Professional Documents
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DC A Document
DC A Document
BEFORE THE
STATE OF CALIFORNIA
Res ondent.
BEFORE THE
STATE OF CALIFORNIA
Respondent.
This matter came on regularly for hearing on June 30, 2014, in San Bernardino,
California, before Debra D. Nye-Perkins, Administrative Law Judge, Office of
Administrative Hearings, State of California.
Oral and documentary evidence was received and the matter was submitted for
decision on June 30, 2014.
On July 30, 2014, Administrative Law Judge Debra D. Nye-Perkins issued her
Proposed Decision. On October 15, 2014, the Board issued its Notice of Non
Adoption of the Proposed Decision. On January 13, 2015, the Board issued its Order
Fixing Date for Submission of Written Argument. On February 20, 2015, the Board
issued its Extension Required by Special Circumstances Order. After review of the
entire administrative record including the transcript, and written argument from
Complainant and Respondent, the Board hereby renders its decision in this matter.
SUMMARY
second conviction for driving with a blood alcohol content of at least 0.08 percent.
Respondent demonstrated poor judgment by driving with alcohol in her system on two
occasions. However, Respondent's successful employment history and excellent
performance as a registered nurse (RN) over the years, the absence of other criminal
convictions, and the evidence submitted on her behalf show she is a candidate for
probation.
FACTUAL FINDINGS
Jurisdictional Matters
License History
3. On December 26, 2002, the Board issued Registered Nurse License No.
611177 to Respondent. Respondent's license expires on October 31,2014, unless
renewed or revoked. Respondent has no previous history oflicense discipline.
Respondent's Convictions
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section 23152, subdivision (b), driving with a blood alcohol level of 0.08 percent or
more, a misdemeanor. The court suspended imposition of sentence and placed
Respondent on five years informal probation with various terms and conditions. These
included the requirements that she not drive a motor vehicle with a measurable amount
of alcohol in her blood and submit to chemical testing as requested; pay fines and fees;
serve sixty days of supervised electronic home confinement; complete 18 months of
Multiple Offender Alcohol Program; and complete Mothers Against Drunk Driving
(MADD) Victim's Impact Panel. Respondent has completed her 60 days of house
arrest, her MADD impact panel, and her 18 months of Multiple Offender Alcohol
Program. Assuming she complies with its terms, probation is scheduled to end
October 30, 2017.
7. Respondent was about 34 years old when she incurred her second
conviction. On February 3, 2012, police pulled Respondent over because her
registration was expired. The officer asked Respondent if she had been drinking. She
answered "yes." She smelled of alcohol and had red, watery eyes. Respondent told
the officer that she drank one glass of red wine earlier that evening. After she failed
field sobriety tests, the officer arrested her. Respondent's blood alcohol levels tested
at 0.07 and 0.08 percent.
Respondent's Testimony
8. Respondent testified that she was 23 years old at the time of her first
arrest in 2004 and that youthful indiscretion was a factor. However, according to the
birthdate listed on her Certification of License History and other documentary
evidence (including police reports), Respondent was 27 years old at the time of that
arrest.
1
These factual fmdings are based in part on information included in the police reports and received under
Lake v. Reed (1997) 16 Cal.4th 448, which held that portions of a law enforcement officer's report are
admissible in an administrative proceeding over a hearsay objection, including the officer's percipient
observations and the party's admissions. (Lake v. Reed (1997) 16 Cal.4th·at 461-462, 464.)
accomplishment of obtaining her first job as an RN. Respondent drove to the bar to
meet Dodge and Dodge's boyfriend. After Respondent consumed at least one shot of
alcohol, Dodge began fighting with her boyfriend. At Dodge's request, Respondent
drove Dodge home. After dropping her off, Respondent made aU-turn on the street
and hit Dodge's parked car. Dodge told Respondent that they could deal with the car
damage later. Respondent began to drive away and was then pulled over and arrested.
Respondent admitted at the hearing that she had made a mistake by drinking and
driving that evening. ·
15. Prior to her second conviction, Respondent drank alcohol about once or
twice a month. She testified that after her second conviction, and before she enrolled
in the Multiple-Offender Alcohol Program, she changed her life and stopped drinking
alcohol completely. Respondent provided no corroborating evidence to support her
testimony that she longer consumes alcohol.
