Michael Addair Tarver, DDS Consent Agreement 11-20-2013

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    DEPARTMENT OF HEALTH,

    Petitioner,

    VS

    ase Nos.:

    013-12498

    2013-09493

    License No.: DN 18670

    MICHAEL A. TARVER, DMD

    Respondent.

    Final Order No. DOH 13 2214 S N1QA

    1

    0

    13

    ILED DATE -

    Department of Health

    gi

    By:

    Deputy Age

    STATE OF FLORIDA BOARD OF DENTISTRY

    lerk

    FINAL ORDER

    COUNTER SETTLEMENT AGREEMENT

    This matter appeared before the Board of Dentistry at a duly-noticed public meeting on

    November 15, 2013, in Gainesville, Florida, pursuant to Sections 120.569 and 120.57(4), Florida

    Statutes for consideration of a Settlement Agreement (attached hereto as Exhibit A ). Petitioner

    was represented by Adrienne Rodgers, Assistant General Counsel. Respondent was present and

    was represented by Edwin Bayo, Esquire. Upon consideration of the Settlement Agreement, the

    documents submitted in support thereof, the arguments of the parties and otherwise being

    advised, the Board rejected the settlement agreement and offered a counter settlement agreement

    that incorporates the terms of the original settlement agreement with the following amendments:

    1)

    The Fine imposed shall be $7,500.00;

    2)

    The Preparation of a Publishable Article is hereby stricken;

    3)

    The Respondent shall also successfully complete a Level I (3 hour) continuing

    education course in Dental Risk Management. The course shall be taken at or

    through an accredited college of dentistry or through a board approved continuing

    education course provider. The course shall be completed within 12 months of the

    entry of this Final Order.

    The counter settlement agreement was accepted by the Respondent on the record at the

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    board meeting.

    WHEREFORE, it is hereby ORDERED AND ADJUDGED

    that the Counter

    Settlement Agreement be and is hereby approved and adopted in toto and incorporated by

    reference herein. Accordingly, the parties shall adhere to and abide by all the terms and

    conditions of the Agreement. Costs are assessed in the amount of

    17,505.90.

    This Final Order

    shall take effect upon being filed with the Clerk of the Department of Health.

    DONE AND ORDERED

    this '1f day of N O V E M E R

    , 2013.

    BOARD OF DENTISTRY

    Sue Foster

    Executive Director on beh lf of

    Daniel Gesek, DMD, CHAIR

    CERTIFICATE OF SERVICE

    I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by

    electronic mail to Michael A. Tarver, DMD do Edwin Bay6 Esquire,

    e.bavogIblawfirm.com;David D. Flynn,

    Assistant Attorney General,

    david.fivnivn

    mvfloridalegal.com ; and Adrienne Rodgers, AssistaRt General Counsel,

    Department of Health, Adrienne Rodgers(ddoh.state.flus thisOOThday of November,

    2013.

    vt ce _ y i L -

    D e p u t y g e n c y C l e r k

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    STATE OF FLORIDA

    BOARD OF DENTISTRY

    DEPARTMENT OF HEALTH

    Petitioner

    v.

    ASE NOS. 2013-09493

    2013 12498

    MICHAEL ADDAIR TARVER D.M.D.

    Respondent.

    SETTLEMENT AGREEM ENT

    Pursuant to Section 120.57(4), Florida Statutes, the above named

    parties hereby offer this Settlement Agreement (hereinafter Settlement

    Agreement or Agreement ) to the Board of Dentistry (hereinafter

    Board )

    as disposition of above-identified case, in lieu of any other

    administrative proceedings. The terms herein become_ effective only if and

    when a Final Order accepting this Agreement is issued by the Board and

    filed with the Agency Clerk of the Department of Health. In considering

    this Agreement, the Board may review all investigative materials regarding

    For purposes of this Settlement Agreement, where terms of the Agreement require the Board to

    undertake action or grant approval, the Board can appoint a representative or designee to act in its stead.

    In light of this, references to the Board can also refer to the Board's designee.

    Page 1 Respondent initial

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    this case. If this Agreement is not accepted by the Board, the Agreement

    and its: presentation to the Board shall not be used against either party.

    STIPULATED FACTS

    1

    For all times pertinent herein, Respondent was a licensed

    dentist in the State of Florida, having been issued license number DN

    18670 on or about June 2, 2009.

