DPH: 2015 First Quarter
Regulatory Action Reports

2015 First Quarter

 

ADVANCED PRACTICE REGISTERED NURSES

 

Dumais, Arlene, A.P.R.N./ Lic. #: 000893/Groton

Petition No.2013-371

Licensure in other states:  Unknown                        

Memorandum of Decision - 1/21/15

$1,000.00 civil penalty; one (1) year probation; coursework in boundaries, scope of practice, ethics.

 

ASBESTOS CONSULTANT

              

Mount Carmel Construction, LLC, Asbestos Contractor/ Lic. #: 000474/North Haven

Petition No.2013-20

Licensure in other states:  Unknown                        

Consent Order - 3/11/15

$5,000.00 civil penalty.

 

BARBERS, COSMETICIANS, AND HAIRDRESSERS

 

Culver Daoud, Tammie, H.C./ Lic. #: 032847/West Simsbury

Petition No.2014-1149

Licensure in other states:  Unknown                        

Reinstatement Consent Order - 1/12/15

Reprimand; $2,000.00 civil penalty.

 

Zurowski, Teresa, H.C./ Lic. #: 039860/Brooklyn

Petition No.2015-31

Licensure in other states:  Unknown                        

Reinstatement Consent Order - 2/24/15

Reprimand; $200.00 civil penalty.>

 

CHIROPRACTORS

 

DeCarvalho, George, Chiropractor/ Lic. #: 001521/Bridgeport

Petition No.2012-758

Licensure in other states:  NY                     

Consent Order - 3/7/15

Reprimand; $5,000.00 civil penalty; one (1) year probation; supervison; coursework in ethics.

 

Roughley, Roger, Chiropractor/ Lic. #: 001284/Brookfield

Petition No.2011-912

Licensure in other states:  Unknown                        

Memorandum of Decision - 3/7/15

Dismissed.

                                          

DENTISTS

 

Idlibi, Ammar, D.M.D./ Lic. #: P07893/Bristol

Petition No.2013-1090

Licensure in other states:  Unknown                        

Consent Order - 2/25/15

$2,000.00 civil penalty.

        

Zatz, Robert, D.M.D./ Lic. #: 007059/South Windsor

Petition No.2012-593

Licensure in other states:  Unknown                        

Consent Order - 2/25/15

Reprimand; one (1) year probation; supervison; coursework in anticoagulant  medications in dentistry.

 

EMBALMERS/FUNERAL HOME

 

Holtz, Leonard, Embalmer/ Lic. #: 002433/West Hartford

Petition No.2010-5371

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/3/15

Dismissed

 

EMERGENCY MEDICAL TECHNICIANS

 

Caldwell, Douglas, E.M.R./ Lic. #: 001056/Windsor

Petition No.2014-34

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/4/15

License Revoked.

 

Dingee, Louis, E.M.R./ Lic. #: 007472/New Milford

Petition No.2014-17

Licensure in other states:  Unknown                        

Voluntary Surrender - 1/12/15

 

Vendetta, Jeffrey, E.M.R./ Lic. #: 001169/West Hartford

Petition No.2014-63

Licensure in other states:  Unknown                        

Consent Order - 3/4/15

Two (2) years probation; random urine screens; therapy; employer reports; anonymous/support groups.

                           

Wood, Justin, E.M.R./ Lic. #: 012896/East Hartford

Petition No.2014-65

Licensure in other states:  Unknown                        

Interim Consent Order - 3/24/15

License suspended until such time as petition is resolved.

 

LEAD ABATEMENT CONTRACTORS

 

Polyviov, Gary d/b/a Sterling Construction, L.AC./Lic. #: 002277/Madison

Petition No.2014-19

Licensure in other states:  Unknown                        

Consent Order - 2/26/15

Reprimand; $1,800.00 civil penalty.