16. Respondent was born oversees and immigrated to the United States
when she was 18 years old. Her family did not allow any alcohol in their home and
she started drinking alcohol only after she married at age 19. Thereafter, she drank
occasionally. Respondent is 36 years old and has one son. She is the sole breadwinner
in her household, which includes her son, her two parents and an elderly family friend.
She currently works as the Director of Nursing at Arbor Glen Care Center (Arbor
Glen).
20. In 2009, Posa became Director ofNursing at Country Villa Park Avenue
long-term facility (CVPA) in Pomona, California. Respondent followed Posa to
CVPA in 2009 and became the Assistant Director of Nursing. Respondent continued
to work at both Community Hospital and CVP A.
25. Steven Robert Powell is Respondent's supervisor at Arbor Glen and the
facility's Administrator and Executive Director. Powell hired Respondent as the
Director of Nursing at Arbor Glen. He knew her from her work at Upland, another
facility his company owned. Powell testified that Respondent is very well respected in
the field of nursing and is viewed as a clinical leader in the field. He felt she .
demonstrated exceptional skill and knowledge as a supervisor.
26. According to Powell, Respondent took Arbor Glen from a facility on the
verge of losing its license to a highly-respected, first-class facility.
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30. A third-party caregiver and patient advocate for a patient that passed
away at Arbor Glen wrote:
31. A resident at Arbor Glen who has known Respondent for two years
stated in his letter:
,'...--..-......\
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Costs
LEGAL CONCLUSIONS
Standard ofProof
2. Business and Professions Code section 2761, provides that the "board
may take disciplinary action against a certified or licensed nurse for
[~] ... [~
Substantial Relationship
4. A conviction alone will not support a denial of a license unless the crime
substantially relates to the qualifications, function or duties of the profession in
question. (Harrington v. Department ofReal Estate (1989) 214 Cal.App.3d 394, 402.)
of a registered nurse as they reflect poorly on her common sense and professional
judgment.
Disciplinary Guidelines
10. California Code of Regulations, title 16, section 1444.5, provides that in
reaching a decision in a disciplinary action under the Administrative Procedure Act,
the Board must consider its Recommended Guidelines for Disciplinary Orders and
Conditions ofProbation (guidelines). Deviation from the guidelines is appropriate
when the Board, in its sole discretion, determines that the facts ofthe particular case
warrant such a deviation, for example: the presence of mitigating factors; the age of
the case; or there are evidentiary problems in the case.
10
15. . Respondent's testimony that she no longer consumes alcohol was not
supported by any corroborating evidence. Respondent's own verbal assurances that
she will riever drink alcohol again are not sufficient proof that she no longer consumes
alcohol. (See, Walker v. State Bar (1989) 49 Cal.3d 1107, 1118.) Respondent's verbal
assurances are also undercut by some inconsistencies in her testimony. Specifically,
Respondent attempted to minimize her first offense as a youthful indiscretion based on
her testimony that she was 23 years old at the time. However, documentary evidence
contradicted Respondent'stestimony and established that she was actually 27 years
old. Furthermore, Respondent's testimony at the hearing regarding the number of
glasses of wine she had on the night of her second arrest contradicted the information
she provided to the police. Respondent's second DUI conviction occurred at a time
when Respondent held a highly responsible position, and her drinking came as a
detriment to herself and had the potential of being to the great detriment of others.
Public protection requires that Respondent undergo mental and physical evaluations to
determine whether she has a substance abuse problem and whether she may safely
practice nursing. Mental and physical exams each provide unique insight and
information for the making of these determinations.
16. Seven years passed between Respondent's first and second convictions.
During that time she became highly regarded and successful nurse in her community.
Nonetheless, Respondent had significant lapses in judgment in 2004 and 2012 when
12
she drove with alcohol in her system. To her credit, Respondent accepted full
responsibility for her actions. She was cooperative and candid in the Board's
investigation and this hearing. Even after completing her court-ordered programs,
Respondent voluntarily took additional action to educate herself about the dangers of
alcohol and to stop drinking altogether. Respondent expressed regret and remorse for
her actions; her testimony was sincere and credible. This is Respondent's first
disciplinary action.