    2.

    Respondent's address of record is 1371 SW 43r

    d

    Place, Ocala,

    FL 34471

    3.

    Respondent was charged by an Administrative Complaint with

    violating Chapter 466, Section 466.028(1)(1), Florida Statutes (2011-2012),

    Section 466.028(1)(m), Florida Statutes (2011-2012)

    1

    and Section

    466.028(1)(mm), Florida Statutes (2011-2012) by violating Section

    456.072(1)(r), Florida Statutes (2011-2012). The Administrative Complaint

    was filed by the Department of Health (hereinafter Department ) and

    properly served upon Respondent Petitioner agrees to dismiss the count

    alleging violation of Section 466.028(1)(mm), Florida Statutes (2011-

    2012), by violating Section 456.072(1)(r), Florida Statutes (2011-2012).

    5 Respondent denied the allegations contained in the

    Administrative Complaint and requested a hearing involving disputed

    issues of material fact.

    Page 2 Respondent Initial

    m - T

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    6.

    After a review of the allegations, the process of discovery, and

    in negotiation of a settlement, the parties have agreed that settlement is a

    reasonable resolution to the complaint.

    7.

    Respondent neither admits nor denies the factual allegations in

    the Administrative Complaint (the Complaint ) and is entering into this

    Settlement Agreement for the purpose of settlement in these

    administrative proceedings only.

    STIPUL TED L W

    1

    Respondent admits that Respondent is subject to the provisions

    of Chapters 456 and 466, Florida Statutes, and the jurisdiction of the

    Department of Health and the B oard.

    2.

    Respondent admits that the stipulated facts, if proven true,

    may constitute violations of Florida laws as alleged in the Complaint.

    3.

    Respondent admits that the Settlement Agreement is a fair,

    appropriate, and reasonable resolution to this pending matter.

    PROPOSED DISPOSITION

    1.

    APPEARANCE

    Respondent shall be present when this

    Settlement Agreement is presented by the Department to the Board, and

    under oath, Respondent shall answer questions posed by the Board

    concerning this case and the disposition thereof.

    P age 3 Respondent Initialif A

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    2.

    DISCIPLINE:

    The Board shall reprimand the license of

    Respondent

    3. FINE: The Board shall impose an administrative fine of Fifteen

    Thousand Dollars ( 15,000.00) against the license of Respondent.

    Respondent acknowledges that the timely payment of the fine is

    Respondent's legal obligation and responsibility. Respondent shall pay the

    fine by either cashiers check or money order made payable to the Board of

    Dentistry within thirty (30) days of the filing of the Final Order issued in

    this matter. Respondent shall send payment(s) to:

    Florida Department

    of Health Division of MQA/Client Services P.O. Box 6320

    Tallahassee FL 32314-6320.

    4.

    COSTS

    Pursuant to Section 456.072(4), Florida Statutes,

    Respondent shall pay all actual costs associated with the investigation and

    prosecution of this matter through the date of entry of the final order.

    Respondent shall pay all costs by either cashiers check or money order

    made payable to the Board of Dentistry within thirty {30) days of the filing

    of the Final Order issued in this matter. Respondent shall send payment(s)

    to:

    Florida Department of Health Division of MQA/Client Services

    P.O. Box 6320 Tallahassee FL 32314-6320.

    Page 4 Respondent Initia

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    5.

    CONTINUING EDUCATION

    Within twelve (12) months of

    the filing of the Final Order adopting and incorporating this Agreement,

    Respondent shall successfully complete continuing education at or

    through an accredited university, in the following subjects, unless

    another subject area is designated by the Board:

    A.

    An ethics course geared toward developing a comprehensive

    understanding of the legal and ethical obligations and

    responsibilities of dental professionals in the State of Florida, 3

    hours.

    B.

    Dental Record Keeping, Level III (3 hours)

    These continuing education hours are imposed in addition to the

    continuing education hours required for renewal of Respondent s

    license. Home study courses will not be accepted in satisfaction of this

    condition. Upon completion of the course, Respondent must provide

    documentation to the Board verifying course content and include a

    letter of completion from the Remediation Program Administrator

    verifying the number of hours completed and certifying achieved

    competency. Documentation shall be submitted to the Compliance

    Officer at the address referenced in paragraph 3.

    6.