 

LICENSED ALCOHOL AND DRUG COUNSELORS

 

Fulcher, Fred, L.A.D.C./ Lic. #: 000730/Naugatuck

Petition No.2013-1119

Licensure in other states:  Unknown                        

Consent Agreement - 3/11/15

Reprimand

 

LICENSED PRACTICAL NURSES

 

Bennett, Suzanne, L.P.N./ Lic. #: 024844/Enfield

Petition No.2014-407

Licensure in other states:  Unknown                        

Voluntary Surrender - 1/5/15

 

Bozzi, Richard, L.P.N./ Lic. #: 032181/Hamden

Petition No.2015-91

Licensure in other states:  Unknown                        

Voluntary Surrender - 3/17/15

 

French, Erin, L.P.N./ Lic. #: Prelicensure/Briarcliff Manor

Petition No.2014-456

Licensure in other states:  NY                     

Pre-licensure Consent Order - 2/3/15

Reprimand; $390.00 civil penalty.

           

Jaworski, Kathryn, L.P.N./ Lic. #: 035712/Manchester

Petition No.2014-76

Licensure in other states:  Unknown                        

Modification of Consent Order - 1/21/15

Paragraph 11 of the Consent Order containing "tolling language" in the event respondent is not employed as a nurse for periods of thirty consecutive days or longer is hereby deleted in its entirety.  All other remaining terms and conditions of the Consent Order remain in effect.

 

Kennedy, Debra, L.P.N./ Lic. #: 028947/Meriden

Petition No.2012-292

Licensure in other states:  Unknown                        

Memorandum of Decision - 1/21/15

Two (2) years probation; random urine screens; therapy; employer reports; no solo practice; NCLEX exam.

 

Mezzi, Katherine, L.P.N./ Lic. #: 029654/Wallingford

Petition No.2014-1195

Licensure in other states:  Unknown                        

Interim Consent Order - 1/20/15

License suspended until such time as petition resolved.

 

MARRIAGE & FAMILY THERAPISTS

 

Goslin, Jeannie, M.F.T./ Lic. #: Unlicensed/Bloomfield

Petition No.2014-519

Licensure in other states:  Unknown                        

Cease and Desist Consent Order - 3/20/15

 

NURSE AIDES

 

Cornish, Lidia, N.A./ Lic. #: NA432038/Montville

Petition No.2014-602

Licensure in other states:  Unknown                        

Memorandum of Decision - 3/5/15

Finding of misappropriation of resident property to be listed on nurse aid registry.

 

Lebrasseur, Andrea, N.A./ Lic. #: 8321238/Centerbrook

Petition No.2014-113

Licensure in other states:  Unknown                        

Memorandum of Decision - 3/20/15

Finding of patient abuse to be listed on nurse aide registry.

 

Seavey, Rachel, N.A./ Lic. #: 91276885/North Egremont

Petition No.2014-431

Licensure in other states:  N/A                   

Memorandum of Decision - 1/14/15

Finding of patient abuse to be listed on nurse aide registry; finding of patient neglect to be listed on nurse aide registry.

 

PARAMEDICS

 

Casanova, Beau, Paramedic/ Lic. #: 001649/Durham

Petition No.2014-64

Licensure in other states:  Unknown                        

Voluntary Surrender - 3/10/15

 

Leger, Daniel, Paramedic/ Lic. #: 000613/Suffield

Petition No.2013-25

Licensure in other states:  Unknown                        

Consent Order - 2/26/15

Reprimand; two (2) years probation; random urine screens; therapy; employer reports; coursework in ethics and infection/disease control.

 

PHYSICIANS

 

Archibold, Ronald, M.D./ Lic. #: 036115/Putnam

Petition No.2011-1138

Licensure in other states:  Unknown                        

Voluntary Surrender - 2/17/15

 

Goldberg, Robert, M.D./ Lic. #: 035108/Westport

Petition No.2013-1138

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/17/15

$1,000.00 civil penalty.