17. Upon consideration of the entirety of the facts and the application of the
disciplinary criteria, it is concluded that it would not be against the public interest to
permit Respondent to hold her registered nursing license on a probationary basis, with
appropriate terms and conditions of probation. Public protection demands that in order
for Respondent to retain her registered nursing license, the Board must have verifiable
assurances that Respondent no longer uses alcohol in any capacity. Appropriate terms
and conditions for probation should include the requirement that Respondent undergo
mental and physical evaluations, and to follow any resulting recommendations. She
should also be subject to random biological fluid testing in addition to the standard
terms and conditions of probation. Granting her probationary license with these terms
would satisfy the concerns of protecting the public.
When Respondent was convicted of her second DUI, she held a responsible
position as the Assistant Director of Nursing at CVPA. Respondent had already been
convicted of a DUI several years before, which she attributed to youthful indiscretion.
Respondent admits that she did not learn much from her first conviction, and did not
understand that she could seriously harm others by drinking and driving. During the
years that followed, Respondent should have developed the maturity and insight that
would prevent her from engaging in the same misconduct. As a registered nurse,
Respondent should have been aware of the dangers associated with drinking and
driving, and on the effect alcohol has on the human body.
of criminal penalty if she does not conduct herself in a law-abiding manner (In Re
Gossage (2000) 23 Cal.4th 1080, 1099.)
For these reasons, the probationary terms 1- 19 in their entirety and without
modification are imposed here. The five year length of probation imposed by the
Proposed Decision is reduced to three years. The public interest will be adequately
served by monitoring Respondent on a three year term of probation under conditions
1-19; the public interest will not benefit from an additional two years of probation.
Cost Recovery
ORDER
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(1) OBEY ALL LAWS- Respondent shall obey all federal, state and local laws. A
full and detailed account of any and all violations of law shall be reported by the
respondent to the Board in writing within seventy-two (72) hours of occurrence. To
permit monitoring of compliance with this condition, respondent shall submit
completed fingerprint forms and fingerprint fees within 45 days of the effective date
ofthe decision, unless previously submitted as part ofthe licensure application
process.
Respondent shall provide a list of all states and territories where she has ever been
licensed as a registered nurse, vocational nurse, or practical nurse. Respondent shall
further provide information regarding the status of each license and any changes in
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such license status during the term of probation. Respondent shall inform the Board
if she applies for or obtains a new nursing license during the term of probation.
Respondent shall provide a copy of this decision to the nursing regulatory agency in
every state and territory in which he or she has a registered nurse license.
For purposes of compliance with the section, "engage in the practice of registered
nursing" may include, when approved by the Board, volunteer work as a registered
nurse, or work in any non-direct patient care position that requires licensure as a
registered nurse.
The Board may require that advanced practice nurses engage in advanced practice
nursing for a minimum of 24 hours per week for 6 consecutive months or as
determined by the Board.
If respondent has not complied with this condition during the probationary term, and
the respondent has presented sufficient documentation of his good faith efforts to
comply with this condition, and if no other conditions have been violated, the Board,
in its discretion, may grant an extension of the respondent's probation period up to
one year without further hearing in order to comply with this condition. During the
one year extension, all original conditions of probation shall apply.
Respondent shall provide a copy of this decision to her employer and immediate
supervisors prior to commencement of any nursing or other health care related
employment.
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f\ ·.,
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In addition to the above, respondent shall notify the Board in writing within seventy
two (72) hours after he obtains any nursing or other health care related employment.
Respondent shall notify the Board in writing within seventy-two (72) hours after she
is terminated or separated, regardless of cause, from any nursing, or other health care
related employment with a full explanation of the circumstances surrounding the
termination or separation.
(8) SUPERVISION - Respondent shall obtain prior approval from the Board
regarding respondent's level of supervision and/or collaboration before commencing
or continuing any employment as a registered nurse, or education and training that
includes patient care.
Respondent shall practice only under the direct supervision of a registered nurse in
good standing (no current discipline) with the Board ofRegistered Nursing, unless
alternative methods of supervision and/or collaboration (e.g'., with an advanced
practice nurse or physician) are approved.
Respondent's level of supervision and/or collaboration may include, but is not limited
to the following:
(d) Home Health Care - If respondent is approved to work in the home health care
setting, the individual providing supervision and/or collaboration shall have person
to-person communication with respondent as required by the Board each work day.