    RECORD REVIEW

    Respondent shall have his records

    reviewed at regular intervals for a period of one (1) year. The purpose

    P a g e 5 R e s p o n d e n t I n i tia l

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    of the record review is not to prevent Respondent from practicing

    Dentistry. Rather, record review is a supervised educational experience

    designed by the Board to make Respondent aware of certain obligations to

    Respondent s patients or clients, as well as to the profession, and to

    ensure Respondent s continued compliance with the high standards of the

    profession through interaction with another licensed, practicing Dentist in

    the appropriate field of expertise. Any deviation from the requirements of

    record review without prior written consent of the Board shall constitute a

    violation of this Agreement and is grounds for discipline by the Board.

    Respondent s record review shall be subject to the following terms and

    conditions:

    a

    Appearance

    Respondent shall appear before the Board at

    the last meeting of the Board preceding termination of record

    review and at such other times as requested by the Board.

    b

    Monitoring:

    The monitoring of Respondent s practice shall

    extend to all areas of Respondent s record keeping.

    Respondent shall sign an agreement to have his records

    reviewed by a Dentist who is fully licensed under Chapter 466,

    Florida Statutes, and is approved by the Board. Before the

    Board approves a monitor Respondent shall provide the

    Page 6 Respondent InitialP

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    proposed monitor with a copy of the administrative complaint

    filed in this case, and shall submit to the Board the proposed

    monitor s curriculum vitae as well as a description of the

    proposed monitor s current practice. Said materials shall be

    received by the Board office no later than thirty (30) days after

    entry of a Final Order adopting and incorporating the terms of

    this Agreement. The monitor must practice within a reasonable

    distance of Respondent s practice.The monitor s license to

    practice under Chapter 466 shall be in good standing and

    without restriction or limitation. The Board may reject any

    proposed monitor on the basis that: the monitor has previously

    been subject to disciplinary action against his or her license to

    practice under Chapter 466 in the State of Florida, or any other

    jurisdiction; is the subject of pending disciplinary action; does

    not practice in sufficient geographic proximity to Respondent;

    does not practice in the same or similar specialty area; in the

    Board s opinion, lacks sufficient experience or expertise to

    monitor Respondent; or has or had a relationship with

    Respondent such that the position of record review monitor

    age 7 Respondent Initial

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    may pose an actual or potential conflict of interest or may

    compromise the monitor's objectivity. The Board may also

    reject any proposed monitor for other good cause shown.

    c.

    Commencement of Record Review:

    The record review

    term begins only after the Board has approved Respondent's

    record review m onitor.

    d.

    Responsibilities of Monitor: The responsibilities of

    Respondent s monitor shall include:

    1. The monitor shall select and review a random

    sample

    equal to a minimum of

    twenty-five percent (25 ) of

    Resp ondent s active patient or client records at least o nce

    every four weeks for a period of six months, and

    thereafter, at

    the monitor s discretion, a minimum of

    once per calendar qua rter.

    ii. Discuss with Respondent, monitor's observations and

    impressions of Respondent's records. As appropriate or

    necessary, the monitor will offer suggestions, advice, and

    guidance to Respondent.

    Page 8 Respondent Initial A I

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    iii. Submit a quarterly report to the Board, in affidavit form,

    at the conclusion of every quarter. Each report shall

    include:

    a.

    Brief statement of why Respondent is subject

    to record review; and

    b.

    Description of Respondent s practice (type

    and composition); and

    c.

    Brief statement of Re sponden t s compliance

    with terms of record review; and

    d.

    Brief description of Re sponden t s relationship

    with the monitor; and

    e.

    Summary of dates that the monitor went to

    Respondent s office or met with Respondent

    and the location of the meeting; what

    transpired during the meeting; number of

    records reviewed if any; and overall quality

    of records reviewed; and

    f.

    Description of issues addressed and topics

    discussed with Responde nt, Respondent s

    participation in d iscussion, and Responde nt s

    progress or growth and improvement if any;

    and

    9.

    Detail any problems or concerns that may

    have arisen with Responden t.

    Page 9 Respondent Initial

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    iv. Provide a report to the Board of any violations by

    Respondent of Chapter 456 or 466, Florida Statutes,

    or the rules promulgated pursuant thereto.

    v.