 

Greco, Deborah, Unlicensed/ Lic. #: N/A/Danbury

Petition No.2014-244

Licensure in other states:  Unknown                        

Cease and Desist Consent Order - 2/17/15

 

Muelenberg, Amanda, M.D./ Lic. #: 047483/Westport

Petition No.2013-1141

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/17/15

$1,000.00 civil penalty.

 

Ofer, Adam, M.D./ Lic. #: 041023/Westport

Petition No.2013-1139

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/17/15

$1,000.00 civil penalty.

             

Sauter, Elizabeth, M.D./ Lic. #: 028921/Westport

Petition No.2013-1137

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/17/15

$1,000.00 civil penalty.

 

Sivak, Dennis, M.D./ Lic. #: 018281/Westport

Petition No.2013-1135

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/17/15

$1,000.00 civil penalty.         

 

Szeto, Marjorie, M.D./ Lic. #: 029562/Westport

Petition No.2013-1136

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/17/15

$1,000.00 civil penalty.

 

PHYSICIAN ASSISTANTS

 

Strigun, Debra, P.A./ Lic. #: 000937/Coventry

Petition No.2014-941

Licensure in other states:  Unknown                        

Interim Consent Order - 2/23/15

Respondent's license shall be suspended until such time as the petition is resolved.

 

REGISTERED NURSES

           

Cormier, Valerie, R.N./ Lic. #: E48829/Naugatuck

Petition No.2014-740

Licensure in other states:  Unknown                        

Consent Order - 1/21/15

Reprimand; one (1) year probation; employer reports; no solo practice; coursework in nursing strategies and care of cognitively impaired patients, scope of practice and ethics; eight (8) hours of supervised medication administration.

 

Dahm, Cathaleen, R.N./ Lic. #: E60719/Waterford

Petition No.2013-300

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/18/15

License Revoked.

 

Dumais, Arlene, R.N./ Lic. #: R19219/Groton

Petition No.2013-371

Licensure in other states:  Unknown                        

Memorandum of Decision - 1/21/15

$1,000.00 civil penalty; one (1) year probation; coursework in boundaries, scope of practice, ethics.

 

Genova, Jennifer, R.N./ Lic. #: 088910/East Haven

Petition No.2013-938

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/18/15

License Revoked.

 

Hulton, Amy, R.N./ Lic. #: 072431/New Haven

Petition No.2015-246

Licensure in other states:  Unknown                        

Interim Consent Order - 3/13/15

License suspended until such time as petition is resolved.

 

 

Karbowski, Michal, R.N./ Lic. #: 098094/Shelton

Petition No.2014-905

Licensure in other states:  Unknown                        

Voluntary Surrender - 2/18/15

 

Kyser, Jessica, R.N./ Lic. #: 109320/Canaan

Petition No.2014-821

Licensure in other states:  Unknown                        

Voluntary Surrender - 2/25/15

                     

        

Loubier, Sherri, R.N./ Lic. #: 083100/Amston

Petition No.2014-666

Licensure in other states:  MA                    

Voluntary Agreement Not to Renew or Reinstate- 2/18/15

 

Love, Michaela, R.N./ Lic. #: 099533/Waterford

Petition No.2014-581

Licensure in other states:  Unknown                        

Consent Order - 1/21/15

Four (4) years probation; random urine screens; therapy; employer reports; no access to controlled substances for the first year of returning to work as a nurse; no self employment, home care or pool nursing.

 

Posthauer, Diane, R.N./ Lic. #: 072077/Avon

Petition No.2014-1151

Licensure in other states:  FL, NY, NJ, WY, VT, NC               

Voluntary Surrender - 2/6/15

 

Robida, David, R.N./ Lic. #: 098408/Charlton

Petition No.2015-101

Licensure in other states:  MA, MD                          

Voluntary Surrender - 3/24/15

 

Roes, Marlene, R.N./ Lic. #: R40131/Mystic

Petition No.2015-100

Licensure in other states:  Unknown                        

Voluntary Surrender - 3/11/15

 

Russell, Kelli M., R.N./ Lic. #: 079686/Salem

Petition No.2013-281

Licensure in other states:  Unknown                        

Voluntary Surrender - 1/20/15

 

Vecchiarelli, Nina, R.N./ Lic. #: 102054/Southampton

Petition No.2013-534

Licensure in other states:  MA                    

Memorandum of Decision - 2/18/15

Reprimand.