Respondent shall maintain telephone or other telecommunication contact with the
individual providing supervision and/or collaboration as required by the Board during
each work day. The individual providing supervision and/or collaboration shall
conduct, as required by the Board, periodic, on-site visits to patients' homes visited
by the respondent with or without respondent present.
Respondent shall not work for a licensed home health agency as a visiting nurse
unless the registered nursing supervision and other protections for home visits have
17
been approved by the Board. Respondent shall not work in any other registered
nursing occupation where home visits are required.
Respondent shall not work in any health care setting as a supervisor of registered
nurses. The Board may additionally restrict Respondent from supervising licensed
vocational nurses and/or unlicensed assistive personnel on a case-by-case basis.
f
If the respondent is working or intends to work in excess of 40 hours per week, the
Board may request documentation to determine whether there should be restrictions
on the hours of work.
Respondent shall obtain prior approval from the Board before enrolling in the
course(s). Respondent shall submit to the Board the original transcripts or certificates
of completion for the above required course(s). The Board shall return the original
documents to respondent after photocopying them for its records.
(11) COST RECOVERY- Respondent shall pay to the Board costs associated with
its investigation and enforcement pursuant to Business and Professions Code Section
125.3 in the amount of$4,692.50. Respondent shall be permitted to pay these costs in
a payment plan approved by the Board, with payments to be completed no later than
three months prior to the end of the probation term. ·
If Respondent has not complied with this condition during the probationary term, and
respondent has presented sufficient documentation of her good faith efforts to comply
with this condition, and if no other conditions have been violated, the Board, in its
discretion, may grant an extension of the respondent's probation period up to one year
without further hearing in order to comply with this condition. During the one year
extension, all original conditions of probation will apply.
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(1) Two years for reinstatement of a license that was surrendered for any reason
other than a mental or physical illness; or
(2) One year for a license surrendered for a mental or physical illness.
19
If the respondent fails to have the above assessment submitted to the Board within the 45
day requirement, respondent shall immediately cease practice and shall not resume
practice until notified by the Board. This period of suspension will not apply to the
reduction of this probationary time period. The Board may waive or postpone this
suspension only if significant, documented evidence of mitigation is provided. Such
evidence must establish good faith efforts by the respondent to obtain the assessment, and
a specific date for compliance must be provided. Only one such waiver or extension may
be permitted.
Respondent shall identify for the Board a single physician, nurse practitioner or
physician assistant who shall be aware of respondent's history of substance abuse and
will coordinate and monitor any prescriptions for respondent for dangerous drugs,
20
The Board may require the single coordinating physician, nurse practitioner, or
physician assistant to be a specialist in addictive medicine, or to consult with a
specialist in addictive medicine.
In addition, respondent, at any time during the period of probation, shall fully
cooperate with the Board or any of its representatives, and shall, when requested,
submit to such tests and samples as the Board or its representatives may require for
the detection of alcohol, narcotics, hypnotics, dangerous drugs, or other controlled
substances.
If respondent has a positive drug screen for any substance not legally authorized and
not reported to the coordinating physician, nurse practitioner, or physician assistant,
and the Board files a petition to revoke probation or an accusation, the Board may
suspend respondent from practice pending the final decision on the petition to revoke
probation or the accusation. This period of suspension will not apply to the reduction
of this probationary time period. ·
psychologist or other licensed mental health practitioner approved by the Board. The
examining mental health practitioner will submit a written report of that assessment
and recommendations to the Board. All costs are the responsibility of the respondent.
Recommendations for treatment, therapy or counseling made as a result of the mental
health examination will be instituted and followed by the respondent.
If the respondent fails to have the above assessment submitted to the Board within the
45-day requirement, respondent shall immediately cease practice and shall not resume
practice until notified by the Board. This period of suspension will not apply to the
reduction of this probationary time period. The Board may waive or postpone this
suspension only if significant, documented evidence of mitigation is provided. Such
evidence must establish good faith efforts by the respondent to obtain the assessment,
and a specific date for compliance must be provided. Only one such waiver or
extension may be permitted.
shall participate in an on-going counseling program until such time as the Board
releases her from this requirement and only upon the recommendation of the
counselor. Written progress reports from the counselor will be required at various
intervals.