    If the monitor reports that two (2) consecutive reports

    are deemed insufficient to demonstrate appropriate

    patient record documentation and/or billing accuracy,

    then Respondent shall appear, upon receipt of written

    notice, at the next scheduled Board meeting to

    address the insufficiencies so reported. Unless excused

    by the Board, insufficiencies not adequately explained

    so as to show Respondent s compliance with

    appropriate patient record documentation and billing

    accuracy shall constitute a violation of the Board s

    Final Order.

    vi.

    Appear with Respondent before the Board: at the last

    meeting before record review concludes; and at such

    other times as directed by the Board.

    vii.

    Notify the Board within ten (10) days of any changes

    to monitor s address or contact information.

    Page 10 Respondent Initial

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    e. Responsibilities of Respondent

    The responsibilities of

    Resp onden t shall include:

    1. Submit a quarterly report to the Board, in affidavit form,

    at the conclusion of every quarter. Each report shall

    include:

    a.

    rief statement of why Respondent is subject

    to record review; and

    Description of current practice (type and

    composition) and location; and

    c

    rief statement of compliance with record

    review terms; and

    Description of relationship with monitor; and

    e.

    escription of specific issues addressed and

    discussed with monitor as well as description

    of concepts learned, progress and growth or

    improvement if any; and

    Description of any problems or concerns

    ii.

    Appear before the Board with record review monitor: at

    the last meeting before record review concludes; and at

    such other times as directed by the Board.

    iii.

    Discuss with monitor, monitor s observations and

    impressions regarding practice, method, philosophy,

    Page 1 I Respondent InitialM

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    techniques, strengths, weaknesses and areas of concern,

    suggestions, and guidance.

    iv.Ensure the attendance and appearance of Respondent s

    monitor at all Board meetings required by the terms of

    this Settlement Agreement or as directed by the Board.

    Failure of Responden t or Responden t s monitor to appear

    at the scheduled Board meeting, unless excused by the

    Board, shall constitute a violation of the Board s Final

    Order.

    v.

    Ensure monitor submits all required reports to the Board.

    Failure of Respondent s monitor to submit a required

    report, unless excused by the Board, shall constitute a

    violation of the B oard s Final Order.

    vi.

    Cooperate fully with monitor to satisfy all terms of record

    review, specifically including but not limited to: meet with

    monitor, participate in discussions with monitor and make

    records ava ilable to m onitor.

    vii.Notify the Board within (10) ten days of any changes in

    either Respondent s current residence and/or business

    address and contact information.

    Page 12 Respondent Initial

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    f

    Costs

    Respondent shall pay all costs related to the term of

    record review and supervision thereof, as well as all costs

    incident and necessary to demonstrate to the Board that

    Respondent can practice with the required skill and

    competence.

    g

    Compliance:

    Respondent shall comply with all state statutes

    and rules pertaining to the practice of Dentistry, specifically

    including Chapters 456, and 466, Florida Statutes, and Rules of

    the Board of Dentistry

    h

    Tolling:

    In the event Respondent does not actively engage in

    professional practice for a period of thirty (30) days or more, or

    ceases the professional practice in the State of Florida,

    Respondent s record review shall be tolled until such time as

    Respondent returns to an active, professional practice in the

    State of Florida, unless prior approval has been obtained from

    the Board.

    i

    Termination:

    The record review period shall be terminated

    only by order of the oard upon proper petition by

    Respondent, where the petition is supported by evidence of

    Page 13 Respondent Initial(

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    compliance with the Final Order incorporating this Agreement.

    More specifically, at the conclusion of Respondent s term of

    record review, Respondent shall formally petition the Board to

    terminate Respondent s record review and therein, request that

    the matter be placed on the next agenda of the Board s

    regularly scheduled meeting for consideration. Respondent s

    license shall remain on record review until after such time as

    Respondent makes Respondent s final appearance before the

    Board as outlined above. During that appearance, the Board

    will have the opportunity to question Respondent about

    Respondent s experience and practice during the record review

    period, make a determination regarding Respondent s

    compliance with the terms of the final order incorporating this

    Agreement, and decide whether Respondent s record review

    should be terminated. The Board is hereby authorized to

    either extend Respondent s record review or call a default

    under the terms of this Agreement if the Board finds that

    Respondent is unable or unwilling to ethically practice at an

    acceptable level of skill and safety and with professionalism.