 

Vincenzi, Gina, R.N./ Lic. #: 069395/Watertown

Petition No.2013-531

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/18/15

Six (6) months suspension concurrent with four (4) years of probation; random urine screens; therapy; employer reports; no solo practice; no access to controlled substances for one (1) year; Department must pre-approve all employment.

 

Wettish, Jemma, R.N./ Lic. #: 110632/East Hampton

Petition No.2013-1132

Licensure in other states:  Unknown                        

Memorandum of Decision - 2/18/15

License Revoked.

 

RESPIRATORY CARE PRACTITIONER

 

Brown, Jennifer L., R.C.P./ Lic. #: 002714/Willington

Petition No.2014-812

Licensure in other states:  Unknown                        

Summary Order - 2/19/15

 

Brown, Jennifer, L., R.C.P./ Lic. #: 002714/Willington

Petition No.2014-812

Licensure in other states:  Unknown                        

Memorandum of Decision - 3/26/15

Three (3) years probation; random urine screens; therapy; employer reports; Narcotics Anonymous support group meetings.

 

VETERINARIANS

 

Zabohonski, Susan, Unlicensed/ Lic. #: N/A/Plantsville

Petition No.2013-817

Licensure in other states:  Unknown                        

Cease and Desist Consent Order - 2/4/15

 

COMPLETION OF DISCIPLINARY TERMS

 

Bayonne, M. Lucienna, R.N./Lic. #: R54216/Stamford

Petition No.2012-781

Licensure in other states:  Unknown                        

Completed Probation – 3/1/15

Type of case: Substance Abuse/Drug Related

 

Blair, B. Glenn, D.P.M./Lic. #: 000419/Shelton

Petition No.2014-828

Licensure in other states:  Unknown                        

Completed Probation – 1/7/15

Type of case: Drug related/Inappropriate prescribing

 

Duong, Rattana, R.N./Lic. #: E54065/West Hartford

Petition No.2013-484

Licensure in other states:  Unknown                        

Completed Probation – 3/3/15

Type of case: Standard of Care

 

Griffin, Deborah, R.N./Lic. #: E45583/Clinton

Petition No.2007-1206-010-099

Licensure in other states:  Unknown                        

Completed Probation – 2/18/15

Type of case: Substance Abuse

 

Goldberg, Robert, M.D./Lic. #: 035108/Westport

Petition No.2013-1138

Licensure in other states:  Unknown                        

Civil Penalty Paid 3/24/15

 

Gupta, Sushil, M.D./Lic. #: 036095/Woodbridge

Petition No.2013-416

Licensure in other states:  Unknown                        

Completed Probation – 3/10/15

Permanent Restriction of License

 

Mack, Alphonso, D.M.D./Lic. #: 005845/Bloomfield

Petition No.2010-5534   

Licensure in other states:  Unknown                        

Completed Probation – 2/1/15

Type of case: Scope of Practice

 

McPadden, Karen, R.N./Lic. #: E48000/Monroe

Petition No.2009-20091547

Licensure in other states:  Unknown                        

Completed Probation – 1/29/15

Type of case: Substance abuse/Drug related.