RAYMOND MALLEL
BOARD PRESIDENT
BOARD OF REGISTERED NURSING
STATE OF CALIFORNIA
22
II
1 KAMALA D. HARRIS
2 . ARMANDO ZAMBRANO
Supervising Deputy Attorney General
3 KRlTHTHIKA V ASUDEV AN
Deputy Attorney General
4 State Bar No. 247590
300 So. Spring Street, Suite 1702
8 BEFORETHE
STATE OF CALIFORNIA
10
Fontana, CA 92336
14
Registered Nurse License No. 611177
15
lr---------------------------------~
16 Complainant alleges:
17 PARTIES
18 1. Louise R. Bailey, M.Ed., RN (Complainant) brings this Accu~ation solely in her
19 official capacity as the Executive Officer of the Board of Registered Nursing; Depaitment of·
20 Consumer Affairs.
21 2. On or about December 26, 2002, the Board of Registered Nursing (Board) issued
22 Registered Nurse License No. 611177 to Evangeline Bodena Carrozza, aka Evangeline Carrozza
23 (Respondent). The Registered Nurse License was in full force and effect at all times relevant to
24 the charges brought herein and will expire on October 31, 2014, unless renewed.
25 JURISDICTION
26 3. This Accusation is brought before the Board under the authority of the following
27 laws. All section references are to the Business and Professions Code unless otherwise indicated.
28 ///
Accusation
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1 STATUTORY PROVISIONS
4 board may suspend or revoke a license on the ground that the licensee has been convicted of a
5 crime, if the crime is substantially related to the qualifications, functions, or duties of the business
7 "(b) Notwithstanding any other provision of law, a board may exercise any authority to
8 discipline a licensee for conviction of a crime that is independent of the authority granted under
2. subdivision (a) only ifthe crime is substant~allyrelated to the qualifi.cati,ons, functions, orduties
10 of the business or profession for which the license.e's license was issued..
11 "(c) A conviction within the meaning of this section means a plea or verdict of guilty or a
12 conviction following a plea of nolo contendere. Any action that a board is permitted to take
13 following the establishment of a conviction may be taken when the time for appeal has. elapsed, or
14 the judgment of conviction has been affirmed on appeal, or when an order granting probation is
15 made suspending the imposition of sentence, irrespective of a subsequent order under the
19 the department pursuant to law to deny an application for a license or to suspend or revoke a ..
20 license or otherwise take disciplinary action against a person who holds a license, upon the
21 ground that the applicant or the licensee has been convicted of a crime substantially related to the
22 qualifications, functions, and duties of the licensee in question, the record of conviction of the
23 crime shall be conclusive evidence of the fact that the conviction occurred, but only of that fact,
24 and the board may inquire into the circumstances surrounding the commission of the crime in
25 order to fix the degree of discipline or to determine if the conviction is substantially related to the
26 qualifications, functions, and duties of the licensee in question. As used in this section, "license"
28 Ill
2
Accusation
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! I
1 6. Section 2750 provides, in pertinent part, that the Board may discipline any licensee,
2 including a licensee holding a temporary or an inactive license, for any reason provided in Article
"
.J 3 (commencing with section 2750) of the Nursing Practice Act.
5 "The board may take disciplinary action against a certified or licensed nurse or deny an
7 "(a) Unprofessional conduct, which includes, but is not limited to, the following:
10 functions, and duties of a registered nurse, in which event the record of the conviction shall be
13 "In addition to other acts constituting unprofessional conduct within the meaning of this
14 chapter [the Nursing Practice Act], it is unprofessional conduct for a person licensed under this
16
17 "(b) Use any controlled substance as defined in Division 10 (commencing with Section
18 11 000) of the Health and Safety Code, or any dangerous drug or dangerous device as defmed in
19 Section 4022, or alcoholic beverages, to an extentor in. a manner dangerous or. injurious to
20 himself or herself, any other person, or the public or to the extent that su~h use impairs his or her
21 ability to conduct with safety to the public the practice authorized by his or her license.
23 self-administration of any of the substances described in subdivisions (a) and (b) of this section,
24 or the possession of, or falsification of a record pertaining to, the substances described in
25 subdivision (a) of this section, in whlch event the record of the conviction is conclusive evidence
26 thereof."
