595 are
authorized even if a party has limited success in the
administrative proceedings. See Bd. of Regents v. Winters, 918 So.
2d 313, 314 (Fla. 2d DCA 2005) (ordering a reduction in the
amount of attorney’s fees awarded to appellee pursuant to lodestar
approach due to appellee’s partial success). Because DOEA was
partially successful and because FALA’s assertion was plainly
frivolous, DOEA is entitled to reasonable attorney’s fees from
FALA in relation to the SERC allegation only.
VI.
In conclusion, FALA and FSLA filed proposed rule challenge
petitions that were untimely. Additionally, the Final Order
incorrectly invalidated administrative rules that were within the
statutory rulemaking authority conferred upon on DOEA by the
legislature. Finally, DOEA was partially successful below and was
entitled to a partial award of attorney’s fees in relation to the
SERC allegation. Therefore, we reverse the order denying DOEA’s
Motions to Dismiss FALA and FSLA’s proposed rule challenges,
the Final Order’s invalidation of the above-discussed
administrative rules, and the denial of DOEA’s motion for
attorney’s fees. We remand the matter to DOAH so that the ALJ
can modify his findings consistent with this opinion.
REVERSED and REMANDED.
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NORDBY, J., 3 and SHARRIT, MICHAEL S., ASSOCIATE JUDGE, concur.
_____________________________
Not final until disposition of any timely and
authorized motion under Fla. R. App. P. 9.330 or
9.331.
_____________________________
Kenneth G. Oertel and M. Christopher Bryant, of Oertel,
Fernandez, Bryant & Atkinson, P.A., Tallahassee; Francis A.
Carbone, II, General Counsel, and Jeanne B. Curtin, Senior
Attorney, Florida Department of Elder Affairs, Tallahassee, for
Appellant.
Amy W. Schrader and Lauren D. Brooks of Baker, Donelson,
Bearman, Caldwell & Berkowitz, P.C., Tallahassee, for Appellee
Florida Senior Living Association, Inc.; John F. Gilroy III of John
F. Gilroy III, P.A., Tallahassee, for Appellee Florida Assisted
Living Association, Inc.
3 Judge Nordby, who was substituted for an original panel
member, has reviewed the briefs, record, and video recording of the
oral argument.
19