 

Meulenberg, Amanda, M.D./Lic. #: 047483/Westport

Petition No.2013-1141

Licensure in other states:  Unknown                        

Civil Penalty Paid 3/24/15

 

Monck, Charles, R.N./Lic. #: E59129/Ellington

Petition No.2011-502

Licensure in other states:  Unknown                        

Completed Probation – 3/1/15

Type of case: Substance Abuse Disorder

 

Mott, April, M.D./Lic. #: 022565/Collinsville

Petition No.2011-207

Licensure in other states:  Unknown                        

Completed Probation – 3/19/15

 

Ofer, Adam, M.D./Lic. #: 041023/Westport

Petition No.2013-1139

Licensure in other states:  Unknown                        

Civil Penalty Paid 3/24/15

 

Sauter, Elizabeth, M.D./Lic. #: 028921/Westport

Petition No.2013-1137

Licensure in other states:  Unknown                        

Civil Penalty Paid 3/24/15             

 

Savino, Anthony, L.P.N./Lic. #: 029101/Andover

Petition No.2014-377

Licensure in other states:  Unknown                        

Completed Probation – 3/27/15

              

Sivak, Dennis, M.D./Lic. #: 018281/Westport

Petition No.2013-1135

Licensure in other states:  Unknown                        

Civil Penalty Paid 3/24/15

 

Szeto, Margorie, M.D./Lic. #: 029562/Westport

Petition No.2013-1136

Licensure in other states:  Unknown                        

Civil Penalty Paid 3/24/15             

 

ADVERSE LICENSURE ACTIONS

 

CLINICAL LABORATORY

 

Accu Reference Medical Laboratory

580 Burnside Avenue

East Hartford, CT 06108

- Consent Order – January 28, 2015

- Civil monetary fine - $25,000

- Related to blood collection without certificate of approval

 

NURSING HOMES

CIVIL FINES
 
Touchpoints at Bloomfield
140 Park Avenue
 Bloomfield, CT 06002
- Class B Civil Fine, $1,230.00 – September 18, 2014
- Related to failure to monitor patient condition and/or carry out patient care plan and/or facility administration
 
 
Arden House Rehab and Nursing Center
850 Mix Avenue
Hamden, CT 06514
- Class B Civil Fine, $1,650 – December 14, 2015
- Related to failure to monitor patient condition and/or carry out patient care plan and/or patient accident/incident and/or protection of patients’ rights
  
Fairview Health Care Center of Greenwich
1188 King Street
Greenwich, CT 06831
- Class B Civil Fine, $1,020 – November 18, 2014
- Related to facility administration and/or failure to monitor patient condition and/or patient accident/incident
 
Wilton Meadows
439 Danbury Road
Wilton, CT 06897
- Class B Civil Fine, $1,160 – January 13, 2015
- Related to failure to monitor patient condition and/or patient accident/incident
 
Glastonbury Health Care Center
1175 Hebron Avenue
Glastonbury, CT 06033
-Class B Civil Fine, $1,020 – November 18, 2014
-Related to nursing standards of practice and/or patient accident/incident
 
 Apple Rehab Shelton
 5 Lake Road
 Shelton, CT 06484
 - Consent Order – February 24, 2015
 - Civil monetary fine - $5,000
 - Related to care and services
   
Crossings West Health & Rehab Center
89 Viets Street
New London CT 06320
- Class B Civil Fine, $1,020 – January 20, 2015
- Related to facility administration and/or failure to monitor patient condition and/or patient accident/incident
 
 Shady Knoll Health Center
 43 Skokorat Street
 Seymour, CT 06483
 - Class B Civil Fine, $1,020 – January 29, 2015
 - Related to failure to monitor patient condition and//or patient accident/incident
 
Golden Hill Health Care Center
2028 Bridgeport Avenue
Milford, CT 06460
- Class B Civil Fine, $1,160 – February 5, 2015
- Related to failure to monitor patient condition and/or carry out patient care plan and/or patient accident/incident
 
Golden Hill Health Care Center
2028 Bridgeport Avenue
Milford, CT 06460
- Class A Civil Fine, $1,580 – February 5, 2015
- Related to physician notification
 
Montowese Health & Rehab Center, Inc.
163 Quinnipiac Avenue
North Haven, CT 06473
-Class B Civil Fine, $1,020 – January 22, 2015
-Related to failure to monitor patient condition and/or patient accident/incident
 