    Page 14 Respondent Initial

    p

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    7

    PREPARATION OF A PUBLISHABLE ARTICLE:

    Responden t shall prepare an article of publishable quality that shall be at

    least two-thousand-five-hundred (2,500) words in length. The subject

    matter of the article shall be the proper form of late entries made to the

    dental record. This article shall be submitted to the Department of Health,

    at the address specified in paragraph 3, no later than thirty (30) days of

    the issuance of a Final O rder.

    8

    SERVICE AS A QUALIFIED MONITOR:

    Respondent

    understands that Respondent shall not himself serve as a qualified

    monitor until Respondent has complied with all of the obligations imposed

    by the Final Order adopting and incorporating this Agreement.

    Fu rthermore , if Respondent is serving as a qua lified monitor, at the time

    the Final O rder in this case is filed, Respondent shall provide written notice

    of the Final Order and terminate all monitory relationships within one (1)

    day of the filing of the Final O rder.

    9

    VIOLATION OF TERMS:

    It is expressly understood that

    violating any of the terms of this Agreem ent shall be considered a violation

    of a Final O rder of the Board, for which disciplinary action may be initiated

    pursuant to Chapters 456 and 466 , Florida Statutes.

    Page 15 Respondent Initial

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    10

    SETTLEMENT AGREEMENT SUBJECT TO BOARD

    APPROVAL

    It is expressly understood that this Agreement is subject to

    approval by the Board and has no force or effect until the Board adopts

    incorporates or bases an Order properly filed upon it.

    11

    BOARD REVIEW NONPREJUDICIAL TO FURTHER

    PROCEEDINGS:

    Respondent executes this Agreement for the purpose of

    avoiding further administrative action with respect to this particular case.

    In this regard Respondent authorizes the Board to review and examine all

    investigative file materials concerning Respondent prior to or in

    conjunction with consideration of this Agreement. Respondent agrees to

    support this Agreement at the time it is presented to the Board and shall

    offer no evidence testimony or argument that disputes or contravenes

    any stipulated fact or conclusion of law. Furthermore should the Board

    not accept this Agreement the parties agree that the presentation and

    consideration of this Agreement and other documents and matters by the

    Board shall not unfairly or illegally prejudice the Board or any of its

    members from further participation consideration or resolution of these

    proceedings

    12

    ADDITIONAL PROCEEDINGS:

    espondent and the

    Page 16 Respondent Initial

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    Department of Health fully understand that this Agreement and

    subsequent Final Order incorporating same, will in no way preclude

    additional proceedings by the Board and/or Department of Health against

    the Respondent for acts or omissions not specifically set forth in the

    Administrative Complaint, attached hereto as Exhibit A, filed in this cause.

    13

    WAIVER OF ATTORNEY FEES:

    Respondent waives the right

    to seek attorney fees and/or costs from the Department of Health in

    connection with this disciplinary proceeding.

    14

    WAIVER OF JUDICIAL REVIEW AND CHALLENGE:

    Upon

    the Board's adoption of this Agreement, Respondent expressly waives all

    further procedural steps, and expressly waives all rights to seek judicial

    review of or to otherwise challenge or contest the validity of this

    Agreement and the Final Order of the Board incorporating said Agreement.

    By execution of this Agreement, the parties request the Board enter

    a Final Order accepting and implementing the terms contained herein.

    SIGNE this

    S day of

    e Lc-) v-/ e.

    013.

    r)

    Michael Addair Tarver, D.M.D.

    Case Nos. 2013-09493 &

    2013-12498

    Page 17 Respondent Initial

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    STATE OF FLORIDA

    COUNTY OF Mori

    )

    Before me personally appeared Michael Addair Tarver, whose identity

    is known to me by

    X

    personal knowledge or by presentation of

    as identification type of identification), and who

    acknowledges that their signature appears above. Sworn to or affirmed

    efore me this

    a of

    cTe 11

    2 0

    2013.

    tee

    -Q1)1 c

    Notary Public

    y Commission Expires

    APPRO VED this

    day of

    2013.