27 Ill
28 Ill
3
Accusation
II
1 9. Section 2764 provides, in pertinent part, that the expiration of a license shall not
2 deprive the Board ofjurisdiction to proceed with a disciplinary proceeding against the licensee or
.... to render a decision imposing discipline on the license .
.J
4 REGULATORY PROVISIONS
5 10. California Code of Regulations, title 16, section 1444 states, in pertinent part:
8 potential unfitness of a registered nurse to practice in a manner consistent with the public health,
9 safety, or welfare."
10 COST RECOVERY
11 11. Section 125.3 provides, in pertinent part, that the Board may request the
12 administrative law judge to direct a licentiate found to have committed a violation or violations of
13 th~ licensing act to pay a sum not to exceed the reasonable costs of the investigation·and
17 12. Respondent is subject to disciplinary action under sections 490, 2761, subdivision (f),
18 and 27 62, subdivision (c), in conjunction with California Code of Regulations, title 16, section
19 1444, in that Respondent was convicted ofa crime substantially related to the qualifications,
21 a. On or about October 30, 2012, after pleading guilty, Respondent was convicted of
22 one misdemeanor count for violation of Vehicle Code section 23152, subdivision (b) [driving
23 while having 0.08%:or more, by weight, of alcohol in her blood], in Orange County Superior Court
24 case number 12NM03204, People v. Evangeline Bodena Carrozza. The Court sentenced
25 Respondent to serve 60 days in Orange County Jail, placed her on five years probation, ordered
26 her to attend an 18-month multiple-offender alcohol program, and pay fines and restitution.
27 b. The circumstances surrounding the conviction are that on or about February 3, 2012,
28 Respondent was pulled over by the California Highway Patrol for expired license plates. The
4
Accusation
officer detected the smell of alcohol from her body, and she had red watery eyes. "When asked if
she had drunk any alcoholic beverages, Respondent admitted she had one cup of wine.
Respondent was administered, and failed a field sobriety test. Respondent was given a
breathalyzer test which showed a breath-alcohol content level of 0.07% on the first reading and
13. Respondent is subject to disciplinary action under sections 490, 2761, subdivision (f),
and 2762, subdivision (c), in conjunction with California Code of Regulations, title 16, section.
1444, in that Respondent was convicted of a crime substanti~lly related t6 the qualifications,
for violation of Vehicle Code section 23152, subdivision (b) [driving while having 0.08% or .
more, by weight, of alcohol in her blood] , in Los Angeles Superior Court, case number
SJMO 102401, People v. Evangeline Bodena Carrozza. The Court placed Respondent on three
years probation.
b. The circumstances surrounding the conviction are that on or about December 17,
2004, Respondent failed to stop at the scene of an accident, and was later pulled over by the
. Glendora Police Department. The officer detected the smell of alcohol from her body.
Respondent had bloodshot watery eyes, and slurred speech. "When asked if she drank any
alcoholic beverages, Respondent admitted that she had a few drinks, a couple of hours ago.
Respondent submitted to a blood test that resulted in a blood-alcohol content level of0.15%.
14. Respondent is subject to disciplinary action under sections 2761, subdivision (a), and
2762, subdivision (b), in that Respondent used alcoholic beverages to an extent or in a manner
dangerous or injurious to herself, another person or the public, when she drove a vehicle, while
5
Accusation
II
1 a. Complainant refers to, and by this reference incorporates, the allegations set forth
5 15. Respondent is subject to disciplinary actionunder section 2761, subdivision (a), and
6 27 62, subdivision (c), in that the Respondent was convicted of crimes involving the consumption
7 of alcohol.
8 a. Complainant refers to, and by this reference incorporates, the allegations set forth
10 PRAYER
11 WHEREFORE, Complainant requests that a hearing be held on the matters herein alleged,
15 2. Ordering Evangeline Bodena Carrozza, aka Evangeline Carrozza, to pay the Board the
rea nable costs of the
17 3. Taking such other and further action as deemed necessary and proper.
18
19
20
LOUISE R. BAILEY, M.ED., RN
21 Executive Officer
Board of Registered Nursing
22 Department of Consumer Affairs
State of California
23 Complainant
24
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26
LA2013509038/51320085.doc/07.02.13 TXFR .
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