The Reservoir
1 Emily Way
West Hartford, CT 06107
-Class B Civil Fine, $1,020 – February 6, 2015
-Related to failure to monitor patient condition and/or carry out patient care plan
 
Crossing East Health & Rehab Center
78 Viets Street
New London CT 06320
- Class B Civil Fine, $1,020 – February 23, 2015
- Related to failure to monitor patient condition and/or carry out patient care plan and/or patient accident/incident
  
Regency Heights of Stamford, LLC
53 Courtland Avenue 
Stamford, CT 06902
- Class B Civil Fine, $1,370 – February 26, 2015
- Related to failure to maintain equipment operation and or/failure to monitor patient condition and/or carry out patient care plan and/or patient accident/incident
 
Talmadge Park Health Care
38 Talmadge Avenue
East Haven, CT 06512
- Class A Civil Fine, $420 – February 6, 2015
- Related to physician notification
 
Masonicare Health Care Center
22 Masonic Avenue
Wallingford, CT 06492
- Class B Civil Fine, $1,160 – February 5, 2015
- Related to failure to monitor patient condition and/or patient accident/incident
  
Lourdes Health Care Center
345 Belden Hill Road
Wilton, CT 06897
- Class B Civil Fine, $1,020 – March 9, 2015
- Related to failure to monitor patient condition and/or patient accident/incident
 
Groton Regency Center
1145 Poquonnock Road
Groton, CT 06340
- Class B Civil Fine, $500 – March 5, 2015
- Related to protection of patients’ rights and/or failure to monitor patient condition and/or carry out patient care plan
  
Village Green Wallingford
 55 Kondracki Lane
 Wallingford, CT 06492
 - Class B Civil Fine, $2,500 – February 25, 2015
 - Related to failure to monitor patient condition and/or patient accident/incident
   
Willows Rehab & Nursing Center
 225 Amity Road
 Woodbridge, CT 06525
 - Class B Civil Fine, $570.00 – February 24, 2015
 - Related to failure to monitor patient condition and/or carry out patient care plan
 
Apple Rehab Farmington Valley
 269 Farmington Avenue
 Plainville, CT 06062
 - Class B Civil Fine, $1,160 – March 9, 2015
 - Related to failure to monitor patient condition and/or patient accident/incident
   

FACILITY FOR CARE OF SUBTANCE ABUSE

New Era Rehabilitation Center

311 East Street

New Haven, CT 06511

- Consent Order – February 4, 2015

- Civil monetary fine - $5,000

- Related to care and services

 

New Era Rehabilitation Center

3851 Main Street

Bridgeport, CT 06606

- Consent Order – February 4, 2015

- Civil monetary fine - $5,000

- Related to care and services

 

DRINKING WATER SECTION ENFORCEMENT

 

ACTIONS TAKEN:

 

Public Water System: CALVARY INDEPENDENT BAPTIST CHURCH, REDDING, CT

-Enforcement action: ADMINISTRATIVE ORDER WITH PENALTY

-Type of violation: monitoring and reporting

-Date: 1/14/2015

 

Public Water System: CHIMNEY CORNERS SHOPPING CENTER, STAMFORD, CT

-Enforcement action: ADMINISTRATIVE ORDER WITH PENALTY

-Type of violation:  Sanitary Survey

-Date: 3/9/2015

 

Public Water System: THE RIVERHOUSE AT GOODSPEED STATION, HADDAM, CT

-Enforcement action: CONSENT AGREEMENT

-Type of violation:  N/A

-Date: 3/17/2015

 

Public Water System: PARKWAY SCHOOL, GREENWICH, CT

-Enforcement action: ADMINISTRATIVE ORDER WITH PENALTY

-Type of violation:  monitoring and reporting

-Date: 3/26/2015

 

 

              

 
 

 





Content Last Modified on 6/2/2015 1:27:33 PM