    John H. Armstrong, MD, FACS

    State Surgeon General and Secretary of Health

    R. Shaffer Claridge

    Florida Bar Number 0095549

    Assistant General Counsel

    Department of Health

    Prosecution Services Unit

    4052 Bald Cypress Way, Bin C-65

    Tallahassee, FL 32399-3265

    850) 245-4444 voice

    850) 245-4662 FAX

    Page 18 Respondent Initial

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    STATE OF FLORIDA

    DEPARTMENT OF HEALTH

    DEPARTMENT OF HEALTH,

    PETITIONER,

    v

    ASE NOS. 2013-12498

    2013-09493

    MICHAEL ADDAIR TARVER, D.M.D.,

    RESPONDENT.

    ADMINISTRATIVE COMPLAINT

    Petitioner Departme nt of Health files this Adm inistrative Com plaint

    before the Board of Dentistry against Respo ndent M ichael Addair Tarver,

    D.M.D., and in su pport thereof alleges:

    1.

    Petitioner is the state agenc y c harged w ith regulating the practice

    of dentistry pursuant to Section 20.43, Florida Statutes 2011-2012);

    Chapter 456, Florida Statutes 2011-2012); and Chapter 466, Florida

    Statutes 2011-2012).

    2.

    At all times m aterial to this complaint, Respon dent w as licensed to

    practice as a dentist in the State of Florida, pursuant to Chapter 466,

    Florida Statutes 2011-2012), and was a Board C ertified Pediatric Dentist.

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    3.

    At all times material to this complaint, Respondent owned and

    operated Polliwog Dental ( Polliwog ), doing business at 225 SE 17th

    Street, Ocala, Florida 34471. The dentists at Polliwog practice pediatric

    dentistry.

    Facts Spe cific to R.R.

    4.

    On or about April 17, 2012, R.R., a four-year-old female patient,

    presented to Polliwog for a tooth extraction. Respondent sedated R.R.

    with Demerol prior to the procedure.

    5.

    Demerol is the brand name for meperidine and is prescribed to

    treat pain. According to Section 893.03(2), Florida Statutes (2011-2012),

    meperidine is a Schedule II controlled substance that has a high potential

    for abuse and has a currently accepted but severely restricted medical use

    in treatment in the United States. Abuse of meperidine may lead to severe

    psychological or physical dependence.

    6.

    During the procedure, Polliwog staff members noted that R.R. had

    stopped breathing and had turned blue. Respondent administered Narcan

    to reverse the sedation and ordered a dental technician to retrieve a

    resuscitation ba g from the crash cart.

    DOH v. Michael Addair Tarver, D.M.D.

    2

    OH Case Numbers 2013-09493 2013-12498

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    7.

    Narcan is the brand name for naloxone, a drug commonly used to

    counter the effects of opiate overdose. While naloxone is a legend drug, it

    is not a controlled substance under Section 893.03, Florida Statutes (2011-

    2012).

    8.

    Respondent administered breaths using the resuscitation bag, and

    after a short time R.R. resumed breathing. Respondent recorded the

    incident in the patient record as a period of brief apnea.

    9.

    Respondent instructed Polliwog staff members to make no

    mention of the incident and admonished them that he would terminate and

    sue any staff member who mentioned the incident. No one informed R.R.'s

    parents that R.R. had stopped breathing and had been resuscitated.

    Facts Specific to A.R.

    10.

    On or about June 4, 2013, Respondent performed a dental

    procedure on A.R., a four-year-old female patient. A.R.'s mother verbally

    consented to local anesthesia only. Respondent placed A.R. under

    conscious sedation for the procedure.

    11.

    At the conclusion of the procedure, A.R. had lacerations on her

    cheek and inside her mouth. A.R. also had bruises on her neck and

    shoulders and had urinated on herself.

    DOH v. Michael Addair

    Tarver, D.M.D.

    DOH Case Numbers 2013-09493 & 2013-12498

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    Alteration of Me dical Records

    12.

    On or about July 31, 2013, a Department investigator presented to

    Polliwog with a subpoena in order to obtain medical records. Polliwog staff

    told the investigator that Respondent was out of the office. After

    consulting with Respondent telephonically, Polliwog staff complied with the

    Department's subpoena a nd provided the requested patient records.

    13.

    Several hours after the records request, Respondent logged into

    his clinic's patient records database. Respondent altered several patient

    records, including records for R.R. and A.R. Respondent made no

    indication in the patient records that the records had been altered and

    provided no justification for altering the records.

    COUNT ONE

    14.

    Petitioner realleges and incorporates by reference paragraphs one

    (1) through thirteen (13) as if fully set forth herein.

    15.

    Section 466.028(1)(l), Florida Statutes (2011-2012), subjects a

    dentist to discipline for qmlaking deceptive, untrue, or fraudulent

    representations in or related to the practice of dentistry.

    DOH v. Michael Addair Tarver, D.M.D.

    DOH Case Numbers 2013-09493 2013-12498

    4

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    16.

    Respondent made deceptive, untrue, or fraudulent representations

    related to the practice of dentistry when he retroactively altered medical

    records without properly identifying them as late entries.

    17.

    Based on the foregoing, Respondent violated Section

    466.028 1 ) 1), Florida Statutes 2011-201 2) by making deceptive, untrue or

    fraudulent representations in the practice of dentistry.

    COUNT TWO

    18.

    Petitioner realleges and incorporates by reference paragraphs one

    (1) through thirteen (13) as if fully set forth herein.

    19.

    Section 466.028(1)(m), Florida Statutes (2011-2012) subjects a

    dentist to discipline for [flailing to keep written dental records and medical

    history records justifying the course of treatment of the patient...

    20.

    Respondent failed to keep appropriate dental records when he

    retroactively altered medical records without properly identifying them as

    late entries.

    21.

    Based on the foregoing, Respondent violated Section

    466.028(1)(1), Florida Statutes (2011-2012) by failing to keep written

    dental records justifying the course of the treatment of patients.

    DOH v. Michae l Adda ir Tamer, D .M.D.

    Jr

    OH Case Num bers 2013-09493 2013-12498

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    COUNT THREE

    22.

    Petitioner realleges and incorporates by reference pa ragraphs on e

    (1) throu gh th irteen (13) as if fully set forth he rein.

    23.

    Section 466 .028(1)(mm ), Florida Statutes (2011-2012), subjects a

    dentist to discipline for Dd ioSating any provision of this chapter or chapter

    456, or any rules ado pted pu rsuant thereto.

    24.

    Section 456.072 1) r), Florida Statutes 2011-2012), subjects a

    l icensee to discipline for Dim prope rly interfering with an investigation or

    inspection authorized b y statute, or with any disciplinary procee ding.

    25.

    Respondent improperly interfered with an investigation or

    inspect ion author ized by statute wh en he retroact ively a l tered med ical

    records after learning that the Department was seeking those records

    under subpoena.

    26.

    Based on the foregoing, Respondent violated Section

    466.028 1) mm), Florida Statutes 2011-2012), by violating Section

    456.072(1)(r), Florida Statutes (2011-2012) by im prop erly interfering w ith

    an investigation or inspection au thorized by statute.

    WHEREFORE, Petitioner respectfully requests that the Board of

    Den tistry enter an order imposing one or more o f the fol lowing penalt ies:

    DOH v. Michael Addair Tarver, D.M.D.

    DOH Case N umbers 2013-09493 & 2013-12498

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    perma nent revocation or susp ension of R esponde nt's license, restriction of

    practice, im pos ition of an adm inistrat ive fine, issuanc e of a reprim and ,

    placem ent of Respon dent on probation, corrective action, refund of fees

    billed or collected, remedial education and/or any other relief that the

    Board d eems appropriate.

    SIGNED this

    S

    day of

    2013

    FILED

    DEPARTMENT OF HEALTH

    DEPUTY CLERK

    CLERK

    ngelSanders

    DATE

    REP

    s 2013

    John H. Arm strong, MD, FACS

    State Surgeon General and

    Secretary of Health

    R. Shaffer Claridge, Esq.

    Florida Bar No. 00 95549

    Assistant General Counsel

    Prosecu tion Services Unit

    4052 Bald Cypress Way, Bin C-65

    Tallahassee, Flor ida 3 2 399-32 65

    (P) 850-2 45-4444, extension 81 66

    F) 850-245-4662

    (E) [email protected]

    PCP: September 23 , 20 13

    PCP Mem bers: Dr. Melzer, Dr. Morgan Dr. Perdom o

    DOH v. Michael Adda ir Tarver, D.M.D.

    DOH Case Numbers 201 3-09493 201 .3-12498

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    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.

    NOTICE REGARDING ASS SSMENT OF OSTS

    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.

    DOH v. Michae l Add.* Tarver, D.M.D.

    DO H Case Numbers 2013-09493 2013-L2498